Journal of Continuing Education in the Health Professions



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CURRENT ISSUE BACK ISSUES SUBSCRIBE ADVERTISE ABOUT JCEHP FOR AUTHORS JCEHP AWARD SEARCH		Volume 29 (4) Volume 29, Issue 4, Fall 2009 J Contin Educ Health Prof 2009; 29(4): 201 ORIGINAL RESEARCH Physician-Pharmacist Collaborative Care for Dyslipidemia Patients: Knowledge and Skills of Community Pharmacists Julie Villeneuve, Diane Lamarre, Marie-Thérèse Lussier, Marie-Claude Vanier, Jacques Genest, Lucie Blais, Eveline Hudon, Sylvie Perreault, Djamal Berbiche, Lyne Lalonde A b s t r a c t Introduction: In a physician-pharmacist collaborative-care (PPCC) intervention, community pharmacists were responsible for initiating lipid-lowering pharmacotherapy and adjusting the medication dosage. They attended a 1-day interactive workshop supported by a treatment protocol and clinical and communication tools. Afterwards, changes in pharmacists’ knowledge, their skills, and their satisfaction with the workshop were evaluated. Methods: In a descriptive study nested in a clinical trial, pharmacists assigned to the PPCC intervention (n = 58) completed a knowledge questionnaire before and after the workshop. Their theoretical skills were evaluated with the use of a vignette approach (n = 58) after the workshop and their practical skills were assessed by direct observation with study patients (n = 28). Results: The mean (SD) overall knowledge score was 45.8% (12.1%) before the workshop; it increased significantly to 89.3% (8.3%) afterwards (mean difference: 43.5%; 95% CI: 40.3%–46.7%). All the pharmacists had an overall theoretical-skill score of at least 80%, the minimum required to apply the PPCC in the trial. From 92.9% to 100% of the pharmacists’ interventions with study patients complied with the treatment protocol. Discussion: In primary care, a short continuing-education program based on a specific treatment protocol and clinical tools is necessary and probably sufficient to prepare pharmacists to provide advanced pharmaceutical care. Lessons For Practice Prior to providing advanced pharmaceutical care to dyslipidemia patients including medication-dosage adjustment, a short workshop supported by a treatment protocol and appropriate tools is necessary and probably sufficient to enable pharmacists to acquire the knowledge and skills they need. Pharmacists are highly motivated to receive training to provide pharmaceutical care; the participation rate at the workshop was very high (97%). Effective dissemination mechanisms may be important to speed up the implementation of advanced pharmaceutical care.
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