With the many different movements to advance pharmacy practice and the expansion of pharmacists into new practice areas it is increasingly important for pharmacists to be able to document, through formal credentialing and privileging processes, that their knowledge and abilities align with their scope of practice. This change begs the question whether or not traditional continuing education (CE) is sufficient to support the expansion of pharmacists’ responsibilities. While traditional CE may introduce pertinent topics to pharmacists and provide superficial knowledge, these programs focus more on credit hours completed than on outcomes pertinent to pharmacy practice. Deliberate practice is an alternative to traditional CE that involves neither mindless repetition nor passive observation. Conversely, this concept is centered around a well-defined goal, immediate and informative feedback and focused repetition from a motivated learner. Deliberate practice not only helps individuals identify specific areas of improvement, but this approach also helps learners actively work toward improving these areas rather than simply delivering information. Though there is a growing body of evidence to support the advantage of deliberate practice in health care education, CE remains the primary method by which health care professionals stay current with evolving knowledge and practice.
To address the challenge of defining and achieving core pharmacist competencies for the expanding role of Wisconsin pharmacists, the Pharmacy Society of Wisconsin (PSW) partnered with program directors and residents of PGY1 and PGY2 pharmacy residencies from across the state to form the PSW Competence Development Collaborative (CDC) in September 2014. This group was modeled after the PSW Practice Advancement Leadership Team (PALT) (formerly known as the Pharmacy Practice Model Initiative (PPMI)), which was a collaborative effort by PSW and Wisconsin’s administrative residents and program directors, initially formed in 2010 to advance the goals of PALT. The PSW CDC engaged a new group of residents and program directors, who have worked to establish three objectives: to identify the essential skills pharmacists should possess to excel in contemporary practice through a literature review and survey of Wisconsin pharmacists; to develop training based on best practices and expert consensus with trainable steps for each skill identified; to create a rubric-based evaluation tool for trainable skills to pilot in 2015-2016. The PSW CDC transformed into the PSW Adherence Competence Collaborative (PACC) in 2016.