Sample Site and Rotation Descriptions
Site Descriptions:
Example 1
Pharmacy A
Pharmacy A is an organization centered around the only community hospital in Small Town,
Florida. Pharmacy A is a 353-bed, full-service medical and surgical acute care center serving 14
counties and offering comprehensive cardiovascular care, oncology, orthopedics,
neurosciences, minimally-invasive laparoscopic and robotic surgery, weight loss surgery and
treatment, women's health and wound therapy, among other services. A proven leader,
Pharmacy A has the following healthcare and quality distinctions:
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Certified as a Primary Stroke Center
Quality Top Performer by the Joint Commission in 2010 and 2011
Accredited Chest Pain Center
Designated as a Blue Distinction ™ Center for Knee and Hip Replacement, Spine Surgery,
and Bariatric Surgery
Recognized by U.S.News & World Report for its High-Performing Gynecology Program in
2010
Department of Pharmacy Services
The Department of Pharmacy Services serves the inpatients of Pharmacy A from the main
pharmacy as well as pharmacy satellites throughout the hospital. The decentralized practice
provides increased opportunity for pharmacist collaboration with physicians, nurses and
patients to optimize medication therapy. Our pharmacists are respected members of the
healthcare team and work closely with caregivers throughout the organization.
The following rotations are available in the inpatient setting:
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Advanced Hospital Practice
Adult Medicine
Medication Safety
Infectious Diseases
Administration
Informatics
Pediatrics
Critical Care
Mission
The mission of the Department of Pharmacy is to provide the highest quality pharmaceutical
care through excellence in clinical services and collaborative practices with all members of the
healthcare team. Our pharmacists are respected members of the healthcare team and work
synergistically with caregivers and patients. We continually strive to improve patient care and
operational efficiencies by the application of the most innovative technologies. Guided by
relentless focus, we achieve greatness in the promotion of safe and effective medication use.
Pharmaceutical care is our business; positive outcomes are the results.
Vision
The Department of Pharmacy's vision is to create an environment where staff can establish
itself as a source of pride by advancing the health and well-being of the community members it
serves.
Attestation Request Instructions for Gainesville and All other Regions Rotation Sites
1. 30 days prior to start of each rotation, students will contact site preceptor to verify clerkship
requirements. If no clerkship requirements are necessary, do nothing else.
2. If there are clerkship requirements, student will contact (within 21 days of rotation's start)
John Doe, Program assistant at the Gainesville Campus, via e-mail at email@address.com. In
order to expedite any attestation required for a particular rotation site, students will also need
to include who this information is to be sent to (name, site name, and fax number).
3. The Office for Student Affairs will then verify you have met all other requirements (i.e.
immunizations, background check) and will forward the attestation form to the rotation site as
proof that the student has completed all the requirements.
Example 2
Pharmacy B is a home infusion, specialty pharmacy and licensed home health agency servicing
the entire state of Florida via multiple locations. In addition to providing infusion drugs and
nutritional support to patients at home, Pharmacy A also services patients for “specialty drugs”
in their infusion suites.
Pharmacy Services
o Each patient has an individualized care plan which is developed by the pharmacy
team.
o Ongoing communication and assessments are made to further educate patients in
an attempt to prevent hospital readmissions.
o Consultation is provided regarding both oral drugs dispensed by the retail pharmacy
and the intravenous drugs provided by Pharmacy B.
o Supervision of USP797 compliant facility.
o Sterile compounding.
o Pharmacokinetic dosing.
o Development of TPN formulas.
o Ongoing assessments of lab results for clinical interventions.
Participation in performance improvement programs.
Example 3
Pharmacy C in Big City is a comprehensive health system offering medical services including
cardiac care, neurosciences, obstetrics, gynecology, critical care, emergency care,
rehabilitation, orthopedics, sports medicine, cancer care and surgery. It is a private, not-forprofit health system and is the County’s only trauma center.
Pharmacy Services
The Department of Pharmacy employs approximately 44 clinical and support staff, including 18
pharmacists and 3 PGY1 residents. Pharmacy APPE’s offered at Pharmacy C are in a block
rotation with students assigned to a minimum of 4 months, rotating through the available
required and elective rotations. Comprehensive pharmaceutical services include:
 Daily Family Practice rounds with Family Practice Medical Residents
 Specialized services in Nutritional Support, Pharmacokinetics, and anticoagulant
monitoring
 Targeted drug monitoring programs which include renal dosing, IV to PO conversion and
Therapeutic substitution
 Antimicrobial Stewardship Program
 Advanced automation including McKesson automated dispensing cabinets, McKesson
MedCarousel, and clinical decision support tools.
