FROM PATCHWORK TO PATHWAY: A BI-NATIONAL COMPETENCY FRAMEWORK FOR PHARMACY TECHNICIANS
European Statement
Education and Research
Author(s)
Kristin Michaels
Assoc. Professor Tom Simpson
Why was it done?
Technician roles in Australia and New Zealand have evolved unevenly, with variation in scope, titles and training that limits workforce mobility and standardisation. A unified, contemporary Competency Framework was needed to underpin education, role design and safe delegation, and to support service expansion and workforce sustainability.
What was done?
Advanced Pharmacy Australia (AdPha), with the New Zealand Hospital Pharmacy Association (NZHPA), developed and launched the AdPha Australian and New Zealand Technician Competency Standards—a single, bi-national framework defining the capabilities of pharmacy technicians across hospital and community settings. The Standards were formally launched on 21 October 2025 (National Pharmacy Technicians & Assistants Day), officiated by Tasmania’s Minister for Health, Mental Health and Wellbeing, the Hon. Bridget Archer MP.
How was it done?
AdPha convened a trans-Tasman working group of Technicians and Pharmacists from hospital and community sectors. Iterative drafting drew on international exemplars and local practice analysis, followed by open consultations (Australia: 15 Oct–29 Nov 2024; New Zealand: 21 Jul–15 Aug 2025). Feedback was incorporated to ensure relevance across settings and to articulate progressive competency levels mapped to education and supervision requirements.
What has been achieved?
The resulting Competency Standards offer a common language for capability and progression for Technicians, enabling:
• consistent role descriptions and delegation in hospital pharmacy services;
• alignment of training providers and workplace assessment;
• clearer career pathways linked to recognition programmes; and
• a platform for cross-jurisdictional workforce planning.
Public release and sector endorsement have created a focal point for implementation across Australian states and New Zealand health services (Standards overview and consultation record publicly available).
What next?
Following launch of the Competency Standards, implementation activities include contextualised role profiles for hospitals, mapping to accredited training and micro-credentials, establishment of recognition pathways within the Australian and New Zealand College of Advanced Pharmacy (ANZCAP) supervisor guides for workplace assessment, and evaluation of uptake and impact (e.g., standardised induction time, error reduction in technical tasks, retention/progression metrics). The framework is readily transferable to other health systems seeking to formalise technician practice and education through a competency-based approach anchored in patient safety and quality.
PHARMACY SERVICE PEARLS: FOCUSED IN-HOUSE TRAINING FOR PHARMACY TECHNICIANS AND DISPENSING ASSISTANTS. TECHNICAL AND AUXILIARY STAFF
European Statement
Education and Research
Author(s)
García-Peláez, M.; Sosa-Pons, A.; Seguí Solanes, C.; Borras Trias, L.; Planas Giner, A.; Fernández-Navarro, A.; Rodríguez Rubio, M.; Rudi Sola, N.
Why was it done?
The increasing pace of technological innovation and the introduction of new drugs require rapid adaptation. In our service, defined roles and strong teamwork ensure quality care. Understanding the scope and relevance of colleagues’ work fosters engagement, collaboration, and a sense of belonging within the team. The course aimed to strengthen these elements while improving professional knowledge
What was done?
A continuous training course was implemented in the Pharmacy Department, aimed at pharmacy technicians and dispensing assistants. The program provided updates on pharmacotherapy, new technologies, and recently implemented workflows, delivered by both pharmacists and pharmacy technicians/ assistants from the same service
How was it done?
The first edition took place from February to June 2025, consisting of five 20-minute monthly sessions, each repeated twice to maximize participation. Topics were presented by staff members directly involved in their implementation. Surveys were conducted among participants and trainers to assess satisfaction, perceived knowledge improvement, and interest in future editions. Additionally, a needs assessment survey identified subjects of greatest interest for upcoming sessions.
What has been achieved?
High attendance rates and positive feedback were obtained. Most participants reported increased understanding of new pharmacotherapy, technologies, and workflows, as well as greater appreciation of colleagues’ roles. The initiative improved internal communication and team cohesion.
What next?
Based on participant feedback, the second edition is scheduled from September 2025 to May 2026, expanding to eight sessions and incorporating topics requested by pharmacy technicians and dispensing assistants.
