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The Four Weeks Without a Preceptor

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The Four Weeks Without a Preceptor

Amira is a community pharmacy intern in Hamilton. She has completed 46 of the 52 weeks of full-time supervised practice required for the Pharmaceutical Society's Intern Training Programme (ITP). Her approved preceptor, the pharmacy owner, took four weeks' annual leave. During that time no other approved preceptor was on site. A registered locum pharmacist covered some shifts and was available by phone from a different store; Amira worked 40-hour weeks, checked prescriptions and counselled patients. The owner recorded the four weeks in Amira's ITP log as supervised practice and told her to get the locum to sign the weekly sheets retrospectively. PSNZ now audits the log and asks Amira to certify its accuracy. Amira is due to sit the Assessment Centre in six weeks and fears a delay will cost her a graduate position. The owner says 'everyone rounds up their hours'.

1. What should Amira do when asked to certify the ITP log, and why?

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Amira should not certify the log as accurate while it records four weeks as supervised practice by an approved preceptor. The ITP log is a regulatory record used to decide whether she has met the supervised-practice requirement; certifying something she knows is untrue would be dishonest and could become a conduct matter, quite apart from the hours problem. The core issue is that supervised practice means practice under an approved preceptor with appropriate oversight. A locum who is not an approved preceptor, providing phone advice from another store, is unlikely to satisfy that requirement for four full weeks. Amira should tell the PSNZ ITP coordinator promptly, explain what happened, correct the log to show the true supervision arrangement, and ask what evidence or retrospective approval might be possible. She should keep her explanation factual and avoid blaming the owner in a way that obscures her own responsibility. Early, honest disclosure is both the professional course and the best way to preserve her credibility.

2. What are the likely consequences for Amira's supervised practice hours and registration timeline, and what steps can she take now?

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The likely consequence is that the four weeks will not count towards the 52-week full-time equivalent requirement unless PSNZ agrees retrospectively that the arrangement met supervision standards. Amira should plan for an extension of about four weeks rather than assume the hours will be accepted. She should ask PSNZ to confirm the deficit in writing, arrange an approved preceptor for the remaining period, and discuss whether she remains eligible for the scheduled Assessment Centre. She should also tell her prospective employer that her registration date may move; a conditional offer is not a reason to conceal a regulatory problem. Her mitigation is early disclosure, a concrete remediation plan, evidence of reflection, and no further inaccurate recording. The owner's 'everyone rounds up' comment does not protect her: the intern is responsible for the accuracy of her own log, and a pattern of inaccurate certification would be treated more seriously than a single corrected error.

3. What should have happened before the preceptor went on leave?

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Before the leave, the owner and Amira should have checked the ITP supervision requirements and confirmed whether another approved preceptor would be on site for the whole period. If no approved preceptor was available, the options were to arrange cover by an approved preceptor, defer the leave, pause the counting of supervised practice, or notify PSNZ in advance and seek approval for an alternative arrangement. Phone oversight by a non-approved locum should not have been presented as equivalent without written confirmation. The weekly sheets should have been completed contemporaneously by the person actually providing supervision, not reconstructed afterwards. The underlying principle is that supervision protects patients and confirms competence; it is not an administrative tick. A short delay or a planned extension is preferable to an audit finding of false certification, which can affect both registration and future good character assessments.