Course Syllabus
P
RECEPTOR
& S
ITE
I
NFORMATION (Preceptor, please complete this information)
Preceptor Name include credentials: __________________________________________________________________
Site Name: ________________________________________________________________________________________
Street Address: ____________________________________________________________________________________
City/State/Zip: ____________________________________________________________________________________
Telephone: _________________________________________ Fax: _______________________________________
Preferred Email: __________________________________________________________________________________
C OURSE D ESCRIPTION :
Non-Patient care elective experiences give the student the opportunity to gain insight and knowledge in the areas of pharmacy management, association management, law, research or other academic pursuits. While each elective rotation possesses a variety of characteristics, students are expected to demonstrate an understanding of the practice functions required and the professional contribution provided by the environment.
•
C
OURSE
M
EETING
T
IMES
: This course is scheduled to meet for a calendar month with a minimum of 160 hours spent on activities directly related to the objectives identified below. The preceptor has the authority to determine specific meeting time parameters within the aforementioned schedule. See the PCSP Bulletin (p.70) for the Experiential Policy for Attendance and
Absence.
Hours: State hours the student is to be on site, including situations where student may need to stay after hours. Specify lunch
& departure times. Time at lunch does not count toward hours spent at site.
Daily Schedule/Assignment Calendar: Provide daily schedule indicating when different activities or breaks may take place. Include time to meet with the student to discuss the student’s performance and make recommendations for improvement. Attach a weekly calendar.
Pre-Arrival Instructions & Logistics for Students:
Describe or outline specific department or site requirements. For example, “HIPPA training to be conducted by district office or PIC on Day 1 of rotations.” List information such as directions to facility, parking instructions, and other site requirements. Provide information (links or attached reading material) about any topics that the student should review prior to the start of the rotation.
N
ON
-P
ATIENT
F
OCUS
APPE G
OALS
& O
BJECTIVES
: The following are guidelines regarding activities in which students should gain experience or at least exposure during the rotation. These goals and objectives and the suggested time to spend on particular tasks may be adjusted according to the student's previous experience, the preceptor's expertise, and the unique characteristics of the rotation site. During the experience, the student will:
PHRM 85XX, Non-Patient Focus (Elective) APPE Syllabus (Revised 04-04-14)Page 1

1.
Appreciate the role of a pharmacist in providing pharmaceutical services in the _____________ setting.
2.
Ensure the safe and effective use of prescription and non-prescription medications to achieve positive patient outcomes.
3.
Demonstrate appropriate and effective written, verbal, and non-verbal communication skills in all interactions with administrators, patients, and other healthcare professionals.
4.
Effectively interact and communicate with patients and/or patient advocates to gather pertinent information to determine appropriateness of medications and to create pharmaceutical care plans that includes monitoring of medications and disease states and appropriate follow-up.
5.
Appropriately and accurately document all pharmacy-related activities in the manner specified by the practice setting and preceptor.
6.
Use drug information and literature review skills to provide disease-specific and general drug information.
7.
Demonstrate an understanding of the present status and future potential of the pharmacist in a non-patient or patient focused care setting.
8.
Demonstrate professional behavior in all interactions with healthcare providers, patients, other students and preceptors.
9.
Conduct a patient/client interview.
10.
Identify non-adherence and initiate strategies to correct the patient behavior.
11.
Review the medication record to gather drug therapy information including pertinent patient factors, social history, medication history, disease states, concurrent therapies, and response to prior therapies.
12.
Assimilate pertinent information to create individualized drug regimens based on the purpose of the medication(s), concurrent diseases and drug therapies, pharmacokinetic parameters of the drugs, cost-effectiveness, and the patient's clinical condition.
13.
Determine appropriate monitoring parameters and therapeutic endpoints and prospectively monitor drug therapy for the safe and efficacious use of the prescribed medications.
14.
Interpret patient-specific laboratory data accurately.
15.
Manage a patient’s drug therapy by advising health care providers in the design of a rational pharmacological or nonpharmacological treatment plan, using established therapeutic protocols, and/or initiating or adjusting drug therapy under the supervision of the preceptor or healthcare provider.
16.
Provide cost-effective, affordable recommendations for medication regimens to healthcare providers and patients.
17.
Describe the application and the use of medical devices to assist in the management and monitoring of chronic disease states.
18.
Educate the general public, and health care providers in the proper use of medications and drug delivery systems.
19.
Identify ethical dilemmas and develop an appropriate plan to manage the dilemma.
20.
Relate and demonstrate the value of pharmacy care to administrators and to health-care providers.
21.
Participate in disease state management programs.
22.
Develop an appreciation for all pharmacy related services, including but not limited to physical accommodations required for optimal patient care, appropriate use of pharmacy and medical reference sources, role of computers for administrative and patient care activities, professional and supportive personnel required to deliver optimal patient care, interrelationships between pharmacists and other health care services and providers, and the necessity for efficiency in patient care operations.
N ON -P ATIENT F OCUS APPE C OMPETENCIES : Experiential activities are matched to the PC 12 Competencies, which are based on the ACPE competencies. Using the aforementioned objectives as a guide, consider student activities applicable to your practice setting; then to standardize student achievement for your experience, use specific metrics when assessing competence.
PC 12 COMPETENCIES:
1.
Communication
2.
Evidence-based Decisions in the Practice of Pharmacy
3.
Problem Prevention and Solving
4.
Dispensing of Pharmaceuticals
5.
Providing Pharmaceutical Care to Individual Patients
6.
Providing Pharmaceutical Care to Patient Populations
7.
Inter-professional Interaction and Teamwork
8.
Ethical and Legal Judgment
9.
Personal and Professional Growth
10.
Management Skills
11.
Advancement of Pharmacy and Health Care
12.
Promotion of Health and Public Welfare
PHRM 85XX, Non-Patient Focus (Elective) APPE Syllabus (Revised 04-04-14)Page 2


