AC Medicine Syllabus

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Syllabus Template for Preceptors: This template document is intended to assist you in constructing a rotation syllabus to enhance
communication with students and meet objectives established by SCCP and our accrediting body, ACPE. Replace or address the
highlighted text with the information that is specific to your rotation, then delete this header text and the highlighted instructions for
your final syllabus.
Course Title: Adult (Replace “Adult” with “Pediatrics” if applicable) Medicine Advanced Pharmacy Practice Experience
Site Information:
Site Name
Site Address
Preceptor Information:
Name & Credentials
Phone Number
Email Address
Indicate preferred communication method
Course Purpose: The goal of the Adult (Replace “Adult” with “Pediatrics” if applicable) Medicine Advanced Pharmacy Practice Experience is to
provide opportunities for students to build upon knowledge and skills acquired through didactic education and Introductory Pharmacy Practice
Experiences and apply them in direct patient care activities in the adult (replace with pediatrics if applicable) medicine inpatient setting. The
student will gain experience monitoring drug therapy and will participate in the therapeutic decision making process. Students may participate in
the following types of activities: developing a problem list, presenting patients to the preceptor and medical team, developing and implementing a
monitoring plan, taking a medication history, responding to drug information requests, and reviewing the policies and procedures of an institution.
This course occurs in an internal medicine/general medicine/medicine specialties unit(s) or floor(s) in a hospital setting where patients are
managed using a team-based approach. Team members may include pharmacists, physicians, physician assistants, nurse practitioners, nurses, and
other healthcare providers. This experience will be directed and evaluated by one or more preceptors.
Patient Population(s) Exposed To:
Specify patient populations students exposed to regularly (i.e. diverse population of adults aged 18 +)
Hours Credit: Four
Pre-Rotation Requirements for Student:
Indicate any information or documentation that the student must provide prior to starting rotation (i.e. On-site orientation, site-specific paperwork,
drug test, physical).
Learning Objectives:
At the conclusion of this Adult (Replace “Adult” with “Pediatrics” if applicable) Medicine Advanced Pharmacy Practice Experience, students
should be able to:
Syllabus Template for Preceptors: This template document is intended to assist you in constructing a rotation syllabus to enhance
communication with students and meet objectives established by SCCP and our accrediting body, ACPE. Replace or address the
highlighted text with the information that is specific to your rotation, then delete this header text and the highlighted instructions for
your final syllabus.
Enter any additional objectives at the end of the list. If you feel any of the provided objectives do not apply to your site, discuss with the
Experiential Education Department.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Collaborate as an interprofessional team member in a variety of healthcare settings.
Demonstrate effective written and oral communication skills to healthcare practitioners and patients.
Demonstrate mature and professional attitudes, habits, values, and behaviors.
Recommend appropriate prescription and nonprescription medications, dietary supplements, diet, nutrition, traditional nondrug therapies,
and complementary and alternative therapies to patients and members of the healthcare team, taking into consideration patient’s specific
pharmacotherapeutic agents, dosing regimens, dosage forms, routes of administration, and delivery systems in order to promote optimal
health care.
Formulate a concise and evidence-based patient-centered care plan in collaboration with other health care professionals, patients, and/or
their caregivers which considers a patient’s health literacy, culture, and pyschosocial factors to provide optimal health care using the
health system’s formulary.
Implement, monitor, assess, evaluate, and adjust pharmaceutical care plans with accuracy and timeliness using patient information in order
to promote optimal health care. Uses pharmacokinetic principles when dosing medications. Ensure continuity of pharmaceutical care for
a patient across health care settings to a diverse patient population.
Demonstrate an understanding of the pathopysiology and pharmacotherapy of the most common acute and chronic disease states
encountered in the inpatient acute care medicine setting. Enter any additional disease states not listed above that the student should have
baseline knowledge of upon entering the rotation.
a. Alzheimers
i. Asthma
b. Cancer
j. COPD
c. Diabetes
k. Heart Disease
d. HIV / AIDS
l. Hypertension
e. Influenza & Pneumonia
m. Kidney Disease
f. Liver Disease
n. Metabolic Syndrome
g. Obesity
o. Parkinson’s Disease
h. Septicemia
p. Stroke
Identify, report, and analyze medication errors and adverse drug reactions to identify preventable cause and remedial preventive actions.
Adhere to legal requirements in pharmacy practice, including, but not limited to, accreditation, legal, regulatory/legislative, safety
requirements, and drug administration. Participate in discussions regarding the role of key organizations in public safety and key health
care policy matters that may affect pharmacy.
Retrieve, analyze, evaluate, and apply (using critical thinking, problem-solving, and scientific reasoning skills) relevant scientific data,
evidence-based data, and other information when solving practice problems (patient-specific and general practice) utilizing technology
available at the rotation site.
