APPE Orientation
September 18th and 25th, 2015
P3 Campus Students
I.
Requirements
A.
Students must complete eight, five-week Advanced Pharmacy Practice Experiences (APPEs,
rotations) following the schedule below. Start and end dates must be followed as listed. Five hours
of academic credit and 200 hours of internship credit will be earned for each APPE completed
successfully.
B.
Start and End Dates:





June 6 to July 8, 2016 (OFF Monday, July 4th Holiday)
July 11 to August 12, 2016
August 15 to September 16, 2016 (OFF Monday, September 5th Labor Day Holiday)
September 19 to October 21, 2016
October 24 to November 23, 2016 (OFF Thursday and Friday, November 24 and 25th
Thanksgiving Holiday)

November 28, 2016 to January 6, 2017 (OFF – schedule only with permission)



January 9 to February 10, 2017
February 13 to March 17, 2017
March 20 to April 21, 2017 (OFF Friday, April 14th Good Friday Holiday)
May 13th, 2017: Graduation
C.
Required APPEs—Five
See attached list for course descriptions.
1.
Community
2.
Hospital
3.
Acute Care
4.
Drug Information
5.
Ambulatory Care
D.
Elective APPEs—Three
See attached list for course descriptions.
1.
Choices include:
a) Academic
b) Advanced Community
c)
Ambulatory Care Elective
d) Acute Care Elective
e) Cardiology
f)
Community Elective
g)
Community Management
h) Compounding
1
i)
j)
k)
l)
m)
n)
o)
p)
q)
r)
s)
t)
u)
v)
w)
x)
y)
z)
aa)
bb)
cc)
dd)
ee)
ff)
gg)
hh)
ii)
jj)
Community Health Engagement
Critical Care
Emergency Medicine
Hematology/Oncology
HIV/AIDS
Home Infusion
Hospital Elective
Hospital Management
Institute for Latin American Concern (ILAC)
Industry
Infectious Disease
Informatics
International
Long Term Care
Managed Care (DUR/Pharmacoeconomics)
Medication Safety
Medication Therapy Management
Neurology
Nuclear Medicine
Nutrition Support
Organization Management
Patient Care Discharge
Pediatrics
Poison Center
Psychiatry
Public Health
Research
Veterinary
II. General Guidelines and Rules
A.
See attached calendar of events and deadlines for the year.
B.
The experiential office will do our best to schedule your requested APPEs, but no guarantees can
be made with regards to choice of APPE sites/preceptors, electives or times requested due to the
many variables that affect APPE availability.
C.
All students must submit their APPE requests to us by midnight on November 2, 2015. The
requests may be submitted from October 20 to November 2, 2015. Students who fail to submit all
requests by the deadline will automatically be assigned to available slots in the local area.
D.
For students who want to complete APPEs out-of-town (not including Lincoln, Fremont, Wahoo, or Blair),
there is no guarantee that these will be scheduled during the months that you request. We must maintain
a balance between the available sites/preceptors that we have locally and the number of students we have
in town. Typically, most students want to do out-of-town APPEs in the spring. However, a certain number
of students will have to complete out-of-town APPEs in the summer/fall. If we need more students to go out
of town in the summer/fall, we will ask for volunteers first and then use a randomized, lottery system, if
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needed. We will do our best to accommodate your requests; however we cannot guarantee that we can
grant every request.
E.
The number of out-of-town APPEs is limited to four APPEs per student. This does not include Lincoln,
Fremont, Blair, or Atlantic – sites in these areas are considered local.
F.
Local students should expect to be assigned to at least one APPE that is located outside of, but
adjacent to, the Omaha/Council Bluffs area (i.e., Lincoln, Blair, Atlantic). Please note that these are
considered within driving distance.
G.
The student is responsible for transportation to all sites, including out-of-town sites.
H.
The student is responsible for housing during all APPEs, including out-of-town APPEs. There are a
few sites that may have housing available. To find out which sites have housing, log-in to E-Value,
go to Schedules>Reports>Sites>Custom Fields. Then, under Custom Fields, click on Housing
Information and hit green + button. Select Next. The sites with housing information will have the
information listed in the far right column. If a site doesn’t have housing, the field will be blank.
Please contact Pat Lyons in the experiential office if you have any questions. You may also want to
speak to friends, relatives, and classmates in areas where you know APPEs are more readily
available to determine if you could stay with them for an APPE.
I.
The student is responsible for obtaining and paying for any tests and additional checks that the
site requires above and beyond what Creighton performs. This includes required drug tests, any
additional background checks, parking fees, etc. Site requirements are listed in E*Value under the
following menu path: Schedules > Reports > Sites Listing. Select site and under Custom Fields, add
Site Requirements to Selected Fields, click on Next. Site requirements will appear in the table that
comes up. Once the APPE is scheduled, you can also pull up your site under your schedule (roster)
and click on it to view the site requirements. Check with the preceptor for any additional
requirements the site may have when you call two weeks before the start of the APPE. Please
contact Kathy Stuhr in the Experiential Office to inform her of any additional requirements so they
can be added to the system.
J.
It is the responsibility of students with disability accommodations to proactively inform the
Experiential Office at the earliest opportunity of any allowed accommodation that needs to be
provided by the site.
K.
In accordance with ACPE standards and guidelines, students shall not receive nor expect any
financial compensation, reimbursement, or stipends for experiential education (IPPEs or APPEs).
L.
If a site is located outside of Nebraska, the student is responsible for obtaining an intern license
for that state. The student will need to contact that particular state’s Board of Pharmacy to find
out how to obtain an intern license for that state. Contact information for all the state Boards of
Pharmacy can be found on the National Association of Boards of Pharmacy web site
(http://nabp.net). Once obtained, a copy of the internship license must be uploaded into MyFolio
in E-Value.
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M.
Students must comply with all of the information in the ‘Experiential Education Participation
Requirements’ policy. This policy can be found on the school’s web site. Experiential Education
Participation Policy:

All of your required and elective didactic coursework must be completed and grades
recorded three weeks prior to starting APPEs.

