The University of Houston College of Pharmacy
DOCTOR OF PHARMACY
ADVANCED PHARMACY PRACTICE EXPERIENCE
MANUAL
A Guide for Students and Preceptors
Experiential Programs Office
College of Pharmacy
1441 Moursund Street Room 434
The University of Houston
Houston, Texas 77030
(832) 842-8337
(832) 842-8330 Fax
Summer 2014 – Spring 2015
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University of Houston College of Pharmacy
Doctor of Pharmacy Internship Manual
DOCTOR OF PHARMACY
ADVANCED PHARMACY PRACTICE EXPERIENCE
MANUAL
Preface
Advanced pharmacy practice experiences (APPEs) are designed to complete the pharmacy student's
education through supervised participation in pharmacy practice. During these experiences,
students participate in a wide range of interdisciplinary activities, treating patients of diverse ages,
cultures, and disease states, in a variety of ambulatory and institutional facilities. The primary
purpose of APPEs is to assure that each student develops the knowledge, technical skills,
professional judgments, values, and competencies needed to obtain licensure for entry level
pharmacy practice, in any setting, while ensuring optimal medication therapy and patient safety.
Internships are practical experience courses for which the student receives both academic credit and
internship hours required for licensure by the Texas State Board of Pharmacy. The American
Association of Colleges of Pharmacy, the Accreditation Council for Pharmacy Education, and most
academic pharmacy institutions prefer the term “practice experiences;” while the Texas State Board
of Pharmacy, and Texas Pharmacy Rules refer to “internships.” Throughout this manual these
terms are used interchangeably. Students work under the supervision of selected preceptors, who are
either full-time, adjunct, or voluntary faculty members of the College of Pharmacy. As preceptors,
they guide and mentor students in applying the scientific knowledge and principles learned in the
classroom to the practice of pharmacy.
This manual is intended to serve as a guide for advanced practice experiences of the University of
Houston College of Pharmacy. We appreciate the comments and suggestions of preceptors and
students who use this manual. Through cooperative efforts of the Experiential Programs Office,
full-time faculty members, preceptors and students, we can transition our students from the
classroom to the workplace, and facilitate their progress toward becoming pharmacists.
Feel free to contact any of us if you have any questions or problems.
Nancy Ordonez, Pharm.D., BCPS
Assistant Dean for Experiential Programs
(832) 842-8337 (office)
E-mail: nordonez@uh.edu
To Be Determined
Director for Institutional-Based Advanced Practice Experiences
Santhi Masilamani, Pharm.D., CDE, MBA
Director for Ambulatory-Based Advanced Practice Experiences
(832) 842-8359 (office)
E-mail: kmasilam@central.uh.edu
Lupita Curiel
Program Coordinator
(832) 842-8337 (office)
Email: grcuriel@uh.edu
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TABLE OF CONTENTS
Page
Preface…………………………………………………………………………………………. i
Advanced Practice Experiences Calendar………………………………………………………... 5
Section 1- General Information and Requirements
Advanced Pharmacy Practice Experience Program Goals and Objectives …………
7
Terminal Competencies – All Clinical Experiential Courses………………………….
8
Minimum Requirements and Competency Statements…………………………………
9
Resources………………………………………………………………………………
9
General Information and Policies ……………………………………………………… 10
Experiential Education …………………………………………………………………. 10
Student Requirements for Experiential Courses……………..………………………… 10
Assignment and Hours Requirement…………………………………………………... 10
Compensation …………………………………………………………………………. 11
Registration as Pharmacy Intern ………………………………………………………. 11
Health Insurance Requirement..……………………………………………………….
11
Background Checks and Drug Screening ……………………………………………… 11
Immunization Requirements…………………………………………………………..
11
Experiential Courses Credit and Internship Credit……………..……………………… 12
Course Grades and Consequences of Failing an Experiential Course…………………. 12
Liability Insurance Coverage ……………………………………. ……………………. 12
CPR Certification…………………………………………………………………………12
Practice Experience Policies and Requirements……………………………………..… 12
Adherence to Policies and Procedures…………………………………………………. 12
Dress Code……………………………………………………………………………... 13
Policies Regarding Communication, Parking, and Room and Board and Others………. 13
Patient Confidentiality and Compliance with HIPAA ..………………………………. 13
Attendance Policies and Definitions……………………………………………………. 14
Professional Meetings…………………………….……………………………………. 15
Honor Code Violations/Plagiarism……………………………………………………
16
Personal Counseling Services………………………………………………………….
16
Grading Policy ………………………………………………………………………. .. 17
Guidelines for Papers ………………………………………………………………...
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Section 2 – Forms and Documentation
Forms and Documentation Available On-line………………………………………… 20
Student Requirements for Evaluation of Internships………………………………….
21
Intern Evaluation Form……………………………………………………………..
22
Section 3 – Required Advanced Practice Experiences
Overview …………………………………………………………………………….
28
Internal Medicine ……………………………………………………………………
29
Ambulatory Care -Disease State Management ……………………………………..
33
Ambulatory Care - Medication Therapy Management……………………………..
36
Ambulatory Care - Primary Care……………………………………………………
40
Advanced Community Pharmacy ………………………………………………….
45
Advanced Hospital Pharmacy ………………………………………………….
46
Section 4 – Clinical Specialty Advanced Practice Experiences
Overview ……………………………………………………………………………..
47
Cardiology ……………………………………………………………………………
48
Community Pharmaceutical Care ……………………………………………………
52
Critical Care ………………………………………………………………………….
55
Drug Information …………………………………………………………………….
61
Emergency Medicine ………………………………………………………………...
64
Geriatrics ……………………………………………………………………………..
67
Home Care …………………………………………………………………………...
70
Infectious Diseases …………………………………………………………………...
73
Neurology ……………………………………………………………………………
76
Nuclear Pharmacy ……………………………………………………………………
79
Nutritional Support …………………………………………………………………… 82
Oncology ……………………………………………………………………………..
85
Pediatrics ……………………………………………………………………………..
89
Psychiatry …………………………………………………………………………….
93
Surgery …………………………………………………………………………….
96
Transplant…………………………………………………………………………….
99
Women’s Health Therapeutics ………………………………………………………. 102
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Section 5 – Other Advanced Practice Experiences
Overview …………………………………………………………………………….. 105
Academic Scholarship ………………………………………………………………. 106
Clinical Pharmaceutical Research …………………………………………………… 109
Legal and Regulatory Affairs ………………………………………………………..
112
Managed Care Pharmacy ……………………………………………………………. 115
Pharmacoeconomics ………………………………………………………………… 118
Pharmacy Management – Community and Hospital ………………………………… 121
Veterinary Pharmaceutical Care …………………………………………………….. 125
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ADVANCED PHARMACY PRACTICE EXPERIENCES CALENDAR
APPE 1
May 26 (start May 27) through July 3, 2014
May 21-22........……………………………………….……………………………Orientation at UH-TMC
June 1………….......………………………………………………………………………Week 1 Check-In
June 13……………………………………….Practical Exams, Preceptor’s Midterm Evaluation of Student
July 4…………………….………………..End regular filing period for application for August graduation
July 3………………………………………………………On Campus Day (Exams, Seminar, Orientation)
APPE 2
July 7 through August 15, 2014
July 25…………………………..…………... Practical Exams, Preceptor’s Midterm Evaluation of Student
August 15 .……………......................................................On Campus Day (Exams,Orientation,Seminars)
APPE 3
August 18 through September 26, 2014
September 5…………….……………..…….Practical Exams, Preceptor’s Midterm Evaluation of Student
October 3.……………………………End regular filing period for application for December graduation
September 26…………………………….………………. On Campus Day (Exams,Orientation,Seminars)
September 26……………………………….…………………Tentative SSHP Clinical Skills Competition
APPE 4
September 29 through November 7, 2014
October 17…………………………………….Practical Exams, Preceptor’s Midterm Evaluation of Student
November 6……..……………………………………………..……..UHCOP Career Placement Conference
November 7……………………………………………..… On Campus Day (Exams,Orientation,Seminars)
November7…….……………………………………………………………....……Tentative:Residency Showcase
APPE 5
November 10 through December 19, 2014
December 1 (Monday)………………………..Practical Exams, Preceptor’s Midterm Evaluation of Student
December 19………………………………….……………. On Campus Day (Exams,Orientation,Seminars)
December 19……………………………..…………………………………………………..Commencement
APPE 6
January 5 through February 13, 2015
January 5…..……..…………………………………………..................................…Start APPE 6 at “Site”
January 23………..…………………………….Practical Exams, Preceptor Midterm Evaluation of Student
TBD……………..……………………………………..Last day to file university application for Spring graduation
February 13…On Campus Day (Exams, Seminars, TSBP Presentation on licensure application and NAPLEX)
APPE 7
February 16 through March 27, 2015 – On-campus Day is April 3
March 6………………………………………Practical Exams, Preceptor’s Midterm Evaluation of Student
March 27………………………………………………………………………………..…………...Seminars
March 30-April 3……………..…..……….…………………………..Seminars (Exact Dates to Be Determined)
April 3 ……………..…....On Campus Day (Exams, Evaluation and Seminars,Wrap-up, Graduation
Practice)
May15 (tentative date)……………….……………………………..College of Pharmacy Graduation Ceremony
On-campus Days are MANDATORY
Other Events to be scheduled: NAPLEX Review, Law Review, Graduation Reception, OSCEs
***DATES AND TOPICS ARE SUBJECT TO CHANGE***
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Section 1
General Information and Requirements
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Advanced Pharmacy Practice Experiences: Goals and Objectives
Goals: To develop a pharmacist who:
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Assumes responsibility for drug therapy outcomes
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Can select, initiate, and monitor drug therapy
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Can provide drug information in all practice settings
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Has good problem-solving skills and professional judgment
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Has good interpersonal skills and professional relationships
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Is a life-long learner
Objectives: At the completion of all practice experiences the student should be able to:
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Use and manage the drug distribution system.
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Identify and prioritize patients who require clinical services.
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Obtain a medication history from a patient.
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Interview a patient and review the medical record to obtain signs and symptoms of the patient’s
illness, past and current drug therapy, and adherence to current therapy, in order to select and/or
recommend specific drug therapy.
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Monitor drug therapy using pharmacokinetic parameters.
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Monitor drug therapy for effectiveness and lack of adverse effects, using physical assessment.

Communicate verbally and in writing specific recommendations regarding outcomes of drug
therapy to patient and health care professionals.

Retrieve and evaluate specific drug information and communicate verbal and written
information and recommendations to health care professionals.
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Provide verbal and written patient educational materials concerning the proper use and selfmonitoring of medication and devices.
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Discuss the role of the pharmacist on the health care team.
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Effectively communicate with non-health care caregivers.
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Prepare and give a formal presentation.
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Complete a thorough written review of appropriate drug therapy or complete a written project or
activity, which relates to an elective course.
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Terminal Competencies Expected Upon Completion of All Clinical Experiences
Upon completion of all required clinical experiences, the student should be able to:
1. Establish professional relationships with patients as well as other health care professionals and
staff in a health-care facility.
2. Effectively provide verbal and written drug information to patients.
3. Provide risk-management-sensitive drug information, recommendations, and documentation of
activities in the medical records of patients.
4. Using an evidence-based medicine approach, design patient-specific pharmacotherapy with
realistic goals that ensure effective, safe, and economical patient care.
5. Formulate an optimal pharmacotherapeutic regimen by selecting patient-specific drug, dose,
dosage form, route of administration, schedule, duration of therapy, and identification of
necessary monitoring parameters.
6. Determine appropriate therapeutic endpoints for a specific pharmacotherapy regimen.
7. Implement patient-specific pharmacotherapy that is effective, safe and economical.
8. Interpret subjective and objective data (i.e., physical findings and laboratory test results) to
assess patient compliance, response to drug therapy, and absence of adverse drug reactions.
9. Monitor a patient’s pharmacotherapy to assess response to treatment and absence of adverse
drug reactions.
10. Detect adverse drug reactions and drug-drug, drug-laboratory test, drug-diet, drug-disease and
drug-condition interactions and assess their clinical importance.
11. When response is less than expected, evaluate and modify a patient’s pharmacotherapy to
improve desired outcomes.
12. Develop a written pharmaceutical care plan that communicates goals, endpoints, monitoring
parameters, and frequency of monitoring so the plan can be followed by other pharmacists.
13. Apply knowledge of drug-specific pharmacokinetic principles and patient-specific clinical
parameters to recommend or initiate the proper dosage regimen for a patient.
14. Provide interpretation of serum drug concentrations for the adjustment of dosage based on
pharmacokinetic principles.
15. Provide patient-specific drug therapy consults to physicians and other healthcare providers.
16. Apply age, gender, and ethnic considerations in developing a therapeutic plan.
17. Develop criteria and participate in drug use evaluation and peer review programs.
18. Using resources of the clinical practice site, the medical library, and the Internet, develop and
use self-directed learning skills to provide evidence-based pharmacotherapy information to
other health care professionals.
19. Provide in-service education to peers and other healthcare providers.
20. Practice pharmaceutical care in a confidential and ethical manner, and in compliance with
federal and state laws, and Texas State Board of Pharmacy rules.
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Minimum Requirements and Competency Statements
Minimum requirements and competency statements have been developed for each practice
experience. The specific requirements and competency statements for the required practice
experiences are listed in a separate section.
Resources –
Required texts for Internships are the latest editions of the following:
Drug information databases (Lexicomp®, Micromedex®, for example)
Dipiro JT, Talbert RL, Yee GC et al, eds. Pharmacotherapy: A Pathophysiologic Approach.
Specific readings from texts and primary literature may be required for each practice experience. A
text or articles on interpretation of laboratory data may be helpful.
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GENERAL INFORMATION and POLICIES
Advanced Pharmacy Practice Experiences (APPE)
Experiential Education
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The primary goal of experiential training is learning. Learning is not a passive process; it
requires active participation and communication. Internships/practice experiences serve as a
transition from the classroom to pharmacy practice.
The student should recognize that the preceptor’s responsibility is to facilitate the student’s
learning, not to teach. The student must accept the responsibility for learning.
The student should recognize that the optimum learning experience requires mutual respect
and courtesy between the preceptor and student. All criticism or constructive feedback
should be viewed as a means of facilitating learning.
Students should be encouraged to communicate with all those involved in their training
including pharmacists, physicians, other health care professionals, and patients.
The student should gain experience in making professional decisions (i.e., evaluating and
dispensing prescriptions, counseling patients, making therapeutic decisions, advising
patients on the choice of nonprescription drugs). The preceptor should provide positive
criticism, allowing the student increasing responsibility as competence and confidence are
demonstrated.
The student should take the initiative in communicating with physicians and patients in a
manner consistent with professional courtesy.
Students should appreciate the time and expertise that preceptors are providing for their
education and training. Students should understand that often preceptors will be called upon
to provide reference concerning their knowledge, skills, and attitude – even when not
requested.
Student Requirements for Experiential Courses
1. Assignment and Hours Requirement
Each student who has met the prerequisites is assigned to a Preceptor for a six-week (minimum
of 250 hours) practice experience. The College of Pharmacy attempts to assign students to their
preferred location, however, the student must be prepared to accept assignments to experiential
sites outside of preferred location.
Contacting Preceptor: Unless otherwise instructed, at least two weeks prior to the beginning
of the experience, students must contact their preceptor to determine the reporting place and
time. In some cases, certain sites will require three weeks notice prior to the beginning of
experiential course. Unless otherwise instructed, the student should get confirmation from the
preceptor either verbally or by email that plans for starting the experiential course have been
confirmed.
Supervised Hours are granted only for time at the site, evaluation and orientation on campus,
and for approved college activities. Hours are not awarded for lunch, travel to and from the site,
study time, or homework. Holidays are not observed in any practice experience course and
hours will not be awarded for holidays. The UH College of Pharmacy Experiential Programs
schedule does not follow holidays designated by the University. Students may be required to be
present at their practice site on weekends, evening, and holidays. Any time missed from site will
be required to be made-up. An average of 8.5 hours/day will provide the minimum 250 hours.
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Special Activities Hours are hours for professional meetings or activities not related to the
experience must be requested and approved by both the Preceptor and the Experiential Director.
These hours will be recorded under Special Activities Hours.
For documentation of internship hours, students are required to complete the designated
electronic internship hour documentation as designated by the Office of Experiential Programs.
The form must be verified by the preceptor and signed by the preceptor electronically.
2. Compensation
Students may not be compensated for experiential training. Each student who successfully
completes the internship receives academic credit from the College and internship hours
credited to the Texas State Board of Pharmacy internship requirement for licensure.
3. Registration as a Pharmacy Intern
Each student must be registered as a pharmacy intern with the Texas State Board of Pharmacy
and must comply with the Texas State Board of Pharmacy Rules and Regulations including
notification to the Texas State Board of Pharmacy of change of mailing address within ten days.
The intern card will expire 6 months after date of graduation.
4. Health Insurance Requirement
The College does not provide healthcare insurance coverage. It is the policy of the University of
Houston College of Pharmacy that students maintain health insurance. Health insurance can be
purchased through the Student Health Service, as a part of coverage on their parent’s policy, or
other sources. Compliance with this policy is necessary to meet requirements of experiential
sites, which require health insurance as a condition for accepting and precepting our students for
experiential training (i.e., IPPEs and APPEs). If student fails to comply with this requirement,
the student will not be allowed to complete APPE.
5. Background Checks and Drug Screening
Many experiential training sites require criminal background checks and/or drug screening of
their employees and students. As a pre-requisite for practice experiences, students are required
to undergo a criminal background check. The students will also be required to submit samples
for drug screening. Students are responsible for obtaining and paying for background checks
and drug screening, from a third-party vendor contracted by the College. Unless required
otherwise by affiliation agreement with a particular site, results will be reported directly by the
student to the facility, according to the instructions given by the Experiential Programs Office.
Failure to receive background check clearance and/or drug screening clearance for any practice
experiences, will prevent the student from beginning experiential training, and meeting
graduation requirements.
6. Immunization Requirements
a. Students are responsible for complying with site policies and state law concerning infection
control. Universal Precautions will be observed to prevent contact with blood and other
potentially infectious materials.
b. All students are required to have the following immunizations or immunity documentation:
 Hepatitis B vaccination or acceptable proof of immunity
 MMR vaccination or acceptable proof of immunity – (2 MMR)
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Negative Tuberculosis Skin Test (PPD) or chest X-Ray or blood test – annual basis
Varicella (chicken pox) or acceptable proof of immunity (titers)
Tetanus/diphtheria/acellular pertussis (Tdap) within the last ten years
Influenza vaccination each year
Any vaccination required during the internship year, due to pandemics.
c. It is the student’s responsibility to provide proof of immunization to the preceptor or
practice site, and the College of Pharmacy. Documentation of immunization must be
submitted on E*Value.
7. Experiential Courses Credit and Internship Credit
It is the responsibility of the student to register and pay for courses in a timely manner,
otherwise, the student will not receive credit for the course and will not be allowed to start the
experiential course. Fourth-year students must complete seven APPE consisting of a minimum
of 250-hours and Clinical Seminar. Including the 170 hours received for Introductory
Community Pharmacy and the 80 hours from Introductory to Health-Systems Pharmacy, the
student will accumulate at least 2000 internship hours. The hours earned for internship credit
will be submitted to the Texas State Board of Pharmacy. Students submitting credit for hours to
other boards of pharmacy have the responsibility for checking with the specific board of
pharmacy, to determine the maximum number of hours the state will allow for our internship
program.
8. Course Grades and Consequences of Failing an Experiential Course
Advanced Practice Experiences will be graded like all other university practicum courses: A, B,
C, D, and F. Successful completion of the practice experience requires a grade of A, B, or C.
Students receiving a grade of “D” or “F” on a practice experience must make up that experience
after the end of the internship year (i.e., not before the following summer semester). There will
be no retake or remediation practice experiences during the internship year.
9. Liability Insurance Provided
The College of Pharmacy is enrolled in a malpractice insurance policy, which covers students
and faculty.
10. CPR Certification
All students must have CPR certification. All students must take the Basic Life Support (BLS)
for Healthcare Providers course prior to practice experiences.
Practice Experience Policies and Requirements
Adherence to Policies and Procedures
1. Students will abide by both College and facility policies. If the student displays egregious
unprofessional conduct or violates the site’s policies and procedures, a preceptor may expel a
student from the site. Expulsion from the site will also result in a failing grade for the
experiential course.
2. The student will obey the laws and regulations that govern pharmacy practice, and seek
clarification of any issues that are not clear.
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3. Students at the practice site are recognized by patients and other professionals as part of the
College of Pharmacy. The student also represents the practice site. Students must be courteous
and professional at all times. Students not complying with policies may be expelled from the
experiential site.
Dress Code
4. The student must exhibit a professional appearance in manner and dress. Internship time lost
due to inappropriate attire must be made up. The student MUST conform to the following dress
code:
a. All students must maintain good hygiene, and wear neat, clean, college-approved white
laboratory jackets of appropriate length with embroidered school logo. White coats will be
worn for all experiential activities at sites and at the College of Pharmacy facilities (SR2 and
TMC building).
b. All students must have a University of Houston College of Pharmacy student nametag.
