Hoan Linh Banh BSc Pharm PharmD Associate Professor Faculty of Pharmacy and Pharmaceutical Sciences INTRODUCTION Problem based learning PBL Studentcentred Subject in the ID: 1043858
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1. Thinking Out Loud to Bridge the Classroom and PracticeHoan Linh Banh, BSc. Pharm., Pharm.D.Associate ProfessorFaculty of Pharmacy and Pharmaceutical Sciences
2. INTRODUCTIONProblem based learning (PBL)Student-centredSubject in the context: ComplexMultifacetedRealistic problems
3. INTRODUCTIONProblem based learning (PBL)Develop:Flexible knowledgeEffective problem solving skillsSelf-directed learningEffective collaboration skillsIntrinsic motivation
4. INTRODUCTIONDalhousie University, College of Pharmacy PBL curriculum9 yearsChallenges:Students acceptanceFaculty acceptanceIntimidating Impromptu
5. PBLPatient case-based StemGuiding questionsPrompting questionsWorking in group/groupsIdentify:What they already knowWhat they need to knowhow and where to access new information that may lead to resolution of the problem.
6. PBL125 second year pharmacy studentsPatient case provided a week prior to seminarDivide the discuss into three areas:Main topic (pain)Other topics (constipation, asthma…)Parking lot (questions that come up during discussion)Second seminar that is presented in this format
7. PATIENT CASEcc: Kim, a 62 year old ♀ comes to your community pharmacy seeking your help for constipation relief. “I have not had a bowel movement for 5 days, could you recommend something for me?”
8. PATIENT CASEKim had (R) knee surgery 3 months ago and was discharged with a prescription for pain. PMH: HTN – diagnosed 15 years ago Asthma- diagnosed at age 5. Dyslipidemia – 15 years ago MI – 12 years ago FH: Older brother with asthma SH: Smoke since 15 years old, but quit 5 years ago Husband still smokes but only smokes outside (-) EtOH
9. PATIENT CASEAll: NKDA Home Medications: Hydromorphone 2 mg po q4h Hydromorphone 1 mg po q1h prn for pain Salbutamol MDI 2 – 4 puffs QID (fills every 2 weeks) Budesonide 100 mcg 1 puff BID Ramipril 5 mg po once daily HCTZ 25 mg po once daily Diltiazem XL 120 mg po once daily Atorvastatin 40 mg po once daily
10. GUIDING QUESTONSWhat questions would you ask to assess her pain? What questions would you ask to assess her asthma symptom control? Is Kim’s asthma treatment regimen appropriate? Why? Is Kim’s cardiovascular treatment regimen appropriate? Why?
11. INTERACTIVE TECHNIQUESTeacher facilitatorIdentify students by namesSet ground rules at the beginning of classCreate a safe and comfortable environmentPraise/thank studentsProbe with “why”Use “what if” scenarios
12. VIDEO CLIP #1
13. VIDEO CLIP #1Provide pharmacy students with potential day to day encounter Establish patient baselineWhat worked and what didn’t workRule out other causes Determine self care vs referral
14. VIDEO CLIP #2
15. VIDEO CLIP #2Encourage student involvement:Multiple choice (iClicker)VoteAt time there might not be a right answer – It’s OK.
16. VIDEO CLIP #3
17. VIDEO CLIP #3Problems stimulate the development and use of problem solving skillsKnowledge retrieved and applied
18. VIDEO CLIP #4
19. VIDEO CLIP #4Use of visual aid
20. VIDEO CLIP #5
21. VIDEO CLIP #5Draw from personal experience
22. CONCLUSIONTrial and errorContinuous assessment and improvementLimitationsClass preparationParticipationIntimidation Off tangent
23. CONCLUSIONOvercome some of the challengesPeer reviewStudent feedbackSupport from peers and mentors