the art counseling of patient - American Pharmacists Association

2013 APhA-ASP National Patient Counseling CompetitionTHE ARTOF PATIENTCOUNSELINGThe APhA-ASP National Patient Counseling Competitionis conducted in partnership with CVS Caremark.

The Art of Patient Counseling 2013Important Points to RememberYour school’s winner should contact the APhANational Office (1-800-237-APhA ext. 7514) by February1, 2013 to schedule an appointment for the NationalCompetition, March 1 - 4, 2013, Los Angeles, CA.An alternate should be selected in the event that the winneris unable to attend the National Competition.Participants in the National Competition shouldmake flight/travel arrangements AFTER making andconfirming their appointment with APhA national office.Participants are encouraged to attend one of the Competitionorientation sessions: Thursday, February 28, orFriday, March 1.In order to compete in the National Competition,participants must be APhA-ASP members and must beregistered for the APhA Annual Meeting & Exposition.APhA-ASP 2013 National Patient CounselingCompetition Los Angeles, CAThursday, February 28, 2013 Orientation6:00 pm - 7:00 pm Competition office open6:00 pm - 8:00 pm Competition orientation for students participating on FridayFriday, March 1, 2013 Preliminary Round – Day One7:30 am - 5:30 pm Competition office open8:00 am - 5:00 pm Preliminary round of competition6:00 pm - 8:00 pm Competition orientation for students participating on SaturdaySaturday, March 2, 2013 Preliminary Round – Day Two7:30 am - 4:00 pm Competition office open8:00 am - 4:00 pm Preliminary round continues6:00 pm Finalist list posted outside the Competition office and in the APhA BookstoreSunday, March 3, 2013 Final Round9:00 am - 2:00 pm Competition office open9:00 am - 1:00 pm Final round of competitionNPCC Awards will be presented at the APhA2013 APhA-ASP Awards Ceremony.Note: Please pick up your DVD on Sunday, March 11, 2013 at the NPCC office from 9:00 am - 12:00 pm.Your DVD will NOT be mailed back to you.

The Art of Patient Counseling 2013Table of contentsPart IIntroductionA. Purpose ............................... 2B. How to Use This Handbook ............... 2C. Local Competition ....................... 2D. National Competition .................... 3Part IIGuidelines for the Local CompetitionA. Planning Your Local Competition . ........... 4B. Organization . .......................... 4C. Structure .............................. 4D. Eligibility ..............................5E. Promotion ............................. 5F. Preparing for the Preliminary Round ......... 6G. Conducting the Preliminary Round .......... 7H. Preparing for the Final Round .............. 8I. Conducting the Final Round ............... 8J. The Awards Program ..................... 9Part IIIGuidelines for the NationalCompetitionA. Notifying APhA . ....................... 10B. Required Procedures . .................... 10C. Schedule and Planning ................... 10D. Conducting the NationalCompetition ........................... 10E. Awards Program ....................... 11Sample Handouts for LocalCompetitionA. Timeline for Local Competition ............. 13B. Program Committee PlanningChecklist .............................. 15Publicity Committee PlanningChecklist ............................. 16C. Finance Committee PlanningChecklist .............................. 17D. Local Winners Checklist ..................18E. Preliminary Round–Rules . ................ 19F. Preliminary Round–Instructionsfor Patients . ........................ 20G. Preliminary Round–Instructionsfor Judges ............................ 21H. Preliminary Round–Evaluation Form . . . . . . . . 22I. Final Round–Rules ...................... 23J. Final Round–Instructions for Patients ....... 24K. Final Round–Instructions for Judges ........ 25L. Final Round–Evaluation Form ............. 26M. Evaluation Form Criteria ................. 27N. Competition Announcement ............... 29O. Preliminary Round–Sign-Up Sheet .......... 30P. Final Round–Sign-Up Sheet ............... 31Q. Awards Ceremony Announcement .......... 32R. Blank Prescription Form .................. 33S. Blank Patient Profile Sheet ................ 34Part IVHistory of the CompetitionA. Background . .......................... 351

The Art of Patient Counseling 2013Part IIntroductionA. PurposeThe purpose of this introduction is to give an overviewof the entire program so that those involved will know howeach activity fits into the overall framework of the program.Problems are certain to arise, and some of them may not becovered in the guidelines included in this handbook. Therefore,the person who directs the program at each school or college ofpharmacy should have an understanding of the basic philosophyunderlying the program. This will make the guidelines moremeaningful and will assist in adapting the program to meet theparticular needs of each college.B. How to Use this HandbookThe purpose of this handbook is to present rules, and providematerial for chapters to use in organizing and conducting theirlocal competitions. This handbook also gives guidelines for participationin the National Competition, along with the historyof the National Competition.Read this handbook before any planning, especially Part II,“Guidelines for the Local Competition.” It is essential that thecompetition director be familiar with the competition’s goalsand background. These guidelines are examples that should besuitable for most schools, but changes may need to be madefor each particular school. When making adjustments, keep inmind that modifications to the local competition that do notadequately reflect the National Competition’s procedures mayput students from that school at a disadvantage in the NationalCompetition.Follow the timeline. The timeline can serve as an excellentgauge for the progression of events which lead to a successfulcompetition. The timeline should be customized to a particularchapter’s needs. The director should copy the timeline for anycommittees and/or volunteers. It is also recommended that thecompetition director copy all of Part II, “Guidelines for the LocalCompetition,” for any committee chairmen or co-directors.Use the committee checklists. To ensure that essentialdetails have not been overlooked. Make a copy of the checklistfor each committee and the competition director. The checklistsshould be customized to a particular chapter's needs, perhaps byusing items on the customized timeline as a guide.Use the competition announcements. These are greattime-savers for the publicity committee. Try using differentcolor paper for the preliminary round, final round, and awardsceremony announcements to clearly distinguish the announcementsfrom one another.Also provided in this handbook are instructions for the participants,judges, and patients for the local competitions, andguidelines for conducting the awards ceremony.If you have any questions about the handbook, the rules or procedures,do not hesitate to contact the American Pharmacists AssociationAcademy of Student Pharmacists (APhA–ASP), Departmentof Student Development, at 1-800-237-APhA, ext. 7514.C. Local CompetitionEach year, APhA will provide each chapter with importantinformation about the year’s competition. This will include thedate and place of the National Competition, the deadline bywhich APhA must receive notification of intent to participate,and any changes that have been made in competition proceduressince the previous year. APhA will be available to provide thechapters with assistance if problems of any nature develop in thelocal competitions.There will undoubtedly be unforeseeable dilemmas that willdevelop on the local level that will not have been dealt within this handbook. Should there be the need for a judgment ona particular situation or a clarification of a matter not clearlyaddressed in the handbook, APhA should be consulted. All decisionsconcerning procedures, rules, and policies will be handledby APhA. Decisions made by APhA are final.The competition itself, from the preliminary round through2

The Art of Patient Counseling 2013Part I Introductionthe awards program, should span no longer than two to threeweeks, in order to maintain student interest. Both the preliminaryand the final rounds of the competition should be recordedand judged. The preliminary round will be a screening mechanismusing simple patient-counseling scenarios. The mockpatient in the preliminary round should not initiate interactionwith the pharmacist. The final round should be more involvedand the mock patient should display various personality characteristicsthat will challenge the participant’s ability to conveypertinent information. The final round will require the rankingof all participants. No more than 10 participants should beadmitted to the final round. The top ten finalists will receiveprizes compliments of APhA. You must be an APhA memberto participate in the competition.D. National CompetitionThe National Competition is held during APhA's Annual Meeting,and resembles the local competition. However, the scenarioswill be more difficult to reflect the higher level of competition.Participants will be recorded and judged by nationally prominentpharmacy professionals. Both counseling method and content willbe evaluated. Awards will be presented during the APhA–ASPAwards Ceremony.3

The Art of Patient Counseling 2013Part IIGuidelines for theLocal CompetitionA. Planning Your CompetitionPlanning for the local competition should begin as early inthe semester as possible. A director should be designated andcommittees or individuals should be appointed to oversee particularaspects of the competition. Promotion and publicity areimportant, since this is an activity with which the students maybe unfamiliar. The competition should be scheduled at a timewhen there are a limited number of other activities. Two weeksafter mid-terms is usually a good time. The sign-up periodshould last two weeks, although most students will wait untilthe last minute to sign up.B. OrganizationAPhA-ASP chapters are responsible for organizing and conductingthe competition at the local level. This is a competitiveactivity, so it is important that it be conducted fairly, with anequal opportunity for participants to compete and win. Changesin this handbook's procedures should be made only after assuringthat the content of the program remains the same.For there to be acceptance of the competition by the studentsas a whole, it is im portant that the competition be understoodby the students, that it be perceived as an enjoyable and worthwhileexperience, and that it have the appearance of being wellrun.Effective organization can assure that these objectives aremet.The chapter advisor at each college of pharmacy will receivecopies of the patient counseling competition handbook. Thishandbook is updated annually.Each APhA-ASP chapter advisor will also receive a video ofthe previous year's Na tional Competition finalists in order topromote participation in the local competition, and to use it asa teaching tool.One person should be designated as the director of thePatient Counseling Competition each year. This person may be astudent volunteer, the APhA-ASP chapter advisor, or anotherfaculty member. The director of the competition organizes andcoordinates the competition and handles communications withAPhA-ASP.An initial organizational meeting should be held by theAPhA-ASP chapter and other interested parties as early aspossible in the school year. Planning should be well underway by three months prior to the deadline to schedule theappointment for the National Competition with the APhA-ASP National Office.Timing of the competition will depend on other campusactivities. The best time is following mid-semester examsduring the first semester. The sign-up period would beginimmediately following mid-semester exams and would last fortwo weeks. The timeline will be helpful in determining whento schedule the competition.C. StructureA program director should be designated as early as possibleand volunteers for specific functions should be recruited. Thedirector's job is both challenging and rewarding—the directoris the leader and organizer. The director must know whatresources are available, both in personnel and finance, in orderto delegate tasks appropriately.Three committees should be established and committeechairs selected.The Finance Committee should obtain funding for the localcompetition and funds to help defray the expenses of sending thelocal winner to the National Competition. Chapters must locatefinancial resources for local prizes and travel costs. Optimally,$1,000 is the recommended total for prizes and any additionalfunds should be allocated for travel assistance to the APhA AnnualMeeting. If internal resources are inadequate to handle the expensesof the competition, a community pharmacy, chain pharmacy or a4

