usphs pharmacist readiness training program (prtp) capt mike montello cdr laura pincock 11/24/08 1
TRANSCRIPT
USPHS Pharmacist Readiness Training Program
(PRTP)
CAPT Mike Montello
CDR Laura Pincock
11/24/08
1
Background• Preparedness Training is a Requirement
– Katrina After Action Report; S3678 Pandemic and All Health Hazards Preparedness Act; National Response Framework (NRF); National Incident Management System (NIMS)
• HHS OIG Findings – Current readiness training insufficient
• PPM 07-001, Extension of Manual Circular 377– FY’07 - 87% of Pharmacists meet or exceed OFRD
Basic Readiness standards• Questions
– How to close the remaining gap?– Where do we go from here? (i.e. approach, format,
resources, topics)2
Proposal
• Develop and Implement a Pharmacist Readiness Training Program (PRTP) consistent with: – OFRD & Transformation Life-Cycle training
initiatives– NRF Requirements
3
Objective of Program• Increase and enhance the readiness and
preparedness skills of all PHS pharmacists– By extension, improve readiness of PHS and our Nation
• Balance requirements of– Federal guidelines for response training with– Unique requirements of Commissioned Corps
• 24 of 27 missions NOT under ESF8 in FY’08
• Provide a model for other PHS categories and civilians• Consistent with OFRD, ASPR & Transformation
training initiatives
4
OFRD Mega-Competencies
• (4) Core Multi-disciplinary Mega-Competencies
• Personal character; Communication; Mental agility; Cultural awareness.
• (2) Category Specific Mega-Competencies• Preeminent Field Skills• Professional Astuteness
• Mega-competencies include multi-tiered experience levels – Not demonstrated; Novice; Knowledgeable; Proficient; Expert
5
Initial PRTP Workgroup Approach
• Curriculum Centric
• Target OFRD Category Specific Mega-competencies– Preeminent Field Skills & Professional Astuteness
• Identify/Develop – Basic Tenets of Program (Balanced, Comprehensive,
Flexible, Incentives)– Nomenclature to describe curriculum– Challenges to implementation– General training categories & topics
6
Developed a solution without clearly identifying the need
Skipped 1st step: Must identify Pharmacist Roles and Competencies before we build a Curriculum 7
Pharmacist Readiness RolesGeneral Concepts
• Limited to Pharmacy Centric Roles• Did NOT include multi-disciplinary roles that
pharmacists might have skills to fill• Developed Clinical and Non-clinical positions• Readiness roles often based on ‘traditional’
pharmacist roles (i.e. Ambulatory Care)• Some Readiness roles are truly unique
– WMD/Pandemic Pharmacist8
What’s the difference between a ‘Traditional’ and a ‘Readiness’ Pharmacist?
• Readiness Pharmacists must consider ‘Crisis Factors’ (CF) such as:– Narrow and/or evolving formularies;– Exacerbation of adverse reaction risk;– Reduced patient compliance; – Limited access to diagnostic and monitoring
tools; – Providers working out of area of expertise;– Prepare for the unexpected.
9
Pharmacist Readiness Clinical Roles
• Types:– Ambulatory Care Readiness Pharmacist
• Entry level – equivalent to National Response Framework (‘Pharmacist’)
– Pharmacotherapy Readiness Pharmacist– Critical Care Readiness Pharmacist
• Relationship between Pharmacist Readiness Clinical roles:– Natural progression between clinical roles but
each role should be considered independently10
Pharmacist Readiness ‘Other’ Roles
• Types:– WMD/Pandemic Readiness Pharmacist– Pharmacy Readiness Logistician– Pharmacist Readiness Manager
• No relationship between Pharmacist Readiness ‘Other’ roles. – Pharmacist Readiness Manager should have
a general understanding of all Pharmacist Readiness roles
11
Each Pharmacist Readiness role includes:
• Description of duties
• Typical practice setting
• Competencies necessary to fulfill role
• Proficiency level required to be both minimally and fully qualified– Consider adding a mid-level proficiency
(i.e. > minimal but < fully qualified)
12
Competency Categories
• Clinical
• Operations
• Communication
• Public Health
• Management
13
Next Steps• Independent review of both:
– Original ‘Curriculum Centric’ proposal– New ‘Roles and Competencies’ proposal
• Link proposals. – Bridge curriculum to competencies (i.e., which training
program is geared towards which competency)
• Develop short and long range implementation plan• Develop transition plan (i.e., Rules to ‘Grandfather’
current officers)• Continue to collaborate with OFRD and
Transformation• Identify new PRTP Champions
14