IMPLEMENTING SIMULATED PHYSICAL ASSESSMENT SKILLS INTO UNDERGRADUATE PHARMACY TRAINING
European Statement
Education and Research
Author(s)
Dr Fernando Perez
Connor Thompson-Poole
Dr Konnie Basu
Why was it done?
Recent changes in UK pharmacy education standards by the General Pharmaceutical Council (GPhC) have emphasised the need for pharmacists to graduate with the confidence and competence to undertake independent prescribing roles. This requires proficiency in physical assessment and diagnostic skills, traditionally outside the scope of undergraduate pharmacy education. To address this gap, the University of Brighton has integrated a structured simulation-based physical assessment training package into the MPharm curriculum, preparing future pharmacists for enhanced clinical responsibility and interprofessional practice.
What was done?
A series of simulated physical assessment sessions was introduced across all years of the MPharm programme. The training focuses on developing students’ competence and confidence in performing fundamental physical assessment techniques, including cardiovascular, respiratory, gastrointestinal, and neurological examinations, as well as accurate recording and interpretation of vital signs through a spiralled curriculum over the course of four years.
The simulation package was designed collaboratively by clinical academic staff and prescribing pharmacists, supported by colleagues from medicine and nursing to ensure cross-disciplinary alignment. Each session was structured around case-based clinical scenarios, encouraging students to follow a patient’s journey through different healthcare settings.
How was it done?
Sessions were delivered in the university’s clinical simulation suites using simulated patients, high-fidelity manikins, and digital monitoring tools. Each workshop included a short demonstration, guided practice, peer feedback, and reflection activities. Students benefit from this approach as they can individually work through real clinical scenarios, which better prepares them for future independent clinical practice.
Student learning was assessed through Objective Structured Clinical Examinations (OSCEs) and reflective portfolios. Staff feedback and student evaluations were collected to guide ongoing improvement.
What has been achieved?
Over two academic years, over 400 pharmacy students have participated in the programme. Student feedback indicates a marked increase in self-reported confidence in patient examination, clinical communication, and integration of physical findings into clinical reasoning. Staff observed improved engagement and enhanced preparedness for prescribing training. The initiative has also fostered stronger collaboration across disciplines.
What next?
Future plans include developing interprofessional simulation days with medical and nursing students, and exploring digital tools for remote clinical assessment practice. The model demonstrates a scalable and sustainable approach to embedding clinical examination competence within undergraduate pharmacy education.
MEDICATION ERROR IN A CLINICAL TRIAL: ROOT CAUSE ANALYSIS AND IMPROVEMENT ACTIONS
European Statement
Patient Safety and Quality Assurance
Author(s)
Cristina Garcia Fernandez, Estela Alamino Arrebola, Bárbara Lopez Bautís, Carmen Gallego Fernandez, Begoña Tortajada Goitia.
Why was it done?
Patient safety in clinical trials relies on the correct management of both investigational and auxiliary/comparator medications. While investigational products are usually managed through automated systems (e.g., IWRS) ensuring traceability and standardization, auxiliary medications often lack similar oversight from sponsors. A preventable medication error in an oncology clinical trial—caused by the preparation of an incorrect drug concentration due to the absence of automated supply and harmonization—highlighted the need to analyze system gaps and implement corrective actions to strengthen patient safety and medication traceability.
What was done?
A Root Cause Analysis (RCA) was conducted following the detection of a medication error involving the preparation of hospital stock (20 mg/mL) instead of the clinical trial formulation (10 mg/mL). The objective was to identify systemic weaknesses and design a Corrective and Preventive Action (CAPA) plan aimed at preventing recurrence and improving management of auxiliary medication in clinical trials.
How was it done?
The RCA was performed in July 2025 using the “5 Whys” methodology, supported by:
-Document review, staff interviews, and chronological reconstruction of the event.
-Analysis of human, technical, communicative, and organizational factors.
-Classification of the incident (NCC MERP category D — no patient harm).
Corrective measures implemented included:
– Creation of a pre-trial pharmacy checklist to ensure drug availability and concentration verification.
– Mandatory pharmaceutical validation after any protocol amendment.
– Formal requests to sponsors to standardize drug concentrations across sites.
