Manual!for!Preceptors! - Presbyterian College School of Pharmacy
Manual!for!Preceptors! - Presbyterian College School of Pharmacy
Manual!for!Preceptors! - Presbyterian College School of Pharmacy
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Pr<strong>of</strong>essional Experience <br />
<strong>Manual</strong> <strong>for</strong> <strong>Preceptors</strong> and Students <br />
“The mission <strong>of</strong> the <strong>School</strong> <strong>of</strong> <strong>Pharmacy</strong> at <strong>Presbyterian</strong> <strong>College</strong> is to improve the <br />
health <strong>of</strong> South Carolinians and society in general by developing students with an <br />
unwavering ethical foundation who will positively impact the delivery <strong>of</strong> quality, <br />
equitable pharmacy care; who will dedicate their lives to community service; and <br />
who will provide enlightened leadership in addressing the health care needs <strong>of</strong> a <br />
diverse patient population.” <br />
See online version <strong>of</strong> Pr<strong>of</strong>essional Experiential manual <strong>for</strong> most recent version <br />
http://pharmacy.presby.edu/experiential-education/preceptors/ <br />
Revised 20110509 <br />
Office <strong>of</strong> Experiential Education <br />
307 North Broad Street <br />
Clinton, SC 29325
Welcome to PCSP Precepting!<br />
Thank you <strong>for</strong> agreeing to be a Preceptor <strong>for</strong> <strong>Presbyterian</strong> <strong>College</strong> <strong>School</strong> <strong>of</strong> <strong>Pharmacy</strong> (PCSP).<br />
We count on pr<strong>of</strong>essionals like you to help us to prepare the next generation <strong>of</strong> pharmacists. Once<br />
PCSP student pharmacists successfully complete our program, they will have completed over 360<br />
IPPE (Introductory <strong>Pharmacy</strong> Practice Experience) hours and over 1500 APPE (Advanced<br />
<strong>Pharmacy</strong> Practice Experience) hours – the majority <strong>of</strong> which accomplished thanks to <strong>Preceptors</strong><br />
like you.<br />
The Office <strong>of</strong> Experiential Education will provide you, as a Preceptor, the tools, syllabi and<br />
resources you need to effectively mentor our students. Additionally, we host annual Preceptor<br />
Conferences at the <strong>School</strong>, which <strong>of</strong>fer Continuing Education credit and hands-on training in<br />
E*Value, our web-based program <strong>for</strong> rotation management – from scheduling to evaluations.<br />
Please take a moment to visit our Preceptor web page on the <strong>School</strong> <strong>of</strong> <strong>Pharmacy</strong> website:<br />
http://pharmacy.presby.edu/experiential-education/preceptors/<br />
There you will find links to the following: the EValue ® home/log-in page; free Pharmacist Letter ®<br />
Preceptor training modules; Preceptor Availability <strong>for</strong>m; the most current Pr<strong>of</strong>essional Experience<br />
manual (containing student objectives and assignments); and video tutorials <strong>for</strong> validating student<br />
hours and completing student evaluations. You’ll also find a link to other Preceptor resources,<br />
which includes access to the <strong>Presbyterian</strong> <strong>College</strong> electronic journal collection as well as other<br />
online tools. As PCSP <strong>Preceptors</strong> are required to complete training prior to taking our students, our<br />
Office <strong>of</strong> Experiential Education will help to prepare you <strong>for</strong> your mentoring role.<br />
Additionally, as <strong>Preceptors</strong> receive notification when evaluations or Time Tracking submissions are<br />
due, it is essential that the email address on file <strong>for</strong> you is kept current. Your EValue ® username<br />
and password will be included in your initial email message. Should you lose your password, you<br />
should request it from the EValue ® home/log-in page, as our <strong>of</strong>fice does not have access to that<br />
in<strong>for</strong>mation.<br />
Please do not hesitate to contact either Christopher Rico or Dr. McKelvey with any questions, as we<br />
are here to facilitate you and ensure that your experience as a Preceptor is as rewarding to you as it<br />
is to our students.<br />
Kind Regards,<br />
Christopher Rico & Lewis McKelvey<br />
2
Office <strong>of</strong> Experiential Education <br />
The Office <strong>of</strong> Experiential Education coordinates the Introductory <strong>Pharmacy</strong> Practice Experience <br />
(IPPE) and Advance <strong>Pharmacy</strong> Practice (APPE) programs <strong>for</strong> the <strong>Presbyterian</strong> <strong>College</strong> <strong>School</strong> <strong>of</strong> <br />
<strong>Pharmacy</strong>. The Office is the point <strong>of</strong> contact <strong>for</strong> IPPE/APPE Students and <strong>Preceptors</strong>. <br />
<strong>Presbyterian</strong> <strong>College</strong> <strong>School</strong> <strong>of</strong> <strong>Pharmacy</strong> <br />
Office <strong>of</strong> Experiential Education <br />
307 North Broad Street <br />
Clinton, SC 29325 <br />
Office Hours: 8:30 A.M. – 5:00 P.M. <br />
Assistant Dean <strong>for</strong> Experiential Education <br />
Lewis McKelvey, Jr., Pharm.D. RPh <br />
Campus Office: <br />
Telephone: <br />
Fax: <br />
Email: <br />
PCSP 326 <br />
(864) 938-‐3866 <br />
(864) 938-‐3903 <br />
lmckelvey@presby.edu <br />
Administrative Assistant <br />
Christopher Rico <br />
Campus Office <br />
Telephone: <br />
Fax: <br />
Email: <br />
PCSP 327 <br />
(864) 938-‐3865 <br />
(864) 938-‐3903 <br />
jrico@presby.edu <br />
The PCSP PharmD program prepares students to… <br />
Develop and use patient-specific pharmacy care plans. <br />
Effectively manage a patient-centered pharmacy practice. <br />
Develop disease management programs. <br />
Manage the system <strong>of</strong> medication use. <br />
Promote the availability <strong>of</strong> health promotion and disease prevention initiatives. <br />
Communicate with patients, caregivers, and other members <strong>of</strong> the interpr<strong>of</strong>essional health <br />
care team. <br />
Search the health sciences literature. <br />
Demonstrate expertise in the area <strong>of</strong> in<strong>for</strong>matics (resources, devices, and methods required to <br />
optimize the acquisition, storage, retrieval, and use <strong>of</strong> in<strong>for</strong>mation in pharmacy and <br />
healthcare. <br />
Apply state and federal laws and regulations to the practice <strong>of</strong> pharmacy. <br />
Maintain pr<strong>of</strong>essional competence. <br />
3
Table <strong>of</strong> Contents <br />
Academic Calendars <br />
General Introduction <br />
Preceptor Requirements <br />
Student Requirements <br />
5 <br />
8 <br />
11 <br />
16 <br />
IPPE Syllabi <br />
1 st Year PHRM 5201 18 <br />
2 nd Year PHRM 6101, 6201 21 <br />
3 rd Year PHRM 7101, 7201 28 <br />
FORMS <br />
Site Evaluation Form <br />
Student Petition Policy/Form <br />
Student Site Orientation Checklist <br />
IPPE Evaluation Form <br />
Mileage Chart <br />
36 <br />
37 <br />
39 <br />
40 <br />
43 <br />
ACPE ACCREDITATION STANDARDS AND GUIDELINES FOR THE PROFESSIONAL PROGRAM IN <br />
PHARMACY LEADING TO THE DOCTOR OF PHARMACY DEGREE <br />
ADOPTED: JANUARY 15, 2006 <br />
GUIDELINES 2.0: JANUARY 23, 2011 <br />
Standard 14: Curricular Core: <strong>Pharmacy</strong> Practice Experiences <br />
Standard 28: Practice Facilities <br />
Appendix C: Additional Guidelines on <strong>Pharmacy</strong> Practice Experiences <br />
45 <br />
48 <br />
51 <br />
Appendix D: Pre-Advanced <strong>Pharmacy</strong> Practice Experiences Per<strong>for</strong>mance 55 Domains <br />
and Abilities <br />
4
2011 – 2012 EXPERIENTIAL CALENDARS <br />
FALL 2011 SEMESTER <br />
AUGUST 2011 <br />
15 -‐ 19 Monday thru Friday P2 Summer community IPPE 40-hour week <br />
(8hrs/day <strong>for</strong> 5 days/week <strong>for</strong> total <strong>of</strong> 1 week) <br />
SEPTEMBER 2011 <br />
6, 7, 9 Tues, Wed & Fri P2 Fall institutional IPPE Semester Begins <br />
(4hrs/day, per student, per week, <strong>for</strong> 5 weeks x2 <strong>for</strong> total <strong>of</strong> 10 weeks) <br />
OCTOBER 2011 <br />
4, 5, 7 Tues, Wed & Fri Last week <strong>of</strong> 1 st 5-‐week IPPE segment / E*Value evaluations due <br />
10-‐11 Monday & Tuesday Fall Break NO IPPEs this week <br />
18, 19, 21 Tues, Wed & Fri First week <strong>of</strong> 2 nd 5-‐week IPPE segment <br />
NOVEMBER 2011 <br />
15, 16, 18 Tues, Wed & Fri Last week <strong>of</strong> 2 nd 5-‐week IPPE segment/ E*Value evaluations due <br />
SPRING 2012 SEMESTER <br />
JANUARY 2012 <br />
2 -‐ 6 Monday thru Friday P2 Winter community IPPE 40-hour week <br />
(8hrs/day <strong>for</strong> 5 days/week <strong>for</strong> total <strong>of</strong> 1 week) <br />
17, 19, 20 Tues, Thurs & Fri P2 Spring institutional IPPE Semester begins <br />
(4hrs/day, per student, per week, <strong>for</strong> 5 weeks x2 <strong>for</strong> total <strong>of</strong> 10 weeks) <br />
FEBRUARY 2012 <br />
14, 16, 17 Tues, Thurs & Fri Last week <strong>of</strong> 1 st 5-‐week IPPE segment <br />
21, 23, 24 Tues, Thurs & Fri First week <strong>of</strong> 2 nd 5-‐week IPPE segment <br />
February 27 – March 2 <br />
Spring Break NO IPPEs this week <br />
MARCH 2012 <br />
27, 29, 30 Tues, Thurs & Fri P2 Spring Semester IPPEs End / E*Value evaluations due Friday <br />
* Dates <strong>for</strong> 3 rd Year P3 Experiences TBA <br />
5
<strong>Presbyterian</strong> <strong>College</strong> <strong>School</strong> <strong>of</strong> <strong>Pharmacy</strong><br />
Curriculum<br />
Course Descriptions<br />
2011-2012<br />
Revised 04-‐26-‐11 <br />
PCSP Course Descriptions 2011-‐12 <br />
6
<strong>Presbyterian</strong> <strong>College</strong> <strong>School</strong> <strong>of</strong> <strong>Pharmacy</strong> <br />
Doctor <strong>of</strong> <strong>Pharmacy</strong> Curriculum 2011-2012 <br />
First Pr<strong>of</strong>essional Year<br />
Fall<br />
Spring<br />
No. Title Hr No. Title Hr<br />
5100 <strong>Pharmacy</strong> Orientation 1 5201 Introductory <strong>Pharmacy</strong> Practice<br />
1<br />
Experience (IPPE) I<br />
5101 Introduction to <strong>Pharmacy</strong> 2 5202 Health Care Systems &<br />
3<br />
Socioeconomics<br />
5102 Drug Literature Evaluation/Evidence Based Medicine 2 5203 Principles in Pathophysiology 5<br />
5103 Medical Immunology 3 5204 Principles <strong>of</strong> Drug Delivery 4<br />
5104 Human Biochemistry 3 5205 Health Ethics 3<br />
5105 Practice Integrated Lab Sequence (PILS) I 2 5206 PILS II 2<br />
5106 Medication Safety Management 2 5299 Deans Hour 0<br />
5107 Pharmaceutical Calculations 2<br />
5199 Deans Hour 0<br />
Total Hours 17 Total Hours 18<br />
Second Pr<strong>of</strong>essional Year<br />
Fall<br />
Spring<br />
6101 IPPE II 2 6201 IPPE III 2<br />
6102 Pharmacokinetics Principles 3 6202 Medication Therapy Management 2<br />
(MTM) I—Respiratory<br />
6103 Principles <strong>of</strong> Pharmacology/Medicinal Chemistry 4 6203 MTM II—Renal 2<br />
6104 Principles in Human Genetics & Pharmacogenomics 2 6204 MTM III—CVS I 2<br />
6105 Measuring Therapeutic Parameters 3 6205 MTM IV—CVS II 2<br />
6106 PILS III 2 6206 MTM V—OTC/Alternative Medicine 2<br />
6107 Clinical Research Design/Biostatistics 2 6207 MTM Case Study I 1<br />
6208 Pharmacotherapy Outcomes 2<br />
6209 PILS IV 1<br />
62xx Elective 2<br />
Total Hours 18 Total Hours 18<br />
Third Pr<strong>of</strong>essional Year<br />
Fall<br />
Spring<br />
7101 IPPE IV 2 7201 IPPE V 1<br />
7102 MTM VI—Infectious Disease 3 7202 MTM X—Psychiatry 2<br />
7103 MTM VII—Gastrointestinal/Nutrition 2 7203 MTM XI—Musculoskeletal 2<br />
7104 MTM VIII—Endocrine/Reproductive 2 7204 MTM XII—Hematology/Oncology 2<br />
7105 MTM IX—Neurosensory 2 7205 MTM XIII—Special Populations 2<br />
7106 MTM Case Study II 1 7206 MTM XIV—Clinical Toxicology 2<br />
7107 <strong>Pharmacy</strong> Administration I 3 7207 MTM Case Study III 1<br />
7108 PILS V 1 7208 <strong>Pharmacy</strong> Administration II 2<br />
71xx Elective 2 7209 <strong>Pharmacy</strong> Law 2<br />
7210 PILS VI 1<br />
72xx Elective 2<br />
Total Hours 18 Total Hours 19<br />
Fourth Pr<strong>of</strong>essional Year<br />
Summer<br />
8101 Advanced <strong>Pharmacy</strong> Practice Experience (APPE) I 4<br />
8102 APPE II 4<br />
8103 APPE III 4<br />
Total Hours 12<br />
Fall<br />
Spring<br />
8201 APPE IV 4 8301 APPE VII 4<br />
8202 APPE V 4 8302 APPE VIII 4<br />
8203 APPE VI 4 8303 APPE IX 4<br />
8299 Capstone I 1 8399 Capstone II 1<br />
Total Hours 13 Total Hours 13<br />
Total Semester Credit Hours……….. 146<br />
7
First Pr<strong>of</strong>essional Year<br />
PHRM 5100, <strong>Pharmacy</strong> Orientation (1)<br />
The course is a one week orientation workshop <strong>for</strong> P1 students prior to the start <strong>of</strong> fall classes. Provides students with an understanding <strong>of</strong><br />
the <strong>School</strong> <strong>of</strong> <strong>Pharmacy</strong> and <strong>Presbyterian</strong> <strong>College</strong> policies and procedures. Introduction to technology, teaching methods, and modalities<br />
utilized at the school. Students will be trained on the use and importance <strong>of</strong> a student portfolio electronic system to be utilized throughout<br />
the four-year program. (Fall P1 year; 1 week prior to start <strong>of</strong> courses; pass/fail only)<br />
PHRM 5101, Introduction to <strong>Pharmacy</strong> (2)<br />
Orientation to the social, economic, and political environments within which pharmaceutical care is currently being delivered to the<br />
patient. Introduce the students to events and factors that impact the practice <strong>of</strong> pharmacy, including history, health systems, socioeconomics,<br />
and cultural diversity. (Fall P1 year; 2 lecture hours per week)<br />
PHRM 5102, Drug Literature Evaluation/Evidence Based Medicine (2)<br />
Development <strong>of</strong> skills necessary to incorporate timely and rigorously analyzed medical literature into a rational decision-making process.<br />
(Fall P1 year; 1 lecture hour per week and 1 two-hour recitation per week)<br />
PHRM 5103, Medical Immunology (3)<br />
Basic elements <strong>of</strong> the immune system and the means through which the mechanisms <strong>of</strong> immunity act in a wide range <strong>of</strong> clinical<br />
conditions. (Fall P1 year; 3 lecture hours per week)<br />
PHRM 5104, Human Biochemistry (3)<br />
Fundamental biochemical principles underlying cellular physiology and biological processes. (Fall P1 year; 3 lecture hours per week)<br />
PHRM 5105, Practice Integrated Laboratory Sequence I (2)<br />
Training in first aid, CPR, HIPPA, basic state and federal pharmacy-related laws, and other areas required <strong>for</strong> IPPE rotations will be<br />
provided. Biological techniques such as ELISA in relationship to clinical diagnostic tools <strong>for</strong> the practical aspect <strong>of</strong> pharmacy practice<br />
will be investigated. (Fall P1 year; 2 three-hour labs per week)<br />
PHRM 5106, Medication Safety Management (2)<br />
Introduces medication use safety as a problem in public policy and the processes that foster the development <strong>of</strong> a culture <strong>of</strong> safety in the<br />
pharmacy workplace. (Fall P1 year; 2 lecture hours per week)<br />
PHRM 5107, Pharmaceutical Calculations (2)<br />
The study <strong>of</strong> the measurement units, mathematical functions and applications, and medical terminology essential to the safe and accurate<br />
practice <strong>of</strong> pharmacy. (Fall P1 year; 2 one-hour lectures per week)<br />
PHRM 5199, Deans Hour (0)<br />
Involves students in the college's leadership and strategic initiatives and engage them in academic excellence. (Fall P1 year; 1 hour per<br />
week; pass/fail only)<br />
PHRM 5201, Introductory <strong>Pharmacy</strong> Practice Experience I (1)<br />
Introduces students to the health care system and fosters a sense <strong>of</strong> community involvement. Early exposure to practice will make didactic<br />
instruction more relevant to civic involvement, humanistic care <strong>of</strong> patients, and social awareness <strong>of</strong> unmet medical needs. Unmet medical<br />
needs include: companionship, patient care, medication-related services, and screening <strong>for</strong> medical problems. Potential practice sites<br />
include: hospitals; retail pharmacies; free clinics; specialty clinics such as oncology, dialysis, and pediatrics; and nursing homes. (Spring<br />
P1 year; 40 hours during the first week <strong>of</strong> the semester plus 4 hours per week x 10 weeks during the semester; pass/fail only)<br />
PHRM 5202, Health Care Systems and Socioeconomics (3)<br />
This course is designed to help the student develop effective understanding <strong>of</strong> health care systems and the relationship <strong>of</strong><br />
pharmacoepidemiology and pharmacoeconomics to the healthcare setting as well as sociologic and cultural diversity impact on the<br />
economics <strong>of</strong> the health care system. (Spring P1 year; 3 lecture hours per week)<br />
PHRM 5203, Principles <strong>of</strong> Pathophysiology (5)<br />
The basic biological mechanisms <strong>of</strong> disease will be presented and discussed. Importance will be placed on basic principles <strong>of</strong> cell injury<br />
and death; inflammation; and neoplasia. (Spring P1 year; 5 lecture hours per week)<br />
PHRM 5204, Principles <strong>of</strong> Drug Delivery (4)<br />
Principle overview <strong>of</strong> the medicinal <strong>for</strong>mulations and physical/chemical properties <strong>of</strong> drugs. (Spring P1 year; 4 lecture hours per week)<br />
PHRM 5205, Health Ethics (3)<br />
Concepts in solving moral problems facing the contemporary pharmacists and medical pr<strong>of</strong>ession are discussed. (Spring P1 year; 3 lecture<br />
hours per week)<br />
Revised 04-26-11 PCSP Course Descriptions 2011-12<br />
8
PHRM 5206, Practice Integrated Laboratory Sequence II (2)<br />
Community based dispensing and extemporaneous compounding <strong>of</strong> dosage <strong>for</strong>ms. There will be a weekly reflection segment in which<br />
students will provide presentations based on experiences in their IPPE I course. (Spring P1 year; 2 three-hour laboratories per week)<br />
PHRM 5299, Dean Hour (0)<br />
Involves students in the college's leadership and strategic initiatives and engage them in academic excellence. (Spring P1 year; 1 hour per<br />
week; pass/fail only)<br />
Second Pr<strong>of</strong>essional Year<br />
PHRM 6101, Introductory <strong>Pharmacy</strong> Practice Experience II (2)<br />
Introduces students to the health care system and fosters a sense <strong>of</strong> community involvement. Early exposure to practice will make didactic<br />
instruction more relevant to civic involvement, humanistic care <strong>of</strong> patients, and social awareness <strong>of</strong> unmet medical needs. Unmet medical<br />
needs include: companionship, patient care, medication-related services, and screening <strong>for</strong> medical problems. Potential practice sites<br />
include: hospitals; retail pharmacies; free clinics; specialty clinics such as oncology, dialysis, and pediatrics; and nursing homes. (Fall P2<br />
year; 40 hours during the first week <strong>of</strong> the semester plus 4 hours per week x 10 weeks during the semester; pass/fail only)<br />
PHRM 6102, Pharmacokinetic Principles (3)<br />
Involves the theoretical mathematical and functionally dependent physiologic relationships that comprise the quantitative basis <strong>for</strong><br />
determining patient-specific and drug dosage regimens. (Fall P2 year; 2 lecture hours per week and 1 two-hour recitation)<br />
PHRM 6103, Principles <strong>of</strong> Pharmacology/Medicinal Chemistry (4)<br />
Basic pharmacologic principles <strong>of</strong> pharmacodynamics and cellular processes and the structure activity relationships that underlie the<br />
understanding <strong>of</strong> a rational approach to therapeutics. (Fall P2 year; 4 lecture hours per week)<br />
PHRM 6104, Principles in Human Genetics & Pharmacogenomics (2)<br />
Importance <strong>of</strong> DNA variations in the genetic basis <strong>for</strong> disease and individual responses to environmental factors, as well as <strong>for</strong> such<br />
normal variations in biological processes as development and drug response. (Fall P2 year; 2 lecture hours per week)<br />
PHRM 6105, Measuring Therapeutic Parameters (3)<br />
Introduction to measurable endpoints <strong>for</strong> the evaluation <strong>of</strong> therapy including laboratory markers <strong>of</strong> diseases and their resolution or<br />
progress. (Fall P2 year; 2 lecture hours per week)<br />
PHRM 6106, Practice Integrated Laboratory Sequence III (2)<br />
Develop pr<strong>of</strong>iciency with compounding selected sterile <strong>for</strong>mulations and employing proper aseptic techniques. APhA certification in<br />
immunizations and also emphasize diabetic education and clinical evaluation <strong>of</strong> community-based patients. There will be a weekly<br />
reflection segment in which students will provide presentations based on experiences in their IPPE II course. (Fall P2 year; 1 three-hour<br />
laboratory and 1 two-hour recitation per week)<br />
PHRM 6107, Clinical Research Design/Biostatistics (2)<br />
Design, implementation, and statistical analysis <strong>of</strong> research projects related to healthcare. (Fall P2 year; 2 lecture hours per week)<br />
PHRM 6201, Introductory <strong>Pharmacy</strong> Practice Experience III (2)<br />
The Introductory <strong>Pharmacy</strong> Practice Experience (IPPE) introduces students to the health care system and fosters a sense <strong>of</strong> community<br />
involvement. Early exposure to practice will make didactic instruction more relevant to civic involvement, humanistic care <strong>of</strong> patients,<br />
and social awareness <strong>of</strong> unmet medical needs. Unmet medical needs include: companionship, patient care, medication-related services,<br />
and screening <strong>for</strong> medical problems. Practice sites will be selected where community or institutional practice is the focus. (Spring P2<br />
year; 40 hours during the first week <strong>of</strong> the semester plus 4 hours per week x 10 weeks during the semester; pass/fail only)<br />
Medication Therapy Management I-XIV<br />
Medical Therapy Management (MTM) courses are block-taught, integrated modules that present students with the pathology <strong>of</strong> common<br />
diseases; the basic mechanisms, chemistry, and pharmacokinetics <strong>of</strong> drugs that affect those diseases; and the therapeutic management <strong>of</strong><br />
patients with those diseases. These courses also focus on the development and management <strong>of</strong> pharmacy services that center on those<br />
disease states.<br />
PHRM 6202, Medication Therapy Management I—Respiratory (2)<br />
Clinical presentation <strong>of</strong> common diseases <strong>of</strong> the respiratory system; chemistry, pharmacology, and kinetics <strong>of</strong> common therapeutic agents<br />
used to treat respiratory diseases; and therapeutic management <strong>of</strong> patients. (SpringP2 year)<br />
PHRM 6203, Medication Therapy Management II—Renal (2)<br />
Clinical presentation <strong>of</strong> common diseases <strong>of</strong> the renal system; chemistry, pharmacology, and kinetics <strong>of</strong> common therapeutic agents used<br />
to treat renal diseases; therapeutic management <strong>of</strong> patients; and the impact on kinetics <strong>of</strong> medications. (Spring P2 year)<br />
Revised 04-26-11 PCSP Course Descriptions 2011-12<br />
9
PHRM 6204, Medication Therapy Management III—Cardiovascular System I (2)<br />
Clinical presentation <strong>of</strong> common diseases <strong>of</strong> the cardiovascular system; chemistry, pharmacology, and kinetics <strong>of</strong> common therapeutic<br />
agents used to treat cardiovascular diseases such as hypertension, CAD, and hyperlidemia; and therapeutic management <strong>of</strong> patients.<br />
(Spring P2 year)<br />
PHRM 6205, Medication Therapy Management IV—Cardiovascular System II (2)<br />
Clinical presentation <strong>of</strong> common diseases <strong>of</strong> the cardiovascular system; chemistry, pharmacology, and kinetics <strong>of</strong> common therapeutic<br />
agents used to treat cardiovascular diseases such as stroke, CHF, shock, and INR monitoring; and therapeutic management <strong>of</strong> patients.<br />
(Spring P2 year)<br />
PHRM 6206, Medication Therapy Management V—Other-The-Counter/Alternative Medicine (2)<br />
Clinical presentation <strong>of</strong> common disorders that may be self treated with non-prescription medications; chemistry, pharmacology, and<br />
kinetics <strong>of</strong> common OTC and herbal agents used to treat; and therapeutic management <strong>of</strong> these disorders. (Spring P2 year)<br />
PHRM 6207, Medication Therapy Management Case Study Laboratory I (1)<br />
Further development <strong>of</strong> knowledge from the MTM sequence in a problem-based <strong>for</strong>mat. Specific to MTM module <strong>of</strong> study. (Spring P2<br />
year; 1 two-hour recitation per week)<br />
PHRM 6208, Pharmacotherapy Outcomes (2)<br />
The primary predictors <strong>of</strong> patient response to pharmacotherapy and the main factors <strong>of</strong> risk are discussed. An emphasis is placed on the<br />
socio-economic factors <strong>of</strong> disease and medication therapy. (Spring P2 year; 3 lecture hours per week)<br />
PHRM 6209, Practice Integrated Laboratory Sequence IV (1)<br />
Clinical assessment techniques and modalities used in the treatment <strong>of</strong> patients. Material will coincide with the weekly MTM course<br />
