Pharmacology for the 21st Century:. Thomas Lynch, Pharm.D . Julie Bridges , PhD Candidate Eastern Virginia Medical School Norfolk, VA. The Successful Implementation of an Innovative, Integrative Pharmacotherapeutics Curriculum for Medical Students. EVMS Facts and Figures 2013.
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Thomas Lynch, Pharm.D.
Julie Bridges, PhD Candidate
Eastern Virginia Medical School
Norfolk, VAThe Successful Implementation of an Innovative, Integrative Pharmacotherapeutics Curriculum for Medical Students
Located in Norfolk, Virginia
Annual Budget 230.9 Million
State Appropriations 24.1 Million
Students in 2015 MD Class 145
Faculty, Residents and Staff
Residents, Interns, Fellows 349
Foundational Science Faculty 46
Clinical Faculty 365
Concern:Medical students are not receiving sufficient education and training in rational prescribing
Panel:Academic and industry experts in drug therapy, pharmacology education, and pharmaceutical research and development
Objectives:Based on six core competencies recommended by ACGME
Integrative Pharmacotherapeutics Curriculum Starting August, 2012
Integrative Pharmacotherapeutics – What Is It?
Integrative Pharmacotherapeutics Curriculum Changes
Twenty two teams of 6-7 students in one room
Mentored by two Pharm.D. faculty
Two cases over 2 hour period based on module topics
Scheduled several days before exam
No grading but attendance mandatory
Last TBL session of year is series of realistic polypharmacy cases and teams must identify presumed drug indications, inappropriate dosing, contraindications, potential adverse effects, and drug interactions
During 3rd year by Pharm.D.
Family Medicine clerkship
Geriatric Medicine clerkship
Highest student evaluations of any of the basic sciences mid-year and end of year
Mean scores for Pharmacology Subject Exam and Step 1 higher than previous years
High attendance rates (80-95%) throughout year, although not mandatory
Positive feedback from 3rd year clinical preceptors regarding students’ clinical drug knowledge
Student Evaluations at End of Year 2013 96% Satisfaction Overall
Integrative Satisfaction OverallPharmacotherapeutics 2013 Student Satisfaction Summary Report
*Interim Results as of 10/28/2013
NOTE: Years 2011, 2012, 2013 EVMS scores were significantly higher than all test takers in the U.S. and Canada
Today’s medical students must be able to manage a patient’s medications by the start of their 3rd year
A clinically focused pharmacotherapeutics curriculum replacing a traditional pharmacology curriculum for 2nd year medical students resulted in high evaluation scores and attendance rates without negatively impacting Step 1 scores
Modified team-based learning sessions of 145 students can be successfully managed by two clinical faculty