USPHS Pharmacist Readiness Training Program PRTP

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USPHS Pharmacist Readiness Training Program
(PRTP)
11/24/08

• CAPT Mike Montello
• CDR Laura Pincock

2
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
• FY07 - 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)

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Proposal

• Develop and Implement a Pharmacist Readiness
  Training Program (PRTP) consistent with
• OFRD Transformation Life-Cycle training
  initiatives
• NRF Requirements

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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 FY08
• Provide a model for other PHS categories and
  civilians
• Consistent with OFRD, ASPR Transformation
  training initiatives

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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

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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

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Developed a solution without clearly identifying
the need
Skipped 1st step Must identify Pharmacist Roles
and Competencies before we build a Curriculum
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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 Pharmacist

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Whats 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.

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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 independently

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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

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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. gt minimal but lt fully qualified)

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Competency Categories

• Clinical
• Operations
• Communication
• Public Health
• Management

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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

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Questions/Comments?

• montellom_at_mail.nih.gov
• laura.pincock_at_fda.hhs.gov