in<strong>for</strong>mation. Reflection segment based on experiences in their IPPE III course will be incorporated. (Spring P2 year; 1 three-hour<br />
laboratory per week)<br />
Third Pr<strong>of</strong>essional Year<br />
PHRM 7101, Introductory <strong>Pharmacy</strong> Practice Experience IV (2)<br />
Introduces students to the health care system and fosters a sense <strong>of</strong> community involvement. Early exposure to practice will make didactic<br />
instruction more relevant to civic involvement, humanistic care <strong>of</strong> patients, and social awareness <strong>of</strong> unmet medical needs. Unmet medical<br />
needs include: companionship, patient care, medication-related services, and screening <strong>for</strong> medical problems. Potential practice sites<br />
include: hospitals; retail pharmacies; free clinics; specialty clinics such as oncology, dialysis, and pediatrics; and nursing homes. (Fall P3<br />
year; 40 hours during the first week <strong>of</strong> the semester plus 8 hours a week x 5 weeks during the semester; pass/fail only)<br />
PHRM 7102, Medication Therapy Management VI—Infectious Diseases (3)<br />
Clinical presentation <strong>of</strong> common infectious diseases; chemistry, pharmacology, and kinetics <strong>of</strong> common therapeutic agents used to treat<br />
infectious diseases; and therapeutic management <strong>of</strong> patients. (Fall P3 year)<br />
PHRM 7103, Medication Therapy Management VII—Gastrointestinal/Nutrition (2)<br />
Principles <strong>of</strong> nutrition; the pathophysiology and clinical presentation <strong>of</strong> common nutritional diseases and common diseases <strong>of</strong> the<br />
gastrointestinal system; chemistry, pharmacology, and kinetics <strong>of</strong> common therapeutic agents used to treat nutritional and gastrointestinal<br />
diseases; and therapeutic management <strong>of</strong> patients. (Fall P3 year)<br />
PHRM 7104, Medication Therapy Management VIII—Endocrine/Reproduction (2)<br />
Clinical presentation <strong>of</strong> common diseases <strong>of</strong> the endocrine system and reproduction; chemistry, pharmacology, and kinetics <strong>of</strong> common<br />
therapeutic agents used to treat endocrine disorders and reproduction; and therapeutic management <strong>of</strong> patients. (Fall P3 year)<br />
PHRM 7105, Medication Therapy Management IX—Neurosensory (2)<br />
Clinical presentation <strong>of</strong> common diseases <strong>of</strong> the Neurological system and sensory organs; chemistry, pharmacology, and kinetics <strong>of</strong><br />
common therapeutic agents used to treat Neurological and sensory organ diseases; and therapeutic management <strong>of</strong> patients. (Fall P3 year)<br />
PHRM 7106, Medication Therapy Management Case Study Laboratory II (1)<br />
Solve problems as they arise from cases regarding critical disorders relevant to the practice <strong>of</strong> pharmacy. (Fall P3 year; 1 two-hour<br />
recitation per week)<br />
PHRM 7107, <strong>Pharmacy</strong> Administration I (3)<br />
Skills <strong>for</strong> analyzing problems involving time, equipment, dollar and human resources in a health care environment. Emphasis is on<br />
developing problem-solving abilities within a management framework. It focuses on financial aspects <strong>of</strong> pharmacy operations and thirdparty<br />
reimbursement systems <strong>for</strong> pharmacy goods and services. (Fall P3 year; 3 lecture hours per week)<br />
PHRM 7108, Practice Integrated Laboratory Sequence V (1)<br />
Provide students with clinical assessment techniques and modalities used in the treatment <strong>of</strong> patients. There will be weekly reflection<br />
segment in which students will provide presentations based on experiences in their IPPE IV course. (Fall P3 year; 1 three-hour<br />
laboratory per week)<br />
10
PHRM 7201, Introductory <strong>Pharmacy</strong> Practice Experience V (1)<br />
Introduces students to the health care system and fosters a sense <strong>of</strong> community involvement. Early exposure to practice will make didactic<br />
instruction more relevant to civic involvement, humanistic care <strong>of</strong> patients, and social awareness <strong>of</strong> unmet medical needs. Unmet medical<br />
needs include: companionship, patient care, medication-related services, and screening <strong>for</strong> medical problems. Potential practice sites<br />
include: hospitals; retail pharmacies; free clinics; specialty clinics such as oncology, dialysis, and pediatrics; and nursing homes. (Spring<br />
P3 year; 8 hours a week x 5 weeks during the semester; pass/fail only)<br />
PHRM 7202, Medication Therapy Management X—Psychiatry (2)<br />
Clinical presentation <strong>of</strong> common diseases <strong>of</strong> behavior and cognition; chemistry, pharmacology, and kinetics <strong>of</strong> common therapeutic<br />
agents used to treat psychiatric disorders; and therapeutic management <strong>of</strong> patients. (Spring P3 year)<br />
PHRM 7203, Medication Therapy Management XI—Musculoskeletal (2)<br />
Clinical presentation <strong>of</strong> common diseases <strong>of</strong> the musculoskeletal system; chemistry, pharmacology, and kinetics <strong>of</strong> common therapeutic<br />
agents used to treat musculoskeletal disorders; and therapeutic management <strong>of</strong> patients. (Spring P3 year)<br />
PHRM 7204, Medication Therapy Management XII—Hematology/Oncology (2)<br />
This course includes the pathophysiology and clinical presentation <strong>of</strong> common diseases <strong>of</strong> the blood and reticuloendothelial systems and<br />
cancers; chemistry, pharmacology, and kinetics <strong>of</strong> common therapeutic agents used to treat blood and reticuloendothelial diseases and<br />
cancer; and therapeutic management <strong>of</strong> patients. (Spring P3 year)<br />
PHRM 7205, Medication Therapy Management XIII—Special Populations (2)<br />
Clinical presentation <strong>of</strong> common diseases that are common to special populations; chemistry, pharmacology, and kinetics <strong>of</strong> common<br />
therapeutic agents used to treat these groups; and therapeutic management <strong>of</strong> patients. (Spring P3 year)<br />
PHRM 7206, Medication Therapy Management XIV—Clinical Toxicology (2)<br />
Includes the mechanism <strong>of</strong> toxicity and toxicokinetics. The course will also discuss the acute and chronic effect <strong>of</strong> xenobiotics on the<br />
body; interpretation <strong>of</strong> drug screens; antidotes <strong>for</strong> toxic exposures; and the function <strong>of</strong> poison control centers. (Spring P3 year)<br />
PHRM 7207, Medication Therapy Management Case Study Laboratory III (1)<br />
Solve problems as they arise from cases regarding critical disorders relevant to the practice <strong>of</strong> pharmacy. (Spring P3 year; 1 two-hour<br />
recitation per week)<br />
PHRM 7208, <strong>Pharmacy</strong> Administration II (2)<br />
A continuation <strong>of</strong> <strong>Pharmacy</strong> Administration I, covering the fundamentals <strong>of</strong> managerial issues <strong>of</strong> community, retail, and institutional<br />
practice. (Spring P3 year; 2 lecture hours per week)<br />
PHRM 7209, <strong>Pharmacy</strong> Law (2)<br />
A case-based approach to the introduction to the legal aspects <strong>of</strong> the practice <strong>of</strong> pharmacy. (Spring P3 year; 2 lecture hours per week)<br />
PHRM 7210, Practice Integrated Laboratory Sequence VI (1)<br />
Clinical assessment techniques and modalities used in the treatment <strong>of</strong> patients. There will be a weekly reflection segment in which<br />
students will provide presentations based on experiences in their IPPE IV course. (Spring P3 year; 1 three-hour laboratory per week)<br />
Fourth Pr<strong>of</strong>essional Year<br />
PHRM 8101/8102, Advanced <strong>Pharmacy</strong> Practice Experience I and II—Ambulatory Care Clerkship I and II (4 each)<br />
The student will per<strong>for</strong>m pharmacist functions while under the supervision <strong>of</strong> the full-time, part-time, or affiliate faculty member. This<br />
clerkship will give the student experience in an ambulatory care practice setting. (P4 year; 40 hours per week x 4 weeks)<br />
PHRM 8103, Advanced <strong>Pharmacy</strong> Practice Experience III—In-Patient Acute Care Clerkship (4)<br />
The student will per<strong>for</strong>m pharmacist functions while under the supervision <strong>of</strong> the full-time, part-time, or affiliate faculty member. This<br />
clerkship will give the student experience in an in-patient practice setting. (P4 year; 40 hours per week x 4 weeks)<br />
PHRM 8201/8202, Advanced <strong>Pharmacy</strong> Practice Experience IV and V—Community Care Clerkship I and II (4 each)<br />
The student will per<strong>for</strong>m pharmacist functions while under the supervision <strong>of</strong> the full-time, part-time, or affiliate faculty member. This<br />
clerkship will give the student experience in a community clinical practice setting. (P4 year; 40 hours per week x 4 weeks)<br />
PHRM 8203, Advanced <strong>Pharmacy</strong> Practice Experience VI—Institutional Care Clerkship (4)<br />
The student will per<strong>for</strong>m pharmacist functions while under the supervision <strong>of</strong> the full-time, part-time, or affiliate faculty member. This<br />
clerkship will give the student experience in an institutional (hospital) practice setting. (P4 year; 40 hours per week x 4 weeks)<br />
PHRM 8299, Capstone I (1)<br />
Reflect on their skills and knowledge progress, to complete and turn in the final report <strong>of</strong> the student research project to their faculty<br />
advisors, to mentor and network with the lower-level students, to prepare and plan <strong>for</strong> post-graduate opportunities such as residencies and<br />
graduate school, and to provide time to regenerate and review material in areas the student feels strengthens his/her weaknesses (from the<br />
student portfolio). (P4 year; 40 hours per week x 4 weeks)<br />
11
PHRM 8301, Advanced <strong>Pharmacy</strong> Practice Experience VII—Selective Clerkship I and II (4 each)<br />
The student will per<strong>for</strong>m pharmacist functions while under the supervision <strong>of</strong> the full-time, part-time, or affiliate faculty member. This<br />
clerkship must be chosen from either a community-clinical or an ambulatory-care practice setting. (P4 year; 40 hours per week x 4 weeks)<br />
PHRM 8302/8303, Advanced <strong>Pharmacy</strong> Practice Experience VIII and IX—Elective Clerkship I and II (4 each)<br />
The student will per<strong>for</strong>m pharmacist functions while under the supervision <strong>of</strong> the full-time, part-time, or affiliate faculty member. (P4<br />
year; 40 hours per week x 4 weeks)<br />
PHRM 8399, Capstone II (1)<br />
This post-experiential course is designed to provide students with the opportunity to ponder the relationship between their didactic and<br />
experiential course work, to interact with faculty regarding possible career paths, to mentor and network with the P1-P3 students, to<br />
present the results <strong>of</strong> special projects and patient case studies, and to provide time to regenerate and reflect. Each student must make a<br />
patient care presentation as a culminating exercise. Finally, a review <strong>of</strong> drugs by category is provided, as well as an opportunity to<br />
participate in curricular review courses. (P4 year; 40 hours per week x 4 weeks)<br />
Revised 04-26-11 PCSP Course Descriptions 2011-12<br />
12
General Introduction & Overview <br />
<strong>Pharmacy</strong> educators and the community <strong>of</strong> pharmacy practitioners are joint partners, and together <br />
they are tasked with mentoring student pharmacists to develop and enhance the implementation <strong>of</strong> <br />
new practice models. The expectation is that this alliance will lead to graduates capable <strong>of</strong> practicing <br />
patient-‐centered care and <strong>of</strong> positively affecting patient outcomes. <br />
The <strong>Presbyterian</strong> <strong>College</strong> <strong>School</strong> <strong>of</strong> <strong>Pharmacy</strong> in coordination with community partners are <br />
collaborating to provide the preclinical student pharmacist with a practical knowledge base that will <br />
augment the didactic course work being taught. <br />
The general goals <strong>of</strong> the Introductory <strong>Pharmacy</strong> Practice Experience Program at PCSP are: <br />
1. To develop collaborative relationships between PCSP and the pharmacy pr<strong>of</strong>essional community <br />
<strong>for</strong> the implementation and development <strong>of</strong> an early experiential program <strong>for</strong> pharmacy students. <br />
2. To work jointly with community partners to promote patient-‐centered care as a practice standard <br />
and develop new pharmacy practice models <strong>for</strong> student experiential training. <br />
3. To work with the pharmacy pr<strong>of</strong>essional community to improve patient health outcomes and <br />
quality <strong>of</strong> life. <br />
The student-specific goals <strong>of</strong> the introductory experiential program are: <br />
1. To expose the student to aspects <strong>of</strong> pharmaceutical care and disease state management in the <br />
pharmacy practice setting, and to complement the knowledge, skills and attitudes learned in the <br />
didactic (classroom) portion <strong>of</strong> the curriculum. <br />
2. To allow the student to observe, interact, and practice these concepts with pharmacist role models <br />
and other health care pr<strong>of</strong>essionals. <br />
3. To give the student an understanding <strong>of</strong> the types <strong>of</strong> pharmacy practices, workloads, relationships, <br />
and attitudes <strong>of</strong> health care providers. <br />
4. To allow the student to observe and understand the legal and ethical dilemmas faced by <br />
pharmacists as they balance their obligation to patients with cost-‐control imperatives <strong>of</strong> the health <br />
care delivery systems in which they work. <br />
5. To help the student develop a personal perspective regarding the social and economic challenges to <br />
the development and maintenance <strong>of</strong> a patient-‐centered pharmacy practice. <br />
6. To develop the student’s communication and social-‐interaction skills, critical problem-‐solving skills, <br />
and a sense <strong>of</strong> pr<strong>of</strong>essionalism, responsibility and accountability with regards to the practice <strong>of</strong> patient <br />
centered-‐care. <br />
13
Site Assignment<br />
1. The Office <strong>of</strong> Experiential Education is responsible <strong>for</strong> assigning students to pharmacy practice <br />
sites, although in some instances students will be permitted to help find their own practice sites <br />
during the Summer and Winter 40-‐hour-‐week segments. <br />
2. Each site will have a specific contact person – usually the supervising pharmacist preceptor. <br />
3. Students are required to contact their preceptors prior to the start <strong>of</strong> each experience segment. <br />
4. The preceptor will mentor one to two students during the designated times. <br />
5. The supervising pharmacist preceptor will designate a preceptor pharmacist <strong>for</strong> each student <br />
when necessary. <br />
6. The student will interact with the supervising preceptor, other pharmacists, and other department <br />
<strong>of</strong> pharmacy personnel at the discretion <strong>of</strong> the preceptor. <br />
7. The pharmacist preceptor who works most closely with the assigned student(s) will be <br />
responsible <strong>for</strong> the ongoing assessment <strong>of</strong> the student. <br />
8. All students must have a current intern certificate, up to date immunization records, HIPAA & <br />
OSHA Bloodborne Pathogen training certification, and clean criminal background and drug screens. <br />
Additionally, P2 students have CPR/First Aid certification (lay responder), and sterile media fill <br />
certification. Questions or inquiries regarding specific student in<strong>for</strong>mation on this subject should be <br />
directed to the Office <strong>of</strong> Experiential Education. <br />
9. The experience level <strong>of</strong> each assigned student varies – and <strong>for</strong> that reason, guidelines detailed <br />
below are provided to serve as a key to areas where students will be exposed. <br />
General IPPE Guidelines <br />
1. The Community and Institutional Introductory <strong>Pharmacy</strong> Practice Experience (IPPE) are divided <br />
into either a one 40hr week segment, or five 4hr/week segments. P1 students will complete 40 IPPE <br />
hours. P2 students will complete 160 IPPE hours. (P3 students will complete 120 IPPE hours)*. <br />
2. The major goal is to expose the pre-‐clinical student pharmacist to the essential operational <br />
elements routinely per<strong>for</strong>med in the community and/or institutional setting. <br />
3. Many <strong>of</strong> these tasks are per<strong>for</strong>med regularly by technicians and other pharmacist extenders, and it <br />
would be appropriate <strong>for</strong> the pre-‐clinical student pharmacist to spend time with these individuals. <br />
4. A major expectation <strong>of</strong> the IPPE program is that each session begins with a meeting between the <br />
student and the pharmacist preceptor to outline the plan <strong>for</strong> that day’s activities, and that each <br />
session end with the pharmacist preceptor discussing any observations or questions the student may <br />
have regarding that day’s encounters. <br />
5. The order in which these activities are per<strong>for</strong>med is at the discretion <strong>of</strong> the preceptor. <br />
Additionally, if a preceptor determines that their site <strong>of</strong>fers other important, applicable experiences, <br />
the preceptor should feel free to incorporate these experiences into the student program. <br />
*specifics TBA <br />
14
Rotation Scheduling <br />
PCSP IPPE and APPE rotations are scheduled as follows: <br />
1 st year: Spring only, 10 weeks, 4 hours one afternoon a week in a <br />
community retail (chain or independent) setting. <br />
Total P1 hours: 40 hours <br />
2 nd year: Fall & spring. At the beginning <strong>of</strong> EACH semester, one 40hr-‐week <br />
in a community retail setting, followed by 10 weeks in an institutional (hospital, <br />
LTC or Hospice) setting, 4 hours one afternoon a week. <br />
Total P2 hours: 160 hours. <br />
3 rd year: At the beginning <strong>of</strong> the fall semester, one 40hr week in a <br />
community retail setting. During each fall and spring semester, one 8-‐hr day <br />
each week <strong>for</strong> 5 weeks in a direct patient-‐care setting <strong>for</strong> one semester, and one <br />
8-‐hr day each week <strong>for</strong> 5 weeks in simulated MTM setting on campus. <br />
P3 total: 120 hours. <br />
Grand IPPE total hours: 335 hours (includes 15 Service Learning hours) <br />
4 th year: Nine 1-‐month duration rotations, four <strong>of</strong> which are mandatory: <br />
advanced community; advanced institutional; ambulatory care; and acute care. <br />
Remaining 5 rotations are electives. <br />
Total P4 hours: >1500 hours <br />
15
IPPE Preceptor Requirements <br />
Service to the Community is basically what defines PCSP. Be<strong>for</strong>e listing the more specific Preceptor <br />
requirements, here are a few bullet points to keep in mind when you mentor our students… <br />
<br />
<br />
<br />
<br />
<br />
Preceptor training is required <strong>for</strong> all <strong>Preceptors</strong> and is available via the Preceptor’s web page. <br />
Currently <strong>for</strong> P1/P2 IPPE rotations, minimum requirement is completion <strong>of</strong> “Precepting <br />
Introductory <strong>Pharmacy</strong> Practice Experience”, available via Pharmacist Letter. All PCSP <br />
<strong>Preceptors</strong> have free access to Pharmacist Letter via the link on the Preceptor’s web page. <br />
o 1 st -‐timers, once at the Pharmacist Letter “Welcome PCSP Preceptor” page, click “I’m <br />
new to Pharmacist Letter” link, then complete your pr<strong>of</strong>ile; otherwise, log in or click <br />
“Forgot your login codes” to retrieve your CE ID#. <br />
o <strong>Preceptors</strong> must complete the CE via the PCSP web link in order to have the CE also <br />
credited to your CE record at PCSP. <br />
o PCSP Preceptor Conferences are held twice annually, in late spring and in late fall. The <br />
Spring 2011 program is currently TBA. <strong>Preceptors</strong> will be required to attend a <br />
Preceptor conference at least once every 3 years. These future programs will be <br />
recorded and available <strong>for</strong> non-‐live CE via our website. <br />
Where do you fit in the curriculum? The PCSP curriculum, as well as the didactic course <br />
syllabi, is also available via the Preceptor’s web page. Together, along with the scheduling <br />
described in the previous heading, you can see how rotation goals and activities are integrated, <br />
or “woven” into what’s being concurrently covered in lectures and labs. <br />
Almost all <strong>of</strong> our preceptors are asked to serve as IPPE and APPE sites, though in some <br />
instances Preceptor student preference and site specifics may dictate otherwise. Retail <br />
community <strong>Preceptors</strong> may serve P1 – P4 students, though P4 community <strong>Preceptors</strong> and <br />
their sites must meet specific criteria (see later section on Advanced Community Preceptor <br />
Requirements); institutional <strong>Preceptors</strong> may mentor P2 – P4 students. <br />
Though the MINIMUM goals and objectives <strong>for</strong> IPPEs are listed in this manual, as well as in the <br />
online syllabi (the most up-‐to-‐date versions will always be available via Preceptor’s web site), <br />
please be thinking <strong>of</strong> how you can provide additional goals/objectives/assignments <strong>for</strong> your <br />
students in your ef<strong>for</strong>ts to provide an educationally beneficial experience. P4 <strong>Preceptors</strong> are <br />
required by ACPE to have individually specific syllabi <strong>for</strong> their rotations. Templates <strong>for</strong> these <br />
syllabi are provided later in this manual, and the Office <strong>of</strong> Experiential Education will be <br />
available to help each Preceptor to create their own unique syllabus. <br />
It is understood by PCSP leadership that our <strong>Preceptors</strong> might also take students from other <br />
schools. We expect ALL SC pharmacists to serve as <strong>Preceptors</strong> <strong>for</strong> ALL SC pharmacy students, <br />
and we cooperate with the directors at other schools in ef<strong>for</strong>ts to streamline Preceptor criteria, <br />
expectations and requirements <strong>for</strong> an overall simplification <strong>of</strong> the precepting process. <br />
16
Know how many students you are expected to take at a time. P1 and P2 <strong>Preceptors</strong> can take <br />
up to 6 students (1-‐2 students in each <strong>of</strong> 3 weekday slots) per week. Some <strong>Preceptors</strong> can do it <br />
but most cannot. We ask all to take at least 2 students per week, and 3 if they can – but we’ll <br />
take whatever we can get! If we ask you to be a Preceptor (and we do NOT ask everyone), then <br />
we believe you are qualified to serve as an excellent mentor <strong>for</strong> our students. <br />
Do you wonder if you have any input as to what goes on in that PCSP “ivory tower?” Yes, quite <br />
a bit……. <br />
o Experiential Program Review Committee: This committee is chaired by me and <br />
includes PCSP faculty, Preceptor members from retail and institutional settings, as well <br />
as student members. We meet once a semester to provide input and feedback <br />
regarding the policies and the overall educational expectations <strong>of</strong> the rotations. <br />
Though there are faculty members on this committee, input from real-‐world <br />
pharmacists serves as the basis <strong>for</strong> all committee decisions. <br />
o Evaluations: Although I know how busy our <strong>Preceptors</strong> can get, we both desire and <br />
need maximum feedback from you. Please take the time wherever possible to provide <br />
additional comments when completing your student evaluations, especially where <br />
student per<strong>for</strong>mance may be a reflection on our teaching. Also know that your <br />
students will also provide us evaluations on their <strong>Preceptors</strong> and on their rotation <br />
sites; these blinded results will be available <strong>for</strong> Preceptor viewing. <br />
o Surveys: The Office <strong>of</strong> Experiential Education as well as the Experiential Oversight <br />
Committee will begin this month to provide Preceptor Surveys. This will be done each <br />
semester as we look <strong>for</strong> topics <strong>for</strong> future Preceptor Conference programs. <br />
o Problem situations and students: <br />
…and FINALLY, we sincerely appreciate your willingness to serve and to commit the time to <br />
support our program. <br />
17
Specific Preceptor Requirements <br />
1. Preceptor must be currently licensed health care team member (pharmacist, physician, nurse, <br />
dietician, facility administrator) in good standing with the appropriate health care discipline’s State <br />
Board. <br />
2. Preceptor is willing and prepared to mentor pharmacy students in accordance to the <br />
requirements <strong>of</strong> the PCSP curriculum and as specified in the syllabus <strong>for</strong> their rotation. <br />