Learning Objective
Observe and participate in the role of a pharmacist in providing patient-centered care in the rotation setting.

Demonstrate an understanding of the present status and future potential of the pharmacist in the rotation setting.
Activities/Assignments

Shadow healthcare professional preceptor

Describe the medication dispensing process including drug inventory control, third party billing, and problem solving

Discuss pharmacy work-flow and how this meets patient and industry needs

Assist with the medication check process

Take verbal prescription orders or transfers

Resolve third-party issues

Act as an important member of the pharmacy team

Discuss reimbursement models of pharmacy services

Discuss role of pharmacist as recognized by national laws and
Medicare Part D regulations

Participate in pharmacy organization activates as available
(SCPhA, Board of Pharmacy, and State House meetings)
PCSP Competency

Personal and
 professional growth

Dispensing

Management skills
Pharmaceutical care to an individual

Problem solving

Personal and professional growth

Advancement of pharmacy and health care

Pharmaceutical care to patient populations

Ethical and legal

Communication

Pharmaceutical care to individuals

Effectively interact and communicate with patients to gather pertinent information.

Analyze, and assess patient information to identify and correct medication or nonmedication related problems.

Systematically reviewing a patient’s medication regimen to assess for medicationrelated problems, provide a personal medication record, medication-related action plan, and appropriately document all encounters.

Ensure the safe and effective use of prescription and nonprescription medications to achieve positive patient outcomes through use of drug information resources and implementation of monitoring and follow-up plans.

For a minimum of 5 patient encounters, collect:

Drug allergies and reactions

Medications (Rx and OTC)

Medical history, diagnoses

Potential side effects to medication

Medication adherence

Lifestyle behaviors

Using collected information, create an individualized pharmaceutical care plan that includes monitoring of medications, side effects and disease states with appropriate follow-up.
 Use the site computer system to review patient’s medication history and track compliance

Conduct at least 5 complete medication reviews including: o Patient personal medication records o Medication-related action plan o
Medication related problems, o Communication with prescriber as necessary o Document the encounters

Document all follow-up information appropriately

Conduct a minimum of 8 patient counseling interactions involving prescription medications

Conduct a minimum of 8 patient counseling interactions involving over-the-counter products while determining if self-care is appropriate for the patient

Assess medication compliance with every patient. Discuss with patients as appropriate.

Communicate problems and recommendations to patients and providers

Educate patients or groups of patients on disease state management through presentations or handouts

Monitor and appropriately follow-up with patients in response to drug therapy and disease state problems or changes

Formulate an evidence-based medication or non-medication, health improvement, and/or disease prevention treatment and monitoring plan.

Problem solving

Pharmaceutical care to an individual

Teamwork and collaboration

Communication

Evidence based medicine

Problem solving

Teamwork and collaboration

Communication

Evidence based decisions

Problem solving

Pharmaceutical care to an individual

Teamwork and collaboration
PHRM 85XX, Non-Patient Focus (Elective) APPE Syllabus (Revised 04-04-14)Page 3



Learning Objective
Perform systematic literature searches, analyze information and appropriately apply this information in order to make evidence-based medicine supported decisions for patient care.
Demonstrate appropriate and effective written and oral communication skills in all encounters with patients and other healthcare professionals.

Exercise understanding and follow all pharmacy practice laws related to the practice setting.

