Learner Engagement in Outcomes Research Rebekah Anguiano, PharmD, BCPS, BCACP Clinical Coordinator Specialty Pharmacy Services
Learner Engagement in Outcomes Research
Rebekah Anguiano, PharmD, BCPS, BCACPClinical Coordinator Specialty Pharmacy Services
Objectives
Recognize the benefits and limitations of engaging learners with new and ongoing
outcomes research
Employ strategies to engage student and resident pharmacists in outcomes research
within your specialty pharmacy service
The Role of Pharmacy Learners in Outcomes Research
Comprehensive literature review
Determining primary and secondary outcomes
Develop research protocol
IRB submission
Data collection and analysis
Abstract or manuscript development
Presentations (poster or podium)
Local, regional or national meeting
Publication process
General BenefitsBenefits of Research Experiences for Students and ResidentsImprove critical thinking skills
Build foundational research knowledge and experience
Increase interests in Future research
Develop time and research project management skills
Increase collaboration and teamwork skills
Increase opportunities to interact with inspirational mentors and experts
Build and develop an appreciation of a research network
Create effective research mentors for future students and residents
Provide a supervised experience with the publication process
Help schools and pharmacy departments fulfill their research mission and goals
Increase marketability
Benefit the profession and medical community
Deal et al. Pharmacotherapy 2016.
Specialty Pharmacy Program BenefitsIncrease opportunities to evaluate program outcomes
Dissemination of research
Knowledge contribution to the scientific community
Discussion QuestionWhat barriers to incorporating pharmacy learners with outcomes research have you experienced?
Limiting FactorsTime constraints
Lack of knowledge of the publication process
Limited mentorship of the trainee
Lack of trainee interest in a project
Lack of perceived benefit associated with publishing
Selection of a project unsuitable for publication
Financial constraints for statistical support or publication fees
Trainee departs without completing manuscript development
Manuscript rejection
Deal et al. Pharmacotherapy 2016.
Additional limitations
College relationships
Training resources and certification
requirements
Access to databases or
EMR
Project idea generation
and feasibility
Learner incentives
Competing responsibilities
Discussion Question
What unique or creative strategies have you implemented to incorporate pharmacy learners into outcomes research?
Strategies to Address LimitationsLimiting Factors Possible Solution
Time constraints Feasibility assessment; study scope and accessibility of data
Lack of knowledge of the publication process Experienced collaborator
Limited mentorship of the trainee Culture shift; develop schedule
Lack of trainee interest in a project List of projects to select from
Lack of perceived benefit associated with publishing Reinforce benefits of publishing
Selection of a project unsuitable for publication Select project that has unique contribution, sound research design
Financial constraints for statistical support or publication fees
University free resources, avoid publication fees
Trainee departs without completing manuscript development
Establish expectations and necessary criteria; timeline to complete
Manuscript rejection Modify and resubmit, journal audience
Deal et al. Pharmacotherapy 2016.
Improving Student and Resident Engagement
How does the student/resident feel?
Is the student/resident interested?
Is the material important?
Can the student/resident complete the task?
Hidayat et al. American Journal of Pharmaceutical Education 2012.
Preparing for Pharmacy Learner Researchers Establish college relationship
Create a bank of research ideas and types
Establish application or interview process
Identify willing and able research mentors
Determine incentivization strategies
Develop a training program
Define expectations and approximate timeline/workload
Investigate COP, foundation, or organization resources
Design a structured process for providing guidance and feedback
Start small, but plan for growth
Unique Strategies
Brandl et al. Established 12-week summer research program for 1st
and 2nd year pharmacy students Results: 130 students completed, published 61 full-
text manuscripts and 113 abstracts (poster or podium presentations)
Brandl et al. American Journal of Pharmaceutical Education 2017.
Unique StrategiesLee et al. Established collaboration with a regional COP Incorporated near-peer training model to engage
pharmacy students in research Senior students oversee junior students; research
mentors oversee all pharmacy learner activity Results:100 posters and 20 peer reviewed manuscripts
in 7 years
Lee et al. American Journal of Pharmaceutical Education 2017.
