Clerkships*..Who, What, When, Where, Why, and How?

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Rotations…..A Look Ahead into the
Who, What, When, Where, and How.
Distance-Based Rotations:
Maryann Skrabal, Pharm.D.,CDE
Assistant Director, Office of
Experiential Education
mskrabal@creighton.edu
Kathy Widman
Coordinator, Office of Experiential
Education
kwidman@creighton.edu
Campus-Based Rotations:
Rhonda Jones, Pharm.D.
Director, Office of Experiential
Education
rjones@creighton.edu
Pat Lyons
Coordinator, Office of Experiential
Education
plyons@creighton.edu
Introductory Practice Experience:
Rhonda Jones, Pharm.D.
Director, Office of Experiential Education
rjones@creighton.edu
Kelli Coover, Pharm.D.
Assistant Professor of Pharmacy Practice
kellicoover@creighton.edu
Contracts/Site Requirements:
Kathy Stuhr
Administrative Assistant
kstuhr@creighton.edu
Who? What? When?

Who?
– Fourth year pharmacy students (P-4’s) complete
rotations.
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What?
– 8 five-week experiential rotations at various
pharmacy practice sites with approved
pharmacist preceptors are required in the
curriculum.
• 5 ‘required’ and 3 electives
• Exact dates for each experience will be discussed
in July, 2012.
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When?
– You will start in June of 2013 and finish in April
of 2014 before graduating in May of 2014.
Where?
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Campus-based students must complete at least 4 rotations
in the Omaha/Lincoln/Blair area.
Distance pathway students may complete all rotations outof-town if quality sites are available.
– We cannot guarantee that quality sites are available to meet the
objectives for all 8 rotations.
– Some students choose to come back to Omaha for difficult-toobtain rotations.
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We have a database of sites that includes local faculty and
preceptors as well as preceptors across the country.
BUT, the distance sites in our database may or may not be
able to take students from year to year, so it is typically a
good idea to get out and network.
You are welcome (and encouraged) to try to set up ‘new
sites’ that we don’t have in the database.
– You will be required to submit them to our office for approval in the
fall of 2012 and our office will review them for quality, and contact
the site(s) to try to officially schedule for the year.
How?

We will discuss this in more detail next summer during
orientation prior to your P3 year.
– You will need to identify sites in your region/area, submit
them to our office for approval next fall, and our office
will review them and officially set up the schedule and
plan for the year.
– We complete most of the calling starting in early
January through the spring and into the rotation
year.
– Local distance pathway students will rank your top
choices for local sites you are interested in and a lottery
system (called optimization in E-Value) randomly assigns
the students to the sites based on availability and rank.
How? (continued)

We recommend that you start networking
in your community/region to find out what
sites might be potential quality rotation
sites for you:
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Mentors*
Area pharmacists
Local organizations
Local, state, regional meetings
University or large hospital systems
What are the required rotations?
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Community (retail environment)
Hospital (distribution: inpatient IV’s,
dispensing, etc)
 Acute Care (internal medicine, adult
medicine, ‘clinical’ inpatient)
 Ambulatory Care (outpatient clinics)
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Drug Information (DI centers, drug
companies)
What are elective rotations?
Examples include:
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Academic
Advanced Community
AIDS
Cardiology
Community Compounding
Community Management
Community Outreach
Critical Care
Home Health Care
Hospital Management
ILAC
Industry
Infectious Disease
Informatics
International
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Long-Term Care (nursing
homes)
Nuclear Medicine
Nutrition, Clinical
Oncology
Pediatrics
DUR/Managed Care
Pharmacoeconomics
Pharmacokinetics
Pharmacy Organization
Management
Poison Center
Psychiatry
Public Health
Research
Veterinary
Another ‘required’ as an
elective at another site
How do I decide what elective
rotations to complete?

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Base them on your career goals and
the type of experience the rotation
will provide for you.
Take advantage of this opportunity to
learn more about pharmacy practice
in various settings - you will never
get this opportunity again!
What are some questions I should
ask the site?
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What pharmacy services do they
routinely provide to customers/patients?
Have they taken pharmacy students for a
rotation experience before?
If yes, when and how many? Was it a
good experience?
What schools/colleges of pharmacy send
students to them on a regular basis?
What are some more questions I
should ask the site?
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What activities would the student be
involved with?
When can they take students? What
limits/conditions/constraints do they
have concerning taking students?
Are they willing to take you as a student?
(Do they want to educate pharmacy
students?)
Some rules to think about:
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The student is responsible for
transportation to all sites, including outof-town sites.
The student is responsible for housing
during all rotations, including out-of-town
rotations. Alumni may be able to help!
Per ACPE guidelines and standards,
student cannot be reimbursed,
compensated for or receive a stipend for
rotations.
…some other rules to think about:
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Concurrent full-time employment during
rotations is strongly discouraged and will
not be the basis for excusing the student
from any of their rotation experiences or
altering their rotation schedule and
assignments.
Students are not allowed to do rotations
where they are currently working (unless
in a different area of the same institution).
Students cannot do rotations anywhere a
conflict of interest may exist between the
student and the site or the preceptor.
Internship Licenses
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Students are responsible for
obtaining internship licenses or
permits in each state they will
complete rotations in.
– Web site for local boards of pharmacy:
www.nabp.net
In summary, what should you be
doing now?
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If you want to set up new rotation sites, start
networking early to seek out these sites.
Network with pharmacists in areas you have friends
and relatives living who may be able to assist with
housing.
Let me know if you plan to utilize the Omaha area
sites so that we can plan ahead for local rotation load.
If you have a job, be sure to let them know you may
not be able to work the same hours during your
rotation year and make financial plans about how to
handle that now.
If you have childcare issues, be sure to make plans
for full-time care during your rotation year.
Tentative Timeline….
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July, 2012: Orientation for
rotation selection and group
meetings
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November, 2012: Rotation
preference submission
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Spring, 2013: Final schedule
posted
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June, 2013-April, 2014:
Rotations
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May, 2014: Graduation!!
How do I know what sites are in
my area?
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Rotation website:
– http://spahp.creighton.edu/experiential
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E-Value:
– Link is on experiential website or
https://www.e-value.net
• If you do not remember your log-in
information, click on Forgot Password? on
the opening page and it will be emailed to
you.
What questions do you have?

Please don’t hesitate to email any of us
in the experiential office with questions
that you have.

Dr. Skrabal
– mskrabal@creighton.edu

Kathy Widman
– kwidman@creighton.edu
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