You must be up-to-date with all immunizations with student health.

You must have current CPR certification.

You must have a background criminal record check.

Registration holds must be cleared three weeks prior to starting APPEs. Students with
registration holds will not be allowed on APPEs.
N.
All students need to receive a Background Check prior to starting their APPEs. The form that
gives authorization and needed information for the background check is due to our office by
March 25, 2016. Your form will be e-mailed to you and returned during a class session.
O.
Contacting current preceptors and sites: If a site and preceptor are in E-Value and you would like
to approach them regarding doing an APPE there, please check E*Value first to determine if there
is a note from the site indicating that it is acceptable for a student to contact them or if they prefer
to only have OEE contact them. If it says, OEE to contact only, please do not contact them and
contact Pat Lyons if you have any questions. If there is no comment or it says the student may
contact the site, we encourage students to contact them to tentatively get put into their schedule.
If you have any questions, please contact Pat Lyons or Dr. Skrabal.
1. To review whether a particular site has indicated their preference for being contacted,
please follow these steps: Log-in to E*Value>Schedules>Reports>Site Listing>Enter site into site
filter and select ‘filter’>Click on site when it comes up>Under Custom Fields – move “Contacting
Site”, “Priority Scheduling”, and “Scheduling Information” over into Selected Fields from
Available Fields>Select Next>if there is additional information to review, click on the “….” and
view the rest of the sentence. If there is no information, it is ok to contact the site. If you have
any questions, please contact Pat Lyons or Dr. Skrabal.
P.
If a student sets up a new site or contacts a current site (if acceptable in E*Value) , it is
recommended that the student work with the preceptor to determine which APPE slot would work
best for the APPE. Ask the preceptor to pencil you into their schedule. The APPE will be officially
confirmed and scheduled after it is submitted and the school communicates with the preceptor
about the APPE.
Q.
The OEE does all official scheduling only after (a) all sites and preceptors have been approved and
site availability has been confirmed; and (b) consideration of all preceptor and student needs and
requests have been reviewed.
R.
Please note unique instructions below for requests regarding the following sites:
1.
International APPEs: (not ILAC)
a.
Preceptor must be able to communicate in English and via email.
b. A student may only complete 1 international APPE, and it must be used as an
elective. (Exception: U.S. Military Bases are considered American Soil)
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c.
d.
Students interested in international APPEs must complete certain requirements
through the Global Engagement Office (GEO) in order to gain approval for the
experience. You can access the new online system at
https://www.creighton.edu/studyabroad/internationalrotation/. The link takes
you to instructions and a button to begin the online application. Use your
Creighton Net ID and password to log in. Please contact Lizzy Curran, Global
Programs Coordinator, with questions (402-280-2221 or
LizzyCurran@creighton.edu).
If any of the requirements for international APPEs are not met, the student will not
be approved to complete the international APPE(s).
2.
For anyone wanting to complete an APPE at a CVS or Longs/CVS pharmacy location that
is not in our database, do NOT fill out a new request form. Obtain the store contact
information and enter it into the E*Value system by following this menu path: Schedules
> Manage Requests. Fill out the required information – course/rotation type, dates,
select ‘CVS District’ or ‘Longs Drug Pharmacy’, and select ‘Heather Chronister’. Then, in
the comments section give us the store name and store # (if known), store address, and
phone number. If you know who the preceptor is, please list them also. If you do not
have a specific store you want to go to, but want it close to where you are staying, list the
address where you will be staying.
3.
For chain pharmacy APPEs that are not in our database (new sites), please contact the
local store to obtain their information to submit on the new request form. Do NOT
contact the district manager unless the pharmacist asks you to do so.
4.
St. Joseph’s Hospital and Medical Center in Phoenix, AZ. We have a faculty member
there and are given priority over other schools to place our students. They offer several
types of APPEs, including clinical electives and also have a Residency Program. Please
contact them early if you are interested in experiences to let them know of your interest
and we will do our best to place you. They currently do not offer housing, but low-cost
and convenient alternatives exist in the Phoenix area.
S.
Students cannot complete an APPE in the same area of an institution where they are currently
working. They can complete APPEs, if approved, in different areas of the same institution. If you
have any questions, please contact Dr. Skrabal.
T.
Students cannot complete APPEs with preceptors or sites where a conflict of interest exists with
the site or preceptor. (e.g., preceptor is spouse, relative, etc…; site: financial interest)
U.
A preliminary draft of the 2016-2017 schedule will be posted in the E*Value system by February 1st
and be viewable until March 4th, 2016. The final schedule will be posted on April 15th, 2016, but
there still will be APPEs being confirmed out-of-town.
V.
The OEE will do our best to provide the best educational experience possible; however, no
guarantees can be made concerning student requests.
5
W. Changes to the APPE schedule: Once a student’s APPE has been scheduled and confirmed by the
OEE, it is considered final and a commitment by the student to complete the experience. Changes
are strictly limited to extreme circumstances and reviewed for approval or denial by the OEE. If a
student desires a change after the APPE has been confirmed, he/she must fill out a Change Request
online. Students need to carefully plan ahead prior to submissions and understand that their
