Practice Review

The Pharmaceutical Society of Ireland (Continuing Professional Development) Rules 2015 (SI No. 553) set out the CPD obligations for pharmacists and this includes the requirement for pharmacists in a patient-facing role to participate in a Practice Review.

What is Practice Review?

The CPD Rules states that Practice Review is the “direct evaluation … of the knowledge, skills and judgement of the pharmacist, against a standard established in consultation with peer pharmacists practising in patient-facing roles, having regard to the Core Competency Framework for Pharmacists, with particular reference to those competencies dealing with patient care, including clinical knowledge, the ability to gather and interpret appropriately information from and about patients, patient management and education and communication (including counselling) skills.”

Practice Reviews will be conducted by the IIOP and will consist of the following two components:

1. Clinical Knowledge Review (CKR)

Pharmacists are presented with eighteen patient based cases and are asked to answer three multiple choice questions (MCQs) on each case (resulting in a total of fifty four MCQs).

2. Standardised Pharmacy Interactions (SPIs)

A series of Standardised Pharmacy Interactions (SPIs) form the second component of Practice Review. Each SPI is designed to be reflective of situations with which pharmacists practising in patient-facing roles would be expected to be capable of dealing, such as counselling a patient on a prescription medication, providing advice to someone on the treatment of a minor ailment or dealing with an enquiry from a healthcare professional. Pharmacists will undertake seven SPIs, in addition to an initial trial run SPI which does not contribute to the review results.

Who is eligible for selection for Practice Review?

All pharmacists practising in a patient facing role who have been called for ePortfolio Review in previous years are eligible for selection for a Practice Review event.

In the case of the Practice Review events in 2018, pharmacists will be selected from the cohort of pharmacists who were selected for ePortfolio Review in 2016/2017 and submitted their extracts in 2017.

What do we mean by patient-facing?

A patient-facing role includes any pharmacist providing care directly to a patient and/or any pharmacist whose work has an impact on patient care, irrespective of setting or the number of hours of practice per week, month or year.  Although not exhaustive, the following gives examples of roles which are considered as patient-facing:

  • Pharmacists working on a fulltime, occasional or casual basis in community pharmacy
  • Hospital Pharmacists working on a fulltime, occasional or casual basis
  • Superintendent Pharmacists
  • Supervising Pharmacists
  • Locum Pharmacists

Part 5, Rule 12 (7) of the PSI (Continuing Professional Development) Rules 2015 states

….practising in a “patient-facing role” means carrying out the role of a pharmacist in the delivery, or the oversight of the delivery, of care and services to members of the public, including patients, whether in a retail pharmacy business or in a pharmacy department of a hospital, or any other relevant location including on a casual or occasional basis, and includes the role carried out by a superintendent pharmacist, a supervising pharmacist and any other registered pharmacist engaged or employed in a retail pharmacy business or in the pharmacy department of a hospital.

The guidelines that support the Practice Review are set out in the Practice Review Policy.  The IIOP conducts the Practice Review events and more details on the Practice Review can be found on the IIOP website.

Extenuating Circumstances

Pharmacists, who have been selected for Practice Review and feel that they have reason to be exempt should review the extenuating circumstances policy.  Applications will be reviewed in the strictest confidence on a case by case basis and should be submitted in writing either by post or by email to cpd@psi.ie. The application form is available on request from the PSI at cpd@psi.ie.

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