APPE Rotations/Preceptors
Rotation Name
Adult Medicine 1
Adult Medicine 2
Hospital Practice
Nutritional Support
Pharmacokinetics
Preceptor
Rotation Type
Required
Required
Required
Elective
Elective
Example 4
Pharmacy D is a home infusion, specialty pharmacy and licensed home health agency servicing
the entire state of Florida via multiple locations. In addition to providing infusion drugs and
nutritional support to patients at home, Ambient also services patients for “specialty drugs” in
their infusion suites.
Pharmacy Services
 Each patient has an individualized care plan which is developed by the pharmacy team.
 Ongoing communication and assessments are made to further educate patients in an
attempt to prevent hospital readmissions.
 Consultation is provided regarding both oral drugs dispensed by the retail pharmacy and
the intravenous drugs provided by Pharmacy D.
 Supervision of USP797 compliant facility.
 Sterile compounding.
 Pharmacokinetic dosing.
 Development of TPN formulas.
 Ongoing assessments of lab results for clinical interventions.
 Participation in performance improvement programs.
Example 5
Pharmacy F specializes in the treatment of the most critical and complex medical and surgical
conditions. Pharmacy F in Small Town, Florida is a 44 bed hospital, including 6 ICU beds. Our
programs and services have been designed to fit in the continuum of health care for those
patients that are chronically critically ill and need of a longer acute hospitalization for their
recovery. The Adult Medicine Pharmacy APPE has a strong emphasis on infectious diseases.
Rotation Name
Adult Medicine
Preceptors
Alpha Preceptor Pharm D.
& Beta Pharmacist Pharm
D.
Rotation Type
Required – Patient care
Example 6
Please review the Appearance Standards form attached to this sites documents.
Development, implementation and management of clinical programs will be the primary focus
of this rotation. In addition, this rotation is designed to further develop the student's
knowledge and understanding of the activities, processes, procedures and skills necessary to
provide, supervise and manage all pharmacy services within the Pharmacy Super Markets, Inc.
pharmacy chain. The student will be exposed to various elements of pharmacy operations
which include but are not limited to: 1) clinical services; 2) purchasing/inventory control; 3)
staff training/recruitment; and 4) managed care.
Rotation Name
Administration
Preceptor
Gator Doctor, Pharm D.
Rotation Type
Elective – Non-patient care
Example 7
Pharmacy H is an independently owned community pharmacy serving the greater Big City
area. Within Pharmacy H is Gator Medical Supply, offering medical equipment and diabetic
supplies to patients. Students will work with pharmacists, registered pharmacy technicians,
customer service personnel, and licensed nursing staff. The pharmacy offers health screenings,
cholesterol screenings, and vaccine clinics. Pharmacists provide MTM and compounding
services, as well as compliance packaging and delivery services for assisted living facilities.
Example 8
Pharmacy J Corporation is a specialty pharmacy focusing on patient specific preparations
serving the nuclear medicine and pain management patient populations, as well as providing
drugs used in clinical trials. Some examples of products prepared include radiation oncology
solutions, diagnostic imaging solutions, intrathecal solutions, cartridge solutions, and hormone
replacement therapy solutions.
Example 9
Pharmacy K is a large, national, retail pharmacy chain that offers pharmacy services and
pharmacist-administered immunizations. The student will be exposed to filling prescription
orders, providing patient counseling, and transcribing verbal prescription orders. At this
particular location the student will also provide MTM counseling and discharge counseling at a
nearby hospital.
Rotation Descriptions:
Administration
Throughout this four week rotation, the student will be exposed to the areas of management
and administration of pharmacy practice. The student will gain exposure to and an
understanding of the responsibilities of pharmacy administration within a complex integrated
health care system, including financial management, personnel management, performance
improvement and quality assurance, pharmacy operations, planning and project management,
clinical pharmacy services and program development, and interdisciplinary collaboration,
communication, and teamwork.
Adult Medicine
Throughout this eight week rotation, the student will gain exposure to and an understanding of
the clinical responsibilities of the inpatient pharmacist including TPN monitoring,
Pharmacokinetic dosing, Anticoagulant dosing, PCA dosing as well as drug information services.
Students will function as part of the clinical services team by assisting the provision of clinical as
well as drug information services on assigned floors. In addition, students will evaluate and
monitor a minimum of four patients daily from their assigned floors and be prepared to present
their patients to the preceptor and/or an agreed upon topic each day. Required responsibilities
during the rotation include completion of an assigned project, a formal presentation and a Drug
Use Evaluation. Students will attend any Drug Safety and Pharmacy & Therapeutics meetings as
they occur during the rotation period.
