Well, I do think an experienced pharmacist IP should be able to supervise the training of another IP be it, nurse or pharmacist, especially if they are training in a similar area of practice.
I am currently supporting the training of other IP pharmacists and we have joint clinics. I have also created a bank of cases to support the training of nurse IPs within the practices that are run by the Health Board. We are also trying to develop joint home visits with a trainee nurse practitioner and Advanced pharmacist to improve the management of more frail and complex patients on multiple medications.
However, I feel we must not do this in isolation and continue to value the support and vast generalist experience that GPs bring to the training. I found the time spent with my GP DSMP invaluable. He challenged me constantly with evidence-based scenarios, differential diagnosis, examination techniques, consultation skills plus we had time to consider social and mental health in greater detail than I would have done with another pharmacist.
The greatest learning needs I think was clinical judgement and decision making under pressure, working within a team and learning who to delegate to. Confidence building by constant challenge, not knowing what to expect and accepting the grey. Signing off a pharmacist IP at the moment I believe should still be by a GP, even though I am experienced I think the GP could still offer more especially with regard to developing the resilience to make difficult and complex decisions.
As time goes on and we have more Advanced pharmacists then this could possibly change, but it is early days and as such I feel the GP should still have the option to assess and sign off, but the time spent could be reduced as pharmacists become more competent and experienced with patients.