submissions are considered commitments that, if scheduled and confirmed, need to be completed.
Cancellation and rescheduling of experiences causes strained relations with sites and preceptors.
The site/preceptor is expecting the student, has made arrangements for student activities, and may
have turned away students from other pharmacy programs. For these reasons, experiential
changes must be kept to a minimum. Please refer to the Pharmacy Experiential Education Change
Policy at http://spahp.creighton.edu/sites/spahp.creighton.edu/files/basicpage/file/Pharmacy%20Experiential%20Education%20Change%20Requests.pdf
III. How to Request a Site that is not already in our database (A New Site)
A.
The student should contact the potential site and preceptor (this is usually the Director of
Pharmacy or the Pharmacy Manager) to see if they are willing to take a student.
1. See if you can make an appointment to meet with them face-to-face or speak to them on
the telephone.
2. If you make an appointment with them, dress professionally; take a Pharmacy Experiential
Brochure and New Request Form with you for the preceptor.
B.
The student should introduce him/herself and state that they are a pharmacy student from
Creighton University and would like to know if it is possible to do an APPE (rotation) at that site. If
visiting with them face-to-face, give them a Pharmacy Experiential Brochure to review during the
discussion.
C.
When the student is finished with the discussion, regardless of whether they agree or disagree to
precept the student, the student should thank them for their time. If they are unable to precept
the student, the student should ask them if they have any ideas for other sites in the area that may
offer quality experiential opportunities for pharmacy students.
D.
If the preceptor is interested and willing to take you as a student, you will need to obtain
information for the “New Request Form.” You can either ask them for the information over the
phone to fill it out, obtain it in person, or have the preceptor fill it out and send it back to you. If
the preceptor is too busy at that time to fill it out, many students have given the preceptor a selfaddressed, stamped envelope to mail the form back to them at their convenience. You should give
them a deadline earlier than the submission deadline so that they get it back to you in a timely
fashion. You will then need to submit the form online during the preferences submission dates.
E.
Many students have found it quite useful to send a follow-up ‘thank you’ letter to sites that have
met with them concerning experiential opportunities. If you spoke with them over the phone and
didn’t give them a Pharmacy Experiential Brochure, the brochure could also be included with the
thank you letter. Sites appreciate this and positive networking will be very important to you
throughout your pharmacy career!
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F.
For new sites, new preceptors or new types of APPEs at a site that agree to precept you as a
student, you will need to submit a “New Request Form” via the web by November 2nd, 2015 to
request the site.
G.
Once the preceptor information has been received, the information that was submitted will be
reviewed. From December-April, Dr. Skrabal will begin contacting potential preceptors and ask
additional questions to determine if it is a quality site and preceptor to meet CU requirements.
H.
If it is a quality site and preceptor, the dates will be confirmed and an Affiliation Agreement will be
sent to the site for signatures and then will need to be sent back to the OEE. The APPE will be
entered into your schedule.
I.
The student will be notified via email of denial of any new APPE site/preceptor request so it is very
important that you regularly check and respond to email during this process.
J.
Frequently asked questions (FAQ) regarding new sites:
 What if the preceptor tells me that they have only taken local students in the past?
If the preceptor at the institution states that they routinely have only taken students from a local
school or college of pharmacy, explain that you are from the local area and may be practicing in
that area and are interested in completing APPEs there. If they are willing to take you as a student,
obtain and submit required information on the New Request Form and we will contact them to
officially consider the site for approval and if acceptable, confirm the experience.
 What if the preceptor tells me that they prefer to schedule all students through the local
school/college of pharmacy?
If the preceptor prefers that they only go through the local college of pharmacy for all of their
students and also agrees to take you if we contact that local school, we will contact them. We
contact local colleges/schools of pharmacy only as a last resort because they are very busy
scheduling their own students. Their priority is their students and there is no guarantee that there
will be openings left for placement of outside students.
 What if the preceptor tells me that they need a contract with the school before they are willing to
take an outside student?
Once the site has been approved, we will send the site/preceptor an Affiliation Agreement, which is
a contract that covers all the legal aspects of having a Creighton student at their site for
experiential education. We require this of all of our sites. If the preceptor has any questions about
it we can contact them to discuss it. If they have a standard contract, we can also route theirs
through our legal for approval.
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IV.
General Advice in Choosing Elective APPEs
A.
Base your selections on career goals and the type of APPE rather than what your friends are doing
or saying about a particular site, preceptor, and type of experience. If you have any questions, feel
free to contact Dr. Skrabal at any time.
B.
Take advantage of this opportunity to learn about pharmacy practice in various settings—you will
never get this opportunity again!
C.
If you plan to do a residency/fellowship/post-graduate education:

choose a variety of solid, clinical APPEs (e.g., cardiology, infectious disease, kinetics, oncology,
psychiatry, critical care, etc.)

