COURSE TITLE:
PSYCHIATRY ADVANCED PHARMACY PRACTICE EXPERIENCE
COURSE NUMBER:
PHA 570
SEMESTER HOURS:
FIVE CREDIT HOURS (40 contact hours per week)
REQUIRED:
NO
PREREQUISITES:
SUCCESSFUL COMPLETION OF ALL DIDACTIC COURSES OF PHARM.D.
CURRICULUM
BULLETIN
DESCRIPTION
JUSTIFICATION:
COURSE
OBJECTIVES:
Course Objectives
1. Describe the etiology,
pathophysiology, and clinical
presentation of common mental
illnesses and interactions between
mental and physical disease states
and their respective drug therapies.
2. Obtain and/or utilize medication
histories, physical findings,
laboratory tests, and
pharmacokinetic data to select and
recommend optimal drug therapy
for individual patients as necessary.
3. Present complete and accurate
patient information in a case
presentation format, including
appropriate components and
sequence.
4. Develop an appropriate patient
specific medication therapy
management plan.
5. Retrieve and evaluate current
drug therapy information from the
literature and make
recommendations utilizing
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.
Twenty-five percent of all hospital beds in the United States are occupied by a patient
with a mental illness. In addition, it is estimated that 25% of all dispensed
medications have a psychiatric indication. The ability to provide medication therapy
management to patients with mental illness is a necessity for the general pharmacy
practitioner. The Psychiatry APPE provides the student an opportunity to
communicate with a person with mental illness and the mental health care team to see
first-hand the effects of psychiatric medication.
Upon completion of this rotation, the student shall be able to:
Educational
Outcome
Patient Assessment;
Medication Therapy
Management
Competencies
Educational Activities
5.1, 5.3, 5.4, 5.7,
6.2, 6.3, 6.4, 6.8
Assigned readings,
Group discussions, Case
study/disease state
presentations.
Professionalism,
Citizenship and
Leadership; Critical
Thinking;
Communication;
Patient Assessment;
Medication Therapy
Management
Professionalism,
Citizenship, and
Leadership;
Communication
2.2, 2.4, 2.5,
3.5, 3.6,
4.1, 4.2, 4.3,
5.1, 5.2, 5.3, 5.4,
5.6, 5.7,
6.1-6.13
Case study
presentations,
Intervention
documentation,
Participation in
pharmacy practice
activities
Preceptor Evaluation
of Educational
Activities
2,2,4.1,4.2,4.3
Assignments,
Participation in
pharmacy practice
activities
Preceptor Evaluation
of Educational
Activities
Medication Therapy
Management
6.1-6.13
Professionalism,
Citizenship and
Leadership, Critical
Thinking,
2.2, 2.5,
3.3, 3.4, 3.5, 3.6,
4.1, 4.2, 4.3,
8.2, 8.3, 8.4, 8.5
Participation in
pharmacy practice
activities
Answer drug
information questions,
Document interventions
Preceptor Evaluation
of Educational
Activities
Preceptor Evaluation
of Educational
Activities
Assessment
Measure(s)
Preceptor Evaluation
of Educational
Activities
evidence-based medicine to health
care professionals.
6. Identify, prevent, and resolve
potential drug-related problems
through the monitoring of basic
pharmacokinetic and
pharmacodynamic parameters.
7. Counsel and educate patients
and/or caregivers on the appropriate
use of their medications utilizing the
medication therapy management
principles when possible.
INSTRUCTIONAL
METHODS:
ACTIVE LEARNING
METHODS:
REQUIRED
ACTIVITIES:
Communication,
Drug Information
Medication Therapy
Management
Professionalism,
Citizenship and
Leadership,
Communication,
Medication Therapy
Management, Drug
Information
6.2,6.7,6.10,6.11
Participation in
pharmacy practice
activities
Preceptor Evaluation
of Educational
Activities
2.2, 2.4, 2.5,
4.1, 4.2, 4.3,
6.6
8.2, 8.5
Documentation of
interventions,
Participation in
pharmacy practice
activities
Preceptor Evaluation
of Educational
Activities
Patient care rounds, individual and group discussions, role modeling, individual
patient management, oral presentation(s), reading and written assignments.
Patient care rounds, individual and group discussions, role modeling, individual
patient management, and oral presentation(s).
Clinical monitoring of psychiatric patients
Patient case presentation and discussion
ADDITIONAL ACTIVITIES
AS DIRECTED BY THE
PRECEPTOR:
Patient counseling and education
Inservice(s)/Presentation(s)
Exams/Quizzes
Projects
GRADING:
Grading for this rotation will be established by the preceptor based on the following:












Attendance, attitude, and professional attire
Professionalism, ethics and responsibility
Communication and interpersonal skills
Presentation of patient information
Demonstration of pharmacotherapeutic skills (including patient assessment and
monitoring, therapeutic decision-making, and intervention), and integration of
basic biomedical, pharmaceutical and clinical science knowledge to optimize
patient care outcomes.
Demonstration of critical thinking skills
Documentation of interventions
Daily activities
Case presentation(s)
Written/oral presentation(s)
Quizzes/Examination(s)
Project(s)
A failure on any dimension or assignment is grounds for failure of the rotation.
Specific evaluation criteria will be presented to the student within 48 hours from
initiation of the rotation. A final grade is assigned according to the following grading
scale. Grades will not be rounded:
100-90
A
< 90 and ≥ 85 B+
< 85 and ≥ 80 B
< 80 and ≥ 75
< 75 and ≥ 70
< 70
C+
C
F
The final grade will be weighted in the following way:
10% Patient Assessment
40% Medication Therapy Management
20% Communication Skills
5% Drug Information
5% Professionalism, Ethics, Responsibility
20% Rotation Specific Projects/Assignments
Unprofessional and/or unethical behavior will not be tolerated, and will be grounds for
immediate failure of the rotation, and/or dismissal from the program.
An unexcused absence, including excessive tardiness, is grounds for failure of the
rotation.
EXAMINATIONS:
Students arriving late for an examination/quiz will receive a zero. This may result in
failure of the rotation.
Students who are unable to take an examination/quiz as scheduled due to
circumstances deemed “excusable” by the instructor, must make arrangements to
make up the examination/quiz as soon as possible. Students must notify the preceptor
of an impending absence prior to the exam. The determination as to whether the
reason for absence is excusable lies solely with the preceptor.
Students who are unable to take an examination/quiz due to circumstances deemed
“non-excusable” by the instructor will receive a grade of zero. This may result in
failure of the rotation.
INSTRUCTOR:
Director, Office of Experiential Education
Associate Director, Office of Experiential Education
Paul Price, Pharm.D., BCPP
TEXT(S):
None. Readings will be assigned by the individual preceptor.
**The latest policies, including those regarding students with disabilities and misconduct can be found on the
School's web site at http://spahp.creighton.edu/Acad_SAffairs/policies.asp. Each student is responsible for
becoming familiar with all of the latest policies.
“Faculty reserve the right to make changes in the course that they deem necessary, and will provide a copy
of such changes to the Pharmacy Program Curriculum Committee for review before the next offering of the
course.”