Objective. To summarize the effects of media methods used in continuing education (CE) programs on providing clinical community pharmacy services and the methods used to evaluate the effectiveness of these programs. Methods. A systematic review was performed using Medline, SciELO, and Scopus databases. The timeline of the search was 1990 to 2013. Searches were conducted in English, Portuguese, and Spanish. Results. Nineteen articles of 3990 were included. Fourteen studies used only one media method, and the live method (n511) was the most frequent (alone or in combination). Only two studies found that the CE program was ineffective or partially effective; these studies used only the live method. Most studies used nonrobust, nonvalidated, and nonstandardized methods to measure effectiveness. The majority of studies focused on the effect of the CE program on modifying the knowledge and skills of the pharmacists. One study assessed the CE program's benefits to patients or clients. Conclusion. No evidence was obtained regarding which media methods are the most effective. Robust and validated methods, as well as assessment standardization, are required to clearly determine whether a particular media method is effective.Keywords: continuing education, community pharmacy, pharmacy service
INTRODUCTIONCommunity pharmacists are among the most accessible health professionals. They are in a unique position to help patients manage several health conditions. In recent decades, the role of community pharmacists has shifted from providing medications to providing clinical community pharmacy services (eg, drug therapy management, residential medication management review, and pharmacybased minor ailment treatment regiments, among others). [1][2][3] This shift has created a need to develop and maintain expertise and competence in new areas, including pharmacotherapy, interpersonal communication, and patient information documentation. 4,5 However, pharmacy curricula in several countries do not focus on clinical community pharmacy services. Only a few disciplines focus on developing communication skills and pharmacotherapy knowledge. [6][7][8] Studies report that community pharmacists in several countries have insufficient knowledge in these areas, 9-12 and community pharmacists commonly provide clinical community pharmacy services at an unsatisfactory level of quality. [13][14][15] Such a situation poses problems concerning appropriateness, effectiveness, safety, and adherence to patients' drug therapy regimens.Continuing education (CE) programs can play a vital role in expanding basic pharmacy education and enhancing therapeutic management skills, particularly in areas for which insufficient training has been received or achieved during undergraduate studies. 16 Increasingly, more countries are implementing CE program for community pharmacists as obligatory lifelong learning programs in an attempt to improve clinical community pharmacy 1 services. Nevertheless, much remains unclear about which media methods in CE programs provide...