Preceptors may require an alternate dress code and nametags. Nametags from places of
employment as sole form of identification are unacceptable. Nametags will be worn in the
TMC building at all times.
c. Female students may wear skirts, dresses, or dress slacks of appropriate length with
appropriate hosiery and shoes. Leggings are not permissible.
d. Male students must wear dress slacks, collared shirts, ties, socks and appropriate shoes.
e. Jeans, shorts, mini-skirts, sandals, T-shirts, jogging suits, hats, caps, etc., are inappropriate
dress and are not allowed.
f. Students not complying with the dress code will be sent home. Time must be made up and
accountability/Directors points will be deducted from grade.
Policies Regarding Communication, Parking, and Room and Board and Others
5. Parking: If parking is not free at the site, the student is responsible for parking fees. It is not
the responsibility of the College to cover these fees.
6. Room and Board: Student is responsible for room and board.
7. Communication: Students must have a form of communication (pager or cell phone)
throughout the experiential courses. In addition, the student must provide the college with
appropriate contact information, and must update their contact information. Students are
expected to check their University of Houston College of Pharmacy email daily throughout the
experiential academic year. Students will utilize the electronic management of experiential
courses (E*Value and BlackboardLearn).
8. Students should not seek medical advice or treatment for themselves or family members through
medical staff or other personnel at assigned sites. A student should not ask for a discount to
purchase prescription or nonprescription medications, or services.
Patient Confidentiality and Compliance with the Health Information Portability and
Accountability Act (HIPAA) and Other Issues with Medical Records
1. Out of respect for patients and in compliance with the Health Information Portability and
Accountability Act (HIPAA), the student will respect confidences revealed during his/her
assignment including patient medical records, pharmacy records, fee systems, etc.
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2. Patient names, medical record numbers, social security numbers, date of birth, and other
patient identifiers will not be used in discussion of cases or experiences outside the
responsibilities at the site. Furthermore, no other information will be used that would
provide a “statistical disclosure” of the patient’s identity.
3. In addition, students will not discuss patient care or patient cases with anyone, including
other healthcare providers who are not participating in the patient’s care, except for
permissible communication on behalf of the patient’s continuity of care or for permissible
educational purposes. Students must be careful to discuss permissible case information in
private areas only.
4. Proprietary information of the site, including fees and special formulations, must also be
kept confidential.
5. The use of cameras and other photographic devices in patient areas is strictly forbidden.
Taking a photograph in a patient area, whether or not a patient is photographed, will result in
dismissal from the site, assignment of a failing grade for the practice experience, and
possible suspension from the College.
6. Students should not view their own health records without obtaining proper consent of the
facility.
7. Students must take care handling patient monitoring forms and students must follow policies
of the facilities with regards to patient monitoring forms.
Attendance Policies
Attendance is a grading criterion as well as a requirement for certification of internship hours to the
Texas State Board of Pharmacy. Attendance is essential for academic credit to be awarded and
internship hours accrued.
a) The student should be punctual in meeting the schedule, and must adhere to the internship
schedule agreed upon with the preceptor. For the student's benefit, it may be necessary to
devote more than the scheduled time. Students will follow a schedule as if they were
employees. As stated before, the UH College of Pharmacy Experiential Programs schedule
does not follow holidays designated by the University. Students may be required to be
present at their practice site on weekends, evenings, and holidays.
b) If the student will be absent or late, he/she must notify the preceptor as soon as possible. In
addition, the student must notify the designated Experiential Director if he/she will be
absent/late from the site. BOTH the preceptor and the Experiential Director must be notified
of any absences and tardies. Failure to do so will result in deduction of Responsibility
Points. Students are required to check in and check out with their preceptor every day.
c) Students are responsible for maintaining a record of their internship hours through
documentation designated by the Office of Experiential Programs. The electronic internship
hours document must be completed by the student and verified by the preceptor at the
completion of the course or no grade will be assigned. The electronic internship hours
document is a legal document. Falsifying information on this form is an honor code
violation and can cause a student to fail the course, be suspended, and/or jeopardize
obtaining licensure in the future.
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Attendance Definitions
Students will follow a schedule as if they were employees.
1. Excused Absence
An absence is excused when the Preceptor and Director are notified in advance with an
acceptable reason and both the Preceptor and Director give approval. The missed time from an
excused absence must be made up at a time acceptable to the Preceptor. After three (3) excused
absences, the student must make an appointment with the Experiential Director and/or Assistant
Dean for Experiential Programs. All absences must be made up.
Illnesses- The student will be required to submit documentation of illness from physician. In
addition, documentation of clearance to return to site will also be required in cases where the
Experiential Programs Office deems necessary.
2. Unexcused Absence
This is an absence from the assigned site (whether it is not coming in to the practice site or
leaving early without permission) without advanced notification to the Preceptor and
Experiential Director, or advanced approval by the Preceptor and Experiential Director or
without acceptable reason. The student must make an appointment with the Experiential
Director and/or Assistant Dean for Experiential Programs to determine need for corrective
action. Students will lose 1 letter grade for each unexcused absence from the final grade.
3. Tardiness
A student who is tardy on 3 occasions will earn an unexcused absence, and must make an
appointment with the Experiential Director and/or Assistant Dean for Experiential Programs.
Continued tardiness will result in a failing the course.
4. Leaving Site Early
A student who leaves site early on 3 occasions will earn an unexcused absence, and must make
an appointment with the Experiential Director and/or Assistant Dean for Experiential Programs.
Students who leave the experiential site to work at an outside job fall in the unexcused category.
5. Dismissal from a site
Students are expected to behave in a courteous and professional manner. If for any reason a
Preceptor asks that a student be removed from the site, the student will be required to make an
appointment with the Experiential Director and/or Assistant Dean for Experiential Programs for
further evaluation of the problem. A student will be assigned a failing grade (“F” or “U”) at any
site from which he/she has been appropriately dismissed. A student who withdraws from a site
without approval will be assigned a grade of “F” or “U”.
6. Professional Meetings
Attendance at professional meetings is encouraged. Professional leave must be requested (form
submitted to preceptor) on the first day of the practice experience. Approval of the preceptor
and then the Experiential Director is required. A maximum of 5 days (42.5 hours) per APPE
may contribute toward experiential hours during a practice experience not to exceed a total of 10
days (85 hours) for the year. The Professional Leave Request form must be signed by the
preceptor and submitted to the Office of Experiential Programs as directed. Upon completion of
the APPE, the completed original form must be submitted to the Experiential Director. Credit
may be awarded only for hours spent in professional or organizational activities.
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Honor Code Violations
Plagiarism/Cheating
Neither plagiarism nor cheating in any form will be tolerated. This form of dishonesty is an
honor code violation and will result in the student receiving a failing grade (“F” or “U”) for the
course, and possibly suspension. In compliance with the instructions of the Experiential
Directors or the Assistant Dean for Experiential Programs, students will be required to submit
papers and written forms of presentations to turnitin.com or to other sites for screening by
plagiarism-checking software. See the UH College of Pharmacy Student Handbook:
http://pharmacy.uh.edu/cs/pdf/UHCOP_Student_Handbook.pdf.
Personal Counseling Services
The University of Houston College of Pharmacy and the University of Houston provides
personal counseling services. Students who need personal counseling services may obtain these
services through the UHCOP Student Services and the University of Houston Counseling and
Psychological Services (CAPS).
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Grading Policy
1. Exams
There are exams for PHAR 5692 Advanced Hospital Pharmacy, PHAR 5693 Advanced
Community Pharmacy, PHAR 5690 Internal Medicine, and Ambulatory Care APPEs. The
exam for Internal Medicine will not count in the grading for this course, but, the student must
score 70% or better on the Internal Medicine exam to receive a passing grade and credit for this
course. The Internal Medicine exam is given at the end of each APPE.
2. Exam Retake
At the discretion of the Assistant Dean for Experiential and Experiential Director, a retake exam
may be given to students who have failed either the practical or written final exam but not both
for the Advanced Hospital Pharmacy or who have failed the exam for Advanced Community
Pharmacy or Internal Medicine courses. Specific retake exam policies will be detailed in the
appropriate section. If a student passes the retake exam, a grade of “C” will be assigned for the
Advanced Hospital Pharmacy or Advanced Community Pharmacy course. Internal Medicine
exam is Pass/Fail. If a student fails the retake exam, a grade of “D” or “F” will be assigned for
the course. Exam retake must be done by the following semester.
3. Failing a Course or Starting Practice Experiences Late due to Failing Milemarker
If a student fails a course or starts practice experiences late due to failing the Milemarker Exam,
the student cannot make up the missed course until the summer after the current internship year.
There will be no remediation experiential courses offered during the internship year.
4. Advanced Hospital Pharmacy and Advanced Community Pharmacy Practice Experiences
Grading criteria for these 2 practice experiences are fully described in their separate sections.
5. All other Practice experiences
A total of 500 points may be achieved upon completion of each advanced practice experience.
(This excludes Advanced Hospital Pharmacy and Advanced Community Pharmacy. Refer to
these individual sections). These points are composed of scores from the preceptor practice
experience grade, the assignments, and the Experiential Director .
Points
Intern Midterm Evaluation by Preceptor
Intern Final Evaluation by Preceptor
Preceptor Experiential Grade
Assignments
Practice Experiential Director Grade
Total
*P/F
*P/F
300
100
100
500
*In order to receive a passing grade for the practice experience the intern:
1.
2.
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Must NOT receive four (4) or more “3 or 2” ratings on the end of practice experience
evaluation in the first 18 dimensions.
Must NOT receive a “1” rating on the end on practice experience evaluation on
dimensions 1 – 22.
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Doctor of Pharmacy Advanced Practice Experience Manual
A letter grade is assigned based upon the total points earned in the course
A=
B=
C=
D=
F=
(450-500 points)
(400-449 points)
(350-399 points)
(325-349 points) - Repeat practice experience
(< 325 points) - Repeat practice experience
Students will be given a practice experience grade by their preceptor at the end of the course.
Preceptors will submit their students' grades on E*Value and the Experiential Director will tabulate
the final Advanced Practice Experience Grade. Faculty who have students will submit grades on
E*Value and on PeopleSoft with input from the Experiential Director with respect to the Practice
Experiential Director Grade.
Criteria for Grading
A. Preceptor Experiential Grade – Total Possible Points - 300
Course Specific Competencies
Meets Stated Goals and Objectives
Professionalism
Communication/Interpersonal Skills
Initiative/Attitude
Total
200
25
25
25
25
300
B. Assignments – Total of 100 points
The assignments can be comprised of presentations and/or paper and/or project or other type of
assignments. Point distribution depends on the number of assignments and will be determined
by the preceptor.
Assignments: Types
1) Presentation – formal, case presentations
2) Paper or project (Project specific to experiential course) – publications, MUE, newsletter
3) Drug Information Inquiry
4) Other assignments pertaining to APPE – please check with APPE Director
Grading criteria for each specific assignment can be determined by the preceptor. The grading
policy may need to be altered for specific APPEs. For such situations, the Experiential Director
should be consulted in advance of the course.
Students cannot be awarded a grade until all necessary documents, evaluations, and other
items deemed necessary for completion of the experiential course have been submitted to the
Office of Experiential Programs. The Experiential Director will determine final grade for
courses not precepted by UHCOP faculty.
C. Practice Experience Director Grade – Responsibility or Accountability points
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Guidelines for Papers
Following are guidelines for submission of papers if preceptor chooses this as an assignment during
advanced practice experiences. Deviation from these guidelines may occur.me preceptor’s will
allow a project in lieu of a paper. In such cases, the same guidelines for referencing should be
followed. Topics must be selected or approved by the preceptor. The preceptor’s decision will be
final. Papers must be submitted one week prior to the end of the practice experience, to allow the
preceptor time to review the paper and the student time for editing. Papers must also be submitted
to turnitin.com under the class assigned by the Experiential Director.
Manuscript
Type double-spaced, including a title page, text, acknowledgements, references, and any tables or
legends for illustrations. Number the pages consecutively, beginning with the title page. Type the
page number in the lower center of each page.
Title Page
1. The title of the paper
2. The first and last name of the author with the highest academic degree and institutional
affiliation (ex: John Doe, Pharm.D. Candidate, University of Houston College of Pharmacy)
3. The name of the internship and institution where the internship was conducted
Text
The text is usually divided into sections with the headings: Introduction, Methods, Results or
Findings, Discussion, and Conclusion. Based on the type of article, other sections may substitute
for these sections, or be added.
References
References must be cited using superscript numerals after the period ending the sentence being
cited. Number references consecutively in the order in which they are first mentioned in the text.
Identify references in text, tables, and figures or illustrations by Arabic numerals.
Reference titles of journals with abbreviations according to the style used in Index Medicus or Pub
Med. Cite references according to the style listed in the Uniform Requirements for Manuscripts
Submitted to Biomedical Journals. Refer to the website for the International Committee of Medical
Journal Editors: http://www.icmje.org and http://www.ncbi.nlm.nih.gov/books/NBK7256/.
Adhere to the following guidelines for references:
1.
2.
3.
4.
There must be a minimum of five references cited.
No more than 10% may be secondary, or tertiary (including review articles) literature.
No more than 10% may be internet citations.
If a quote from an article is used verbatim, the author must be cited in the text, and the article
referenced. Such quotes should be limited to less than 1% of the paper.
5. If information from an article or other written or internet source is used, it needs to be
paraphrased or reworded such that the student is not copying the writing of the original author,
but explaining or relaying the concepts of the original paper.
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SECTION 2
FORMS and DOCUMENTATION
Forms Available online - https://www.e-value.net/
1)Internship Hours Documentation – Documented as Time
Tracking on E*Value
2)Evaluations: available on-line
a) Student Self-Evaluation
b) Preceptor’s Evaluation of Intern – assessment form of
student performance
c) Student’s Evaluation of Preceptor– “Student of
Preceptor”
d)Student’s Evaluation of Site - “Student of Site”
3) Professional Leave Request – available online
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Evaluation of Pharmacy Practice Experiences
Students have the responsibility to assist in their progress during their practice experiences and to
ensure communication between the practice experience director, preceptor and themselves. The
Intern Evaluation Form will be used at the beginning, midpoint and end of each practice experience
for preceptor evaluations of students. The form will also be used by students to evaluate
themselves.
There are 22 competency dimensions on the Intern Evaluation Form. Descriptions exist for each of
these and assist in assessing the competency score. Students will score themselves on the
performance criteria scale of 1-5, or not applicable (n/a). There is also space for comment on each
of the competency dimensions. The first 18 competency dimensions constitute the core
performance areas. Competency dimensions 19 - 22 include more subjective assessments and 23 24 allow more global assessment of the student’s performance.
Start of the Practice Experience
Before the first day of the practice experience, the student will complete the start of practice
experience self-evaluation using the Intern Evaluation Form. This information may be shared in
the first meeting with the student’s preceptor. This is the baseline for measuring progress during the
practice experience.
Mid-Practice Experience
During the third week of the practice experience, the student will complete the mid-practice
experience self-evaluation using the Intern Evaluation Form. The student will ask the preceptor to
review the mid-practice experience self-evaluation and complete the preceptor’s mid-practice
experience evaluation. All items must be rated or marked N/A. The Intern Evaluation Form will
be reviewed jointly by the student and preceptor. There is an opportunity for both to comment on
the final page. The Intern Evaluation Form will then be copied and delivered or faxed to the
practice experience director for review. The coordinator must receive the evaluation by the end of
the third week of the practice experience.
End of Practice Experience
During the final week of the practice experience, the student will complete the end of practice
experience self-evaluation using the Intern Evaluation Form. The student will ask the preceptor to
review the end of practice experience self-evaluation and complete the preceptor’s end of practice
experience evaluation online. All items must be rated or marked N/A. The Intern Evaluation Form
will be reviewed jointly by the student and preceptor. There is an opportunity for both to comment
on the final page. The Preceptor and the student will sign (electronically) the Intern Evaluation
Form.
Evaluation of Site and Preceptor
Student must also complete the evaluation of the preceptor – “Student of Preceptor” and
evaluation of the site – “Student of Site” on E*Value.
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INTERN EVALUATION FORM (AVAILABLE ON-LINE)
Performance Criteria: (This competency assessment rubric was developed by the Joint Committee on
Internship Programs.)
The following descriptions should be used as reference points when evaluating the intern’s performance in each
dimension. The first eighteen dimensions constitute the core performance areas. Dimensions 19-22 provide the
practitioner-faculty member an opportunity to assess the intern on slightly more subjective, yet important, areas.
Dimensions 23-24 allow the practitioner-faculty member and intern to globally assess the intern’s performance to
date. It is possible that all bullet points under each dimension are not able to be accomplished in every practice setting
for which this form is used. Nevertheless, please evaluate each dimension as appropriate.
5 = Excellent
4.5 = Very Good
4 = Good
3.5 = Minimal
Competency
3 = Needs
Improvement
2=
Significant
Deficits
Exist
1=
Unaccepta
ble
N/A
Not
applicabl
e
Student has
excelled in
performing
competency.
Student
performed
competency very
well.(Is
acceptable ≥
90% of time)
Student
performed
the
competency
well.
(Is
acceptable ≥
80% of
time)
Student
performed the
competency at
an acceptable
level.
(Is acceptable
≥ 70% of time)
Student knows
how to achieve
competency,
but has not
consistently
demonstrated it
at an acceptable
level (Is
acceptable
<70% of time).
Student
knows how
to achieve
competency,
but rarely
demonstrate
s it (Is
acceptable
<50% of
time).
Student
does not
know how
to achieve
competenc
y.
Task does
not apply
to this
particular
rotation.
Student has
exceeded
expectations
and can
function
independently
at all times
Student has met
expectations and
requires minimal
to no guidance
from preceptor
(can perform
independently ≥
90% of time)
Student has
met
expectations
and can
complete
task in a
supervised
situation
with limited
guidance
from
preceptor
(can perform
independentl
y ≥ 80% of
time).
Student requires
significant
guidance from
preceptor (can
perform
independently
<70% of time).
Student
requires
significant
guidance
from
preceptor,
and
preceptor
must often
complete it
for student
(can perform
independentl
y <50% of
time).
Student has
met
expectations
but requires
occasional
guidance from
preceptor (can
perform
independently
≥ 70% of time)
Student
does not
function
independen
tly and
requires
direct
supervision
by
preceptor at
all times.
In order to receive a passing grade for the rotation, the intern:
1.
2.
Must NOT receive four or more “3 or 2” ratings on the end of rotation evaluation in dimensions 1-18.
Must not receive a “1” on the end of rotation evaluation in dimensions 1-22.
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Assigned Score
Intern
Start of rotation 1, 2, 3, 3.5,4, 4.5, 5
N/A
Mid-rotation
1, 2, 3, 3.5,4, 4.5, 5
N/A
End of rotation
Preceptor
Mid-rotation
End of rotation
Intern
Start of rotation
Mid-rotation
End of rotation
Preceptor
Mid-rotation
End of rotation
Intern
Start of rotation
Mid-rotation
End of rotation
Preceptor
Mid-rotation
End of rotation
Intern
Start of rotation
Mid-rotation
End of rotation
Preceptor
Mid-rotation
End of rotation
Intern
Start of rotation
Mid-rotation
End of rotation
Preceptor
Mid-rotation
End of rotation
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1, 2, 3, 3.5,4, 4.5, 5
N/A
1, 2, 3, 3.5,4, 4.5, 5
N/A
COMPETENCIES
1. MANAGES PHARMACY OPERATIONS
• Controls drug inventory.
• Provides drug security, storage and control
procedures.
• Maintains facilities and equipment.
• Participates in basic fiscal procedures.
• Participates in personnel management
(pharmacists and technicians).
• Evaluates pharmaceutical care systems to
continually improve patient care.
• Utilizes computer skills to provide patient care
and facilitate the management of
pharmaceutical care systems.
Comments
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
1, 2, 3, 3.5,4, 4.5, 5
N/A
2. MANAGES MEDICATION USE SYSTEMS
• Attends meetings involving pharmacy
representation.
• Participates in formulary review.
• Maintains quality assurance.
• Participates in prospective, concurrent and
retrospective DUE process.
• Participates in managed care issues (e.g.
reimbursement).
3. PROVIDES DRUG PRODUCTS/
DEMONSTRATES ABILITY TO UTILIZE
THE DRUG DISTRIBUTION SYSTEM
• Determines appropriateness of order.
• Evaluates and selects product
• Assures product/prescription accuracy.
• Assures product/prescription reaches the
patient in a timely manner.
4. COMPOUNDS
• Utilizes acceptable professional procedures.
• Selects appropriate equipment and containers.
• Prepares special dosage forms.
• Documents calculations and procedures.
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_______________________________
_______________________________
_______________________________
_______________________________
5. RETRIEVES AND EVALUATES DRUG
INFORMATION
• Selects best available resource for answering a
drug related request in a timely fashion.
• Evaluates the quality of information obtained.
• Applies state of the art knowledge of disease
states and drug therapy based on primary and
secondary literature.
• Prepares written reports on general
pharmacotherapy issues, drug therapy
controversies and patient specific topics.
• Retrieves, evaluates and manages drug
literature searches to support pharmaceutical
care provisions.