Syllabus Template for Preceptors: This template document is intended to assist you in constructing a rotation syllabus to enhance
communication with students and meet objectives established by SCCP and our accrediting body, ACPE. Replace or address the
highlighted text with the information that is specific to your rotation, then delete this header text and the highlighted instructions for
your final syllabus.
11. Perform systematic literature/reference searches and reviews to provide pharmacotherapy/drug information to healthcare practitioners
verbally and/or in writing.
12. Present a patient summary with confidence and in an organized format that includes pertinent information (includes documentation in
charts and to preceptor/healthcare team).
13. Provide education to a diverse patient population and healthcare professionals regarding medical conditions, wellness, dietary
supplements, durable medical equipment, and medical and drug devices.
14. Participate in discussions regarding development, design, marketing, and reimbursement process for new patient services, management of
human and medication resources, the health system’s formulary process, and pharmacy data management systems including pharmacy
workload and financial performance.
15. Participate in discussions regarding clinical drug guideline development/analyzation, and drug approval process.
16. Add any additional objective(s) that students will complete that specifically pertain to your rotation.
Prerequisite Knowledge and Skills:
Students must have successfully completed Introductory Pharmacy Practice Experiences and required didactice courses prior to beginning their
Acute Care Medicine Advanced Pharmacy Practice Experience. List specific items that students should be knowledgeable about prior to starting
your rotation such as disease states, relevant laws and regulations. Students should be familiar with and prepared to apply treatment guidelines for
optimal patient care for the following disease states:
a. Alzheimers
b. Asthma
c. Cancer
d. COPD
e. Diabetes
f. Heart Disease
g. HIV / AIDS
h. Hypertension
i. Influenza & Pneumonia
j. Kidney Disease
k. Liver Disease
l. Metabolic Syndrome
m. Obesity
n. Parkinson’s Disease
o. Septicemia
p. Stroke
q. Enter any additional disease states not listed above that the student should have baseline knowledge of upon entering the rotation.
Syllabus Template for Preceptors: This template document is intended to assist you in constructing a rotation syllabus to enhance
communication with students and meet objectives established by SCCP and our accrediting body, ACPE. Replace or address the
highlighted text with the information that is specific to your rotation, then delete this header text and the highlighted instructions for
your final syllabus.
Attendance Requirements: Students are expected to abide by the attendance requirements set forth in the SCCP APPE Experiential Manual.
Requirements are located at:
http://www.sccp.sc.edu/programs/experiential/forms/General/APPE%20Advanced%20Practice%20Experiential%20Manual.pdf
Dress Code Requirements: Students are expected to abide by the dress code requirements found in the SCCP Academic Bulletin and SCCP
APPE Experiential Manual. List any site-specific dress code requirements here.
Academic Integrity: Students are expected to abide by the academic integrity policy found in the SCCP Academic Bulletin. MUSC and USC
university-specific policies may apply where necessary.
Site-Specific Requirements:
List any parking requirements or other site-specific hospital rules that students must abide by here.
Student Schedule:
 State the hours the student is expected to be on site. If applicable, indicate that the hours may not be firm, and describe situations in which
a student may need to stay after hours in order to complete tasks.
 State events or meetings inside or outside those hours that a student should attend.
 If possible, provide typical daily schedule indicating when different activities or breaks may take place. Include time to meet with student
to discuss student’s performance (at minimum midpoint and final evaluations) and make recommendations for improvement.
 Consider constructing a calendar of dates/times to discuss specific topics, have journal club meetings, or other assignment discussions.
Determining in advance what these will be allows the student to be prepared.
Grading Procedures:
Grading will occur via electronic APPE evaluations on E-Value. Students will receive a grade at midpoint that does not count towards the final
grade on a transcript. The grade received at midpoint evaluation will be utilized for student self-reflection and to set goals for the second
remaining half of the rotation. Students will receive a final grade on the last day of the APPE that will be transferred to the student’s transcript.
Grading occurs via an automatic calculation present in electronic evaluations in E-Value.
Grading Scale:
A:
90 – 100
B+:
85 – 89.99
B:
80 – 84.99
C+:
75 – 79.99
Syllabus Template for Preceptors: This template document is intended to assist you in constructing a rotation syllabus to enhance
communication with students and meet objectives established by SCCP and our accrediting body, ACPE. Replace or address the
highlighted text with the information that is specific to your rotation, then delete this header text and the highlighted instructions for
your final syllabus.
C:
D+:
D:
F:
70 – 74.99
65 – 69.99
60 – 64.99
< 59.99
Assignments/Activities:
Learning Objective
Collaborate as an interprofessional
team member in a variety of
healthcare settings.
Example Components/Activities of Learning
Objective
(delete this column after moving
components/activities you will utilize to column to
the right)



Demonstrate effective written and
oral communication skills to
healthcare practitioners and
patients.