if the residency program emphasizes a research project or teaching pharmacy students, a
research or an academic APPE may be helpful, but not necessary

do not choose two community or two hospital (distributive) APPEs. Community and hospital
APPEs are distributive in nature and residencies are looking for development of clinical skills.
Multiple distribution-based APPES looks weak on your CV
D.
If you plan to work in a hospital setting (staff or clinical pharmacist):

choose a variety of clinical APPEs in the hospital or other settings

the home infusion or patient care discharge APPE may be helpful, since some hospitals also
have a home care section and some hospital pharmacists move on to home care later in their
career

do not choose two hospital APPEs, take advantage of the opportunity to see various settings.
You will have plenty of time to train and work in the centralized pharmacy setting after you
graduate
E.
If you plan to work in a community setting:

choose a variety of clinical APPEs that pertain to common disease-states that a community
pharmacist will fill prescriptions for (e.g., cardiology, psychiatry, etc.)

managed care may be helpful, since you will learn about the world of managed care and
third-party reimbursement from the “third party” perspective

a second ambulatory care APPE will help enhance your communication skills, expose you to
common disease states, as well as expose you to the “other side” of the prescription process

an MTM APPE will enhance your skills with MTM and prepare you for advancing community
practice

if you want to move into an administrative position (chief pharmacist or owning your own
pharmacy) someday, community management will be helpful

choose a compounding community pharmacy to learn about the compounding aspects of
pharmacy or an advanced community to learn about medication therapy management and/or
advanced clinical services in the community environment

do not choose two routine community APPEs—take advantage of the opportunity to see
various settings—you will have plenty of time to train and work in the community pharmacy
setting after you graduate
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F.
If you plan to work as a consultant pharmacist in the nursing home setting:

choose a variety of clinical APPEs that pertain to common disease-states that are found in the
elderly (e.g., cardiology, psychiatry, oncology, etc.)

choose a long term care APPE to see what nursing home consultant pharmacists do
G.
If you plan to work as an ambulatory care pharmacist:

choose a variety of clinical APPEs that pertain to common disease-states (e.g., cardiology,
psychiatry, etc.)

choose a second ambulatory care APPE to expose you to a different ambulatory care setting
than the required ambulatory care APPE (examples: V.A., Indian Health Service, private clinic
(CUMC clinics), and/or managed care clinic (Kaiser) sites)

managed care may be helpful to expose you to the world of managed care and third-party
reimbursement from the “third party” perspective
H.
If you don’t know what you want/plan to do:

choose a variety of clinical APPEs that pertain to common disease-states (e.g., cardiology,
oncology, critical care, etc.)—chances are high that you will work with these diseases or
medications no matter what you end up doing

choose various settings (e.g., hospital, ambulatory, managed care, home care, etc.) to see
what you like and don’t like

take advantage of learning about various types of pharmacy practice—you will never get this
opportunity again

