Ola Yehia Elsharkawi
Pharmacy Intern
MCPHS Worcester
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Date: | 09/05/2024 |
Rotation Type: | APPE Community Pharmacy Practice |
Comments: | |
423APPE) 1. During this APPE rotation, which of the following health care professionals did you interact with? Select all that apply: | Other - Student Veterinarian |
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: | Promote the values and interests of persons and populations in health care delivery, One Health, and population health initiatives. (VE1) Uphold the dignity, privacy, identity, and autonomy of persons while maintaining confidentiality in the delivery of team-based care. (VE3) Value diversity, identities, cultures, and differences. (VE4) Collaborate with honesty and integrity while striving for health equity and improvements in health outcomes. (VE6) 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.: | As a pharmacy intern working with a diverse team of technicians and fellow interns, I encountered a situation where maintaining a climate of shared values and mutual respect was crucial. We all came from different backgrounds, but I made a conscious effort to learn from my colleagues' unique perspectives and experiences. By fostering open communication, respecting each team member's contributions, and promoting ethical conduct, I ensured that we collaborated efficiently. This teamwork allowed us to provide patients with their medications accurately and promptly, ensuring both patient safety and satisfaction. |
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.: | As a pharmacy intern, I had the opportunity to collaborate with a team of pharmacists and technicians to address both individual and population health outcomes. Recognizing the expertise of the pharmacists in clinical decision-making, I assisted with ensuring accurate drug therapies for individuals. Meanwhile, I worked with the technicians to streamline prescription processing, which helped us manage high patient volumes and improve overall workflow efficiency. By understanding my role and leveraging the expertise of my team, we were able to enhance patient outcomes. |
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) Promote common understanding of shared goals. (C4) Practice active listening that encourages ideas and opinions of other team members. (C5) |
423APPE) 7. In 3-5 sentences, describe an encounter where competently communicated in a responsive, responsible, respectful, and compassionate manner with team members.: | I encountered a situation where the pharmacy was experiencing a high volume of prescriptions. To ensure smooth operations, I communicated promptly and respectfully with the technicians, acknowledging their workload while offering to assist wherever needed. When a misunderstanding occurred regarding a patient's prescription, I calmly clarified the situation with both the pharmacist and the technician, showing compassion for their concerns. By maintaining open, responsive, and respectful communication, we were able to resolve the issue quickly and continue providing quality care to our patients. |
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: | Describe evidence-informed processes of team development and team practices. (TT1) Practice team reasoning, problem solving, and decision making. (TT3) Apply interprofessional conflict management methods, including identifying conflict cause and addressing divergent perspectives. (TT5) Share team accountability for outcomes. (TT7) 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 was part of a team responsible for managing both in-person and phone orders during a particularly busy shift. Recognizing the need for flexibility, I adapted my role by assisting the technicians with filling prescriptions so they can focus on solely handling patient inquiries and phone consultations when necessary. This shift in responsibilities helped relieve pressure on the team and ensured that patient care remained efficient. By being adaptable and recognizing where my help was most needed, I contributed to a smoother workflow and better team collaboration. |
Date: | 09/28/2023 |
Rotation Type: | Wor/Man IPPE Community |
Comments: | |
Write Reflection Here:: | My time working at a non-profit community pharmacy deeply influenced my career goals. I saw the pharmacy team's strong commitment to providing excellent care and making sure every patient's well-being came first. This experience made me admire the pharmacy field even more, especially when it comes to helping people in tough situations like refugees and those with money struggles. One particular moment showed me how dedicated the pharmacy was caring for its patients. A patient urgently needed medicine but only had $15. The pharmacist went above and beyond, working hard to lower the cost of the medicine from $50 to just $10. This kind gesture ensured the patient could afford their medicine, and it encouraged them to stick with their medication adherence. Seeing how the pharmacy positively impacted the lives of people in need inspired me. It confirmed my desire to become a pharmacist who focuses on helping the community and providing patient-centered care. What impressed me the most was how well the pharmacy worked with other healthcare providers, like doctors. In urgent situations, such as when a patient needed medicine for surgery, the pharmacists and doctors worked together smoothly to make sure the patient got the right treatment on time. This teamwork ensured patients received personalized care, resolved medication issues quickly, and made sure everyone had a full picture of the patient's health. My future career goals are firmly based on this meaningful experience. I'm determined to follow the example of dedication and positive impact I saw in that non-profit community pharmacy. My dream is to become a pharmacist in a similar setting, where I can provide caring and effective healthcare that truly improves the lives of people who need it. |
Date: | 09/15/2023 |
Rotation Type: | Wor/Man IPPE Community |
Comments: | |
Write Reflection Here:: | IPPE Community Rotation Reflection Part 1 I. Description - Describe the event. Two days ago, at my community rotation site, I had a patient come in the pharmacy requesting counseling on her symptoms. My pharmacist had told me to shadow him on his counseling procedure with the patient and to try to see with my academic expertise of counseling what I would say is appropriate for the symptoms. The patient had first expressed that she had a bad cough that she has been experiencing for a few days. With this information I thought cough medicine such as Deslym would be appropriate. However, the patient then added that it was so severe it was resulting in her coughing up blood and that she believed it may be due to tuberculosis. II. Feelings - Describe the feeling you experienced during this event. This interaction made the pharmacist and I both very perplexed. The fact that they believed their symptoms may be due to this severe disease state, yet they were here in the pharmacy not wearing a mask or warning others of her condition was a very uneasy feeling. All we could do was advise her to go see a doctor immediately and in the meantime try to avoid exposure and wear a mask. III. Evaluation - What is your evaluation (positive or negative) of your experience? It was a positive experience in the sense that I got to have an unusual interaction. IV. Analysis - Why do you feel this way? This interaction made me realize what being in the healthcare field is like and what similar situations I may encounter, and that made it positive in my learning experience. V. Conclusion/Action - What actions do you plan to take based on what you learned from this experience? I plan to be ready for any possible situation with my patients. Many people come from different backgrounds and other countries that carry many diseases and require aid. In some instances, we as pharmacists will be the ones to advise them on what to do. |
