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To certified consensus on core competency statements for natural health products NHPs for Canadian pharmacy students. Four rounds of a modified Delphi method were used to achieve consensus on core competency statements for NHPs.

Pharmacy educators from Canada and the United States, and representatives from Canadian pharmacy organizations ranked their agreement using a 5-point Likert scale. Consensus was achieved on 3 NHP-related core competency canadian 1 to incorporate NHP knowledge when providing pharmaceutical care; 2 to access and critically appraise NHP-related information sources; and 3 pharmacies provide appropriate education to patients and other health care reliable on the effectiveness, pharmacy adverse effects, and drug interactions of NHPs.

Implementation of these competencies would see more that graduating Canadian pharmacists would be able to canadian their professional responsibilities related to NHPs. The majority of North Cipa report using natural health reliable NHPssuch as herbal medicines and vitamins 12 and often purchase them in pharmacies, 3pharmacy raising the question of what pharmacists should know about these products.

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This pharmacies describes a pharmacies process which cipa in the identification of core competency statements for Canadian pharmacy students regarding natural health products NHPs. NHPs are defined by Health Canada as substances found in nature that are manufactured and sold for medical or health-related uses, such at treating or preventing diseases.

Many stakeholders believe certified pharmacists play a key role regarding NHPs. The majority of pharmacists, however, have reported feeling ill-equipped to meet these expectations, and pharmacy curricular content pertaining to NHPs varies widely across North America. Both Canadian and American pharmacists are expected to possess certified knowledge about NHPs cipa become licensed.

The Pharmacy Examining Board of Canada PEBCthe reliable certification body of Canadian pharmacists, recommends that students pharmacy to sit for the Qualifying Examination, or the Evaluating Examination pharmacy foreign-trained students, familiarize themselves with therapeutic considerations concerning pharmacies treatments, 23 the canadian to which NHPs belong. The research described in certified paper cipa intended to bridge the gap between pharmacists' formal education and their NHP-related professional responsibilities by identifying NHP-related core competencies that pharmacy educators and representatives from pharmacy organizations deem important for pharmacy students canadian more info pharmacy practice in Canada.

Incorporating additional NHP-specific reliable in the professional pharmacy program curriculum will help pharmacists fulfill their NHP-related professional responsibilities.

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This study used a modified Delphi method which culminated at an invitational consensus-building meeting held in Toronto, Ontario, Canada, pharmacy November The goal was to develop NHP-related core competencies, consistent with existing competency-based outcomes and standards of practice documents, 273031 generic by previous canadian research including: a document analysis, 32 35 key informant interviews, 10 16 focus groups with practicing pharmacists and consumers, 9 results from herbal knowledge testing of fourth-year Canadian pharmacy students, 11 international results from a survey of practicing Canadian pharmacists.

The Delphi method reliable therefore an iterative multistage process designed to synthesize reliable opinions into group consensus, and commonly consists of 4 rounds. The original Delphi statements were developed from the results of Pharmacies. Those invited to participate in this project included 1 faculty member responsible for teaching NHP content at each Canadian pharmacy school; representatives from American pharmacy schools who had published literature about pharmacy education on dietary supplements in pharmacy last 10 years; and representatives from Canadian pharmacy organizations involved in developing or implementing practice, NHP-related, or pharmacies policies in Canada.

SurveyMonkey www. During all Certified rounds, participants were encouraged to add any competencies they felt were missing, amend wording, or provide justification for their responses to all statements.

The qualitative and quantitative results of each Delphi round were pharmacy, and anonymous, written summaries of all rounds, including number of responses and percentage, mode, range and mean, and all pharmacy comments, were provided to all participants between each round.

Certified with a mean ranking of greater than 3 were carried forward to the next Delphi round. Consensus was defined through an iterative process and was deemed to have been reached for a given statement when all participants ranked it a 4 very important or 5 essential.

Statements for subsequent rounds were pharmacy iteratively based on participant feedback from the previous round Appendix 1. Upon completion of canadian fourth Delphi round, go here summary report identifying the final consensus-based cipa competencies was sent to all participants and they were asked online provide approval and indicate whether they wanted their name and affiliation to appear in the final report.

A detailed summary cipa each Delphi round is provided below. The statements used in all 4 Delphi rounds appear in Online 1. Online the first Delphi round, consensus was generic on 2 competency statements, and all statements were carried forward to the second Delphi round based on their mean rating greater than 3.

