Note: This form should only be used if you completed a co-curricular event that was not listed in the online co-curricular event system. If you completed a co-curricular event that was listed in the online system, you should complete your reflection using the online system.
Directions:
- Select an event that you would like to count towards the co-curricular event requirement.
- Identify four key elements from the list below that relate to the selected event.
- Contact Dr. Bald (elizabeth.bald@pharm.utah.edu) to determine if the event will count towards this requirement (please provide information about the event, location, and key elements you have selected).
- Participate in the event.
- Using the space below, write a reflection for each key element using the corresponding reflection questions.
- Upload this completed document to Canvas and attach it to your mentor checklist.
Key Elements and Corresponding Reflection Questions:
Domain 3 - Approach to Practice and Care
3.1. Problem Solving (Problem Solver) – Identify problems; explore and prioritize potential strategies; and design, implement, and evaluate a viable solution.
Corresponding Question: Describe a time at a co-curricular activity where you had an opportunity to become a better problem solver. How did you identify a problem that needed to be solved and how did you go about implementing and evaluating a solution to the problem?
3.2. Educator (Educator) – Educate all audiences by determining the most effective and enduring ways to impart information and assess understanding.
Corresponding Question: Describe a time at a co-curricular activity when you became a more competent pharmacist educator. Who were you educating and how did you assess their understanding and comprehension?
3.3. Patient Advocacy (Advocate) - Assure that patients’ best interests are represented.
Corresponding Question: Describe a time at a co-curricular activity when you had an opportunity to advocate for patients, either by empowering one of your patients to take control of their health or by ensuring that your patients received the optimal healthcare. Was this an individual patient or a group of patients that you advocated for?
3.4. Interprofessional collaboration (Collaborator) – Actively participate and engage as a healthcare team member by demonstrating mutual respect, understanding, and values to meet patient care needs.
Corresponding Question: Describe a time at a co-curricular activity when you worked as part of an interprofessional health care team. How did you and your team establish your respective roles and responsibilities on the team, and communicate effectively with each other to make team-based decisions to optimize the care of your patient(s)?
3.5. Cultural sensitivity (Includer) - Recognize social determinants of health to diminish disparities and inequities in access to quality care.
Corresponding Question: Describe a time at a co-curricular activity when you were able to work with patients from different cultures. How did you show respect for the patient’s cultural beliefs in communicating with and developing a care plan for that patient?
3.6. Communication (Communicator) – Effectively communicate verbally and nonverbally when interacting with an individual, group, or organization.
Corresponding Question: Describe a time at a co-curricular activity when you learned to communicate more effectively with a patient or other health care providers. What did you learn and how are you going to use that communication technique to deliver better care to your patients?
Domain 4 – Personal and Professional Development
4.1. Self-awareness (Self-aware) – Examine and reflect on personal knowledge, skills, abilities, beliefs, biases, motivation, and emotions that could enhance or limit personal and professional growth.
Corresponding Question: Describe a time at a co-curricular activity when you recognized personal or professional limitations that you would need to overcome to become a better pharmacist. What did you do to address these limitations and grow personally and professionally?
4.2. Leadership (Leader) - Demonstrate responsibility for creating and achieving shared goals, regardless of position.
Corresponding Question: Describe a time at a co-curricular activity when you were a member of a team and had an opportunity to develop leadership skills or helped your team work more effectively. What personal characteristics were important in your being able to promote effective teamwork and creating shared goals?
4.3. Innovation and Entrepreneurship (Innovator) - Engage in innovative activities by using creative thinking to envision better ways of accomplishing professional goals.
Corresponding Question: Describe a time at a co-curricular activity when you had an opportunity to demonstrate creative thinking and decision-making to overcome a barrier that commonly confronts pharmacists in delivering quality care. What was the barrier and what was your idea or approach to overcome the barrier?
4.4. Professionalism (Professional) - Exhibit behaviors and values that are consistent with the trust given to the profession by patients, other healthcare providers, and society.
Corresponding Question: Describe a time at a co-curricular activity when you had an opportunity to demonstrate professional behaviors and values that are expected of pharmacists. What were the behaviors and values and why are these important to establish trust in pharmacists