Course Development Handbook Appendix 7 s Module specification template Title Code Level Credit rating Pre-requisites Type of module Aims Learning outcomes/objectives Content Content (cont.) Comments/notes Renal Disease and Dysfunction CLM01 7 20 Graduate Registered Pharmacists The module is delivered within the workplace using the module material provided by the London, Eastern and South East Clinical Pharmacy Service. 1. To allow pharmacists to critically evaluate and apply their pharmacological and pharmaceutical knowledge and skills to the treatment of patients with renal disease and dysfunction. 2. To provide pharmacists with a comprehensive understanding of how the signs, symptoms and laboratory investigations can aid in the monitoring of both disease process and drug therapy. 3. To provide pharmacists with the knowledge and skills required to provide pharmaceutical care for patients with renal disease and dysfunction. 1. To evaluate clinical (signs and symptoms) and laboratory test results in order to critique the drug treatment of individuals presenting with renal dysfunction, 2. To comprehensively understand the methods used to assess renal function and to apply this to critically evaluate the drug therapy of patients. 3. To fully describe the influence of renal impairment on the pharmacokinetics of commonly administered drugs. 4. To demonstrate a comprehensive understanding of the relevant pharmacological and pharmaceutical knowledge in order to rationalise the management of patients with acute or chronic renal impairment. 5. To critically evaluate the patient's response to prescribed therapy in order to identify potential and actual drug related problems, 6. To demonstrate competence in the provision of pharmaceutical care to patients with renal disease or dysfunction. 7. To demonstrate an ability to make sound judgements in relation to the drug treatment of patients with renal disease or dysfunction and to communicate this effectively to other health care professions. Anatomy, physiology and terminology associated with renal function and disease. Identification of markers associated with kidney function, signs and symptoms associated with kidney disease; classification of both acute and chronic renal disease. Causes of renal disease and identification of risk factors 52 Course Development Handbook Appendix 7 predisposing patients to renal dysfunction. Teaching strategies and Learning support Influence of renal disease on the pharmacokinetics and pharmacodynamics of drugs commonly administered to this group of patients and strategies used for dose adjustment. Methods used for the identification and prevention of drug induced renal disorders. Management of the complications associated with patients who present with either acute or chronic renal disease. Renal replacement techniques used in acute and chronic renal failure patients. Drug use in patients receiving dialysis therapy. Drugs used in the management of kidney transplant patients; immunosuppressive and associated therapy. learning Details of the standard module format are provided in the programme specification. The material is presented in electronic form and is normally provided to the student to work through systematically under the supervision of an appropriate senior clinical practitioner. Periodic meetings with the local tutor allows understanding and the application of this information to patient care to be reviewed and the ability of the individual to perform key skills to be evaluated. Material is presented as a computer package to direct the student learning. Students are then required to complete an array of practice activities (see programme specification) and demonstrate their competence to perform an array of clinical tasks before being eligible to register for the module assessment. Students are required to read and evaluate articles contained within the appropriate medical journals in addition to the appropriate chapters contained within the general indicative texts listed below: Kumar P, Clark M. Clinical Medicine(5th Edition) Edinburgh. WB Sauders 2002. Doods L. Drugs in Use. 3rd Edition. The Pharmaceutical Press 2002. Walker R, Edwards C. Clinical Pharmacy and Therapeutics. 3rd Edition. Churchill Livingstone. 2002. The assessment strategy embraces the concept of “fitness Assessment tasks for purpose” so that students are required to demonstrate their ability to apply the knowledge and skills acquired to resolve a range of clinical problems. This requires the student to gather and critically evaluate clinical data prior to engaging in complex decision making, culminating in the provision of advice to health care professionals and patients. These problems are designed to reflect scenarios routinely encountered in clinical practice. This requires students to complete an objective structured clinical examination (OSCE), comprising of 10 clinical scenarios, reflecting clinical practice in the module being studied. To pass the module students must satisfy the criteria in 7 of the ten stations, and present an acceptable portfolio. Brief description of module The module details the signs, symptoms and biochemical content and/or aims tests associated with renal impairment and disease. 53 Course Development Handbook Appendix 7 A comprehensive, evidence-based review of the available treatment follows. Students are required to apply this knowledge to resolve drug related problems in patients housed in general medical wards and renal units. Area examination board to Course Examination Board only (normally March and September each year) which module relates Produced by practitioners specialising in renal medicine. Module team/authors/ Module leader – Roger Fernandez, Senior Clinical coordinator Pharmacist, Mayday Hospital, Croydon. Semester offered, where Not applicable. appropriate The School of Pharmacy and Biomolecular Sciences of the Site where delivered university is responsible for the designing and organising the assessment process and the overall standard of the course. The local hospitals have responsibility for the tuition, which is co-ordinated by the London, Eastern and South East Clinical Pharmacy Service. August 1994 Date of first approval September 2004 Date of last revision Date of approval of this version 3 Version number Replacement for previous module Field for which module is acceptable and status in that field Course(s) for which module PG Certificate in Applied Therapeutics. PG Diploma in is acceptable and status in Clinical Pharmacy Practice. that course Pharmacy and Biomolecular Sciences School home Mr Jonathan Silcock. March 2004 - 2008 External examiner (maximum 80 words) 54