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FINE-TUNING AN UNDERGRADUATE PHARMACY CURRICULUM TO INCLUDE CORE COMPETENCIES IN HUMAN RIGHTS. Nadine Butler PhD FPS School of Pharmacy UWC. Core Competencies in Human Rights for Health Professionals. Overview. Curriculum structure Based on 7 Unit Standards Incorporation of HHR
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FINE-TUNING AN UNDERGRADUATE PHARMACY CURRICULUM TO INCLUDE CORE COMPETENCIES IN HUMAN RIGHTS Nadine Butler PhD FPS School of Pharmacy UWC Core Competencies in Human Rights for Health Professionals
Overview • Curriculum structure • Based on 7 Unit Standards • Incorporation of HHR • Beyond the Ethics module • Selected details • Challenges
PHA 411 PHA 421 PHA 413 PHA 413 PHA 403 PHA 414 PHA 424 PHA 405 PHA 425 Pharm. Chemistry Pharmacy Practice Pharmaceutics Pharmacology Multidisciplinary PHA 211 PHA 221 PHA 223 PHA 214 PHA 224 PHA 215 PHA 225 II PHA 311 PHA 321 PHA 312 PHA 322 PHA 313 PHA 323 PHA 314 PHA 324 III IV
PHA 214 Philosophy of Pharmacy Practice • Context – health, development and primary health care • Explicit curriculum content on HHR • Origins, underpinnings of HRs • What are HRs? • Constitution, Bill of Rights • Focus on access to health care • Causation of disease • Biomedical vs psychosocial
PHA 214 Philosophy of Pharmacy Practice cont. • Community entry • Not using people as means to end • Avoiding false expectations • Small group work • Narrative • TRC readings • “Law and Freedom” DVD
PHA 215 Pharmacist Initiated Therapy • Externship • Code of conduct • “thou shalt not” • “Patients etc. have a right to …” • OSCEs • HHR orientation • Patient’s right to information, dignity • Respect for autonomy • Informed consent X
PHA 314 Philosophy of Practice Management • Health Behaviours • Patient-centred model • Ethics • Ethical/moral vs. legal • Rights of both patients and pharmacists • Vignettes – recognise HR violations • Professional responsibilities vs rights
PHA 324 Patient Care in Pharmacy Practice • OSCEs – contraception • HHR in context of Reproductive Health • Externship
PHA 414 Pharmacy Practice Management • Patient Counselling • Cross-cultural communication • Pictograms • Right to dignity – illiterate patients • HIV pre/post test counselling • Vulnerable groups • Issues of stigma Values clarification exercise
PHA 424 Patient-centred Pharmacy Practice • Complementary and Alternative Medicines • Freedom of choice • Reproductive health • Cervical cytology • Policy advocacy • Selected topics • Death and dying • Disabled patients
PHA 405 Pharmacy Research and Drug Development • Research ethics • Readings – research in developing countries • Clinical trials • Vulnerable populations • Animals • Drug development
PHA 411 PHA 421 PHA 413 PHA 413 PHA 403 PHA 414 PHA 424 PHA 405 PHA 425 Pharm. Chemistry Pharmacy Practice Pharmaceutics Pharmacology Multidisciplinary PHA 211 PHA 221 PHA 223 PHA 214 PHA 224 PHA 215 PHA 225 II PHA 311 PHA 321 PHA 312 PHA 322 PHA 313 PHA 323 PHA 314 PHA 324 III IV
PHA 403 Applied and integrated pharmaceutical service delivery • Originally – focus on clinical pharmacotherapy • Now integrated – Pharmacy Practice and Pharmaceutics • Service Learning in Pharmacy (SLIP) • Concerted effort to incorporate HHR approach into pharmacotherapy and pharmaceutics • Reflection
PHA 422 Advanced Pharmaceutical Formulations • Integrated into SLIP • Student feedback • Context of expired ward stock “… patient’s right to quality medicine …”
Barriers • “Nadine’s stuff” • Touchy-feely, not science • Traditional drug focus • Perception – no space for focus on humanity of patients • SAAHIP conference • Abstract refused
Further Challenges • Maximise opportunities in SLIP programme • Formal presentation • Beyond informal, one-on-one, anecdotal • Stress importance of speaking the same language • Encourage others to attend training • CPD
Pharmacist’s Oath • HR based • Challenge – to bring curriculum in line