Home' Australian Pharmacist : Australian Pharmacist April 2015 Contents Australian Pharmacist April 2015 I ©Pharmaceutical Society of Australia Ltd.
What's the di erence?
In July 2014 the Advanced Pharmacy Practice Framework Steering
Committee (APPFSC), which has developed an Australian advanced
practice framework, morphed into the Pharmacy Practitioner
Development Committee (PPDC).
As part of its work the APPFSC produced
a paper, Understanding advanced and
extended professional practice (see
page 76). Andrew Daniels spoke to some
of the committee members about why it
is important for pharmacists and for their
future career paths to understand the
difference between extended practice
and advanced practice.
According to Professor Lisa Nissen,
Head of the School of Clinical
Sciences at the Queensland University
of Technology, a member of the
then APPFSC and now the PPDC,
the advanced pharmacy practice
framework (APPF) provides a career
development pathway for the whole
profession. It provides from the day they
register a clear guide for pharmacists
around the areas of professional
development valuable to them as health
professionals and pharmacists.
'Importantly these are not focused
just on "medicines", but also on skills in
leadership, management, education,
research, communication and
teamwork. Regardless of where we work
or what career trajectory we may have
these are skills vital to the progress of
the profession and our practitioners in
the future,' she said.
'We are in the process of setting the
recognition pathway for advanced
practice pharmacists through
the Australian Pharmacy Council.
Once determined we will be able to
appropriately and robustly determine
advanced practitioners within
pharmacy. It is planned that the first
pilot group will go through this process
in the next 6--9 months.'
However, Prof Nissen said that extended
practice and advanced practice have
been used in recent years to describe
some of the changes taking place in the
wider professional space around roles
for pharmacists, therefore it is critical for
pharmacists to understand not only the
relationship between extended practice
and advanced practice, but also the
concept of expanded practice.
She said it was important to understand
that they were not interchangeable
and although they all may speak to
elements around roles, training, scope
and areas of practice, they needed
to be taken individually as items for
consideration because the implications
for the profession broadly around each
For example, expanded practice related
to pharmacists working at what is also
commonly referred to as the 'Full Scope'
of our current competencies.
'For many, roles and tasks maximising
scope of practice involves enabling the
Health Practitioner workforce to work to
the full scope of practice of their specific
profession i.e. having the opportunity to
work to the full extent of the profession's
recognised skill base and/or regulatory
guidelines (competencies),' she said.
'Culture and historical practice has
meant that working to full scope is not
always possible. Full scope of practice
is relevant across the full continuum
of a Health Practitioner's career, from
their entry to the workforce through to
more advanced practice skills. For the
pharmacy profession, expanded
practice has most recently been used
to recognise vaccination as part of our
registrable scope of practice,' she said.
Prof Nissen said that extended practice
(in the pharmacy context) refered to
a discrete knowledge and skill base
additional to the recognised scope
of the profession. These would be
tasks usually undertaken by other
professions e.g. doctors, nurses or allied
health professionals. Requirements
for implementing safe and effective
extended scope of practice varied
depending on the task, the profession,
and the context in question.
'However, where used in the pharmacy
context it particularly refers to tasks
requiring additional education, training
and a demonstration of competence.
For the pharmacy profession, extended
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