The Art of Patient Counseling 2013Part II Guidelines for the Local Competitionstate or local pharmacy association may be able to help. When allelse fails, bake sales and car washes are good sources of revenue.The Publicity Committee needs to begin work early.There will be three periods of time when this committee willbe most needed: early in the semester, during the sign-upperiod, and immediately prior to the awards program.The Program Committee has the most time-consumingjob and will require the most manpower. This committee mustorganize and conduct the first and second rounds, includingsign-up, preparation of scenarios, counseling sessions, andjudging. The program committee will organize and run theawards program, which is a great opportunity to developstudent interest and create anticipation for the next year'scompetition. There is a short period of time to accomplish alarge number of objectives, so it is crucial that the programcommittee plan far in advance.The director coordinates the activities of the individualcommittees through the committee chairs. Good communicationbetween the committee chairs and the competition directoris essential to keep things running as smoothly as possible.The committees should meet on a regular basis, at least onceevery week or two, to report any problems and to assess theirprogress.The director also serves as a trouble shooter for the competition,so the ability to predict problem areas is an invaluableasset. Just as the director serves as a motivator and coordinatorfor the entire local competition, the individual committeechair’s role in the success of the competition cannot beoveremphasized. The committee chair must maintain frequentcommunication with committee members. Again, it is stressedthat regular committee meetings are a proven means for maintaininggood communication lines.D. EligibilityStudents become eligible in their first professional year andremain so until obtaining their first degree in pharmacy. Post-Baccalaureate Pharm.D. students are ineligible for the competition.Eligible students who are on clerkships may participate.December graduates may participate, even though they willhave graduated prior to the National Competition. The previousyear's National Winner is not eligible to compete in the competition.Students must be members of APhA-ASP to participateat the local and national levels of the competition.E. PromotionPublicity should begin as early as possible. It would bebest to familiarize eligible students with the concept of thecompetition during the early part of the fall semester.Although the primary target of promotional efforts shouldbe students who are eligible to compete, students who are notyet eligible should also be informed of the nature of the competitionand what they have to look forward to in the future.Several large posters and flyers publicizing the competitionwill be distributed to each school by APhA. These materialscan be distributed in class and hung on bulletin boards aroundthe school. Place advertisements in student newspapers. It isvirtually impossible to over promote the program.Promotion of the contest to students should be done by thestudents themselves. It is important that this program be clearlyidentified as a student activity conducted by APhA and not beperceived as a faculty activity. Find a time when all membersof the eligible classes can view the video of the previous year’snational winner, such as an APhA-ASP chapter meeting or aDean’s hour. This video will be provided with the chapter advisor’scopy of the Patient Counseling Competition Handbook.5

The Art of Patient Counseling 2013Part II Guidelines for the Local CompetitionAlso, have students who have participated in the competitionbefore tell how the experience may have helped them.The Patient Counseling Competition should be presentedto the students as an opportunity for personal growth and achance to become recognized as skillful communicators. Thecash prizes should be emphasized, but the trip to the APhAAnnual Meeting for the winner will probably be the mostimpressive material reward. Optimally, the recommended cashprizes are $250 for the winner, $125 for the first runner-up,$75 for the second runner-up, and $50 for the third runner-up.It should be stressed at all times that the competition is a nonthreateningactivity. No one will grill the students or attempt toembarrass them.The competition should be promoted to pharmacy facultyas well as students. A representative of the APhA-ASP chaptershould attempt to address a faculty meeting, give a briefpresentation including the video, and then respond to questions.Faculty can be very influential in encouraging studentsto participate and providing them with information about thecompetition. Also inform them that APhA will provide each ofthe top 10 finalists with a selection of book prizes.F. Preparing for thePreliminary RoundSign-up lists for the preliminary round should be posted in areadily accessible area two weeks prior to the competition. Signupswill probably not occur in great numbers at the beginningof the two-week period. Announcements to appropriate classesshould be made during the sign-up period. The director shouldpost the sign-up list with times for reference and ask the studentsto arrive 10 minutes early, dressed professionally.A preliminary round with more than 50 participants may bedifficult to evaluate with consistency, and will require even greaterorganizational skills by the committee. If 15 or fewer sign-up, itmay be possible to conduct the competition without a preliminaryround.Scenarios for the first round should be developed by a facultymember who is familiar with actual practice situations. The scenariosshould be simple and involve information that needs to beconveyed to the patient by the pharmacist. There should not beany problems that require consultation with the prescriber. Potentialproblems, such as drug-drug or drug-food interactions shouldbe of a minor nature that can be resolved by the pharmacist inconsultation with the patient.A mock pharmacy should be set up either at the school's modelpharmacy or in a class room. All that is necessary are a counterand reference sources. The references can be books, electronicsoftware, loose-leaf sources, rolodex systems, or handout leaflets.Students will not be allowed to bring their own materials to thecompetition. Audiovisual equipment should be arranged for inadvance and should be checked prior to its use. It is advisableto use a video recording system that judges may use to view theparticipants from home. Alternatively, the chapter may wish tohost a meeting for the judges in order to provide a controlledenvironment for judging to take place. Providing refreshments isa nice touch.The PatientVolunteers should be solicited to play the role of the patient.These volunteers could be faculty members, representatives oflocal or state pharmacy associations, New Practitioner Mentors,graduate students, or local practitioners.Patients should be reactive but should not initiate discussionsduring the first round. The patient should appear receptiveto the information being conveyed but otherwise shouldnot interact with the participant unless a question is asked. Ifquestions are asked, the patient should provide a reasonableanswer. Patients should be familiar with the profile of thepatient they are playing and they should know the appropriateresponse to questions such as "When do you usually eatdinner?" "What is your occupation?" etc. Patients should not,however, create a dilemma that is not apparent from the prescriptionand the patient profile.Instructions for the patient in the preliminary round areprovided. This handout should be copied and given to thepatient in advance for preparation and reviewed with thepatient just prior to conducting the preliminary round.6

The Art of Patient Counseling 2013Part II Guidelines for the Local CompetitionThe JudgesFaculty, New Practitioner Mentors, or pharmacy graduatestudents who have a familiarity with pharmacy practice aregood choices for judges in the preliminary round. Since thepurpose of the preliminary round is only to screen participantsfor the finals, it is not crucial to devise a system that willaccurately distinguish the precise rank of each participant.There should be a short period of time for judg ing between thepreliminary round and the posting of the finalists' names. Afterthe 10 finalists are announced, they will need sufficient time tosign up for the final round of the competition. Therefore, availabilitywill play an important role in selecting the judges for thepreliminary round.G. Conducting thePreliminary RoundStudents should arrive 10 minutes prior to their scheduledtime. Fifteen minutes should be allowed for each participant.At the appointed time, each participant will be brought intothe mock pharmacy and shown the prescription counter. Afolder of patient profiles, a selection of references, and an emptyprescription vial should be available. The person conductingthe competition should read the rules to the participant.Rules for the preliminary round are provided and are suitablefor copying for the participants. After reading the rules, theparticipants have an opportunity to ask questions regardingthe procedures.The person in charge should identify the participant on thevideo, note the video counter reading, hand the appropriateprescription to the participant, and indicate that the patientwill arrive in five minutes. The participant then studies theprescription, the appropriate patient profile, and the referencesources. After five minutes, the person in charge turnson the video recording equipment, the patient enters the mockpharmacy and approaches the counter to request the filled prescription.The participant then counsels the patient for (up to)five minutes. To assure adequate counseling, the participantmust choose which facts are the most important to conveyfirst. While five minutes is a short period of time, it accuratelyreflects the maximum amount of time likely to be available inthe typical practice situation.The participant is given a warning when there is only one minuteremaining. This warning can be a hand signal or any appropriatesign to advise the participant that only one minute remains.After five minutes, the video recording equipment should beturned off, whether or not the participant is finished. The participantis then told when and where the list of finalists will be postedand that it will be necessary to sign up for the final round.It is probably best to use several different scenarios for thepreliminary round. These can be numbered and the participantscan select a number, or, the scenarios can be randomlyselected by the person conducting the preliminary round.The scenarios should be sufficiently similar in difficulty sothat there will not be a particular advantage to choosing onescenario over another.The JudgesJudges should have available to them the following materialsduring judging: copies of all prescriptions and patientprofiles, a copy of an appropriate drug information resourceregarding each drug for which counseling is expected, a list ofparticipants, the video counter reading at which each scenariobegins, and the prescription each participant was given.Judges should also be given sufficient copies of the evaluationform, a copy of the “Instructions for Judges– PreliminaryRound,” and the evaluation form criteria. The person in chargeshould answer any questions about procedures, but shouldavoid being judgmental about individual participants.After the judging, the director of the competition shouldtabulate the scores and post a list of finalists in the same placewhere the original sign-up took place. The scores should notbe posted.The director of the competition should bear in mind thatprizes from APhA will be given to each school's top 10 students.Therefore ties that would increase the number of finalistsbeyond 10 should be avoided.7