Results of Learner Engagement at UICPeer-Reviewed Publications Journal/Meeting; Month and YearStone RH, Anguiano RH, Bobowski C, Falk K, Alvarez P, and Mastrogiannis DLatency of 17-hydroxyprogesterone caproate initiation in patients receiving compounded versus commercial product
Journal of Reproductive Medicine; January 2018
Stone RH, Bobowski C, Milikhiker N, Anguiano RH, and Mastrogiannis D Prevention of Preterm Labor with 17α-Hydroxyprogesterone (17OHP) Caproate: A Comparison of Adverse Drug Reaction Rates between Compounded and Commercial Formulations
American Journal of Perinatology; July 2017
Bhat S, Khamo N, Abdou S, Hanson RH, Khiani V, and Stubbings JAPharmacists Role in Biologic Medication Therapy Management for Inflammatory Bowel Disease in a Health System Based Integrated Clinical Practice Model
American Journal of Pharmacy Benefits; September 2015
Hanson RL, Habibi M, Khamo N, Abdou S, and Stubbings JAn integrated clinical and specialty pharmacy practice model for management of patients with multiple sclerosis
American Journal of Health-System Pharmacy; March 2014
Hanson RL, Gannon MJ, Khamo N, Sodhi M, Orr AM, and Stubbings JImprovement in safety monitoring of biologic response modifiers after the implementation of clinical care guidelines by a specialty pharmacy service
Journal of Managed Care Pharmacy; January/February 2013
Peer-Reviewed Research Abstracts and Posters (National Meetings) Journal/Meeting; Month and YearSasnovskaya V, Kim J, Anguiano M, Stubbings J, and Anguiano RH Establishment of a specialty pharmacy patient advisory board to assess patient’s perspective on barriers to specialty medication access and use
Academy of Managed Care Pharmacy 2017 Nexus Meeting, Dallas, TX; October 2017Journal of Managed Care and Specialty Pharmacy; October 2017
Ferri S and Anguiano RH* #
Reasons for Primary Medication Nonadherence in Specialty Pharmacy Academy of Managed Care Pharmacy 2016 Nexus Meeting, Dallas, TX; October 2016Journal of Managed Care and Specialty Pharmacy; October 2016
Hanson RL and Kim J*Medication Adherence Outlier Quality Management Program: A Novel Method of Evaluating and Improving Medication Adherence in Specialty Pharmacy
Academy of Managed Care Pharmacy 2016 Annual Meeting, San Francisco, CA; April 2016Journal of Managed Care and Specialty Pharmacy; April 2016
Ho M, Gannon M, and Hanson RL* Discontinuation Rates Associated with Sofosbuvir Based Hepatitis C Treatment Regimens at an Academic Health System with Integrated Specialty Pharmacy Services
Academy of Managed Care Pharmacy 2016 Annual Meeting, San Francisco, CA; April 2016 Journal of Managed Care and Specialty Pharmacy; April 2016
*award winning poster #selected as 1 of 4 posters for podium presentation
Student Posters (National Meetings) Journal/Meeting; Month and YearSweiss H and Anguiano RH Anemia and endothelin receptor antagonists (ERA) in pulmonary arterial hypertension
American Society of Health-System Pharmacists 2017 Midyear Meeting, Orlando, FL; December 2017
Beirne S, Oladini B, Siegler C, Anguiano R, and Stubbings J Correlation between medication regimen complexity and access restrictions for New FDA approved drugs: a retrospective analysis
American Society of Health-System Pharmacists 2017 Midyear Meeting, Orlando, FL; December
Beirne S, Oladini B, Siegler C, Anguiano R, and Stubbings J Correlation between medication regimen complexity and access restrictions for New FDA approved drugs: a retrospective analysis
American Society of Health-System Pharmacists 2017 Midyear Meeting, Orlando, FL; December
Simon N, Souvannasing T, Anguiano RH, and Stone RH Does insurance type alter the pharmacy-based health system resources required to access 17 alpha-hydroxyprogesterone (17-OHP), a women’s health specialty medication?
American Society of Health-System Pharmacists Midyear 2016, Las Vegas, NV; December 2016
Sweiss H and Anguiano RH Pulmonary arterial hypertension: a case report of unexpectedly severe anemia with endothelin receptor antagonist therapy
American Society of Health-System Pharmacists 2016 Midyear Meeting, Las Vegas, NV; December 2016
Atanda A, Hanson RL, and Stubbings S Provider experience and satisfaction with access to specialty medications
University Health–Systems Consortium Pharmacy Council 2015 Meeting, New Orleans, LA; December 2015
Research Abstracts and Posters Accepted in 2019 Journal/Meeting; Month and YearHuang S, Anguiano RH, Fraidenburg D. Characterizing the Accessibility and Burdens of Medications in the Treatment of Pulmonary Arterial Hypertension
Accepted to American Thoracic Society 2019 International Conference, Dallas, TX; anticipated May 2019
Hiroi E, Anguiano RH, Gannon M, and Stubbings JCorrelation Between Medication Regimen Complexity Index and Access Restrictions for New Molecular Entities Approved by the FDA from 2015 through 2017
Accepted to Academy of Managed Care Pharmacy 2019 Annual Conference, San Diego, CA; anticipated March 2019
Results of Learner Engagement at UIC
Summary
Incorporating students and residents into research is beneficial to the learner, institution, and pharmacy community
Though challenges are evident, many strategies can be incorporated to address these challenges and create a more robust outcomes research program