Reflecting in Pharmacy
What should you reflect about?
When reflecting on an experience (such as placement observations), you should focus on one key skill that you used and can improve. You can choose to discuss any skills related to problem solving, oral and written communication, empathy, reflective practice, integrity, teamwork and inquiry (POWER IT Inq):
Example of a student’s reflection
Read the student reflection samples below on teamwork. View the tables below to see how this student’s reflection sample follows good practice:
I am going to reflect on last week’s one day placement visit at one of the larger hospitals in Western Melbourne.
Describes what happened.
I was very enthusiastic and excited to be given the opportunity to visit Western Health pharmacy service at the Footscray Hospital. Western Health pharmacy service is made up of three pharmacy departments that service Footscray Hospital as well as the Sunshine and Williamstown Hospitals.
Describes the emotions felt.
The day was divided between tours of the hospital’s dispensing, clinical pharmacy, and manufacturing and quality medicines services.
More detailed description of what happened during the visit.
We were introduced to the head pharmacists and intern pharmacists in each of these divisions, who spoke to us at length about how each of these specialised areas work together to provide medicine services to all inpatients.
Further detailed description of what happened, with a link to what was learned.
Something that I noticed is that each member of staff communicates in an open and methodical way. This collaboration within and between divisions enabled the running of a smooth and efficient workflow.
Analyses and evaluates the event.
I also noticed that within and between each division staff members communicate regularly using phones, internal intercom and emails. It is important for me as a pharmacist-in-training to practise communicating clearly, and I can do this now at university with my assessment group. As a student, this clear communication would mean ensuring my fellow classmates understand how work will be divided and progress on each individual section. This can only be achieved through regular meetings and would be enhanced by use of an online taskboard like Trello.
Link from what was observed to what was learned, framed in terms of how the learning applies to the current role as a student who often works in teams.
As a pharmacist, I think clear communication is important because any requests I receive from doctors need to be communicated to the whole team so they understand changes in patient medication regimes. Clear communication would also allow me to ensure I am completing tasks correctly: By communicating what I am doing or what assistance I require, I can ensure I receive appropriate training in medication dispensing, quality and safety, and thus will be able to provide patients with the best advice and products. Clear communication in a hospital pharmacy team also helps minimise errors in dispensing medication, and ensures that everyone understands the best way to advise on taking medications.
Analyses how the event relates to the future role in the Pharmacy profession.
Teamwork is part of everyday life, and good teamwork leads to better communication and achieving desired goals. Watching the hospital pharmacy teams interact with each other made me realise I need to focus more on developing my own interpersonal and teamwork skills, as I am quite shy and find speaking and leading in groups challenging. As such I am going to focus on my own teamwork dynamic at university.
Reflects on proposed actions to improve.
In order to improve my teamwork skills, I am going to volunteer to lead this week’s meeting for my group assignment, which is on Thursday. This leadership role will require me to organise my group’s work load for that week and ensure everyone shares tasks properly. It will require me to speak to each teammate and facilitate open discussion if issues arise. To ensure I am communicating effectively, I will ask my teammates for feedback on how I communicated, and ask them for feedback on how I can improve. I can measure improvement by then seeing what I still need to work on, and asking to lead a future meeting, so I can compare feedback.
Proposes actions to improve.
Making sense of feedback
It can sometimes be daunting to receive feedback on not only your writing, but also on how you have reflected on a personal experience.
It’s important to remember that the feedback you receive from your lecturers is there to help you improve not only your reflective practice, but also the skills you will need as a pharmacist. Do not take feedback personally - look at it rather as a way to grow professionally.
Your feedback will often be given to you using the ‘Keep Start Stop’ method. Below is an example of the feedback given to the above reflection example that states good practice.
Keep Start Stop example
Feedback provided to student
Keep Start Stop explained
KEEP - writing these honest reflections. The more you practise the better you will become in refining and improving your reflective skills. Continue to reflect on the differences and similarities between people working in different departments, as it will be interesting to reflect on whether this is related to team dynamics and/or staff selection.
The KEEP section is where your skills coach, lecturer, or tutor will highlight what you’re doing well in your reflections, study, and professional practice. They may make recommendations on what you can focus on in future weeks as well, as this marker has done regarding the following week’s actions.
