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National Competency Standards Framework for Pharmacists in ...

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Section 1 – The <strong>Competency</strong> <strong>Standards</strong> <strong>Framework</strong><br />

1<br />

1.1 Introduction<br />

<strong>Pharmacists</strong> are health professionals who possess a<br />

unique and complex body of knowledge and skills which<br />

they apply on behalf of other members of the community<br />

to optimise health outcomes from medic<strong>in</strong>es. This<br />

commitment to act <strong>in</strong> the service of others carries with<br />

it an obligation to do so <strong>in</strong> accordance with expected<br />

behaviours as set down <strong>in</strong> professional codes of conduct/<br />

ethics. It also carries with it a fundamental ethical<br />

obligation to ma<strong>in</strong>ta<strong>in</strong> professional competence and to<br />

practise with<strong>in</strong> these limits.<br />

The concept of competence is not new but has ga<strong>in</strong>ed<br />

more prom<strong>in</strong>ence <strong>in</strong> recent years through <strong>in</strong>itiatives<br />

such as competency-based tra<strong>in</strong><strong>in</strong>g, credential<strong>in</strong>g<br />

and professional registration. Past ef<strong>for</strong>ts to articulate<br />

competency standards <strong>for</strong> pharmacists <strong>in</strong> Australia<br />

have focussed on show<strong>in</strong>g the scope of professional<br />

practice possible. The 2003 version relied heavily on<br />

the <strong>for</strong>mat adopted <strong>in</strong> the Australian <strong>National</strong> Tra<strong>in</strong><strong>in</strong>g<br />

Authority Tra<strong>in</strong><strong>in</strong>g Package guidel<strong>in</strong>e. This approach<br />

describes professional practice by break<strong>in</strong>g down<br />

complex professional functions <strong>in</strong>to a series of related<br />

tasks. Although such an approach is useful <strong>for</strong> support<strong>in</strong>g<br />

the description and measurement of practice it also<br />

tends to understate the <strong>in</strong>herent <strong>in</strong>tegration of tasks<br />

and the complex conceptual, analytical and behavioural<br />

functions that underp<strong>in</strong> professional service delivery.<br />

This 2010 version of the competency standards<br />

builds on past ef<strong>for</strong>ts but <strong>in</strong>cludes modifications to<br />

improve useability and to take account of national and<br />

<strong>in</strong>ternational developments.<br />

The value of competency standards rests with their<br />

capacity to support and facilitate professional practice<br />

and growth, <strong>in</strong> the <strong>in</strong>terests of public safety. As<br />

professional practice changes and evolves, so too do<br />

the competencies <strong>for</strong> pharmacists. These competency<br />

standards are dynamic and subject to review at regular<br />

<strong>in</strong>tervals as Australian health care and society changes.<br />

uni<strong>for</strong>mity <strong>in</strong> their practice. They allow pharmacists to<br />

reflect on and measure their professional practice aga<strong>in</strong>st<br />

quality <strong>in</strong>dicators. That is, they serve as a self-assessment<br />

quality audit tool <strong>for</strong> members of the profession to improve<br />

the quality of the professional services they provide.<br />

There is an <strong>in</strong>herent assumption that pharmacists us<strong>in</strong>g<br />

the professional practice standards are competent.<br />

Personal competence and the adoption of quality<br />

standards are both required to ensure professional<br />

services deliver optimal health outcomes <strong>for</strong> consumers.<br />

1.3 Key Influences<br />

In this and all previous reviews of the competency<br />

standards the content of the standards has been guided<br />

by two key resources. The first of these is a key statement<br />

on the practice of pharmacy (updated) below:<br />

<strong>Pharmacists</strong> use their expertise <strong>in</strong> medic<strong>in</strong>es<br />

to optimise health outcomes and m<strong>in</strong>imise<br />

medication misadventure. They apply their<br />

knowledge of poisons to promote their safe<br />

use and avoid harm to users and others <strong>in</strong><br />

the community.<br />

The practice of pharmacy <strong>in</strong>cludes the custody,<br />

preparation, dispens<strong>in</strong>g and provision of<br />

medic<strong>in</strong>es, together with systems and <strong>in</strong><strong>for</strong>mation<br />

to assure quality of use.<br />

As readily accessible health professionals,<br />

pharmacists provide primary health care<br />

<strong>in</strong>clud<strong>in</strong>g education and advice to promote good<br />

health and to reduce the <strong>in</strong>cidence of illness.<br />

A sound pharmaceutical knowledge base,<br />

effective problem-solv<strong>in</strong>g, organisational,<br />

communication and <strong>in</strong>terpersonal skills, together<br />

with an ethical and professional attitude, are<br />

essential to the practice of pharmacy.<br />

The <strong>Competency</strong> <strong>Standards</strong> <strong>Framework</strong><br />

1.2 <strong>Competency</strong> and Quality<br />

<strong>Standards</strong> <strong>for</strong> the Practice<br />

of Pharmacy<br />

<strong>Competency</strong> <strong>Standards</strong> describe the skills, attitudes and<br />

other attributes (<strong>in</strong>clud<strong>in</strong>g values and beliefs) atta<strong>in</strong>ed by<br />

an <strong>in</strong>dividual based on knowledge (ga<strong>in</strong>ed through study<br />

at university) and experience (ga<strong>in</strong>ed through subsequent<br />

practice) which together enable the <strong>in</strong>dividual to practise<br />

effectively as a pharmacist.<br />

In contrast, professional practice standards relate<br />

to the systems, procedures and <strong>in</strong><strong>for</strong>mation used<br />

by pharmacists to achieve a level of con<strong>for</strong>mity and<br />

The other key resource is the <strong>National</strong> Medic<strong>in</strong>es Policy<br />

the aim of which is to “meet medication and related<br />

service needs, so that both optimal health outcomes and<br />

economic objectives are achieved <strong>for</strong> Australians”.<br />

One of the four arms of the Policy is the Quality Use<br />

of Medic<strong>in</strong>es (QUM), which means: 1<br />

• select<strong>in</strong>g management options wisely;<br />

• choos<strong>in</strong>g suitable medic<strong>in</strong>es if a medic<strong>in</strong>e is<br />

considered necessary; and<br />

• us<strong>in</strong>g medic<strong>in</strong>es safely and effectively.<br />

1 <strong>National</strong> Medic<strong>in</strong>es Policy: Quality Use of Medic<strong>in</strong>es. Summary<br />

<strong>in</strong><strong>for</strong>mation available at: www.health.gov.au/<strong>in</strong>ternet/ma<strong>in</strong>/publish<strong>in</strong>g.nsf/<br />

Content/nmp-quality.htm<br />

<strong>National</strong> <strong>Competency</strong> <strong>Standards</strong> <strong>Framework</strong> <strong>for</strong> <strong>Pharmacists</strong> <strong>in</strong> Australia 2010 3

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