as you progress through your APPEs, ask your preceptors for the pros and cons of his or her
job (be careful about asking questions that are too personal, e.g., his/her salary)
If you have any questions about APPEs (e.g., selecting electives, scheduling, etc.), please contact either:
 Pat Lyons, Coordinator, OEE: (402)280-2590 or plyons@creighton.edu
 Dr. Maryann Skrabal, PharmD, CDE, Director, OEE: (402)280-5834 or mskrabal@creighton.edu
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APPE Calendar/Timeline
P3 Orientation Sessions
September 18 and 25, 2015
APPE Preference Submission and
New Request Form Submission
October 20 – November 2, 2015
Draft Schedule for local APPEs
Posted February 1, 2016
Background Check Form
Due – March 25, 2016
Final Schedule on Web
April 15, 2016
APPE Orientation
May 5, 2016
APPEs begin
June 6, 2016
Graduation
May 13, 2017
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COURSE DESCRIPTIONS
PHA 510; PHA 520: COMMUNITY PHARMACY PRACTICE APPE: The Community Advanced Pharmacy Practice Experience (APPE) is a
rotation in an approved community pharmacy which emphasizes not only medication dispensing and control, but also
communicating with patients, prescribers, and other health care professionals.
PHA 511, PHA 540: HOSPITAL PHARMACY PRACTICE APPE: The Hospital Advanced Pharmacy Practice Experience (APPE) is an
inpatient hospital rotation in an approved hospital pharmacy which provides experience in the provision of pharmaceutical care in
an acute inpatient setting. Particular emphasis is placed on the preparation, distribution and control of medications, medication
monitoring, and the ability to communicate with other health care professionals.
PHA 512, 560: ACUTE CARE APPE: The Acute Care Advanced Pharmacy Practice Experience (APPE) is a clinical rotation providing
students an opportunity to provide medication therapy management and pharmaceutical care to adult patients in an inpatient acute
care environment.
PHA 515; PHA 542: DRUG INFORMATION APPE: The Drug Information Advanced Pharmacy Practice Experience (APPE) allows the
student to provide drug information services to pharmacists and other healthcare professionals. Emphasis is placed on how to
receive requests, collect background information, conduct a systematic search, and provide an evidence-based recommendation
based on a critical analysis of medical literature. The student will develop a working knowledge of relevant practice resources as
well as develop the ability to critically evaluate such resources. The student may also have the opportunity to become involved with
the evaluation of drugs for formulary inclusion, quality assurance/drug usage evaluation activities, news publications, scholarly
activities, and Pharmacy and Therapeutics Committee Support.
PHA 516; PHA 524: AMBULATORY CARE APPE: The Ambulatory Care Advanced Pharmacy Practice Experience (APPE) is a clinical
rotation during which the student provides medication therapy management and pharmaceutical care in an ambulatory (outpatient)
clinic setting. Emphasis is placed on how to appropriately identify, resolve, and prevent drug-related problems, as well as effectively
communicates with patients and health care professionals. The skills developed in this rotation include patient counseling and
education on drug information, written and verbal communication skills, assessment and documentation of services and therapy,
and an appreciation for the pharmacist’s role in the promotion of rational drug therapy.
PHA 521: COMMUNITY MANAGEMENT APPE: The Community Management Advanced Pharmacy Practice Experience (APPE) is an
elective rotation which provides experience in a community/retail pharmacy setting where students learn the various aspects
involved with managing a pharmacy. The primary focus is financial analysis including third-party issues, inventory control, and
personnel management as well as the processing of new and refill prescriptions.
PHA 522: ADVANCED COMMUNITY APPE: This Advanced Community Advanced Pharmacy Practice Experience (APPE) is an elective
clinical rotation which allows students to enhance their ability to provide medication therapy management to patients in a
community/retail pharmacy setting. Pharmacotherapeutic knowledge and clinical skills are integrated with routine medication
dispensing activities. The primary focus is patient assessment, counseling and education, medication therapy and disease state
management, and documentation of patient information and interventions.
PHA 523: LONG TERM CARE APPE: The Long Term Care Advanced Pharmacy Practice Experience (APPE) is an elective clinical
rotation where the student gains skills and competence in the distribution of medication, provision of medication therapy
management, and consulting services to the residents of nursing facilities, subacute care and assisted living facilities, psychiatric
hospitals, hospice, and home- and community-based care.
PHA 525: INFORMATICS APPE: The Informatics Advanced Pharmacy Practice Experience (APPE) is an elective rotation which
focuses on fundamentals of pharmacy informatics such as pharmacy automation technology and information systems in a hospital
setting. This rotation is beneficial to students who are interested in hospital pharmacy practice or those interested in specializing in
pharmacy informatics.
PHA 526: HOME INFUSION APPE: The Home Infusion Advanced Pharmacy Practice Experience (APPE) is an elective clinical rotation
which takes place in a setting that provides home health care services. The student will become familiar with the pharmacist’s
responsibilities in preparation of home parenteral products. The student may participate in several of the home care facility's
activities including home visit assessments with the nurses, inventory and quality control of products and patient discharge
consultations. The student will also be exposed to pumps and other parenteral devices needed in home care.
11
PHA 527: COMPOUNDING APPE: The Compounding Advanced Pharmacy Practice Experience (APPE) is an elective rotation in a
community pharmacy that specializes in the compounding of extemporaneous drug products. The student will not only gain
experience in preparing and compounding patient-specific dosage forms but will also learn how to provide medication therapy
management for patients needing compounded medications.
PHA 528: INSTITUTE FOR LATIN AMERICAN CONCERNS (ILAC) APPE: The ILAC Advanced Pharmacy Practice Experience (APPE) is a
five-week clinical elective rotation in the study and practice of inter-disciplinary assessment, planning, implementation, and
evaluation of health-care delivery in the ILAC Summer Program. Major focus is on the team approach to episodic health-care
problems. This unique experience affords the student the opportunity to actively participate in the triage of health-care problems,
health assessment, collaboration and diagnosis, explanation of treatment, and education in a Third World country (Dominican
Republic) under the direction of faculty and pharmacy professionals.
Must apply and be accepted via ILAC office