2. The Preceptor encourages – either directly or through delegation, fostering <strong>of</strong> opportunities <strong>for</strong> <br />
PCSP students to actively participate in behaviors which in the end are intended to improve patient <br />
health outcomes. These activities, which must be in accordance to proper moral, ethical, and legal <br />
standards, include providing medication counseling, as well as other health-‐care in<strong>for</strong>mation to <br />
patients. <br />
3. Preceptor must have an active email account which he/she monitors routinely so as to receive and <br />
reply to email notifications from the Office <strong>of</strong> Experiential Education. <br />
4. Preceptor must be trained regarding certain, specific curriculum requirements <strong>of</strong> the experiential <br />
program. Adequate training can be acquired via the completion <strong>of</strong> online preceptor training <br />
programs which are accessible via the PCSP website, or by attending live preceptor conferences <br />
provided by the <strong>School</strong>. <br />
5. Preceptor must be willing and able to access and utilize the web-‐based EValue rotation <br />
management database in order to complete a list <strong>of</strong> necessary requirements. This list – though not <br />
necessarily all encompassing, includes: grading and/or validation <strong>of</strong> specified student assignments; <br />
verification <strong>of</strong> student attendance; and completion <strong>of</strong> student midpoint and final evaluations. <br />
18
Preceptor License Verification Policy <br />
ACPE Standard 14 – Most pharmacy practice experiences are under the supervision <strong>of</strong> <br />
qualified pharmacist preceptors licensed in the United States. <br />
The Office <strong>of</strong> Experiential Education shall initially verify that pharmacist preceptors are in good <br />
standing with the appropriate state’s Board <strong>of</strong> <strong>Pharmacy</strong> from answers submitted by preceptors on <br />
their availability <strong>for</strong>m, and via the SC Department <strong>of</strong> LLR website: <br />
https://verify.llronline.com/LicLookup/LookupMain.aspx <br />
Pharmacist licensure status will also be verified by review <strong>of</strong> the monthly SC Board <strong>of</strong> <strong>Pharmacy</strong> <br />
meeting minutes which will identify pharmacists whose licenses have been revoked or <strong>for</strong> whom <br />
disciplinary action has been taken. Date <strong>of</strong> licensure verification will be added to the Affiliate <br />
Tracking field in PEMS. The Office <strong>of</strong> Experiential Education, in cooperation with the PCSP Executive <br />
Committee Education will decide on an appropriate action to be taken in the event <strong>of</strong> a preceptor <br />
licensure issue. <br />
Evaluation <strong>of</strong> <strong>Preceptors</strong> <br />
<strong>Preceptors</strong> and their practice sites will be regularly evaluated by students at the end <strong>of</strong> their <br />
experience, and in an on-‐going manner by the school. <br />
19
APPE Advanced Community <strong>Pharmacy</strong> Practice <strong>Preceptors</strong> <br />
PCSP Experiential Program Review Committee has developed criteria in qualifying APPE community <br />
sites and preceptors. The following list <strong>of</strong> APPE practice skills were used as a guide template from <br />
which to determine which skills would be “required” <strong>of</strong> all APPE community preceptors/sites, and <br />
which would be categorized as “optional.”\ <br />
Patient Education/Counseling <br />
Patient Presentation/Discussion <br />
Health Care Team Interactions <br />
Physical Assessment <br />
OTC Recommendations <br />
Drug Therapy Development/Evaluation <br />
Monitoring <strong>for</strong> Therapeutic Endpoints <br />
Monitoring <strong>for</strong> Drug Induced Diseases/Reactions <br />
Rotation Project <br />
As it was desired by the committee to make “required” criteria realistically feasible in all community <br />
sites, each skill was discussed with this consideration in mind. After some deliberation, it was <br />
eventually determined that the first 5 criteria would be required <strong>of</strong> all APPE community <br />
preceptors/sites. Discussion then ensued on further defining the 5 “required” criteria… <br />
1. Patient Education/Counseling. Each site must allow <strong>for</strong> a to-‐be-‐specified number <strong>of</strong> <br />
opportunities <strong>for</strong> students to counsel patients and provide patient education. <br />
2. Patient Presentation/Discussion. This skill was combined with skill items 9 and 10 from the <br />
list above. In order to satisfy this skill requirement, APPE community preceptors will require <br />
students to either: submit a written or an oral patient case presentation to the preceptor, <br />
utilizing medical literature resources; complete a rotation project, such as a disease state <br />
patient awareness station (notification to patients given at the beginning <strong>of</strong> the rotation); or <br />
present <strong>for</strong> discussion an appropriately pharmacy journal item or a related news item (i.e. <br />
local news, NY Times, etc). <br />
3. Health Care Team Interactions. Students shall be allowed to demonstrate their skills in DUR – <br />
recommending medication changes where appropriate to other health care pr<strong>of</strong>essionals, and <br />
to demonstrate their ability to communicate (these recommendations). <br />
4. Physical Assessment. Students shall be given the ability to demonstrate their ability to <br />
per<strong>for</strong>m basic physical assessment procedures by participation in activities such as <br />
immunizations, blood pressure monitoring/instruction, metered dose inhaler use instruction, <br />
etc. As not all pharmacies will be able to <strong>of</strong>fer these opportunities, all ef<strong>for</strong>ts will be made by <br />
the Office <strong>of</strong> Experiential Education to schedule APPE community rotations during the fall and <br />
early winter months so that opportunities <strong>for</strong> students to participate in immunizations can be <br />
maximized. <br />
5. OTC Recommendations. Students will spend a percentage <strong>of</strong> their time each week in the OTC <br />
aisles, being available to make recommendations to patients and to answer questions. <br />
The above APPE community preceptor/site criteria were approved by the committee, as was the IPPE <br />
evaluation <strong>for</strong>m developed by the Office <strong>of</strong> Experiential Education after some discussion. <br />
20
Student Requirements <br />
Student Conduct<br />
1. Students participating in ALL practice experiences are expected to conduct themselves in a manner <br />
which promotes pr<strong>of</strong>essionalism and is consistent with other pr<strong>of</strong>essionals at the designated <br />
practice site. <br />
2. Academic (e.g., plagiarism) or Pr<strong>of</strong>essional (e.g., repeated tardiness/ absences, drug diversion) <br />
misconduct during experiences will be addressed as per PCSP Student Bulletin, and may result in <br />
removal from the experience and/or expulsion from the pharmacy program. <br />
3. In<strong>for</strong>mation you obtain through your experiential education activities must be considered personal <br />
and confidential. Such in<strong>for</strong>mation must not be circulated or discussed outside the activities <strong>of</strong> the <br />
pharmacy practice experience setting. <br />
4. Students must comply with all policies and procedures <strong>of</strong> the practice site. <br />
5. <strong>Preceptors</strong> will advise students <strong>of</strong> site policies during the orientation process. The discussion <br />
should include the following: fire and safety procedures, telephone etiquette, facility parking <br />
policies, etc. <br />
6. Students must respect all site property. All site property must be returned prior to the completion <br />
<strong>of</strong> the pharmacy practice experience. <br />
Student Dress Code <br />
1. A white laboratory coat with PCSP name tag and photo identification must be worn when <br />
participating in IPPE experiences. Sites may require additional identification. <br />
2. Proper dress and grooming is expected <strong>of</strong> all participants in IPPE activities. <br />
3. Students are also expected to adhere to site-‐specific dress codes. <br />
Student Attendance <br />
1. Students are expected to attend all scheduled sessions. Punctuality is a must. Should the site be <br />
closed due to un<strong>for</strong>eseen circumstances (i.e. power outage, inclement weather, etc.), then the <br />
student shall be excused from attending his/her experience <strong>for</strong> the affected number <strong>of</strong> days, or be <br />
reassigned. <br />
2. The assigned student will be present at the designated site on their scheduled day (Tuesday, <br />
Wednesday, Thursday, or Friday – from 1:30 P.M. to 5:30 P.M.) or according to a special <br />
arrangement made between the preceptor and student and approved by the Assistant Dean <strong>for</strong> <br />
Experiential Education. <br />
3. Any special arrangements should not conflict with the students’ existing schedules. <br />
4. In the event <strong>of</strong> illness or personal emergency the student must in<strong>for</strong>m the Office <strong>of</strong> Experiential <br />
Education and the pharmacist preceptor at the site as soon as possible on or be<strong>for</strong>e their assigned <br />
clerkship day. The student is expected to make up missed sessions at the discretion <strong>of</strong> the preceptor <br />
PRIOR to the start <strong>of</strong> the next rotation segment. <br />
5. Students who <strong>for</strong> whatever reason are unable to participate in their scheduled experience will be <br />
reassigned to conduct this experience (beginning the first full week post-‐exams) in either December <br />
(<strong>for</strong> missed Summer/Fall experiences) or in May (<strong>for</strong> missed Winter/Spring experiences). Students <br />
will incur no further charges if their absence was excused. Students who fail any experience will <br />
have to repeat that experience and there<strong>for</strong>e will incur the course fee again. <br />
6. Students must keep a record <strong>of</strong> attendance, to be validated by their preceptors via E*Value. <br />
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7. Students and preceptors must submit evaluations at the end <strong>of</strong> each rotation via E*Value. The <br />
evaluations are conducted electronically. Please see Christopher Rico in the Office <strong>of</strong> Experiential <br />
Education <strong>for</strong> further in<strong>for</strong>mation. <br />
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Introductory <strong>Pharmacy</strong> Practice Experiences <br />
ASSIGNMENT-BASED IPPEs <br />
PHRM 5201: Introductory <strong>Pharmacy</strong> Practice Experience (IPPE) 1 <br />
Introduction to Community <strong>Pharmacy</strong> Practice <br />
Spring P1 Year <br />
PHRM 6101: Introductory <strong>Pharmacy</strong> Practice Experiences (IPPE) 2 <br />
Introduction to Institutional & Community <strong>Pharmacy</strong> Practice Experience <br />
Summer/Fall P2 Year <br />
MTM CASE-BASED IPPEs <br />
PHRM 6201: Introductory <strong>Pharmacy</strong> Practice Experiences (IPPE) 3 <br />
Introduction to Institutional & Community <strong>Pharmacy</strong> Practice Experience <br />
Winter/Spring P2 Year <br />
PHRM 7101: Introductory <strong>Pharmacy</strong> Practice Experiences (IPPE) 2 <br />
Introduction to Institutional & Community <strong>Pharmacy</strong> Practice Experience <br />
Summer/Fall P3 Year <br />
PHRM 7201: Introductory <strong>Pharmacy</strong> Practice Experiences (IPPE) 3 <br />
Introduction to Institutional & Community <strong>Pharmacy</strong> Practice Experience <br />
Spring P3 Year <br />
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PHRM 5201: Introductory <strong>Pharmacy</strong> Practice Experience (IPPE) 1 <br />
Introduction to Community <strong>Pharmacy</strong> Practice <br />
Spring P1 Year <br />
PHRM 5201 is the very first IPPE <strong>for</strong> 1 st year students. It is an assignment-‐focused introduction to community <br />
pharmacy consisting <strong>of</strong> one 4-‐hour rotation per week <strong>for</strong> 10 weeks: 5 weeks in one community retail site, and 5 weeks <br />
in a second similar community site. Students will have both specific and general assignments <strong>for</strong> each 5-‐week segment. <br />
Specific assignments are boxed in bold below; general assignments include educational expectations and general <br />
topics to be covered during the experience; they are bulleted below and also listed in the day-‐to-‐day recommended <br />
schedules below. <br />
Specific Assignments: <br />
(1) patient Med Rec (medication reconciliation) <br />
(2) DI (drug in<strong>for</strong>mation) requests <br />
There is a progression <strong>of</strong> learning implied and to be kept in mind by both student and preceptor; activities <strong>of</strong> each <br />
subsequent week are to include wherever possible the activities <strong>of</strong> all previous weeks. 1st year students at the time <strong>of</strong> <br />
this experience have been instructed (classroom and labs) in the following areas, in preparation <strong>for</strong> this experience – <br />
though it must be emphasized their skills are on the level <strong>of</strong> a 1 st year student. <br />
take requests <strong>for</strong> drug in<strong>for</strong>mation from patients and other healthcare providers <br />
research answers <strong>for</strong> drug in<strong>for</strong>mation questions <br />
provide verbal and/or written responses to drug in<strong>for</strong>mation requests <br />
conduct documentation and follow up regarding drug in<strong>for</strong>mation questions taken <br />
utilize the drug info resources available to them (i.e. Pubmed, EBSCOhost, etc.) <br />
analyze and synthesize their findings into a response. <br />
Week 1 ORIENTATION (Site 1) <br />
1. General site orientation & introduction to pharmacy personnel <br />
May include HR visit as required. Primary activities to include preceptor and student discussion <strong>of</strong> <br />
expectations, tour <strong>of</strong> the pharmacy, introduction to personnel, medication and supply layout, library <br />
references, and other areas <strong>of</strong> importance. <br />
2. Assignments Discussion <br />
Student is responsible <strong>for</strong> communication <strong>of</strong> required specific assignments, as well as general <br />
assignments, to the Preceptor. This includes making sure that the Preceptor understands his/her <br />
responsibility regarding the completion <strong>of</strong> these assignments by the student. <br />
Week 2 (Site 1) <br />
1. Legal Standards and Requirements. Student learning activities to include: <br />
Knowledge and recognition <strong>of</strong> the requirements <strong>for</strong> a legal prescription and product labeling <strong>for</strong> <br />
legend and scheduled prescriptions, as well as <strong>for</strong> OTC items. <br />
Labeling requirements <strong>for</strong> dispensing prescriptions to patients, differentiation <strong>of</strong> requirements <strong>for</strong> <br />
legend prescriptions and scheduled prescriptions, etc. <br />
Understanding audit requirements <strong>for</strong> scheduled medications. <br />
2. Medication distribution system. <br />
Student should comprehend how legend prescriptions are processed from receipt to dispensing; should <br />
include DME if present at the site. <br />
3. Inventory Management <br />
Student should become familiar with pricing policies, shelf inventory levels, reorder policies, returns from <br />
patients, returns to wholesaler, drug recalls, etc. <br />
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Week 3 (Site 1) <br />
1. CQI <br />
What Continuous Quality Improvement strategies are employed by the pharmacy, and how do they <br />
impact error prevention? <br />
2. Third Party <br />
Introduction to the concepts <strong>of</strong> Third Party drug <strong>for</strong>mularies, insurances; impact on costs and patient-‐ <br />
centered care. <br />
3. Patient Counseling <br />
Understanding <strong>of</strong> the integration <strong>of</strong> prescription preparation / dispensing process with patient <br />
counseling. <br />
4. MID-‐POINT EVALUTION <br />
Preceptor will conduct a Mid-‐Point Evaluation <strong>of</strong> the student’s progress utilizing the EValue database. <br />
Status <strong>of</strong> student completion <strong>of</strong> specific assignments will also be addressed during the midpoint <br />
evaluation process. <br />
Week 4 (Site 1) <br />
1. Patient Counseling <br />
Understanding <strong>of</strong> the integration <strong>of</strong> prescription preparation / dispensing process with patient <br />
counseling, with an emphasis on patient counseling. <br />
2. Third Party <br />
Introduction to the concepts <strong>of</strong> Third Party drug <strong>for</strong>mularies, insurances; impact on costs and patient-‐ <br />
centered care. Emphasis on Medicare Part D & Medicaid. <br />
3. Specific Assignments <br />
Student should at the very least be making final preparations regarding specific assignments. Seek <br />
additional preceptor (or other pharmacist) input as needed. Make sure that Preceptor or his/her <br />
delegate will be able to make final evaluation <strong>of</strong> assignments next week. <br />
Week 5 (Site 1) <br />
1. Patient Counseling <br />
Understanding <strong>of</strong> the integration <strong>of</strong> prescription preparation / dispensing process with patient <br />
counseling, with an emphasis on patient counseling. <br />
2. Specific Assignments <br />
Submit specific assignments to preceptor; print or email as needed <strong>for</strong> Preceptor. Make sure to submit <br />
your assignments into MyFolio. Make sure that Preceptor or his/her delegate will be able to make final <br />
evaluation <strong>of</strong> assignments promptly, no later than by following week; contact Office <strong>of</strong> Experiential <br />
Education should you perceive any problems. <br />
3. FINAL EVALUATION. <br />
Preceptor and each Student are to conduct individual face-‐to-‐face final evaluations <strong>of</strong> each student’s <br />
experience at this site. Afterwards, the Preceptor will submit the evaluation results <strong>for</strong> each student into <br />
the EValue database. Students will complete evaluation <strong>of</strong> Site and Preceptor via EValue. Final grade <br />
status should be assigned and disclosed to student prior to student departure. <br />
25
Week 6 Orientation (Site 2) <br />
1. General site orientation & introduction to pharmacy personnel <br />
May include HR visit as required. Primary activities to include preceptor and student discussion <strong>of</strong> <br />
expectations, tour <strong>of</strong> the pharmacy, introduction to personnel, medication and supply layout, library <br />
references, and other areas <strong>of</strong> importance. <br />
2. Assignments Discussion <br />
Student is responsible <strong>for</strong> communication <strong>of</strong> required specific assignments, as well as general <br />
assignments, to the Preceptor. This includes making sure that the Preceptor understands his/her <br />
responsibility regarding the completion <strong>of</strong> these assignments by the student. <br />
Week 7 (Site 2) <br />
1. Legal Standards and Requirements. Student learning activities to include: <br />
knowledge and recognition <strong>of</strong> the requirements <strong>for</strong> a legal prescription and product labeling <strong>for</strong> <br />
legend and scheduled prescriptions, as well as <strong>for</strong> OTC items. <br />
labeling requirements <strong>for</strong> dispensing prescriptions to patients, differentiation <strong>of</strong> requirements <strong>for</strong> <br />
legend prescriptions and scheduled prescriptions, etc. <br />
understanding audit requirements <strong>for</strong> scheduled medications. <br />
2. Medication distribution system. <br />
Student should comprehend how legend prescriptions are processed from receipt to dispensing; should <br />
include DME if present at the site. <br />
3. Inventory Management <br />
Student should become familiar with pricing policies, shelf inventory levels, reorder policies, returns from <br />
patients, returns to wholesaler, drug recalls, etc. <br />
Week 8 (Site 2) <br />
1. CQI <br />
What Continuous Quality Improvement strategies are employed by the pharmacy, and how do they <br />
impact error prevention? <br />
2. Third Party <br />
Introduction to the concepts <strong>of</strong> Third Party drug <strong>for</strong>mularies, insurances; impact on costs and patient-‐ <br />
centered care. <br />
3. Patient Counseling <br />
Understanding <strong>of</strong> the integration <strong>of</strong> prescription preparation / dispensing process with patient <br />
counseling. <br />
4. MID-‐POINT EVALUTION <br />
Preceptor will conduct a Mid-‐Point Evaluation <strong>of</strong> the student’s progress utilizing the EValue database. <br />
Status <strong>of</strong> student completion <strong>of</strong> specific assignments will also be addressed during the midpoint <br />
evaluation process. <br />
26
Week 9 (Site 2) <br />
1. Patient Counseling <br />
Understanding <strong>of</strong> the integration <strong>of</strong> prescription preparation / dispensing process with patient <br />
counseling, with an emphasis on patient counseling. <br />
2. Third Party <br />
Introduction to the concepts <strong>of</strong> Third Party drug <strong>for</strong>mularies, insurances; impact on costs and patient-‐ <br />
centered care. Emphasis on Medicare Part D & Medicaid. <br />
3. Specific Assignments <br />
Student should at the very least be making final preparations regarding specific assignments. Seek <br />
additional preceptor (or other pharmacist) input as needed. Make sure that Preceptor or his/her <br />
delegate will be able to make final evaluation <strong>of</strong> assignments next week. <br />
Week 10 (Site 2) <br />
1. Patient Counseling <br />
Understanding <strong>of</strong> the integration <strong>of</strong> prescription preparation / dispensing process with patient <br />
counseling, with an emphasis on patient counseling. <br />
2. Specific Assignments <br />
Submit specific assignments to preceptor; print or email as needed <strong>for</strong> Preceptor. Make sure to submit <br />
your assignments into MyFolio. Make sure that Preceptor or his/her delegate will be able to make final <br />
evaluation <strong>of</strong> assignments promptly, no later than by following week; contact Office <strong>of</strong> Experiential <br />
Education should you perceive any problems. <br />
3. FINAL EVALUATION. <br />
Preceptor and each Student are to conduct individual face-‐to-‐face final evaluations <strong>of</strong> each student’s <br />
experience at this site. Afterwards, the Preceptor will submit the evaluation results <strong>for</strong> each student into <br />
the EValue database. Students will complete evaluation <strong>of</strong> Site and Preceptor via EValue. Final grade <br />
status should be assigned and disclosed to student prior to student departure. <br />
Each week students must meet with their primary preceptor or preceptor delegate/partner at the beginning and end <br />
<strong>of</strong> their day. At the beginning <strong>of</strong> the day the preceptor will review with the student the expectations and the agenda <br />
<strong>for</strong> that day. At the end <strong>of</strong> each day, it is suggested that the student be quizzed to review their observations and <br />
findings. This is the time <strong>for</strong> students to ask questions about what they saw and to share their areas <strong>of</strong> interest. <br />
Though there is no need <strong>for</strong> additional assignments to be given to the students, preceptors are free and encouraged <br />
to do so, should they desire. If an additional assignment is given, the topic should have been reviewed and approved <br />
by the preceptor by week 4. <br />
<strong>Preceptors</strong> must validate the student’s Record <strong>of</strong> Attendance and complete the Evaluation Form at the end <strong>of</strong> each <br />
rotation (Day 5) via the EValue database – accessible via the http://pharmacy.presby.edu/experiential-education/preceptors/<br />
weblink. <br />
We hope that the first year pharmacy students will find their time with you enjoyable, exciting and educational. It is <br />
our responsibility together to show the various distributive and clinical aspects <strong>of</strong> community pharmacy practice and <br />
its viability as a pr<strong>of</strong>essional career option. <br />
27
PHRM 6101: Introductory <strong>Pharmacy</strong> Practice Experiences (IPPE) 2 <br />
Introduction to Institutional & Community <strong>Pharmacy</strong> Practice Experience <br />
Summer/Fall P2 Year (assignment-focused) <br />
PHRM 6201: Introductory <strong>Pharmacy</strong> Practice Experiences (IPPE) 3 <br />
Introduction to Institutional & Community <strong>Pharmacy</strong> Practice Experience <br />
Winter/Spring P2 Year (MTM-focused) <br />
The PHRM 6101 and PHRM 6201 IPPE rotations <strong>for</strong> P2 students each begins with a real-‐world 40-‐hour week segment in a <br />
community retail setting, followed by a divided 10-‐week segment in an institutional (hospital preferred), long-‐term care, or <br />
hospice setting. Students will complete a total <strong>of</strong> 160 IPPE hours during their P2 year. <br />
PHRM 6101 – Fall Semester <br />
1 week (40-‐hours, 5 days/week, 8-‐hours/day) – site 1 Assignments: (2) Med Rec, (2) DI, (1) ND <br />
5 weeks (20-‐hours, 1 day/week, 4-‐hours/day) – site 2 Assignments: (3) DI <br />
