Mary Ebeid-Habeb
Pharmacy Intern
Massachusetts College of Pharmacy and Health Sciences
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Date: | 10/21/2024 |
Rotation Type: | APPE Internal Medicine |
Comments: | ? |
Patient Sex: | M |
Patient Ethnicity: | White |
Patient Age Category: | Geriatric (65 years old +) |
During this intervention did you collaborate with a prescriber, student prescriber or a member of the health care team (other than pharmacy)?: | Yes |
How many medications were involved in this intervention?: | 1 |
Disease/Disorder: | Cardiovascular Disorder |
As part of this encounter, please select the values and skills that have contributed to your growth and development as a future pharmacist:: | Collaboration Problem Solving Professionalism Advocacy |
Based on the values and skills you selected above, describe (in at least 5 sentences) how this experience made you think and act as future pharmacist.: | This experience emphasized the critical role of problem-solving and collaboration in pharmacy practice. In reviewing a patients case I realize that a patient was admitted as inpatient and was experiencing rhabdomyolysis. Through looking at his profile I was able to see that he was taking a statin and realized this was a side effect of the medication. This problem-solving approach demonstrated how pharmacists must continuously assess the effectiveness of current therapies and seek out better alternatives when necessary. Collaboration was another key takeaway, this involved input from physicians, pharmacists, and other healthcare professionals, highlighting the importance of working together to develop comprehensive treatment plans. As a future pharmacist, I will need to actively engage in collaborative problem-solving with the healthcare team, using my expertise to contribute to help optimize patient outcomes. |
Type of Intervention: | Adverse Drug Reaction |
Outcome of Intervention: | Recommendation Accepted by Provider |
My preceptor or pharmacist in charge has reviewed and approved this intervention prior to making any recommendations.: | Yes |
Date: | 10/15/2024 |
Rotation Type: | APPE Internal Medicine |
Comments: | ? |
423APPE) 1. During this APPE rotation, which of the following health care professionals did you interact with? Select all that apply: | Physician (MD or DO) Physician learner (MD or DO medical resident, MD or DO medical fellow, or MD or DO medical student) Physician Assistant - Student |
423APPE) 2. Values and Ethics (VE) are core competencies for interprofessional education and collaboration. During this APPE rotation, which of the following competencies related to values and ethics were you able to demonstrate? Select all that apply: | Uphold the dignity, privacy, identity, and autonomy of persons while maintaining confidentiality in the delivery of team-based care. (VE3) Collaborate with honesty and integrity while striving for health equity and improvements in health outcomes. (VE6) Practice trust, empathy, respect, and compassion with persons, caregivers, health professionals, and populations. (VE7) Apply high standards of ethical conduct and quality in contributions to team-based care. (VE8) Maintain competence in one's own profession in order to contribute to interprofessional care. (VE9) Support a workplace where differences are respected, career satisfaction is supported, and well-being is prioritized. (VE11) |
423APPE) 3. In 3-5 sentences, describe an encounter where you demonstrated competency in working with team members to maintain a climate of shared values, ethical conduct, and mutual respect.: | During my internal medicine rotation, I collaborated with a multidisciplinary team to manage a complex patient case involving poly-pharmacy. We held daily meetings to discuss the patient's care plan, and I ensured that each team member's perspective was respected and considered. By fostering a climate of shared values and mutual respect, we aligned our decisions with ethical standards and optimized patient care |
423APPE) 4. Roles and Responsibilities (RR) are core competencies for interprofessional education and collaboration. During this APPE rotation, which of the following competencies related to roles and responsibilities were you able to demonstrate? Select all that apply: | Include the full scope of knowledge, skills, and attitudes of team members to provide care that is person-centered, safe, cost-effective, timely, efficient, effective, and equitable. (RR1) Collaborate with others within and outside of the health system to improve health outcomes. (RR2) Differentiate each team member's role, scope of practice, and responsibility in promoting health outcomes. (RR4) |
423APPE) 5. In 3-5 sentences, describe an encounter where you demonstrated competency in using your knowledge of your own role and team members' expertise to address individual and population health outcomes.: | During my clinical rotation in internal medicine, I was able to have the opportunity to collaborate with a multi-disciplnary team to help our patients receive the right treatment. Understanding my role as a pharmacy student I reviewed the patient's medication regimen and could recommend a regimen if necessary. I also recognized the Physician Residents, Interns, and students expertise. Together, as a team we were able to tailor a plan that addressed the patients needs and concerns. Leading to patients improved health outcome. |
423APPE) 6. Communication (C) is a core competency for interprofessional education and collaboration. During this APPE rotation, which of the following competencies related to communication were you able to demonstrate? Select all that apply: | Communicate one's roles and responsibilities clearly. (C1) Use communication tools, techniques, and technologies to enhance team function, well-being, and health outcomes. (C2) Promote common understanding of shared goals. (C4) Examine one's position, power, role, unique experience, expertise, and culture towards improving communication and managing conflicts. (C7) |