PHA 529: INTERNATIONAL APPE: The International Advanced Pharmacy Practice Experience (APPE) is an elective rotation that gives
the pharmacy student an opportunity to engage in the study and practice of health-care delivery systems in a foreign country. The
major focus is opportunities available to pharmacists in the foreign country compared to the United States. Students will actively
participate in a variety of settings gaining an appreciation for the differences in activities and regulations of the profession.
We typically don’t have sites available in our system. We organize these on a case-by-case basis with the student initiating
the first contact and submitting the new rotation site/preceptor request form. All students must go through International
Programs for verification and obtain their own liability insurance coverage which covers them internationally prior to
approval.
PHA 530: EMERGENCY MEDICINE APPE: The Emergency Medicine APPE is an elective clinical rotation which focuses on stabilization
of emergent and critical medical conditions encountered in the Emergency Department (ED). The student will develop the ability to
quickly and correctly determine the relevant history and physical status with selective use of ancillary services and specialties to
achieve the most efficient and effective emergency assessment and management.
PHA 531: MEDICATION SAFETY APPE: The Medication Safety APPE is an elective rotation that will help students become familiar
with the key principles utilized in hospitals and health systems to improve medication safety. The rotation is designed to expose
students to medication safety nomenclature, key principles, tools, and available resources. The student will participate in several
activities designed to improve the student’s working knowledge and experience with medication safety concepts. The rotation will
enable the student to apply knowledge in any pharmacy practice setting to improve medication safety for patients.
PHA 532: PUBLIC HEALTH APPE: The Public Health Advanced Pharmacy Practice Experience (APPE) is an elective pharmacy rotation
which provides the student with the opportunity to participate in specified public health activities with an identified public health
partner. This experience is designed to focus on current and potential pharmacist contributions to public health.
Dr. Linda Ohri at Creighton often offers and oversees experiences in this area. Feel free to contact her at
lindaohri@creighton.edu to discuss further.
PHA 533: ORGANIZATION MANAGEMENT APPE: This Organization Management Advanced Pharmacy Practice Experience (APPE) is
an elective pharmacy rotation that provides experience in national or local pharmacy association activities and operations, interorganizational affairs, government affairs, health and education policy, institutional research, and related programmatic fields.
PHA 534: MEDICATION THERAPY MANAGEMENT APPE: The Medication Therapy Management APPE is an elective clinical rotation
in which the student gains competency in identifying, preventing, and resolving medication related problems, and effectively
communicating with patients and health care providers to optimize therapeutic outcomes. Skills developed in this rotation include:
comprehensive medication review, patient education, written and verbal communication skills, and assessment and documentation
of services and therapy.
PHA 535: ACADEMIC APPE: The Academic Advanced Pharmacy Practice Experience (APPE) is an elective pharmacy rotation which
exposes students to the design and delivery of content to learners in a variety of settings, examines the diversity of learning
strategies, and introduces students to the expectations for teaching, scholarship and service activities of faculty members.
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PHA 537: COMMUNITY HEALTH ENGAGEMENT APPE: The Community Health Engagement Advanced Pharmacy Practice
Experience (APPE) is a clinical elective rotation in which the student gains competency in medication management, health
promotion and disease prevention. The student will work with various community organizations providing healthcare to clients in a
variety of settings such as free clinics, community health centers, refugee/migrant health centers, homecare, senior centers, mental
health programs, drug/alcohol crisis programs, health associations, and homeless clinics/shelters.
PHA 538: MANAGED CARE APPE: The Managed Care Advanced Pharmacy Practice Experience (APPE) is an elective rotation where
the student will gain experiential training in the application of managed care pharmacy principles within the contemporary health
care system. This rotation may take place at health insurance and pharmacy benefits management (PBM) organizations as well as
other sites that provide formulary management and evaluation.
PHA 541: HOSPITAL MANAGEMENT APPE: The Hospital Management Advanced Pharmacy Practice Experience (APPE) is an elective
rotation that provides insight on how to manage distributive as well as clinical functions within a hospital pharmacy environment.
This rotation is completed with a hospital pharmacy director or manager.
PHA 543: POISON CENTER APPE: The Poison Center Advanced Pharmacy Practice Experience (APPE) is an elective pharmacy
rotation which offers students an opportunity to become familiar with the operation of a poison center. During the rotation, the
students develop skills necessary for handling calls to a poison center while enhancing their knowledge-base in clinical toxicology.
PHA 545: NUCLEAR MEDICINE APPE: The Nuclear Medicine Advanced Pharmacy Practice Experience (APPE) is an elective rotation
which introduces the student to nuclear pharmacy and its applications to clinical nuclear medicine. The student will be exposed to
the fundamentals of radiopharmaceutical preparation and utilization within a centralized nuclear pharmacy.
PHA 546: VETERINARY APPE: The Veterinary Advanced Pharmacy Practice Experience (APPE) is an elective rotation where students
will obtain knowledge and skills working with animals in a veterinary medicine setting. This course will provide valuable instruction
on the uses and indications of human and veterinary labeled medications to treat diseases affecting companion, exotic, and food
animals. Rotation settings may include: veterinary pharmacies, hospitals, and clinics. Specific specialties depending on setting may
include: pet health, small animal internal medicine, anesthesia, ophthalmology, exotic/zoo animal and wildlife medicine, equine
medicine and surgery, agricultural practice, cardiology, oncology, radiology, and dermatology.
PHA 550: INDUSTRY APPE: This Industry Advanced Pharmacy Practice Experience (APPE) is an elective rotation where the student
learns the responsibilities of the industry pharmacist. The student observes various activities of the drug industry, such as research
and development, manufacturing quality control, clinical testing, information support, marketing, and regulatory affairs.
PHA 551: RESEARCH APPE: The Research Advanced Pharmacy Practice Experience (APPE) is an elective rotation designed to
provide students with experience in research design and development, performance of experiments, data collection and analysis,