The Art of Patient Counseling 2013Part II Guidelines for the Local CompetitionH. Preparing for the Final RoundThe sign-up sheet for the final round should be posted atthe same location as the sign-up sheet for the preliminaryround. A final round sign-up sheet is provided (see page 31).Announcements should be made in appropriate classes thatfinalists have been identified and that sign-ups for the finalround should be completed by a specific time. Students onclerkship should be notified directly.Scenarios for the final round should be more difficult thanfor the preliminary round. One option is to have a demonstrationincluded as part of the scenario. The mock pharmacyshould be prepared in the same fashion as for the preliminaryround. All materials necessary for required demonstrationsshould be readily available. Audiovisual equipment is thesame as the preliminary round.The patient in the final round should be a person with someacting talent in order to be able to portray a specific problemor characteristic. The director of the program should meetwith the patient to identify which personality traits the patientwould feel comfortable portraying. Instructions for the finalround patient are provided. The particular roles to be playedby the patient should provide the participants with roughly thesame level of difficulty.I. Conducting the Final RoundThe final round is much the same as the preliminary round.Rules for the final round are provided.The person in charge enters the room and identifies the participanton the video recorder, notes the video counter reading,hands the appropriate prescription to the participant, indicateshe/she will return in five minutes, and then leaves the modelpharmacy.Participants are given five minutes to review referencematerials. After this time, the patient enters the room, therecording equipment is activated, and the participant isallowed five minutes to counsel the patient. Remember thepatient will be more difficult than the patient in the preliminaryround. The patient may be distracting or stray from thesubject. It is important for the participant to be sensitive to thepatient’s needs but to still convey the appropriate informationin the five-minute time interval. When one minute remains inthe counseling session, a warning is given. After the scenariois concluded or when the five minute time limit is reached, thevideo recording system is shut off. The participant should betold when and where the awards program will be conductedand what to expect about the program. All participants shouldattend the program.The PatientThe patient should play the role determined (e.g., angry,worried, distrustful, hearing impaired, etc.) so that the participantmust work to overcome this communication obstacle, butnot so that it is impossible to communicate. The specific methodof playing the role will vary from one participant to another.It is difficult to maintain a consistent approach, but it is veryimportant to avoid being overly difficult with good communicatorsand overly compliant with poor communicators. Perhapsthe most significant potential pitfall of the entire competition isa patient whose role-playing prejudices the outcome.When one minute remains in the counseling session, a warningis given. After the scena rio is concluded or when the fiveminute time limit is reached, the video recording system is shutoff. The participant should be told when and where the awardsprogram will be conducted and what to expect at the program.All participants should attend the awards program.The JudgesThe best judges for the final round are practicing pharmacistswho have a reputation for a patient-focused practice. Recruitingjudges from outside the college adds credibility to the competitionand it reduces the possibility of bias from internal judgeswho know the students. It is important to contact judges earlyto assure their availability. Some judges may need to view the8

The Art of Patient Counseling 2013Part II Guidelines for the Local Competitionvideos at night or at home using their own equipment, althoughproviding a controlled environment for the judges is preferable.The most important aspect of the judging in the final roundis that there must be no ties. Using three judges and the evaluationform included on page 26 should facilitate adequate discriminationamong the participants. Instructions for the finalround judges are provided (see page 25). If a tie does occurwithin the top four finishers, some type of re-assessment shouldbe performed by the judges. It is recommended that the judgesremain anonymous—at least until after the competition.J. The Awards ProgramThe best way to stimulate interest in the competition andto encourage participation in the next year's competition is toconduct an effective awards program. It is important to hold theawards program at a time when no other activities are scheduledand to limit the program to approximately 30 minutes.The awards program should be publicized to students andfaculty. A sample flyer for this purpose is provided (page 32).Since this type of program is patient-oriented, local and campusmedia may be interested in covering it as a health-related orhuman interest story. Having students contact local televisionstations could bring about surprising results.A good schedule for the awards program is as follows:(1) Welcome and explanation of the competition(2) Presentation of awards(3) Showing of the videotape of the first place winner(4) Brief presentation by a guest speakerThe director of the competition should conduct the awardsprogram. Awards may be presented by the APhA-ASP chapterpresident, the Dean, or an outside person. If the competitionhas been funded by an outside source, it is suggested that arepresentative of that source be involved in the awards ceremony.The guest speaker may be one of the judges or anotherpracticing pharmacist who can make a motivational presentation.A press release should be submitted to the local mediafollowing the awards program.The chapter advisor will e-mail the top 10 finalists' contactinformation to APhA. APhA will then contact the individualfinalists via e-mail with the instructions on how to order andreceive their prizes. Remember, students must be APhA membersto participate in the competition.9

The Art of Patient Counseling 2013Part IIIGuidelines for theNational CompetitionA. Notifying APhAThe winner must call the APhA National Office to schedulean appointment for the National Competition 1-800-237-APhA (2742), Ext.7514. An alternate should also be selectedin the event that the winner is unable to attend the NationalCompetition at the APhA2013 Annual Meeting & Expositionin Los Angeles, CA. The deadline for scheduling an appointmentis February 1, 2013.B. Required ProceduresA checklist is provided on page 18 to prepare the local winnerfor the National Competition.Each local winner must be an APhA-ASP member andmust be registered for the APhA2013 Annual Meeting &Exposition in order to compete in the National PatientCounseling Competition. The winner is responsible forcontacting the APhA National Office to schedule his or herNational Competition appointment by February 2, 2013.An alternate should also be selected in the event that the winneris unable to attend the National Competition at the APhAAnnual Meeting. A chapter may arrange financial assistance forits representative’s travel expenses to the National Competitionif funding is available. The top finishers at the National Competitionwill receive their cash awards after the APhA AnnualMeeting. The chapter should ensure that its representative hasthe financial resources necessary for the entire convention.Confirmation of the appointment time and location for thecompetition will be sent to the individuals along with specificdetails about the National Competition procedures. Participantsshould verify their appointment time immediatelyupon receipt of the confirmation email.Individuals participating in the National Competition mustbe at the assigned location 10 minutes prior to the appointedtime. Since the competition operates under a very rigid schedule,there will be no make-ups for missed sessions. Participantsare strongly encouraged to remain at the meeting for theAPhA-ASP Awards Ceremony on Monday evening.C. Schedule and PlanningIt is essential that participants in the National Competitionschedule their appointments BEFORE making airlineand hotel arrangements. Do not assume that appointmentswill be available at the local winner's convenience.Experience has shown that Friday and Saturday afternoonappointments fill-up first. If an appointment has notbeen reserved for a school or its winner and the studentis unable to compete in the remaining slots available,the student will be unable to participate in the NationalCompetition.To allow ample time for judging, the National Competitionpreliminary round will begin on Friday morning and runthrough Saturday afternoon. The final round will be held onSunday morning. Participants will know Saturday eveningwhether they have advanced to the final round. The APhA-ASP Awards Ceremony will be held Monday evening.Each participant will also receive a list of 10 medicationsfrom which the medications for the preliminary and finalrounds will be chosen.D. Conducting the NationalCompetitionThe National Competition will be conducted in a similarmanner to the local competition, only more challenging.Students are encouraged but not mandated to attend theorientation. The orientation will prepare the student as wellas allow them to become familiarized with the filming room.Students will be briefed by the on-site coordinator on the com-10

The Art of Patient Counseling 2013Part III Guidelines for the National Competitionpetition rules and procedures before their counseling sessionsbegin. The rules are few and the directions are intentionallysomewhat ambiguous to allow for discretionary creativity onthe part of the student relative to the elements of a positivepharmacist/patient interaction. The student will be allowedfive minutes to consult drug information resources and fiveadditional minutes for counseling the patient, who will berole-playing a specified character. All counseling sessions willbe videotaped. The decisions of the judges will be final.All finalists will receive a framed lithograph. Second, third,and fourth prizes are $700, $500, and $300, respectively.Mementos will be given to all participants.APhA will publicize the competition and the winners to thestate and national pharmacy media.E. Awards ProgramThe winner of the National Competition will receive $1,000and a National Patient Counseling Competition plaque withthe winner's name engraved on the front. It is a tradition thatthe winner of the National Patient Counseling Competition beinvited back the following year to serve as a judge for the nextNational Competition. The winner’s school will receive a replicaof the National Patient Counseling Trophy.11

The Art of Patient Counseling 2013SampleHandouts for Local CompetitionThese resources can be copied and used for instruction and publicity before and duringthe local competition.• Timeline for Local Competition (page 13)• Program Committee Planning Checklist (page 15)• Publicity Committee Planning Checklist (page 16)• Finance Committee Planning Checklist (page 17)• Local Winner Checklist (page 18)• APhA-ASP Rules for the Patient Counseling Competition – Preliminary Round (page 19)• Instructions for Patients – Preliminary Round (page 20)• Instructions for Judges – Preliminary Round (page 21)• APhA-ASP Patient Counseling Competition Evaluation Form – Preliminary Round (page 22)• APhA-ASP Rules for the Patient Counseling Competition – Final Round (page 23)• Patient Counseling Competition Instructions for Patients – Final Round (page 24)• Patient Counseling Competition Instructions for Judges – Final Round (page 25)• APhA - ASP Patient Counseling Competition Evaluation Form – Final Round (page 26)• Evaluation Criteria – Final Round (page 27)• Announcement Handout (page 29)• Sign - Up Sheet – Preliminary Round (page 30)• Final Round List (page 31)• Awards Ceremony Announcement (page 32)• Blank Prescription Form (page 33)• Blank Patient Profile Sheet (page 34)12

The Art of Patient Counseling 2013Sample handouts for local competitionTimeline for Local CompetitionTime Out/DateCompetition DirectorT – 11 Weeks/_____T – 10 Weeks/_____• Announce competition & recruit volunteers• Notify school personnel responsible for extracurricular activities of the datesand times of the competitions and awards ceremony• Organize meeting to determine budget• Set up Program Committee, Publicity Committee, and Finance CommitteeTime Out/Date Program Committee Publicity Committee Finance CommitteeT – 9 Weeks/_____Committee meets to assignresponsibilitiesCommittee meets toassign responsibilitiesCommittee meets to assignresponsibilitiesT – 8 Weeks/_____Determine potential judges,patients, and scenarioauthorInvestigate publicityopportunities in schoolnewspaperContact alumni, stateassociation, pharmacies,etc. to seek supportT – 7 Weeks/_____Scenario authorconfirmedContact local press forhuman interest storycoverage and otheropportunitiesPlan fundraisersT – 6 Weeks/_____Keynote speaker for awardsceremony selected; programwrittenPlan fundraisersT – 5 Weeks/_____Scenarios written; judges,patients, confirmed inwritingPosters and announcementsdistributed to promotefundraisersPlanning for fundraiserscompleteT – 4 Weeks/_____Arrangements for judgingrooms and AV equipmentcompleteAddress faculty meeting;show video; givepresentation13

