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Supervision

It is a requirement of the GPhC that a Pharmacist training as an Independent Prescriber be supported by a medical practitioner that meets a series of experiential requirements. Designated Prescribing Practitioner (DPP) is a healthcare professional with legal prescribing rights who will mentor and supervise a pharmacist during the period of learning in practice. Designated Medical Practitioner (DMP) is a medical practitioner who directs and supervises a non-medical prescriber’s period of learning in practice.

www.rpharms.com/resources/frameworks/designated-prescribingpractitioner-competency-framework

What is the role of your DMP/DPP?

There are three main aspects to the role:

  1. Facilitating access to a patient-centered environment in which the Pharmacist can start to practice and hone the skills of a prescriber under safe supervision
  2. Provide preceptorship and tutoring to the Pharmacist in order that they can develop key skills such as:
  3. Effective communication and consultation
  4. Physical Examination skills
  5. Clinical reasoning in context
  6. Assessing the Pharmacist against a range of these skills (using a standardised Assessment Guide) at the end of the programme.

How much time do you need to spend shadowing at WellBN?

Under the course requirements you will need to accrue 90 hours of “Clinical Attendance” time over the period of the course. This time must be purposefully planned and consist of activities relevant to your development. You are required to keep detailed logs of your activities and your University will assess these for appropriateness and give you feedback. These 90 hours will not be directly supervised by the DMP/DPP, but they will have a reasonable oversight, as at the end of the course it is your DMP/DPP who will be required to confirm that you have completed these hours.

Shared Responsibilities

The learner is responsible for:

  • The availability of the Competency Framework and the Practice-Based Learning Log throughout the programme. This should include placement and face to face or tutorial times with academic staff.
  • Ensuring a useful learning agreement is negotiated with the DMP/DPP early in the programme (first week). This should outline a suitable strategy for achieving the programme learning outcomes and prescribing competencies.
  • Negotiating and taking opportunities to discuss ongoing development as measured against expected progress markers.
  • Ensuring the required work is completed on time and to a level which will allow meaningful dialogue.
  • Updating learning needs and opportunities as indicated by DMP feedback

The DMP/DPP is responsible for:

  • Establishing a learning contract with the trainee
  • Ensuring the practical aspects of the practice setting and relationships are conducive to constructive support
  • Highlighting any areas of concern to the organisation’s NMP lead and the university programme lead.
  • Planning a learning programme which will provide the opportunity for the trainee to meet their learning objectives and gain competency in prescribing
  • Facilitating learning by encouraging critical thinking and reflection
  • Providing dedicated time and opportunities for the trainee to observe how the DMP conducts a consultation / interview with patients and / or carers and the development of a management plan
  • Allowing opportunities for the trainee to carry out consultations and suggest clinical management and prescribing options, which are then discussed with the DMP/DPP
  • Helping ensure that the trainees integrate theory with practice
  • Taking opportunities to allow in-depth discussion and analysis of clinical management using a random case analysis approach, when patient care and prescribing behaviour can be examined further
  • Assessing and verifying that, by the end of the course, the trainee is competent to assume the prescribing role

Final Report

The DMP/DPP is responsible for completing the final declaration – the summative assessment for prescribing in practice.
The DMP/DPP must be satisfied that:

  • the student has satisfactorily completed at least 90 hours of supervised practice
  • the student has achieved, discussed or shown evidence of having met the competency framework performance criteria in relation to their own field of practice
  • the skills demonstrated in practice confirm the student as being suitable for annotation as an Independent (or Supplementary as appropriate) Prescriber.

Passing the course requires passes in all elements. Please be assured that if the DMP/DPP is not satisfied that you have shown suitability in the practice-based aspects of your learning, then you will not gain the qualification. Reasons for not passing a student will be clearly expressed and fed back to the student.