GIMMICS 12

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GIMMICS (1/2)
GIMMICS The Pharmacy Practice Game Groningen
Institute Model for Management In Care
Services
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GIMMICS (2/2)
Developed atUniversity of Groningen, Institute
for PharmacyDept. Pharmacotherapy
Pharmaceutical Care Groningen, The
NetherlandsContact a.w.sillius_at_rug.nlDeveloped
byProf. Koos BrouwersJackie Dekens,
PharmDProf. Han de GierRenee Lutke,
PharmDAaldrik Sillius, MScProf. Jos van der
Werf
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History (1/4)
Curriculum (pre Bachelor/Master)- 4 years the
basics of Pharmacy- 2 years prepare for
position as community pharmacist Survey
(1998/2000) - amongst teachers and students-
many, many courses, but what is the big picture
? (integration)- lot of attention to theory,
but what about practical and social skills ?
(preparing for a position as community
pharmacist)
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History (2/4)
Decisions made - tackle these problems - by
developing a pharmacy practice game - good
example management games- focus on -
integrational aspects - competences (knowledge
skills)
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History (3/4)
Premisses during development of game-
pharmacists are professionals - who provide
pharmaceutical care- by intervening in care
processesSeek integration of- knowledge from
several domains- practical and social
skillsAnd all this under controlled
circumstances!
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History (4/4)
2000 first edition of pharmacy practice game
2003 GIMMICSSince February, 2004 also at
Utrecht University, Faculty of Pharmacy!
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How the game is organised (1/7)
Starting point for students - nearly 6 years
of education at university level -
pharmacotherapeutical knowledge and practical
skills should be present- 1 internship at a
community pharmacy (6 weeks)
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How the game is organised (2/7)
Game lasts 4 weeks full time - 4 or 5 teams
per game- 5 students per team- each team in
their own class room - responsible for running
their own pharmacy- game leaders provide them
with assignments- but teams may also define and
run own projects!
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How the game is organised (3/7)
Routine assignments - processing flow of
prescriptions (daily 20-25)- counselling
clients at the counter- dealing with mystery
guestsLong term projects- pharmacotherapeutic
al meeting with physicians- negotiating with -
board of directors of elderly home - drug
retailer - insurance company
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How the game is organised (4/7)
Ad-hoc assignments (incidents) - inspector of
National Board of Health arrives- Tsjech
speaking tourist at the counter- drug addict
demands more methadon- elderly lady needs
instruction on how to use inhaler- hospital
specialist on the phone My patient cant
swallow these large capsules All people
involved in incidents are real life persons
(actors) !
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Degree of self control (5/7)
Activities Degree of self
control routine long term projects incident
s


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How the game is organised (6/7)
Week 1 preparing for the game- define pharmacy
policy - define targets which are measurable -
e.g. focus on elderly, polypharmacy, selfcare -
define roles - pharmacist (1st, 2nd), pharmacy
assistants - define how decisions are made-
build documentation system- familiarize with
pharmacy computer system
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How the game is organised (7/7)
Week 2, 3 en 4 the game is on!- carry out
assignments- define and run own projectsAnd
this involves ...- lots of improvisation-
sometimes hard work!
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How are students assessed? (1/2)
Assessment procedure - each team starts with
8000 patients- each assigment is assessed -
how well are the prescriptions processed? - how
well did they manage long term projects? - how
well did they prepare for meetings? - are
clients (real life actors) satisfied? -
outcome gain or loose a number of patients
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How are students assessed? (2/2)
And this one may come as a surprise Teachers
are not allowed to clarify an assessment!!!-
just as in every day life!- the teams have to
perform self-assessment- if this fails one wild
card per teamAt the end of the game We have
a winning team
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Support (1/3)
1 pharmacy computer systems- Pharmacom? -
Aposys? - processing of prescriptions-
manipulating date 1 day game time 1 week real
time
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Support (2/3)
2 Website GIMMICS- support for game leaders
- entering scores (outcome of assessments) -
articles in local newspaper "De Omroeper"-
communicating with students - overall ranking
(nr of patients per team) - articles in De
Omroeper - communicating with third parties -
passive just visit website - active become an
actor in the game!
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Support (3/3)
3 ARS/CAMS/GKBARS system for managing
actorsCAMS system for managing casesGKB
GIMMICS knowledge base - flow charts of
activities - in preparing the game - in
running the game
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Website GIMMICS
Website GIMMICS - visit the welcome pageOne
of the utilities- view the overall ranking
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Welcome to Pildorp

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