423APPE) 7. In 3-5 sentences, describe an encounter where competently communicated in a responsive, responsible, respectful, and compassionate manner with team members.: | During my internal medicine rotation, I worked with a team to help develop a treatment plan for a patient who had rhabdomyolysis. While reviewing the patients chart, I noticed that the patient was taking a high-intensity statin. After realizing the connection, I communicated my concern's with my Preceptor and a Pharmacy Resident. I proposed discontinuation of the Stating in the patients medication regimen. My communication respectful of everyone's input, and centered on patient care, which fostered a supportive team environment and led to a plan that the patient felt comfortable with. |
423APPE) 8. Teams and Teamwork (TT) are core competencies for interprofessional education and collaboration. During this APPE rotation, which of the following competencies related to teams and teamwork were you able to demonstrate? Select all that apply: | Appreciate team members' diverse experiences, expertise, cultures, positions, power, and roles towards improving team function. (TT2) Practice team reasoning, problem solving, and decision making. (TT3) Use shared leadership practices to support team effectiveness. (TT4) Operate from a shared framework that supports resiliency, well-being, safety, and efficacy. (TT9) |
423APPE) 9. In 3-5 sentences, describe an encounter where you demonstrated competency in applying teamwork to adapt one's own role in a variety of team settings.: | I had the opportunity to be a part of a team in managing patients with multiple chronic conditions. I was able to focus on reviewing the patients medications for potential drug-drug interactions, assessing medication regimen guidelines, and more. While doing a medication reconciliation I learned to always make sure to check if patients are taking any other medications or supplements, like OTC or herbals. When doing my Med Rec I adapted this method and learned that this is an important aspect that physicians and dietitians take into account when counseling patients. |
Date: | 10/20/2023 |
Rotation Type: | Wor/Man IPPE Institutional |
Comments: | |
Patient Sex: | M |
Patient Ethnicity: | White |
Age: | Geriatric (65 years old +) |
During this intervention did you collaborate with a prescriber or student prescriber?: | Yes |
How many medications were involved in this intervention?: | 2 |
Disease/Disorder: | Neurologic Disorder (including pain management) |
Type of Intervention: | Dose Adjustment |
Outcome of Intervention: | Recommendation Accepted by Provider |
Please select the following values/skills that have contributed to your growth, development or learning.: | Collaboration Empathy Problem Solving Professionalism Self-awareness |
My preceptor or pharmacist in charge has reviewed and approved this intervention prior to making any recommendations.: | Yes |
Date: | 10/23/2023 |
Rotation Type: | Wor/Man IPPE Institutional |
Comments: | |
During this IPPE rotation, did you interact with any of the following (please select all that apply)?: | Nurse Nurse Practitioner |
Interprofessional collaboration occurs when multiple health workers from different professional backgrounds work together with patients, families, carers, and communities to deliver the highest quality of care. (WHO, 2010): | Yes |
Interprofessional education occurs when learners, educators, or health care workers from two or more health professions learn about, from and with each other to enable effective interprofessional collaboration and improve health outcomes. (adapted from WHO, 2010 & Buring, et al. AJPE 2009;73(4): article 59): | Yes |
As you complete the following questions, please think about all of the interprofessional observations and/or interactions you had during this IPPE rotation.: | Yes |
I was able to place the interests of patients at the center of interprofessional health care delivery.: | Agree |
I was able to act with honesty and integrity in relationships with patients, families, communities, and other team members.: | Strongly agree |
I was able to recognize the roles and responsibilities of other health care providers.: | Strongly Agree |
I was able to recognize how the team works together to provide patient care.: | Strongly Agree |
I was able to recognize limitations of my skills, knowledge, and abilities.: | Strongly Agree |
I was able to express my knowledge and opinions to team members involved in patient care with clarity and respect.: | Strongly Agree |
I was able to listen actively to other team members.: | Strongly Agree |
I was able to encourage ideas and opinions of other team members.: | Strongly Agree |
I was able to engage other health care professionals in shared problem-solving appropriate to the specific patient care situation.: | Agree I haven't had a chance to do this yet |
I was able to reflect on my individual performance for improvement.: | Agree |
Please provide one example of an interprofessional observation and/or interaction that you had during this IPPE rotation in one to two sentences.: | Patient is taking Eliquis at home which is an anticoagulant. The physician would like to administer a dose of Heparin 5,000 units SQ. This is used as a prophylaxis. It helps prevent problems that could arise from the patient being dormant and not moving while in the hospital. Since the patient is taking Eliquis at home there is no needed for the Heparin. Pharmacist reached out the physician about the duplication. The intervention was approved. |
Date: | 09/13/2023 |
Rotation Type: | Wor/Man IPPE Community |
Comments: | |