The Art of Patient Counseling 2013Sample handouts for local competitionFinance Committee Planning ChecklistDeadline(from timeline) ✓ Check box when completedPossible financial supporters contacted:deanalumni associationstate and local associationspharmaceutical industry companiesindividual pharmacistslocal chain drug storespharmaceutical wholesaler /distributorsotherotherFundraiser planned:ideas generated and finalizedlocations confirmeddate setdetails communicated to publicity committeeextra volunteers recruitedspecial materials obtainedotherotherFinance committee’s details of awards ceremony finished:supporters invitedchecks obtained for winnersletters of appreciation sent to supportersWinner prepared for National Competition:appointment time reserved (by calling APhA no later than February 1, 2013)registered for APhA Annual Meetingmembership in APhA-ASP confirmed17

The Art of Patient Counseling 2013Sample handouts for local competitionAPhA-ASP Rules for the Patient Counseling CompetitionPreliminary RoundThe purpose of this competition is to measure your abilitiesas a communicator of information about medications topatients. You will be given a prescription order and you willbe allowed five minutes to consult the patient profiles and anyreference sources available within the model pharmacy. Afterfive minutes, the patient will arrive to be counseled. You willnot be required to actually fill the prescription. When youcounsel the patient, you may use an empty prescription vialto simulate the filled prescription. You may communicateto the patient orally and by using written information. Youmay ask questions of the patient. You will be limited to fiveminutes for counseling. A warning will be given when oneminute remains in the counseling session. In your counselingsession, you should cover any problems raised by the prescriptionorder itself, by the patient profile, or by something said bythe patient. You may ask questions of the competition directoruntil you are given the prescription and patient profile. Afteryou are given this information, you may not ask questionsabout the competition procedure. The decision of the competitionjudges is final.19

The Art of Patient Counseling 2013Sample handouts for local competitionInstructions for Patients— Preliminary RoundAs a patient, your role is key to the success of the NationalPatient Counseling Competition. It is very important thatyour role playing be consistent from participant to participant.Perhaps the most significant potential pitfall of the entire competitionis a patient whose role-playing prejudices the outcome.The purpose of the preliminary round is to distinguish10 participants who will advance to the final round.You should react to the participant, but you should not initiatesuperfluous discussions during this round of the competition.You should answer questions by the participant but, naturally,there should be no attempt to "sandbag" or confuse theparticipant. You should appear receptive to the informationbeing conveyed but otherwise not interact with the participantunless a question is asked. If questions are asked, you shouldprovide a reasonable answer. You should be familiar with thepatient profile and know appropriate answers to questionssuch as, "When do you usually eat dinner?", "What is youroccupation?", etc. You should not, however, create a dilemmathat is not apparent from the prescription and patient profile.Thank you for being a patient for our competition. We hopethe experience is an enjoyable one.20

The Art of Patient Counseling 2013Sample handouts for local competitionInstructions for Judges—Preliminary RoundAs a judge of the preliminary round of the Patient CounselingCompetition, you will be responsible for screening thevideos of all participants and determining which participantswill be selected to participate in the final round of the competition.The evaluations of all judges will be averaged together todetermine the ten highest rated participants.Providing fair, impartial, and efficient judgments is a difficulttask. Some judges tend to be too harsh (perhaps forgettingthat they are evaluating student pharmacists) while others tendto be too lenient. Some judges spend hours viewing and reviewingthe videos while others have finished their evaluationsbefore the video has ended. Regardless of the specific issue, theoutcome often is an evaluation that is unfair to the participantnor the judge.In an effort to minimize some of these problems, the followinginstructions should be read carefully and referred to ifdifficulties arise during the judging of participants:1. Before viewing any videos, make sure you have a clearunderstanding of the two evalua tion criteria. You will bejudging the participants on both their professional competenceand their communication ability. In other words,you are to assess what they say and how they say it.2. When you judge each participant, you will have tomake two separate evaluations—one for professionalcompetence and one for communication ability. In eachcategory you can rate the participant between 0 and 10points. A rating of 9 or 10 should be reserved forcontestants who are clearly superior while a 1 or 2 ratingshould be given to participants who are consistentlyinadequate. A rating of 5 should be given for an averageperformance in either category.3. With this understanding in mind, it would now be usefulto view two or three videos, not to judge them, butto get a general sense of the level of the participants'abilities.4. You should have before you the following information:(a) a list of the participants, (b) the prescriptions andpatient profiles used by each participant, (c) copies of anappropriate drug information resource, and (d) evaluationforms.5. It is recommended that you view the entire counselingsession (five minutes) before evaluating the participant.For some judges it is helpful to review selected segmentsbefore making their final judgments.6. It should be remembered that this round is only a qualifyingcompetition. Your judg ments will be used todetermine which group of participants will compete inthe final round, not to distinguish the exact finishingorder. In most cases your instinct will provide the bestbasis for your final evaluation.21

The Art of Patient Counseling 2013Sample handouts for local competitionAPhA-ASP Patient Counseling CompetitionEvaluation Form—Preliminary RoundParticipant Name:_______________________________________________________________Video Counter Reading:____________________________________________________________Directions: After viewing the video of each participant, indicate your rating of the participant's communication skills andprofessional competence. For each category, rate the participant between 0 (not done) and 10 (superior). A rating of 5indicates an average score. You may use decimals when making your final rating. The scale at the bottom of this formreflects the general levels of performance.Rating____________________________CriteriaCommunication SkillsIn rating this category, you should consider some or all of the following concerns:presents information clearly and adapts to the patient;displays appropriate nonverbal behaviors;checks for understanding;expresses interest in and concern for the patient;uses visual aids and/or written information;provides summary and opportunity for follow-upProfessional CompetenceIn rating this category, you should consider some or all of the following concerns:asks necessary and appropriate questions;presents accurate and complete information;refers to and uses patient profile informationPerformance Scale: 0 NOT DONE1-2 POOR3-4 UNSATISFACTORY5 AVERAGE6-8 SATISFACTORY9-10 EXCELLENTJudge's Name:__________________________________________________________________22

The Art of Patient Counseling 2013Sample handouts for local competitionAPhA–ASP Rules for the Patient Counseling CompetitionFinal RoundThe final round of the Patient Counseling Competition ismuch like the preliminary round, but there are some importantdifferences. As with the preliminary round, you will be judgedon your ability to communicate information about medicationsto patients. The evaluation will again be half on content andhalf on style. The decision of the judges will be final.In the final round, you will choose a random prescriptionfrom a bowl. You will then have five minutes to study the prescriptionorder, the patient profile, and the reference sourcesavailable. You will not be required to actually fill the prescriptionorder, but there are several products that are on the counterwhich represent the stock in your pharmacy. You should usewhatever product is appropriate to assist you in counseling yourpatient. You will see that some demonstration may be required.After five minutes, the patient will arrive to be counseled.You may counsel the patient orally, by using written handoutinformation, and by demonstrating how to use the productitself. In this final round, the patient will display a personalitycharacteristic that will challenge your ability to counsel onproper use of the product. A one-minute warning will be given,and then the technician will come in and turn off the videorecorder after the five-minute time limit is reached.23

The Art of Patient Counseling 2013Sample handouts for local competitionInstructions for Patient—Final RoundAs a patient, your role is key to the success of the PatientCounseling Competition. It is very important that the roleplaying that you will do as a patient be consistent from participantto participant. Perhaps the most significant potentialpitfall of the entire competition is a patient whose role playingprejudices the outcome.The purpose of the final round is to select the winner for thecompetition as well as three runners-up. Because this is thefinal round, the situation presented to the participant is morechallenging than in the preliminary round.In this round you will display a personality characteristicsuch as anger, worry, distrust, a hearing impairment, etc. Thepersonality characteristic that you will play for a particularparticipant is chosen at random. You should play the selectedrole so that the participant must work to overcome the communicationobstacle presented by the personality characteristic,but not so that it is impossible to communicate. The specificmethod of playing the role will vary from one participantto another. It is difficult to maintain a consistent approach,but it is very important to avoid being overly difficult withgood communicators and overly compliant with poor communicators.Thank you for being a patient for our competition. We hopethe experience is an enjoyable one.24

The Art of Patient Counseling 2013Sample handouts for local competitionInstructions for Judges—Final RoundAs a judge of the final round of the Patient CounselingCompetition, you will be responsible for screening the videosof the finalists and providing specific ratings of each participant.Your ratings and those of the other judges will be combinedto determine the finishing order of participants.You have been selected as a judge because of your experienceand reputation as a patient-oriented practitioner. It isexpected that you have evolved your own set of standards forpatient counseling. However, when evaluating the participants,you will be asked to utilize the standards/criteria thathave been developed for this competition. While these criteriamay differ slightly from your own, they are necessary for thestandardization of evaluation procedures.The following instructions have been developed to facilitatean accurate and efficient evaluation process. They shouldbe read carefully prior to viewing any videos and any questionsyou may have should be referred to the director of thecompetition.1. Before viewing any videos, make sure you have a clearunderstanding of the attached evaluation criteria. Youwill be judging the participants on 24 attributes relatedto their professional competence and their communicationability. It is essential that you are able to identifyquickly and accurately the use of these attributes byparticipants during their patient counseling sessions.2. When you judge each participant, you will have to make24 separate evaluations. It is important to understandthat these evaluations are independent. It is possible fora participant to receive a low rating on one attributeand high ratings on others. For each attribute, you canrate the participant. A rating of 5 should be reserved fora participant who is clearly superior, while a rating of0 and 2 or 0 and 5 depending on the section evaluationcriteria should be given to a participant who is consistentlypoor. A rating of 3 should be given for an averageperformance on any attribute. Total evaluation scores forindividual participants can range between 0 and 100.3. For the first section (Professional Competence – CounselingPoints) a rating of 0 means that the participantdid not complete the required portion of the counselingsession. A rating of 2 signifies that the participant didsuccessfully complete this counseling point. A total of100 points may be achieved after grading all three sectionsof the competition.4. With this understanding in mind, it would now be usefulto view two or three videos, not to judge them, butto get a general sense of the level of the participants'abilities. Remember, these are students and not practicingpharmacists. Your judgments should reflect thecomparative levels of ability of participants relative to astudent's experiences.5. You should have before you the following information:(a) a list of participants, (b) the video counter readingsindicating the beginning of each scenario, (c) the prescriptionsand patient profiles used by each participant,(d) copies of an appropriate drug information resource,and (e) evaluation forms.6. It is recommended that you review the entire counselingsession (five minutes) before evaluating the participant.For some judges it is helpful to review selected segmentsbefore making their final judgments.7. This is the final round of the competition and your ratingswill be used to determine the winners. Consequently,it is crucial that your ratings clearly differentiate participantsaccording to their ability. Understandably, this isa difficult task. However, if the summary ratings do notdiscriminate between participants, it will be very difficultfor the director of the competition to determine theexact finishing order of participants. In the event that thecombined ratings of the judges lead to a tie, you (and theother judges) will be asked to reevaluate the videotapes ofthose participants involved to break the tie.25

