Article Gold Open Access 2022

Using communities of practice as a lens for exploring experiential pharmacy learning in general practice: Are communities of practice the way forward in changing the training culture in pharmacy?

BMC Medical Education
Journal · Vol. 22 · Issue 1 · Art. 12
Abstract

Background: Currently, there is little experiential learning in general practice (GP) during UK undergraduate and postgraduate pharmacy education and training. Aim: To apply educational theories to explore pharmacy stakeholders’ perceptions of placements in general practice and contribute to the development of a model of experiential learning for pharmacy. Methods: Qualitative, semi-structured interviews, conducted as part of two studies exploring experiential learning in general practice, with learners and their GP based supervisors. Interviews explored experiences of learning and practice, and what aided or hindered this. An abductive approach to analysis combined inductive coding with deductive, theory-driven interpretation using Lave and Wenger’s concept of “Communities of Practice”. Results: Forty-four interviews were conducted, with learners and placement supervisors. Participants valued placements for providing authentic patient-facing learning experiences in the workplace, facilitated through legitimate peripheral participation by supervisors and supported by the use of pre- and de-briefing. Learners benefitted from support from their supervisor(s) and other staff during their day-to-day learning (informal learning), whilst also having protected time with their supervisors to discuss learning needs or go through workplace-based assessments (formal learning). Lack of clarity regarding which and how competencies should be assessed / demonstrated in general practice challenged monitoring progress from peripheral to full participation. Findings suggest that GP placements provide opportunities for learning about the patient journey between care settings; to work effectively with multidisciplinary teams; and consolidation and application of consultation / communication skills learning. Conclusions: The learning culture of GP supports learners’ development, providing time and opportunities for meaningful and authentic workplace learning, with healthcare professionals acting as supervisors and mentors. These findings can usefully inform implementation of meaningful learning opportunities in primary and secondary care for those involved in pharmacy education and training. © 2021, The Author(s).

Keywords

Author Keywords

Experiential learning Placements Primary care General Practice Clinical supervision Foundation training Pre-registration pharmacists

Index Keywords

adult human Humans Article communication skill workplace qualitative research education general practice primary medical care pharmacy education Problem based learning mentor pharmacist pharmacy (shop) perception semi structured interview Problem-Based Learning experiential learning clinical supervision consultation educational theory Family Practice Pharmacy multidisciplinary team secondary health care Pharmacies
Author Affiliations
Medicine and Health, Faculty of Biology, Medicine and Health, Manchester, Greater Manchester, United Kingdom
Funding & Acknowledgements
No funding information
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