5 weeks (20-‐hours, 1 day/week, 4-‐hours/day) – site 3 <br />
PHRM 6201 – Spring Semester <br />
1 week (40-‐hours, 5 days/week, 8-‐hours/day) – site 4 <br />
5 weeks (20-‐hours, 1 day/week, 4-‐hours/day) – site 5 <br />
5 weeks (20-‐hours, 1 day/week, 4-‐hours/day) – site 6 <br />
Med Rec – medication reconciliation report, using assigned <strong>for</strong>mat <br />
DI – drug in<strong>for</strong>mation request (suggested by student, approved by preceptor/provider <br />
ND – New Drug update, using assigned <strong>for</strong>mat <br />
Although the semester portion <strong>of</strong> the P2 rotations focus on institutional pharmacy settings, the initial one-‐week segments (sites <br />
1 & 4 above) will be conducted in community pharmacy settings – building upon the skills obtained by students during their P1 <br />
PHRM 5201 Introduction to Community <strong>Pharmacy</strong> Practice IPPE. <br />
Whereas the 1 st year rotations, PHRM 5201, were assignment-‐focused and introduced students to the community pharmacy <br />
setting, the fall semester 2 nd year rotations, PHRM 6101, are also assignment-‐focused but introduce students to institutional <br />
pharmacy. The spring semester 2 nd year rotations, PHRM 6201, will introduce students to case-‐based MTM (medication <br />
therapy management) focused rotations. <br />
Students will have both specific and general assignments <strong>for</strong> each segment listed above. Specific assignments are boxed in bold <br />
below; general assignments include educational expectations and general topics to be covered during the experience; they are <br />
bulleted below and also listed in the day-‐to-‐day recommended schedules below. <br />
There is a progression <strong>of</strong> learning implied and to be kept in mind by both student and preceptor; activities <strong>of</strong> each subsequent <br />
week are to include wherever possible the activities <strong>of</strong> all previous weeks. 1st year students at the time <strong>of</strong> this experience have <br />
been instructed (classroom and labs) in the following areas, in preparation <strong>for</strong> this experience – though it must be emphasized <br />
their skills are on the level <strong>of</strong> a 1 st year student. <br />
The most important days at each site are the first day, the midpoint, and the final day. On Day 1, the student should be <br />
instructed by the preceptor as to what is expected throughout the rotation. At the midpoint, preceptor should conduct a <br />
midpoint evaluation <strong>of</strong> the student’s progress; evaluation should be face-‐to-‐face and the evaluation documented by the <br />
preceptor in the E*Value database. On the final day, the preceptor should conduct a final evaluation <strong>of</strong> the student’s <br />
experience (documented in E*Value), and the student should complete an evaluation <strong>of</strong> the site and preceptor (documented in <br />
E*Value). <br />
28
Week 1 ORIENTATION (Site 1) <br />
1. General facility orientation & HR visit (if required). Primary activities to include preceptor and student discussion <strong>of</strong> <br />
expectations, tour <strong>of</strong> the pharmacy, introduction to personnel, etc. <br />
2. Student introduction to staff and tour <strong>of</strong> the pharmacy department(s) – including the location <strong>of</strong> medications, <br />
supplies, references, and other areas <strong>of</strong> importance within the pharmacy and institution. <br />
3. Discussion <strong>of</strong> the school’s required entries by both student and preceptor into the online EValue rotation <br />
management database. <br />
Assignments <br />
a. Meet with preceptor to discuss expectations <strong>for</strong> rotation <br />
i. Determination <strong>of</strong> final presentation/assignment topic due Week 5 <br />
b. <strong>Pharmacy</strong> tour (location <strong>of</strong> medications, supplies, references, and other areas <strong>of</strong> importance) <br />
c. Introduction to employees <br />
d. Introduction to pharmacy workflow <br />
i. Receiving prescriptions from patients <br />
ii. Screening prescriptions <br />
iii. Hand <strong>of</strong>f to order entry (technician and/or pharmacist) <strong>for</strong> processing, dispensing, delivery, <br />
etc. <br />
Preceptor <br />
validate that correct student assigned <br />
note student’s prior experiences if any<br />
conduct mid-‐point evaluation at 3rd visit <br />
conduct final evaluation on last day <br />
Student <br />
assist preceptor regarding EValue <br />
insure evaluations are done in person <br />
conduct site/preceptor evaluation on last day <br />
Week 2 (Site 1) <br />
1. Introduction to legal standards and pharmacy law requirements. Primary student activities to include student <br />
knowledge and recognition <strong>of</strong> the legal requirements present to address and complete medication orders within <br />
the assigned institution’s pharmacy. <br />
2. Introduction to the medication distribution system. Student should comprehend how legend prescriptions are <br />
processed from receipt to dispensing. <br />
Assignments <br />
a. Legal Standards <br />
i. Prescription requirements – written, scanned, faxed, and oral <br />
ii. Approved versus unapproved abbreviations <br />
iii. Introduction to control substance dispensing / security <strong>for</strong>ms <br />
iv. Filing / record keeping <strong>for</strong> medication orders, invoices, etc. <br />
v. HIPAA regulations <br />
vi. Differentiation <strong>of</strong> Pharmacist-‐in-‐charge / Pharmacist / Technician responsibilities <br />
vii. Federal and local government oversight <br />
-‐ SCBOP (i.e. remote order entry, meds in hospital-‐owned physician <strong>of</strong>fices, etc.) <br />
-‐ DEA (i.e. medical residents lack individual DEA# ) <br />
-‐ JC (what are they looking <strong>for</strong> from pharmacy perspective?) <br />
-‐ CMS (what regulations should concern pharmacy?) <br />
29
Week 3 (Site 1) <br />
1. Introduction <strong>of</strong> current inventory management strategies. <br />
2. Introduction to pharmacy policy and procedures <strong>for</strong> facility-‐wide medication redistribution. <br />
3. Introduction to the process <strong>of</strong> preparing and dispensing new and recurring medications <strong>for</strong> both inpatient and <br />
outpatient orders. <br />
4. Active experience in medication order processing. <br />
5. MID-‐POINT EVALUTION. Preceptor will conduct a Mid-‐Point Evaluation <strong>of</strong> the student’s progress utilizing the <br />
EValue database. <br />
Assignments <br />
a. Introduction to inventory control <br />
i. Purchasing and inventory management via pharmacy order management system <br />
ii. Cart fill procedure, auto-‐dispensers, Pyxis®/Omnicell® auto-‐dispensing med-‐stations, robots. <br />
iii. Emergency crash carts / boxes and inpatient unit floorstock procedures. <br />
iv. Stock medications <strong>for</strong> facility-‐owned physician <strong>of</strong>fices. <br />
v. Formulary process overview (including cost analysis) and P&T Committee <br />
vi. Prepackaging <br />
vii. Outdated medications <br />
viii. Returns and recalls. <br />
b. Computer data entry <br />
i. Hard-‐copy order receipt by pharmacy <br />
ii. Faxed and scanned orders <br />
iii. CPOE <br />
iv. MAR / EMARs <br />
c. Preparing and dispensing prescriptions <br />
i. Receiving med orders <br />
ii. Reviewing med orders <br />
1. Check allergies <br />
2. Clinical review/patient pr<strong>of</strong>ile <br />
3. Check <strong>for</strong> correct drug, dose, necessary calculations, and route <br />
4. Clinical Pharmacology/On line references <br />
Week 4 (Site 1) <br />
1. Introduction to sterile products preparation. <br />
2. Introduction to facility’s medication reconciliation process. <br />
3. Active experience in medication order processing. <br />
4. Preceptor and student discussion <strong>of</strong> status <strong>of</strong> final quiz or presentation or assignment. <br />
Assignments <br />
a. Sterile product preparation and USP 797 <br />
i. chemotherapy policy and procedures <br />
ii. TPNs <br />
b. Preparing and dispensing prescription orders (continuous) <br />
c. Medication reconciliation (“MedRec”) from admission to discharge <br />
d. Preview final quiz / presentation / assignment <br />
e. student reflection <br />
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Week 5 (Site 1) <br />
1. Hospital compounding and USP 795 <br />
2. Introduction to Adverse Event Monitoring and Reporting. <br />
3. Active experience in medication order processing. <br />
4. FINAL EVALUATION/REFLECTION. Preceptor and each Student are to conduct individual face-‐to-‐face final <br />
evaluations <strong>of</strong> each student’s experience at this site. Afterwards, the Preceptor will submit the evaluation results <br />
<strong>for</strong> each student into the EValue database. Students will complete evaluation <strong>of</strong> Site and Preceptor via EValue. <br />
Final grade status should be assigned and disclosed to student prior to student departure. <br />
Assignments <br />
a. Preparing and dispensing prescriptions – continued <br />
b. Per<strong>for</strong>mance Improvement <br />
i. JCAHO standards <br />
1. NPSG (National Patient Safety Goals) <br />
2. Do not use abbreviations <br />
3. Mandatory patient counseling requirements <br />
ii. Medication errors <br />
1. Error/ADR discovery and statistical tracking <br />
iii. eQVR (electronic Quality Variance Reporting) <br />
b. Final quiz or presentation (to staff) or assignment <br />
Notes <br />
31
Week 6 ORIENTATION (Site 2) <br />
1. General facility orientation & HR visit (if required). Primary activities to include preceptor and student discussion <strong>of</strong> <br />
expectations, tour <strong>of</strong> the pharmacy, introduction to personnel, etc. <br />
2. Student introduction to staff and tour <strong>of</strong> the pharmacy department(s) – including the location <strong>of</strong> medications, <br />
supplies, references, and other areas <strong>of</strong> importance within the pharmacy and institution. <br />
3. Discussion <strong>of</strong> the school’s required entries by both student and preceptor into the online EValue rotation <br />
management database. <br />
Assignments <br />
a. Meet with preceptor to discuss expectations <strong>for</strong> rotation <br />
i. Determination <strong>of</strong> final presentation/assignment topic due Week 5 <br />
b. <strong>Pharmacy</strong> tour (location <strong>of</strong> medications, supplies, references, and other areas <strong>of</strong> importance) <br />
c. Introduction to employees <br />
d. Introduction to pharmacy workflow <br />
i. Receiving prescriptions from patients <br />
ii. Screening prescriptions <br />
iii. Hand <strong>of</strong>f to order entry (technician and/or pharmacist) <strong>for</strong> processing, dispensing, delivery, etc.) <br />
Preceptor <br />
validate that correct student assigned <br />
note student’s prior experiences if any<br />
conduct mid-‐point evaluation at 3rd visit <br />
conduct final evaluation on last day <br />
Student <br />
assist preceptor regarding EValue <br />
insure evaluations are done in person <br />
conduct site/preceptor evaluation on last day <br />
Week 7 (Site 2) <br />
1. Introduction to legal standards and pharmacy law requirements. Primary student activities to include student <br />
knowledge and recognition <strong>of</strong> the legal requirements present to address and complete medication orders within <br />
the assigned institution’s pharmacy. <br />
2. Introduction to the medication distribution system. Student should comprehend how legend prescriptions are <br />
processed from receipt to dispensing. <br />
Assignments <br />
a. Legal Standards <br />
i. Prescription requirements – written, scanned, faxed, and oral <br />
ii. Approved versus unapproved abbreviations <br />
iii. Introduction to control substance dispensing / security <strong>for</strong>ms <br />
iv. Filing / record keeping <strong>for</strong> medication orders, invoices, etc. <br />
v. HIPAA regulations <br />
vi. Differentiation <strong>of</strong> Pharmacist-‐in-‐charge / Pharmacist / Technician responsibilities <br />
vii. Federal and local government oversight <br />
-‐ SCBOP (i.e. remote order entry, meds in hospital-‐owned physician <strong>of</strong>fices, etc.) <br />
-‐ DEA (i.e. medical residents lack individual DEA# ) <br />
-‐ JC (what are they looking <strong>for</strong> from pharmacy perspective?) <br />
-‐ CMS (what regulations should concern pharmacy?) <br />
32
Week 8 (Site 2) <br />
1. Introduction <strong>of</strong> current inventory management strategies. <br />
2. Introduction to pharmacy policy and procedures <strong>for</strong> facility-‐wide medication redistribution. <br />
3. Introduction to the process <strong>of</strong> preparing and dispensing new and recurring medications <strong>for</strong> both inpatient <br />
and outpatient orders. <br />
4. Active experience in medication order processing. <br />
5. MID-‐POINT EVALUTION. Preceptor will conduct a Mid-‐Point Evaluation <strong>of</strong> the student’s progress utilizing the <br />
EValue database. <br />
Assignments <br />
a. Introduction to inventory control <br />
i. Purchasing and inventory management via pharmacy order management system <br />
ii. Cart fill procedure, auto-‐dispensers, Pyxis®/Omnicell® auto-‐dispensing med-‐stations, robots. <br />
iii. Emergency crash carts / boxes and inpatient unit floorstock procedures. <br />
iv. Stock medications <strong>for</strong> facility-‐owned physician <strong>of</strong>fices. <br />
v. Formulary process overview (including cost analysis) and P&T Committee <br />
vi. Prepackaging <br />
vii. Outdated medications <br />
viii. Returns and recalls. <br />
b. Computer data entry <br />
i. Hard-‐copy order receipt by pharmacy <br />
ii. Faxed and scanned orders <br />
iii. CPOE <br />
iv. MAR / EMARs <br />
c. Preparing and dispensing prescriptions <br />
i. Receiving med orders <br />
ii. Reviewing med orders <br />
-‐ Check allergies <br />
-‐ Clinical review/patient pr<strong>of</strong>ile <br />
-‐ Check <strong>for</strong> correct drug, dose, necessary calculations, and route <br />
-‐ Clinical Pharmacology/On line references <br />
Week 9 (Site 2) <br />
1. Introduction to sterile products preparation. <br />
2. Introduction to facility’s medication reconciliation process. <br />
3. Active experience in medication order processing. <br />
4. Preceptor and student discussion <strong>of</strong> status <strong>of</strong> final quiz or presentation or assignment. <br />
Assignments <br />
a. Sterile product preparation and USP 797 <br />
i. chemotherapy policy and procedures <br />
ii. TPNs <br />
b. Preparing and dispensing prescription orders (continuous) <br />
c. Medication reconciliation (“MedRec”) from admission to discharge <br />
d. Preview final quiz / presentation / assignment <br />
e. student reflection <br />
33
Week 10 (Site 2) <br />
1. Hospital compounding and USP 795 <br />
2. Introduction to Adverse Event Monitoring and Reporting. <br />
3. Active experience in medication order processing. <br />
4. FINAL EVALUATION/REFLECTION. Preceptor and each Student are to conduct individual face-‐to-‐face final <br />
evaluations <strong>of</strong> each student’s experience at this site. Afterwards, the Preceptor will submit the evaluation <br />
results <strong>for</strong> each student into the EValue database. Students will complete evaluation <strong>of</strong> Site and <br />
Preceptor via EValue. Final grade status should be assigned and disclosed to student prior to student <br />
departure. <br />
Assignments <br />
a. Preparing and dispensing prescriptions – continued <br />
b. Per<strong>for</strong>mance Improvement <br />
i. JCAHO standards <br />
1. NPSG (National Patient Safety Goals) <br />
2. Do not use abbreviations <br />
3. Mandatory patient counseling requirements <br />
ii. Medication errors <br />
1. Error/ADR discovery and statistical tracking <br />
iii. eQVR (electronic Quality Variance Reporting) <br />
b. Final quiz or presentation (to staff) or assignment <br />
Each week students will meet with their primary preceptor at the beginning and end <strong>of</strong> their day. At the beginning <strong>of</strong> <br />
the day the preceptor will review with the student the expectations and the agenda <strong>for</strong> that day. At the end <strong>of</strong> each <br />
day, it is suggested that the student be required to take a short quiz related to that day’s activities (3-‐5 questions) and <br />
to review their observations and findings. This is the time <strong>for</strong> students to ask questions about what they saw and to <br />
share their areas <strong>of</strong> interest. <br />
At the end <strong>of</strong> day 5 at each site, the student should be required to take a final quiz (10 questions) related to processes <br />
they observed over the 6 weeks and/or give a short presentation (20-‐30 minutes) on a topic <strong>of</strong> their choice. The topic <br />
should have been reviewed and approved by the preceptor by week 4. <br />
<strong>Preceptors</strong> will validate the student’s Record <strong>of</strong> Attendance and Evaluation Form at the end <strong>of</strong> each rotation (Day 5) <br />
via the EValue database – accessible via the http://pharmacy.presby.edu/experiential-‐education/preceptors/ web <br />
link. <br />
We hope that the first year pharmacy students will find their time with you enjoyable, exciting and educational. It is <br />
our responsibility together to show the various distributive and clinical aspects <strong>of</strong> institutional pharmacy practice and <br />
its viability as a pr<strong>of</strong>essional career option. <br />
Notes <br />
34
PHRM 7101: Introductory <strong>Pharmacy</strong> Practice Experiences (IPPE) 4 <br />
A Basic Introduction to pre-Advanced Practice <strong>Pharmacy</strong> Experiences <br />
Fall P3 Year <br />
PHRM 7201: Introductory <strong>Pharmacy</strong> Practice Experiences (IPPE) 5 <br />
A Basic Introduction to pre-Advanced Practice <strong>Pharmacy</strong> Experiences <br />
Spring P3 Year <br />
All PHRM 7101 and PHRM 7102 IPPE rotations will be conducted in sites which would also serve as a site <strong>for</strong> APPE <br />
rotations; hence these experiences are also termed Intermediate <strong>Pharmacy</strong> Practice Experiences. These pre-‐APPEs <br />
will address as best as possible the ideals <strong>of</strong> the new 2011 ACPE guidelines, Version 2. Students must complete 120 <br />
IPPE hours during their P3 year. <br />
PHRM 7101 – Fall Semester <br />
1 week (40-‐hours: 5 days/week, 8-‐hours/day) – site 1 <br />
5 weeks (40-‐hours: 1 day/week, 8-‐hours/day) – site 2 <br />
PHRM 7102 – Spring Semester <br />
5 weeks (40-‐hours: 1 day/week, 8-‐hours/day) – site 3 <br />
Although the P3 rotations during the semester will focus almost exclusively on inpatient care pharmacy settings, the <br />
initial one-‐week rotation will be conducted in community retail pharmacy settings, with students building upon the <br />
MTM skills obtained from classroom and laboratory learning from their previous P2 year. <br />
The general guidelines and syllabus <strong>for</strong> the semester-‐long portions <strong>of</strong> these P3 experiences are listed on the following <br />
pages. There is a progression <strong>of</strong> learning implied and to be kept in mind by both student and preceptor; activities <strong>of</strong> <br />
each subsequent week are to include wherever possible the activities <strong>of</strong> all previous weeks. <br />
The overriding goals and objectives <strong>of</strong> the P3 pre-‐APPE experiences will focus on what ACPE calls “must <br />
have” abilities, or “core domains.” These core domain and ability statements will also provide a basis from <br />
which to establish subsequent core APPE core domain abilities and competencies. 1<br />
1. Patient Safety <br />
2. Basic Patient Assessment <br />
3. Medication In<strong>for</strong>mation <br />
4. ID and Assessment <strong>of</strong> Drug Related Problems <br />
5. Applied Mathematics <br />
6. Ethical, Pr<strong>of</strong>essional, and Legal Behaviors <br />
7. General Communication Abilities <br />
8. Counseling Patients <br />
9. DI Analysis and Literature Research <br />
10. Health and Wellness – Public Health <br />
11. Insurance / Prescription Drug Coverage <br />
1 Accreditation Council <strong>for</strong> <strong>Pharmacy</strong> Education. Accreditation Standards and Guidelines <strong>for</strong> the Pr<strong>of</strong>essional Program in <br />
<strong>Pharmacy</strong> Leading to the Doctor <strong>of</strong> <strong>Pharmacy</strong> Degree, Version 2.0. Appendix D. <br />
35
<strong>Preceptors</strong> and students should both note the specifics <strong>of</strong> the domains (see in their entirety at <br />
http://www.acpe-‐accredit.org/pdf/FinalS2007Guidelines2.0.pdf ) and their relevance to the evaluation <strong>of</strong> the <br />
student at the conclusion <strong>of</strong> each P3 experience. It is suggested that in order to properly address these “must <br />
have” abilities, preceptors make every ef<strong>for</strong>t to expose students to and allow participation in activities such as, <br />
but not limited to: <br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
processing and dispensing new/refill medication orders <br />
conducting patient interviews to obtain patient in<strong>for</strong>mation <br />
creating patient pr<strong>of</strong>iles using in<strong>for</strong>mation obtained <br />
responding to drug in<strong>for</strong>mation inquiries <br />
interacting with other health care pr<strong>of</strong>essionals <br />
participating in educational <strong>of</strong>ferings designed to benefit the health <strong>of</strong> the general public <br />
interpreting and evaluating patient in<strong>for</strong>mation <br />
triaging and assessing the need <strong>for</strong> treatment or referral, including referral <strong>for</strong> a patient seeking <br />
pharmacist-‐guided self-‐care <br />
identifying patient-‐specific factors that affect health, pharmacotherapy, and/or disease state <br />
management <br />
assessing patient health literacy and compliance <br />
per<strong>for</strong>ming calculations required to compound, dispense, and administer medications <br />
administering medications <br />
evaluating appropriateness <strong>of</strong> medication dosing utilizing basic dosing principles <br />
providing point-‐<strong>of</strong>-‐care and patient-‐centered services <br />
conducting physical assessments <br />
preparing and compounding extemporaneous preparations and sterile products <br />
communicating with patients and other health care providers <br />
interacting with pharmacy technicians in the delivery <strong>of</strong> pharmacy services <br />
documenting interventions in patient records in a concise, organized <strong>for</strong>mat that allows readers to have <br />
a clear understanding <strong>of</strong> the content <br />
presenting patient cases in an organized <strong>for</strong>mat covering pertinent in<strong>for</strong>mation <br />
billing third parties <strong>for</strong> pharmacy services <br />
The most important days at each site are the first day, the midpoint, and the final day. On Day 1, the student <br />
should be instructed by the preceptor as to what is expected throughout the rotation. At the midpoint, <br />
preceptor should conduct a midpoint evaluation <strong>of</strong> the student’s progress; evaluation should be face-‐to-‐face <br />
and the evaluation documented by the preceptor in the E*Value database. On the final day, the preceptor <br />
should conduct a final evaluation <strong>of</strong> the student’s experience (documented in E*Value), and the student should <br />
complete an evaluation <strong>of</strong> the site and preceptor (documented in E*Value). <br />
36
Week 1 ORIENTATION <br />
1. General facility orientation & HR visit (if required). Primary activities to include preceptor and student <br />
discussion <strong>of</strong> expectations, tour <strong>of</strong> the pharmacy, introduction to personnel, etc. <br />
2. Student introduction to staff and tour <strong>of</strong> the pharmacy department(s) – including the location <strong>of</strong> <br />
medications, supplies, references, and other areas <strong>of</strong> importance within the pharmacy and institution. <br />
3. Discussion <strong>of</strong> the school’s required entries by both student and preceptor into the online EValue <br />
rotation management database. <br />
Assignments <br />
a. Meet with preceptor to discuss expectations <strong>for</strong> rotation <br />
i. Determination <strong>of</strong> final presentation/assignment topic due Week 5 <br />
b. <strong>Pharmacy</strong> tour (location <strong>of</strong> medications, supplies, references, and other areas <strong>of</strong> importance) <br />
c. Introduction to employees <br />
d. Begin student integration into pharmacy workflow activities <br />
Week 2 <br />
Preceptor <br />
validate that correct student assigned <br />
note student’s prior experiences (Abilities Checklist)<br />
conduct mid-‐point evaluation at 3rd visit <br />
conduct final evaluation on last day <br />
Student <br />
assist preceptor regarding EValue <br />
proactively make ef<strong>for</strong>ts to engage in checklist activities<br />
insure evaluations are done in person<br />
conduct site/preceptor evaluation on last day <br />
1. Introduction to legal standards and pharmacy law requirements. Primary student activities to include <br />
student knowledge and recognition <strong>of</strong> the legal requirements present to address and complete <br />
medication orders within the assigned institution’s pharmacy. <br />
2. Introduction to the medication distribution system. Student should comprehend how legend <br />
prescriptions are processed from receipt to dispensing. <br />
Assignments <br />
a. Legal Standards <br />