Demonstrate mature and
professional attitudes, habits,
values, and behaviors.


Attend & participate in patient care or
interdisciplinary rounds.
Shadow healthcare professionals in other settings,
such as Nuclear Medicine, Dialysis, Respiratory
Therapy, Cath Lab, etc.
Recommend appropriate referrals to health care
practitioners and other community resources
needed to support their continuing care (nutrition,
DM counseling, medication assistance programs).
Leave communication progress notes for
physicians in medical records as appropriate.
Perform anticoagulation counseling, asthma
teaching, diabetes teaching, etc as indicated by
preceptor.
Demonstrate responsibility by being on time for
all clerkship related activities, dressing
professionally, respecting lines of authority.
Required
Activities/Assignments
Mapped Evaluation
Competency
(The following assignments/activities
will be used to introduce, practice, and/or
assess the particular outcome)
(The following competency being
measured is based on the evaluation
assigned to this rotation)
(fill in any example components
from column to the left that will
use as well as additional
assignments/activities you will
use)
(select one or more
competencies on your
respective evaluation – all
competencies should have
related objectives/activities)
Syllabus Template for Preceptors: This template document is intended to assist you in constructing a rotation syllabus to enhance
communication with students and meet objectives established by SCCP and our accrediting body, ACPE. Replace or address the
highlighted text with the information that is specific to your rotation, then delete this header text and the highlighted instructions for
your final syllabus.








Recommend appropriate
prescription and nonprescription
medications, dietary supplements,
diet, nutrition, traditional nondrug
therapies, and complementary and
alternative therapies to patients and
members of the healthcare team,
taking into consideration patient’s
specific pharmacotherapeutic
agents, dosing regimens, dosage
forms, routes of administration, and
delivery systems in order to
promote optimal health care.





Complete all tasks thoroughly and in a timely
manner, and communicate appropriately.
Demonstrate good judgment, initiative,
responsibility and maturity.
Incorporate feedback from preceptor(s) for future
behavior.
Cooperate with patients, pharmacy staff and other
health professionals.
Show assertiveness and independence by
undertaking self-directed responsibilities and
articulating personal viewpoint.
Demonstrate pride and purpose for the role of the
pharmacist in the total health care of the patient.
Discuss with the preceptor strategies for meeting
the pharmacist’s need for life-long learning. (e.g.,
participate in local pharmaceutical association
meetings, continuing education programs,
presentations to community organizations, etc.)
Demonstrate respect for patients and other health
care professionals.
Obtain a complete medication history, including
prescription and OTC medications as well as
complementary therapy with herbals and
nutritional supplements.
Obtain information from the medical record
including laboratory data, diagnostic tests, vital
signs, physicians’ orders, progress notes, and
consult notes.
Recommend appropriate antibiotics for particular
suspected and identified organisms.
Participate in Nutrition Support services.
Educate the patient regarding discharge
medications, what to continue from the previous
medication regimen, etc.
Syllabus Template for Preceptors: This template document is intended to assist you in constructing a rotation syllabus to enhance
communication with students and meet objectives established by SCCP and our accrediting body, ACPE. Replace or address the
highlighted text with the information that is specific to your rotation, then delete this header text and the highlighted instructions for
your final syllabus.

Formulate a concise and evidencebased patient-centered care plan in
collaboration with other health care
professionals, patients, and/or their
caregivers which considers a
patient’s health literacy, culture,
and psychosocial factors to provide
optimal health care using the health
system’s formulary.




Implement, monitor, assess,
evaluate, and adjust pharmaceutical
care plans with accuracy and
timeliness using patient information
in order to promote optimal health
care. Use pharmacokinetic
principles when dosing
medications. Ensure continuity of
pharmaceutical care for a patient
across health care settings to a
diverse patient population.





Speak with the patient or patient’s family about
drug therapy, past medical history, and other
pertinent information.
Conduct any of the following as indicated by the
preceptor: medication calendar review,
medication history/bottle review, discharge
counseling, etc.
Review the mechanism(s) of action, indications,
contraindications, adverse effects, and druginteractions (drug-drug, drug-food, drug disease)
for each of the patient’s medications.
Identify the laboratory and diagnostic tests
necessary to diagnose and monitor various disease
states. Describe the usefulness and limitations of
each test.
Make appropriate recommendations to adhere to
Core Measures for acute myocardial infarction,
heart failure, pneumonia, and surgical care
improvement/surgical infection prevention.
Perform medication reconciliation in concordance
with hospital standard procedures when
appropriate.
Continually reassess medication appropriateness
of the therapeutic plan; consider necessary
monitoring, adverse effects, allergic reactions,
drug interactions, efficacy, lab values, diagnostic
procedures
Review medication list(s) for drug/drug,
drug/supplement, drug/food, and supplement/food
interactions.
Assess the appropriateness of the patient’s
medication regimen based on indications for use,
MOA, safety, efficacy, accessibility, cost and
compliance.
Evaluate patient medication regimens for
Syllabus Template for Preceptors: This template document is intended to assist you in constructing a rotation syllabus to enhance
communication with students and meet objectives established by SCCP and our accrediting body, ACPE. Replace or address the
highlighted text with the information that is specific to your rotation, then delete this header text and the highlighted instructions for
your final syllabus.



