Development of an Advanced Level Competency Framework for Paediatric Pharmacists Sonya Stacey Sean Turner Lynda Cardiff Paul Tait Rachael Worthington Linda Graudins Antun Bogovic Judith Coombes David Pache
Background Identified need to develop a set of competencies for paediatric pharmacists Application of General Level Framework in paediatrics? GLF embedded into practice at RCHB Planning for Qld new children s hospital and statewide tertiary paediatric network
To develop an advanced level competency framework (ALF) for paediatric pharmacists working in Australian hospitals Aim of project
Method Grant from Queensland Health under the People Plan Literature review: Current competency frameworks for pharmacists Anything in paediatrics?
Literature Review: Webb D. Advanced and Consultant Level Competency Framework: Competency Development and Evaluation Group, 2005:1-22. Meadows N, Webb D, McRobbie D, Antoniou S, Bates I, Davies G. Developing and validating a competency framework for advanced pharmacy practice. The Pharmaceutical Journal 2004;273:789-792. UK Department of Health. Adult Critical Care - Specialist Pharmacy Practice, 2005. Faculty of Neonatal and Paediatric Pharmacy. General Paediatric Competencies, 2002. Local competency documents from Australian paediatric hospitals
Method Expert reference group was established primarily of SHPA Paediatric COSP members Two day face-to-face meeting in Brisbane in February Evaluate the use of the GLF in paediatrics, Establish the role of a specialist paediatric pharmacist Develop a draft Paediatric ALF Circulate draft version for review by expert reference group Piloted on existing paediatric pharmacists Continued review & update ALF
Results: Paed ALF - Six Clusters Expert Professional Practice Expert Knowledge 20 subsections Expert Skills Patient Care Responsibilities Reasoning and Judgement Professional Autonomy Building Working Relationships Leadership Management Education, Training and Development Research and Development
Results Paed ALF Three Levels Foundation (Rotational), Excellence (Specialist/Advanced) Mastery (Expert/Consultant)
Results: Piloting Paed ALF 19 pharmacists currently in paediatric practice Range of experience (3-30+ years) Brisbane, Sydney, Adelaide Discussion & review, evidence records, development plan Outcome: Assistance with career planning & progression Useful adjunct to performance appraisal
7 6 5 4 3 2 1 0 5.5 5.8 Paediatric Advanced Level Competency Framework Feedback 5 5.8 5 6.3 5.5 5.5 5 5.3 Fair/Unfair Negative/Positive Taxing/Non-taxing Helpful/Unhelpful Fair reflection/unfair Useful/Useless Evaluate Skills/Did Not Evaluate Knowledge/Did not Theoretical/Practical Inspiring/Crushing
Challenges & Questions Time consuming process Appropriate evidence? How much? How is this potentially linked to pay scale & award? Inter-rater reliability? Training of assessors/who assesses? Other specialities?
Conclusion The Advanced Level Competency Framework can be used successfully to: provide guidance for career progression for paediatric pharmacists assist the development and enhance the clinical skills of paediatric pharmacists Similar model could be used by other specialist groups
Thanks Expert Reference Group: Sean Turner Paul Tait Rachael Worthington Linda Graudins Antun Bogovic David Pache Queensland Health People Plan Steering Group & advice Lynda Cardiff Judith Coombes Hugh Miller Ian Coombes ALF guinea pigs
Questions?
Additional feedback comments: Most enjoyed Being able to see what areas are lacking so can improve them Identifying areas for improvement Plan career development activity Time to review & reflect on career pathway Good to reflect on knowledge & skills Reflecting on achievements. Planning for career progression.
Additional feedback comments: Time consuming Least enjoyed No time to prepare or brainstorm Time consuming Difficult at times to consider what tasks/skills fitted with the particular category Time consuming Some criteria repetitive
Additional feedback comments: General comments Interesting to see where I fit in framework Good framework to for paediatrics Some overlapping criteria (e.g. management, innovations, strategic planning) Does not fit with HP scheme (stream to either clinical, managerial or technical) Would be difficult to complete without guidance from evaluator