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Doctor of Pharmacy Advanced Practice Experience Manual
Intern
Start of rotation
Mid-rotation
End of rotation
Preceptor
Mid-rotation
End of rotation
Intern
Start of rotation
Mid-rotation
End of rotation
Preceptor
Mid-rotation
End of rotation
Intern
Start of rotation
Mid-rotation
End of rotation
Preceptor
Mid-rotation
End of rotation
Intern
Start of rotation
Mid-rotation
End of rotation
Preceptor
Mid-rotation
End of rotation
Intern
Start of rotation
Mid-rotation
End of rotation
Preceptor
Mid-rotation
End of rotation
Intern
Start of rotation
Mid-rotation
End of rotation
Preceptor
Mid-rotation
End of rotation
6. COMMUNICATES WITH
PATIENTS/CAREGIVERS ABOUT
PRESCRIPTIONS DRUGS
• Interviews and counsels patients on drug
usage, dosage, packaging and storage.
• Discusses drug cautions, side effects and
patient conditions.
• Explains policies on fees and services.
• Relates to patients in a professional manner.
• Interacts to confirm patient understanding.
7. COMMUNICATES WITH
PATIENTS/CAREGIVERS ABOUT
NONPRESCRIPTION PRODUCTS, DEVICES
AND DIAGNOSTICS.
• Questions patients on conditions and intending
drug use.
• Communicates OTC drug dosage, usage,
storage, side effects, and packaging.
• Refers patients to other health professionals.
• Provides information on medical/surgical and
home health care devices, and home
diagnostic products.
8. COMMUNICATES WITH HEALTH
PROFESSIONALS
• Obtains and provides accurate and concise
information in a professional manner.
• Uses appropriate oral, written, and nonverbal
language.
• Provides inservice/continuing education
programs to health professionals
9. MONITORS AND EVALUATES DRUG
THERAPY; INITIAL AND ONGOING
• Establishes and interprets databases.
• Database includes active problems, PMH,
pertinent PE, lab data and hospital course.
• Medication history performed and complete.
• Medication profile complete and up to date.
• Pharmacokinetic parameters determined.
10. IDENTIFIES DRUG RELATED PROBLEM (S)
• Determines if any drug related problems exist.
• Supports through documentation the drugrelated problems.
• Assesses severity and recommends an
appropriate course of action.
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
11. DEVELOPS AND IMPLEMENTS
PHARMACEUTICAL CARE PLAN (S)
• Performs patient triage to determine
appropriate medical or pharmaceutical care.
• Demonstrates the ability to develop and
implement a pharmaceutical care plan
including:
a. therapeutic endpoints
b. appropriate drug therapy (dose, duration, route,
etc.)
c. parameters to monitor efficacy and toxicity
d. SOAP format for each drug therapy decision
• Is able to apply concepts of quality of life and
Total Quality Improvement in patient care.
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Doctor of Pharmacy Advanced Practice Experience Manual
Intern
Start of rotation
Mid-rotation
End of rotation
12. DEVISES FOLLOW-UP PLAN(S)
• Determines appropriate time(s) to re-evaluate
patient and assess efficacy and toxicity.
• Conducts the follow-up in a timely manner.
_______________________________
_______________________________
_______________________________
Preceptor
Mid-rotation
End of rotation
Intern
Start of rotation
Mid-rotation
End of rotation
Preceptor
Mid-rotation
End of rotation
Intern
Start of rotation
Mid-rotation
End of rotation
Preceptor
Mid-rotation
End of rotation
Intern
Start of rotation
Mid-rotation
End of rotation
Preceptor
Mid-rotation
End of rotation
Intern
Start of rotation
Mid-rotation
End of rotation
Preceptor
Mid-rotation
End of rotation
Intern
Start of rotation
Mid-rotation
End of rotation
Preceptor
Mid-rotation
End of rotation
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_______________________________
13. MAINTAINS PROFESSIONAL-ETHICAL
STANDARDS
• Complies with laws and regulations.
• Applies good professional judgment in legal
interpretations.
• Exhibits reliability and credibility in dealing
with others.
• Deals professionally and ethically with
colleagues and patients.
• Maintains confidentiality.
14. DEMONSTRATES HUMAN RELATIONS
SKILLS
• Displays an interest in others.
• Is sensitive to the needs, feelings, and concerns
of others.
• Show empathy.
• Listens, is nonjudgmental and responds
appropriately to the problems of others.
• Acts in the best interest of others.
• Respects the patient’s need for information.
15. DISPLAYS CONSCIENTIOUSNESS AND
FOLLOWS THROUGH/HANDLES DETAIL
• Is conscientious in following appropriate work
procedures.
• Is attentive to details and technical
interrelationships in carrying out duties.
• Notices discrepancies and irregularities.
• Keeps accurate records and documents actions.
• Takes steps to ensure accuracy of work.
• Provides an appropriate amount of detail.
• Keeps people informed.
• Follows up on actions.
16. DEMONSTRATES PERSONAL JUDGEMENT
• Uses good judgment in coming up with
sensible, practical solutions to problems.
• Seeks out and utilizes important facts and
information in decision making.
• Recognizes and evaluates available
alternatives.
• Considers possible consequences of decision.
• Weighs costs, risk.
17. ORGANIZES/PLANS
• Uses own and others’ time effectively and
efficiently.
• Is systematic and methodical in approaching
activities.
• Sets meaningful goals.
• Plans activities to meet objectives.
• Is well prepared.
• Is able to anticipate future needs.
25
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_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
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_______________________________
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_______________________________
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Doctor of Pharmacy Advanced Practice Experience Manual
Intern
Start of rotation
Mid-rotation
End of rotation
Preceptor
Mid-rotation
End of rotation
Intern
Start of rotation
Mid-rotation
End of rotation
Preceptor
Mid-rotation
End of rotation
Intern
Start of rotation
Mid-rotation
End of rotation
Preceptor
Mid-rotation
End of rotation
Intern
Start of rotation
Mid-rotation
End of rotation
Preceptor
Mid-rotation
End of rotation
Intern
Start of rotation
Mid-rotation
End of rotation
Preceptor
Mid-rotation
End of rotation
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18. PROMOTES PUBLIC HEALTH
• Provides emergency first aid treatment and
cardiopulmonary resuscitation when
necessary.
• Provides disease prevention/detection program
to public.
• Provides poison control treatment and
information.
• Demonstrates ability to apply principles of PC
to patient populations.
19. DISPLAYS
INDEPENDENCE/ASSERTIVENESS
• Is self-directed in undertaking responsibilities.
• Articulates own viewpoint when dealing with
others and in addressing controversial issues.
• Speaks out against questionable tactics and
practices.
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
20. DEMONSTRATES PERSONAL AND
PROFESSIONAL GROWTH
• Conducts self-assessment.
• Identifies strengths and weaknesses.
• Acting on identified strengths and weaknesses,
develops a learning plan.
• Pursues further knowledge independently.
• Utilizes study design principles to gain
experience in the conduct of pharmacy
practice research.
• Participates in professional organizations.
21. PROMOTES TEAM BUILDING
• Participates in social and professional
interaction and teamwork:
- Inception(forming).
- Conflict resolution (storming).
- Problem Solving (norming).
- Execution (performing).
• Promotes a team approach to healthcare.
• Demonstrates trust, leadership, delegation, and
interdependence.
22. DEMONSTRATES SCIENTIFIC
INQUIRY/EXPLANATION IN PRACTICE.
• Defines and states problems.
• Identifies assumptions – develops hypothesis.
• Organizes information.
• Identifies potential problems.
• Commits to solutions.
• Implements solutions (plans).
• Assesses solution or outcome.
• Monitors for new information.
• Adjusts plan.
26
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_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
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_______________________________
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Doctor of Pharmacy Advanced Practice Experience Manual
23. MID-POINT EVALUATION
Preceptor’s Signature
Date
Intern’s Signature
Date
Intern’s Comments
Preceptor’s Comments
24. FINAL EVALUATION
Preceptor’s Signature
Date
Intern’s Signature
Date
Intern’s Comments
Preceptor’s Comments
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Section 3
Required Advanced Practice Experiences
Fourth-Year students are required to complete the following advanced
practice experiences:
1. Internal Medicine
2. Ambulatory Care Pharmacy
a. Ambulatory Care – Disease State Management
b. Ambulatory Care – Medication Therapy Management
c. Ambulatory Care – Primary Care
3. Advanced Hospital Pharmacy
4. Advanced Community Pharmacy
The requirements and competency statements for Internal Medicine, and
Primary Care APPEs can be found in this section. Requirements and
competency statements for the Advanced Hospital Pharmacy and Advanced
Community Pharmacy practice experiences will be found in separate manuals.
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Doctor of Pharmacy Advanced Practice Experience Manual
INTERNAL MEDICINE
(PHAR 5690)
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Doctor of Pharmacy Advanced Practice Experience Manual
INTERNAL MEDICINE (PHAR 5690)
Texas Pharmacy Rules require that the Texas colleges of pharmacy shall determine through assessment
that each student-intern completing the college internship program meets the competency objectives
listed in the Rules. To comply with these rules, UHCOP requires students to pass an Internal Medicine
Exam. The exam for Internal Medicine will not count in the grading for this course; however, the
student must score 70% or better on the Internal Medicine Exam to pass and receive credit for this
course. The Internal Medicine Exam will be given once at the end of each semester.
Minimum Requirements: Requirements and responsibilities of the student during this practice experience
include:
1. Attend all rounds, conferences, and meetings as assigned by the preceptor.
2. Using approved monitoring tools, monitor all patients and complete patient profiles on all patients.
3. Review the drug therapy of each assigned patient, including pharmacology, toxicology, monitoring
parameters, drug interactions, and pharmacokinetics. Develop a therapeutic plan for each patient.
4. Write progress notes on all patients, if permitted by institution policy.
5. Evaluate serum drug concentrations for patients being followed.
6. Perform medication histories on all patients possible or as assigned.
7. Complete one written medication history weekly or equivalent activity as assigned by preceptor.
8. Document all patient care activities in the manner outlined by the preceptor.
9. Make one oral presentation every week (5 for the practice experience) to the medical team, preceptor, or
others as assigned by the preceptor. (Review cases or topics with preceptor prior to presenting).
or
10. Make one formal presentation during the practice experience to the medical team, preceptor, pharmacy staff
or others. This should be a minimum of a 30-minute presentation with handouts and visual aids.
11. Written Assignments: At the discretion of the preceptor, written assignments may be assigned to the student.
Examples of written assignments are : 1) Systematic Literature review : The paper must be a current/drug
therapy review of a common disease state, approved by the preceptor. It must include a review of the primary
literature. A bibliography and copies of referenced articles must be attached. The paper will be graded by the
preceptor .2) Newsletter article 3) Medication Use Evaluation 4) or additional written assignments required by
preceptor and/or medical team.
12. Participate in a minimum of one pharmacy conference, journal club or interdisciplinary activity.
13. Participate in discussions concerning specific patients and various disease states with the instructor. Be
prepared to briefly present assigned patients throughout the practice experience.
14. Provide requested drug information or consultations to medical, nursing, and/or pharmacy staff.
15. Complete recommended readings and quizzes as assigned during practice experience.
16. Complete any other assignments as directed.
17. Pass the final written exam with a grade equal or greater than 70%.
18. Interventions. A minimum of ten (10) interventions will be completed by students during the
rotation using the appropriate method. Interventions will be graded on quality and
completeness. Students will lose 10 responsibility points for each intervention not meeting
standards.
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19. Reflection Paper. Complete a reflection paper to be uploaded into E-Value My Folio with the focus
of Life Long Learning. This paper should be based upon an experience that the student has
witnessed or been involved that caused the student to reflect on his or her own lifelong learning.
Responsibility points will be deducted if the paper is late or is not completed.
Competencies for Internal Medicine (PHAR 5690)
Upon completion of the Internal Medicine (PHAR 5690), the student will be able to:
1. Obtain a thorough medication history on a specific patient.
2. Prepare a medication profile for a specific patient.
3. Explain the components of a patient’s medical record.
4. Provide written and verbal drug information to an internal medicine team.
5. Provide patient counseling to patients prior to discharge from the hospital.
6. Evaluate a specific patient’s adverse drug reaction and complete an ADR report.
7. Reconcile differences between the physician’s orders, medication administration record and the
nursing medication administration record.
8. Discuss a patient’s admitting diagnosis, co-morbidities, and drug therapy.
9. Prepare a written consult note (i.e., pharmacokinetics, nutrition, drug information), using the SOAP
or FARM format.
10. Make a formal clinical case presentation, using handouts and audiovisual aids, to peers, physicians
and other healthcare professionals, based upon findings from the patient’s history, physical
examination, and hospital course; and knowledge of the disease state and pharmacotherapy of the
disease.
11. Discuss the pathophysiology of diseases commonly managed by an internal medicine team or
medicine subspecialty team.
12. Develop mechanisms for documenting monitoring, and making recommendations.
13. Critically evaluate the medical literature to determine the optimal treatment where a therapeutic
controversy exists.
14. Using the latest clinical guidelines and consensus statements, develop a pharmacotherapy plan for a
specific patient treated by an internal medicine or medicine subspecialty service (e.g., a patient with
CHF exacerbation, acute MI, arrhythmia, stroke, etc.)
15. Monitor the fasting blood glucose of a specific patient and recommend appropriate changes in
insulin or oral medications used in the treatment of diabetes mellitus.
16. Select the most appropriate antibiotic regimen for patients with a specific infection (i.e., TB, PCP,
CAP, endocarditis, cellulitis).
17. Recommend patient-specific empiric antibiotic treatment based on a gram stain and/or culture when
sensitivities are pending.
18. Provide comprehensive patient education to patients receiving anticoagulation.
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19. Prepare a publishable drug therapy review of the pharmacotherapy of a disease state encountered on
an internal medicine or medicine subspecialty service.
20. Select and provide appropriate educational materials to patients who require special guidance
(e.g., elderly patients, patients with asthma, patients receiving poly-pharmacy).
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AMBULATORY CAREDISEASE STATE MANAGEMENT
(PHAR 5675)
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AMBULATORY CARE - DISEASE STATE MANAGEMENT
(PHAR 5675)
Minimum Requirements
The requirements and responsibilities of the student during this practice experience include:
1. Attend all rounds, conferences, and meetings as assigned by the preceptor.
2. Closely follow all patients in the ambulatory clinics and complete patient profiles on all patients. Monitor
all patients utilizing approved monitoring tools.
3. Review the drug therapy of each assigned patient including pharmacology, toxicology, monitoring
parameters, pharmacokinetics, and drug interactions. Develop a therapeutic plan for all patients.
4. Write progress notes on patients as required and permitted by institution policy.
5. Evaluate serum drug concentrations for assigned patients.
6. Perform medication histories on all patients possible. This should be a minimum of 10 per week.
7. Complete two written medication histories weekly or equivalent activity as assigned by preceptor.
8. Document all patient care activities in the manner outlined by the Experiential Director and additionally
by the preceptor.
9. Make one oral presentation every week (5 for the practice experience) to the medical team, preceptor, or
others as assigned by the preceptor. Review cases or topics with preceptor prior to presenting.
10. or
11. Make one formal presentation during the practice experience to the medical team, preceptor, pharmacy
staff or others. This should be a minimum of a 30-minute presentation with handouts and visual aids.
12. Written Assignments: At the discretion of the preceptor, written assignments may be assigned to the
student. Examples of written assignments are : 1) Systematic Literature review : The paper must be a
current/drug therapy review of a common disease state, approved by the preceptor. It must include a
review of the primary literature. A bibliography and copies of referenced articles must be attached. The
paper will be graded by the preceptor .2) Newsletter article 3) Medication Use Evaluation 4) or additional
written assignments required by preceptor and/or medical team.
13. Participate in a minimum of one pharmacy conference, journal club or interdisciplinary activity.
14. Participate in discussions concerning specific patients and various disease states with the instructor. Be
prepared to present assigned patients in a brief manner throughout internship.
15. Provide requested drug information or additional pharmacokinetic consultations to medical, nursing,
and/or pharmacy staff.
16. Complete all recommended readings and quizzes as assigned.
17. Complete any other assignments as directed.
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Competencies for Disease State Management (PHAR 5675)
Upon completion of Disease State Management (PHAR 5675), the student will be able to:
1. Identify the symptoms and diagnostic criteria for the disease state, as described by current national
guidelines.
2. With an interdisciplinary team and the patient, determine the goals of treatment, consistent with
national guidelines, special patient circumstances, and patient consent.
3. Screen the medical record to determine immunization status and whether periodic exams (i.e., annual
eye exam, scheduled laboratory tests, etc.) and follow-up visits are being scheduled and kept.
4. Obtain appropriate information from the patient, care givers, laboratory, physician, other health care
team members to make appropriate drug therapy decisions for patients.
5. Identify the need for therapy, when proper treatment has not been ordered for a patient.
6. For the specific disease, identify monitoring parameters to assure that drug treatment is effective and
not causing adverse effects.
7. Monitor a patient’s progress and write progress notes.
8. Identify adverse effects and/or toxicities associated with a patient’s drug therapy.
9. Educate patients regarding their disease state and the use of self-monitoring techniques and
equipment to indicate when their disease is out of control.
10. Educate patients regarding life-style changes that may prevent progression, or improve their
condition.
11. Educate patients regarding their drug therapy, including any self-adjustments, or need to report for
professional care, depending on the severity of the problem.
12. Instruct a patient in the proper techniques for self-administration of medication.
13. Identify drug-drug, drug-disease, and drug-laboratory interactions associated with the patient’s
specific drug therapy and disease state.
14. Present a patient’s case to a physician in a manner that encourages change in therapy to improve
outcomes.
15. Provide accurate, complete, and concise drug information in the managed care setting.
16. On a topic concerned with the specific disease state, provide an in-service educational presentation
to other healthcare professionals.
17. Document a drug therapy consultation.
18. Assume responsibility for the patient’s safe, correct, and cost-efficient drug therapy.
19. Discuss the value of a multidisciplinary health team in patient care.
20. Around the time of admission or discharge to a hospital, communicate with a healthcare professional
on the hospital’s staff to assure continuity of pharmaceutical care for the patient.
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AMBULATORY CARE –
MEDICATION THERAPY
MANAGEMENT
(PHAR 5644)
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AMBULATORY CARE –MEDICATION THERAPY MANAGEMENT
(PHAR 5644)
Minimum Requirements
The requirements and responsibilities of the student during this practice experience include:
1. Attend all rounds, conferences, and meetings as assigned by the preceptor.
2. Closely follow all assigned patients and complete patient profiles on these patients. Monitor all assigned
patients utilizing approved monitoring tools.
3. Review the drug therapy of each assigned patient, including pharmacology, toxicology, monitoring parameters
pharmacokinetics, and drug interactions. Develop a therapeutic plan for all patients.
4. Write progress notes on patients as required and permitted by institution policies.
5. Evaluate serum drug concentrations for all applicable medications for assigned patients.
6. Perform medication histories on all patients possible. This should be a minimum of 10 per week.
7. Complete two written medication histories weekly or equivalent activity as assigned by preceptor.
8. Document all patient care activities in the manner outlined by the practice experience director and additionally
by the preceptor.
9. Make one oral presentation every week (5 for the practice experience) to the medical team, preceptor, or others
as assigned by the preceptor. Review cases or topics with preceptor prior to presenting.
or
Make one formal presentation during the practice experience to the medical team, preceptor, pharmacy staff, or
others. This should be a minimum of a 30-minute presentation with handouts and visual aids.
10. Written Assignments: At the discretion of the preceptor, written assignments may be assigned to the student.
Examples of written assignments are : 1) Systematic Literature review. The paper must be a current/drug therapy
review of a common disease state, approved by the preceptor. It must include a review of the primary literature.
A bibliography and copies of referenced articles must be attached. The paper will be graded by the preceptor, 2)
Newsletter article 3) Medication Use Evaluation 4) or additional written assignments required by preceptor and/or
medical team.
11. Participate in a minimum of one pharmacy conference, journal club or interdisciplinary activity.
12. Participate in discussions concerning specific patients and/or various disease states with the instructor. Be
prepared to present assigned patients in a brief manner throughout practice experience.
13. Provide requested drug information or additional pharmacokinetic consultations to medical, nursing, and/or
pharmacy staff.
14. Complete all recommended readings and quizzes as assigned during practice experience.
15. Complete any other assignments as directed.
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Competencies for Medication Therapy Management (PHAR 5644)
Upon completion of Medication Therapy Management (PHAR 5644), the student will be able to:
1. Explain the key components of medication therapy management (MTM).
2. Discuss the MTM provisions of the Medicare Part D benefit, including requirements established by the
Centers for Medicare and Medicaid Services and the Affordable Care Act.
3. List new opportunities for providing MTM services that were created by the Affordable Care Act, including
patient-centered medical homes, accountable care organizations, and transition of care activities.
4. Define the five core elements of the MTM service model.
5. Discuss the development of quality measures for MTM services.
6. Describe appropriate activities for technicians, student pharmacists, and pharmacy practice residents involved
with MTM services.
7. Project revenues and expenses to establish fees for MTM services.
8. Review elements of a marketing plan for attracting patients, providers, employers, and payers to MTM
services.
