ASHP-Midyear Poster Presentation- Winter 2013

ASHP-Midyear Poster Presentation- Winter 2013

See my poster abstract below:

Title: Using an objective structured teaching exercise (OSTE) to develop pharmacy preceptors

Primary Author: Livia Macedo

Additional Authors:
Deborah A. Sturpe
Stuart T. Haines
Toyin Tofade
Cherokee Layson-Wolf
Mary Lynn McPherson

A potential model for preceptor development is the objective structured teaching exercise (OSTE), a unique method previously described in the medical education literature. During an OSTE, participants observe and practice clinical teaching skills and receive feedback in a low-threat environment through interaction with standardized students trained to portray specific roles. To date, there are no studies evaluating OSTE for pharmacy preceptor development. Our objective is to determine the feasibility and acceptability of the method.

The protocol was reviewed by the IRB and was deemed exempt because it involved normal instructional practices conducted in a commonly accepted educational setting. The project will consist of three phases. In Phase I, a comprehensive training needs analysis will be distributed to advanced pharmacy practice experience (APPE) community pharmacy preceptors. Data will also be collected from students’ APPE community pharmacy practice evaluations regarding the types of activities performed and value of feedback received during each rotation. These data will be used to identify topics for preceptor development that are amenable to the OSTE format. In Phase II, we will design, develop, implement, and evaluate a three-station OSTE. In Phase III, changes in preceptor behavior will be measured. This project is innovative because it will be the first to evaluate the utilization of OSTE for preceptor development in pharmacy education and to examine long-term behavioral changes.

P.S. Please let me know your thoughts and ideas about this research. Manuscript in the making…


Thoughts About the Future of Workplace Learning

After hearing what many eLearning experts have to say…various thoughts came to mind about the future of workplace learning.
First, I am not sure why students are continuously going to classrooms to listen to didactic lectures…why not start self-directed and informal learning from day 1 in high school, university, and graduate school? This method will allow students to train for real world problems and experiences.
In the real world, we have workplaces with a collaborating environment – “ideally” – where people learn by continuously performing a skill, learn via self-directed and informal learning via the internet, books, with their peers, twitter, Facebook, etc. Can we replicate this picture early on in education (e.g. could really start as early as middle school up to graduate school)?

As a student over the years, I sat through various lectures, but in some courses I really didn’t feel I had a grasp of what I had learned. After graduation, I had to learn on the job, learn by facing reality, learn by fear, learn with others (e.g. peers, mentors, personal learning network), learn by pressure, learn to save lives, and learn to teach or facilitate learning of other pupils. Finally, learning because I love to learn!
I pursued a residency and currently on a fellowship to gain more experience in my skills before transitioning into the real world in which learning is more informal and self-directed.

So, why are we not instigating active learning early on in education in our students? By skipping active learning altogether, we are really jeopardizing their learning and future professional lives by teaching them “everything they need to know for the test”, but in reality, not the truth they need to know to make it in the real world”.
So what are your thoughts on what the future of learning will look like?

You should be aware that courses from top universities such as Harvard and John Hopkins are now being offered for FREE online such as:

So what does this all mean to the world of education? I think the future of education will be students learning on their own via self-directed and informal learning because the information will be available and easily accessible everywhere.

Now, the important component will be to replicate the “real world”. I think it will be a lot more valuable if students come to school to meet as group for active learning or flipped classroom, where they will participate in TOSCEs, OSCEs, laboratory activities, team-based learning activities, problem-based learning activities, etc. Right now, most students tend to not show up to lectures, face-to-face anyways, if attendance is not required. However, these same students do show up for laboratory and group collaboration activities in order to get the hands-on-experience needed to function in the real world.

How will we “educators” assess students’ knowledge? I believe quizzes, exercises, examinations, TOSCEs, OSCEs, etc. should be a continuous process to access their knowledge on every step of the curriculum in order to prepare them to go into practice and assess if they have really learned the material or mastered a skill.

Let’s take higher education to the next level and show our students the truth about what the real world is all about early on in their education! I think building this habit and behavior of functioning independently, but yet collaborating with others along the way, early on in education, prepares one further to what’s about to come in the next phase of their lives.

Will you join me in this journey? What are your thoughts?

~Livia Macedo

Fellowship Year 1 Celebration

Category: Life in Academia as a Fellow

1 year down and 1 more to go…

I am very grateful and thankful to God for being surrounded by amazing people, being in a wonderful learning environment, and having the best mentors one could ask for…I could not be happier!

“Choose a job you love, and you will never have to work a day in your life.” Confucius

My Wonderful Fellowship Director Dr. Sturpe

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Thank you Drs. Deborah Sturpe, Stuart Haines, and Katie Kiser for working so closely with me this past year and being such wonderful mentors to me! I am very grateful for all you taught me and continue to teach me! Thank you for your patience, your guidance and for sharing your knowledge…thank you for molding me into a better person! I can not thank you enough!

Thank you both Drs. Magaly Rodriguez de Bittner and Lauren Hynicka for providing opportunities and being such wonderful role models to me! I look forward for helping out again with the Medical Spanish Terminology course this coming Fall!

Thank you Ms. Barbara Hunter, Yolanda Johnson, Lisa Calvert Chalk and Laura Seipp for always being there and willing to help!

Drs. Charmaine Rochester, Chanel Agness, and Ivy Muteithia

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Thank you Drs. Charmaine Rochester, Chanel Agness, and Kristin Watson for all your support and for sharing your life path in academia with the residents and I! We learned a lot from you!

Thank you Dr. Lynn Mcpherson for sharing your experiences and resources. I am enjoying very much to take a course with you this Summer (2013)!

Drs. Roshni Patel, Charmaine Rochester, Deborah Sturpe

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Residents and Fellows, Class of 2013

Residents and Fellows Year 1

I also learned a lot from my co-residents and fellows! Thank you all and congratulations on being done with residency!


Organization-Centric or Network-Centric?

I am current a Fellow at University of Maryland College of Pharmacy. From the short period of time I have been at the University, I have noticed that the Institution supports creativity, implementation of innovative ideas, and encourages employees to be in the “cutting edge” of pharmacy education, research and patient care.

I believe the Institution is in the process of transition from “organization-centric” to “network-centric”, as the concept of “interprofessional education” is being promoted by our new president and supported by various departments. I envision the Institution creating an interprofessional education center to facilitate sharing and connection among different professions.

I really like the idea of having an interprofessional portal for the institution, where employees from various professions (pharmacy, medicine, nursing, social work, law, dentistry, graduate school) can share resources, best practices, post questions/answers, and learn with, from and about each other.

Macedo’s first Blog!

Where to begin? I created this blog as part of an informal learning course in my Instructional Systems Development Masters Program. I will share in this blog my interests, which are interprofessional education and practice, instructional design, pharmacy education, ambulatory care and social media technologies.

I am originally from Brazil and currently the Instructional Design and Evaluation Fellow at University of Maryland. I have learned so much during my current fellowship and masters and look forward to continue in the journey of life long learning!

Thank you for visiting my Blog!