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Polishing the Silver: Competency Assessment for Licensed Professionals. Deanna Williams Della Croteau Nora MacLeod-Glover Anthony Marini Ontario College of Pharmacists. Presented at the 2005 CLEAR Annual Conference September 15-17 Phoenix, Arizona. Program Overview.

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Polishing the silver competency assessment for licensed professionals

Polishing the Silver: Competency Assessment for Licensed Professionals

Deanna Williams

Della Croteau

Nora MacLeod-Glover

Anthony Marini

Ontario College of Pharmacists

Presented at the 2005 CLEAR Annual Conference

September 15-17 Phoenix, Arizona


Program overview
Program Overview Professionals

  • History of Quality Assurance in Ontario

  • Creating and maintaining a Competency Assessment Program

  • Providing meaningful feedback

  • Evaluating for Impact

Presented at the 2005 CLEAR Annual Conference

September 15-17 Phoenix, Arizona


History of quality assurance in ontario
History of Quality Assurance in Ontario Professionals

Background – Our Context

  • Professions are self-regulated

  • Re-licensure is not required

  • QA legislated by the provincial government

    • RHPA came into effect in 1993

  • ~10,000 pharmacists on the Register

Presented at the 2005 CLEAR Annual Conference

September 15-17 Phoenix, Arizona


History of quality assurance in ontario1
History of Quality Assurance in Ontario Professionals

Important considerations about QA

  • Regulator accountability – mandate is public protection

  • Program designed to be a pro-active activity

  • Government requirements to be considered

    • Must be confidential, selection must be random

Presented at the 2005 CLEAR Annual Conference

September 15-17 Phoenix, Arizona


Creating maintaining the program
Creating & Maintaining the Program Professionals

Quality Assurance Program Overview

  • Two-part Register

  • Self-Assessment activity

  • Learning Portfolio

  • The Practice Review Weekend

    • Clinical Knowledge Assessment

    • Standardized Patient Interviews

  • Practice Enhancement & Follow up

Presented at the 2005 CLEAR Annual Conference

September 15-17 Phoenix, Arizona


Creating maintaining the program1
Creating & Maintaining the Program Professionals

Acceptance by professionals

  • Education focus

  • Involve an assessment consultant

  • Program development by peers

  • Communicate constantly

Presented at the 2005 CLEAR Annual Conference

September 15-17 Phoenix, Arizona


Creating maintaining the program2
Creating & Maintaining the Program Professionals

Relevancy to practice

  • Ground program in standards of practice

  • Assess core skills

  • We focused on:

    • Managing therapeutic knowledge (CKA)

    • Communication skills (SPI)

Presented at the 2005 CLEAR Annual Conference

September 15-17 Phoenix, Arizona


Creating maintaining the program3
Creating & Maintaining the Program Professionals

Provide actionable feedback

  • Feedback report needs to be easy to understand and reflect opportunities for learning

  • Focus on both strengths and areas for growth

  • Consider all remediation options

  • Catalyst for creating professional development programs

Presented at the 2005 CLEAR Annual Conference

September 15-17 Phoenix, Arizona


Providing meaningful feedback
Providing Meaningful Feedback Professionals

Accept evaluation limitations

  • Assessments are really estimates

  • Successful participants have demonstrated they have skills to be able to practice safely

  • Unsuccessful participants are expected to address weaknesses identified

  • Regulator is a partner in remediation

Presented at the 2005 CLEAR Annual Conference

September 15-17 Phoenix, Arizona


Providing meaningful feedback1
Providing Meaningful Feedback Professionals

Feedback report components

  • Performance Summary Table

  • Explanation

  • Self-Assessment Summary

  • CKA details (clinical content)

  • SPI details (three charts)

Presented at the 2005 CLEAR Annual Conference

September 15-17 Phoenix, Arizona


Providing meaningful feedback2
Providing Meaningful Feedback Professionals

Practice Enhancement Support

Members need to accept & understand learning needs and requirements

  • Peer Support Group

  • Professional Development Workshop

  • International Pharmacy Graduate Program

  • Ongoing follow up

Presented at the 2005 CLEAR Annual Conference

September 15-17 Phoenix, Arizona


Evaluating for impact
Evaluating for Impact Professionals

Determine focus of evaluation

  • Driving force is public accountability

  • Evaluation required by legislation

  • Understanding the impact on the practitioner is also of interest and can provide useful insights

Presented at the 2005 CLEAR Annual Conference

September 15-17 Phoenix, Arizona


Evaluating for impact1
Evaluating for Impact Professionals

Determine measurable impacts

  • Seek impacts which influence practitioner’s ability to maintain and develop their professional skills

  • Our focus:

    • Knowledge improvement activities

    • Attitude and approach to patients

    • Changes in Practice*

    • Attitude toward QA as a whole

Presented at the 2005 CLEAR Annual Conference

September 15-17 Phoenix, Arizona


Evaluating for impact2
Evaluating for Impact Professionals

Determined groups to include:

  • Self-Assessment

    • individuals selected from 2002

    • have not completed the Practice Review

  • Practice Review

    • 1997 group helps understand impact of time

  • Practice Review

    • 2002 group helps understand immediate impact

Presented at the 2005 CLEAR Annual Conference

September 15-17 Phoenix, Arizona


Evaluating for impact3
Evaluating for Impact Professionals

Our Process included:

  • Hired consultant to facilitate feedback

  • Conducted focus groups

    • completed written survey

    • participated in facilitated discussion

  • Developed in-depth surveys based on focus group content

    • print surveys for SAS group

    • telephone surveys for all others

Presented at the 2005 CLEAR Annual Conference

September 15-17 Phoenix, Arizona


What we learned kia
What we learned - KIA Professionals

Presented at the 2005 CLEAR Annual Conference

September 15-17 Phoenix, Arizona


What we learned a a
What we learned – A&A Professionals

Presented at the 2005 CLEAR Annual Conference

September 15-17 Phoenix, Arizona


What we learned changes
What we learned - Changes Professionals

Presented at the 2005 CLEAR Annual Conference

September 15-17 Phoenix, Arizona


What we learned qa
What we learned - QA Professionals

Presented at the 2005 CLEAR Annual Conference

September 15-17 Phoenix, Arizona


Qualitative observations
Qualitative Observations Professionals

  • Equally positive and negative

  • Impact not due to QA: already good practice

  • Open support for QA

  • Feelings of fear and intimidation

    • These are decreasing

  • Worst part is waiting for the day

Presented at the 2005 CLEAR Annual Conference

September 15-17 Phoenix, Arizona


Conclusions
Conclusions Professionals

  • PR had the greatest impact on the PR 97/98 group

    • Compared to the 2002 PR group

  • PR had greater impact on internationally-trained pharmacists

    • Increased understanding of expectations

  • Significant learning: greater support for QA expressed by those who have been through the process compared to those who have not

    • SAS was effective control group

Presented at the 2005 CLEAR Annual Conference

September 15-17 Phoenix, Arizona


Speaker contact information
Speaker Contact Information Professionals

Deanna Williams, Registrar

Della Croteau, Deputy Registrar

Nora MacLeod-Glover, Manager, Continuing Competency

Dr. Anthony Marini, Assessment Consultant

Ontario College of Pharmacists

483 Huron Street, Toronto, Ontario M5R 2R4

Tel:416-962-4861 Fax:416-847-8282

[email protected]

www.ocpinfo.com

Presented at the 2005 CLEAR Annual Conference

September 15-17 Phoenix, Arizona


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