Also continue thinking about your actions for the following week: you have mentioned honing your teamwork skills through leading a meeting, so I am interested to hear how you found the experience. From what I can see, your day at the Hospital Pharmacy was an excellent learning opportunity and has encouraged you to challenge yourself and improve your communication skills - remember this push, as a pharmacist never stops learning!
START - to consider how you will write your reflections in regards to the different roles that pharmacists have within a hospital environment. To do this, keep a record of your next hospital placement so you can note how efficiently teams work together. Pay particular attention to the language and tone used by professional staff.
The START section is where you will be encouraged to try reflecting in a new way, or engaging with your chosen skill more. Here, the emphasis is on teamwork and communication, and thus the lecturer is highlighting the importance of looking to others to learn about professional communication and conduct.
It is great to see that you are reflecting on different ways teamwork can influence how you can refine your communication and reflective skills, and that you’re actively trying to improve. I would like to see your reflection on teamwork between your own experience of leadership and through observing the pharmacists in the Hospital Pharmacy team.
STOP - and think about what you have learnt during this one day placement.
The STOP doesn’t mean you need to stop doing something (though it sometimes might). It is there to highlight areas which need additional focus or improvement. In this case, the student is asked to take time to reflect more deeply in preparation for their next placement, and how learning from the placement can help them cope with the continued stresses of their degree.
How will you plan so you turn your intentions into actions in your next hospital placement? Additionally, how can you implement time management and dealing with unexpected pressure in regards to your university studies and completing your degree?
OVERALL FEEDBACK - It is great to see that you are aiming to be proactive in improving your teamwork skills. Always remember your strategies in your Now what? section should be SMART (Specific, Measurable, Achievable, Realistic and Timely). Keep up the great work!
Always remember that your coaches and lecturers want you to succeed and do well; their comments are there to push you to achieve more and become the best pharmacist/scientist possible.
Agreed actions in your Personalised Learning Plan (PLP) are the actions that you have taken into consideration once you have received the comments from your Skills coach. A simple way to address your agreed actions is to write a SMART goal for your proposed action.
For example, your Skills coach has commented on the use of practical ways to record your feedback so that you can at a glance see and act upon your learning as a whole. The agreed action that you have decided on could be using MyPharm as a repository, even if you are not reflecting upon something that was addressed in your feedback within a particular cycle.
Example of Agreed Action plan
Student’s Agreed Action plan
Good practice explanation
As I had planned, I led a team meeting and organised my group’s work load for that week. Doing this made me more aware of the importance of reflection, as I had to think about how my actions were impacting my teammates, as there was some push-back from members who were not keen on doing certain tasks.
The Agreed Action is like a mini-reflection in itself, where you focus on a skill which either you or your coach identified needed more work. In this case, the student is looking at teamwork, but is applying reflection (problem solving) to assist with analysing their skill more deeply.
I kept this in mind as I watched the pharmacists during my next hospital placement. I noted that the team interacted closely with each other and shared tasks according to their own individual skills and attributes, which meant work was allocated according to each team member’s strengths.
The student has obviously made notes while at the placement, and is reflecting back on what they experienced: the importance of relying on each other’s strengths to complete work in a timely manner when working in a team. This addresses the feedback of working on their own teamwork skills and on time management, as well as the link between teamwork and communication.
Seeing this made me realise that teamwork, and leading a team, is not just about assigning work and making sure it gets finished on time. It is also about being able to facilitate a healthy working environment where team members are able to voice their concerns and interests, and have their needs met. By allowing team members to work to their strengths, the head pharmacist ensured that the team worked collaboratively and efficiently. This most recent placement therefore enforced the importance of teamwork and communication in health care for me.
The student here reflects on what they have learned during the last fortnight. This sentence demonstrates how the importance of teamwork in the healthcare profession has been solidified for the student.
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Thamby, S. A., & Subramani, P. (2014). Seven star pharmacist concept by World Health Organisation [editorial]. Journal of Young Pharmacists, 16(2),1–3. https://doi.org/10.5530/jyp.2014.2.1
World Health Organization. (2007). WHO launches ‘nine patient safety solutions'. http://www.who.int/patientsafety/events/07/02_05_2007/en/
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