The Art of Patient Counseling 2013Sample handouts for local competitionAPhA-ASP Patient CounselingCompetition Evaluation Form—Final RoundParticipant Name: _____________________________________________________ Judge’s Initials: _________________________________Directions: After reviewing the videotape, indicate your rating of the contestant’s performance by circling the appropriate number. For each item,rate the contestant from 0 (Did Not Complete) to 5 (Excellent). When you have completed the form, CHECK TO BE SURE YOU HAVE CIRCLEDA NUMBER FOR EACH ITEM.Part 1 PROFESSIONAL COMPETENCE – COUNSELING POINTS Did Not Complete Completed N/A1 Identifies/introduces self as pharmacist. 0 2 XOverall Evaluation Score2 Identifies/confirms patient or patient’s agent. 0 2 X Part 1 Score (max 20) = _____3 Provides medication name. 0 2 X Part 2 Score (max 30) = _____4 Provides indication for medication. 0 2 X Part 3 Score (max 35) = _____Overall Evaluation Score5 Provides dosage/regimen for medication. 0 2 X_____(max 15) =6 Discusses potential (major) side effects. 0 2 X Total Score = _____7 Discusses potential warnings, precautions, and interactions. 0 2 X Judges Notes:8 Describes missed dose instructions. 0 2 X9 Provides number of refills or number of allowed refills. 0 2 X10 Discusses storage recommendations. 0 2 XPART 1: TOTAL SCORE FOR PROFESSIONAL COMPETENCE – COUNSELING POINTS = ________(maximum 20 points)Part 2 PROFESSIONAL COMPETENCE – COUNSELING SESSION Did Not Complete PoorBelowAverageAverage Good Excellent N/A11 Explains the purpose of the counseling session. 0 1 2 3 4 5 X12 Makes appropriate use of the patient profile. 0 1 2 3 4 5 X13 Assesses patient understanding of the reason(s) for therapy. 0 1 2 3 4 5 X14 Uses open-ended questions throughout counseling session. 0 1 2 3 4 5 X15 Verifies patient understanding via feedback. 0 1 2 3 4 5 X16Summarizes by emphasizing key points of information, providesclosure and opportunity for follow-up.0 1 2 3 4 5 XPART 2: TOTAL SCORE FOR PROFESSIONAL COMPETENCE – COUNSELING SESSION = ________ (maximum 30 points)Part 3 COMMUNICATION ABILITY – GENERAL TECHNIQUES Did Not Complete PoorBelowAverageAverage Good Excellent N/A17 Presents facts and concepts in a logical order. 0 1 2 3 4 5 X18 Provides accurate information. 0 1 2 3 4 5 X19 Uses language the patient is likely to understand. 0 1 2 3 4 5 X20Displays effective nonverbal behaviors (eye contact, bodylanguage, etc.)0 1 2 3 4 5 X21Identifies and appropriately addresses any real or anticipatedconcerns or problems of importance.0 1 2 3 4 5 X22 Uses understanding or empathetic responses. 0 1 2 3 4 5 X23 Maintains control and direction of the counseling session. 0 1 2 3 4 5 XPART 3: TOTAL SCORE FOR COMMUNICATION ABILITY – GENERAL TECHNIQUES = ________ (maximum 35 points)24 Overall Evaluation of participant. 0 1 2 3 4 5 XTOTAL SCORE FOR OVERALL EVALUATION ________ x 3 = ________ (maximum 15 points)26

The Art of Patient Counseling 2013Sample handouts for local competitionAPhA-ASP Judges Evaluation Form CriteriaFinal Round1. Conducts appropriate counseling introduction by identifying self and the patient or patient's agent.The health care professional should introduce himself or herself to the patient or patient's agent, and ask if the person is thepatient, the caregiver, or someone simply picking up the prescription for the patient.2 Conveys complete information to the patient.The health care professional should convey information such as the name of the medication, indication, dosage/regimenpotential side effects, potential warnings, precaution, interactions, missed dose instructions, number of refills, storage recommendations,etc.3. Explains the purpose of the counseling session.The health care professional should prepare the patient or caregiver for the information to be presented and explain why theinformation is important to the patient. It is important to tell patients why the counseling session is important from theirperspective.4. Makes appropriate use of the patient profile information.This involves verifying that the profile information is up-to-date (current medications, etc.) and that the information pointsto any possible problems (drug-drug, drug-food, or drug-disease interactions; noncompliance).5. Assesses patient's understanding of the reason(s) for therapy.It is extremely useful to find out what the patient already knows. Doing this has the potential for saving time in the counselingsessions and reinforces learned information. In addition, any incorrect information could be corrected at this time. Itwould be important to assess what the patient understands about the seriousness of the illness, the treatment, dietary restrictions,etc.6. Uses open-ended questions.The use of open-ended questions (e.g., "What did your health care provider tell you this medication is for?") rather thanclose-ended questions (e.g., "Did your health care provider tell you what this medication is for?") helps the health care providerdetermine what information the patient needs. Answers to open-ended questions may help the health care providerdetermine the patient’s level of understanding.7. Verifies patient's understanding, via feedback.The health care provider should verify patient understanding via patient feedback. For example, "Mrs. Jones, just to be surethat I am clear, could you tell me how you are going to take your medication?" The same would be done with side effects,missed doses, storage conditions, etc. A more direct approach would be: "Mrs. Jones, what time will you take your firstdose?" Correct answers can be praised and incorrect information can be corrected. Praising has been shown to reinforceadherence.8. Summarizes by emphasizing key points of information.The health care provider should summarize key points of the counseling session. This does not mean simply asking thequestion, "Do you understand?" because patients might be reluctant to say "no." The health care provider, for example,could say to the patient, "To be sure I haven’t left anything out, let me summarize."27

The Art of Patient Counseling 2013Sample handouts for local competition9. Presents facts and concepts in a logical order.It has been shown that people retain information longer when it is presented from simple to complex. In addition, the mostimportant point should be communicated to the patient first, then repeated again at the end of the counseling session.10. Provides accurate information.11. Uses language that the patient is likely to understand.Health care professionals should avoid technical jargon when counseling patients. For example, "high blood pressure" is generallymore understandable than "hypertension." Technical language is only appropriate when the health care professionalfeels that the patient understands it.12. Displays effective nonverbal behaviors.Generally speaking, the most effective interviewers are ones who talk less than the patient and spend more time listening.Listeners convey their understanding and concern through nonverbal gestures (facial expressions, eye contact, nodding) andthrough short verbal prompts ("I see", "Uh huh", "Really?" etc.)13. Identifies and appropriately assesses any real and/or anticipated concerns or problems of importance to thepatient.Patients are often reluctant to vocalize concerns unless they are asked. It is important to deal with this issue early in theconversation otherwise patients may not be listening to the information as attentively. The health care professional shouldmake every effort to understand the concerns of the patient and give those concerns the attention they deserve.14. Respond with understanding/empathic responses.This skill is absolutely essential to an effective counseling session. If the patient sees the health care professional as competent,trustworthy, and someone who cares about what happens to them, it increases their compliance. Health care professionalsneed to hear what patients have to say without judgment or attempting to minimize their concerns.15. Maintains control and direction of the counseling session.While the emotional needs of the patient relative to drug therapy should be addressed, the counseling session needs to moveforward. Patients may dwell on certain areas even after reassurance and explanation. The health care professional needs toassertively address the concern and move on to be sure all important issues are covered.28

The Art of Patient Counseling 2013Sample handouts for local competitionThe APhA Academy ofStudent Pharmacistsannounces the2013 PatientCounseling CompetitionSign-Up Dates: _________________________________________Location of Sign-Up Sheets:_____________________________Competition Dates:_____________________________________The winner will participate in the29 th Annual National Patient Counseling CompetitionMarch 1– 4, 2013APhA Annual Meeting & ExpositionLos Angeles, CA29

The Art of Patient Counseling 2013Sample handouts for local competition2013 APhA Academy of Student PharmacistsPatient Counseling CompetitionSign-Up Sheet—Preliminary RoundTIME____________________________________________________________________________________________________________________________________________________________________________________NAME____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Please report to room_______,________________________ buildingat least 10 minutes before your scheduled time.30

The Art of Patient Counseling 2013Sample handouts for local competition2013 APhA-ASP Patient CounselingCompetition Final RoundThe finalists for the Patient Counseling Competition in alphabetical order are:The final round will be held in Building ____________________ , room_______, on_______.The final round will resemble the preliminary round, but the scenario will be more difficult, and the patient will display a personalitycharacteristic that you will have to take into consideration during counseling.Please arrive at least 10 minutes prior to your scheduled time.totototototototototo31

The Art of Patient Counseling 2013Sample handouts for local competitionThe APhA Academy ofStudent Pharmacistsannounces the2013 Patient Counseling CompetitionAwards CeremonyDate:___________________________________________________Time: __________________________________________________Place:___________________________________________________Guest Speaker:___________________________________________All students, faculty, and staff are invited.The video of the winner will be shown.32

The Art of Patient Counseling 2013Sample handouts for local competitionBlank Prescription Form2013Patient Counseling CompetitionAPhA Academy of Student Pharmacists2215 Constitution Avenue, NWWashington, DC 20037(202) 429-7514 DEA No. ASOOOOOOO–R–Name_____________________________________________Address___________________________________________No._____________Date____________Refills_________________________________Dispensed by___________________________Dr.__________________________________DEA No. ____________________________FOR EDUCATIONAL USE ONLY33

The Art of Patient Counseling 2013Sample handouts for local competitionBlank Patient Profile SheetPATIENT MEDICATION PROFILEKnown DiseasesPATIENT'S NAMEADDRESSPhone No.Date of BirthAllergies/SensitivitiesAdditionalInformationDateNumberof RxMedicationNameStrengthQuantityDosageRegimenTherapyCompletionDatePharm.Inits.PhysicianManuf.andLot No.Price34

