Category: Federal Forum Posters
Purpose: The Northern Navajo Medical Center (NNMC) Pharmacy Physical Assessment Course addresses a lack of physical assessment training opportunities by providing core lectures, hands-on physical assessment practice, and information on credentialing as a pharmacist provider. Chronic disease management is an established role of the pharmacist, however patients may present with acute issues or concerning symptoms. Lack of training in assessment training impedes on the pharmacist’s scope of practice and ability care for patients. Furthermore, attending existing physical assessment training courses poses a challenge to Indian Health Service (IHS) pharmacists due to remote duty assignments and prolonged course schedules.
Methods: An intensive one-week, 60-hour course has been developed. It is comprised of six core physical assessments (HEENT, neurology, cardiology, respiratory, abdominal, musculoskeletal), five acute complaint modules (abdominal pain, headaches, lower back pain, abdominal, musculoskeletal), and six specialty lectures (dermatology, male genital/rectal, female breast, mental status, older adults, and pediatrics). Uniquely, this course also emphasizes oral presentation of patients to medical providers. Registration is offered to IHS pharmacists via a list-serve email. Successful completion requires obtaining an averaged examination score of at least 80%. The exam consists of evaluating two patient complaints while a proctor observes: one chronic complaint and one new acute complaint. Participants are assessed on their ability to obtain a medical history, conduct the appropriate physical exams for the complaint, and present their findings in a logical and concise manner to a medical provider. Measures of interest for this study include participant characteristics (prior advanced training, interest in pursuing pharmacist practitioner credentials, current role in ambulatory clinics), comfort in evaluating both chronic and new patient complaints as measured by a 5-point Likert Scale, the U.S. Department of Health and Human Services (HHS) region of their workplace, and cohort passing rate.
Results: Not applicable.
Conclusion: Not applicable.
Katherine Vodovoz– PGY2 Ambulatory Care Pharmacy Resident, Northern Navajo Medical Center, Indian Health Service, Farmington, NM