i. Prescription requirements – written, scanned, faxed, and oral <br />
ii. Approved versus unapproved abbreviations <br />
iii. Introduction to control substance dispensing / security <strong>for</strong>ms <br />
iv. Filing / record keeping <strong>for</strong> medication orders, invoices, etc. <br />
v. HIPAA regulations <br />
vi. Differentiation <strong>of</strong> Pharmacist-‐in-‐charge / Pharmacist / Technician responsibilities <br />
vii. Federal and local government oversight <br />
-‐ SCBOP (i.e. remote order entry, meds in hospital-‐owned physician <strong>of</strong>fices, etc.) <br />
-‐ DEA (i.e. medical residents lack individual DEA# ) <br />
-‐ JC (what are they looking <strong>for</strong> from pharmacy perspective?) <br />
-‐ CMS (what regulations should concern pharmacy?) <br />
37
Week 3 <br />
1. Introduction <strong>of</strong> current inventory management strategies. <br />
2. Introduction to pharmacy policy and procedures <strong>for</strong> facility-‐wide medication redistribution. <br />
3. Introduction to the process <strong>of</strong> preparing and dispensing new and recurring medications <strong>for</strong> both <br />
inpatient and outpatient orders. <br />
4. Active experience in medication order processing. <br />
5. MID-‐POINT EVALUTION. Preceptor will conduct a Mid-‐Point Evaluation <strong>of</strong> the student’s progress utilizing <br />
the EValue database. <br />
Assignments <br />
a. Introduction to inventory control <br />
i. Purchasing and inventory management via pharmacy order management system <br />
ii. Cart fill procedure, auto-‐dispensers, Pyxis®/Omnicell® auto-‐dispensing med-‐stations, robots. <br />
iii. Emergency crash carts / boxes and inpatient unit floorstock procedures. <br />
iv. Stock medications <strong>for</strong> facility-‐owned physician <strong>of</strong>fices. <br />
v. Formulary process overview (including cost analysis) and P&T Committee <br />
vi. Prepackaging <br />
vii. Outdated medications <br />
viii. Returns and recalls. <br />
b. Computer data entry <br />
i. Hard-‐copy order receipt by pharmacy <br />
ii. Faxed and scanned orders <br />
iii. CPOE <br />
iv. MAR / EMARs <br />
c. Preparing and dispensing prescriptions <br />
i. Receiving med orders <br />
ii. Reviewing med orders <br />
1. Check allergies <br />
2. Clinical review/patient pr<strong>of</strong>ile <br />
3. Check <strong>for</strong> correct drug, dose, necessary calculations, and route <br />
4. Clinical Pharmacology/On line references <br />
Week 4 <br />
1. Introduction to sterile products preparation. <br />
2. Introduction to facility’s medication reconciliation process. <br />
3. Active experience in medication order processing. <br />
4. Preceptor and student discussion <strong>of</strong> status <strong>of</strong> final quiz or presentation or assignment. <br />
Assignments <br />
a. Sterile product preparation and USP 797 <br />
i. chemotherapy policy and procedures <br />
ii. TPNs <br />
b. Preparing and dispensing prescription orders (continuous) <br />
c. Medication reconciliation (“MedRec”) from admission to discharge <br />
d. Preview final quiz / presentation / assignment <br />
e. student reflection <br />
38
Week 5 <br />
1. Hospital compounding and USP 795 <br />
2. Introduction to Adverse Event Monitoring and Reporting. <br />
3. Active experience in medication order processing. <br />
4. FINAL EVALUATION/REFLECTION. Preceptor and each Student are to conduct individual face-‐to-‐face final <br />
evaluations <strong>of</strong> each student’s experience at this site. Afterwards, the Preceptor will submit the evaluation <br />
results <strong>for</strong> each student into the EValue database. Students will complete evaluation <strong>of</strong> Site and <br />
Preceptor via EValue. Final grade status should be assigned and disclosed to student prior to student <br />
departure. <br />
Assignments <br />
a. Preparing and dispensing prescriptions – continued <br />
b. Per<strong>for</strong>mance Improvement <br />
i. JCAHO standards <br />
1. NPSG (National Patient Safety Goals) <br />
2. Do not use abbreviations <br />
3. Mandatory patient counseling requirements <br />
ii. Medication errors <br />
1. Error/ADR discovery and statistical tracking <br />
iii. eQVR (electronic Quality Variance Reporting) <br />
b. Final quiz or presentation (to staff) or assignment <br />
Notes <br />
39
Each week students will meet with their primary preceptor at the beginning and end <strong>of</strong> their day. At the beginning <strong>of</strong> <br />
the day the preceptor will review with the student the expectations and the agenda <strong>for</strong> that day. At the end <strong>of</strong> each <br />
day, it is suggested that the student be required to take a short quiz related to that day’s activities (3-‐5 questions) and <br />
to review their observations and findings. This is the time <strong>for</strong> students to ask questions about what they saw and to <br />
share their areas <strong>of</strong> interest. <br />
At the end <strong>of</strong> day 5 at each site, the student should be required to take a final quiz (10 questions) related to processes <br />
they observed over the 6 weeks and/or give a short presentation (20-‐30 minutes) on a topic <strong>of</strong> their choice. The topic <br />
should have been reviewed and approved by the preceptor by week 4. <br />
<strong>Preceptors</strong> will validate the student’s Record <strong>of</strong> Attendance and Evaluation Form at the end <strong>of</strong> each rotation (Day 5) <br />
via the EValue database – accessible via the http://pharmacy.presby.edu/experiential-‐education/preceptors/ web <br />
link. <br />
We hope that the first year pharmacy students will find their time with you enjoyable, exciting and educational. It is <br />
our responsibility together to show the various distributive and clinical aspects <strong>of</strong> institutional pharmacy practice and <br />
its viability as a pr<strong>of</strong>essional career option. <br />
Notes <br />
40
Forms <br />
41
“PC-12” Competencies <br />
Experiential exposure is threaded throughout the competency-‐based framework <strong>of</strong> the PCSP <br />
curriculum – a curriculum designed to provide knowledge, teach models <strong>of</strong> care management, allow <br />
students to demonstrate their understanding, and allow plentiful experiential opportunities <strong>for</strong> <br />
practice. The eventual goal <strong>of</strong> the academic program is to trans<strong>for</strong>m students from dependent to <br />
independent learners. <br />
The <strong>School</strong> <strong>of</strong> <strong>Pharmacy</strong> has twelve general outcomes, the “PC-‐12” list <strong>of</strong> competencies. They are: <br />
I. Communication: The student will demonstrate effective written and verbal communication skills. <br />
II. Evidence-‐based Decisions in the Practice <strong>of</strong> <strong>Pharmacy</strong>: The student will demonstrate competency in using drug <br />
in<strong>for</strong>mation skills to promote evidence-‐based practices. <br />
III. Problem Prevention and Solving: The student will effectively evaluate in<strong>for</strong>mation and critically think through <br />
issues to provide appropriate solutions to drug-‐related problems. <br />
IV. Dispensing <strong>of</strong> Pharmaceuticals: The student will demonstrate the ability to assess and evaluate the patient’s <br />
medication orders, effectively procure appropriate products, prepare, dispense, distribute, and if necessary <br />
administer medications in an effective manner which contributes to the healing <strong>of</strong> individual patients. <br />
V. Providing Pharmaceutical Care to Individual Patients: The student will exercise appropriate clinical judgment to <br />
provide optimal pharmaceutical care to patients with common disease states. <br />
VI. Providing Pharmaceutical Care to Patient Populations: The student will provide therapeutic guidance by <br />
responding to the many factors that influence health, disease and disability, besides those <strong>of</strong> a biological nature. <br />
These factors include socio-‐cultural, familial, psychological, economic, environmental, legal, political, and spiritual <br />
aspects <strong>of</strong> health care seekers and <strong>of</strong> health care delivery. Through sensitivity to the interrelationships <strong>of</strong> <br />
individuals and their communities, the student will respond to the broader context <strong>of</strong> pharmacy practice. <br />
VII. Inter-‐pr<strong>of</strong>essional Interaction and Teamwork: The student will demonstrate effective interpersonal and team <br />
behaviors in a variety <strong>of</strong> social and pr<strong>of</strong>essional situations and circumstances. <br />
VIII. Ethical and Legal Judgment: The student will recognize the ethical dimensions <strong>of</strong> pharmacy practice and health <br />
policy; identify alternatives in difficult ethical choices; analyze systematically the conflicting considerations <br />
supporting different alternatives; and <strong>for</strong>mulate, defend, and effectively carry out a course <strong>of</strong> action that takes <br />
account <strong>of</strong> these ethical complexities. The student will combine a willingness to recognize the nature <strong>of</strong> the value <br />
systems <strong>of</strong> patients and others with commitment to his/her own system and the ethical choices necessary to <br />
maintain his/her own ethical integrity. <br />
IX. Personal and Pr<strong>of</strong>essional Growth: The student will approach the practice <strong>of</strong> pharmacy with awareness <strong>of</strong> his/her <br />
limits strengths, weaknesses and personal vulnerabilities. The student will establish personal values and priorities <br />
in order to balance personal and pr<strong>of</strong>essional commitments. The student will seek help and advice when needed <br />
<strong>for</strong> his/her own difficulties and develop personally appropriate coping strategies. The student will accurately hear <br />
and appropriately respond to constructive criticism. The student will be aware <strong>of</strong> the limits <strong>of</strong> his/her personal <br />
knowledge and experience and has an intellectual interest in general education and pharmacy science. The <br />
student will actively set clear learning goals, pursues them, and applies the knowledge gained to the practice <strong>of</strong> <br />
his/her pr<strong>of</strong>ession. <br />
X. Management Skills: The student will be able to effectively manage human, financial and other resources related to <br />
the practice <strong>of</strong> pharmacy. <br />
XI. Advancement <strong>of</strong> <strong>Pharmacy</strong> and Health Care: The student will be able to identify issues <strong>of</strong> public, pr<strong>of</strong>essional and <br />
institutional concern and works <strong>for</strong> the common good to bring resolution. <br />
XII. Promotion <strong>of</strong> Good Health and Public Welfare: The student will be proactively involved in community and <br />
pr<strong>of</strong>essional ef<strong>for</strong>ts to promote good health <strong>for</strong> the public welfare <br />
Student mastery <strong>of</strong> the PC 12 Competencies is measured each semester by course per<strong>for</strong>mance, yearly <br />
via the Growth and Assessment Portfolio (GAP), and at the completion <strong>of</strong> didactic coursework by a <br />
Third Year Competency Examination (TYCE). Those competencies addressed during the experiential <br />
component <strong>of</strong> the curriculum are charted below. <br />
42
PC-12 Competencies Mapped to PCSP Experiences <br />
PC-12 <br />
Year <br />
Pr<strong>of</strong>essional <br />
Experience <br />
Program (PEP) <br />
Course <br />
Communication <br />
Evidence based decisions <br />
Problem-solving <br />
Dispensing <br />
<strong>Pharmacy</strong> Care to Indv <br />
<strong>Pharmacy</strong> Care to Pop. <br />
Teamwork & collaboration <br />
Ethical & Legal <br />
Personal & Pr<strong>of</strong> Growth <br />
Management skill <br />
Adv. <strong>Pharmacy</strong> & Health Care <br />
Promote Public Health <br />
P1 PHRM 5201 IPPE 1 X X X X X X X X X X <br />
P2 <br />
PHRM 6101 IPPE II X X X X X X X X X X <br />
PHRM 6201 IPPE III X X X X X X X X X X X <br />
P3 <br />
PHRM 7101 IPPE IV X X X X X X X X X X X <br />
PHRM 7201 IPPE V X X X X X X X X X X X <br />
PHRM 8101 APPE I X X X X X X X X X X X X <br />
PHRM 8102 APPE II X X X X X X X X X X X X <br />
PHRM 8103 APPE III X X X X X X X X X X X X <br />
PHRM 8201 APPE IV X X X X X X X X X X X X <br />
PHRM 8202 APPE V X X X X X X X X x X X X <br />
P4 PHRM 8203 APPE VI X X X X X X X X X X X X <br />
PHRM 8204 Capstone I X X X X X X <br />
PHRM 8301 APPE VII X X X X X X X X X X X X <br />
PHRM 8302 APPE VIII X X X X X X X X X X X X <br />
PHRM 8303 APPE IX X X X X X X X X X X X X <br />
PHRM 8304 Capstone II X X X X X X <br />
43
Pr<strong>of</strong>essional Service Learning Form <br />
Student Name:<br />
Student ID#:<br />
This <strong>for</strong>m is pro<strong>of</strong> that your PROFESSIONAL service learning activity meets the requirements <strong>of</strong> both ACPE and the PCSP<br />
Office <strong>of</strong> Experiential Education. It must be completed, submitted to the Office <strong>of</strong> Experiential Education <strong>for</strong> approval,<br />
approved, the event completed, and submitted into your Growth and Assessment Portfolio no later than April<br />
1 st if it is to be applicable to the current academic year. Activities may NOT be conducted at your immediate past<br />
experiential site. Once obligated to participate in a service activity, you must participate in its entirety unless prior approval<br />
is given by the activity coordinator or you find a replacement (except due to emergency). Only one <strong>for</strong>m per event.<br />
Service Learning Activity In<strong>for</strong>mation<br />
Title <strong>of</strong> Event Activity:<br />
Location <strong>of</strong> Event Activity:<br />
Supervisor: Email: Phone:<br />
This is a PCSP-sponsored activity; sponsoring organization:<br />
This is a non-recurring activity.<br />
Date <strong>of</strong> Activity: _____________________ Times Participating: ______________ Number <strong>of</strong> Hours: _<br />
_<br />
Please describe your role in this activity:<br />
This is a recurring activity; recurring<br />
Dates <strong>of</strong> Activity: Times Participating: Number <strong>of</strong> Hours:<br />
Please describe your role in this activity:<br />
44
Patient Care Roles Involved in the Event or Activity: (choose all that apply) <br />
NOTE: PROFESSIONAL Service Learning Activities correlate with activities applicable to the pharmacy pr<strong>of</strong>ession, or to<br />
pharmacy related patient care activities such as those listed here. These activities differ from non-pr<strong>of</strong>essional COMMUNITY<br />
service activities which have no such definitions or minimum hour requirement <strong>for</strong> participation. Pr<strong>of</strong>essional service learning<br />
events which do not <strong>of</strong>fer any <strong>of</strong> the activities listed below will be denied.<br />
processing and dispensing new/refill medication orders<br />
conducting patient interviews to obtain patient in<strong>for</strong>mation<br />
creating patient pr<strong>of</strong>iles using in<strong>for</strong>mation obtained<br />
responding to drug in<strong>for</strong>mation inquiries<br />
interacting with other health care pr<strong>of</strong>essionals<br />
participating in educational <strong>of</strong>ferings designed to benefit the health <strong>of</strong> the general public<br />
interpreting and evaluating patient in<strong>for</strong>mation<br />
triaging and assessing the need <strong>for</strong> treatment or referral, including referral <strong>for</strong> a<br />
patient seeking pharmacist-guided self-care<br />
identifying patient-specific factors that affect health, pharmacotherapy, and/or<br />
disease state management<br />
assessing patient health literacy and compliance<br />
per<strong>for</strong>ming calculations required to compound, dispense, and administer medications<br />
administering medications<br />
providing point-<strong>of</strong>-care and patient-centered services<br />
conducting physical assessments<br />
preparing and compounding extemporaneous preparations and sterile products<br />
communicating with patients and other health care providers<br />
interacting with pharmacy technicians in the delivery <strong>of</strong> pharmacy services<br />
presenting patient cases in an organized <strong>for</strong>mat covering pertinent in<strong>for</strong>mation<br />
documenting interventions in patient records in a concise, organized <strong>for</strong>mat that allows readers to have a<br />
clear understanding <strong>of</strong> the content<br />
Student Certification <strong>of</strong> Participation<br />
I certify that I participated in the activity listed above at the times and dates indicated.<br />
______________________________________________________<br />
Student Signature<br />
________________________________<br />
Date<br />
Supervisor Verification <strong>of</strong> Participation<br />
I verify that the a<strong>for</strong>ementioned student participated in the activities listed above at the times and dates<br />
indicated.<br />
______________________________________________________<br />
Supervisor<br />
________________________________<br />
Date<br />
OFFICIAL USE ONLY:<br />
Approved<br />
Denied; reason <strong>for</strong> denial: ___________________________________________________________________<br />
______________________________________________________<br />
Assistant Dean <strong>for</strong> Experiential Education<br />
________________________________<br />
Date<br />
45
SITE VISIT EVALUATION FORM <strong>for</strong> IPPEs <br />
Date <strong>of</strong> Visit <br />
Site <br />
Rotation Type <br />
Syllabus Comment <br />
Student Activities Provided <br />
Preceptor Training Summary / Plan <br />
OEE Student & Preceptor Issues / Student Evaluation Summary <br />
Preceptor's Needs & Concerns <br />
OEE Follow-up <br />
(see reverse <strong>for</strong> IPPE activity requirements)<br />
46
SITE VISIT ACTIVITY REQUIREMENTS <strong>for</strong> IPPEs <br />
Introductory <strong>Pharmacy</strong> Practice Experiences (IPPEs) <br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
processing and dispensing new/refill medication orders <br />
conducting patient interviews to obtain patient in<strong>for</strong>mation <br />
creating patient pr<strong>of</strong>iles using in<strong>for</strong>mation obtained <br />
responding to drug in<strong>for</strong>mation inquiries <br />
interacting with other health care pr<strong>of</strong>essionals <br />
participating in educational <strong>of</strong>ferings designed to benefit the health <strong>of</strong> the general public <br />
interpreting and evaluating patient in<strong>for</strong>mation <br />
triaging and assessing the need <strong>for</strong> treatment or referral, including referral <strong>for</strong> a patient seeking <br />
pharmacist-‐guided self-‐care <br />
identifying patient-‐specific factors that affect health, pharmacotherapy, and/or disease state <br />
management <br />
assessing patient health literacy and compliance <br />
per<strong>for</strong>ming calculations required to compound, dispense, and administer medications <br />
administering medications <br />
evaluating appropriateness <strong>of</strong> medication dosing utilizing basic dosing principles <br />
providing point-‐<strong>of</strong>-‐care and patient-‐centered services <br />
conducting physical assessments <br />
preparing and compounding extemporaneous preparations and sterile products <br />
communicating with patients and other health care providers <br />
interacting with pharmacy technicians in the delivery <strong>of</strong> pharmacy services <br />
documenting interventions in patient records in a concise, organized <strong>for</strong>mat that allows readers <br />
to have a clear understanding <strong>of</strong> the content <br />
presenting patient cases in an organized <strong>for</strong>mat covering pertinent in<strong>for</strong>mation <br />
billing third parties <strong>for</strong> pharmacy services <br />
47
Date <strong>of</strong> Visit <br />
Site <br />
SITE VISIT EVALUATION FORM <strong>for</strong> APPEs <br />
Rotation Type <br />
Syllabus Comment <br />
Student Activities Provided <br />
Preceptor Training Summary / Plan <br />
OEE Student & Preceptor Issues / Student Evaluation Summary <br />
Preceptor's Needs & Concerns <br />
OEE Follow-up <br />
(see reverse <strong>for</strong> APPE activity requirements) <br />
48
SITE VISIT ACTIVITY REQUIREMENTS <strong>for</strong> APPEs <br />
Advanced <strong>Pharmacy</strong> Practice Experiences (APPEs) <br />
practicing as a member <strong>of</strong> an inter-‐pr<strong>of</strong>essional team <br />
identifying, evaluating, and communicating to the patient and other health care pr<strong>of</strong>essionals the appropriateness <strong>of</strong> the patient’s specific <br />
pharmacotherapeutic agents, dosing regimens, dosage <strong>for</strong>ms, routes <strong>of</strong> administration, and delivery systems <br />
consulting with patients regarding self-‐care products <br />
recommending prescription and nonprescription medications, dietary supplements, diet, nutrition, traditional nondrug therapies, and <br />
complementary and alternative therapies <br />
recommending appropriateness medication dosing utilizing practical pharmacokinetic principles <br />
administering medications where practical and consistent with practice environment & where legally permitted <br />
identifying and reporting medication errors and adverse drug reactions <br />
managing the drug regimen through monitoring and assessing patient in<strong>for</strong>mation <br />
providing pharmacist-‐delivered patient care to a diverse patient population <br />
providing patient education to a diverse patient population <br />
educating the public and health care pr<strong>of</strong>essionals regarding medical conditions, wellness, dietary supplements, durable medical <br />
equipment, and medical and drug devices <br />
retrieving, evaluating, managing, and using clinical and scientific publications in the decision-‐making process <br />
accessing, evaluating, and applying in<strong>for</strong>mation to promote optimal health care <br />
ensuring continuity <strong>of</strong> pharmaceutical care among health care settings <br />
participating in discussions and assignments regarding compliance with accreditation, legal, regulatory/legislative, and safety <br />
requirements <br />
participating in discussions and assignments regarding the drug approval process and the role <strong>of</strong> key organizations in public safety and <br />
standards setting <br />
participating in discussions / assignments concerning key health care policy matters that may affect pharmacy <br />
working with the technology used in pharmacy practice <br />
Additional activities in which students should be able to participate during required community and hospital/health system <br />
advanced pharmacy practice experiences may include, as appropriate to the learning environment: <br />
preparing and dispensing medications <br />
managing systems <strong>for</strong> storage, preparation, and dispensing <strong>of</strong> medications <br />
allocating and using key resources and supervising pharmacy technical staff <br />
participating in purchasing activities <br />
creating a business plan to support a patient care service, including determining the need, feasibility, resources, and sources <strong>of</strong> funding <br />
managing the medication use system and applying the systems approach to medication safety <br />
participating in the pharmacy’s quality improvement program <br />
participating in the design, development, marketing, and reimbursement process <strong>for</strong> new patient services <br />
participating in discussions and assignments <strong>of</strong> human resources management, medication resources management, & pharmacy data <br />
management systems, including pharmacy workload and financial per<strong>for</strong>mance <br />
participating in the pharmacy’s planning process <br />
conducting a drug use review <br />
managing the use <strong>of</strong> investigational drug products <br />
participating in the health system’s <strong>for</strong>mulary process <br />
participating in therapeutic protocol development <br />
participating in the management <strong>of</strong> medical emergencies <br />
per<strong>for</strong>ming prospective and retrospective financial and clinical outcomes analyses to support <strong>for</strong>mulary recommendations and <br />
therapeutic guideline development <br />
Additional activities in which students should be able to participate during required ambulatory care and acute/general medicine advanced <br />
pharmacy practice experiences may include, as appropriate to the learning environment: <br />
developing and analyzing clinical drug guidelines <br />
participating in the health system’s <strong>for</strong>mulary process <br />
participating in the design, development, marketing, and reimbursement process <strong>for</strong> new patient services <br />
participating in discussions <strong>of</strong> human resources management, medication resources management, and pharmacy data management <br />
systems including pharmacy workload and financial per<strong>for</strong>mance <br />
49
Office <strong>of</strong> Experiential Education <br />
Student Petition Policy <br />
Petitions are regarded as a final alternative <strong>for</strong> a student who is unable to proceed with the assigned <br />
rotation and/or rotation schedule. The petition process is in place to allow students with restricted <br />
situations the opportunity to present their situation to the Office <strong>of</strong> Experiential Education. The <br />
