the art counseling of patient - American Pharmacists Association

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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
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