– Improved communication channels between sponsors, pharmacy, and clinical teams
What has been achieved?
-Identification of the main root cause: lack of automation in auxiliary drug supply requiring manual requests.
-Prevention of similar future events through harmonized pharmacy processes.
-Reinforcement of patient safety culture and traceability of clinical trial medications.
-Strengthened collaboration among hospital pharmacy, clinical teams, and sponsors.
-No patient harm resulted from the event, confirming the importance of early detection and system review.
What next?
-Extend IWRS automation and standardization practices to include auxiliary medications in all clinical trials.
-Share the initiative with other hospital pharmacies and sponsors to promote harmonization at institutional and multicenter levels.
-Continue monitoring the implemented CAPA and evaluate its impact on error prevention.
-Foster continuous improvement in pharmacy oversight and communication workflows for clinical research.
The current landscape of medical device education for hospital pharmacists: where do we stand?
European Statement
Education and Research
Author(s)
Lorenzo Di Spazio, Daniele Mengato, Andrea Ossato, Vera Damuzzo, Marco Chiumente, Giulia Dusi, Sabrina Trippoli, Andrea Messori, Maria Cecilia Giron, Maria Chiara Silvani, Francesca Venturini
Why was it done?
MD training, both undergraduate and postgraduate, appears to be scarce and, when available, seems to chase rather than anticipate real innovation. As a result, hospital pharmacists often have inconsistent levels of training that need to be investigated and harmonised.
What was done?
Medical devices (MD) are serving an increasingly central role in clinical practice, improving patients’ health and quality of life. In recent years, the MD industry has grown considerably along with its innovation, sophistication and spending. This context requires not only technical, but also management and consulting skills, in particular for pharmacists, that should be adequately trained and continuously updated in order to increase their involvement in the patient care pathway. A special survey has been designed and sent out to hospital pharmacists in order to gauge their level of knowledge on this subject.
How was it done?
A survey, available from 1 October 2022 to 31 December 2022, was created by a pool of experts from an Italian scientific society (Italian Society of Clinical Pharmacy and Therapeutics – SIFaCT) and shared through Google Forms to evaluate the state-of-the-art of MD’s clinical pharmacy practice, characterising the participants on their training background and needs in this field. The questions aimed to describe which courses (curricular or post-university) on MD had been followed by the participants to individuate the best possible interesting topics and the preferred training tools useful for the SIFaCT’s future educational activities.
What has been achieved?
Out of 142 responses, only 36 (25%) declared to have followed specific training courses on MDs while 102 (72%) stated that they were self-taught in this matter. 138 participants (97%) stated the need to broaden their knowledge through: training meeting (34%), sharing of procedures and/or operating instructions (33%), access to short editorial contributions (23%) and scientific studies (10%). The three most requested topics for future trainings were: innovative MDs and innovation governance (HTA), updates on legislation and technical insights on specific classes of MDs.
What next?
These results represent a background for developing a training project aimed to increase pharmacists’ knowledge on MDs.
MD topic, according to Regulation (EU) 2023/607 and 2017/745, is constantly updated and the pharmacist must be able to understand and implement the requirements of the national and European legislation to protect safety, safeguard public health and recognize technological innovation. Finally, these results highlight the need of specific university courses for pharmacists to develop technical and clinical skills on MDs.
Development and implementation of a simulation programme of study aligned to experiential learning and the initial education and training of the student pharmacist
Pdf
European Statement
Education and Research
Author(s)
Sam Ingram, Sian Williams, Stewart Glaspole, Greg Scutt, Railton Scott, Safoora Azimi, Danny Bartlett, Claire May, Lisa Knox, Graham Davies
Why was it done?
The General Pharmaceutical Council in the UK released updated standards in 2021, detailing expected learning outcomes at the end of undergraduate and foundation year training. As many of these new standards explicitly link to pharmacist skills it was important that these were integrated into undergraduate course delivery.
What was done?
An evidence-based strategy was employed to develop a global skills framework which was used, alongside the course structure, to inform a simulation and experiential learning strategy for the initial education and training of undergraduate pharmacists.
How was it done?
