Category: Federal Forum Posters
Purpose: The Center of Excellence in Primary Care Education (CoEPCE) is a pilot project sponsored by the Veteran Health Administration, Office of Academic Affiliation with the goal of bringing interprofessional education to the primary care practice setting. Among other objectives, the CoEPCE project intended to create educational environments that allow trainees from the different clinical backgrounds to work and learn together. This project aims to examine the perception of the pharmacy trainees (PGY1, PGY2) on the effectiveness of the Center of Excellence in Primary Care Education (CoEPCE) in preparing them to join the VA healthcare workforce.
Methods: The CoEPCE comprised of seven VA sites and its selected Pharmacy Residents were involved with the project. A 12 questions survey was created by the project leader and peer reviewed by other preceptors within the CoEPCE. The questionnaire was separated into four sections: a brief demographic portion of past training and current employment, a Likert scale matrix regarding the perceived quality of training, a personal outlook section, and finally a free response portion about the positive and negative experiences. Score was set to be from 1 to 5 with 5 was assigned the highest score. The questionnaires were transcribed into Research Electronic Data Capture (REDCap), the VA’s data collection tool that can only be accessed via internal network.
List of potential survey participant was drawn from a roster of former pharmacy residents from the CoEPCE programs between academic year [July to June] 2011 to 2017. Those with evidence that they stayed within the VA healthcare system after their training were identified. The screened participant list was uploaded onto REDCap for survey distribution. Responses were voluntarily. The survey was opened for responses between October 1st to December 31st, 2018. The total of two Email Reminders were sent to all participates in the survey during the listed above period.
Descriptive analysis was completed with Excel. Data presented as median with interquartile range (IQR) and proportions by percentages.
Results: Of 62 subjects identified, 21 subjects (33.8%) responded. Nine (42.9%) did a PGY1, four (19.0%) did a PGY2 and eight (38.1%) did both a PGY1 and PGY2. About 67% (n =14) currently work where they trained; the remainder relocated to a different VA. Overall, subjects felt that the competition for a job in the VA was fierce with most had the VA as their first choice after completing their residency, median = 5, Interquartile range (IQR) = 4 - 5. A low number of subjects were actively looking for other jobs [median = 2, IQR = 1 -2]. Most subjects believed that the experience within the CoEPCE- an interprofessional practice setting, was unique compared to other VA Pharmacy residencies, hence made them a stronger candidate for VA employment [median score =4, IQR = 4 -5]. Most subjects felt that the CoEPCE prepared them for an interdisciplinary work environment [median = 4, IQR = 4 -5]. When asked about what they hoped they would be doing in 3 to 5 years, 57% desired a more diverse experience, 23.8 would be fine with current role and 19.1 would preferred a more well-defined, structured and standardized scope of practice with direct patient care.
Conclusion: Overall most of trainees surveyed were satisfied in their current positions within the VA and felt that the CoEPCE programs had made them more competitive and more prepared for their current job. The majority of the trainees were with the progressive mindsets and with the desire for a more diverse experience in the future while some of them desire more well-defined, structured and standardized practice.