Write Reflection Here:: | Something that has been so surprising is the number of medications on back order. Patients are eager to receive their medication in a timely manner and may not understand when and why a medication is on backorder. But I see the effort from the pharmacist and the technicians to assure the patient they will get their medications as well as ordering the medication to ensure the patient can receive their medication as soon as possible. Their efforts take this negative situation and give it a positive outlook. I feel this way because you can see the dedication from the pharmacy staff and empathy for the patient. This situation that happens to occur in the pharmacy daily shows the empathy from the pharmacist to the patient. Something I plan to take away from this rotation and something I have learned is the frame of mind of the pharmacist. Seeing how compassionate, empathetic, and positive the pharmacist is, is how I plan to be with future patients. Since my rotation site is in the cancer portion of the hospital, I hope to leave a positive impact the way the pharmacist leaves on his patients. |
Date: | 09/29/2023 |
Rotation Type: | Wor/Man IPPE Community |
Comments: | |
Write Reflection Here:: | I enjoyed being an intern at Valley Health Pharmacy retail pharmacy. I have only worked in retail for a few months prior to the COVID-19 pandemic. I worked at a retail chain pharmacy and didn't really enjoy the environment. The environment was very fast paced and there wasn't much time in the day to have a one-to-one conversation with the patient. Even though I tremendously enjoyed this experience I believe that these four weeks have reaffirmed my future career goals. Two events that made me consider sticking to my initial career goal was that most of the day consists with dealing with insurance companies. I see the compassion and determination from every technician and pharmacist assuring that the patient is receiving their prescription and at a low cost. I find this to be very important but just not something that I would look forward to doing every day. Another aspect is dealing with manufacturer of medication. I personally feel that there is less doctor-to-patient interaction. Having one-on-one interaction with the patient about their medication, medication reconciliation, or simply just counseling the patient is an aspect of my day that I will look forward too. I believe that all these experiences have reaffirmed my career goals in wanting to pursue a career as a clinical pharmacist in a hospital setting. |
Date: | 10/27/2023 |
Rotation Type: | Wor/Man IPPE Institutional |
Comments: | |
Write Reflection Here:: | Before starting this rotation, I had my mind set on achieving a career in industry. Now that the four weeks have come to an end, I must admit this it has sparked an interest in working in a hospital setting. One instance that sparked my instance was when I spent a few days in the IV Room. In the class setting we learn about the techniques, garbing, and procedures that take place in the IV Room. Getting to garb, see the calculations, and the medication being prepared were very interesting. The day consisted of seeing the medication order, what the medication is used for, and verifying the dose. This may sound like the normal process that is done in the main pharmacy, but the environment was completely different. Another instance that sparked my interest in the hospital setting was working in the Emergency Department. Not only was the pharmacist so knowledgeable about every medication order and literature pertaining to that order. But the environment was very thrilling and exciting. Withing fifteen minutes of being in the ED there was a code called. Prior to being at this institution I was not aware that a pharmacist needs to be present when a code is called. The four weeks that I have been at Hackensack I have been able to see the true meaning of pharmacy being a broad career path. |
Raising awareness about autism is essential to promoting understanding in society. It encourages diversity and gives people with autism the tools they need to succeed in a variety of settings. As frontline healthcare providers, pharmacists are essential to raising awareness of autism because they offer support and direction to people with the disorder and their families. They make ensuring that essential medications are accessible, give guidance on how to manage related health problems, and create an inclusive and welcoming atmosphere for people with autism. Pharmacists can greatly improve the general well-being and quality of life of people on the autistic spectrum by learning about their specific requirements. Utilizing education, empathy, and advocacy, pharmacists play a role in fostering a more inclusive culture that values and supports people with autism. |
Date: | 10/13/2023 |
Rotation Type: | Wor/Man IPPE Institutional |
Comments: | |
Write Reflection Here:: | The word that comes into mind when I think of this institutional rotation is Adventure. Everyday has been an adventure. Seeing where I'm stationed for the day, the tasks for the day, and so much more. During the semester when we were learning pharmaceutical calculations, I was constantly asking myself "Is this something I will really have to do while being a pharmacist? Do I really need to know how to do these calculations?" While shadowing one of the pharmacists I got my answer, which is yes, these calculations will benefit me in the future. The pharmacist was checking to verify one of the med orders when she noticed that physical requested the dose in drops. I was asked to help with the math. I felt really involved and felt prepared to answer the questions the pharmacist had. Whether it was how many drops in 1 milliliter or if I knew how to do the allegation method. After answering all the questions, I felt very proud of myself that I was able to implement all the information that I learned in the classroom to the institutional setting. From This experience I feel very confident that I am capable to answer the questions the pharmacist and that I can achieve anything I set my mind too. This rotation is an adventure that I look forward too every day. |