An evidence review was conducted, examining established skills frameworks in pharmacy education and the wider healthcare arena, this was thematically analysed, and generation of a 16-skills framework constructed. This was used to guide a series of stakeholder workshops and working groups to structure a spiraled curriculum of simulated activity and assessment and an aligned experiential learning plan.
What has been achieved?
A recognition of the importance of clinical and professional skills development by establishing this at the core of the new degree structure. Through the programme a suite of clinical and professional skills (CAPS) modules focuses on an evidence-based set of core skills, values, attributes, and behaviours. Generation of a suite of simulation workshops which ensures a safe environment to learn and show competence before enhancing these skills on placement(s) supporting pharmacy services in a range of clinical settings.
What next?
The simulation and experiential learning strategy has been implemented into the 2023-24 academic year. Monitoring and feedback generation from students, academic staff, placement providers, and key stakeholders to determine if this new format for learning is generating more engaged and capable student pharmacists.
Implementation of a simple continuing training programme for retraining operators in a clean room production
Pdf
European Statement
Education and Research
Author(s)
Maria Agerboe Sondrup, Anette Sand Østergaard
Why was it done?
Training of operators has previously been performed, however there was no consistent programme for continuing training in the department to secure optimal training of operators. Equally the effectivity and durability of the training was not evaluated. The aim was to establish a thorough system for continuing training focusing on ongoing confirmation of proper training as well as adaptation and optimization throughout.
What was done?
A programme for continuing training of operators was designed and implemented in a clean room production department by GMP-responsible operators and academics.
How was it done?
A template was designed for the programme. One module takes up to 3 months.
The template is the following:
Observation:
– Trainers observe operators in a clean room
– Current technique is observed and if necessary corrected
Training material:
– Developing educational material based on SOPs
– Short videos, PowerPoint presentations etc.
Individual training:
– Operators answer handed out multiple choice questionnaire (MCQ) by themselves
Group training:
– The correct answers to the MCQ are presented by the trainers at a plenary session
– All answers are discussed
Observation:
– Trainers observe operators in a clean room
– Current technique is observed and if necessary corrected
Evaluation:
– Trainers evaluate the training in terms of improvement from the first to the second observation
– Trainers write a report that is presented to the operators
What has been achieved?
A systematic and relatively simple training programme has been implemented. This streamlines the training of operators, thereby making it easier for the trainers to introduce new subjects and ensures that all new operators are trained the same as the experienced operators. The programme also makes the training system recognizable for the operators, which gives a higher compliance.
What next?
The program has only been implemented on processes related to production in clean room, but the training method can easily be applied to subjects outside of the clean room or in other healthcare settings. To involve the operators in the process, the second observation could be delegated to other operators and not just the trainers.
Revolutionising pharmacy recognition: evolution of the Australian and New Zealand College of Advanced Pharmacy
Pdf
European Statement
Education and Research
Author(s)
Tom Simpson, Kristin Michaels, Kylee Hayward, Nick Sharp-Paul
Why was it done?
The need to establish a recognition framework that resonated with pharmacists, aligned with their career journeys, and held tangible benefits prompted the inception of ANZCAP. Recognising that existing programmes lacked broad appeal, ANZCAP aimed to redefine recognition in a way that was meaningful, inclusive, and motivated pharmacists towards continuous development.
What was done?
The Australian and New Zealand College of Advanced Pharmacy (ANZCAP) represents a pioneering advancement in pharmacy recognition and career progression. Addressing the limitations of previous models that struggled to gain broad support, ANZCAP emerged as a strategic response to bridge the recognition gap within the pharmacy profession.
How was it done?
The development of ANZCAP commenced with the acquisition of the Advancing Practice (AP) credentialing programme by the Society of Hospital Pharmacists of Australia (SHPA). Previous efforts to engage pharmacists with the programme were reassessed, and a comprehensive review process was initiated to devise an innovative and pragmatic model of recognition. Development comprised multiple phases, including qualitative surveys, workshops, focus groups, and expert consultations. An iterative approach was adopted to refine the model, culminating in a prospective, merit-based system that recognises specialty areas and levels of practice. The focus shifted from individual competencies to broader domains within the National Competency Standards Framework for Pharmacists in Australia 2016, fostering flexibility and practicality.
What has been achieved?