The Art of Patient Counseling 2013Part IVHistory of the CompetitionA. BackgroundThe First Philadelphia College of Pharmacy andScience CompetitionThe first Patient Counseling Competition developed from anidea into a reality in the span of about two weeks. A sign-upsheet was posted and announcements were made at the beginningof classes. The competition was open to all fourth and fifthyear student pharmacists, and eventually 18 students signedup.At the preliminary round the students were given a simplepractice scenario and were required to counsel the patient onappropriate use of the drug involved. Participants were givena prescription and a patient profile, and were allowed five minutesto refer to any of the reference sources available in thePCP&S (now University of the Sciences in Philadelphia) modelpharmacy. After consulting the references and determining theappropriate information for the patient, the participants wererequired to counsel the patient. Five minutes were allowedfor counseling. Participants were evaluated objectively on thecontent and style of the counseling presentations. The ten highestscoring participants were invited to participate in the finalround.The final round involved a more complex counseling situationwhere the participants were again given a prescription and apatient profile and were asked to counsel the patient on effectivedrug use. The patient in this round displayed a personality characteristic(hurried, unconcerned, anxious, unintelligent, etc.) thatrequired the participant to adjust to the situation. After allowingthe participant ten minutes to consult the reference materials, thepatient returned to be counseled and exhibited the selected personalitycharacteristic. Ten minutes were allotted to each participantfor counseling. Videotapes of each participant were viewedby volunteer community pharmacists who served as judges.The Second University of the Sciences inPhiladelphia CompetitionIn the spring of 1984, the second Patient Counseling Competitionwas conducted at the University of the Sciences inPhiladelphia. Timing of the competition was planned so that theentire program took place during ten days when no other majoractivities or exams were scheduled. Publicity was intensified andresulted in 33 participants. A special evening session of the competitionwas scheduled for students on clerkship.Expansion to the National LevelBecause the competition had been so successful at the Universityof the Sciences in Philadelphia, a plan for a nationalpatient counseling competition was developed.This plan was presented to the United States Pharmacopeia whoenthusiastically agreed to fund the national program. Coordinationof the local and national competition required administrativeresources, student participation, and a strong relationship with eachcollege of pharmacy. When approached, the American PharmaceuticalAssociation Academy of Students of Pharmacy immediatelyembraced the program and adopted it as an APhA-ASP function.In 1998, USP announced a realignment of their strategicfocus. As a result, APhA assumed full responsibility of theprogram.35

The Art of Patient Counseling 2013history of the competitionThe First National Competition 1985Number of participating schools: 31Patients:Desiree M. Marchand, Xavier UniversityDavid B. Brushwood, Philadelphia College ofPharmacy and ScienceJudges:Thomas G. Arthur, University of MichiganFrank Ascione, University of ColoradoManuel Lena, University of Texas at AustinLon D. Lowrey, Dorsey LaboratoriesThomas McGinnis, FDA Center for Drugs and BiologiesShirley P. McKee, APhA House of DelegatesWilliam Robinson, Drug TopicsGinger Scott, Kentucky Pharmacists AssociationWinners:1. John York, University of Michigan2. Tara Pisik, University of Texas at Austin3. Madeline Baker, Ohio Northern University4. Liz Lovelace, University of FloridaThe 1986 National CompetitionNumber of participating schools: 48Patients:Barry Bleidt, Northeastern UniversityDavid B. Brushwood, West Virginia UniversityMary Ann Galley, Texas Southern UniversityJudges:Bruce A. Berger, Auburn UniversityJoseph C. Dilger, Parke-Davis & Co.Gloria Francke, 1986 Honorary Chairman of theAPhA Board of TrusteesJohn Grabenstein, U.S. ArmyArthur Hull Hayes, USP PresidentPamela Koss, Sav-On DrugsKatherine Linder, Iowa Pharmacists AssociationLon D. Lowrey, Dorsey LaboratoriesRobert P. Marshall, Harris LaboratoriesMarianne R. Rollings, Virginia PharmaceuticalAssociation and Board of PharmacyMax Stollman, KNBC-Los AngelesJohn York, Warner Lambert Company,1985 NPCC WinnerWinners:1. Susan Hughes, State University of New York atBuffalo2. Daniel Kolceski, Albany College of Pharmacy3. Tara Pisik, University of Texas at Austin4. Liz Lovelace, University of FloridaThe 1987 National CompetitionNumber of participating schools: 53Patients:Barry Bleidt, University of HoustonEdward Clouse, University of TennesseeAngele C. D'Angelo, St. John's UniversityJudges:Yvonne Allen, National Pharmaceutical AssociationDavid A. Banta, Maryland Pharmaceutical AssociationR. Paul Baumgartner, Jr., Merck Sharp & DohmeBruce Berger, Auburn UniversityCaryn Bing, 1986 recipient of the Illinois PharmacistsAssociation Edmond P. Barcus Memorial LeadershipAwardR. Keith Campbell, Washington State UniversityStacey A. Ferguson, Scrubby Bear FoundationRichard Herrier, Phoenix Area Indian Health ServiceSusan Hughes, 1986 NPCC WinnerMarsha Millonig, National Association of Chain DrugStoresCharles Rothschild, 1986 William S. Apple MemorialProgram in Community Pharmacy ManagementIrving Rubin, Pharmacy TimesWinners:1. Jonathan Schiller, St. John's University2. Marcia Anderson, University of Oklahoma3. Nancy Feuerstein, South Dakota State University4. Julie Scharmann, University of UtahThe 1988 National CompetitionNumber of participating schools: 60Patients:Heidi Anderson-Harper, Student NationalPharmaceutical Association; University of TennesseeRobert W. Boyce, U.S. Indian Health ServiceMarie E. Gardner, University of ArizonaJudges:Robert M. Bachman, National Council on PatientInformation and EducationCandace W. Barnett, Mercer UniversityLarry L. Braden, Georgia Pharmaceutical AssociationCarmen A. Catizone, National Association of Boardsof PharmacyD. Stephen Crawford, Immediate past-chairman, APhABoard of TrusteesCarole Kimberlin, University of FloridaCharma Konnor, U.S. Food and Drug AdministrationLon D. Lowrey, Sandoz PharmaceuticalsKathleen A. McGee, Barr LaboratoriesAllen Schwartz, U.S. PharmacistWinners:1. Joy Meier, Philadelphia College of Pharmacy andScience2. Cheryl Gauthier, Xavier University3. Robert Wojack, Wayne State University4. Lawrence Carey, Temple UniversityThe 1989 National CompetitionNumber of participating schools: 65Patients:Robert P. Marshall, Harris LaboratoriesMichael A. Moné, Florida Board of PharmacySusan Pawlak, Rutgers UniversityJudges:Eric Barker, Vanderbilt UniversityRobert W. Boyce, U.S. Indian Health ServiceLisa Cox, 1988 William S. Apple Memorial Program inCommunity Pharmacy ManagementCharles R. Green, Immediate past-chairman,APhA Board of TrusteesLeonard Gross, American DruggistDouglas P. Johnson, The Upjohn CompanyHenry Lewis, III, National Pharmaceutical Association;Florida A&M UniversityJoy Meier, 1988 NPCC WinnerPhylliss Moret, Mississippi Pharmacists AssociationLorie G. Rice, California Board of PharmacyCAPT R. Duane Tackitt, U.S. NavyWilliam N. Tindall, NARDWilma Wong, VA Medical Center-San Francisco36

The Art of Patient Counseling 2013history of the competitionWinners:1. Kimberly Kill, St. Louis College of Pharmacy2. Anna Chapdelaine, Southwestern Oklahoma StateUniversity3. Linda Lotz, Mercer University4. Eric Hals, Ohio State UniversityThe 1990 National CompetitionNumber of participating schools: 70Patients:Carol A. Giltner, Eli Lilly and CompanyCynthia L. Hespe, California Pharmacists AssociationEugene B. Smith, U.S. Indian Health ServicesJudges:John Coster, Congressional Office of TechnologyAssessmentMurhl L. Flowers, Safeway PharmaciesJoel Hoffman, G.D. Searle & CompanyMichael A. Moné, Florida Board of PharmacyStuart L. Nightengale, U.S. Food and DrugAdministrationColleen O'Brien-Thorpe, Rx HealthlineKim Painter, USA TodayBrad W. Renehan, Micromedix, Inc.James Slayton, American Medical Student AssociationDorothy Wade, National Pharmaceutical CouncilKimberly K. Werner, American Society of ConsultantPharmacists, 1989 NPCC WinnerDierdre C. Younger, Children's Hospital NationalMedical CenterWinners:1. José Rey, University of Florida2. Steve Timmerman, South Dakota State University3. Andrea Franks, University of Tennessee4. Kim Hunter, Albany College of PharmacyThe 1991 National CompetitionNumber of participating schools: 70Patients:Robert W. Boyce, U.S. Indian Health ServiceEugene G. Smith, U.S. Indian Health ServiceDolores M. & Lawrence C. Weaver, University ofMinnesotaJudges:Candace W. Barnett, Mercer UniversityPaul F. Davis, Texas Pharmaceutical AssociationJames G. Dickinson, Dickinson's PharmacyKarl Hannes Enlund, University of Kuopio-FinlandDiane Kerr, REVCO Drug StoresLee J. Lindbloom, The Learning ChannelCarlen L. McLin, Xavier UniversitySusan M. Meyer, American Association of Colleges ofPharmacyRosamond Pappy, William S. Apple Memorial Programin Community Pharmacy ManagementWilliam F. Pillow, Jr., Eli Lilly and CompanyJosé Rey, 1990 NPCC WinnerMary Munson Runge, 1979-1980 APhA PresidentSara J. White, University of Kansas Medical CenterWinners:1. Martha Wall, University of North Carolina atChapel Hill2. Ruth Gomez, University of Texas at Austin3. Virginia Rivas, University of Southern California4. Kathy Feigh, St. Louis College of PharmacyThe 1992 National CompetitionNumber of participating schools: 70Patients:Patti L. Gasdek, Cobb Hospital & Medical CenterRobert P. Marshall, California Pharmacists AssociationKimberly K. Werner, American Council onPharmaceutical EducationJudges:Charles M. Dragovich, Pharmacy Temporary AgencyRichard N. Herrier, U.S. Indian Health ServiceDavid E. Holmstrom, Minnesota Board of PharmacyJ. Craig Hostetler, U.S. Public Health ServiceJordan Johnson, U.S. PharmacistMirta Millares, Kaiser Permanente Southern CaliforniaRegionBeverly A. Pond, Texas Pharmacists United in PatientCareMitchel Rothholz, Alabama Pharmaceutical AssociationElliott M. Sogol, Glaxo, Inc.John H. Vandel, Vandel Drugs, Inc.Martha Wall, 1991 NPCC WinnerHolly E. Whitcomb, APhA/SmithKline BeechamCommunity Pharmacy Management ProgramWinners:1. Marissa Buttaro, Philadelphia College of Pharmacyand Science2. Michelle B. Holt, State University of New York atBuffalo3. Leslie E. White, Creighton University4. Lynn Trefz, South Dakota State UniversityThe 1993 National CompetitionNumber of participating schools: 75Patients:Diane B. Ginsburg, University of Texas College at AustinJennifer J. Sriver, U.S. Indian Health ServiceShara L. Zatopek, University of HoustonJudges:Eric R. Anderson, American Society of HospitalPharmacistsErnest E. Boyd, Ohio Pharmacists AssociationFred S. Brinkley, Jr., Texas State Board of PharmacyCarol A. Bugdalski, Arbor DrugMarissa L. Buttaro, 1992 NPCC WinnerDebora E. Davidson, Pharmaceutical ManufacturersAssociationChristopher J. Forst, St. Paul Medical CenterRaymond A. Gosselin, National Association of ChainDrug StoresEdward J. Hesterlee, Marion Merrell Dow Inc.Alison K. McCutcheon, APhA/SmithKline BeechamCommunity Pharmacy Residency ProgramJohn D. Nelson, M.D., University of Texas SouthwesternMedical CenterWinners:1. Kim Helmbrecht, University of Iowa2. John Bittinger, University of Washington3. Trina Brown, University of Florida4. Sharon Galzarano, Duquesne UniversityThe 1994 National CompetitionNumber of participating schools: 75Patients:Robert W. Boyce, U.S. Indian Health ServiceRichard N. Herrier, U.S. Indian Health ServiceMichael A. Moné, Attorney General's Office, State ofFlorida37