9. Identify areas of therapeutic knowledge essential for providing medication therapy management (MTM)
services.
10. List at least seven types of medication-related problems and possible solutions.
11. Describe strategies for and limitations of using clinical practice guidelines during MTM services.
12. Explain pharmacodynamic and pharmacokinetic changes that are common in elderly adults.
13. Define the term geriatric syndromes.
14. Explain the risks of medication-related problems in elderly patients, and strategies for reducing their
incidence.
15. Assess whether an elderly patient requires dosage adjustments for drugs that are cleared renally.
16. List patient assessment strategies that may be useful during MTM visits.
17. Identify patients with low health literacy.
18. Describe techniques that support open communication with patients, including open-ended questions and
active listening techniques.
19. Describe a strategy for improving the cultural competence of pharmacists providing patient care during MTM
visits.
20. Identify the stages of behavior change in the Transtheoretical Model of Change.
21. Describe the communication process used in motivational interviewing.
22. Outline ways to adapt patient communication strategies when caring for patients with functional impairments.
23. Identify pertinent information that should be obtained from patients and other health care providers prior to a
medication therapy management (MTM) visit.
24. Explain how to greet a patient and begin a patient interview during a medication therapy review.
25. Systematically review a patient’s medication regimen to assess for medication-related problems (MRPs).
26. Describe a strategy for prioritizing MRPs.
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27. Identify components of the personal medication record and medication-related action plan.
28. Describe the steps involved in completing an assessment of a patient’s medication-related needs.
29. Document an MTM visit.
30. Describe how to document MTM services for internal records, patient records, and communications with third
parties.
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AMBULATORY CARE –
PRIMARY CARE
(PHAR 5696)
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AMBULATORY CARE -PRIMARY CARE (PHAR 5696)
Minimum Requirements
The requirements and responsibilities of the student during this practice experience include:
1. Attend all rounds, conferences, and meetings as assigned by the preceptor.
2. Closely follow all assigned patients and complete patient profiles on these patients. Monitor all assigned
patients utilizing approved monitoring tools.
3. Review the drug therapy of each assigned patient, including pharmacology, toxicology, monitoring parameters
pharmacokinetics, and drug interactions. Develop a therapeutic plan for all patients.
4. Write progress notes on patients as required and permitted by institution policies.
5. Evaluate serum drug concentrations for all applicable medications for assigned patients.
6. Perform medication histories on all patients possible. This should be a minimum of 10 per week.
7. Complete two written medication histories weekly or equivalent activity as assigned by preceptor.
8. Document all patient care activities in the manner outlined by the practice experience director and additionally
by the preceptor.
9. Make one oral presentation every week (5 for the practice experience) to the medical team, preceptor, or others
as assigned by the preceptor. Review cases or topics with preceptor prior to presenting.
or
Make one formal presentation during the practice experience to the medical team, preceptor, pharmacy staff, or
others. This should be a minimum of a 30-minute presentation with handouts and visual aids.
10. Written Assignments: At the discretion of the preceptor, written assignments may be assigned to the student.
Examples of written assignments are : 1) Systematic Literature review. The paper must be a current/drug therapy
review of a common disease state, approved by the preceptor. It must include a review of the primary literature.
A bibliography and copies of referenced articles must be attached. The paper will be graded by the preceptor, 2)
Newsletter article 3) Medication Use Evaluation 4) or additional written assignments required by preceptor and/or
medical team.
11. Participate in a minimum of one pharmacy conference, journal club or interdisciplinary activity.
12. Participate in discussions concerning specific patients and/or various disease states with the instructor. Be
prepared to present assigned patients in a brief manner throughout practice experience.
13. Provide requested drug information or additional pharmacokinetic consultations to medical, nursing, and/or
pharmacy staff.
14. Complete all recommended readings and quizzes as assigned during practice experience.
15. Complete any other assignments as directed.
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Competencies for Primary Care (PHAR 5696)
Upon completion of Primary Care (PHAR 5696), the student will be able to:
1. Explain legal requirements in Texas for a pharmacist to provide drug therapy management under
physician-supervised protocols.
2. Review a patient’s immunization record and order needed immunizations.
3. Administer an immunization to an adult patient.
4. Describe the proper location and method for administering an injection to an infant and child.
5. Administer and interpret a tuberculin skin test (PPD).
6. Interview a patient to gather complete subjective data for use in assessing a patient.
7. Perform a focused physical exam to gather objective data for patient assessment.
8. Order laboratory tests and interpret results to use in assessing a patient.
9. Using a peak flow meter, determine the severity of a patient’s asthma and a plan for control.
10. Use a glucometer to determine a patient’s blood glucose.
11. Develop monitoring thresholds to determine when a patient should be referred to a physician.
12. Review the therapy of a patient and recommend changes to simplify the drug regimen.
13. Discuss strategies that are helpful in gaining physician support of collaborative agreements.
14. Develop a collaborative practice agreement with a physician.
15. Provide comprehensive behavioral and drug treatment education to a patient with diabetes.
16. Manage the outpatient drug therapy of patients with the following chronic diseases or needs:
A. Asthma
B. Diabetes
C. Hyperlipidemia
D. Hypertension
E. Hypothyroidism
F. Congestive Heart Failure
G. Seizure disorder
H. Anticoagulation
I. Oral contraception
17. Manage the outpatient drug therapy of patients with the following acute diseases/conditions:
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A. Common cold
B. Cough
C. Diarrhea
D. Constipation
E. Sun protection
F. Head lice
G. Scabies
H. Poison ivy
I. Streptococcal throat infection
J. Otitis Media
K. Gastroenteritis
ASSIGNMENTS AND OTHER ITEMS
1. Pharmacist Intervention Reports (PIR)
a) Available online (E*Value)
b) 36 Total due for APPE – Six (6) per week
c) Interventions will be reported based on disease state (Anticoagulation, Diabetes, HTN, Lipids)
d) Interventions will be graded on completeness
2. Assignment/Project Survey
a) Available online (E*Value)
b) The survey will look at the type of assignments and projects completed or worked on during the rotation,
the target audience and expected or reported outcomes
c) The survey will be graded on completeness
d) Must be completed before end of primary care rotation
GRADING – Primary Care (PHAR 5696)
Grading Criteria:
A total of 500 points may be achieved upon completion of each advanced practice experience. (This excludes
Advanced Hospital Pharmacy and Advanced Community Pharmacy. Refer to these individual sections).
These points are composed of scores from the preceptor practice experience grade, the written paper or
presentations, and the practice experience director.
Points
Intern Midterm Evaluation by Preceptor
Intern Final Evaluation by Preceptor
Pharmacy Intervention Reports
Assignment/Project Survey
Preceptor Experiential Grade
Assignments (Written Paper/Presentations, etc)
Practice Experiential Director Grade
Total
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*P/F
*P/F
*P/F
*P/F
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100
100
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University of Houston College of Pharmacy
Doctor of Pharmacy Advanced Practice Experience Manual
*In order to receive a passing grade for the practice experience the intern:
1. Must NOT receive four (4) or more “2” ratings on the end of practice experience evaluation in the first 18
dimensions.
2. Must NOT receive a “1” rating on the end of experiential course evaluation on dimensions 1 – 22.
Students will be given a practice experience grade by their preceptor at the end of the course. Preceptors will
report their students' grades to the practice experience director on the Advanced Practice Experience Grading
Form (See Section 2). In addition, the preceptor will grade the written paper and the presentations prior to
submission to the practice experience director.
Criteria for Grading
Preceptor Experiential Grade Total Possible Points =300
Drug Therapy Monitoring/Evaluation Skills
Meets Stated Goals and Objectives
Professionalism
Communication/Interpersonal Skills
Initiative/Attitude
Total
200
25
25
25
25
300
***Practice Experiential Director Grade- Accountability points
A letter grade is assigned based on the total points earned***
A = 450 - 500 points
B = 400 - 449 points
C = 350 - 399 points
D = 325 - 349 points – repeat rotation
F = <325 points – repeat rotation
Students receiving a grade of “D” or “F” on a practice experience must make up that experience after the end
of the internship year (i.e., not before the following summer semester). There will be no retake or
remediation practice experiences during the internship year.
***To obtain a grade of C or better the student must:
a.
b.
c.
d.
Follow guidelines of the Internship and Attendance Policies.
Complete all required course evaluations (preceptor, site, intern)
Submit all required APPE paperwork and Assignments (36 PIRs) by the appropriate deadlines
Complete Assignment/Project survey (E*Value)
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ADVANCED COMMUNITY
PHARMACY
PHAR 5693
Separate Manual
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ADVANCED HOSPITAL PHARMACY
PHAR 5692
Separate Manual
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Section 4
Clinical Specialty Elective Advanced
Practice Experiences
As a part of the Doctor of Pharmacy advanced practice experiences required to complete
at least three Clinical Specialty Elective advanced practice experiences.
Clinical Specialty Elective Advanced Practice Experiences that are currently
available include the following:
Neurology
Cardiology
Nuclear Pharmacy
Community Pharmaceutical Care
Nutritional Support
Critical Care
Oncology
Drug Information
Pediatrics
Emergency Medicine
Pharmacokinetics
Family Medicine
Psychiatry
Geriatrics
Transplant Therapeutics
Home Care
Women’s Health Therapeutics
Infectious Disease
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CARDIOLOGY
(PHAR 5683)
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CARDIOLOGY (PHAR 5683)
Minimum Requirements: Requirements and responsibilities of the student for this experience include:
1. Attend all rounds, conferences, and meetings as assigned by the preceptor.
2. Closely follow all cardiology team patients and complete patient profiles on all patients. Monitor all patients
using approved monitoring tools.
3. Closely review all drug therapy of each assigned patient, including pharmacology, toxicology,
pharmacokinetics, drug interactions, and monitoring parameters. Develop a therapeutic plan for each patient.
4. Write progress notes on patients. See preceptor for limitations to writing in patient medical records.
5. Evaluate serum drug concentrations for patients being followed.
6. Perform medication histories on all patients possible or as assigned.
7. Complete one written medication history weekly or equivalent activity as assigned by preceptor.
8. Document all patient care activities in the manner outlined by the preceptor.
9. Make one oral presentation every week (5 for the practice experience) to the medical team, preceptor, or
others as assigned by the preceptor. (Review cases or topics with preceptor prior to presenting).
Or
Conduct one formal presentation during the practice experience to the medical team, preceptor, pharmacy
staff or others. This should be a minimum of a 30-minute presentation with handouts and visual aids.
11. Written Assignments: At the discretion of the preceptor, written assignments may be assigned to the student.
Examples of written assignments are : 1) Systematic Literature review : The paper must be a current/drug
therapy review of a common disease state, approved by the preceptor. It must include a review of the primary
literature. A bibliography and copies of referenced articles must be attached. The paper will be graded by the
preceptor .2) Newsletter article 3) Medication Use Evaluation 4) or additional written assignments required by
preceptor and/or medical team.
12. Participate in a minimum of one pharmacy conference, journal club or interdisciplinary activity.
12. Participate in discussions concerning specific patients and/or various disease states with the instructor during
the practice experience. Be prepared to present assigned patients in a brief manner throughout the practice
experience.
13. Provide requested drug information or consultations to medical, nursing, and/or pharmacy staff.
14. Complete all recommended readings and quizzes as assigned during the practice experience.
15. Complete any other assignments as directed.
16. Interventions. A minimum of ten (10) interventions will be completed by students during the
rotation using the appropriate method. Interventions will be graded on quality and
completeness. Students will lose 10 responsibility points for each intervention not meeting
standards.
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Competencies for Cardiology Practice Experience (PHAR 5683)
Upon completion of Cardiology practice experience (PHAR 5683), the pharmacy intern will be able to:
1. Demonstrate an understanding of the clinical use, adverse effects, and drug interactions of:
A.
B.
C.
D.
E.
F.
G.
H.
I.
J.
Antidysrhythmic drugs
Inotropic agents
Antihypertensive agents
Antianginal agents
Anticoagulants and antiplatelet drugs
Thrombolytics
Sympathomimetics
Parasympathomimetics
Vasodilating agents
Antihyperlipidemic drugs
2. Evaluate and interpret laboratory data for cardiology patients.
3. Develop endpoints and monitoring parameters for cardiovascular pharmacotherapy.
4. Recommend drug treatment for patients with the following cardiac problem:
A. Acute myocardial infarction.
B. Angina pectoris
C. Arrhythmias (i.e., atrial fibrillation; PSVT; VT, etc.)
D. Pre-excitation syndromes: Wolfe-Parkinson-White
E. Atrioventricular blocks
F. Heart failure
G. Hypertension
H. Hyperlipidemias
5. Recommend treatment for fluid and electrolyte disorders in a cardiology patient.
6. Develop an individualized treatment regimen taking into account the following:
A. patient’s underlying renal/hepatic disease
B. patient’s adverse effects and allergy reactions
C. patient’s current disease state
D. patient’s current medication profile.
7. Develop individualized medication dosing for cardiology patients utilizing pharmacokinetic and
pharmacodynamic data.
8. Discuss the role of invasive therapies for coronary artery diseases (such as angioplasty, atherectomy,
coronary stents, and coronary bypass surgery).
9. Manage a patient’s hypertension therapy according to the JNC guidelines.
10. Manage a patient’s hyperlipidemia therapy according to the NCEP guidelines.
11. Manage a patient’s anticoagulation therapy.
12. Discuss the role of implantable defibrillators vs. drug treatment of arrhythmias.
13. Evaluate and interpret primary literature regarding cardiovascular disease.
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14. Provide a formal drug therapy consult note for patient with cardiac disease.
15. Provide written and verbal drug information to the cardiology team.
16. Counsel and verify understanding of patient/caregiver on the patient’s medications.
17. Provide in-service education concerning current trend in cardiovascular pharmacotherapy, landmark
trials, and updates of new drugs.
18. Identify non-adherence to therapy and formulate a plan to improve adherence.
19. Describe the following tests and how the results are applied in therapeutic decisions:
A. Electrophysiology
B. Stress testing
C. Tilt table test
D. Hemodynamic monitoring
E. Cardiac catheterization
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COMMUNITY PHARMACEUTICAL CARE
(PHAR 5670)
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COMMUNITY PHARMACEUTICAL CARE (PHAR 5670)
Minimum Requirements:
The requirements and responsibilities of the student during this practice experience include:
1. Attend all rounds, conferences, and meetings as assigned by the preceptor.
2. Closely follow all assigned patients and complete patient profiles on these patients. Monitor all assigned
patients utilizing approved monitoring tools.
3. Review the drug therapy of each assigned patient, including pharmacology, toxicology, monitoring
parameters pharmacokinetics, and drug interactions. Develop a therapeutic plan for all patients.
4. Write progress notes on patients as required and permitted by institution policies.
5. Evaluate serum drug concentrations for all applicable medications for assigned patients.
6. Perform medication histories on all patients possible. This should be a minimum of 10 per week.
7. Complete two written medication histories weekly or equivalent activity as assigned by preceptor.
8. Document all patient care activities in the manner outlined by the Experiential Director and additionally by
the preceptor.
9. Make one oral presentation every week (5 for the practice experience) to the medical team, preceptor, or
others as assigned by the preceptor. Review cases or topics with preceptor prior to presenting.
or
Make one formal presentation during the practice experience to the medical team, preceptor, pharmacy staff,
or others. This should be a minimum of a 30-minute presentation with handouts and visual aids.
10. Written Assignments: At the discretion of the preceptor, written assignments may be assigned to the student.
Examples of written assignments are : 1) Systematic Literature review : The paper must be a current/drug
therapy review of a common disease state, approved by the preceptor. It must include a review of the primary
literature. A bibliography and copies of referenced articles must be attached. The paper will be graded by the
preceptor .2) Newsletter article 3) Medication Use Evaluation 4) or additional written assignments required by
preceptor and/or medical team.
11. Participate in a minimum of one pharmacy conference, journal club or interdisciplinary activity.
12. Participate in discussions concerning specific patients and/or various disease states with the instructor. Be
prepared to present assigned patients in a brief manner throughout practice experience.
13. Provide requested drug information or additional pharmacokinetic consultations to medical, nursing, and/or
pharmacy staff.
14. Complete all recommended readings and quizzes as assigned during practice experience.
15. Complete any other assignments as directed.
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Competencies for Community Pharmaceutical Care (PHAR 5670)
Upon completion of Community Pharmaceutical Care, the student will be able to:
1. Screen an ambulatory care patient record for available laboratory data, immunization status,
assessment and therapeutic plan.
2. Interview a patient to identify target symptoms of a disorder(s) and to assess previous response to
treatment.
3. Obtain a drug history from an ambulatory care patient.
4. Based on patient symptoms, assist a patient in the selection of over-the-counter products.
5. Develop monitoring parameters to assure positive therapeutic outcomes.
6. Perform a focused physical exam to assess response to drug therapy and absence of adverse effects
in a patient requesting a refill of medications.
7. Recommend appropriate interventions when side effects or toxicities are identified.
8. Apply pharmacokinetic principles in monitoring drug therapy and adjusting drug dosage in patients
with compromised renal function..
9. Demonstrate the ability to apply pharmaceutical principles in activities, presentations, monitoring,
and discussions.
10. Modify an ambulatory patient’s drug therapy.
11. Identify the symptoms and diagnostic criteria for the most common disease states, as described by
current national guidelines.
12. Council patients on lifestyle behavioral changes that may impact disease states.
13. Review a patient’s herbal, or other alternative medicine remedies and, using an evidenced-based
approach, council the patient on the probability of effectiveness of the remedy.
14. Review a patient’s immunization record, identify, and recommend needed immunizations.
15. Educate patients concerning pharmaceutical care plans and appropriate use of medications.
16. Instruct a patient on the proper method for instilling eye drops and applying nasolacrimal occlusion.
17. Instruct a patient with asthma on the proper technique for using a metered dose inhaler.
1. Instruct a diabetic patient on the use of a glucometer for blood glucose monitoring.
2. Document patient subjective and objective data, findings, and drug therapy recommendations in the
patient’s medical record, patient profile, or other patient database.
3. Discuss the value of a multidisciplinary health team in patient care and how it can be used.
4. Provide drug information or therapeutic consultations to other health care providers.
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CRITICAL CARE
(PHAR 5685)
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CRITICAL CARE (PHAR 5685)
Minimum Requirements
The requirements and responsibilities of the student during this practice experience include:
1. Attend all rounds, conferences, and meetings as assigned by the preceptor.
2. Closely follow all critical care patients and complete patient profiles on all patients. Monitor all patients
using approved monitoring tools.
3. Review the drug therapy of each assigned patient including pharmacology, toxicology, monitoring
parameters, pharmacokinetics, and drug interactions. Develop a therapeutic plan for all patients.
4. Write progress notes on patients as required and permitted by institution policies.
5. Evaluate serum drug concentrations for all applicable medications for assigned patients.
6. Perform medication histories on all patients possible.
7. Complete two written medication histories weekly or equivalent activity as assigned by preceptor.
8. Document all patient care activities in the manner outlined by the Experiential Director and additionally
by the preceptor.
9. Make one oral presentation every week (5 for the practice experience) to the medical team, preceptor, or
others as assigned by the preceptor. Review cases or topics with preceptor prior to presenting.
or
10. Make one formal presentation during the practice experience to the medical team, preceptor, pharmacy
staff, or others. This should be a minimum of a 30-minute presentation with handouts and visual aids.
11. Written Assignments: At the discretion of the preceptor, written assignments may be assigned to the
student. Examples of written assignments are : 1) Systematic Literature review : The paper must be a
current/drug therapy review of a common disease state, approved by the preceptor. It must include a
review of the primary literature. A bibliography and copies of referenced articles must be attached. The
paper will be graded by the preceptor .2) Newsletter article 3) Medication Use Evaluation 4) or additional
written assignments required by preceptor and/or medical team.
12. Participate in a minimum of one pharmacy conference, journal club or interdisciplinary activity.
13. Participate in discussions concerning specific patients and/or various disease states with the instructor.
Be prepared to present assigned patients in a brief manner throughout the experience.
14. Provide requested drug information or additional pharmacokinetic consultations to medical, nursing,
and/or pharmacy staff.
15. Complete all recommended readings and quizzes as assigned during practice experience.
16. Complete any other assignments as directed.
17. Interventions. A minimum of ten (10) interventions will be completed by students during
the rotation using the appropriate method. Interventions will be graded on quality and
completeness. Students will lose 10 responsibility points for each intervention not meeting
standards.
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Competencies for Critical Care Practice Experience (PHAR 5685)
Upon completion of Critical Care Practice Experience (PHAR 5685), the 4th year pharmacy student will
be able to:
1. Describe the pathophysiology and therapy (drug and non-drug) of the following complications in
critical care settings:
A.
B.
C.
D.
E.
F.
G.
H.
I.
J.
K.
Pneumonia
Sepsis and septic shock syndrome
Acute respiratory distress syndrome
Acid-Base disorders
Nosocomial infections (catheter-related, ventilator-related)
Coagulopathies
Respiratory failure
Pneumothorax
Stress ulcer
Deep vein thrombosis/Pulmonary embolism
Malnutrition
2. Describe the pathophysiology and therapy (drug and non-drug) of the following disease specific
complications:
A.
