Background: Telephone precepting is a major tool in residency training that has not been evaluated or specifically taught.
Description: Residents and attendings of 2 family practice residency programs were surveyed for their experiences and needs with telephone precepting.
Evaluation: Residents and attendings each felt that the other could improve their role in a phone precepting encounter. After considering various options, a workshop was developed that involves residents and attendings learning together. The workshop was tested at residency sites and national meetings. It involves playing taped simulated phone encounters followed by group discussion of the replayed tapes. The tapes recount tested examples of various phone preceptor encounters.
Conclusion: Participants agreed that telephone precepting is an area of residency training that has not been explored and that discussing the tapes was helpful.
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By Angela D. Jones , DNP, RN, DeWitt School of Nursing, Stephen F. Austin State University, Nacogdoches, Texas, .
Telephone intervention in the promotion of self-efficacy, duration and exclusivity of breastfeeding: randomized controlled trial.
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April 2019
Universidade Federal do Ceará, Faculdade de Farmácia, Odontologia e Enfermagem, Fortaleza, CE, Brasil.
Objective: to evaluate the effect of a telephone intervention on the self-efficacy of puerperal women in the duration and exclusivity of breastfeeding.
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Expansion of clinical pharmacy through increased use of outpatient pharmacists for anticoagulation services.
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Achsah Philip, Pharm.D., M.S., BCPS, is Clinical Informatics Pharmacist, Medication Use Policy and Informatics, Department of Pharmacy Services, Medical University of South Carolina, Charleston; at the time of writing she was Health-System Pharmacy Administration Resident, Harris Health System, Houston, TX. Monica Green, Pharm.D., BCPS, BCACP, is Ambulatory Clinical Manager; and Therese Hoffman, Pharm.D., M.B.A., is Director of Ambulatory Care Service, Harris Health System. Stefani Gautreaux, Pharm.D., M.B.A., is Pharmacy Operations Manager, M. D. Anderson Cancer Center, Houston. David Wallace, Pharm.D., is Clinical Associate Professor, University of Houston College of Pharmacy, Houston. Ryan Roux, Pharm.D., M.S., is Director of Pharmacy Operations, M. D. Anderson Cancer Center. Kevin W. Garey, Pharm.D., M.S., is Professor and Chair, University of Houston College of Pharmacy.
Purpose: The expansion of clinical pharmacy services through increased use of outpatient pharmacists for anticoagulation services is described.
Summary: Due to the high demand for clinical pharmacist services by patients and medical staff at Harris Health System in Houston, Texas, and the strict budgetary restrictions to improve the quality of care through cost-neutral services, a new telephone anticoagulation monitoring service, provided by clinical pharmacists, was established at four of the busiest anticoagulation ambulatory care centers within the system. One clinical staff pharmacist was trained in each of the four clinics by a clinical pharmacy specialist.
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Washington Hospital Family Practice Residency Program, Washington, Pennsylvania 15301, USA.
Background: Telephone precepting is a major tool in residency training that has not been evaluated or specifically taught.
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Evaluation: Residents and attendings each felt that the other could improve their role in a phone precepting encounter.
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