The Art of Patient Counseling 2013history of the competitionJudges:Linda Archer, Lederle LaboratoriesCraig Burridge, Pharmaceutical Society of the State ofNew YorkDonna Dockter, Northaven Pharmacy Olya Duzey,Wal-MartJanice Feinberg, ASCP FoundationKim Helmbrecht, Osterhaus Pharmacy, 1993 NPCCWinnerJeff M. Jellin, Pharmacist's LetterLlynn A. Lloyd, Arizona Board of PharmacyKathleen A. McGee, Whitman Walker ClinicMarie Sargent, Sargent's PharmacyGary Schneider, Diversified Pharmaceutical ServicesRon Wade, Syntex LaboratoriesWinners:1. Kristen Thomas, Campbell University2. Donna Grier, University of Arizona3. James Slater, Oregon State University4. Heather Carlson, Albany College of PharmacyThe 1995 National CompetitionNumber of participating schools: 73Patients:Robert Marshall, California Pharmacists AssociationGeri Tothill, U.S. Indian Health ServiceTerry Warholak-Juarez, U.S. Indian Health ServiceJudges:Bill Brewster, U.S. Representative (D-OK)Bruce Canaday, NC Coastal Area Health EducationCenterLaura Cranston, National Association of Chain DrugStoresJennifer Cross, Kaiser Permanente Medical CenterAngele C. D'Angelo, U.S. PharmacistWilliam French, Bristol-Myers SquibbShevan Graham, Parkland Memorial HospitalEdward Jaffry, Katz, Kutter & HaiglerMechelle LaWarre, Consultant PharmacistCharles Lindstrom, Nora ApothecaryMichael A. Moné, Attorney General's Office, State ofFloridaKristen Thomas, 1994 NPCC WinnerWinners:1. Jennifer Schoelles, University of Florida2. Ruth Iredale, Oregon State University3. Sandra Gulliford, University of Illinois at Chicago4. Nancy Hall, Mercer UniversityThe 1996 National CompetitionNumber of participating schools: 74Patients:Marni Luecht, U.S. Indian Health ServiceTerry Warholak-Juarez, U.S. Indian Health ServiceKimberly Werner, American Council on PharmaceuticalEducationJudges:Bruce Buckley, Pharmacy TimesBruce Canaday, NC Coastal Area Health EducationCenterMecca Cranley, State University of New York at Buffalo,School of NursingRoger Davis, Tennessee Pharmacists AssociationDonald Dee, Consultant PharmacistZandra Fennell, McNeil Consumer Products CompanyJanet Goodman, Health Care Marketing ServicesLou Kompare, Gaylord EnterprisesEucharia Nnadi Okolo, Howard UniversityJennifer Schoelles, 1995 NPCC WinnerMichelle Shibley, Richmond ApothecaryMichael Soiland, MedOutcomesWinners:1. Marie Belshe, University of California,San Francisco2. Annalie Wonderlich, Drake University3. Susan Anderson, University of Montana4. Sandra Gulliford, University of Illinois at ChicagoThe 1997 National CompetitionNumber of participating schools: 74Patients:Deidra Brown, Southeast Alaska Regional HealthConsortium Medical CenterRobert P. Marshall, American Family PharmacyFranchise Co., Inc.Jennifer Sriver, U.S. Indian Health ServiceJudges:Marie Belshe, 1996 NPCC WinnerJohn Berger, American Society for Pharmacy LawRichard Church, U.S. Indian Health ServiceKenneth DePinto, Johnson & Johnson Merck ConsumerPharmaceuticalsRobert Elenbaas, American College of ClinicalPharmacyRebecca Finley, University of Maryland GreenebaumCancer CenterCarol Gallagher, Amgen, Inc.Kenneth Kirk, St. Louis College of PharmacyJanet Ohene-Frempong, Health Promotion Council ofSoutheastern PennsylvaniaMichael Pavlovich, PharmacistBobbie Riley, American Drug StoresFred Schmidt, Butterworth HospitalWinners:1. Joanna Labrecque, Campbell University2. DeeAnn Wedemeyer-Oleson, Drake University3. Lynn Simpson, University of Houston4. Melissa Somma, University of PittsburghThe 1998 National CompetitionNumber of participating schools: 75Patients:Deidra A. Brown, Wal-Mart PharmacyMichael A. Moné, Kentucky Board of PharmacyJennifer Sriver, U.S. Indian Health ServiceJudges:Joanne Doyle, Massachusetts Pharmacists AssociationKaren Hutchins, Eckerd DrugsJoanna Labrecque, 1997 NPCC WinnerHenry Lewis, III, Florida A&M UniversityJennifer Moulton, Iowa Pharmacists AssociationWarren Narducci, University of Nebraska MedicalCenterFred Paavola, U.S. Public Health ServiceJames Prazak, Bristol-Myers SquibbTim Regan, Florida Hospital, Celebration HealthPharmacyRod Shafer, Washington State Pharmacists AssociationRon Small, North Carolina Baptist Hospital38

The Art of Patient Counseling 2013history of the competitionWinners:1. Tamar Nicholas, Albany College of Pharmacy2. Ranea Cosby, University of Tennessee3. Cheryl Smith, Xavier University4. Jennifer Carpenter, Western UniversityThe 1999 National CompetitionNumber of participating schools: 76Patients:Eric Fox, USP LewisburgJennifer Sriver, U.S. Indian Health ServiceEdward Stein, HIS Regional Support CenterJudges:Renee Ahrens, Travis PharmacyJames Bricky Hills, Laporte ApothecaryKevin Dermanoski, U.S. Public Health ServiceSal Giorgianni, Pfizer Inc.Mustafa Lokhandwala, University of HoustonTerri McEntaffer, South Dakota Pharmacists AssociationShirley McKee, Kroger PharmacyPhyllis Moret, American Society of ConsultantPharmacistsDavid Skelton, Shenandoah UniversityAngela Tice, Drake UniversityWinners:1. Melissa Selby, University of Colorado2. Ranea Cosby, University of Tennessee3. Wayne Knisley, University of Nebraska MedicalCenter4. Angela Volquardsen, University of KansasThe 2000 National CompetitionNumber of participating schools: 80Patients:Clint Hinman, U.S. Public Health ServiceMartina Ringen, U.S. Public Health ServiceRobert Tosatto, U.S. Public Health ServiceJudges:John Babb, Federal Bureau of PrisonsGerald Cable, Ohio State UniversityYavonne Evans, University of HoustonTodd Lemke, Paynesville ClinicRay Marcrom, Marcrom’s PharmacyLou Marcy, Ohio State UniversityBeth Martin, University of WisconsinJohn Ostraski, Pfizer PharmaceuticalsMelissa Selby, 1999 NPCC WinnerRebecca Snead, Virginia Pharmacists AssociationVictor Yanchick, Virginia Commonwealth UniversityWinners:1. Katie Cubria, Drake University2. Steven Boyd, University of Nebraska Medical Center3. Angela Volquardsen, University of Kansas4. Christy Roberson, University of North Carolina atChapel HillThe 2001 National CompetitionNumber of participating schools: 81Patients:Clint Hinman, U.S. Public Health ServiceMartina Ringen, U.S. Public Health ServiceRobert Tosatto, U.S. Public Health ServiceJudges:John Babb, Health Programs BranchGerald Cable, Ohio State UniversityKatie Cubria, 2000 NPCC WinnerYavonne Evans, University of HoustonTodd Lemke, Paynesville ClinicRay Marcrom, Marcrom’s PharmacyLou Marcy, Ohio State UniversityBeth Martin, University of WisconsinJohn Ostraski, Pfizer PharmaceuticalsRebecca Snead, Virginia Pharmacists AssociationVictor Yanchick, Virginia Commonwealth UniversityWinners:1. Kami Dell, University of North Carolina atChapel Hill2. Heather Roberts, Purdue University3. Kathleen Williams, State University of New York atBuffalo4. Lewis Overbay, University of South CarolinaThe 2002 National CompetitionNumber of participating schools: 82Patients:Jane Duncan, U.S. Public Health ServiceMike Goodin, U.S. Public Health ServiceClint Hinman, U.S. Public Health ServiceJudges:Joan Anderson, University of the Sciences inPhiladelphiaBill Boyce, Oregon State UniversityPat Carroll-Grant, Delaware Pharmacists SocietyRebecca Chater, Kerr Drug Inc. and North CarolinaState Board of PharmacyKami Dell, 2001 NPCC WinnerDenise Glasser, Shenandoah UniversityBeth Martin, University of WisconsinMichelle Shibley, Richmond ApothecariesStuart Sowder, Pfizer PharmaceuticalsSheri Stensland, Midwestern UniversityMacary Weck, Albany College of PharmacyWinners:1. Jacqueline Parpal, University of Colorado2. Jeff Mills, University of Kentucky3. Laura Rosenberg, University of Missouri–KansasCity4. Autumn Alvarez, Shenandoah UniversityThe 2003 National CompetitionNumber of participating schools: 85Patients:Bradley Bishop, Sells Indian HospitalKruti Desai, U.S. Public Health ServiceLeslie White, Creighton UniversityJudges:Bill Boyce, Oregon State UniversitySusan Cornell, Dominick’s PharmacyDenise Glasser, Shenandoah UniversityRick Herrier, University of ArizonaClint Hinman, Comprehensive Health Care FacilityAmy Lullo, Midwestern UniversityJacqueline Parpal, 2002 NPCC WinnerRobert Sikora, Pfizer, Inc.Sheri Stensland, Midwestern UniversityMacary Weck, Albany College of PharmacyChristopher Woo, Vons Pharmaceutical Care39