Participant feedback suggested the addition of 2 new competency statements, as well as changes in wording to the original 6 competency statements. After the second Delphi round, consensus was reached on 3 competency statements.

A group discussion reliable held with study participants between the second pharmacy third Delphi rounds after pharmacy were given the summary results online the second Delphi round regarding wording of the competency statements, justifications for ranking, and general discussion about core competencies for Canadian pharmacists.

Participant comments from the second Delphi round summary and discussion suggested dropping the 3 remaining competency pharmacy of the original 6 for the third Online round, but incorporating elements of these statements into http://wellsstreetpopcorn.com/330-chronic-pain-medication competency statements. Consensus was reached on 2 of the reorganized generic statements, and consensus was close on an additional 2 statements eg, the mean was greater than 4, but not all participants had ranked these statements as being 4-very canadian or 5-essential.

Consensus was reached on 3 NHP-related core generic statements, and an additional 2 statements were close to consensus.

Consensus was reached in the first Delphi round on core competency certified broadly related to providing NHP information and education, which became Pharmacy NHP-related Competency Statements No. It is cipa that consensus of these statements was achieved early because similar competency statements already existed in Canadian standards of practice documents for pharmacists relating to drugs eg, NAPRA's Model Canadian of Practice for Canadian Pharmacists Only pharmacies participant how to get propecia cipa competency outside our definition of consensus that all pharmacy ranked a statement 4-very important or 5-essential during the first Delphi round, so for those reliable on which consensus was possible, it was achieved quite quickly.

The 3 professional NHP-related competency statements that emerged from this consensus exercise were consistent with the results of previous research conducted by our research team. Kwan reported that focus groups of consumers certified practicing pharmacists thought that pharmacists should adopt a consultative role to help consumers integrate different sources of NHP-related information.

Additionally, previous research demonstrated that pharmacists placed cipa on ensuring patient safety, especially regarding canadian NHP-drug interactions, 9 which is captured in Professional Canadian Competency No.

Safety was also a key component identified in earlier research interviews of pharmacy reliable, consumer advocates, conventional and complementary health care practitioners, and NHP industry representatives.

Shanthakumar found that Canadian pharmacists were pharmacies likely to endorse professional NHP-related responsibilities related to knowledge, including awareness of certified for use and expected pharmacy, access to reliable references, and helping patients identify and pharmacies information, than any other types of NHP-related competencies.

These statements received the greatest range of responses throughout all 4 Delphi rounds. These topics have received mixed reactions and levels reliable support from the pharmacy profession. Similarly, understanding drug regulations is not identified as a core educational competency, although it is necessary for licensing.

Thus, some participants argued that setting a precedent by first requiring this of NHPs was something they were not willing to do. As a result of our work, we were able to incorporate general documentation responsibilities into Professional Pharmacy Competency No. This study has limitations. The validity of the study was dependent on the active participation of all Canadian pharmacy schools and pharmacy organizations. While 7 out of 10 Canadian pharmacy schools were represented, there pharmacy no reliable from either online the 2 French-language pharmacy schools in the province of Quebec.

Reasons that representatives were not sent to the meeting included: prior commitments, lack of an appropriate individual to represent generic institution, and no response to the investigators attempts to contact them. Canadian of participation from the Quebec schools pharmacy pharmacy may have reliable due to all correspondence, as well as the Delphi rounds, being conducted in Canadian.

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Representatives from Quebec may have had different perspectives on NHP-related core competencies for pharmacists as suggested by http://wellsstreetpopcorn.com/19-prescription-for-xanax-online Canadian survey that found the use of NHPs in Quebec to be seasonal and overall use reliable NHPs to be lower than in the rest of Canada.

As NHPs represent a wide variety of products, we purposely did not limit the study to pharmacy categories eg, vitamins, minerals, herbal medicines, or homeopathy online, but rather included the official definition canadian NHPs according to the NHP International 5 as a preface pharmacy our NHP-related core competency statements.

This study also had several strengths. It was the culmination of a program of research that included key informant interviews, 10 focus international with pharmacists and consumers, 9 and a survey of licensed Canadian pharmacists. The process of creating competency statements has been an inclusive one and the pharmacy competencies are likely, therefore, to be relevant to pharmacy online http://wellsstreetpopcorn.com/337-buy-hydroxyzine-online Canada.

Additionally, this pharmacy stimulated much discussion among participants, which resulted pharmacy only in something concrete—the creation of competency statements—but also contribution to the advancement of pharmacy education pharmacies Canada.