the peer review process, and animal or human research regulations. It is recommended that students have previously taken
directed independent research, PHA 399 or PHA 499.
PHA 563: INFECTIOUS DISEASE APPE: The Infectious Disease (ID) Advanced Pharmacy Practice Experience (APPE) is an elective
clinical rotation in which the student gains competency and proficiency in the medical management of patients with infectious
diseases in the hospitalized setting.
PHA 565: HIV/AIDS APPE: The HIV/AIDS Advanced Pharmacy Practice Experience (APPE) is a clinical elective rotation that
introduces the student to the care and treatment of patients in the various stages of the disease. Since many patients with HIV/AIDS
experience numerous complications as their disease progresses, students will learn how to prevent and/or treat these complications
in this specific patient population. This rotation may take place in an inpatient or outpatient setting.
PHA 566: HEMATOLOGY/ONCOLOGY APPE: The Hematology/Oncology Advanced Pharmacy Practice Experience (APPE) is an
elective clinical rotation that is intended to provide the student with advanced experiential training in providing pharmaceutical care
for oncology patients. The student will gain a better understanding of the care of a cancer patient, including antineoplastics, toxicity
management, supportive care, and the administrative functions of an oncology pharmacist. This rotation may be completed in an
acute care setting or an ambulatory care setting.
PHA 568: CRITICAL CARE APPE: The Critical Care Advanced Pharmacy Practice Experience (APPE) is a clinical elective rotation in
which the student gains competency in patient medical management in the intensive-care unit of a hospital.
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PHA 569: CARDIOLOGY APPE: The Cardiology Advanced Pharmacy Practice Experience (APPE) is an elective clinical rotation that
will develop the student’s ability to make rational decisions concerning cardiovascular medications in the patient care setting. The
student will acquire specialized knowledge concerning major cardiovascular disease states, invasive and noninvasive cardiovascular
diagnostic techniques and the pharmacology, pharmacokinetics, and clinical use of cardiac drugs. This rotation setting is most often
inpatient, but in some cases may be in an ambulatory setting or a combination of both.
PHA 570: PSYCHIATRY APPE: The Psychiatry Advanced Pharmacy Practice Experience (APPE) is an elective clinical rotation that
offers students the opportunity to provide medication therapy management to mentally ill patients in an inpatient acute care or
outpatient environment. The student acts as a member of the mental health care team and is involved with patient monitoring,
decisions regarding drug therapy, patient medication counseling and provision of drug information to team members. Emphasis
within the rotation is focused on teaching the student how to provide medication therapy management to the person with a mental
illness and communication with patients and the mental health care team.
PHA 572: PEDIATRICS APPE: The Pediatrics Advanced Pharmacy Practice Experience (APPE) is an elective clinical rotation in which
the student gains competencies in the medical management of patients in the neonatal/pediatric populations. The setting for this
rotation may be inpatient (hospital), outpatient (clinic), a combination of inpatient/outpatient, neonatal/pediatric intensive-care
unit or pediatric unit/clinic.
PHA 573: NUTRITION SUPPORT APPE: The Nutrition Support Advanced Pharmacy Practice Experience (APPE) is a clinical elective
rotation with a pharmacy preceptor on a nutrition or metabolic support service which provides inpatient parenteral and enteral
nutrition therapies. Students will gain experience reviewing patient’s labs and recommending adjustments to their therapy.
PHA 574: NEUROLOGY APPE: The Neurology Advanced Pharmacy Practice Experience (APPE) is a clinical elective rotation in which
the student gains competency in medical management of patients with neurological disorders in the inpatient hospital and/or
ambulatory clinic environments.
PHA 575: PATIENT CARE DISCHARGE APPE: The Patient Care Discharge Advanced Pharmacy Practice Experience (APPE), is an
elective, inpatient hospital clinical rotation intended to provide students with advanced experiential training in medication
management and counseling provided for patients upon discharge. The skills developed in this rotation include: communicating
verbally with physicians and other healthcare professionals regarding discharge medication orders, coordinating discharge patient
care, documenting services, provider counseling and educating patients about their discharge prescription medications, and
reviewing patient discharge medication orders for completeness and accuracy.
WEBSITES:
Websites you may want to explore to determine if APPEs in the following areas are of interest to you
include:
1. www.ihs.gov (Indian Health Service): >Career Opportunities > Health Professions > Scroll down to
Pharmacy in middle of page > IHS Pharmacist Careers > Student Opportunities (left hand menu) > Senior
Year Externship Rotation > Student Externship Opportunities
2. www.ashp.org (American Society of Health-System Pharmacists): Member Center > Sections and
Forums > Pharmacy Student Forum > Career Center > Careers in Health-System Pharmacy > Career
Options and Profiles or Career and Internship Search
3. http://www.pharmacist.com/apha-experiential-program (American Pharmaceutical Association):
4. www.amcp.org/appe (managed care rotations located around the country): Information was
collected by Academy of Managed Care Pharmacy.
5. www.nucara.com NuCara (community, compounding, home infusion)
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Creighton University Pharmacy Student Disclosure Statement
I verify that I submitted accurate information for the required retrospective background check prior to my participation in clinical
activities. Unless the site is notified in writing, all background checks are negative. The background check included the following
reviews: Social Security number verification; Criminal Search (5 years); Violent Sexual Offender & Predator registry; HHS/OIG/GSA.
I verify that I have CPR Certification (American Heart Association at the Healthcare Provider level) with an expiration date of
_________.
I verify that I have received the following required program instruction:
Confidentiality (Patient Rights)
Universal Precautions, including needle safety
Dress Code
HIPAA training
I agree to abide by all policies and procedures of the sites hosting my APPEs.
“Confidential Information” is any patient, physician, employee, and site business information obtained during the APPE or
association with the site. I agree to treat all Confidential Information as strictly confidential and will not reveal or discuss
Confidential Information with anyone who does not have a legitimate medical and/or business reason to know the information. I
understand that I am permitted to access Confidential Information only to the extent necessary for patient care and to perform my
