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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
  • 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

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

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

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

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

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

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

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

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

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

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

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

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

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

Presented at the 2005 CLEAR Annual Conference

September 15-17 Phoenix, Arizona

what we learned a a
What we learned – A&A

Presented at the 2005 CLEAR Annual Conference

September 15-17 Phoenix, Arizona

what we learned changes
What we learned - Changes

Presented at the 2005 CLEAR Annual Conference

September 15-17 Phoenix, Arizona

what we learned qa
What we learned - QA

Presented at the 2005 CLEAR Annual Conference

September 15-17 Phoenix, Arizona

qualitative observations
Qualitative Observations
  • 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
  • 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

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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