Advanced Community Practice
The student will be exposed to and participate in the daily clinical activities of the community
pharmacy setting with a focus on patient centered care. Students will be involved in patient
education and counseling on self-care products, dietary/herbal products, medical and drug
devices, and prescription drugs. Students will also participate in quality improvement
processes within the pharmacy department and attend a CQI meeting if possible. Student
activities to include at least one presentation (to pharmacy professionals or lay public),
discussion and/or participation with activities related to pharmacy management (personnel,
inventory, business management, etc), and coordinating the safe, accurate, and time-sensitive
distribution of medication. Students are expected to comply with all federal, state, and local
statutes and regulations and to discuss civil law as it applies to practice.
Advanced Hospital Practice
Throughout this four week rotation, the student will be exposed to the areas of inpatient
pharmacy practice. The student will gain exposure to and an understanding of the
responsibilities of the pharmacy staff members including ordering and receiving of medications,
physician order review and intervention as well as medication preparation and delivery.
Students will actively participate in daily activities by assisting the pharmacy staff with assigned
responsibilities each day.
Ambulatory Care
Throughout this eight week rotation, the student will be exposed to and participate in the care
of patients in multiple outpatient settings. The students will gain exposure to and an
understanding of the responsibilities of a consultant pharmacist in a variety of healthcare
settings working mainly in a geriatric primary care setting. Students will work closely with the
consultant pharmacist to provide clinical services including Osteoporosis consultations,
coordination of Prolia, Reclast and Forteo treatment, Warfarin protocol management, patient
assistance, prior authorizations and MTM services including comprehensive medication
reviews. In addition, the student will assist the consultant pharmacist in ensuring all off-site
locations meet the Board of Pharmacy requirements of a Type B Modified Class II Institutional
permit by assisting with monthly inspections, policy and procedure review and other tasks as
assigned.
Hospice/Palliative
During the course of the month, the student may be exposed to and participate in the care of
patients in either the in-patient or out-patient setting. Hospice/Palliative Care rotations may
vary depending on which diseases they are specialized in. The patients receiving care from
Hospice suffer from a wide spectrum of underlying diseases and are at the end of life. These
patients are generally in need of pain relief and comfort during this time. Students will work
with the healthcare team (in whatever form that takes) to find, solve, and monitor for drug
therapy problems in the patients that they are assigned to. Students will learn about the role of
hospice, patient selection, setting therapeutic goals in the terminally ill, and providing support
for patient and family. The types of Hospice/Palliative Care patients and their frequency are
often not as important as learning how to interact with the healthcare team, the patients and
families in such a setting.
Infectious Diseases
During this four week rotation, students will be exposed to and participate in the care of
patients in either the inpatient or outpatient setting. Students will work with the healthcare
team to find, solve, and monitor for drug therapy problems in the patients assigned.
Opportunities will be provided for the student to build on infectious diseases knowledge and
skills acquired through didactic education and introductory pharmacy practice experiences and
apply them in the care of patients at NFRMC. The goals for the student are to ensure
appropriate antimicrobial therapy for assigned patients, effectively monitor a patient's progress
and drug therapy, and strengthen communication and interpersonal skills through formal
presentations and daily interaction with the healthcare team.
Medication Safety
During this four week rotation, students will be exposed to and become familiar with the key
principles utilized in hospitals to improve medication safety. The rotation is designed to expose
students to medication safety nomenclature, key principles, tools, and available resources. The
student will participate in several activities designed to improve the student's working
knowledge and experience with medication safety concepts. The rotation will enable the
student to apply knowledge in any pharmacy practice setting to improve safety for patients.
Students will attend any Drug Safety meetings as they occur during the rotation period.
Pediatrics
Patient population may include infants that are: premature, diagnosed as failure to thrive,
suffer drug addiction, or have a wide variety of congenital abnormalities. Student activities
include preparing pharmaceutical care plans (SOAP notes, chart progress note, etc), patient
case presentations, and complete a journal club presentation and drug information questions
as it applies to the specialized patient population.
Transplant
Transplant rotations may vary depending on which organ systems are being offered. Students
will learn about organ procurement, organ matching, immunosuppressive drugs, antibiotic use,
acute and chronic rejection protocols, and long-term side effects of these drugs. Students will
work with the healthcare team to find, solve, and monitor for drug therapy problems in the
patients assigned.