B.
C.
D.
E.
F.
G.
H.
I.
J.
K.
L.
Hypo- and hyperthyroidism
Diabetic ketoacidosis
Meningitis
AIDS/Opportunistic infections
Hepatic failure
Acute poisonings/Drug overdose
Endocarditis
Acute gastrointestinal bleeding
Acute/Chronic renal failure
Cerebral vascular accidents
Acute coronary syndromes
Pulmonary embolism
3. Describe basic principles of ventilator management including:
A.
B.
C.
D.
E.
F.
G.
H.
I.
Blood gas interpretation
Ventilator settings including mode, tidal volume, FiO2, rate, PEEP, pressure support
Weaning protocol
Sedative agents
Pain management
Neuromuscular blocking agents
DVT prophylaxis
Stress Ulcer prophylaxis
Nutritional therapy
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4. Describe the therapeutic use of the following medical devices:
A.
B.
C.
D.
E.
F.
G.
H.
I.
J.
Peripheral intravenous catheter
Central venous catheter
Arterial line
Central venous pressure catheter
Pulmonary artery catheter
Pacer
Chest tube
Feeding tubes
Urinary catheter
Shunts
5. Describe the therapeutic use of the following procedures:
A.
B.
C.
D.
E.
F.
G.
H.
I.
J.
K.
L.
M.
Hemodialysis
Glucose accu-checks
Echocardiogram
Cardiac catheterization
Transesophageal echocardiogram
Bone marrow aspiration
Bronchoscopy
Lower extremity ultrasound
V/Q scan
CT scan
Chest X-ray
L. ERCP (endoscopic retrograde
cholangiopancretography)
EGD (esophagogastro duodenoscopy)
6. Describe the clinical applications of the following laboratory tests:
A.
B.
C.
D.
E.
F.
G.
H.
I.
J.
K.
Chemistry panels
Liver function tests
CBC with differential
Urinalysis
Gram stain reports
Culture and sensitivity reports
Therapeutic drug monitoring reports
Albumin/pre-albumin
CSF
Arterial blood gases
Pulmonary function tests
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7. Retrieve and assess pertinent information from the patient’s medical record including:
A.
B.
C.
D.
E.
F.
G.
H.
Physician orders
Physician progress notes
Laboratory results
Procedures
Nutritional assessments
Flow sheets: I/O, temperature, pulse, respirations, diet
Nurse’s notes
Medication administration
8. Assess a patient’s nutritional needs and develop a plan through a multidisciplinary approach
including assessment of patient’s caloric, fluid, and protein needs.
9. Recommend adjust of a patient’s nutritional requirements based on coexisting disease states such as
diabetes, hepatic failure, renal failure, and patients requiring ventilator management.
10. Describe the advantages, disadvantages, and complications of enteral nutritional therapy.
11. Describe the advantages, disadvantages, and complications of parenteral nutritional therapy.
12. Describe monitoring parameters for enteral nutritional therapy including laboratory results such as
chemistry panels, LFT, nutritional indices, I/O, glucose, lipid profile, and residual volumes.
13. Describe monitoring parameters for parenteral nutritional therapy including laboratory results such
as chemistry panels, LFT, nutritional indices, I/O, glucose, lipid profile, and residual volumes.
14. Recommend the appropriate drug in a cardiac emergency, based on advanced cardiac life support
(ACLS) algorithms.
15. Describe dosing and monitoring parameters for the following emergency drugs:
A.
B.
C.
D.
E.
F.
G.
H.
I.
J.
K.
dopamine
dobutamine
norepinephrine
epinephrine
nitroprusside
nitroglycerin
diltiazem
amiodarone
lidocaine
procainamide
insulin
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16. Provide a pharmacokinetic consult for the following drugs:
A. Aminoglycosides
B. Vancomycin
C. Phenytoin
D. Digoxin
E. Theophylline
F. Phenytoin
17. Demonstrate the ability to function as a productive member of a multidisciplinary healthcare team
including the intensivist/attending physician/consulting physician, nurse, respiratory therapist,
dietician, social worker, case manager, and any other relevant team member involved in patient care.
18. Formulate a therapeutic plan for each assigned patient, including recommendations for the
management and monitoring of all drug therapy.
19. Demonstrate the ability to monitor the progression of disease or effects of therapy by using clinical
symptoms, laboratory data, information generated by hemodynamic monitoring techniques, and
other relevant data.
20. Monitor the effects of drug therapy changes on quality of patient care, patient outcome, and
assessment of clinical pharmacy services.
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DRUG INFORMATION
(PHAR 5691)
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DRUG INFORMATION (PHAR 5691)
Minimum Requirements
The requirements and responsibilities of the student during this practice experience include:
1. Be present on-site at the institution or designated area when scheduled.
2. Be present for all conferences and rounds as assigned.
3. Be prepared to discuss specific topics, cases, and questions when requested and as assigned.
4. Make at least one formal oral presentation to the preceptor, medical team, patient group or pharmacy
staff as assigned. Review the topic with the preceptor before presenting. The presentation should be
a minimum 30 minutes and include handouts and visual aids.
5. Receive, log, and answer all requests that come into the department as assigned.
6. Provide written drug information consultations as requested and assigned.
7. Written Assignments: At the discretion of the preceptor, written assignments may be assigned to the student.
Examples of written assignments are : 1) Systematic Literature review : The paper must be a current/drug
therapy review of a common disease state, approved by the preceptor. It must include a review of the primary
literature. A bibliography and copies of referenced articles must be attached. The paper will be graded by the
preceptor .2) Newsletter article 3) Medication Use Evaluation 4) or additional written assignments required by
preceptor and/or medical team.
8. Prepare criteria for a drug usage evaluation (DUE), or equivalent activity as assigned by the
preceptor. Assist in implementation as time allows.
9. Complete all drug/toxicology information projects as assigned by the preceptor.
10. Complete recommended readings, quizzes, and any other assignments as directed.
11. Interventions. A minimum of ten (10) interventions will be completed by students during the
rotation using the appropriate method. Interventions will be graded on quality and completeness.
Students will lose 10 responsibility points for each intervention not meeting standards.
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Competencies for Drug Information Practice Experience (PHAR 5691)
Upon completion of the Drug Information Practice experience (PHAR 5691), the student will be able to:
1. Discuss the importance of obtaining patient-specific information when accepting a drug information
request.
2. Determine whether the primary, secondary, or tertiary literature should be searched to formulate an
answer to a drug information question.
3. Use the printed or electronic databases of the National Library of Medicine (i.e. Index Medicus,
MEDLARS, etc.) to perform a comprehensive search of the medical or pharmacy literature to obtain
a bibliography of primary literature articles for evaluating in answering a drug information question.
4. Retrieve information from common drug information databases (i.e. Micromedex, etc.).
5. Retrieve, analyze, and interpret the professional, lay, and scientific literature to provide drug
information to patients, caregivers, health professionals, and the public.
6. Explain the importance of using an evidenced-based approach in evaluating the literature and
providing drug information.
7. Explain the role, sources, and development of clinical guidelines and consensus reports for the
treatment of specific diseases.
8. Evaluate a pharmacotherapy clinical study for appropriate research and statistical methodology to
determine the validity of results, conclusions and clinical applicability.
9. Comprehensively search and critically evaluate the literature to recommend the best treatment, when
a therapeutic controversy exists.
10. Provide concise, applicable, and timely responses to drug information requests from health care
providers and patients.
11. Present drug information in a manner that promotes rational drug therapy.
12. Reference citations in the medical or pharmacy literature in the format required by Uniform
Requirements for Manuscripts Submitted to Biomedical Journals.
13. Develop a system for documentation of answers to drug information requests.
14. Develop a quality assurance program to assure that all pharmacists in a healthcare facility, or drug
information center are providing accurate, reliable, and evidenced based information.
15. Develop a personal filing system for maintaining important literature relevant to one’s practice and
continual self-learning.
16. Perform a drug usage evaluation (DUE).
17. Review a drug class, or group of drugs used to treat a disease, to select the best product for inclusion
in an institution’s formulary.
18. Identify the appropriate agencies or organizations for reporting an adverse drug reaction.
19. Discuss the function and role of drug information centers and poison control centers.
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EMERGENCY MEDICINE
(PHAR 5642)
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Emergency Medicine (PHAR 5642)
Minimum Requirements
The requirements and responsibilities of the student during this practice experience include:
1. Attend all rounds, conferences, and meetings as assigned by the preceptor.
2. Closely follow all assigned patients and complete patient profiles on these patients if applicable. Monitor all
assigned patients utilizing approved monitoring tools.
3. Review the drug therapy of each assigned patient, including pharmacology, toxicology, monitoring
parameters pharmacokinetics, and drug interactions. Develop a therapeutic plan for all patients.
4. Write progress notes on patients as required and permitted by institution policies.
5. Evaluate serum drug concentrations for all applicable medications for assigned patients.
6. Perform medication histories on all patients possible.
7. Complete two written medication histories weekly or equivalent activity as assigned by preceptor.
8. Document all patient care activities in the manner outlined by the Experiential Director and additionally by
the preceptor.
9. Make one oral presentation every week (5 for the practice experience) to the medical team, preceptor, or
others as assigned by the preceptor. Review cases or topics with preceptor prior to presenting.
or
Make one formal presentation during the practice experience to the medical team, preceptor, pharmacy staff,
or others. This should be a minimum of a 30-minute presentation with handouts and visual aids.
10. Written Assignments: At the discretion of the preceptor, written assignments may be assigned to the student.
Examples of written assignments are : 1) Systematic Literature review : The paper must be a current/drug
therapy review of a common disease state, approved by the preceptor. It must include a review of the primary
literature. A bibliography and copies of referenced articles must be attached. The paper will be graded by the
preceptor .2) Newsletter article 3) Medication Use Evaluation 4) or additional written assignments required by
preceptor and/or medical team.
11. Participate in a minimum of one pharmacy conference, journal club or interdisciplinary activity.
12. Participate in discussions concerning specific patients and/or various disease states with the instructor. Be
prepared to present assigned patients in a brief manner throughout practice experience.
13. Provide requested drug information or additional pharmacokinetic consultations to medical, nursing, and/or
pharmacy staff.
14. Complete all recommended readings and quizzes as assigned during the practice experience.
15. Complete any other assignments as directed.
16. Interventions. A minimum of ten (10) interventions will be completed by students during the
rotation using the appropriate method. Interventions will be graded on quality and completeness.
Students will lose 10 responsibility points for each intervention not meeting standards.
Competencies for Emergency Medicine (PHAR 5642)
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Upon completion of Emergency Medicine (PHAR 5642), the student will be able to:
1. Provide accurate, concise drug information in the emergency center setting.
2. Identify the symptoms and monitoring parameters for disease states seen in the emergency center, as
described by current national guidelines.
3. Interview a patient to gather complete subjective data for use in assessing a patient.
4. Gather patient related data (medications, labs, etc.) for use in assessing a patient.
5. Identify potential medication-related issues and problems when they occur in the patient population
of the emergency center.
6. Analyze and resolve problems using sound professional judgment.
7. Communicate with other team disciplines to promote optimal care for the patient.
8. Provide oral and written presentations when appropriate and/or required.
9. Educate patients through effective patient counseling regarding their drug therapy, including,
optimal use expected outcomes, and adverse effects.
10. Identify specific drug related problems associated with the patient’s specific therapy and disease
state.
11. Identify and describe side effects and toxicities associated with the drug therapy of a patient.
12. Recommend appropriate interventions when side effects and toxicities are identified.
13. Identify optimal variables for monitoring patients.
14. Collect and interpret information from the patient, laboratory, physician, other health care team
members, consultants, and other sources to make appropriate drug therapy decisions for patients.
15. Initiate, recommend, and monitor the pharmacotherapy for the major disease states encountered.
16. Recommend changes in drug therapy where appropriate.
17. Discuss the value of a multidisciplinary health team in patient care and how it can be utilized.
18. Provide drug information or additional pharmacokinetic consultations to other health care providers
and/or pharmacy staff.
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GERIATRICS
(PHAR 5695)
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GERIATRICS (PHAR 5695)
Minimum Requirements
1. The requirements and responsibilities of the student during this practice experience include:
2. Attend all rounds, conferences, and meetings as assigned by the preceptor.
3. Monitor all patients and complete patient profiles on all patients. Monitor all patients using approved
monitoring tools.
4. Review the drug therapy of each assigned patient including pharmacology, toxicology, monitoring
parameters, pharmacokinetics, and drug interactions. Develop a therapeutic plan for all patients.
5. Write progress notes on patients as required and permitted by institution policy.
6. Evaluate serum drug concentrations on all applicable medications for assigned patients.
7. Perform medication histories on all patients possible or as assigned.
8. Complete one written medication history weekly or equivalent activity as assigned by preceptor.
9. Document all patient care activities in the manner outlined by the Experiential Director and additionally by
the preceptor.
or
Make one oral presentation every week (5 for the practice experience) to the medical team, preceptor, or
others as assigned by the preceptor. Review cases or topics with the preceptor prior to presenting.
10. Written Assignments: At the discretion of the preceptor, written assignments may be assigned to the student.
Examples of written assignments are : 1) Systematic Literature review : The paper must be a current/drug
therapy review of a common disease state, approved by the preceptor. It must include a review of the primary
literature. A bibliography and copies of referenced articles must be attached. The paper will be graded by the
preceptor .2) Newsletter article 3) Medication Use Evaluation 4) or additional written assignments required by
preceptor and/or medical team.
11. Participate in a minimum of one pharmacy conference, journal club or interdisciplinary activity.
12. Participate in discussions concerning specific patients and/or various disease states with the instructor. Be
prepared to present assigned patients in a brief manner throughout practice experience.
13. Provide requested drug information or pharmacokinetic consultations to medical, nursing, and/or pharmacy
staffs.
14. Complete recommended readings and quizzes as assigned during practice experience.
16. Complete any other assignments as directed.
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Competencies for Geriatric Practice Experience (PHAR 5695)
Upon completion of Geriatric Practice experience (PHAR 5695), the 4th year pharmacy student will be
able to:
1. Assume personal responsibility for attaining excellence in one’s own ability to provide
pharmaceutical care to the elderly.
2. Describe therapeutic drug categories requiring special attention when used in the treatment of the
geriatric patient.
3. Perform and interpret a mini-mental status exam (MMSE) on a geriatric patient.
4. Identify the 2 most common infectious processes in the long-term care patient.
5. Discuss barriers to effective communication between elderly patients and health-care professionals,
which may influence medication compliance.
6. Describe the general principles used in the selection of antimicrobials in geriatric patients.
7. Calculate the estimated renal function of an elderly patient using the Cockcroft-Gault equation, and
evaluate the limitations of the equation in relation to a geriatric patient.
8. Outline the pharmacokinetic changes in absorption, distribution, metabolism and elimination that
occur with aging.
9. Use phamacokinetic data (creatinine clearance, fraction of drug eliminated by the kidney, etc) listed
in “Drug Prescribing in Renal Failure”, “Handbook of Clinical Drug Data”, or other clinical
handbook to adjust drug dosage in a given elderly patient.
10. List factors that place elderly patients at increased risk for medication-related adverse events.
11. Complete a MedWatch Report for a suspected drug related adverse event.
12. Collect, assimilate, interpret, and input patient specific data in a geriatric patient care management
database.
13. Using a patient care management database, generate a pharmacotherapy analysis report.
14. Perform a complete medication history in a geriatric patient.
15. Perform a focused physical examination to monitor a geriatric patient’s response to drug therapy and
absence of adverse effects.
16. Order and interpret appropriate laboratory tests to evaluate a geriatric patient’s response to drug
therapy and absence of adverse effects.
17. Evaluate and present a critical analysis of a clinical study involving the elderly population.
18. Recommend OTC and prescription drug therapy that may help in slowing the onset or progression of
Alzheimer’s disease.
19. Interview and counsel a patient’s caregiver or family member in the proper drug administration to a
patient who cannot care for himself/herself.
20. Complete an evidence-based pharmacotherapy case report on a geriatric patient.
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HOME CARE
(PHAR 5688)
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HOME CARE PHARMACY (PHAR 5688)
Minimum Requirements
The requirements and responsibilities of the student during this practice experience include:
1. Attend all rounds, conferences, and meetings as assigned by the preceptor.
2. Closely follow all patients receiving infusion therapy or those assigned by the preceptor. Monitor all patients
using approved monitoring tools.
3. Closely review the drug therapy of each assigned patient, including pharmacology, laboratory values,
pharmacokinetics, drug interactions, and other monitoring parameters. Develop a therapeutic plan for all
assigned patients.
4. Write progress notes on all patients, if allowed by institution policies.
5. Evaluate serum drug concentrations for assigned patients.
6. Maintain telephone contact with all assigned patients and/or their caregivers and document all
communications.
7. Complete thorough medication histories and assessments on all assigned patients.
8. With other members of the home care team, make at least two (2) home visits on patients receiving infusion
therapy. Document these visits and present each patient as a case presentation to the home care team. Upon
completion of the practice experiences, submit this documentation to the Experiential Director.
9. Initiate therapy and process orders of new and existing patients. Assist in preparation of infusion therapy
where necessary. Note: This is not to be a compounding practice experience.
10. Document all patient care activities in the manner outlined by the Experiential Director and additionally by
the preceptor.
11. Participate in discussions concerning specific patients and/or various disease states with the instructor. Be
prepared to present assigned patients in a brief manner throughout practice experience.
12. Written Assignments: At the discretion of the preceptor, written assignments may be assigned to the student.
Examples of written assignments are : 1) Systematic Literature review : The paper must be a current/drug
therapy review of a common disease state, approved by the preceptor. It must include a review of the primary
literature. A bibliography and copies of referenced articles must be attached. The paper will be graded by the
preceptor .2) Newsletter article 3) Medication Use Evaluation 4) or additional written assignments required by
preceptor and/or medical team.
13. Participate in a minimum of one pharmacy conference, journal club or interdisciplinary activity.
14. Provide requested drug information or additional pharmacokinetic consultations to medical, nursing, and/or
pharmacy staff.
15. Participate in at least one quality improvement activity.
16. Complete all recommended readings and quizzes as assigned during practice experience.
17. Complete any other assignments as directed.
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Competencies for Home Care Pharmacy (PHAR 5688)
Upon completion of Home Care Pharmacy (PHAR 5688), the student will be able to:
1. Obtain appropriate information from the patient, care givers, laboratory, physician, and other
health care team members to assess drug therapy appropriateness for a specific patient.
2. Compound products for a home care patient, using aseptic techniques.
3. Recognize and prevent incompatibilities in intravenous therapy in a home care patient.
4. Monitor drug therapy for achievable therapeutic outcomes in a home care patient.
5. Identify adverse reactions to drug therapy administered in the home.
6. Provide a pharmacokinetics consult to recommend initial dosage for a home care patient.
7. Interpret serum drug concentrations to determine dosage adjustments for a home care patient.
8. Anticipate and prevent potential medication problems in a home care patient.
9. Discuss pharmacy issues for home care patients related to:
A. Compliance
B. Patient education
C. Cost-effectiveness
D. Other prescription and non-prescription drug use
E. Administration of prescribed therapy
F. Infections resulting from therapy
G. Extravasations of intravenous fluid
10. Recognize and discuss the value of a multidisciplinary health team in providing home care.
11. Describe the roles of other health care professionals in providing home care.
12. Participate actively and effectively in a multidisciplinary health team in a home care setting.
13. Develop pharmaceutical care plans for a patient receiving therapy for greater than three days.
14. Provide effective consultation regarding a home care patient’s drug therapy.
15. Instruct a patient in the appropriate use of infusion devices used in the home care patient.
16. Teach patients to recognize adverse reactions and complications of home care therapy.
17. Recommend corrections for complications in a home care patient, related to:
A. Osteomyelitis
B. Nutritional deficiencies
C. CHF
D. Total parenteral nutrition
E. Metastatic diseases
F. Pain management
G. AIDS
H. Chronic diseases
18. Discuss and apply the applicable standards for Home Care set forth by the Joint Commission
on Accreditation of Health Care Organizations (JCAHO).
In writing, evaluate drug therapy for a common disease process encountered in-home care.
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INFECTIOUS DISEASES
(PHAR 5681)
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INFECTIOUS DISEASE (PHAR 5681)
Minimum Requirements
The requirements and responsibilities of the student during this practice experience include:
1. Attend all rounds, conferences, and meetings as assigned by the preceptor.
2. Closely follow all assigned patients and complete patient profiles on these patients. Monitor all
assigned patients utilizing approved monitoring tools.
3. Review the drug therapy of each assigned patient, including pharmacology, toxicology, monitoring
parameters pharmacokinetics, and drug interactions. Develop a therapeutic plan for all patients.
4. Write progress notes on patients as required and permitted by institution policies.
5. Evaluate serum drug concentrations for all applicable medications for assigned patients.
6. Perform medication histories on all patients possible. This should be a minimum of 10 per week.
7. Complete two written medication histories weekly or equivalent activity as assigned by preceptor.
8. Document all patient care activities in the manner outlined by the Experiential Director and
additionally by the preceptor.
