What happens when learners teach learners? Layered learning is a teaching model that brings pharmacy students, residents, and preceptors together in a collaborative learning environment. Our host Carolyn Liptak is joined by Dr. Sarah Eggers Russell, PharmD, BCACP, CPP of UNC Health REX and Dr. Kimberly James, PharmD of UF Health to discuss how layered learning works in pharmacy residency programs and why it continues to gain traction across healthcare settings. They share perspectives from their own programs and discuss what it takes to create meaningful learning experiences for learners at every stage of training.
Guest Speakers:
Dr. Sarah Eggers Russell, PharmD, BCACP, CPP
UNC Health REX
Dr. Kimberly James, PharmD
UF Health
Host:
Carolyn Liptak, MBA, BS Pharm
Pharmacy Executive Director, Regulatory Compliance
Vizient Center for Pharmacy Practice Excellence
Show Notes:
00:05 - What Is Layered Learning?
- Definition of layered learning and its role in pharmacy education
- How teaching, mentorship, and patient care occur simultaneously
- Benefits for learners, preceptors, and patients
01:08 - Residency Program Overviews
- UNC Health Rex ambulatory care residency program
- UF Health pediatric pharmacy residency program
- Opportunities for students, residents, and advanced learners across diverse practice settings
02:22 - How Layered Learning Works in Practice
- Senior learners mentoring junior learners under pharmacist supervision
- Developing teaching skills and professional behaviors
- Expanding direct patient care opportunities while supporting preceptor workloads
03:33 - Defining Roles and Responsibilities
- Setting expectations before the rotation begins
- Assessing learner readiness for teaching responsibilities
- Creating structured orientation processes for all learners
- Providing feedback and evaluation opportunities for resident preceptors
05:55 - Adapting to Different Learning Styles
- Tailoring rotations to individual learner needs
- Gradually increasing clinical responsibilities
- Using regular feedback sessions and midpoint evaluations
- Building confidence through progressive independence
08:20 - Building Successful Layered Learning Experiences
- Differences between primary and co precepting models
- Leveraging learners to expand patient access and clinical services
- Using shared precepting across diverse practice environments
- Creating opportunities for leadership and teaching development
10:42 - Keeping Learners Engaged in Ambulatory Care
- Managing clinic schedules and patient encounters
- Evidence based patient case presentations
- Topic discussions, drug information requests, and interdisciplinary shadowing opportunities
- Exposure to diagnostic testing and specialty practice areas
12:13 - Structuring Layered Learning in the Inpatient Setting
- Working across multiple specialty consult services
- Presenting to interdisciplinary healthcare teams
- Shadowing opportunities with nursing and other disciplines
- Using projects to improve patient care and learner engagement
13:39 - Advice for First Time Preceptors
- Maintaining flexibility and adaptability
- Meeting learners where they are in their development
- Keeping communication open through regular check ins
- Encouraging learners to embrace new challenges and teaching opportunities
14:51 - The Lasting Impact of Layered Learning
- Benefits for junior learners, advanced learners, and preceptors
- Strengthening interdisciplinary collaboration
- Increasing awareness of pharmacy residency programs
- Bringing fresh perspectives and new ideas into clinical practice
16:34 - Resources and What's Next
- ASHP Guide for Best Practices of Layered Learning
- Upcoming Vizient Layered Learning Toolkit currently in development
Links and Resources:
Residency Guide Best Practices for Resident Engagement in LLM
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