Home' Australian Pharmacist : Australian Pharmacist September 2012 Contents 706 Australian Pharmacist September 2012 I ©Pharmaceutical Society of Australia Ltd.
at an advanced level in paediatrics, in
oncology, in cardiovascular medicine,
these are going to be important areas
of practice. Importantly we will have a
way for organisations and for employers
of recognising those pharmacists
who perform at an advanced level,' Dr
The Framework will not con ne itself to
pharmacists working daily with patients.
It will be broad enough to include,
'advanced practice clinical practitioners
who may progress into higher level
governance, strategy, policy, research or
training roles with less day-to-day patient
contact but still have an advanced level of
clinical expertise in their speci c scope of
practice (e.g. diabetes).
'For example, they may work at an
advanced level in non-patient focussed
areas such as the provision of educational
services or administrative roles.
This would be captured in the relevant
domains of the advanced practice
framework where the practitioner
identi es the competencies they
meet through their advanced level
contributions to deliver outcomes of
improved patient care.'1
Recognition of a need
The impetus for an advanced practice
framework grew out of the review of
competency standards for pharmacists
in 2010. During the review participants
agreed that recognition of advanced
practice for the profession needed to be
developed as a separate project.
The 2010 Competency Standards
included an agreed de nition of
advanced practice (adapted from that
developed by the Royal Pharmaceutical
Society) -- 'Advanced Practice is practice
that is so signi cantly di erent from
that achieved at initial registration that
it warrants recognition by professional
peers and the public of the expertise
of the practitioner and the education,
training and experience from which that
capability was derived'.
Dr Jackson said, 'Internationally there
are a number of countries working
on advanced practice frameworks.
We believed it was high time that an
advanced practice framework was
developed in Australia.'
The APPFSC was given the tasks of:
• Mapping the 2010 competency
standards to the revised health,
medicine and veterinary science
(HMVS) threshold learning outcomes
(TLOs) of the Learning and Teaching
Academic Standards (LTAS) project.
• Articulating the contributions of
pharmacy school courses and intern
training programs to the subset of
competency standards which apply at
initial registration (i.e. entry-level).
• Developing an advanced practice
framework for the pharmacy
In March the Committee released a
discussion paper, Advanced Pharmacy
Practice Framework for Patient Care
and a Proposal for Recognition
of Advanced Pharmacy Practice
and Pharmacist Practitioners, for
It outlined a draft framework on
advanced pharmacy practice and
invited members of the pharmacy
profession to provide feedback.
During the consultation period close to
1,000 hits to the Advanced Pharmacy
Practice web site were registered and
approximately 400 downloads of the
consultation paper were recorded. At the
end of the consultation 20 submissions
were considered and discussed by the
Committee. Presently a nal draft of an
advanced pharmacy practice framework
is being developed taking into account
The bene ts
PSA's representative on the committee,
Associate Professor Lisa Nissen, told
Australian Pharmacist that the main
bene t to ow from the framework will
'There is more than enough work in the
health sector to keep pharmacists busy
-- patients need us and it's time for the
profession to stamp its footprint rmly
on the future models of health care in
Australia -- together!'
'It's a step out of our comfort zone and
it's the start of a dialogue around scopes
Pathways for pharmacists
The development of the framework
is like someone providing a map and
some instructions. 'Everyone's journey
will be an individual one and will be
what they make
of it according
to PSA's Steering
She urged pharmacists to 'grab it!'
'It's essential that all professional
groups are part of the development
of this important framework --
particularly PSA, pharmacy's largest
professional organisation. This is a
critical part in the maturation of the
profession as a whole and a key part of
our development of the next 10 years.
'We need to o er pathways for
pharmacists to work in advanced
practice, as well as other areas. This is
just part of PSA's work in these areas
and we need to be part of all e orts
to advance the profession, for the
profession,' Dr Nissen said.
She said that the framework builds on
competencies for all pharmacists and
demonstrates a pathway by which
those interested in advancing their
skills and knowledge and deepening
their practice can create career
pathways beyond general practice.
'It isn't something "unusual" it's an
extension or sca old on the platform
they step from at graduation.
Over time the roles within the
advanced practitioner space will
develop to show how they too can
move into these roles.
'However, it's up to them to take
up the opportunities and to PSA to
provide the professional support
and education to assist them in
their development as these new
practitioner roles evolve. Being
a bystander and waiting for it to
"happen to them" though isn't going
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