ANZCAP has already recognised pharmacists at all levels – Resident, Registrar, and Consultant – through a Prior Professional Experience process. The college also extends its reach globally, welcoming international pharmacists to join its transformative community.
What next?
ANZCAP’s future involves strengthening the alignment of recognition with promotion and remuneration mechanisms, enhancing engagement among pharmacists. By seamlessly integrating learning experiences with Continuing Professional Development (CPD) activities, ANZCAP aims to foster a culture of lifelong learning and advancement. In the broader landscape, ANZCAP’s journey involves cultivating partnerships with international pharmacy associations, leveraging collective expertise, and fostering an inclusive recognition culture. The programme’s evolution will be guided by feedback, research, and a commitment to advancing pharmacy practice globally.
Setting in situation of pharmaceutical validation of paediatric intensive care prescriptions by fifth year students: state of play and assessment
Pdf
European Statement
Education and Research
Author(s)
Omar HANAFIA, Pierre BERTAULT-PERES, Stéphane HONORE
Why was it done?
This internship was proposed to diversify the clinical pharmacy internship opportunities and to allow students to discover and understand paediatrics and intensive care, which are less covered in university courses. It will also be a proof of concept to develop this type of internship in other departments.
What was done?
We have proposed a new clinical pharmacy internship in immersion in paediatric intensive care to 5th year students. It is a hospital internship at the interface between the medical and pharmaceutical teams, the student is responsible for establishing a statement to analyse the drug management, its evaluation and improvement.
How was it done?
The clinical pharmacy student is a full-time employee, fully integrated into the medical team. Their day is divided into two parts: in the morning they attend the relief, the staff and the medical visit. In the afternoon, he/she takes over the patients, compiles the main medical, clinical and biological information in order to pharmaceutically prevalidate the medical prescriptions and propose pharmaceutical interventions (PI) to the pharmacist.
What has been achieved?
Since its opening, the position has been systematically chosen by the students, in 3 years 8 students have chosen it. After a training period of 1 month with the senior pharmacist, all students were able to perform the expected readings, prevalidation and PI. More than 78% of the PIs detected by the students were validated by the senior pharmacist and accepted by the physician.
What next?
This proof of concept shows that students are supportive of this type of initiative and are able to meet the high expectations of this internship.
Formation and empowerment for pharmaceutical interview focused on opioids in acute non-cancerous pain
European Statement
Clinical Pharmacy Services
Author(s)
Esteban CHAUMET, Johanna RAYMOND, Eric BARAT, Catherine CHENAILLER, Rémi VARIN
Why was it done?
A clinical study, including a PI focused on the management of acute non-cancerous pain with opioids, was implemented in post-emergency units of our teaching hospital. Formation and empowerment procedures for PIs are little or not described in the literature. Given the multiplicity of actors, which could perform those PIs, it appeared necessary to standardize our practices and key messages delivered to the patient.
What was done?
Create an adapted formation allowing standardization of practices between various actors performing a pharmaceutical interview (PI) focused on the management of acute non-cancerous pain with opioids.
How was it done?
Creation of different tools : a resource pack with opioids literature to train learners; a theoretical and practical formation schedule and an empowerment procedure, supervised by a qualified tutor; an interview frame with topics to be addressed during the PI; two audio simulations of patient interviews; complex questions that the patient might ask during the PI.
What has been achieved?
The resource pack contains 11 documents that provide the learner with relevant concepts and the key messages to deliver to patients. The formation schedule consists of several stages. Firstly, theoretical formation : learning with the resource pack; written restitution of knowledge on the interview frame and identification of the points to be improved with the tutor; completion of the e-learning on performing a PI (currently being created by the French Society of Clinical Pharmacy); listening to the two audio simulations and oral restitution of information to the tutor; restitution by the learner, during a reversed class, of knowledge on opioids and key messages for the patient; answering complex questions. The practical formation consists of observing the tutor during a PI, then performing PIs with a qualified tutor.
What next?
The formation and empowerment will be implemented in November 2021. As part of a quality approach, learner’s satisfaction and general appreciation will be collected in order to optimise the formation. The creation of this procedure will guarantee a uniform, complete and modern formation based on a quality system thus minimising the biases induced by the multiplicity of actors performing the PIs. In the future, this formation schedule and empowerment could be adapted to other PI topics.