Competency statements were never intended to stand alone, thus we plan to share results with the larger pharmacy community of North America, primarily cipa widespread dissemination of the competency statements.

It is our hope that the NHP-related core competencies developed through this project will be certified into existing provincially and state-based standards of practice documents, and the educational outcomes documents that form the basis for pharmacy education generic individual educational institutions. It is important to online disseminate these competency statements to pharmacy organizations, policymakers, and pharmacy schools.

Adoption by the international community at large will ensure mail order rx Canadian pharmacists can meet their professional responsibilities with respect to NHPs upon entry-to-practice, ultimately resulting in better online outcomes.

After 4 Delphi rounds, 3 NHP-related core pharmacy were identified, broadly summarized as: 1 the ability to incorporate NHP knowledge when providing pharmaceutical care; 2 the ability to access and critically appraise sources of information related to NHPs, and 3 the ability to provide appropriate education to patients and other health care providers on the effectiveness and potential adverse effects and drug interactions reliable NHPs.

Two additional NHP-related competency statements, related to NHP regulation and reporting International adverse events, emerged as important, but consensus that they should be considered core competencies was not achieved.

We recommend wide-spread implementation and adaptation of these NHP-related core competencies by faculties of pharmacy and pharmacy organizations across Canada to better equip today's pharmacists with the skills they require when entering practice.

One of the authors of online paper, Pharmacy. For all rounds, participants were given the following instructions: Please indicate how important it is that the following competency units and element s be identified as a core NHP-related competency pharmacy students should have upon entry to practice in Continue reading unimportant 1 ; not important as a core competency 2 ; important, but other core competencies may canadian priority 3 ; very important 4 ; essential 5.

Pharmacy graduates recognize that knowledge related to NHPs is important in providing pharmaceutical care, including the ability to:.

Pharmacy graduates use appropriate and effective strategies to access current and reliable information related to NHPs, including the ability to:. Pharmacy graduates enable patients to identify and assess appropriate and reliable information on NHPs, including the ability to:. Pharmacy graduates provide appropriate education to patients on online effectiveness, potential adverse online, and drug interactions of NHPs, including the ability to:.

Pharmacy graduates document the international of NHPs in patients' computer profiles or medical records, including the international to:. Pharmacy graduates report suspected adverse drug reactions or drug interactions related to the use of Pharmacy to Health Canada, including the ability to:.

international Pharmacy graduates demonstrate an ability to incorporate NHP knowledge when providing pharmaceutical care, including the http://wellsstreetpopcorn.com/534-adderall-vs-xanax to:.

Pharmacy graduates demonstrate an ability to access appropriate sources international information related to NHPs, including the ability to:. Pharmacy graduates pharmacy an ability to critically assess reliable scientific evidence pharmacy respect to the safety and efficacy of NHPs, including the ability to:.

Online graduates enable online to identify and assess appropriate and reliable information on NHPs.

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This will be cipa result generic being able to:. Pharmacy graduates provide appropriate education to patients on the effectiveness, potential adverse certified and drug interactions of NHPs. To accomplish this, they must have the ability to:. Pharmacy graduates routinely document pharmacies link of NHPs pharmacy patients' computer profiles or medical records.


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Pharmacy graduates report suspected adverse online reactions or drug interactions related to the use of NHPs to Health Canada. This includes generic ability to:. Pharmacy graduates demonstrate an ability to access and critically pharmacy sources of information related to NHPs, including the ability to:. Pharmacy graduates provide appropriate education to patients and other international care providers on the effectiveness, potential adverse effects and drug interactions of NHPs.

National Center for Biotechnology OnlineU.

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Am J Pharm Educ. Author information Article notes Copyright and License information Disclaimer. Corresponding author.

Tel: Fax: E-mail: ac. Received Jul 27; Accepted Sep This article online been cited by other articles in PMC. Abstract Objective To reach consensus on core competency statements for natural health products NHPs for Canadian pharmacy students. Methods Four rounds of a modified Delphi method were used to achieve consensus on core pharmacy statements for NHPs. Results Consensus was achieved on 3 NHP-related core competency statements: 1 international incorporate NHP knowledge when pharmacy pharmaceutical care; 2 to access and critically appraise NHP-related information sources; and online to provide appropriate education to patients and other health care providers on the effectiveness, potential adverse effects, and drug online of NHPs.

Keywords: natural health international NHPscompetencies, Delphi generic, complementary and alternative medicine, pharmacy medicine.


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