Assistant Dean <strong>for</strong> Experiential Education will then decide if the petition is either authorized or <br />
denied. If the petition is authorized, the student will be presented with a non-‐tradable, and non-negotiable<br />
alternative rotation assignment. The student will be given the opportunity to either accept <br />
this alternative or maintain their original assignment. In order to determine eligibility <strong>for</strong> petition the <br />
following criteria is required to be met by the student: <br />
Criteria <strong>for</strong> Petition <br />
IF APPLICABLE TO THIS PARTICULAR CIRCUMSTANCE, the student must document that he/ she tried <br />
(unsuccessfully) to trade their assignment with another student. The documentation must include <br />
possibilities that were explored, who they identified as potential trades and the time frame they <br />
submitted their petition. <br />
In addition to the a<strong>for</strong>ementioned criteria statement, all student petitions must meet one <strong>of</strong> the <br />
following criteria: <br />
1. The student will be unable to continue or begin rotations as scheduled due to academic <br />
situations (i.e. failing a course, lacking an academic pre-‐requisite, etc.) <br />
2. The student will have extenuating circumstances (i.e. family emergency, medical illness, death <br />
in family etc.) which will prevent him/her from participating in the scheduled or assigned <br />
experience. <br />
Extenuating circumstances (i.e. family emergency, medical illness, family death etc.); <strong>for</strong>mally defined as <br />
“circumstances beyond your control” which affect course requirements which otherwise would have been <br />
carried out. This might include illness or disability at the time <strong>of</strong> an assessment, severe mental or emotional <br />
stress at or immediately be<strong>for</strong>e the time <strong>of</strong> the assessment, or other factors beyond your control. In general, <br />
extenuating circumstances will be <strong>of</strong> a medical or personal nature affecting the student <strong>for</strong> a significant <br />
period <strong>of</strong> time and/or during the rotation period. <br />
The student must complete and submit the Petition Form to the Office <strong>of</strong> Experiential Education. Language <br />
provided by the student on the <strong>for</strong>m must include documentation to support your specific request (e.g. letter <br />
from therapist, hospital documentation, police report, etc.). The decision to accept or deny any petition will <br />
rest with the Experiential Program Review Committee. <br />
50
Office <strong>of</strong> Experiential Education <br />
Petition Form <br />
Current Petition Deadline is:<br />
TO: Office <strong>of</strong> Experiential Education / Experiential Program Review Committee<br />
STUDENT NAME:<br />
CLASS OF:<br />
DATE:<br />
Explanation or Description <strong>of</strong> Situation <br />
Student Signature: __________ <br />
Date: <br />
-----------------------------------------------------------OFFICE USE ONLY------------------------------------- <br />
Granted Date Denied Date <br />
Lewis McKelvey, PharmD <br />
Assistant Dean, Experiential Education <br />
Chair, Experiential Program Review Committee <br />
51
Sample Student Orientation Checklist <br />
General <br />
______ Parking <br />
______ Name badges and lab coats required <br />
______ Entry codes <strong>for</strong> doors <br />
______ <strong>Pharmacy</strong> hours <strong>of</strong> operation <br />
______ Patient confidentiality (HIPAA) <br />
Tour <strong>of</strong> pharmacy / facility <br />
_____ Location <strong>of</strong> drugs/samples/prescription/<strong>for</strong>ms <br />
_____ Introduction to staff <br />
_____ Where to put personal belongings <br />
_____ Food rules/breaks <br />
_____ Proper hygiene in pharmacy <br />
_____ Computer system <br />
_____ Bathrooms <br />
_____ Fax machine <br />
_____ Chart rules <br />
Meeting with Preceptor <br />
_____ Review student folio / checklist <br />
_____ Schedule, assignments and deadlines <br />
_____ Importance <strong>of</strong> patient confidentiality <br />
_____ How to use SOAP <strong>for</strong>ms <br />
_____ Journal clubs <br />
_____ Disease state presentations <br />
_____ SOAP presentations <br />
_____ Drug table responsibilities <br />
_____ Student case presentations <br />
_____ Penalties <strong>for</strong> late assignments <br />
_____ Other projects <br />
_____ Exit exam <br />
_____ Grading <br />
_____ Midpoint and Final evaluations <br />
52
<strong>Presbyterian</strong> <strong>College</strong> <strong>School</strong> <strong>of</strong> <strong>Pharmacy</strong> Office <strong>of</strong> Experiential Education<br />
Introductory <strong>Pharmacy</strong> Practice Experiences (IPPEs 1 & 2) <br />
Introduction to Institutional & Community <strong>Pharmacy</strong> Practice Experiences <br />
Student Name:<br />
Preceptor Name:<br />
List others who precepted this student and provided evaluation feedback:<br />
1 2 3 4 5<br />
Student<br />
Description <strong>of</strong> Per<strong>for</strong>mance<br />
Per<strong>for</strong>mance<br />
Goal 1: The student demonstrates an acceptable level <strong>of</strong> pr<strong>of</strong>essional maturity. (15% <strong>of</strong> final grade)<br />
A. Evidence <strong>of</strong><br />
Per<strong>for</strong>mance<br />
Overall poor attitude,<br />
avoids responsibility<br />
and work. Resistive<br />
to feedback. Late on<br />
several occasions.<br />
Unexcused absence.<br />
Unacceptable attire.<br />
Does not respect<br />
patient<br />
confidentiality<br />
Generally poor<br />
attitude with little<br />
positive interaction<br />
with coworkers.<br />
Missed an important<br />
deadline or<br />
occasionally late.<br />
Does not handle<br />
criticism well.<br />
Occasionally dresses<br />
inappropriately. Does<br />
not always respect<br />
patient<br />
confidentiality<br />
Generally good<br />
attitude with some<br />
interaction with<br />
coworkers. Handles<br />
criticism<br />
constructively but<br />
does not always<br />
incorporate<br />
feedback. Dresses<br />
appropriately.<br />
Respects patient<br />
confidentiality<br />
Generally good<br />
attitude and positive<br />
interaction with<br />
coworkers. Handles<br />
criticism<br />
constructively and<br />
occasionally attempts<br />
to incorporate<br />
feedback. Dresses<br />
appropriately.<br />
Respects patient<br />
Confidentiality<br />
Very motivated and<br />
enthusiastic, interacts<br />
well with coworkers.<br />
Handles criticism<br />
constructively and<br />
consistently incorporates<br />
feedback.<br />
Dresses appropriately.<br />
Respects patient<br />
confidentiality<br />
B. Relationships<br />
with Members <strong>of</strong><br />
the Healthcare<br />
Team<br />
Speaks and acts on<br />
requests only; <strong>of</strong>ten<br />
refuses to participate<br />
Limited selfmotivation,<br />
But<br />
completes work if<br />
directed by preceptor<br />
Establishes<br />
adequate<br />
relationships;<br />
participates if<br />
directed<br />
Establishes good<br />
relationships;<br />
actively participates;<br />
team player<br />
Establishes working<br />
relationships and<br />
proactively participates<br />
as an integral member;<br />
appropriately assertive<br />
Comments:<br />
Goal 2: The student demonstrates an appropriate initiative regarding clerkship activities. (15% <strong>of</strong> final grade)<br />
A. Motivation<br />
Speaks and acts on<br />
requests only; <strong>of</strong>ten<br />
refuses to<br />
participate<br />
Limited selfmotivation,<br />
But completes work<br />
if directed by<br />
preceptor<br />
Generally<br />
motivated;<br />
appropriate time<br />
management skills<br />
Works and makes<br />
Decisions<br />
independently,<br />
discusses ideas<br />
and/or plan with<br />
preceptor<br />
Consistently initiates<br />
activities; uses spare<br />
time wisely; Asks<br />
thoughtful questions;<br />
inquisitive/eager to<br />
learn<br />
B. Responsibility<br />
Avoids<br />
responsibility; avoids<br />
tasks; ignores<br />
obvious issues<br />
Assumes<br />
responsibility <strong>for</strong><br />
selected issues;<br />
does not examine<br />
issues carefully<br />
Appropriately<br />
assumes<br />
responsibility; most<br />
<strong>of</strong>ten examines<br />
issues carefully<br />
Appropriately<br />
Assumes<br />
responsibility;<br />
examines issue<br />
carefully; asks <strong>for</strong><br />
help when necessary<br />
Assists when needed<br />
without being asked;<br />
aware <strong>of</strong> limitations;<br />
takes responsibility <strong>for</strong><br />
self-learning;<br />
consistently examines<br />
issues carefully<br />
Comments:<br />
53
Goal 3: The student is reliable and conscientious with respect to clerkship responsibilities. (15% <strong>of</strong> final grade)<br />
A. Evidence <strong>of</strong><br />
Per<strong>for</strong>mance<br />
Consistently<br />
disorganized. Fails to<br />
meet many deadlines<br />
and does not follow<br />
through with<br />
requests. Very poor<br />
problem solving and<br />
decision making<br />
skills. One<br />
unexcused absence<br />
or consistently tardy<br />
to activities<br />
Occasionally<br />
unorganized and<br />
unprepared.<br />
Assignments done<br />
on time but poor<br />
problem-solving and<br />
decision making<br />
skills. Fails to follow<br />
through on several<br />
requests.<br />
Occasionally tardy<br />
to activities<br />
Regularly attends all<br />
activities and work<br />
completed on time.<br />
Sufficient problem<br />
solving and decision<br />
making skills.<br />
Usually follows<br />
through on requests<br />
Demonstrates<br />
advanced planning<br />
and/or completes<br />
some projects ahead<br />
<strong>of</strong> time. Well<br />
organized and<br />
punctual. Good<br />
problem-solving and<br />
decision making<br />
skills. Follows<br />
through on all<br />
requests<br />
Consistently initiates<br />
activities; uses spare<br />
time wisely. Arrives<br />
early and stays late if<br />
necessary. Extremely<br />
organized. Completes all<br />
assignments in advance.<br />
Strong problem-solving<br />
and decision making<br />
skills. Follows through<br />
on all requests<br />
Comments:<br />
Goal 4: The student demonstrates the ability to derive concise and accurate responses to drug in<strong>for</strong>mation requests.<br />
(15% <strong>of</strong> final grade)<br />
A. Evidence <strong>of</strong><br />
Per<strong>for</strong>mance<br />
Consistently unable<br />
to obtain proper<br />
in<strong>for</strong>mation from<br />
proper sources<br />
Collects some data,<br />
but omits several<br />
basic details<br />
Usually collects<br />
obvious data with<br />
some detailed<br />
in<strong>for</strong>mation from<br />
requestor<br />
Usually collects<br />
obvious and also<br />
detailed data from<br />
requestor<br />
Effectively obtains<br />
complete data <strong>for</strong> each<br />
problem<br />
Comments:<br />
Goal 5: The student displays verbal and written communication skills appropriate to this practice setting and is receptive to feedback.<br />
(15% <strong>of</strong> final grade)<br />
A. Verbal<br />
Communication<br />
with Preceptor<br />
and Other<br />
Health-Care<br />
Pr<strong>of</strong>essionals<br />
Appears arrogant;<br />
use <strong>of</strong> unclear<br />
language, incorrect<br />
info, <strong>of</strong>fensive<br />
tone, slang or<br />
cursing; insensitive<br />
to surroundings<br />
Impersonal and<br />
abrupt; generally<br />
provides correct info;<br />
does not always<br />
respect surroundings<br />
Maintains a good<br />
proactive dialogue;<br />
respectful <strong>of</strong><br />
surroundings<br />
Directs<br />
conversation;<br />
allows others to<br />
easily provide or<br />
receive info;<br />
respectful <strong>of</strong><br />
surroundings<br />
Effective<br />
communication with all<br />
interactions; uses clear<br />
and correct language;<br />
sensitive to surroundings<br />
B. Written<br />
Communication<br />
Assignments late,<br />
illegible and with<br />
grammatical<br />
spelling and<br />
organizational<br />
errors<br />
Assignments<br />
completed on time<br />
but inarticulate,<br />
poorly cited; with<br />
some grammatical or<br />
spelling errors<br />
Well-cited info; rare<br />
grammatical or<br />
spelling errors<br />
Well-cited info<br />
with articulation;<br />
no writing or<br />
spelling errors<br />
Critically<br />
presented, well cited<br />
info with<br />
articulation, clarity<br />
and insight<br />
C. Feedback<br />
Makes excuses<br />
and/or displaces<br />
blame; does not<br />
accept responsibility<br />
and/or resists<br />
feedback; appears<br />
defensive<br />
Does not admit error;<br />
does not incorporate<br />
feedback<br />
Admits errors;<br />
usually incorporates<br />
feedback<br />
Admits errors;<br />
incorporates<br />
feedback<br />
Self-evaluates; seeks and<br />
incorporates feedback<br />
Comments:<br />
54
Goal 6: Dispensing Skills. (25% <strong>of</strong> final grade)<br />
A. Dispensing<br />
and Prescription<br />
Order<br />
Interpretation<br />
Comments:<br />
Unable to correctly<br />
interpret prescription<br />
orders <strong>for</strong> amount per<br />
dose, frequency,<br />
duration <strong>of</strong> therapy,<br />
interactions, or<br />
allergies. Unable to<br />
select proper drug.<br />
Inaccurately labels<br />
dispensed product<br />
Usually unable to<br />
verify prescription<br />
orders <strong>for</strong> amount per<br />
dose, frequency,<br />
duration <strong>of</strong> therapy,<br />
interactions, or<br />
allergies. Does not<br />
usually select proper<br />
drug or accurately<br />
label dispensed<br />
product<br />
Frequently needs<br />
help to correctly<br />
interpret<br />
prescription orders<br />
<strong>for</strong> amount per dose,<br />
frequency, duration<br />
<strong>of</strong> therapy,<br />
interactions, and<br />
allergies. Usually<br />
selects proper drug<br />
and accurately<br />
labels dispensed<br />
product<br />
Correctly receives,<br />
interprets, and<br />
clarifies prescription<br />
orders <strong>for</strong> amount per<br />
dose, appropriate<br />
route, frequency,<br />
duration <strong>of</strong> therapy,<br />
interactions, and<br />
allergies most <strong>of</strong> the<br />
time. Selects proper<br />
drug and accurately<br />
labels dispensed<br />
product<br />
Always correctly<br />
receives, interprets,<br />
and clarifies prescription<br />
orders <strong>for</strong> amount per<br />
dose, appropriate route,<br />
frequency, duration <strong>of</strong><br />
therapy, interactions, and<br />
allergies. Selects proper<br />
drug and accurately<br />
labels dispensed product<br />
Midpoint<br />
Final<br />
Final Comments<br />
Grading<br />
If student is unsatisfactory at midpoint,<br />
please click here and complete Remediation<br />
Plan.<br />
Satisfactory: 70 – 100% Unsatisfactory:
Aiken 107 Woodruff 24<br />
Anderson 59<br />
Driving Distances <br />
Newberry 25 <br />
Atlanta GA 176<br />
Greenwood 27<br />
Augusta GA 95 Union 30<br />
from <br />
Batesburg 56<br />
Simpsonville 31<br />
Beau<strong>for</strong>t 196<br />
PCSP <br />
Prosperity 32<br />
Belton 48<br />
Mauldin 34<br />
Bennettsville 164 Spartanburg 38<br />
Berea 49 Abbeville 40<br />
Boiling Springs 45 Pelzer 41<br />
Cayce 65 Chapin 43<br />
Chapin 43 Lyman 43<br />
Charleston 172 Boiling Springs 45<br />
Cheraw 127 Greenville 45<br />
Chesnee 56 Chester 47<br />
Chester 47 Belton 48<br />
Clemson 73 Berea 49<br />
Columbia 63 Greer 49<br />
Easley 56 Taylors 49<br />
Florence 140 Travelers Rest 53<br />
Ft. Mill 79 Irmo 55<br />
Gaffney 62 Batesburg 56<br />
Goose Creek 158 Chesnee 56<br />
Greenville 45 Easley 56<br />
Greenwood 27 Anderson 59<br />
Greer 49 Gaffney 62<br />
Hampton 155 West Columbia 62<br />
Irmo 55 Columbia 63<br />
Lake Wylie 85 Pickens 64<br />
Lancaster 75 Cayce 65<br />
Laurens 9 Rock Hill 68<br />
Lyman 43 York 69<br />
Mauldin 34 Clemson 73<br />
Moncks Corner 160 Lancaster 75<br />
Mt. Pleasant 177 Ft. Mill 79<br />
Myrtle Beach 213 North Augusta 84<br />
Newberry 25 Lake Wylie 85<br />
North Augusta 84 Augusta GA 95<br />
North Myrtle Beach 224 Orangeburg 100<br />
Orangeburg 100 Aiken 107<br />
Pelzer 41 Sumter 113<br />
Pickens 64 Cheraw 127<br />
Prosperity 25 Florence 140<br />
Rock Hill 68 Walterboro 149<br />
Simpsonville 31 Summerville 151<br />
Socastee 214 Hampton 155<br />
Spartanburg 38 Goose Creek 158<br />
Summerville 151 Moncks Corner 160<br />
Sumter 113 Bennettsville 164<br />
Surfside Beach 223 Charleston 172<br />
Taylors 49 Atlanta GA 176<br />
Travelers Rest 53 Mt. Pleasant 177<br />
Union 30 Beau<strong>for</strong>t 196<br />
Walterboro 149 Myrtle Beach 213<br />
West Columbia 62 Socastee 214<br />
Woodruff 24 Surfside Beach 223<br />
York 69 North Myrtle Beach 224<br />
56
ACCREDITATION COUNCIL FOR PHARMACY EDUCATION<br />
ACCREDITATION STANDARDS AND GUIDELINES FOR THE PROFESSIONAL PROGRAM IN<br />
PHARMACY LEADING TO THE DOCTOR OF PHARMACY DEGREE<br />
ADOPTED: JANUARY 15, 2006<br />
RELEASED: FEBRUARY 17, 2006<br />
EFFECTIVE: JULY 1, 2007<br />
GUIDELINES Version 2.0<br />
ADOPTED: JANUARY 23, 2011<br />
EFFECTIVE: FEBRUARY 14, 2011<br />
Accreditation Council <strong>for</strong> <strong>Pharmacy</strong> Education<br />
Chicago, Illinois<br />
© 2011<br />
ACPE is the primary accrediting body <strong>for</strong> pharmacy education in the US. The “Standards and<br />
Guidelines” define how pharmacy school programs are to conduct their programs. The following<br />
page excerpts, Standards 14 and 28 (along with related appendices), pertain specifically to<br />
experiential issues. They are included in this Pr<strong>of</strong>essional Experience manual to provide further<br />
insight to preceptors and students (and others) as to how experiential programs operate within the<br />
overall pharmacy school curriculum.<br />
57
ACCREDITATION STANDARDS AND GUIDELINES FOR THE<br />
PROFESSIONAL PROGRAM IN PHARMACY LEADING TO THE DOCTOR<br />
OF PHARMACY DEGREE<br />
ADOPTED: JANUARY 15, 2006<br />
GUIDELINES 2.0: JANUARY 23, 2011<br />
Standard No. 14: Curricular Core—<strong>Pharmacy</strong> Practice Experiences<br />
The college or school must provide a continuum <strong>of</strong> required and elective pharmacy practice<br />
experiences throughout the curriculum, from introductory to advanced, <strong>of</strong> adequate scope,<br />
intensity, and duration to support the achievement <strong>of</strong> the pr<strong>of</strong>essional competencies<br />
presented in Standard 12.<br />
The pharmacy practice experiences must integrate, apply, rein<strong>for</strong>ce, and advance the<br />
knowledge, skills, attitudes, and values developed through the other components <strong>of</strong> the<br />
curriculum. The objectives <strong>for</strong> each pharmacy practice experience and the responsibilities<br />
<strong>of</strong> the student, preceptor, and site must be defined. Student per<strong>for</strong>mance, nature and extent<br />
<strong>of</strong> patient and health care pr<strong>of</strong>essional interactions, where applicable, and the attainment <strong>of</strong><br />
desired outcomes must be documented and assessed.<br />
In aggregate, the pharmacy practice experiences must include direct interaction<br />
with diverse patient populations in a variety <strong>of</strong> practice settings and involve collaboration<br />
with other health care pr<strong>of</strong>essionals. Most pharmacy practice experiences must be under<br />
the supervision <strong>of</strong> qualified pharmacist preceptors licensed in the United States.<br />
Guideline 14.1<br />
<strong>Preceptors</strong> should hold full, shared, adjunct, or other defined positions in the college or school and<br />
should be well versed in the outcomes expected <strong>of</strong> students and the pedagogical methods that<br />
best enhance learning. In this regard, the college or school must ensure that preceptors receive<br />
orientation, especially <strong>for</strong> first-time preceptors prior to assuming their responsibilities, ongoing<br />
training, and development. <strong>Preceptors</strong> should provide close supervision <strong>of</strong> and significant<br />
interaction with students. The student-to preceptor ratio <strong>for</strong> the pharmacy practice experiences<br />
should be adequate to provide individualized instruction, guidance, supervision, and assessment.<br />
Guideline 14.2<br />
When assigning students to preceptors and practice sites, the college or school should strive to<br />
avoid circumstances or relationships that could adversely affect the student/teacher relationship<br />
and the desired outcomes.<br />
Guideline 14.3<br />
Students must not receive remuneration from practice sites <strong>for</strong> any pharmacy practice experiences<br />
(introductory or advanced) <strong>for</strong> which academic credit is assigned.14 Other work experiences in<br />
pharmacy settings <strong>for</strong> which no academic credit is awarded (i.e., not a component <strong>of</strong> introductory<br />
or advanced pharmacy practice experiences) may be required <strong>for</strong> advancement in the curriculum.<br />
The college or school, within their policies and procedures, <strong>for</strong> experiential education may provide<br />
financial assistance <strong>for</strong> student travel and housing that is not considered remuneration <strong>for</strong> services<br />
rendered.<br />
58
Guideline 14.4<br />
Introductory pharmacy practice experiences must account <strong>for</strong> not less than 300 hours (over the<br />
first three pr<strong>of</strong>essional years). The majority <strong>of</strong> students’ time (minimum <strong>of</strong> 150 hours) must be<br />
balanced between community pharmacy and institutional health system settings. These<br />
experiences must permit students, under appropriate supervision and as permitted by practice<br />
regulations, to assume direct patient care responsibilities. Additional practice experiences in other<br />
types <strong>of</strong> practice settings may also be used. The introductory pharmacy practice experiences<br />
should begin early in the curriculum be interfaced with didactic course work that provides an<br />
introduction to the pr<strong>of</strong>ession, and continue in a progressive manner leading to entry into the<br />
advanced pharmacy practice experiences. The didactic course work itself should not be counted<br />
toward the curricular requirement <strong>of</strong> introductory pharmacy practice experiences.<br />
Guideline 14.5<br />
<strong>College</strong>s and schools may choose to include structured simulation as part <strong>of</strong> their overall<br />
introductory pharmacy practice experiences to meet their introductory pharmacy practice<br />
experiences program goals and objectives. Simulation, defined as an activity or event replicating<br />
pharmacy practice, can be utilized <strong>for</strong> no greater than 20% (e.g., 60 hours <strong>of</strong> a 300 hour<br />
requirement) <strong>of</strong> total introductory pharmacy practice experience time, and cannot substitute <strong>for</strong> the<br />
hours devoted to actual experiences in community pharmacy and institutional health system<br />
settings (see Guideline 14.4). <strong>College</strong>s and schools are not required to include simulation<br />
experiences as a portion <strong>of</strong> introductory pharmacy practice experiences. For the purpose <strong>of</strong><br />
satisfying introductory pharmacy practice experience expectations, simulation may include use <strong>of</strong><br />
high fidelity manikins, medium fidelity manikins, standardized patients, standardized colleagues,<br />
role play, and computer-based simulations. Simulation as a component <strong>of</strong> introductory pharmacy<br />
practice experiences should clearly connect the pharmacy activity or delivery <strong>of</strong> a medication to a<br />
patient (whether simulated patient, standardized patient, or virtual patient). <strong>College</strong>s and schools<br />
are encouraged to develop interpr<strong>of</strong>essional simulations and, if desired, should seek guidance<br />
from ACPE on appropriate simulation experiences to meet introductory pharmacy practice<br />
experiences program goals and objectives.<br />
Guideline 14.6<br />
The expected length <strong>of</strong> the advanced pharmacy practice experiences is not less than 1440 hours<br />
(i.e., 36 weeks) during the last academic year and after all pre-advanced pharmacy practice<br />
experience requirements (i.e., introductory pharmacy practice experiences and required core<br />
didactic course work) are completed. The organization <strong>of</strong> the advanced pharmacy practice<br />
experiences should provide a balanced series <strong>of</strong> required (the majority) and elective experiences<br />
that cumulatively provide sustained experiences <strong>of</strong> adequate intensity, duration, and breadth (in<br />
terms <strong>of</strong> patients and disease states that pharmacists are likely to encounter when providing care)<br />
to enable achievement <strong>of</strong> stated competencies as demonstrated by assessment <strong>of</strong> outcome<br />
expectations. Generally, the required and elective experiences should be full-time, provide<br />
continuity <strong>of</strong> care, and be conducted under pharmacist-preceptor supervision and monitoring. The<br />
required advanced pharmacy practice experiences16 in all program pathways must be conducted in<br />
the United States or its territories and possessions (including the District <strong>of</strong> Columbia, Guam,<br />
Puerto Rico, and U.S. Virgin Islands).<br />
59
Required experiences must include primary, acute, chronic, and preventive care among patients <strong>of</strong><br />