Demonstrate mature and professional attitudes, habits, values and behaviors.
Activities/Assignments

Document a minimum of 2 drug information requests

Effectively communicate evidence-based medicine findings with healthcare professionals in regards to appropriate patient treatment

Review clinical guidelines of observed disease conditions as a form of discussion with preceptor and to ensure proper patient care

Participate in a journal club presentation

Apply information found in resources to specific patients and determine the safety and support of particular medication use or dosage

Communicate with physicians related to: o Questions regarding prescribed medications to be dispense o Drug therapy changes o Request for laboratory data

Communicate with patients on an appropriate level to ensure understanding

Communicate with the healthcare team to maintain proper workflow

Discuss pharmacy practice laws, particularly controlled substance laws, and the ethical requirement to report suspected medication abuse

Observe all HIPAA related laws dealing with patient privacy

Identify ethical dilemmas and develop an appropriate plan to manage the dilemma

Arrive on time

Complete all assignments on time

Dress professionally including business attire, closed-toed shoes, and white coat with name badge

Demonstrate good judgment, initiative, responsibility, and maturity

Use language appropriate for professional patient communication

Incorporate preceptor feedback into future behavior

Act in the manner of a professional practicing pharmacist

Comply with all state and pharmacy laws
PCSP Competency

Evidence-based
 decisions

Communication

Problem-solving
Providing pharmaceutical care to individuals

Teamwork and collaboration

Communication

Pharmacy care to an individual

Teamwork and collaboration

Ethical and legal

Personal and
Professional Growth

Management skills
A SSESSMENT M ETHODS : Students will be graded according to the PCSP APPE evaluation, placing emphasis on professionalism and performance while on rotation. Student projects and assignments will also factor into the final grade. To earn a passing grade in the course, students must conduct themselves in a professional manner, maintain confidentiality of course materials, and meet all deadlines for assignments. An exemplary student should demonstrate motivation, independence, and initiative to complete tasks.
(OPTIONAL) Objective evaluations may include, but are not limited to:
1.
2.
3.
Communication Evaluation Form
Presentation Evaluation Form
Drug Information Request Form
The optional objective evaluation forms identified above are available to preceptors who choose to utilize them. The subjective assessment shall include the competencies as determined by the Office of Experiential Education at Presbyterian College School of
Pharmacy.
Students will receive a letter grade as determined in the final evaluation. To satisfactorily complete the non-patient focus APPE, students must receive a grade of C or higher, complete the competency checklist, and upload the requested materials in their online portfolio (My Folio).
PHRM 85XX, Non-Patient Focus (Elective) APPE Syllabus (Revised 04-04-14)Page 4

Grading Scale: 93 - 100%
90- 92%
87 - 89%
83 - 86%
80 - 82%
A
A-
B+
B
B-
77- 79%
70- 76%
60- 69%
<60% F
C+
C
D
(Grading scale approved by PCSP faculty)
L EVEL OF S TUDENT R ESPONSIBILITY : The student on a non-patient focus APPE is expected to have face-to-face interaction with other healthcare professionals and/or patients under the direct supervision of a pharmacist or a healthcare provider. The student is expected to interact in a professional manner with other healthcare professionals and patients.
T YPE OF S ETTING FOR THE APPE: A non-patient focus APPE shall occur in any setting that has an overall mission which focuses on improving patient health outcomes and has as part of their treatment strategy the usage of legend and non-legend medications and devices, or the application of various intervention, treatment, or prevention measures.
S
TUDENT
P
ROFESSIONALISM
& C
ODE OF
C
ONDUCT
: Dress is business casual including white coats, name badges, and close-toed shoes. A professional demeanor must be maintained at all times including but not limited to observing patient privacy and following all state and pharmacy-related laws. In addition, a student pharmacist on an APPE is expected to follow the rules, policies, and procedures pertaining to the honor code and professional standard at Presbyterian College School of Pharmacy. Any violation of the honor code (e.g., cheating, plagiarism, falsification, withholding information, tampering with records, etc.) or the professional standards (e.g., unprofessional behavior, including tardiness, absences, behavior, appearance, etc.) will be reported immediately upon discovery and will be dealt with per Presbyterian College School of Pharmacy policy and procedure. See Student Bulletin for full details of this policy.
S
PECIAL
A
CCOMMODATIONS
: Any student pharmacist on an non-patient focus APPE who has a disability that may prevent him/her from fully demonstrating his/her abilities should inform the preceptor personally as soon as possible to discuss accommodations necessary to ensure full participation and facilitate his/her educational opportunities.
S TUDENT R ESPONSIBILITIES D URING THE E XPERIENCE : Please detail specific competency-based student activities as needed. Apply, edit, delete, and/or replace those examples listed below as you deem appropriate, being sure to offer specific direction/instruction to the student.
All assignments should be completed on time. Activities and presentations may include but are not limited to

Journal club

New drug presentation

Drug comparison charts or tables

Topic discussion

Patient case presentations

Teaching a diabetes education class

Pharmacy team in-service

Development and/or implementation of a pharmacy service

Plan and promote a health screening
PHRM 85XX, Non-Patient Focus (Elective) APPE Syllabus (Revised 04-04-14)Page 5