Knowledge Travels Roundtrip

Students

An international university collaboration provides University at Buffalo pharmacy students and faculty with opportunities to make an impact in Jamaican healthcare education and practice.

Developing global pharmacy leaders is no small task but the University at Buffalo, The State University of New York (SUNY) School of Pharmacy and Pharmaceutical Sciences is accomplishing its mission through a collaboration with The University of the West Indies (UWI).

The affiliation agreement was established in 2016, though the two universities had been building a partnership since the SUNY Global Health Institute was formed in 2013. The UWI Mona campus has served as the central hub for this partnership and has worked with the University at Buffalo (UB) to establish educational initiatives in Kingston, Jamaica. The UB School of Pharmacy and Pharmaceutical Sciences (SPPS) has worked with the UWI Faculty of the Medical Sciences to assist in many innovative educational initiatives between the two universities. These initiatives were driven by an in-country global health implementation research fellow, which was established through the collaboration and holds a dual appointment at both universities.

The SPPS developed a research task force, identifying areas of general need that would advance health sciences research in Jamaica. As part of the needs assessment for this collaboration, clinical health research priorities were established which included the following areas: infectious disease, cancer, liver, renal and metabolic diseases, natural products/cannabinoid sciences, and health information technology (HIT).

“We focused on how we could meet their needs with the educational expertise we have here at UB,” said Dr. Gina Prescott, clinical associate professor and director of global outreach at the UB School of Pharmacy and Pharmaceutical Sciences. “Many of the needs centered on viruses; Zika was prevalent at the time and Jamaica has a very good foundation for microbiology. The country also experiences large numbers of cardiovascular diseases, diabetes and kidney disease. Oncology was another big need; they have virtually little oncology care down there.”

The UWI is committed to developing a highly-trained pharmacist workforce that will be able to assist in advancing clinical practice in Jamaica. From an educational perspective, the UWI needs pharmacists trained at the Pharm.D. level to support the growth of faculty and clinical preceptors. Clinical preceptors also need continual professional development from a global perspective. Finally, there is a need to assist with clinical research projects in order to increase capacity, advance pharmacist practice and train students. The UB students and faculty are able to work collaboratively with students and faculty from the UWI, gain clinical or research experience from a global perspective and stimulate an interest for advancing the level of pharmacy practice worldwide.

Students in front of chalkboard
University at Buffalo students and faculty are able to work collaboratively with students and faculty from the University of the West Indies, gaining clinical or research experience from a global perspective, and stimulating an interest for advancing the level of pharmacy practice worldwide. “We focused on how we could meet their needs with the educational expertise we have here at UB,” said Dr. Gina Prescott, clinical associate professor and director of global outreach at the UB School of Pharmacy and Pharmaceutical Sciences.

Didactic Teaching at a Distance and Onsite

As part of the international exchange, UB faculty taught classes in the areas of Hepatitis and liver disease, infectious diseases/antimicrobial principles, and immunizations with in the UWI Post-B.S. Pharm.D. program. These lectures and exams were provided to the UWI students through distance learning tools and were taught at a global level with the philosophy of the UWI training their pharmacists to become global pharmacists.

A UB faculty member provided an introductory class on careers in pharmacy to the UWI first Pharm.D. class during an onsite visit. This class was taught at a global level discussing the advanced level of pharmacy practice with a specific focus on practice in the United States.

The UWI-UB Global Health Implementation fellow designed, coordinated, and instructed a drug information and introductory principles of research course. This course was modeled after an existing UB course and was designed to provide skills needed to: (1) advance pharmacy practice, (2) advance health science research skills, and (3) comply with ACPE certification. The course was favorably received and all the students did well in regards to CITI training, journal club, debates, and written papers with advanced clinical scenarios.

Students on rotation in Jamaica
During a one-week rotation in Jamaica, students from the University at Buffalo gain experience in global health implementation research, social determinants of health and more.

Students Get Experience in the Field

An IPPE was designed by UB faculty and the global health implementation fellow with input and assistance from the UWI faculty. The experience was designed to align with the Consortium of Universities for Global Health (CUGH) and FIP (International Pharmaceutical Federation) competencies in developing global citizens. The one-week rotation addresses global health implementation research, social determinants of health, Jamaican communicable and noncommunicable disease burden, rural clinic outreach and promotes cultural exchange.  The students had the ability to work in medical clinics and hospitals with UWI faculty, providers and other health professions students. They were also required to present a topic and write a drug information paper on current issues/concerns in Jamaica.  This experiences is designed to serve as a template for the UWI as they advance toward a doctoral degree pharmacy program. To date, five UB students have completed six rotations.

UB is currently working to develop a 6-week APPE experience centering on research and clinical experience in Kingston for UB students. In Fall 2018, UB is planning on hosting pre-IPPE students from Jamaica to UB and also the post-B.S. Pharm.D. student rotations.

Part of the training and medical care in Jamaica centers around rural health clinics. The UWI is frequently involved in these interdisciplinary clinics which occur frequently throughout Jamaica. In March 2018, UB Pharm.D. students were able to participate in a rural clinic with medical, nursing and pharmacy students from UWI. Students were also able to advance their global health knowledge and international healthcare disparities through experiences at a public children’s hospital, community pharmacy, participating in a Zika field experience, and working with a psychiatrist at a local mental health clinic with integrated social support. The goal is to expand this experience to other UB health professional schools, UB undergraduates and also consider integrating Science, Technology, Education and Mathematics (STEM) students in Jamaica and Western New York.

Research On the Horizon

A project in the area of Type 1 Diabetes Mellitus is in the beginning at the public hospitals. UWI health professional students, in collaboration with the Global Implementation Health fellow, UWI faculty, and UB SPPS faculty, will begin to collect data as part of an implementation project. These students will learn the necessary skills to advance clinical health research in Jamaica. UB students will have the opportunity to assist in these experiences through their IPPEs or APPEs when onsite.

Dr. Gina M. Prescott, Dr. Tyler R. Mullen, Dr. Cameil Wilson-Clarke, Dr. Gene D. Morse and Dr. Maxine Gossell-Williams contributed to this article.