all ages and develop pharmacist-delivered patient care competencies in the following settings:<br />
• community pharmacy<br />
• hospital or health-system pharmacy<br />
• ambulatory care<br />
• inpatient/acute care general medicine<br />
The required advanced pharmacy practice experiences should emphasize the need <strong>for</strong> continuity<br />
<strong>of</strong> care throughout the health care delivery system, including the availability and sharing <strong>of</strong><br />
in<strong>for</strong>mation regarding a patient’s condition, medications, and other therapies.<br />
Elective advanced pharmacy practice experiences in other settings (such as research,<br />
management, drug in<strong>for</strong>mation, education, managed care, long-term care, hospice, and home<br />
health care) should complement the required experiences and provide adequate and innovative<br />
opportunities <strong>for</strong> students to mature pr<strong>of</strong>essionally and in accordance with their individual interests.<br />
The college or school may <strong>of</strong>fer elective advanced pharmacy practice experiences outside the<br />
United States and its territories and possessions, provided that they support the development <strong>of</strong><br />
the competencies required <strong>of</strong> the graduate, and the college or school implements policies and<br />
procedures to ensure the quality <strong>of</strong> the site(s) and preceptor(s).<br />
Guideline 14.7<br />
A quality assurance procedure <strong>for</strong> all pharmacy practice experiences should be established and<br />
implemented to facilitate achievement <strong>of</strong> stated competencies, provide <strong>for</strong> feedback, and support<br />
standardization, consistency, and inter-rater reliability in assessment <strong>of</strong> student per<strong>for</strong>mance. All<br />
practice sites and preceptors should be selected in accordance with quality criteria established and<br />
reviewed periodically <strong>for</strong> quality improvement. The assessment process should incorporate the<br />
perspectives <strong>of</strong> key constituents, such as students, practitioners, prospective employers, and<br />
board <strong>of</strong> pharmacy members.<br />
Guideline 14.8<br />
Goals and outcomes <strong>for</strong> each pharmacy practice experience must be mapped to activities listed in<br />
Appendix C to ensure that students’ experience will cover, at a minimum, all the listed activities.<br />
60
Standard No. 28: Practice Facilities<br />
To support the introductory and advanced pharmacy practice experiences (required and<br />
elective) and to advance collaboratively the patient care services <strong>of</strong> pharmacy practice<br />
experience sites (where applicable), the college or school must establish and implement<br />
criteria <strong>for</strong> the selection <strong>of</strong> an adequate number and mix <strong>of</strong> practice facilities and secure<br />
written agreements with the practice facilities.<br />
Guideline 28.1<br />
Be<strong>for</strong>e assigning students to any given practice site, the college or school must screen the site and<br />
associated preceptors using defined quality criteria to ensure that the educational experience<br />
would af<strong>for</strong>d students the opportunity to achieve the required competencies.<br />
Guideline 28.2<br />
At a minimum, <strong>for</strong> all sites <strong>for</strong> required pharmacy practice experiences and <strong>for</strong> frequently used<br />
sites <strong>for</strong> elective pharmacy practice experiences, a written affiliation agreement between the site<br />
and the college or school must be executed. The agreement should clearly define the<br />
responsibilities, commitments, and expectations <strong>of</strong> each <strong>of</strong> the parties regarding the education <strong>of</strong><br />
students. Agreements should provide <strong>for</strong> criteria <strong>for</strong> termination and sufficient advance notification<br />
<strong>of</strong> termination in order to permit development <strong>of</strong> alternate affiliations should this become<br />
necessary. Agreements should also address student-related matters such as health services,<br />
malpractice provisions, criminal background checks, student disclosures, immunization policies,<br />
and pr<strong>of</strong>essional conduct expectations.<br />
Guideline 28.3<br />
The college or school must identify a diverse mixture <strong>of</strong> sites <strong>for</strong> required and elective pharmacy<br />
practice experiences. In general, each site used <strong>for</strong> required pharmacy practice experiences<br />
should have the following characteristics:<br />
• meets or exceeds all legal and pr<strong>of</strong>essional standards required to provide patient care<br />
• has a patient population that exhibits diversity in culture, medical conditions, gender, and age,<br />
where appropriate<br />
• has an adequate patient population based on the learning objectives <strong>for</strong> the rotation<br />
• has access to learning and in<strong>for</strong>mation resources<br />
• has a commitment to the education <strong>of</strong> pharmacy students<br />
• has management that is supportive <strong>of</strong> pr<strong>of</strong>essional staff involvement in the education <strong>of</strong> pharmacy<br />
students<br />
• has a practice environment that nurtures and supports pharmacist and student interactions with<br />
patients<br />
• provides daily contact with the preceptor or a qualified designee to ensure that students receive<br />
feedback and have opportunities to ask questions<br />
• is adequately equipped with the technology needed to support student training and to reflect<br />
contemporary practice<br />
• provides medication therapy management and patient care services <strong>for</strong> diverse populations<br />
• has adequate pr<strong>of</strong>essional staff and supportive technical and clerical staff to meet the learning<br />
objectives and to provide <strong>for</strong> optimum time <strong>for</strong> preceptor and student interaction<br />
• provides educational workshops <strong>for</strong> patients and other health care providers<br />
• serves as an accredited site <strong>for</strong> training <strong>of</strong> pharmacy residents<br />
61
• has collaborative pr<strong>of</strong>essional and/or training relationships with other health care providers<br />
• demonstrates a strong commitment to health promotion and illness prevention as reflected by the<br />
services provided and/or products sold (e.g., provision <strong>of</strong> health screening, tobacco cessation<br />
counseling, immunizations; not stocking cigarettes and other tobacco products)<br />
The college or school should ensure the availability <strong>of</strong> a broad array <strong>of</strong> quality-assured sites <strong>for</strong><br />
elective pharmacy practice experiences (such as state or national pharmacy associations, state<br />
boards <strong>of</strong> pharmacy, pharmacy benefit managers, insurance companies, pharmaceutical<br />
manufacturers, drug in<strong>for</strong>mation centers, and research laboratories) to support the achievement <strong>of</strong><br />
curricular competencies and student interests.<br />
Guideline 28.4<br />
The college or school must periodically assess the quality <strong>of</strong> sites and preceptors in light <strong>of</strong><br />
curricular needs and must identify additional sites when needed. <strong>College</strong>s or schools must also<br />
discontinue relationships that do not meet preset quality criteria.<br />
62
Appendix C<br />
Additional Guidance on <strong>Pharmacy</strong> Practice Experiences<br />
The following in<strong>for</strong>mation is a compilation <strong>of</strong> comments received from ACPE stakeholders relative<br />
to pharmacy experiential education. As with Appendix B, the in<strong>for</strong>mation is provided as a basis <strong>for</strong><br />
curricular reflection and continuous quality improvement, driven by the mission and goals <strong>of</strong> the<br />
college or school.<br />
General Guidance<br />
The pharmacy practice experiences should:<br />
• ensure that every student has multiple opportunities to per<strong>for</strong>m patient-centered care<br />
activities in a variety <strong>of</strong> settings<br />
• be in-depth, structured, and carefully coordinated with other components <strong>of</strong> the curriculum<br />
• require active participation and patient care responsibilities, in a progressive fashion,<br />
designed to develop the practice skills, judgment, pr<strong>of</strong>essional behavior, attitudes and<br />
values, confidence, and personal responsibility needed <strong>for</strong> each student to embark on an<br />
independent and collaborative practice<br />
The development <strong>of</strong> the desired student competencies should occur in a progressive manner and<br />
involve experiences in a variety <strong>of</strong> practice settings in which pharmacists work as partners with<br />
patients, physicians, nurses, other health care pr<strong>of</strong>essionals, and administrators.<br />
General objectives and learning modules, as well as site-specific learning objectives, should be<br />
established <strong>for</strong> all <strong>of</strong> the pharmacy practice experiences. The objectives <strong>for</strong> the pharmacy practice<br />
experiences should identify the competencies to be achieved, expected types <strong>of</strong> patients (if<br />
applicable), level <strong>of</strong> student responsibility, and setting needed <strong>for</strong> the objectives to be met. The<br />
college or school should specify, <strong>for</strong> those pharmacy practice experiences involving direct patient<br />
care, the major disease states/conditions that all students are expected to encounter. The college<br />
or school should also specify the extent <strong>of</strong> student interaction with patients and the settings in<br />
which the interactions will occur.<br />
Specific criteria should be developed to enable faculty and students to assess progress midway<br />
through the experience and at its completion. Students should be provided the opportunity to<br />
demonstrate achievement <strong>of</strong> stated competencies as assessed through the use <strong>of</strong> reliable,<br />
validated criteria.<br />
Educational experiences in the same practice area, <strong>for</strong> example, community pharmacy, should<br />
result in comparable educational objectives and competencies in students, especially in the<br />
Advanced <strong>Pharmacy</strong> Practice Experiences.<br />
Oversight <strong>of</strong> <strong>Pharmacy</strong> Practice Experiences<br />
The experiential director, or equivalent person responsible <strong>for</strong> oversight and quality assurance <strong>of</strong><br />
the pharmacy practice experience component <strong>of</strong> the curriculum, should have sufficient practice,<br />
academic, and management expertise to have credibility with other faculty and practitioners, as<br />
well as to direct the program in a manner that facilitates the college or school’s ability to influence<br />
advancement <strong>of</strong> the practice <strong>of</strong> pharmacy. The college or school should ensure that the person<br />
has the appropriate expertise, support, and authority to evaluate, identify deficiencies if applicable,<br />
and implement change where needed. The person should serve on, or be ex-<strong>of</strong>ficio to, key<br />
committees where their input is most effective.<br />
<strong>College</strong>s and schools should have systems, such as computerized programs, to manage the<br />
pharmacy practice experiences. Important factors to be considered and assessed to ensure the<br />
desired outcomes are the number <strong>of</strong> students each preceptor and/or site is assigned; the nature,<br />
dynamics, and other responsibilities <strong>of</strong> the practice site; the experience and other commitments <strong>of</strong><br />
63
the preceptor; the specific objectives <strong>of</strong> the experience; the potential benefit <strong>of</strong> student-to student<br />
interaction and collaboration; and the instructional methodologies employed.<br />
The college or school should obtain assessment <strong>of</strong> qualities and per<strong>for</strong>mance <strong>of</strong> preceptors from<br />
students in a manner that would not adversely affect the grading process.<br />
The methods <strong>of</strong> assessment and reporting employed should promote the development within the<br />
student <strong>of</strong> the ability to <strong>of</strong>fer constructive criticism in a manner appropriate to inter-pr<strong>of</strong>essional<br />
relationships. The assessment should include each preceptor’s:<br />
• ability to facilitate learning<br />
• communication skills<br />
• quality as a pr<strong>of</strong>essional role model<br />
• effectiveness related to pharmacy education<br />
The quality control procedure employed should use a variety <strong>of</strong> methods, such as use <strong>of</strong> a review<br />
committee consisting <strong>of</strong> practitioners, faculty, and students, and visits to and communications with<br />
experiential sites conducted by trained individuals.<br />
<strong>Preceptors</strong><br />
The college or school should identify preceptors who will be positive role models <strong>for</strong> students and<br />
who, in general, demonstrate the following behavior, qualities, and values (as applicable to their<br />
area <strong>of</strong> practice):<br />
• practice ethically and with compassion <strong>for</strong> patients<br />
• accept personal responsibility <strong>for</strong> patient outcomes<br />
• have pr<strong>of</strong>essional training, experience, and competence commensurate with their position<br />
• utilize clinical and scientific publications in clinical care decision making and evidence-based<br />
practice<br />
• have a desire to educate others (patients, care givers, other health care pr<strong>of</strong>essionals,<br />
students, pharmacy residents)<br />
• have an aptitude to facilitate learning<br />
• be able to document and assess student per<strong>for</strong>mance<br />
• have a systematic, self-directed approach to their own continuing pr<strong>of</strong>essional<br />
development<br />
• collaborate with other health care pr<strong>of</strong>essionals as a member <strong>of</strong> a team<br />
• be committed to their organization, pr<strong>of</strong>essional societies, and the community<br />
In general, preceptor training should include:<br />
• orientation to the college or school’s mission, goals, and values<br />
• review <strong>of</strong> the college or school’s curriculum and teaching methodologies<br />
• review <strong>of</strong> the specific objectives <strong>for</strong> the pharmacy practice experiences<br />
• guidance regarding the assessment <strong>of</strong> students’ prior knowledge and experience relative to the<br />
rotation’s objectives so that the preceptor may tailor the rotation to maximize the educational<br />
experience and ensure appropriate student interaction with patients and their care givers and<br />
other health pr<strong>of</strong>essionals, if applicable<br />
• review <strong>of</strong> the college or school’s per<strong>for</strong>mance assessment and grading systems<br />
64
Introductory <strong>Pharmacy</strong> Practice Experiences<br />
The introductory pharmacy practice experiences may use various <strong>for</strong>mats, including:<br />
• shadowing <strong>of</strong> practitioners or students on advanced pharmacy practice experiences<br />
• interviews with real patients<br />
• simulation<br />
• service learning (see below)<br />
• real practice experiences in community, institutional, long-term care pharmacies, etc.<br />
In this regard, colleges and schools are encouraged to identify or develop introductory pharmacy<br />
practice experiences that consistently expose students to and allow participation in activities such<br />
as, but not limited to:<br />
• processing and dispensing new/refill medication orders<br />
• conducting patient interviews to obtain patient in<strong>for</strong>mation<br />
• creating patient pr<strong>of</strong>iles using in<strong>for</strong>mation obtained<br />
• responding to drug in<strong>for</strong>mation inquiries<br />
• interacting with other health care pr<strong>of</strong>essionals<br />
• participating in educational <strong>of</strong>ferings designed to benefit the health <strong>of</strong> the general public<br />
• interpreting and evaluating patient in<strong>for</strong>mation<br />
• triaging and assessing the need <strong>for</strong> treatment or referral, including referral <strong>for</strong> a patient seeking<br />
pharmacist-guided self-care<br />
• identifying patient-specific factors that affect health, pharmacotherapy, and/or disease state<br />
management<br />
• assessing patient health literacy and compliance<br />
• per<strong>for</strong>ming calculations required to compound, dispense, and administer medications<br />
• administering medications<br />
• evaluating appropriateness <strong>of</strong> medication dosing utilizing basic dosing principles<br />
• providing point-<strong>of</strong>-care and patient-centered services<br />
• conducting physical assessments<br />
• preparing and compounding extemporaneous preparations and sterile products<br />
• communicating with patients and other health care providers<br />
• interacting with pharmacy technicians in the delivery <strong>of</strong> pharmacy services<br />
• documenting interventions in patient records in a concise, organized <strong>for</strong>mat that allows readers to<br />
have a clear understanding <strong>of</strong> the content<br />
• presenting patient cases in an organized <strong>for</strong>mat covering pertinent in<strong>for</strong>mation<br />
• billing third parties <strong>for</strong> pharmacy services<br />
In accordance with its policies and procedures and using established criteria, a college or school<br />
may exempt applicable students from the requirements <strong>of</strong> certain introductory pharmacy practice<br />
experiences, provided that the college or school has assessed or otherwise validated that the<br />
student has achieved the desired outcomes <strong>of</strong> that experience through an alternative experience<br />
acceptable to the college or school.<br />
Service Learning:<br />
Service learning experiences 21 per se, although beneficial in developing desirable student attitudes<br />
and values, do not necessarily qualify as introductory pharmacy practice experiences unless they<br />
specifically include the activities described above. The college or school may use such<br />
experiences to complement the introductory pharmacy practice experiences. <strong>College</strong>s and schools<br />
using service learning activities, whether as part <strong>of</strong> the introductory pharmacy practice experiences<br />
or not, should ensure that, in general, such activities:<br />
21 Service learning is a structured learning experience with clearly defined objectives that combines per<strong>for</strong>ming service in<br />
the community with preparation, reflection, and discussion.<br />
65
• meet a community need<br />
• establish or enhance a relationship between the community and the academic institution<br />
• help foster civic and pr<strong>of</strong>essional responsibility and the development <strong>of</strong> a sense <strong>of</strong> caring <strong>for</strong> others<br />
• are integrated into the required academic curriculum<br />
• provide structured time to reflect on the service learning experience<br />
• enhance what is taught in the didactic curriculum by extending student learning beyond the<br />
classroom and into the community<br />
• provide opportunities <strong>for</strong> interaction with other health pr<strong>of</strong>essional students and practitioners<br />
• attempt to balance the service that is provided and the learning that takes place<br />
[Note: Appendix D provides the American Association <strong>of</strong> <strong>College</strong>s <strong>of</strong> <strong>Pharmacy</strong> document Pre-<br />
APPE Per<strong>for</strong>mance Domains and Abilities as guidance <strong>for</strong> assessment <strong>of</strong> student capabilities<br />
be<strong>for</strong>e entering advanced pharmacy practice experiences.]<br />
Advanced <strong>Pharmacy</strong> Practice Experiences<br />
Most <strong>of</strong> the time assigned <strong>for</strong> students in advanced pharmacy practice experiences should<br />
involve direct patient care. Direct patient care experiences should be <strong>of</strong> sufficient length to<br />
provide both continuity <strong>of</strong> patient care and an opportunity <strong>for</strong> the student to practice the<br />
competencies associated with that practice setting. The series <strong>of</strong> required and elective<br />
experiences should be coordinated to achieve, in composite, the experiential whole <strong>of</strong> the<br />
advanced pharmacy practice experiences. Where possible, practice experiences should<br />
be <strong>of</strong>fered in academic health centers to provide students with the opportunity to<br />
encounter and participate in innovative health care delivery and treatment.<br />
<strong>College</strong>s and schools are encouraged to identify or develop advanced pharmacy practice<br />
experiences that consistently allow students to per<strong>for</strong>m activities that build upon those<br />
activities listed <strong>for</strong> the introductory pharmacy practice experiences. In general, and where<br />
legally permitted, activities in which students should participate during required advanced<br />
pharmacy practice experiences include, but are not limited to:<br />
• practicing as a member <strong>of</strong> an interpr<strong>of</strong>essional team<br />
• identifying, evaluating, and communicating to the patient and other health care pr<strong>of</strong>essionals the<br />
appropriateness <strong>of</strong> the patient’s specific pharmacotherapeutic agents, dosing regimens, dosage<br />
<strong>for</strong>ms, routes <strong>of</strong> administration, and delivery systems<br />
• consulting with patients regarding self-care products<br />
• recommending prescription and nonprescription medications, dietary supplements, diet, nutrition,<br />
traditional nondrug therapies, and complementary and alternative therapies<br />
• recommending appropriateness medication dosing utilizing practical pharmacokinetic principles<br />
• administering medications where practical and consistent with the practice environment and where<br />
legally permitted<br />
• identifying and reporting medication errors and adverse drug reactions<br />
• managing the drug regimen through monitoring and assessing patient in<strong>for</strong>mation<br />
• providing pharmacist-delivered patient care to a diverse patient population<br />
• providing patient education to a diverse patient population<br />
• educating the public and health care pr<strong>of</strong>essionals regarding medical conditions, wellness, dietary<br />
supplements, durable medical equipment, and medical and drug devices<br />
• retrieving, evaluating, managing, and using clinical and scientific publications in the decisionmaking<br />
process<br />
• accessing, evaluating, and applying in<strong>for</strong>mation to promote optimal health care<br />
• ensuring continuity <strong>of</strong> pharmaceutical care among health care settings<br />
• participating in discussions and assignments regarding compliance with accreditation, legal,<br />
regulatory/legislative, and safety requirements<br />
• participating in discussions and assignments regarding the drug approval process and the role <strong>of</strong><br />
key organizations in public safety and standards setting<br />
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• participating in discussions and assignments concerning key health care policy matters that may<br />
affect pharmacy<br />
• working with the technology used in pharmacy practice<br />
Additional activities in which students should be able to participate during required<br />
community and hospital/health system advanced pharmacy practice experiences may<br />
include, as appropriate to the learning environment:<br />
• preparing and dispensing medications<br />
• managing systems <strong>for</strong> storage, preparation, and dispensing <strong>of</strong> medications<br />
• allocating and using key resources and supervising pharmacy technical staff<br />
• participating in purchasing activities<br />
• creating a business plan to support a patient care service, including determining the need,<br />
feasibility, resources, and sources <strong>of</strong> funding<br />
• managing the medication use system and applying the systems approach to medication safety<br />
• participating in the pharmacy’s quality improvement program<br />
• participating in the design, development, marketing, and reimbursement process <strong>for</strong> new patient<br />
services<br />
• participating in discussions and assignments <strong>of</strong> human resources management, medication<br />
resources management, and pharmacy data management systems, including pharmacy workload<br />
and financial per<strong>for</strong>mance<br />
• participating in the pharmacy’s planning process<br />
• conducting a drug use review<br />
• managing the use <strong>of</strong> investigational drug products<br />
• participating in the health system’s <strong>for</strong>mulary process<br />
• participating in therapeutic protocol development<br />
• participating in the management <strong>of</strong> medical emergencies<br />
• per<strong>for</strong>ming prospective and retrospective financial and clinical outcomes analyses to support<br />
