Pharmacist-Managed Toxicology Consult Service at the Ottawa Hospital: Survey of Former Pharmacy Residents
Survey of Former Pharmacy Residents
Pharmacy residents who had completed the Pharmacy Residency Program and participated in the TCS during a 10-year convenience sample (from 1995 to 2005, excluding residents who were co-investigators for the current study) were identified from pharmacy records. During this time frame, there were no major changes in the background or number of residents sharing on-call responsibilities, no observable differences in the number of annual consults or resident workload, and no changes in the administration of the toxicology service.
The investigators designed a web-based survey, which was subjected to limited sensibility testing for clarity. The 2-part survey was anonymous and had no participation incentives. The first part of the survey was used to gather data on demographic characteristics (not reported). In the second part, participants were asked to report whether, during their participation in the TCS, they had developed specific values and skills that might be considered useful when starting a career, regardless of profession. The values and skills listed in the survey were independence, leadership, ability to work in a stressful environment, communication skills (verbal and written), drug information skills, ability to provide nonjudgemental patient care, time management skills, a sense of responsibility, and problem-solving skills. Residents were also asked whether they felt their participation in the service had been a significant source of stress during their residency and if this stress had compromised their learning experience. Cialis Jelly
A sensitivity analysis for recall bias was conducted for data grouped by date of residency completion (before or within the past 5 years). Differences in responses to questions about skills and values gained were compared by year of residency completion and were analyzed with x2 statistics. Logistic regression analysis was used to determine the influence of date of residency completion on whether participation in the TCS had been a significant source of stress, whether it had compromised the learning experience, and whether it was reported as an important part of the residency program.
Figure 1. Results of web-based survey of residents’ perceptions of skills and values gained. Data are presented as percent of 35 respondents.
Forty-six residents had completed the Pharmacy Residency Program during the 10-year sampling frame; of these, 4 were excluded because they were co- investigators on the study, and 3 were excluded because they could not be located. In total, 39 former pharmacy residents were contacted, and 35 (90%) completed the web-based survey. Thirty-two (91%) of the respondents felt that confidence, independence, a sense of responsibility, communication skills, and the ability to work in a stressful environment were enhanced or developed during their time with the TCS and that these characteristics were useful in their subsequent careers (Figure 1). Although 21 respondents (60%) reported that participating in the TCS had been a significant source of stress during their residency, 31 (88%) felt that their learning experience had not been compromised. Thirty- two (91%) agreed that the TCS had been an important component of the residency program. The sensitivity analysis showed that time since completion of the residency was associated with perceived stress while participating in the service: residents who participated between 1995 and 2000 were more than 6 times more likely to report that the TCS had been a significant source of stress during their residency (odds ratio 6.7, 95% confidence interval 1.3-34.0), relative to those who participated between 2001 and 2005. When responses were stratified by time of residency completion, no significant differences were identified in terms of skills and values gained.
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