Evidence map›Paper›PMID 33243254›Full record

ArticleBMC medical education2020

Education of pharmacists in Ghana: evolving curriculum, context and practice in the journey from dispensing certificate to doctor of pharmacy certificate.

Augustina Koduah, Irene Kretchy, Reginald Sekyi-Brown, Michelle Asiedu-Danso, Thelma Ohene-Agyei, Mahama Duwiejua

Open access · goldAbstract read
In one paragraph

Article in BMC medical education, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Augustina KoduahDepartment of Pharmacy Practice and Clinical Pharmacy, School of Pharmacy University of Ghana, P. O. Box LG43, Legon, Ghana. akoduah@ug.edu.gh.ORCID https://orcid.org/0000-0001-9915-5333
Irene KretchyDepartment of Pharmacy Practice and Clinical Pharmacy, School of Pharmacy University of Ghana, P. O. Box LG43, Legon, Ghana.
Reginald Sekyi-BrownDepartment of Pharmacy Practice and Clinical Pharmacy, School of Pharmacy University of Ghana, P. O. Box LG43, Legon, Ghana.
Michelle Asiedu-DansoDepartment of Pharmacy Practice and Clinical Pharmacy, School of Pharmacy University of Ghana, P. O. Box LG43, Legon, Ghana.
Thelma Ohene-AgyeiDepartment of Pharmacy Practice and Clinical Pharmacy, School of Pharmacy University of Ghana, P. O. Box LG43, Legon, Ghana.
Mahama DuwiejuaDepartment of Pharmacology and Toxicology, School of Pharmacy University of Ghana, P. O. Box LG43, Legon, Ghana.
University of Ghana · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnderstanding the origin and evolution of education of pharmacists is important for practice and health system reforms. In Ghana, education of pharmacists started in the 1880s with the training of dispensers in a government hospital. Over the years, the curriculum and institutional arrangements changed and currently pharmacists are trained in universities. In this study we explored how and why education of pharmacists evolved in Ghana.

methodsWe used a case study design to systematically describe education of pharmacists reforms. Data was collected from October 2018 and December 2019 through document review and in-depth interviews. The data was analysed based on institutional arrangements and contextual factors influencing reforms from the 1880s through 2012, when the Doctor of pharmacy programme was initiated in Ghana.

resultsReforms occurred around four main periods when institutional arrangements including the certificate awarded and expected roles were modified by educators and government. These are: (1) the Certificate of dispensing with dispenser-in-training and nurse-dispenser schemes (1880s to 1942), when dispensers were trained to assist doctors in dispensing or directly diagnosing and treating specific disease conditions. (2) the Diploma and Certificate of competency with the dispenser-in-training and pupil pharmacist schemes (1943 to 1960), where in addition to existing roles, pharmacists operated village dispensers. (3) the Bachelor of pharmacy degree (1961 to 2017), when pharmacists were trained mainly as medicines experts with a strong science base on all aspects of medicines from production, distribution and use; and over time with a gradual move to patient-oriented practice. (4) the Doctor of pharmacy degree (2012 to date), where in addition to existing roles, trainees are exposed to advance professional practice experiences. Important factors influencing the reforms included, health systems demands for village dispensaries and clinically oriented pharmacists, and harmonization with regional and international training and practice.

conclusionReasons influencing education of pharmacists reforms are context specific and are driven by historical experiences, national and international expectations as well as educators and regulators abilities to influence change. These reforms call for direct corresponding change in professional practice laws and regulation to enable pharmacists contribute fully to health care delivery in Ghana.

Indexed as

Education, PharmacyPharmacyCurriculumGhanaHumansPharmacistsProfessional RoleDispensersEducational reformsGhanaNurse-dispenserPharmacistPharmacy education

Identifiers

PMID33243254
PMCPMC7689637
OpenAlexW3106878610

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.