(1153) Evaluation of Student Pharmacists’ Interventions During an Interprofessional Elective Dental Advanced Pharmacy Practice Experience

Objectives: THE ROLE OF A PHARMACIST IN A DENTAL CLINIC CAN BE IMPACTFUL DUE TO THEIR CAPABILITY OF PROVIDING EVIDENCE-BASED PATIENT CARE INTERVENTIONS AND ASSIST WITH MEDICATION MANAGEMENT. Most interprofessional educational activities with dental and pharmacy students published in the literature describe didactic experiences. The Eugene Applebaum College of Pharmacy and Health Sciences AT WAYNE STATE UNIVERSITY (WSU) collaborated with the University of Detroit Mercy (UDM) School of Dentistry to develop an innovative elective Advanced Pharmacy Practice Experience (APPE) in dental clinics. ​Dental and Pharmacy students collaborated to learn about, from, and with one another to appreciate their respective roles and responsibilities and optimize communication and teamwork in providing comprehensive care to dental patients.​ The objective of this project was to evaluate the impact of an interprofessional dental APPE on patient care by analyzing the student pharmacists’ interventions and identified drug related problems (DRPs) in the dental clinics.

Methods: Eight fourth year (P4) student pharmacists completed A 6-week APPE IN UDM DENTAL CLINICS between June 2021 and April 2023 along with more than 400 third- and fourth-year dental students. P4 STUDENTS WERE REQUIRED TO COMPLETE AN ELECTRONIC HEALTH RECORD (EHR) ORIENTATION AND THE UDM CREDENTIALING PROCESS IN ORDER TO ACCESS CLINIC RECORDS. P4 STUDENTS WERE ABLE TO REVIEW THE PATIENTS’ HEALTH RECORDS PRIOR TO APPOINTMENTS AND IDENTIFY THOSE WHO COULD BENEFIT FROM MEDICATION-RELATED INTERVENTIONS OR COUNSELING FOR CHRONIC DISEASE MANAGEMENT. THERE WERE MORNING DAILY HUDDLES THAT INCLUDED DENTAL STUDENTS, DENTAL FACULTY, AND P4 STUDENTS WHERE THEY DISCUSSED SCHEDULED PATIENT CASES FOR THE DAY. DURING THE DENTAL CLINIC, THE P4 STUDENTS CONDUCTED MEDICATION HISTORIES, PROVIDED PATIENT COUNSELING, AND DISCUSSED THE IDENTIFIED DRPS AND INTERVENTIONS WITH THE DENTAL STUDENTS AND FACULTY. THE DENTAL STUDENTS REFERRED PATIENTS TO THEIR PRIMARY CARE PROVIDERS ABOUT SOME DRPS THAT REQUIRED ADDITIONAL FOLLOW UP. A WSU FACULTY WAS THE PRIMARY PRECEPTOR FOR THE APPE AND REMOTELY REVIEWED AND DISCUSSED THE DRPS AND INTERVENTIONS AND DENTAL FACULTY WERE PRESENT IN THE CLINIC. PHARMACY AND DENTAL FACULTY CONTINUOUSLY COMMUNICATED TO ENSURE THAT THE REQUIRED APPE COMPETENCIES WERE MET. WEEKLY EDUCATIONAL SEMINARS WERE INCORPORATED INTO THIS EXPERIENCE WHEREBY DENTAL AND P4 STUDENTS LEARNED FROM EACH OTHER THROUGH PRESENTATIONS. SOME TOPICS PRESENTED INCLUDED: OPIOID USE, ANTIBIOTICS SELECTION IN ORAL HEALTH CARE, AND PHARMACY SCOPE OF PRACTICE.

The P4 STUDENTS provided six types of pharmacy interventions for comprehensive patient care (medication history, chronic disease state management, medication reconciliation, patient education, drug information, and providing a pharmacy consult) and DRPs identified in eight categories: subtherapeutic dose, supratherapeutic dose, duplicate therapy, unnecessary therapy, drug-drug interactions, adverse drug reactions, nonadherence, and need for additional drug therapy.

P4 STUDENT interventions and DRPs data were collected VIA A SECURE DATABASE and analyzed with descriptive statistics.

Results: P4 students delivered care to more than 300 dental patients during the ENTIRE study period. EACH P4 INTERACTED WITH ABOUT 3-4 DENTAL PATIENTS DAILY. A total of 522 pharmacy interventions were made: medication history (15%), chronic disease state management (18%), medication reconciliation (25%), patient education provision (15%), drug information provision (3%), and a pharmacy consult provision (18%). A total of 320 DRPs were identified with the most documented as needing additional drug therapy (49%) followed by nonadherence (13%) and adverse drug reaction (12%).

Conclusions: P4 STUDENT PHARMACISTS SUCESSFULLY IDENTIFIED DRPS AND PROVIDED PATIENT COUNSELING INTERVENTIONS TO OPTIMIZE PATIENT CARE WHILE WORKING WITH DENTAL STUDENTS THROUGH AN INTERPROFESSIONAL DENTAL APPE ROTATION.