Demonstrate an understanding of
the pathopysiology and
pharmacotherapy of the most
common acute and chronic disease
states encountered in the inpatient
acute care medicine setting.

Identify, report, and analyze
medication errors and adverse drug
reactions to identify preventable
cause and remedial preventive
actions.

Adhere to legal requirements in
pharmacy practice, including, but
not limited to, accreditation, legal,
regulatory/legislative, safety
requirements, and drug
administration. Participate in
discussions regarding the role of
key organizations in public safety
and key health care policy matters
that may affect pharmacy.




appropriate use of antibiotics.
Participate in therapeutic drug monitoring
activities, including pharmacokinetic dosing of
antibiotics, antiepileptics, and/or
immunosuppressants.
Perform pharmacokinetic dosing adjustments for
renal and hepatic impairment.
Perform dosage adjustments for weight-based
medications.
Discuss with the preceptor the treatment,
monitoring, and outcomes of the majority of the
common adult medicine patient conditions stated
in Learning Objective #7 using actual or
simulated patient cases and/or drug therapy
problems.
Communicate with health care providers
regarding discharge medications to ensure
continuity/appropriate follow up and reduce
medication errors.
Submit any adverse drug reactions to MedWatch.
Use the format that your preceptor specifies to
submit any medication errors found.
Participate in any Joint Commission preparations.
Participate in any audits for Board of Pharmacy,
DHEC, or Joint Commission preparations.
Syllabus Template for Preceptors: This template document is intended to assist you in constructing a rotation syllabus to enhance
communication with students and meet objectives established by SCCP and our accrediting body, ACPE. Replace or address the
highlighted text with the information that is specific to your rotation, then delete this header text and the highlighted instructions for
your final syllabus.
Retrieve, analyze, evaluate, and
apply (using critical thinking,
problem-solving, and scientific
reasoning skills) relevant scientific
data, evidence-based data, and other
information when solving practice
problems (patient-specific and
general practice) utilizing
technology available at the rotation
site.

Perform systematic
literature/reference searches and
reviews to provide
pharmacotherapy/drug information
to healthcare practitioners verbally
and/or in writing.

Present a patient summary with
confidence and in an organized
format that includes pertinent
information (includes
documentation in charts and to
preceptor/healthcare team).
Provide education to a diverse
patient population and healthcare
professionals regarding medical
conditions, wellness, dietary
supplements, durable medical
equipment, and medical and drug
devices.








Present at least 1 journal club presentation,
including analysis and interpretation of the
primary medical literature.
Perform activities that provide cost-savings to the
facility as applicable (IV to PO conversions and
review of high cost medications).
Complete at least 2 written drug information
responses using appropriate institutional
documentation.
Conduct any of the following as indicated by the
preceptor: Morning report presentation, handout
presentation to inpatient rounding team on
therapeutic controversy, critical evaluation of
journal article, new drug update, drug class
review, formal drug literature write-up, etc.
Prepare 2 formal SOAP notes/progress notes each
week on an assigned patient.
Present 1 formal patient case presentation. The
audience will be selected by the preceptor.
Rank patient problems in order of acuity and
determine endpoints or goals.
Present at least 1 inservice to the pharmacy,
nursing, or medical staff.
Counsel at least 1 patient per week regarding
OTC, herbal medications, dietary supplements,
devices such as inhalers, or other lifestyle
adjustments that are pertinent once discharged
from hospital.
Syllabus Template for Preceptors: This template document is intended to assist you in constructing a rotation syllabus to enhance
communication with students and meet objectives established by SCCP and our accrediting body, ACPE. Replace or address the
highlighted text with the information that is specific to your rotation, then delete this header text and the highlighted instructions for
your final syllabus.
Participate in discussions regarding
development, design, marketing,
and reimbursement process for new
patient services, management of
human and medication resources,
the health system’s formulary
process, and pharmacy data
management systems including
pharmacy workload and financial
performance.
Participate in discussions regarding
clinical drug guideline
development/analyzation, and drug
approval process.
Enter additional objectives here
Enter corresponding activities here
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