9. Make one oral presentation every week (5 for the practice experience) to the medical team, preceptor,
or others as assigned by the preceptor. Review cases or topics with preceptor prior to presenting.
or
Make one formal presentation during the practice experience to the medical team, preceptor,
pharmacy staff, or others. This should be a minimum of a 30-minute presentation with handouts and
visual aids.
10. Written Assignments: At the discretion of the preceptor, written assignments may be assigned to the
student. Examples of written assignments are : 1) Systematic Literature review : The paper must be a
current/drug therapy review of a common disease state, approved by the preceptor. It must include a
review of the primary literature. A bibliography and copies of referenced articles must be attached.
The paper will be graded by the preceptor .2) Newsletter article 3) Medication Use Evaluation 4) or
additional written assignments required by preceptor and/or medical team.
11. Participate in a minimum of one pharmacy conference, journal club or interdisciplinary activity.
12. Participate in discussions concerning specific patients and/or various disease states with the
instructor. Be prepared to present assigned patients in a brief manner throughout practice experience.
13. Provide requested drug information or additional pharmacokinetic consultations to medical, nursing,
and/or pharmacy staff.
14. Complete all recommended readings and quizzes as assigned during practice experience.
15. Complete any other assignments as directed.
16. Interventions. A minimum of ten (10) interventions will be completed by students during the
rotation using the appropriate method. Interventions will be graded on quality and
completeness. Students will lose 10 responsibility points for each intervention not meeting
standards.
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Competencies for Infectious Diseases Practice Experience (PHAR 5681)
Upon completion of Infectious Diseases Practice Experience (PHAR 5681), the 4th year
pharmacy student will be able to:
1. Differentiate a Gram stain to assess the potential infecting organism in a patient.
2. Prepare a therapeutic presentation to educate infectious diseases fellows and faculty about a
specific therapeutic topic.
3. Establish a therapeutic plan for the treatment of the febrile neutropenic patient.
4. Perform an analysis of the CSF profile of a suspected meningitis patient to assess the
appropriate empiric therapy to be instituted.
5. Perform an analysis of a U/A to assess the need for treatment of funguria.
6. Read an antibiogram for a specific patient to assess the proper anti-infective choices from the
test.
7. Outline a treatment plan for the institution of therapy in a centrally catheterized patient to
assess proper prescribing habits.
8. Establish appropriate monitoring parameters for all patients to assess therapeutic outcomes.
9. Analyze sputum and BAL specimen determinations to assess the need for and against therapy
(infection vs. colonization).
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NEUROLOGY
(PHAR 5643)
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NEUROLOGY (PHAR 5643)
Minimum Requirements
The requirements and responsibilities of the student during this practice experience include:
1. Attend all rounds, conferences, and meetings as assigned by the preceptor.
2. Closely follow all assigned patients and complete patient profiles on these patients. Monitor all
assigned patients utilizing approved monitoring tools.
3. Review the drug therapy of each assigned patient, including pharmacology, toxicology, monitoring
parameters pharmacokinetics, and drug interactions. Develop a therapeutic plan for all patients.
4. Write progress notes on patients as required and permitted by institution policies.
5. Evaluate serum drug concentrations for all applicable medications for assigned patients.
6. Perform medication histories on all patients possible.
7. Complete two written medication histories weekly or equivalent activity as assigned by preceptor.
8. Document all patient care activities in the manner outlined by the Experiential Director and
additionally by the preceptor.
9. Make one oral presentation every week (5 for the practice experience) to the medical team, preceptor,
or others as assigned by the preceptor. Review cases or topics with preceptor prior to presenting.
or
Make one formal presentation during the practice experience to the medical team, preceptor,
pharmacy staff, or others. This should be a minimum of a 30-minute presentation with handouts and
visual aids.
10. Written Assignments: At the discretion of the preceptor, written assignments may be assigned to the
student. Examples of written assignments are : 1) Systematic Literature review : The paper must be a
current/drug therapy review of a common disease state, approved by the preceptor. It must include a
review of the primary literature. A bibliography and copies of referenced articles must be attached.
The paper will be graded by the preceptor .2) Newsletter article 3) Medication Use Evaluation 4) or
additional written assignments required by preceptor and/or medical team.
11. Participate in a minimum of one pharmacy conference, journal club or interdisciplinary activity.
12. Participate in discussions concerning specific patients and/or various disease states with the
instructor. Be prepared to present assigned patients in a brief manner throughout practice experience.
13. Provide requested drug information or additional pharmacokinetic consultations to medical, nursing,
and/or pharmacy staff.
14. Complete all recommended readings and quizzes as assigned during practice experience.
15. Complete any other assignments as directed.
16. Interventions. A minimum of ten (10) interventions will be completed by students during the
rotation using the appropriate method. Interventions will be graded on quality and
completeness. Students will lose 10 responsibility points for each intervention not meeting
standards.
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Competencies for Neurology (PHAR 5463)
Upon completion of the Neurology Practice Experience, the pharmacy student will be able to:
1. Demonstrate knowledge of evaluating a patient with a neurological illness.
2. Demonstrate knowledge of therapeutically managing a patient with multiple sclerosis.
3. Discuss different types of seizures.
4. Demonstrate knowledge of therapeutically managing a patient with various forms of
epilepsy.
5. Demonstrate the ability to therapeutically manage a patient with status epilepticus.
6. Demonstrate the ability to therapeutically manage a patient on anticonvulsants.
7. Apply pharmacokinetic principles in determining the drug dosage for patients with seizures.
8. Identify and discuss drug interactions between various seizure medications and metabolic
enzyme inducers.
9. Identify and discuss drug interactions between various seizure medications and metabolic
enzyme inhibitors.
10. Demonstrate the ability to identify and manage drug-induced seizures.
11. Discuss the therapeutic management of a patient with a brain injury.
12. Demonstrate ability to therapeutically manage the drug treatment of a patient with
Parkinson’s Disease, and manage complications of the medications.
13. Demonstrate knowledge of managing a patient with a stoke both pharmacologically and nonpharmacologically.
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NUCLEAR PHARMACY
(PHAR 5687)
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NUCLEAR PHARMACY (PHAR 5687)
Minimum Requirements
The requirements and responsibilities of the student during this practice experience include:
1. Attend all rounds, conferences, and meetings as assigned by the preceptor.
2. Closely follow all assigned patients and complete patient profiles on these patients. Monitor all
assigned patients utilizing approved monitoring tools.
3. Review the drug therapy of each assigned patient, including pharmacology, toxicology, monitoring
parameters pharmacokinetics, and drug interactions. Develop a therapeutic plan for all patients.
4. Write progress notes on patients as required and permitted by institution policies.
5. Evaluate serum drug concentrations for all applicable medications for assigned patients.
6. Perform medication histories on all patients possible. This should be a minimum of 10 per week.
7. Complete two written medication histories weekly or equivalent activity as assigned by preceptor.
8. Document all patient care activities in the manner outlined by the Experiential Director and
additionally by the preceptor.
9. Make one oral presentation every week (5 for the practice experience) to the medical team, preceptor,
or others as assigned by the preceptor. Review cases or topics with preceptor prior to presenting.
Or
Make one formal presentation during the practice experience to the medical team, preceptor,
pharmacy staff, or others. This should be a minimum of a 30-minute presentation with handouts and
visual aids.
10. Written Assignments: At the discretion of the preceptor, written assignments may be assigned to the
student. Examples of written assignments are : 1) Systematic Literature review : The paper must be a
current/drug therapy review of a common disease state, approved by the preceptor. It must include a
review of the primary literature. A bibliography and copies of referenced articles must be attached.
The paper will be graded by the preceptor .2) Newsletter article 3) Medication Use Evaluation 4) or
additional written assignments required by preceptor and/or medical team.
11. Participate in a minimum of one pharmacy conference, journal club or interdisciplinary activity.
12. Participate in discussions concerning specific patients and/or various disease states with the
instructor. Be prepared to present assigned patients in a brief manner throughout practice experience.
13. Provide requested drug information or additional pharmacokinetic consultations to medical, nursing,
and/or pharmacy staff.
14. Complete all recommended readings and quizzes as assigned during practice experience.
15. Complete any other assignments as directed.
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Competencies for Nuclear Pharmacy (PHAR 5687)
1. Upon completion of Nuclear Pharmacy (PHAR 5687), the student will be able to:
2. Calculate accurately all doses of radiopharmaceuticals, utilizing pharmacokinetic principles
and techniques.
3. Compound products used in Nuclear Pharmacy.
4. Demonstrate appropriate compounding techniques and handling of radiopharmaceuticals.
5. Monitor drug therapy for achievable therapeutic outcomes in a patient receiving a nuclear
medicine product.
6. Analyze and resolve problems with medications.
7. Describe issues related to use of nuclear medicine products including:
A. side effects
B. toxicities
C. potential complications
8. Provide effective consultation to nuclear medicine and radiology practitioners concerning:
A. appropriateness of agents
B. pharmacokinetics
C. side effects
D. toxicities
E. contraindications
9. Educate patients, when applicable, concerning their drug therapy, side effects, and toxicities.
10. Monitor patients receiving radiopharmaceuticals and write complete progress notes
concerning each patient.
11. Participate in discussions concerning treatments or diagnostic tools for a specific patient.
12. Provide drug information to health care providers concerning radiopharmaceuticals.
13. Discuss and list quality control measures used in nuclear pharmacy.
14. For Multi-channel and Single channel analyzers, describe
A. How they are used
B. Their calibration
C. Their efficiency
15. Discuss how various radiopharmaceuticals are used in diagnostic procedures.
16. Apply radiation safety concerning transport and receipt of radioactive materials.
17. Calculate exposure readings from portable survey meters.
18. Describe three properties of radiation.
19. Define:
A. “ALARA” and discuss three ways to keep “ALARA”.
B. “RSO”
20. List the different agencies and rules that govern nuclear pharmacies.
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NUTRITIONAL SUPPORT
(PHAR 5674)
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NUTRITIONAL SUPPORT (PHAR 5674)
Minimum Requirements
The requirements and responsibilities of the student during this practice experience include:
1. Attend all rounds, conferences, and meetings as assigned by the preceptor.
2. Closely follow all assigned patients and complete patient profiles on these patients. Monitor all
assigned patients utilizing approved drug therapy and nutritional support monitoring tools.
3. Review the drug therapy of each assigned patient, including pharmacology, toxicology, monitoring
parameters, pharmacokinetics, and drug interactions. Develop a therapeutic plan for all patients.
4. Write progress notes on patients as required and permitted by institution policies.
5. Evaluate serum drug concentrations for all applicable medications for assigned patients.
6. Perform nutritional assessments on all patients possible. This should be a minimum of 5 per week.
7. Complete two written nutritional assessments weekly or equivalent activity as assigned by preceptor.
8. Document all patient care activities in the manner outlined by the Experiential Director and
additionally by the preceptor.
9. Make one oral presentation every week (5 for the practice experience) to the medical team, preceptor,
or others as assigned by the preceptor. Review cases or topics with preceptor prior to presenting.
or
Make one formal presentation during the practice experience to the medical team, preceptor,
pharmacy staff, or others. This should be a minimum of a 30-minute presentation with handouts and
visual aids.
10. Written Assignments: At the discretion of the preceptor, written assignments may be assigned to the
student. Examples of written assignments are : 1) Systematic Literature review : The paper must be a
current/drug therapy review of a common disease state, approved by the preceptor. It must include a
review of the primary literature. A bibliography and copies of referenced articles must be attached.
The paper will be graded by the preceptor 2) Newsletter article 3) Medication Use Evaluation 4) or
additional written assignments required by preceptor and/or medical team.
11. Participate in a minimum of one pharmacy conference, journal club or interdisciplinary activity.
12. Participate in discussions with the instructor, concerning specific patients and/or various nutritional
problems and compromised disease states. Be prepared to present assigned patients in a brief manner
throughout practice experience.
13. Provide requested drug information or nutritional support consultations to medical, nursing, and/or
pharmacy staff.
14. Complete all recommended readings and quizzes as assigned during practice experience.
15. Complete any other assignments as directed.
16. Interventions. A minimum of ten (10) interventions will be completed by students during the
rotation using the appropriate method. Interventions will be graded on quality and
completeness. Students will lose 10 responsibility points for each intervention not meeting
standards.
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15.
Competencies for Nutritional Support (PHAR 5674)
Upon completion of Nutritional Support Practice Experience, the pharmacy student will be able
to:
1. Identify specific risks, problems, or complications associated with nutritional support.
2. Obtain a concise patient drug and nutrition history.
3. Perform a nutritional and metabolic assessment of a patient based on pertinent physical
examination, laboratory values, and concurrent disease states.
4. Calculate basal energy expenditure, caloric requirements, and protein requirements, based on
a patient’s disease state, stress level, and compromised organ function.
5. Correct abnormal fluid and electrolytes, and trace element deficiencies.
6. Monitor a patient’s response to nutritional support (i.e. nitrogen balance, and absence of
adverse effects).
7. Design an individualized nutritional regimen selecting the type of support (enteral, peripheral
intravenous, or central intravenous) formulation and feeding regimen.
8. Participate in the interdisciplinary management of a nutritional support patient.
9. Write a complete and formal nutritional support consult note.
10. Maintain patient profiles, including medications, laboratory values, and input/output.
11. Evaluate and interpret primary literature concerning nutritional support.
12. Provide an in-service training session for the health care team regarding trends in nutritional
support.
13. Provide written and verbal drug information concerning nutritional support for patients and
health professionals.
14. Provide patient education regarding the optimal use, expected outcomes, and adverse effects
of specialized nutritional support and drug therapy regimens.
15. Counsel a patient/caregiver about the patient’s nutritional support treatment and care,
including any special precautions.
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ONCOLOGY
(PHAR 5680)
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ONCOLOGY (PHAR 5680)
Minimum Requirements
The requirements and responsibilities of the student during this practice experience include:
1. Attend all rounds, conferences, and meetings as assigned by the preceptor.
2. Closely follow all assigned patients and complete patient profiles on these patients. Monitor all
assigned patients utilizing approved monitoring tools.
3. Review the drug therapy of each assigned patient, including pharmacology, toxicology, monitoring
parameters pharmacokinetics, and drug interactions. Develop a therapeutic plan for all patients.
4. Calculate all doses for Oncology drugs and assure their appropriateness.
5. Write progress notes on patients as required and permitted by institution policies.
6. Evaluate all serum drug concentrations for all applicable medications for assigned patients.
7. Perform medication histories on all patients possible. This should be a minimum of 10 per week.
8. Complete two written medication histories weekly or equivalent activity as assigned by preceptor.
9. Document all patient care activities in the manner outlined by the Experiential Director and
additionally by the preceptor.
10. Make one oral presentation every week (5 for the practice experience) to the medical team, preceptor,
or others as assigned by the preceptor. Review cases or topics with preceptor prior to presenting.
or
Make one formal presentation during the practice experience to the medical team, preceptor,
pharmacy staff, or others. This should be a minimum of a 30-minute presentation with handouts and
visual aids.
11. Written Assignments: At the discretion of the preceptor, written assignments may be assigned to the
student. Examples of written assignments are : 1) Systematic Literature review : The paper must be a
current/drug therapy review of a common disease state, approved by the preceptor. It must include a
review of the primary literature. A bibliography and copies of referenced articles must be attached.
The paper will be graded by the preceptor .2) Newsletter article 3) Medication Use Evaluation 4) or
additional written assignments required by preceptor and/or medical team.
12. Participate in a minimum of one pharmacy conference, journal club or interdisciplinary activity.
13. Participate in discussions concerning specific patients and/or various cancers and compromising
disease states with the instructor. Be prepared to present assigned patients in a brief manner
throughout practice experience.
14. Provide requested drug information or additional pharmacokinetic consultations to medical, nursing,
and/or pharmacy staff.
15. Complete all recommended readings and quizzes as assigned during practice experience.
16. Complete any other assignments as directed.
17. Interventions. A minimum of ten (10) interventions will be completed by students during the
rotation using the appropriate method. Interventions will be graded on quality and
completeness. Students will lose 10 responsibility points for each intervention not meeting
standards.
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Competencies for Oncology Practice Experience (PHAR 5680)
Upon completion of Oncology Practice Experience, the pharmacy student will be able to:
1. Demonstrate understanding of the pathophysiology, clinical presentation, complications, prognosis
and treatment of the following cancers:
A.
B.
C.
D.
E.
F.
G.
H.
I.
J.
K.
L.
M.
N.
Leukemia
Breast cancer
Gastrointestinal malignancies
Head and neck cancer
Pediatric malignancies
Lymphoma
Lung cancer
Gynecological malignancies
Skin cancer and melanoma
Brain Tumors
Multiple myeloma
Genitourinary cancers
Endocrine tumors
Sarcomas
2. Calculate Body Surface Area (BSA) and determine the dose of chemotherapeutic agents.
3. Recommend non-pharmacological and pharmacological treatments for the following:
A.
B.
C.
D.
chemotherapy induced nausea and vomiting
Mouth care
Acute and chronic pain control
Constipation/Diarrhea
4. Evaluate and interpret laboratory data with respect to the oncology patient.
5. Recommend preventive and therapeutic measures for infectious diseases common in oncology
patients.
6. Recommend appropriate measures to prevent extravasations and any other complications relating to
administration of chemotherapeutic agents.
7. Demonstrate knowledge of the process of preparing and distributing investigational drugs.
8. Design and recommend an antifungal/antibiotic plan for all febrile patients including febrile
neutropenic patients; febrile non-neutropenic patients, and continued febrile/neutropenic patients after
antibiotics.
9. Recommend a treatment and monitoring regimen for Tumor Lysis Syndrome.
10. Modify counseling techniques for the special emotional needs of the cancer patient.
11. Provide written and verbal drug information to patients and health care professionals, concerning
approved and investigational agents.
12. Present an in-service on a topic related to oncology pharmacy practice.
13. Participate in the interdisciplinary care of oncology patients.
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14. Recommend treatment for the fluid and electrolyte management of an oncology patient.
15. Demonstrate knowledge of the appropriate use, indications, adverse side effects and toxicology for
the following classes of drugs:
A.
B.
C.
D.
E.
F.
Alkylating agents
Antimetabolites
Biological response modifiers
Vinca alkaloids
Hormonal agents
Anthracyclines
16. Evaluate and interpret current literature with respect to oncology patients.
17. Counsel patients and their caregivers about the treatment regimen.
18. Recommend a plan outlining the protocol, prophylactic medications, and monitoring parameters for a
patient undergoing bone marrow transplantation.
19. Maintain patient profile with current laboratory data, medications and appropriate flow sheets.
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PEDIATRICS
(PHAR 5694)
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PEDIATRICS (PHAR 5694)
Prerequisite for Pediatrics Practice Experience:
Completion of Chapters on “General Pediatric Therapy” and “Neonatal Therapy”
from Applied Therapeutics, The Clinical Use of Drugs.
Minimum Requirements
The requirements and responsibilities of the student during this practice experience include:
1. Attend all rounds, conferences, and meetings as assigned by the preceptor.
2. Closely follow all assigned patients and complete patient profiles on these patients. Monitor all
assigned patients utilizing approved monitoring tools.
3. Review the drug therapy of each assigned patient, including pharmacology, toxicology, monitoring
parameters pharmacokinetics, and drug interactions. Develop a therapeutic plan for all patients.
4. Calculate all drug doses for appropriateness based on the patient’s weight, body surface area or other
size adjusted parameter that is appropriate for the drug.
5. Write progress notes on patients as required and permitted by institution policies.
6. Evaluate serum drug concentrations for all applicable medications for assigned patients.
7. Perform medication histories on all patients possible. This should be a minimum of 10 per week.
8. Complete two written medication histories weekly or equivalent activity as assigned by preceptor.
9. Document all patient care activities in the manner outlined by the Experiential Director and
additionally by the preceptor.
10. Make one oral presentation every week (5 for the practice experience) to the medical team, preceptor,
or others as assigned by the preceptor. Review cases or topics with preceptor prior to presenting.
or
Make one formal presentation during the practice experience to the medical team, preceptor,
pharmacy staff, or others. This should be a minimum of a 30-minute presentation with handouts and
visual aids.
11. Written Assignments: At the discretion of the preceptor, written assignments may be assigned to the
student. Examples of written assignments are : 1) Systematic Literature review : The paper must be a
current/drug therapy review of a common disease state, approved by the preceptor. It must include a
review of the primary literature. A bibliography and copies of referenced articles must be attached.
The paper will be graded by the preceptor .2) Newsletter article 3) Medication Use Evaluation 4) or
additional written assignments required by preceptor and/or medical team.
12. Participate in a minimum of one pharmacy conference, journal club or interdisciplinary activity.
13. Participate in discussions concerning specific patients and/or various disease states with the
instructor. Be prepared to present assigned patients in a brief manner throughout practice experience.
14. Provide requested drug information or additional pharmacokinetic consultations to medical, nursing,
and/or pharmacy staff.
15. Complete all recommended readings and quizzes as assigned during practice experience.
16. Complete any other assignments as directed.
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17. Interventions. A minimum of ten (10) interventions will be completed by students during the
rotation using the appropriate method. Interventions will be graded on quality and
completeness. Students will lose 10 responsibility points for each intervention not meeting
standards.