The Art of Patient Counseling 2013history of the competitionWinners:1. Danielle Przychodzin, Shenandoah University2. Charlie Mollien, Ferris State University3. Darrell Spears, University of the Pacific4. Sarah Calnek, State University of New York at BuffaloThe 2004 National CompetitionNumber of participating schools: 86Patients:Mary Byrne, U.S. Public Health ServiceAlvin Lee, U.S. Public Health ServiceNathalie Seoldo, U.S. Public Health ServiceJudges:Bill Boyce, Oregon State UniversitySusan Cornell, Dominick’s PharmacySteven Dzierba, Pfizer PharmaceuticalsDenise Glasser, Shenandoah UniversityRick Herrier, University of ArizonaCameron Lindsey, University of Missouri-Kansas CityAmy Lullo, Midwestern UniversityDanielle Przychodzin, 2003 NPCC WinnerSheri Stensland, Midwestern UniversityChris Watson, U.S. Public Health ServiceMacary Weck, Albany College of PharmacyWinners:1. Michelle Edwards, University of Houston2. Charlie Mollien, Ferris State University3. Amanda Tunnell, University of Oklahoma4. Jennifer Upward, Creighton UniversityThe 2005 National CompetitionNumber of participating schools: 92Patients:Rowdy Atkinson, U.S. Public Health ServicesMary Byrne, U.S. Public Health ServicesMichael Paul Kelly, U.S. Public Health ServicesJudges:Susan Cornell, Midwestern University ChicagoMichelle Edwards, 2004 NPCC WinnerJ. Vince Ettare II, CVS PharmacyJenny Gores-Todd, Aurora Health CareJan Hastings, University of Arkansas for MedicalSciencesClint Hinman, U.S. Public Health ServiceJennifer Hopson, Kerr Health Care CenterTim Murray, Claremore Comprehensive Indian HealthFacilityRobert Sanchez, Pfizer Inc.Macary Weck, Albany College of PharmacyWinners:1. Dana Hausmann, University of Houston2. Brent Dance, Texas Tech University3. Emmanuelle Mirsakov, University of SouthernCalifornia4. Brook Kawchak, University of MichiganThe 2006 National CompetitionNumber of participating schools: 92Patients:Michael Clairmont, U.S. Public Health ServiceCarla Guzic, U.S. Public Health ServiceNathalie R. Seoldo, Indian Health ServiceJudges:Bethany Boyd, Pfizer, Inc.Fred K. Cho, Vons Pharmaceutical Care CenterSusan Cornell, Midwestern University ChicagoVickie Eddlemon, Pfizer, Inc.Dana Hausmann, 2005 NPCC WinnerJan Hasting, University of Arkansas for MedicalSciencesClint Hinman, U.S. Public Health ServiceCharlie Mollien, WalgreensLori Morin, University of MontanaWinners:1. Eric Ip, University of California, San Francisco2. Cindy Tat, University of the Pacific3. Melissa Watkins, Midwestern University Chicago4. Kathryn Gruchalla, University of New MexicoThe 2007 National CompetitionNumber of participating schools: 97Patients:Ann R. Hiller, U.S. Public Health ServiceMimi T. Phan, U.S. Public Health ServiceTeresa A. Watkins, Food and Drug AdministrationJudges:Susan Cornell, Midwestern University ChicagoShawn R. Eaton, CVS/pharmacyBetsy Elswick, West Virginia UniversityAngela Giles, Kerr DrugJennifer Hopson, Kerr DrugEric Ip, 2006 NPCC WinnerAmir Masood, SuperValu PharmaciesMonica Miller, University of Texas HSCat San AntonioK. Shantel Morris, WalgreensSarah A. Parnapy, Shenandoah UniversityWinners:1. Rebecca Seeba, University of Nebraska MedicalCenter2. Kelly Gregory, Purdue University3. Michael Decoske, Duquesne University4. Michelle Horn, University of MarylandThe 2008 National CompetitionNumber of participating schools: 110Judges:Vibhuti Arya, University of MinnesotaKrista Capehart, University of CharlestonAmy Holland, CVS CaremarkShawn Eaton, CVS CaremarkVickie Eddlemon, Pfizer Inc.Jessica Kerr, Southern Illinois University EdwardsvilleAmir Masood, SuperValu PharmaciesMonica Miller, University of Texas HSC at San AntonioCharlie Mollien, WalgreensK. Shantel Morris, WalgreensRebecca Seeba, 2007 NPCC WinnerWinners:1. Clint Ross, University of Arkansas for MedicalSciences2. Mykel Tidwell, University of Kentucky3. Linda Wylie, Oregon State University4. Diana Jason, Southern Illinois UniversityEdwardsville40

The Art of Patient Counseling 2013The 2009 National CompetitionNumber of participating schools: 114Judges:Shawn Eaton, CVS CaremarkRebekah Jackowski, University of ArizonaAmir Masood, SuperValu PharmaciesMonica Miller, University of Texas HSC at San AntonioCharlie Mollien, Meijer PharmacyJesse Owen, Wal-MartClint Ross, 2008 NPCC WinnerBlair Sarbacker, Kerr DrugSheri Stensland, Midwestern University ChicagoLaura M. Yelvigi, Bayer Consumer CareWinners:1. Kim Neff, University of New Mexico2. Matthew Baker, University of Houston3. Blair McLaughlin, Midwestern University Chicago4. Joshua Pullo, University of Florida - JacksonvilleThe 2010 National CompetitionNumber of participating school: 114Judges:Jennifer Athay, American Association of Colleges ofPharmacyBill Boyce, Oregon State University Health CenterShawn Eaton, CVS CaremarkRebekah Jackowski, University of ArizonaNatasha Jackson, Kelsey-Seybold ClinicCharlie Mollien, Meijer PharmacyKim Neff, 2009 NPCC WinnerBrandon Patterson, University of IowaBlair Sarbacker, University of the Incarnate WordRon Snow, CVS CaremarkWinners:1. Krystal Pong, University of California, San Francisco2. Erica Rogers, Union University3. Lisa Kim, University of North Carolina at Chapel Hill4. Kevin Brittain, Wilkes UniversityThe 2011 National CompetitionNumber of participating school: 114Judges:Jennifer Athay, American Association of Colleges ofPharmacyShawn Eaton, CVS CaremarkDanielle Ezzo, St. John’s UniversityAnisa Fornoff, Drake UniversityAngel Jones, Ohio Health SystemNatasha Jackson, Kelsey-Seybold ClinicAmir Masood, SUPERVALU PharmaciesCharlie Mollien, Meijer PharmacyKrystal Pong, 2010 NPCC WinnerRon Snow, CVS CaremarkWinners:1. Jack McGuire, Sullivan University2. Jonathan Jackson, Palm Beach Atlantic University3. Thomas Lupton, University of Kansas4. Kelli Barnes, University of CincinnatiThe 2012 National CompetitionNumber of participating school: 121Judges:Jennifer Athay, American Association of Colleges ofPharmacyVihbuti Arya, St. John’s UniversityNatasha Jackson, Kelsey-Seybold ClinicAngel Jones, Ohio Health SystemJack McGuire, 2011 NPCC WinnerMonica Miller, Purdue UniversityCharlie Mollien, Meijer PharmacyBrandon Patterson, University of IowaRon Snow, CVS CaremarkWinners:1. Stacey Pascoe, The University of Montana2. Rachel Howells, University of Arkansas for MedicalSciences3. Matthew Dorn, University of South Carolina4. Tiffany Himes, Pacific University41

AcknowledgmentsThe Art of Patient Counseling 2013The patient counseling competition discussed in thishandbook is the product of many dedicated and caringindividuals who envisioned its value to the students whowould participate, the profession at large, and the patientswho would benefit.We wish to express our appreciation to the faculty andstudents at the University of the Sciences in Philadelphiawho developed and participated in the original competitionsheld in 1983 and 1984. Without their interest andinvolvement there would be no National PatientCounseling Competition today.Our special thanks goes to the United StatesPublic Health Service for its past commitment andsupport. Last and most notably, we want to recognizeDavid B. Brushwood, Kenneth Leibowitz, William M. Heller,Alice E. Kimball, and Stacey A. Ferguson for their foresight,inno vation, and commitment to bringing the NationalPatient Counseling Competition to student pharmaciststhroughout the United States.© 2013The American Pharmacists Association2215 Constitution Avenue, NWWashington, DC 20037-2985All rights reserved.

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