Date: | 09/21/2023 |
Rotation Type: | Wor/Man IPPE Community |
Comments: | |
Patient Sex: | M |
Patient Ethnicity: | Black or African American |
Age: | Geriatric (65 years old +) |
During this intervention did you collaborate with a prescriber or student prescriber?: | Yes |
How many medications were involved in this intervention?: | 1 |
Disease/Disorder: | Oncologic Disorder |
Type of Intervention: | Non-formulary Medication |
Outcome of Intervention: | Recommendation Accepted by Provider |
Please select the following values/skills that have contributed to your growth, development or learning.: | Care giving Empathy Problem Solving Professionalism Self-awareness |
My preceptor or pharmacist in charge has reviewed and approved this intervention prior to making any recommendations.: | Yes |
Date: | 09/21/2023 |
Rotation Type: | Wor/Man IPPE Community |
Comments: | |
During this IPPE rotation, did you interact with any of the following (please select all that apply)?: |
Nurse Physicians |
Interprofessional collaboration occurs when multiple health workers from different professional backgrounds work together with patients, families, carers, and communities to deliver the highest quality of care. (WHO, 2010): | Yes |
Interprofessional education occurs when learners, educators, or health care workers from two or more health professions learn about, from and with each other to enable effective interprofessional collaboration and improve health outcomes. (adapted from WHO, 2010 & Buring, et al. AJPE 2009;73(4): article 59): | Yes |
As you complete the following questions, please think about all of the interprofessional observations and/or interactions you had during this IPPE rotation.: | Yes |
I was able to place the interests of patients at the center of interprofessional health care delivery.: | Agree |
I was able to act with honesty and integrity in relationships with patients, families, communities, and other team members.: | Strongly agree |
I was able to recognize the roles and responsibilities of other health care providers.: | Strongly Agree |
I was able to recognize how the team works together to provide patient care.: | Strongly Agree |
I was able to recognize limitations of my skills, knowledge, and abilities.: | Strongly Agree |
I was able to express my knowledge and opinions to team members involved in patient care with clarity and respect.: | Strongly Agree |
I was able to listen actively to other team members.: | Strongly Agree |
I was able to encourage ideas and opinions of other team members.: | Strongly Agree |
I was able to engage other health care professionals in shared problem-solving appropriate to the specific patient care situation.: | Agree |
I was able to reflect on my individual performance for improvement.: | Strongly Agree |
Please provide one example of an interprofessional observation and/or interaction that you had during this IPPE rotation in one to two sentences.: | Due to this pharmacy being located in the hospital we receive a handful of surgery orders. It's very impressive to see how closely and how well all of the physicians work with each other and making sure the patient is treated with the upmost care and receives all the medication needed for before the surgery as well as after the surgery. In the process of doing so we are not just consulting with the patient but also the physicians, nurses, and/or care takers. Luckily I got to help prepare and fill mostly all of the surgery orders. |
- Description – What past experiences have influenced your career goals?
- Some past experiences that have influenced my career goals have been the times that I have been sick. The past year I have found myself to be in and out of the emergency room due to gastrointestinal issues. Due to this, I have communicated with my pharmacist more than usual. And due to this I found the field of pharmacy to be so intriguing and much more than dispensing.
- Feelings – What are your feelings regarding your career goals (anxious, optimistic, etc)?
- I am very anxious about the future. Especially this semester. As the days go by I feel the pressure to try to understand what I want to do in the future. But I am very optimistic that the decision I do end up making I will love. I am more anxious when it comes to thinking about the residence or a fellowship.
- Evaluation – What is your evaluation (positive or negative) of your experiences and why do you feel this way?
- So far most of my experiences are positive. I still think about the APhA Career Pathways Activity from last semester and spend most of my time envisioning what I want to accomplish in the future. Overall, my evaluation is very much positive and optimistic. The past trained me to be trained for the present.
- Analysis – What did you learn from your experiences and how does it apply to your current career goals? Have your career goals change after your participation in the MCPHS Curriculum?
- Recently, this semester we have talked multiple times about concentrations, residency, and fellowship. Which to me is what I intend to do. At first, when hearing about these topics, I thought to myself that I wouldn’t make it. But if the past has taught me anything is that I am capable. I know that I can accomplish anything I put my mind to. MCPHS is motivating me to continue with my future career goals
- Conclusion/action – What actions do you plan to take to achieve your career goals? Do you plan to pursue any post-graduation education or additional training?
- I plan to continue doing well, like last semester. The past semester does not compare to the level of difficulty this semester, but I know I can accomplish anything I set my mind to. I plan to do well this semester, find out about residency programs, work on my CV, and even look at fellowships. This semester will consist of conducting research about things that will interest me and help me achieve my future goals.
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