Date: | 10/04/2023 |
Rotation Type: | Wor/Man IPPE Institutional |
Comments: | |
During this IPPE rotation, did you interact with any of the following (please select all that apply)?: | Medical Assistant - Student Nurse |
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.: | I haven't had a chance to do this yet |
I was able to act with honesty and integrity in relationships with patients, families, communities, and other team members.: | I haven't had a chance to do this yet |
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.: | I haven't had a chance to do this yet |
I was able to listen actively to other team members.: | Strongly Agree |
I was able to encourage ideas and opinions of other team members.: | I haven't had a chance to do this yet |
I was able to engage other health care professionals in shared problem-solving appropriate to the specific patient care situation.: | I haven't had a chance to do this yet |
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.: | During my first week, I observed a scenario involving a pharmacist and a physician who were collaborating on a patient experiencing a vancomycin infusion reaction, commonly known as red man syndrome. This adverse reaction is characterized by symptoms such as a red rash, hypotension, tachycardia, and angioedema. Complicating matters, the patient had an allergy to Benadryl, ruling out the use of diphenhydramine. Witnessing the pharmacist and physician working together to identify the most suitable medication for the patient's unique condition was a fascinating experience. |
Date: | 09/19/2023 |
Rotation Type: | Wor/Man IPPE Community |
Comments: | |
During this IPPE rotation, did you interact with any of the following (please select all that apply)?: | Dental Hygienist - Practitioner Nurse Other - Student |
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.: | Strongly 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.: | 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.: | 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.: | 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.: | I had to call providers and nurses almost daily to either clarify certain prescription instructions or request certain PA and refills for our patients. |
Date: | 10/26/2023 |
Rotation Type: | Wor/Man IPPE Institutional |
Comments: | |
Write Reflection Here:: |
As this was my first time working in a clinical institutional setting, I was not sure of what to expect. At Umass Memorial, the inpatient pharmacy had a very different pace than what I had been used to in outpatient pharmacies. On a daily basis, I observed pharmacists as integral members of the healthcare team, working closely alongside physicians, nurses, and various other healthcare professionals. The pharmacists played a critical role in the management of medications for inpatients or residents of healthcare facilities. Their focus was on delivering comprehensive pharmaceutical care, encompassing tasks such as medication therapy management, dosage adjustments, vigilant monitoring for potential drug interactions, and ensuring the safe and effective utilization of medications for patients receiving care within hospitals or institutional settings. However, I couldn't help but notice that direct patient interactions were relatively scarce. The majority of recommendations and counseling occurred through interactions between pharmacists and physicians or nurses, with the information then being relayed to the patients. As much as I appreciated the seamless and convenient connection that pharmacists maintained with physicians to ensure precise treatment, I couldn't help but feel a sense of disappointment regarding the limited direct interaction between patients and pharmacists. Personally, I place a high value on such interactions and envision myself as a pharmacist who thrives on building meaningful connections within my patients in the community. I aspire to engage with patients regarding their concerns and providing tailored guidance. Therefore, as a future pharmacist, I see my calling in the role of an outpatient pharmacist. This path would lead me to work in a community or retail setting, allowing me to serve a diverse array of patients with my primary focus being on the accurate dispensing of medications and the provision of valuable medication-related guidance. |
Date: | 10/05/2023 |
Rotation Type: | Wor/Man IPPE Institutional |
Comments: | |
Write Reflection Here:: |
I. Description - Describe the event. During my initial week of clinical rotations at Umass Memorial, I had the opportunity to participate in an "escape room" project orchestrated by the graduating nursing students at our institution. This unique activity revolved around an SBAR case involving a patient facing respiratory distress, coupled with additional risk factors such as obesity, hypertension, and recent breast augmentation surgery, which complicated the patient's situation. In the escape room scenario, I collaborated with a pharmacy resident, pharmacist, registered nurses, and various other healthcare professionals, with the aim of deciphering the intricate puzzle presented by this patient's case and progressing through the stages. At each stage, we encountered additional health-related questions and obstacles that required resolution in order to devise the optimal solution for the patient's complex situation. II. Feelings - Describe the feeling you experienced during this event. I found this event to be a truly fantastic experience. It provided an enjoyable avenue for active engagement in an educational context, fostering teamwork among healthcare professionals as we tackled the case together. III. Evaluation - What is your evaluation (positive or negative) of your experience? My evaluation of the experience was incredibly positive. The nurses, pharmacists, and other professionals with whom I collaborated were exceptionally hospitable. They went out of their way to involve me and encouraged me to share my insights on how we could successfully unravel the puzzle. They appreciated my perspective and thought process, even though I had limited knowledge in the field. This, in itself, boosted my confidence and motivated me to contribute actively to our collective effort in the escape room. IV. Analysis - Why do you feel this way? I feel this way because it was great to work in an Interprofessional collaboration. Although the SBAR case we tackled was a simulated scenario, it provided a profound glimpse into what real-world cooperation with healthcare professionals would entail. Our collective effort facilitated the smooth resolution of the puzzle, underscoring the potential to enhance patient outcomes in actual clinical settings through effective teamwork. V. Conclusion/Action - What actions do you plan to take based on what you learned from this experience? In my prospective career as a pharmacist, I intend to implement the skills I observed from this experience in my future interprofessional collaborations. These skills will be applied through effective communication, focusing on the well-being of the patient, and working on problem solving effectively with any health care professionals that are on my team trying to solve this puzzle. |
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