<strong>for</strong>mulary recommendations and therapeutic guideline development<br />
Additional activities in which students should be able to participate during required ambulatory care<br />
and acute/general medicine advanced pharmacy practice experiences may include, as appropriate<br />
to the learning environment:<br />
• developing and analyzing clinical drug guidelines<br />
• participating in the health system’s <strong>for</strong>mulary process<br />
• participating in the design, development, marketing, and reimbursement process <strong>for</strong> new patient<br />
services<br />
• participating in discussions <strong>of</strong> human resources management, medication resources management,<br />
and pharmacy data management systems including pharmacy workload and financial per<strong>for</strong>mance<br />
Elective Courses<br />
• Multiple opportunities should be provided throughout the curriculum <strong>for</strong> students to<br />
undertake pharmacy practice experiences designed to develop areas <strong>of</strong> personal interest,<br />
to expand their understanding <strong>of</strong> pr<strong>of</strong>essional opportunities, and to achieve the outcomes<br />
<strong>of</strong> the curriculum.<br />
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Appendix D<br />
Pre-Advanced <strong>Pharmacy</strong> Practice Experiences Per<strong>for</strong>mance Domains and Abilities<br />
[The enclosed guidance <strong>for</strong> assessment <strong>of</strong> student capabilities be<strong>for</strong>e entering advanced<br />
pharmacy practice experiences is extracted (minor edits) from the American Association <strong>of</strong><br />
<strong>College</strong>s <strong>of</strong> <strong>Pharmacy</strong> document Pre-APPE Per<strong>for</strong>mance Domains and Abilities (see:<br />
http://www.aacp.org/governance/SECTIONS/experientialeducation/Documents/PreAPPE<br />
%20Per<strong>for</strong>mance%20Domains%20and%20Abilities_November%202010.pdf).]<br />
The domains and ability per<strong>for</strong>mance statements … represent the working group’s<br />
consensus concerning which per<strong>for</strong>mances are “must have” abilities. Evidence <strong>of</strong> student<br />
achievement <strong>of</strong> abilities and competencies within these core domains reflect student<br />
readiness to enter Advanced <strong>Pharmacy</strong> Practice Experiences (APPE’s). Each domain has<br />
one or more suggested ability statement(s) (knowledge, skill, attitudes/values/or behavior)<br />
that must be achieved and documented prior to entering Advanced <strong>Pharmacy</strong> Practice<br />
Experiences (APPE’s). Each domain also has suggested EXAMPLE competencies (where<br />
a competency statement consists <strong>of</strong> one or more <strong>of</strong> the three elements <strong>of</strong> an ability<br />
statement) that can be utilized to demonstrate student achievement <strong>of</strong> the domain ability.<br />
There is some overlap in these competency statements which is a reflection <strong>of</strong> how<br />
different colleges/schools and their faculties decide to approach each core domain.<br />
There<strong>for</strong>e it is not expected that every college or school will demonstrate student<br />
achievement <strong>of</strong> every per<strong>for</strong>mance competency statement in this document…, but rather<br />
will use the domain-specific ability statements, the example per<strong>for</strong>mance competency<br />
statements, the “IPPE Competency Task Force Report”<br />
(see:http://www.aacp.org/governance/SECTIONS/pharmacypractice/Documents/Report<br />
on AACP Task Force on IPPE Competencies.pptx ) competency statements, and other<br />
AACP Reports and literature <strong>for</strong> guidance in determining their own student per<strong>for</strong>mance<br />
objectives <strong>for</strong> each <strong>of</strong> the core domains.<br />
It is expected that every college/school will demonstrate their students’ achievement <strong>of</strong> the<br />
core ability(ies) in each domain through the use <strong>of</strong> multiple per<strong>for</strong>mance assessments<br />
compatible with their own experiential learning system. Recognizing the need <strong>for</strong><br />
educational flexibility and creativity, it is anticipated that while many <strong>of</strong> these abilities can<br />
and will be achieved during Introductory <strong>Pharmacy</strong> Practice Experiences (IPPE’s),<br />
colleges/schools will have multiple learning approaches in addition to IPPE’s to achieve<br />
learning <strong>of</strong> and documentation <strong>of</strong> student per<strong>for</strong>mance <strong>of</strong> the domain abilities. These<br />
approaches may include, but are not limited to, simulations, OSCE’s, and practice<br />
laboratories. It is also anticipated that each college/school may have additional student<br />
per<strong>for</strong>mance competencies they desire that their students achieve within each core<br />
domain or have additional “non-core” domains they want their students to achieve.<br />
68
These pre-APPE core domains and ability statements also provide a basis <strong>for</strong><br />
development <strong>of</strong> core Advanced <strong>Pharmacy</strong> Practice Experience core domain abilities and<br />
competencies.<br />
Core Domains:<br />
1. Patient Safety - Accurately Dispense Medications (order fulfillment):<br />
Ability Statement: Demonstrate a commitment to and a valuing <strong>of</strong> patient safety by assuring<br />
accurate preparation, labeling, dispensing and distribution <strong>of</strong> prescriptions and medication<br />
orders.<br />
Maps to 2004 CAPE Outcome I: Provide Pharmaceutical Care to Achieve Optimal Patient<br />
Outcomes; and 2007 <strong>Pharmacy</strong> Practice Supplemental Outcomes II-B: Accurately prepare<br />
and dispense medications and/or supervise the preparation <strong>of</strong> medications and II-C:<br />
Accurately compound individual or bulk<br />
EXAMPLE Per<strong>for</strong>mance competencies:<br />
• Accurately prepare and dispense medications or supervise the preparation <strong>of</strong> medications<br />
• Evaluate the acceptability and accuracy <strong>of</strong> a prescription and verify that the in<strong>for</strong>mation is correct<br />
then correctly prepare the prescription and label <strong>for</strong> dispensing<br />
• Evaluate appropriateness <strong>of</strong> medication orders by correlating the order with patient-specific data<br />
and drug in<strong>for</strong>mation.<br />
• Compound parenteral and non-parenteral drug products using accurate calculations,<br />
pharmaceutical components, and techniques.<br />
• Dispense medications and devices in accordance with legal requirements.<br />
• Provide safe, accurate and time-sensitive medication distribution<br />
• Appropriately compound, dispense, or administer a medication, pursuant to a new prescription,<br />
prescription refill, or drug order.<br />
• Accurately process and dispense medication pursuant to a new prescription, prescription refill, or<br />
drug order.<br />
• Accurately evaluate and process a new prescription, prescription refill, and medication order in<br />
accordance to the law.<br />
• Determine appropriate storage <strong>of</strong> compounded medications be<strong>for</strong>e and after dispensing.<br />
2. Basic Patient Assessment<br />
Ability Statement: Collect record and assess subjective and objective patient data to define<br />
health and medication-related problems. Patient in<strong>for</strong>mation must be collected in a manner<br />
demonstrating knowledge <strong>of</strong> patient educational level, the unique cultural and<br />
socioeconomic situations <strong>of</strong> patients, and comply with requirements <strong>for</strong> patient privacy.<br />
Maps to 2007 <strong>Pharmacy</strong> Practice Supplemental CAPE Outcome I-A: Provide Pharmaceutical Care<br />
to Achieve Optimal Patient Outcomes: Compile Patient-Specific In<strong>for</strong>mation<br />
EXAMPLE Per<strong>for</strong>mance competencies:<br />
• Collect patient histories in an organized fashion, appropriate to the situation and inclusive <strong>of</strong><br />
cultural, social, educational, economic, and other patient-specific factors affecting self-care<br />
behaviors, medication use and adherence<br />
• Obtain, record, and interpret a history from a patient to minimally include drug allergies and<br />
reactions, drugs (prescription, OTC, and herbal) being taken, doses being used, cultural, social,<br />
educational, economic, and other patient-specific factors affecting self-care<br />
• Patient Assessment: Obtain and interpret patient in<strong>for</strong>mation to determine the presence <strong>of</strong> a<br />
disease, medical condition, or drug-related problem(s), and assess the need <strong>for</strong> treatment and/or<br />
referral.<br />
• Gather and organize accurate and comprehensive patient specific in<strong>for</strong>mation<br />
• Obtain and interpret patient in<strong>for</strong>mation, inclusive <strong>of</strong> cultural, social, educational, economic, and<br />
other patient-specific factors affecting self-care behaviors, medication use and adherence to<br />
69
determine the presence <strong>of</strong> a disease, medical condition, or drug-related problem(s). , including a<br />
basic medication history from a patient to include drug allergies, a description <strong>of</strong> allergic<br />
reactions, drugs being taken, doses being used, over the counter medications being taken, and<br />
herbal/natural products being used.<br />
• Obtain accurate and comprehensive patient history (include drug allergies, a description <strong>of</strong> allergic<br />
reactions, drugs being taken, doses being used, over the counter medications being taken,<br />
herbal/natural products being used, self care behaviors, and adherence)<br />
• Gather in<strong>for</strong>mation necessary to evaluate patient drug therapy (both patient history and utilization<br />
<strong>of</strong> a chart)<br />
• Record all patient in<strong>for</strong>mation accurately, legally and succinctly<br />
• Per<strong>for</strong>m a basic review <strong>of</strong> a patient's medication pr<strong>of</strong>ile to identify medication allergies, correct<br />
doses, duplicate medications, and important drug interactions.<br />
• Obtain and accurately record a patient's health and medication history.<br />
• Gather and accurately record a patient's health and medication in<strong>for</strong>mation from his/her medical<br />
record.<br />
• Evaluate patient in<strong>for</strong>mation to determine the presence <strong>of</strong> a disease, medical condition, or drugrelated<br />
problem(s), and assess the need <strong>for</strong> treatment and/or referral.<br />
• Evaluate a patient's medication pr<strong>of</strong>ile to identify medication allergies, appropriate doses and sigs,<br />
duplicate medications, and clinical relevant drug interactions.<br />
• Identify and prioritize a patient's drug-related problems<br />
3. Medication In<strong>for</strong>mation<br />
Ability Statement: Demonstrate knowledge <strong>of</strong> and accept responsibility <strong>for</strong> that knowledge<br />
<strong>of</strong> commonly used medications, <strong>for</strong>mulations and drug products.<br />
Maps to 2004 CAPE Outcomes II-A-V: Maintain pr<strong>of</strong>essional competence by identifying and<br />
analyzing emerging issues, products, and services that may impact patient-specific therapeutic<br />
outcomes and 2007 <strong>Pharmacy</strong> Practice Supplemental Outcome V: Maintain pr<strong>of</strong>essional<br />
competency in providing pharmaceutical care by committing oneself to being an independent, selfinitiated<br />
life-long learner<br />
EXAMPLE Per<strong>for</strong>mance competencies<br />
• Summarize key in<strong>for</strong>mation related to the use <strong>of</strong> common (Top 200) medications<br />
• Identify brand and generic names, dosage <strong>for</strong>ms and usual dosing ranges <strong>for</strong> common (Top 200)<br />
medications<br />
• Describe the mechanism <strong>of</strong> action <strong>of</strong> common medications (Top 200 medications) at the molecular,<br />
cellular, systems, and whole organism levels<br />
• List and describe the mechanism(s) <strong>of</strong> common drug interactions.<br />
• Cite the spectrum and common indications <strong>for</strong> commonly used antibiotics<br />
• Identify target drug concentrations <strong>for</strong> Narrow Therapeutic index drugs.<br />
• Determine the appropriate storage <strong>of</strong> compounded medications be<strong>for</strong>e and after dispensing<br />
4. Identification and Assessment <strong>of</strong> Drug related Problems<br />
Ability Statement: Correlate drug related variables and patient related variables to identify<br />
and assess drug related problems. Evaluate how the unique characteristics <strong>of</strong> patients and<br />
patient populations impact on manifestations <strong>of</strong> drug-related problems<br />
Maps to CAPE Outcome I-A: Provide Pharmaceutical Care to achieve optimal patient<br />
outcomes; Provide Patient-centered care and 2007 <strong>Pharmacy</strong> Practice Supplemental<br />
Outcome I-A: Gather and organize accurate and comprehensive patient in<strong>for</strong>mation to<br />
identify ongoing or potential drug therapy problems.<br />
EXAMPLE Per<strong>for</strong>mance competencies:<br />
• Evaluating medication orders to identify drug related problems<br />
• Assess the urgency and risk associated with identified drug related problems<br />
70
• Evaluate patient in<strong>for</strong>mation and medication in<strong>for</strong>mation that places a patient at risk <strong>for</strong> developing<br />
drug-related problems<br />
5. Mathematics applied to pharmaceutical calculations, compounded medications, dose<br />
calculations, and applications <strong>of</strong> pharmacokinetic calculations.<br />
Ability Statement: Utilize pharmaceutical and pharmacokinetics mathematics to<br />
per<strong>for</strong>m accurate medication calculations. Value the importance <strong>of</strong> total accuracy in<br />
per<strong>for</strong>ming and applying these calculations.<br />
Maps to 2004 CAPE Outcome I-A: Provide Patient-Centered Care and 2007<br />
<strong>Pharmacy</strong> Practice Supplemental Outcomes I-B: Interpret and evaluate patient and drugrelated<br />
data needed to identify actual or potential drug therapy problems (prescription and<br />
non-prescription) I-B-4: Per<strong>for</strong>m any additional patient calculations needed<br />
EXAMPLE Per<strong>for</strong>mance competencies<br />
• Per<strong>for</strong>m accurate pharmaceutical calculations, especially involved in the preparation <strong>of</strong><br />
compounded oral, topical, rectal, ophthalmic, or parenteral preparation, and pharmacokinetic<br />
calculation <strong>of</strong> appropriate doses.<br />
• Apply mathematical principles (e.g., accurately per<strong>for</strong>m dose calculations, kinetics) in pharmacy<br />
practice<br />
6. Ethical, Pr<strong>of</strong>essional, and Legal Behavior:<br />
Ability Statement: In all health-care activities, demonstrate knowledge <strong>of</strong> and sensitivity<br />
towards the unique characteristics <strong>of</strong> each patient. Comply with all federal, state, and local<br />
laws related to pharmacy practice. Demonstrate ethical and pr<strong>of</strong>essional behavior in all<br />
practice activities.<br />
Maps to CAPE Outcome I-B-4: Carry out duties in accordance with legal, ethical, social, economic,<br />
and pr<strong>of</strong>essional guidelines:<br />
EXAMPLE Per<strong>for</strong>mance competencies:<br />
• Pr<strong>of</strong>essionalism: Demonstrate caring, ethical, and pr<strong>of</strong>essional behavior when interacting with<br />
peers, pr<strong>of</strong>essionals, patients, and caregivers.<br />
• Demonstrate sensitivity and responsiveness to culture, race/ethnicity, age, socioeconomic status,<br />
gender, sexual orientation, spirituality, disabilities, and other aspects <strong>of</strong> diversity and identity when<br />
interacting with patients, caregivers, and other health care pr<strong>of</strong>essionals.<br />
• Comply with federal, state and local laws and regulations related to pharmacy practice<br />
• Practice ethically, including maintaining patient confidentiality, responding to errors in care and<br />
pr<strong>of</strong>essional misconduct (including plagiarism)<br />
• Comply with federal, state and local laws and regulations related to pharmacy practice<br />
• Maintain pr<strong>of</strong>essional and ethical behavior in all practice environments, demonstrating ethical<br />
practice, empathy, cultural sensitivity, and pr<strong>of</strong>essional communications in compliance with all<br />
laws, regulations, and pr<strong>of</strong>essional standards.<br />
• Pr<strong>of</strong>essionalism: Demonstrate empathy, assertiveness, effective listening skills, and selfawareness.<br />
• Demonstrate pr<strong>of</strong>essional and ethical behavior in all practice environments<br />
• Apply legal and regulatory principles to medication distribution, use and management systems<br />
• Accept responsibility <strong>for</strong> patient care<br />
• Make and defend rational, ethical decisions within the context <strong>of</strong> personal and pr<strong>of</strong>essional values<br />
• Demonstrate empathy, assertiveness, effective listening skills, and self-awareness.<br />
7. General Communication Abilities<br />
Ability Statement: Demonstrate effective communication abilities in interactions with<br />
patients, their families and care givers, and other health care providers. Communication<br />
71
should be consistent with education level, cultural issues, and be empathetic. Elicit<br />
feedback validating understanding <strong>of</strong> communication.<br />
Maps to CAPE Outcome I-A-2: Communicate and collaborate with prescribers, patients,<br />
care givers, and other involved health care providers to engender a team approach to<br />
patient care; and II-A-2: Communicate and collaborate with patients, prescribers, other<br />
health care providers, and administrative and supportive personnel to engender a team<br />
approach to assure efficient, cost-effective utilization <strong>of</strong> human, physical, medical,<br />
in<strong>for</strong>mational, and technological resources in the provision <strong>of</strong> patient care; and 2007<br />
<strong>Pharmacy</strong> Practice<br />
Supplemental Outcome I-E-3: Consider social, economic, and cultural factors that<br />
influence a patient’s perspective on health, illness, and medication use.<br />
EXAMPLE Per<strong>for</strong>mance competencies:<br />
• Communicate effectively using appropriate verbal, non-verbal, and written communication at a<br />
suitable level) with patients, caregivers, and other health care providers, at a suitable level <strong>for</strong> the<br />
partner in the interaction, to engender a team approach to patient care.<br />
• Demonstrate effective communication skills (verbal, non-verbal, and written) at an appropriate level<br />
<strong>for</strong> patients, caregivers, health care providers, and the general public.<br />
8. Counseling Patients:<br />
Ability Statement: Provide effective health and medication in<strong>for</strong>mation to patients and/or<br />
care givers and confirm patient and/or care giver understanding <strong>of</strong> the in<strong>for</strong>mation being<br />
provided.<br />
Maps to CAPE Outcome I-A: Provide Patient-centered care and Pharmaceutical Care to achieve<br />
optimal patient outcomes; and 2007 <strong>Pharmacy</strong> Practice Supplemental Outcomes IV-G: Educate<br />
patients and/or caregivers about drug therapy<br />
EXAMPLE Per<strong>for</strong>mance competencies<br />
• Use effective written, visual, verbal, and nonverbal communication skills to provide<br />
patient/caregiver self-management education<br />
• Appropriately and accurately provide basic medication counseling to a patient or caregiver<br />
receiving a medication.<br />
• Assess and validate the ability <strong>of</strong> patients and their agents to obtain, process, understand and use<br />
health- and medication-related in<strong>for</strong>mation<br />
• Counsel patients on proper self-care and preventative care<br />
• Use appropriate methods <strong>of</strong> patient education to review indications, adverse effects, dosage,<br />
storage, and administration techniques<br />
• Use effective written, visual, verbal, and nonverbal communication skills to provide education to the<br />
patient/caregiver on drug, drug use, self- or preventative care, or other health-related education to<br />
health care providers.<br />
• Communicate alternative therapeutic strategies to the prescriber to correct or prevent drug-related<br />
problems.<br />
• Assist a patient in correctly selecting an over the counter preparation.<br />
• Develop and provide drug, drug use, or other health-related education to consumers or health<br />
providers<br />
• Provide accurate response to drug in<strong>for</strong>mation requests written and verbally.<br />
• Use effective written, visual, verbal, and nonverbal communication skills to counsel and educate a<br />
patient or caregiver regarding appropriate medication use – prescription and self-care.<br />
• Demonstrate and/or describe proper administration technique <strong>for</strong> various drug delivery systems<br />
(e.g., inhalers, eye drops, etc.)<br />
9. Drug In<strong>for</strong>mation Analysis and Literature Research<br />
72
Ability Statement: Assess in<strong>for</strong>mation needs <strong>of</strong> patients and health providers and<br />
apply knowledge <strong>of</strong> study design and literature analysis and retrieval to provide<br />
accurate, evidence-based drug in<strong>for</strong>mation.<br />
Maps to 2004 CAPE Outcome I-A-3: Retrieve, analyze, and interpret the pr<strong>of</strong>essional, lay,<br />
and scientific literature to provide drug in<strong>for</strong>mation to patients, their families, and other<br />
involved health care providers; and 2007 <strong>Pharmacy</strong> Practice Supplemental Outcome I-D:<br />
Retrieve, analyze, and interpret the pr<strong>of</strong>essional, lay, and scientific literature to make<br />
in<strong>for</strong>med, rational, and evidence-based decisions.<br />
EXAMPLE Per<strong>for</strong>mance competencies<br />
• Collect accurate and comprehensive drug in<strong>for</strong>mation from appropriate sources to make in<strong>for</strong>med,<br />
evidence-based, patient-specific or population-based decisions. (3)<br />
• Recognize the type <strong>of</strong> content that is available in general (tertiary), secondary, and primary<br />
in<strong>for</strong>mation sources<br />
• Collect, summarize, analyze and apply in<strong>for</strong>mation from the biomedical literature to patient-specific<br />
or population-based heath needs<br />
• Demonstrate utilization <strong>of</strong> drug in<strong>for</strong>mation resources<br />
• Describe the type <strong>of</strong> content in commonly used drug and medical in<strong>for</strong>mation resources.<br />
• Collect and interpret accurate drug in<strong>for</strong>mation from appropriate sources to make in<strong>for</strong>med,<br />
evidence based decisions.<br />
• Use effective written, visual, verbal, and nonverbal communication skills to accurately respond to<br />
drug in<strong>for</strong>mation questions.<br />
10. Health and Wellness – Public Health<br />
Ability Statement: Know and apply principles <strong>of</strong> health and wellness in provision <strong>of</strong><br />
individual and population-based health and wellness in<strong>for</strong>mation. Integrate unique<br />
characteristics <strong>of</strong> individuals and populations in design <strong>of</strong> health and wellness in<strong>for</strong>mation.<br />
Maps to 2004 CAPE Outcome 3: Promote health improvement, wellness, and disease prevention<br />
in cooperation with patients, communities, at-risk populations, and other members <strong>of</strong> an<br />
interpr<strong>of</strong>essional team <strong>of</strong> health care providers.<br />
EXAMPLE Per<strong>for</strong>mance competencies:<br />
• Participate in activities that promote health and wellness and the use <strong>of</strong> preventive care measures<br />
• Promote to patients the importance <strong>of</strong> health, wellness, disease prevention<br />
(e.g., immunizations, tobacco cessation counseling), and management <strong>of</strong> their diseases and<br />
medication therapies to optimize outcomes.<br />
• Provide preventative health services (e.g., immunizations, tobacco cessation counseling)<br />
• Public Health: Promote to patients the importance <strong>of</strong> health, wellness, disease prevention, and<br />
management <strong>of</strong> their diseases and medication therapies to optimize outcomes.<br />
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11. Insurance /Prescription Drug Coverage<br />
Ability Statement: Utilizing knowledge <strong>of</strong> a wide array <strong>of</strong> private and public health insurance<br />
options assist patients and care givers to obtain their medications and related parapharmaceuticals<br />
in an af<strong>for</strong>dable manner that meets their health care needs.<br />
Maps to 2007 Social and Administrative Sciences Outcomes 2-1-A: Identify the key features <strong>of</strong><br />
private and public payers <strong>of</strong> heath care; and 2-1-B: Describe the objectives <strong>of</strong> health insurance and<br />
managed health care<br />
EXAMPLE Per<strong>for</strong>mance competency:<br />
• Assist a patient or caregiver in problems related to prescription medication coverage, health<br />
insurance, or government health care programs.<br />
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