Competencies for Pediatric Practice Experience (PHAR 5694)
Upon completion of Pediatrics PHAR 5694), the 4th year pharmacy student will be able to:
1. Determine the body surface area of a pediatric patient, given the height and weight.
2. Interpret growth charts to determine the growth percentile for a specific infant or child.
3. Review the immunization record and recommend appropriate immunizations for a child.
4. Recommend appropriate dosage and use of OTC products for pediatric patients.
5. Recommend a therapeutic regimen and alternate regimen for a child with acute otitis media.
6. Empirically, identify the most likely bacterial agents causing an infection in a pediatric
patient, based on age and site of infection.
7. Determine the fluid requirements for a pediatric patient that requires intravenous solutions.
8. Evaluate the appropriateness of nutritional support in a pediatric patient.
9. Evaluate and interpret laboratory results for pediatric patients.
10. Interpret serum drug concentrations to monitor a pediatric patient with a seizure disorder.
11. Provide a pharmacokinetics consult for an infant, child, or adolescent.
12. Use physical assessment to determine the degree of respiratory distress in a pediatric patient.
13. Recommend appropriate drug therapy for pediatric patients with:
Asthma
Diabetes
Seizure disorders
Pneumonia
Meningitis
14. Recommend appropriate drug therapy for a child or infant, based on mg/kg dosage.
15. Develop appropriate endpoints and monitoring parameters for pediatric pharmacotherapy to
assure effectiveness and lack of adverse effects or toxicity.
16. Counsel the parent of an infant in the proper rehydration of the patient with gastroenteritis.
17. Demonstrate patient communication skills through patient/parent/caregiver counseling for the
Pharmacotherapy of :
Asthma
Diabetes
Seizure disorder
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18. Counsel patient/parent/caregiver on proper techniques for using
Eye drops
Ear drops
Inhalers
Peak flow meters
19. Provide in-service education on new trends in pediatric pharmacotherapy.
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PSYCHIATRY
(PHAR 5686)
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PSYCHIATRY (PHAR 5682)
Minimum Requirements
The requirements and responsibilities of the student during this practice experience include:
1. Attend all rounds, conferences, and meetings as assigned by the preceptor.
2. Closely follow all assigned patients and complete patient profiles on these patients. Monitor all
assigned patients utilizing approved monitoring tools.
3. On all patients, as permitted by the preceptor, perform neurological assessments to assure
minimization of adverse effects of neuroleptics.
4. Use rating scales to monitor patient response to therapy.
5. Review the drug therapy of each assigned patient, including pharmacology, toxicology, monitoring
parameters pharmacokinetics, and drug interactions. Develop a therapeutic plan for all patients.
6. Write progress notes on patients as required and permitted by institution policies.
7. Evaluate serum drug concentrations for all applicable medications for assigned patients.
8. Perform medication histories on all patients possible.
9. Complete two written medication histories weekly or equivalent activity as assigned by preceptor.
10. Document all patient care activities in the manner outlined by the Experiential Director and
additionally by the preceptor.
11. Make one oral presentation every week (5 for the practice experience) to the medical team, preceptor,
or others as assigned by the preceptor. Review cases or topics with preceptor prior to presenting.
or
Make one formal presentation during the practice experience to the medical team, preceptor,
pharmacy staff, or others. This should be a minimum of a 30-minute presentation with handouts and
visual aids.
12. Written Assignments: At the discretion of the preceptor, written assignments may be assigned to the
student. Examples of written assignments are : 1) Systematic Literature review : The paper must be a
current/drug therapy review of a common disease state, approved by the preceptor. It must include a
review of the primary literature. A bibliography and copies of referenced articles must be attached.
The paper will be graded by the preceptor .2) Newsletter article 3) Medication Use Evaluation 4) or
additional written assignments required by preceptor and/or medical team.
13. Participate in a minimum of one pharmacy conference, journal club or interdisciplinary activity.
14. Participate in discussions concerning specific patients and/or various disease states with the
instructor. Be prepared to present assigned patients in a brief manner throughout practice experience.
15. Provide requested drug information or additional pharmacokinetic consultations to medical, nursing,
and/or pharmacy staff.
16. Complete all recommended readings and quizzes as assigned during practice experience.
17. Complete any other assignments as directed.
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Competencies for Psychiatry Practice Experience (PHAR 5686)
Upon completion of the Psychiatry (PHAR 5686), the student will be able to:
1. Identify symptoms and severity of pseudoparkinsonism by administering the modified
Simpson-Angus scale (MSA).
2. Recommend appropriate management of pseudoparkinsonism.
3. Identify symptoms and severity of tardive dyskinesia by administering the modified
abnormal involuntary movement scale (AIMS).
4. Recommend appropriate management of tardive dyskinesia.
5. Upon conducting a psychiatric interview with a patient, identify target symptoms and
recommend appropriate therapy.
6. Conduct a medication group session for patients in an acute care psychiatric ward.
7. For a given patient with mania, select the most appropriate agent from the newer
anticonvulsants, considering potential efficacy and adverse effects.
8. For a specific patient with psychosis, recommend the most appropriate atypical antipsychotic
agent, considering potential efficacy and adverse effects.
9. For a specific patient with depression, recommend the most appropriate agent from among
the newer antidepressants, considering their mechanism of action, drug interactions, and
adverse effects.
10. For each patient treated by a treatment team, identify at least 4 target symptoms consistent
with the patient’s diagnosis.
11. Present a psychopharmacologic therapeutic intervention for a disease or problem to a
treatment team.
12. Select appropriate initial therapy for a specific manic patient.
13. Select appropriate initial therapy for a specific schizophrenic patient.
14. Select appropriate initial therapy for a specific depressed patient.
15. Select appropriate initial therapy for a specific patient with anxiety.
16. Select appropriate initial therapy for specific patient with borderline personality disorder.
17. Select appropriate adjunctive therapy for a specific psychiatric patient.
18. Select appropriate therapy for a pregnant psychiatric patient.
19. Review a clinical study reported in a psychiatric journal for appropriate methodology.
20. Demonstrate knowledge of assessment tools for drug therapy efficacy and safety in
psychiatric patients.
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SURGERY
(PHAR 5682)
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SURGERY (PHAR 5682)
Minimum Requirements
The requirements and responsibilities of the student during this practice experience include:
1. Attend all rounds, conferences, and meetings as assigned by the preceptor.
2. Closely follow all assigned patients and complete patient profiles on these patients. Monitor all
assigned patients utilizing approved monitoring tools.
3. Review the drug therapy of each assigned patient, including pharmacology, toxicology, monitoring
parameters pharmacokinetics, and drug interactions. Develop a therapeutic plan for all patients.
4. Write progress notes on patients as required and permitted by institution policies.
5. Evaluate serum drug concentrations for all applicable medications for assigned patients.
6. Perform medication histories on all patients possible. This should be a minimum of 10 per week.
7. Complete two written medication histories weekly or equivalent activity as assigned by preceptor.
8. Document all patient care activities in the manner outlined by the Experiential Director and
additionally by the preceptor.
9. Make one oral presentation every week (5 for the practice experience) to the medical team, preceptor,
or others as assigned by the preceptor. Review cases or topics with preceptor prior to presenting.
or
Make one formal presentation during the practice experience to the medical team, preceptor,
pharmacy staff, or others. This should be a minimum of a 30-minute presentation with handouts and
visual aids.
10. Written Assignments: At the discretion of the preceptor, written assignments may be assigned to the
student. Examples of written assignments are : 1) Systematic Literature review : The paper must be a
current/drug therapy review of a common disease state, approved by the preceptor. It must include a
review of the primary literature. A bibliography and copies of referenced articles must be attached.
The paper will be graded by the preceptor .2) Newsletter article 3) Medication Use Evaluation 4) or
additional written assignments required by preceptor and/or medical team.
11. Participate in a minimum of one pharmacy conference, journal club or interdisciplinary activity.
12. Participate in discussions concerning specific patients and/or various disease states with the
instructor. Be prepared to present assigned patients in a brief manner throughout practice experience.
13. Provide requested drug information or additional pharmacokinetic consultations to medical, nursing,
and/or pharmacy staff.
14. Complete all recommended readings and quizzes as assigned during practice experience.
15. Complete any other assignments as directed.
16. Interventions. A minimum of ten (10) interventions will be completed by students during the
rotation using the appropriate method. Interventions will be graded on quality and
completeness. Students will lose 10 responsibility points for each intervention not meeting
standards.
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Competencies for Surgery (PHAR 5682)
Upon completion of the Surgery Practice Experience, the pharmacy student will be able to:
1. Demonstrate knowledge of the pathophysiology, rationale therapeutic interventions and
monitoring parameters for surgical patients.
2. Recommend prophylaxis for infectious diseases for common surgical procedures.
3. Recommend pain management therapies for pre and post surgical patient.
4. Monitor a surgical patient’s nutritional, fluid and electrolyte status.
5. Design a regimen for prophylaxis of stress ulcer.
6. Provide pharmacokinetic consults for patients receiving aminoglycosides, vancomycin, or
anticonvulsants.
7. Design an appropriate nutritional support regimen for a post surgical patient.
8. Use shock and resuscitation algorithms according to ACLS guidelines.
9. Describe the use and implications for drug therapy for the following invasive technologies:
intracranial pressure monitoring devices
pulmonary artery catheters
10. Present an in-service training session to the health care team regarding trends in medication
therapy for the surgical patients.
11. Demonstrate knowledge of use, indications, adverse side effects of anesthetics (inhaled and
injectable), sedatives, and paralytics.
12. Provide written and verbal drug information so patients and health professionals.
13. Monitor a patient in a surgical intensive care unit by using clinical symptoms, laboratory
data, and hemodynamic monitoring techniques.
14. Recommend drug therapy for prophylaxis and treatment of seizures resulting from surgical
complications.
15. Develop a plan for surgical patients with coagulopathies.
16. Develop an anticoagulation plan for a bedridden, post-surgical patient.
17. Provide patient/caregiver education regarding compliance, expected outcomes, and adverse
effects of drugs upon discharge.
18. Evaluate current primary literature on medication management of surgical patients.
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TRANSPLANT THERAPEUTICS
(PHAR 5678)
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TRANSPLANT THERAPEUTICS (PHAR 5678)
Minimum Requirements
The requirements and responsibilities of the student during this practice experience include:
1. Attend all rounds, conferences, and meetings as assigned by the preceptor.
2. Closely follow all assigned patients and complete patient profiles on these patients. Monitor all
assigned patients utilizing approved monitoring tools.
3. Review the drug therapy of each assigned patient, including pharmacology, toxicology, monitoring
parameters pharmacokinetics, and drug interactions. Develop a therapeutic plan for all patients.
4. Write progress notes on patients as required and permitted by institution policies.
5. Evaluate serum drug concentrations for all applicable medications for assigned patients.
6. Perform medication histories on all patients possible. This should be a minimum of 10 per week.
7. Complete two written medication histories weekly or equivalent activity as assigned by preceptor.
8. Document all patient care activities in the manner outlined by the Experiential Director and
additionally by the preceptor.
9. Make one oral presentation every week (5 for the practice experience) to the medical team, preceptor,
or others as assigned by the preceptor. Review cases or topics with preceptor prior to presenting.
or
Make one formal presentation during the practice experience to the medical team, preceptor,
pharmacy staff, or others. This should be a minimum of a 30-minute presentation with handouts and
visual aids.
10. Written Assignments: At the discretion of the preceptor, written assignments may be assigned to the
student. Examples of written assignments are : 1) Systematic Literature review : The paper must be a
current/drug therapy review of a common disease state, approved by the preceptor. It must include a
review of the primary literature. A bibliography and copies of referenced articles must be attached.
The paper will be graded by the preceptor .2) Newsletter article 3) Medication Use Evaluation 4) or
additional written assignments required by preceptor and/or medical team.
11. Participate in a minimum of one pharmacy conference, journal club or interdisciplinary activity.
12. Participate in discussions concerning specific patients and/or various disease states with the
instructor. Be prepared to present assigned patients in a brief manner throughout practice experience.
13. Provide requested drug information or additional pharmacokinetic consultations to medical, nursing,
and/or pharmacy staff.
14. Complete all recommended readings and quizzes as assigned during practice experience.
15. Complete any other assignments as directed.
16. Interventions. A minimum of ten (10) interventions will be completed by students during the
rotation using the appropriate method. Interventions will be graded on quality and
completeness. Students will lose 10 responsibility points for each intervention not meeting
standards.
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Competencies for Transplant Therapeutics (PHAR 5678)
Upon completion of Transplant Therapeutics Practice Experience, the pharmacy student will be able to:
1. Describe the recipient factors for successful solid organ transplantation.
2. Describe the donor factors for successful solid organ transplantation.
3. Describe the following types of graft rejection:
A. Hyperacute
B. Acute cellular
C. Chronic.
4. Recommend drug therapy to manage graft rejection.
5. Describe the following types of organ rejection:
A. Hyperacute
B. Acute
C. Cellular
D. Chronic.
6. Describe induction immunosuppressive therapy.
7. Describe maintenance immunosuppressive therapy.
8. Describe the clinical use, adverse effects, and drug interactions of the following medications:
A. Corticosteroids
B. Azathioprine
C. Mycophenolate
D. Calcineurin Inhibitors: Cyclosporine and Tacrolimus
E. Sirolimus
F. OKT3
G. Thymoglobulin
H. Interleukin 2 Receptor Antagonist (IL 2 RA)- basiliximab and daclizumab
9. Obtain a concise medication history from a patient on a transplant service.
10. Monitor a transplant patient’s drug therapy
11. Manage a transplant patient’s potential drug-nutrient, and drug-disease state interactions.
12. Recommend treatment for the following potential infectious complications associated with immunosuppressive
therapy:
A. Fungal infection
B. Bacterial infection
C. CMV
D. Other viral infections
13. Complete a pharmacokinetic consult for a patient receiving immunosuppressive therapy.
14. Discuss the complications of organ transplantation including the following:
A. Cardiovascular disease
B. Hypertension
C. Hyperlipidemia
D. Malignancy
E. Post-transplant diabetes mellitus.
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WOMEN’S HEALTH
THERAPEUTICS
(PHAR 5679)
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WOMEN’S HEALTH THERAPEUTICS (PHAR 5679)
Minimum Requirements
The requirements and responsibilities of the student during this practice experience include:
1. Attend all rounds, conferences, and meetings as assigned by the preceptor.
2. Closely follow all assigned patients and complete patient profiles on these patients. Monitor all
assigned patients utilizing approved monitoring tools.
3. Review the drug therapy of each assigned patient, including pharmacology, toxicology, monitoring
parameters pharmacokinetics, and drug interactions. Develop a therapeutic plan for all patients.
4. Write progress notes on patients as required and permitted by institution policies.
5. Evaluate serum drug concentrations for all applicable medications for assigned patients.
6. Perform medication histories on all patients possible. This should be a minimum of 10 per week.
7. Complete two written medication histories weekly or equivalent activity as assigned by preceptor.
8. Document all patient care activities in the manner outlined by the Experiential Director and
additionally by the preceptor.
9. Make one oral presentation every week (5 for the practice experience) to the medical team, preceptor,
or others as assigned by the preceptor. Review cases or topics with preceptor prior to presenting.
or
Make one formal presentation during the practice experience to the medical team, preceptor,
pharmacy staff, or others. This should be a minimum of a 30-minute presentation with handouts and
visual aids.
10. Written Assignments: At the discretion of the preceptor, written assignments may be assigned to the
student. Examples of written assignments are : 1) Systematic Literature review. The paper must be a
current/drug therapy review of a common disease state, approved by the preceptor. It must include a
review of the primary literature. A bibliography and copies of referenced articles must be attached.
The paper will be graded by the preceptor, 2) Newsletter article 3) Medication Use Evaluation 4) or
additional written assignments required by preceptor and/or medical team.
11. Participate in a minimum of one pharmacy conference, journal club or interdisciplinary activity.
12. Participate in discussions concerning specific patients and/or various disease states with the
instructor. Be prepared to present assigned patients in a brief manner throughout practice experience.
13. Provide requested drug information or additional pharmacokinetic consultations to medical, nursing,
and/or pharmacy staff.
14. Complete all recommended readings and quizzes as assigned during practice experience.
15. Complete any other assignments as directed.
16. Interventions. A minimum of ten (10) interventions will be completed by students during the
rotation using the appropriate method. Interventions will be graded on quality and
completeness. Students will lose 10 responsibility points for each intervention not meeting
standards.
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Competencies for Women’s Health Therapeutics (PHAR 5679)
Upon completion of the Women’s Health Therapeutics Practice Experience, the pharmacy student will be able to:
1. Manage the drug therapy of a patient with gestational diabetes.
2. Therapeutically manage a pregnant patient with the following conditions:
A. chronic hypertension
B. preeclampsia
C. eclampsia
D. gestational hypertension
E. preeclampsia superimposed on chronic hypertension.
3. Manage the drug therapy of an infectious disease in a pregnant patient.
4. Manage the drug therapy of a pregnant patient with a seizure disorder.
5. Describe the drug therapy used to induce labor.
6. Recommend tocolytic agents to postpone preterm delivery of infant.
7. Manage the following discomforts of pregnancy:
A. nausea and vomiting
B. hyperemesis gravidarum
C. hemorrhoids
D. constipation.
8. Discuss transplacental transfer of drugs.
9. List common drugs that are excreted in breast milk.
10. Recommend drug therapy for a patient with endometriosis.
11. Recommend drug therapy for a patient with postpartum depression.
12. Recommend drug therapy to treat infertility in a female patient.
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Section 5
Other Elective Advance Practice
Experiences
As a part of the Doctor of Pharmacy advanced practice experiences, students complete four
elective advanced practice experiences. Three of those electives must be a Clinical Specialty
Elective and the other practice experience elective may be either a clinical specialty elective or
any other elective practice experience currently available.
The requirements and competencies for the “other” elective practice experiences found in this
section.
Academic Scholarship
Clinical Pharmaceutical Research
Legal and Regulatory Affairs
Managed Care Pharmacy
Pharmacoeconomics
Pharmacy Management – Community
Pharmacy Management – Hospital
Veterinary Pharmaceutical Care
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ACADEMIC SCHOLARSHIP
(PHAR 5662)
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ACADEMIC SCHOLARSHIP (PHAR 5662)
Minimum Requirements
The requirements and responsibilities of the student during this practice experience include:
1. Partner with a faculty member with “expertise” on the selected topic(s) who will agree to be your
preceptor.
2. Write the entire curriculum for all topic(s) to be taught. The preceptor must review and approve this
material before it is provided to students. This material must be turned in to the Experiential Director
at the end of the practice experience and will receive a grade for the course paper.
3. Document all literature used as a resource in writing the class curriculum.
4. For the curriculum created, teach a minimum of 8 classroom hours. This may be in several sections
(e.g., 4 weeks of skills labs). This will meet the presentation requirement for the practice experience
and be graded accordingly.
5. Provide the preceptor with copies of all handouts and visual aids before any presentation. Approval
must be obtained from the preceptor, before using these materials in class.
6. Be present in designated classroom when scheduled.
7. Attempt to answer all questions asked by the students in the class.
8. If possible, participate in at least one meeting or conference related to the topic(s) that will be taught.
9. Perform evaluations to determine if students are learning the material.
10. Meet with the preceptor, at least once a week to discuss what will be taught in each class session.
11. Attend all meetings and/or conferences assigned by the preceptor.
12. Complete all readings recommended or assigned by preceptor.
13. Complete any other assignments as directed.
14. At the end of the practice experience, provide the preceptor and Experiential Director with a binder
containing the curriculum plan, handouts, assignments, evaluations, etc. that were used to teach the
module.
15. Provide the preceptor with a summary of student evaluations at the end of the practice experience.
16. Schedule a meeting with the preceptor at the end of the practice experience to discuss all aspects of
the practice experience.
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Competencies for Academic Scholarship (PHAR 5662)
Upon completion of Academic Scholarship Practice Experience (PHAR 5662), the pharmacy
intern will be able to:
1. Establish dates, times, and places for the class/labs, exam reviews, and tutorial sessions.
2. Discuss the advantages of the pedagogical concept of focusing on facilitating student
learning vs. teaching.
3. Develop an appropriate assessment tool to determine the baseline knowledge level of the
class on each topic presented in skills sessions.
4. Prepare a list of educational goals and learning objectives for each topic presented.
5. Develop an innovative teaching plan to teach assigned topics.
6. Prepare materials such as handouts, worksheets, overheads, Power Point, etc. that will
accommodate students’ learning processes.
7. Discuss the topic(s) in large group settings.
8. Discuss the topic(s) in small group settings.
9. Retrieve, analyze, and interpret literature regarding topic(s) to be discussed.
10. Document all literature sources used to write the module case studies.
11. Develop an evaluation form to measure the students’ knowledge of the topics presented
during the skills sessions throughout the practice experience.
12. Prepare a short presentation on any topic to be presented at one of the community wellness
events.
13. Interact appropriately with people of all knowledge-base levels.
14. Prepare topics and moderate discussions for the Scholarship of Assessment, Learning and
Teaching (SALT) meetings.