duties while assigned to the site. I will not disclose identifiable Confidential Information (e.g., name, date of birth) if the identity of
the individual can be removed. I understand that I am a member of the site’s workforce for purposes of complying with the Health
Insurance Portability and Accountability Act (HIPAA) of 1996, and its applicable privacy and security regulations, and agree to follow
the site’s policies regarding HIPAA while participating in APPEs.
If I am given any access security codes or passwords, I agree to use them solely to perform my duties and will not breach the security
of the information systems or premises. I will not use or disclose or misuse security codes or passwords. I will not misuse or attempt
to alter site information systems in any way. I understand that the site reserves the right to audit, investigate, monitor, access,
review and disclose information obtained through the information systems at any time, with or without advance notice to me and
with or without my knowledge. I understand I will be held accountable for my work and any changes made under my password and
security codes. I understand that I am responsible for the accuracy of information submitted under my passwords and security
codes.
I am expected to be covered by my own health insurance at all times, including hospitalization insurance. Should I seek routine or
emergency medical care, I understand that I will be responsible for the cost of such care.
I am not and will not be an employee of the site by virtue of my participation in APPEs at the site and shall not be entitled to
compensation or employee benefits of any kind, including but not limited to health insurance, workers’ compensation insurance or
unemployment benefits.
I understand that violations of site policy may subject me to immediate termination of my assignment at the site, as well as civil
sanctions and/or criminal penalties.
My signature acknowledges that I agree to the following: To the best of my knowledge, the information that I have provided is
complete and accurate; to follow the above expectations and authorize the above information to be disclosed to preceptors prior to
APPEs; and a background check information may be provided to a site if requested.
I have signed an affidavit attesting that the above information is correct and I will be in compliance with all information above. A
copy of this affidavit will be kept at Creighton University School of Pharmacy & Health Professions in the Office of Experiential
Education.
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Advanced Pharmacy Practice Experience (APPE) New Request Form
Creighton University School of Pharmacy & Health Professions
Preceptors: A Creighton University School of Pharmacy & Health Professions student has approached you to secure an APPE
(rotation) slot with you. The student has checked below which option is appropriate. East sections listed under said option will need
to be completed by you. The student will complete Section I for your information. Headings marked with an * are required
information.
Students: Please check the options that apply for a preceptor to be able to provide accurate information. The student should
complete Section I.
____ New Preceptor: [Preceptor is not in E*Value} Complete Sections I, II, III
____ New Type of APPE: [Site does not list this type of APPE – do not mark if New Site] Complete Sections I, II, IV
____ New Site: [Site is not listed in E*Value] Complete Sections I, II, IV
I. Student Information Students – please complete this section before giving to preceptor.
*First Name: ______________________________
*Last Name: __________________________________________
*Type of APPE: ____________________________
*Preferred date(s) for the APPE: ___________________________
II. Basic Preceptor/Contact and Site Information
Contact Person’s Information:
*First Name:
*Middle Initial:
*Last Name:
*Title:
*Phone:
*Email Address (need for automated evaluation links):
Fax:
*Site/Institution Information:
Name:
Street Address:
City:
State:
Zip Code:
Are you the preceptor for the APPE(s) the student is/are
requesting?
___Yes ___No If no, please list preceptor’s name, degree,
phone #, and email:
III. Additional Information for Contact Person
*Gender:
Preferred Method of Contact:
___Phone ___ Cell ___ Email
___ Mail
___ Fax
*Degree(s): (Pharm.D., B.S., M.S., M.B.A., Ph.D,)
Institution and Year of Degree(s):
*Primary Professional Licensure State and License #:
Secondary Professional Licensure State & License#:
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Residency and/or Fellowship?
If yes, please list institution and year(s):
Significant Past Work Experiences:
___Yes ___No
Institution/year:
Specialty Certifications:
Please comment on availability to take current Creighton
students: (e.g.; available this student only; limited dates; would
consider future students…)
This APPE is Advanced Pharmacy Practice Experience. Do you offer
or are you interested in providing Introductory Pharmacy Practice
Experiences?
Information helpful to our Office for future scheduling purposes is
listed. Please circle preferences for each bulleted item.
 Students may contact OR OEE to contact
 Timeframe prefer to be contacted for upcoming year:
Summer Fall Spring OR by _____________
 Scheduling preferences: First come, First serve OR
local school OR:___________________________
Why do you choose to serve as a preceptor for students?
IV. Practice Setting and APPE Information
Type of practice setting:
Type(s) and description of pharmacy services provided:
Typical patient load or volume:
___Community ___Hospital ___Clinic Other:
___Distributive ___Clinical
Description:
#Scripts/day:
Hospital Census:
Other:
#Patients/day:
Other:
Typical patient population: (e.g.; gender, age, ethnicity,
disease states)
Activities, projects, and assignments required of the students
while on this APPE:
Students are expected to be at the site full-time
(40 hrs/wk x 5 wks). How much time do you expect to spend
with the student?
Creighton encourages preceptors to provide verbal feedback
throughout the APPE and requires a formal evaluation at midpoint and end of the APPE. Are you willing to provide this
feedback and complete these evaluations?
Does the student have access to drug information references
or a library?
Does the student have access to patient information?
Does the student have an opportunity to interact with or
counsel patients?
Have you taken pharmacy students for APPEs before?
Does your site require payment to take a student?
#Anticipated hours per week with student::
___Yes ___No
___Yes ___No
___Yes ___No
___Yes ___No
___Yes ___No If yes, please list which schools and when
students taken:
___Yes ___No If yes, amount? $
Preceptors: Please return information to student.
Students: Please submit at http://spahp.creighton.edu/experiential.
Questions? Contact Pat Lyons 402-280-2590, plyons@creighton.edu or Kathy Widman 402-280-3664, kwidman@creighton.edu
Fax: (402) 280-1888
Web Site: http://spahp.creighton.edu/experiential
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