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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 />

21


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 />

22


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 />

23


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 />

24


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 />

30


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 />

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• 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 />

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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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