15. Evaluate the strengths and weaknesses of lectures given by various faculty members and
determine what teaching styles or tactics were productive or non-productive in terms of
students learning the material.
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CLINICAL PHARMACEUTICAL
RESEARCH
(PHAR 5672)
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CLINICAL PHARMACEUTICAL RESEARCH (PHAR 5672)
Minimum Requirements
The requirements and responsibilities of the student during this practice experience include:
1. Attend all meetings, conferences, and rounds as assigned by the preceptor.
2. Attend investigational review board meetings as permitted by the preceptor and the institution
3. Make one formal presentation to the research team, faculty or others under the supervision of the
preceptor. This should be a minimum of a 30-minute presentation and include handouts, visual aids,
and a review of research activities conducted during this practice experience. A copy of the handout
must be submitted to the Experiential Director at the completion of the practice experience.
4. Complete a minimum of one written paper during the practice experience and submit to the preceptor
one week prior to completion of the practice experience. Submit to the Experiential Director on the
last day of the practice experience. The paper must be an outline of a research protocol, design, and
sample research findings as noted in the objectives and approved by the preceptor. This will be
graded by the preceptor and reviewed by the Experiential Director. The preceptor and/or medical
team may require additional written assignments.
5. Complete all recommended readings and quizzes as assigned during practice experience.
6. Complete any other assignments as directed.
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Competencies for Clinical Pharmaceutical Research (5672)
Upon completion of the Clinical Pharmaceutical Research Practice Experience (PHAR 5672),
the student will be able to:
1. Using the printed or electronic databases of the National Library of Medicine (i.e. Index
Medicus, MEDLARS, etc.), perform a comprehensive search of the medical or pharmacy
literature to determine the body of literature that has been published on the topic of research
interest.
2. Retrieve the scientific literature concerning the topic of research interest.
3. Formulate a research hypothesis or question to be studied.
4. Retrieve, analyze, and interpret the scientific literature to determine whether the research
question has already been answered.
5. Define a Phase I clinical trial and explain its purpose.
6. Define a Phase II clinical trial and explain its purpose.
7. Define a Phase III clinical trial and explain its purpose.
8. Determine the most appropriate type of research (i.e., retrospective review, randomized
controlled trial, etc.) for a given research project.
9. Determine the intervention or study population and control groups to be used in a study.
10. Determine inclusion and exclusion criteria for a specific study.
11. Determine appropriate sample size for a study in an attempt to avoid a type II error.
12. Describe methods for randomization and blinding to minimize bias in a study.
13. Develop an informed consent form for a clinical study.
14. Explain the purpose of an Institutional Review Board (IRB) and explain the process of
obtaining IRB approval for a research project.
15. Determine data collection methods for a research project.
16. Determine appropriate statistical tests to analyze your data.
17. Determine monitoring parameters for identifying adverse effects that might be expected in a
specific clinical trial.
18. Determine tools used for assessing quality of life in a clinical study.
19. Evaluate a pharmacotherapy clinical study for appropriate research and statistical
methodology to determine the validity of results, conclusions and clinical applicability.
20. Describe methods for reporting and displaying the data and results in a clinical study.
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LEGAL AND REGULATORY
AFFAIRS
(PHAR 5664)
Currently this practice experience is individualized according to site.
Please check with the Experiential Director for specific requirements for
this practice experience.
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LEGAL AND REGULATORY AFFAIRS (PHAR 5664)
Minimum Requirements
The requirements for this practice experience are dependent upon the purpose, structure, and activities of
the organization where the student is training. The requirements of this practice experience may be
modified by the preceptor to fit the organization. As a general guideline, the requirements and
responsibilities of the student during this practice experience should include:
1. Attend all conferences, and meetings as assigned by the preceptor.
2. Make one oral presentation every week (5 for the practice experience) on a current project of the
organization to the preceptor, or others as assigned by the preceptor. Review topics with the
preceptor before presenting.
Or
Make one formal presentation during the practice experience to the organization team, preceptor,
staff, or others. This should be a minimum of a 30-minute presentation with handouts and visual aids.
3. Written Assignments: At the discretion of the preceptor, written assignments may be assigned to the
student. Examples of written assignments are : 1) Systematic Literature review. The paper must be a
current/drug therapy review of a common disease state, approved by the preceptor. It must include a
review of the primary literature. A bibliography and copies of referenced articles must be attached.
The paper will be graded by the preceptor, 2) Newsletter article 3) Medication Use Evaluation 4) or
additional written assignments required by preceptor and/or medical team.
4. Participate in a minimum of one conference or activity with the company and its constituents, clients,
or the public.
5. Participate in discussions concerning various position statements of the organization. Be prepared to
present assigned patients in a brief manner throughout practice experience.
6. Provide requested marketing, legal, regulatory, or drug information to constituents, clients or the
public, with the approval of the preceptor.
7. Complete all recommended readings and quizzes as assigned during practice experience.
8. Complete any other assignments as directed.
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Competencies for Legal and Regulatory Affairs (PHAR 5664)
1. Upon completion of Legal and Regulatory Affairs (PHAR 5664) practice experience, the
students will be able to:
2. Explain and discuss the structure of the organization.
3. Explain and discuss the policies of the organization.
4. Discuss how the organization operates.
5. Explain how policies are developed by the organization.
6. Discuss the mission statement of the organization and how the organization meets its
mission.
7. Create a mission statement.
8. Describe the regulatory process of the organization.
9. Explain the lobbying process.
10. Explain “conflict of interest” and how it applies to the organization.
11. Describe the communication process of the organization within its structure.
12. Describe the communication process of the organization with other agencies/organizations.
13. Describe the communication process of the organization with the public
14. Write an article/document discussing issues, concerns, or interests of the organization.
15. Describe “position statements” and how they affect the organization and the public.
16. Write a “position statement”.
17. Perform oral and written presentations when appropriate and required.
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MANAGED CARE PHARMACY
(PHAR 5668)
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MANAGED CARE PHARMACY (PHAR 5668)
Minimum Requirements
The requirements and responsibilities of the student during this practice experience include:
1. Attend all rounds, conferences, and meetings as assigned by the preceptor.
2. Closely follow all assigned patients and complete patient profiles on these patients. Monitor all
assigned patients utilizing approved monitoring tools.
3. Review the drug therapy of each assigned patient, including pharmacology, toxicology, monitoring
parameters pharmacokinetics, and drug interactions. Develop a therapeutic plan for all patients.
4. Write progress notes or intervention notes on patients as required and permitted by institution
policies.
5. Evaluate serum drug concentrations for all applicable medications for assigned patients.
6. Perform medication histories on all patients possible. This should be a minimum of 10 per week.
7. Document all patient care interventions and other activities in the manner outlined by the Experiential
Director and additionally by the preceptor.
8. Make one oral presentation every week (5 for the practice experience) to the medical team, preceptor,
or others as assigned by the preceptor. Review cases or topics with preceptor prior to presenting.
Or
9. Make one formal presentation during the practice experience to the medical team, preceptor,
pharmacy staff, or others. This should be a minimum of a 30-minute presentation with handouts and
visual aids.
10. Written Assignments: At the discretion of the preceptor, written assignments may be assigned to the
student. Examples of written assignments are : 1) Systematic Literature review. The paper must be a
current/drug therapy review of a common disease state, approved by the preceptor. It must include a
review of the primary literature. A bibliography and copies of referenced articles must be attached.
The paper will be graded by the preceptor, 2) Newsletter article 3) Medication Use Evaluation 4) or
additional written assignments required by preceptor and/or medical team.
11. Participate in a minimum of one pharmacy conference, journal club or interdisciplinary activity.
12. Participate in discussions concerning specific patients and/or various disease states with the
instructor. Be prepared to present assigned patients in a brief manner throughout practice experience.
13. Provide requested drug information or additional pharmacokinetic consultations to medical, nursing,
and/or pharmacy staff.
14. Complete all recommended readings and quizzes as assigned during practice experience.
15. Complete any other assignments as directed.
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Competencies for Managed Care (PHAR 5668)
1. Upon completion of Managed Care Practice Experience (PHAR 5668), the students will be
able to:
2. Explain and discuss the structure of the organization.
3. Explain and discuss the policies of the organization.
4. Discuss how the company operates.
5. Describe the overall prescription process of the company (from work distribution to pack
out).
6. Demonstrate knowledge and use of all standard operation procedures and guidelines in
dispensing.
7. Discuss medication use systems and managed care issues.
8. Resolve drug therapy questions with other health professionals via telephone, facsimile, or
email.
9. Identify, evaluate, and monitor drug therapy problems related to prescriptions submitted by
patients.
10. Analyze and resolve problems using sound professional judgment.
11. Discuss health care cost-decreasing intervention programs.
12. Identify and evaluate specific drug therapy intervention programs to insure clinically
appropriate therapy.
13. Discuss the cost impact of drug therapies to medical/drug benefit health care plans and to
patients.
14. Communicate with patients, caregivers, and heath-care professionals regarding prescription
and non-prescription products, devices, and diagnostics.
15. Present drug information in a manner that promotes rational drug therapy.
16. Discuss customer relations/customer service of the company and create a model for good
relations.
17. Intervene when side effects and toxicities are identified.
18. Provide accurate, complete, and concise drug information or therapeutic consultations to
other health care providers and/or staff of the company.
19. Provide oral and written presentations when appropriate and/or required.
20. Calculate appropriate quantities for days supply per benefit plan guidelines based on usage.
21. Discuss how each department impacts other departments within the company.
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PHARMACOECONOMICS
(PHAR 5661)
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PHARMACOECONOMICS (PHAR 5661)
Minimum Requirements
The requirements and responsibilities for the student during this practice experience include:
1. Attend all rounds, conferences, and meetings assigned by the preceptor.
2. Complete all readings recommended or assigned by the preceptor.
3. Be prepared to discuss specific topics, materials, and questions when requested or assigned.
4. Complete written assignments as assigned by the preceptor.
5. Provide written and/or oral drug information as requested and assigned.
6. Evaluate a pharmacoeconomic study.
7. Complete and present oral presentations as assigned by the preceptor.
8. Perform a pharmacoeconomic analysis of a drug(s).
9. Actively participate in discussions concerning specific drugs, pharmacoeconomic principles
and methodologies.
10. Complete any other assignments as directed.
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Competencies for Pharmacoeconomics (PHAR 5661)
1. Upon completion of Pharmacoeconomics (PHAR 5661), the students will be able to:
2. Describe the current structure of health care in the United States.
3. Discuss the changes expected for the future of health care in the United States.
4. Describe pharmaoeconomic methodologies:
A.
B.
C.
D.
Cost-benefit
Cost-effectiveness
Cost-minimimization
Cost-utility
5. Develop a decision tree.
6. Describe severity classifications used in comparing outcomes of patients.
7. Develop measurable patient outcomes to determine the benefits of a clinical service.
8. Define the traditional endpoints of clinical trials.
9. Discuss shifting outcomes and why occurring: Impact on disease vs. Impact on health.
10. Give examples of, define and describe the outcome measurements for:
A. Clinical outcomes
B. Economic outcomes
C. Humanistic outcomes
11. Discuss a pharmacoeconomic study from the perspectives to different parties:
A.
B.
C.
D.
Patient
Provider
Payer
Society
12. Define epidemiological and statistical terms used in Pharmacoeconomics:
A.
B.
C.
D.
Incidence
Prevalence
Odds ratio
Relative risk
13. Determine which of two drugs should be placed on a formulary based on a
pharmacoeconomic analysis.
14. Using The Medical Outcomes Study SF-36, compare Quality of Life for patients receiving
different treatments in a clinical trial.
15. Discuss the limitations of multivariate analysis use in evaluating outcomes.
16. Evaluate a pharmacoeconomic study.
17. Design a pharmacoeconomic study
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PHARMACY MANAGEMENT –
COMMUNITY
And
PHARMACY MANAGEMENT –
HOSPITAL
(PHAR 5663)
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PHARMACY MANAGEMENT (PHAR 5663)
Minimum Requirements:
experience include:
Requirements and responsibilities of the student during this practice
1. Attend all conferences and meetings as assigned by the preceptor.
2. Prepare a budget for the organization or a component of the organization.
3. Write a graphical description of the workflow of the pharmacy, and suggest improvements.
4. Identify failures or gaps in the organizations provision of patient care services that assure medications
are working and not causing adverse effects, and prepare a proposal for correcting these deficiencies.
5. Develop a plan for the pharmacy to use to implement patient monitoring of drug therapy.
6. Describe the organization’s commitment to counseling all patients, and suggest methods for assuring
that efficient counseling is provided to all patients.
7. Write a policy or procedure for the pharmacy.
8. Prepare a weekly or monthly schedule for employee staffing.
9. Describe the procurement and inventory methods of the organization, and participate in the inventory
and ordering of products.
10. For Hospital Pharmacy, determine the method for choosing formulary items; for Community
Pharmacy, describe the method for choosing which generics are used.
11. Write a description of the pricing structure of the organization.
12. Write a description of the organization’s method of handling patient complaints and complaints from
different organizational units.
13. Write a report describing the organization’s methods for identifying, correcting, and reporting
medication errors and adverse reactions.
14. Write a description of the continuous quality improvement plan for the organization.
15. Write a description of the organization’s efforts in supporting continuous professional development
plans of its employees.
16. Write a description of the step-wise methods used for a product recall.
17. Make one oral presentation every week (5 for the practice experience) to the preceptor or others as
assigned by the preceptor. Review cases or topics with the preceptor prior to presenting.
18. Participate in a conference or committee meeting with members from other organizational units.
19. In a brief manner, throughout the practice experience, be prepared to analyze and discuss various
business topics related to the management of the organization
20. Complete recommended readings and quizzes as assigned during practice experience.
21. Complete any other assignments as directed.
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Competencies for Pharmacy Management (PHAR 5663) – Community
1. Upon completion of Pharmacy Management (PHAR 5663), the students will be able to:
2. Describe the qualities desired when hiring employees.
3. Describe the pharmacy’s process for assuring equal opportunity employment, lack of
discrimination, and an appropriate work environment.
4. Discuss the hiring process for pharmacy personnel.
5. Discuss company benefits offered by the pharmacy employer.
6. Prepare a complete monthly schedule for all pharmacists and support staff.
7. Discuss “loss leader” products and how they affect pharmacy profit.
8. Design a good “work flow” system for a pharmacy and its staff.
9. Perform a control substance inventory and describe when one is required by TSBP.
10. Perform a physical inventory.
11. Determine and maintain inventory controls for the ordering process.
12. Describe the management philosophy of the pharmacy.
13. Recognize areas where “loss” can occur and develop ways to eliminate “loss”.
14. Interpret an operating statement.
15. Describe the “returns” procedures for drugs and merchandise to company warehouse, jobber,
expired processing centers, etc.
16. Discuss customer relations/customer service and create a model for good relations.
17. Discuss general pharmacy operations.
18. Describe profit margins.
19. Describe third party payers, their criteria for payment, and impact of their “rejects”.
20. Handle “Conflict Management/Resolution” i.e. between staff, patients, etc.
21. Describe procedures for due process, discipline, and dismissal of an employee.
22. Maintain pharmacy records in accordance with TSBP rules.
23. Describe the requirements and responsibilities for the Pharmacist in Charge (PIC).
24. Define “Continuous quality improvement.”
25. Describe the systems the pharmacy uses to prevent, identify, and correct medication errors.
26. Understand laws and rules regarding the ordering, receiving, and handling of CII drugs.
27. Describe the pharmacy’s policies, procedures, and practices concerning patient counseling
and monitoring of patient response to therapy and avoidance of adverse reactions.
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Competencies for Pharmacy Management (PHAR 5663) – Hospital
1. Upon completion of Pharmacy Management (PHAR 5663), the students will be able to:
2. Describe the qualities desired when hiring employees.
3. Describe the pharmacy’s process for assuring equal opportunity employment, lack of
discrimination, and an appropriate work environment.
4. Discuss the hiring process for pharmacy personnel.
5. Describe the management philosophy of the pharmacy.
6. Prepare a complete monthly schedule for all pharmacists and support staff.
7. Describe the drug-distribution system(s) for the pharmacy.
8. Discuss the advantages and disadvantages of a decentralized vs. centralized pharmacy.
9. Describe the integration on distributive and clinical responsibilities in the pharmaceutical
care provided by the hospital’s pharmacists.
10. Describe the automation systems used by the pharmacy.
11. Perform a control substance inventory and describe when one is required by TSBP.
12. Perform a physical inventory.
13. Determine and maintain inventory controls for the ordering process.
14. Recognize areas where “loss” can occur and develop ways to eliminate “loss”.
15. Describe the preparation of an annual budget for the pharmacy.
16. Describe the “returns” procedures for expired drugs.
17. Write a policy for the policy and procedures manual.
18. Discuss customer relations/customer service and create a model for good relations.
19. Develop and Implement a clinical service for the pharmacy.
20. Develop and complete a drug use evaluation (DUE).
21. Handle “Conflict Management/Resolution” i.e. between staff, physicians, patients, etc.
22. Describe procedures for due process, discipline, and dismissal of an employee.
23. Maintain pharmacy records in accordance with TSBP rules.
24. Describe the requirements and responsibilities for the Pharmacist in Charge (PIC).
25. Define “Continuous quality improvement (CQI).”
26. Develop and implement a CQI study to assess a pharmacy service.
27. Describe the systems the pharmacy uses to prevent, identify, and correct medication errors.
28. Understand laws and rules regarding the ordering, receiving, and handling of CII drugs.
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VETERINARY PHARMACEUTICAL
CARE
PHAR (5673)
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VETERINARY PHARMCEUTICAL CARE (PHAR 5673)
Minimum Requirements
The requirement and responsibilities of the student during this practice experience include:
1. Attend all rounds, conferences, and meetings as assigned by the preceptor.
2. Closely follow all assigned animal patients and complete patient profiles on these patients. Monitor
all assigned patients utilizing approved monitoring tools.
3. Review the drug therapy of each assigned animal patient, including pharmacology, toxicology,
monitoring parameters pharmacokinetics, and drug interactions. Develop a therapeutic plan for all
animal patients.
4. Write progress notes on animal patients as required and permitted by institution policies.
5. Evaluate serum drug concentrations for all applicable medications for assigned animal patients.
6. Document all animal patient care activities in the manner outlined by the Experiential Director and
additionally by the preceptor.
7. Make one oral presentation every week (5 for the practice experience) to the veterinary team,
preceptor, or others as assigned by the preceptor. Review cases or topics with preceptor prior to
presenting.
or
Make one formal presentation during the practice experience to the medical team, preceptor,
pharmacy staff, or others. This should be a minimum of a 30-minute presentation with handouts and
visual aids.
8. Written Assignments: At the discretion of the preceptor, written assignments may be assigned to the
student. Examples of written assignments are : 1) Systematic Literature review. The paper must be a
current/drug therapy review of a common disease state, approved by the preceptor. It must include a
review of the primary literature. A bibliography and copies of referenced articles must be attached.
The paper will be graded by the preceptor, 2) Newsletter article 3) Medication Use Evaluation 4) or
additional written assignments required by preceptor and/or medical team.
9. Participate in a minimum of one journal club or interdisciplinary activity.
10. Participate in discussions concerning specific animal patients and/or various disease states with the
instructor. Be prepared to present assigned animal patients in a brief manner throughout practice
experience.
11. Provide requested drug information or additional pharmacokinetic consultations.
12. Complete all recommended readings and quizzes as assigned during practice experience.
13. Complete any other assignments as directed.
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Competencies for Veterinary Pharmaceutical Care (PHAR 5673)
1. Upon completion of Veterinary Pharmaceutical Care (PHAR 5673), the students will be able
to:
2. Demonstrate the ability to gather appropriate information from the animal owner, animal,
laboratory, veterinarian, other health care team members, consultants, and other sources to
make appropriate drug therapy decisions for veterinarian patients.
3. Develop a therapeutic plan for a veterinary patient.
4. Develop unique dosage forms for medication administration in the veterinary patient.
5. Determine goals and endpoints of therapy for a veterinary patient.
6. Select and initiate therapy for a veterinary patient.
7. Demonstrate the proper technique for medication administration to a specific animal.
8. Develop monitoring parameters to determine effectiveness of treatment and absence of
adverse effects in a veterinary patient.
9. Perform physical assessment to monitor therapy in the veterinary patient.
10. Obtain laboratory specimens and evaluate results to monitor the veterinary patient.
11. Identify and describe adverse effects and toxicities of medications in the veterinarian patient.
12. Analyze and resolve problems with medications when they occur in the veterinary patient.
13. Recommend appropriate interventions for adverse effects and toxicities occurring in the
veterinarian patient.
14. Integrate pharmaceutical care through activities, monitoring, presentations and discussions as
they pertain to veterinarian patients.
15. Identify the symptoms and diagnostic criteria for the most common veterinary disease states.
16. Integrate pharmacotherapy with the pathophsiology of the diseases that are managed by the
veterinary team.
17. Participate actively and effectively with the veterinarian health team.
18. Use pharmacokinetic principles in developing dosing regimens for veterinary patients.
19. Develop a drug therapy plan for disease states in the veterinarian patient.
20. Evaluate serum drug concentration on all applicable medication for animals being treated.
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