COURSE TITLE: CARDIOLOGY ADVANCED PHARMACY PRACTICE EXPERIENCE COURSE NUMBER: PHA 569 SEMESTER HOURS: FIVE CREDIT HOURS (40 contact hours per week) REQUIRED: NO PREREQUISITES: SUCCESSFUL COMPLETION OF ALL DIDACTIC COURSES OF PHARM.D. CURRICULUM BULLETIN DESCRIPTION JUSTIFICATION: COURSE OBJECTIVES: The Cardiology Advanced Pharmacy Practice Experience (APPE) is an elective clinical rotation that will develop the student’s ability to make rational decisions concerning cardiovascular medications in the patient care setting. The student will acquire specialized knowledge concerning major cardiovascular disease states, invasive and noninvasive cardiovascular diagnostic techniques and the pharmacology, pharmacokinetics, and clinical use of cardiac drugs. This rotation setting is most often inpatient, but in some cases may be in an ambulatory setting or a combination of both. Cardiovascular disease remains the number one cause of death in this country. The pharmacy practitioner must be proficient in the use of medications that affect the cardiovascular system. The student must be able to make practical recommendations concerning the appropriate acquisition, handling, administration, and monitoring of such medications. Upon completion of this rotation, the student shall be able to: Course objectives 1. Describe the etiology, pathophysiology, clinical presentation, and prevention of common cardiovascular disease states (i.e., ischemic heart disease, hypertension, cardiac arrhythmias, heart failure, dyslipidemia, peripheral vascular disease). 2. Independently gather, monitor, and assess pertinent patient information and recommend changes if necessary to ensure safe, effective, and economical drug therapy. 3. Retrieve and evaluate current drug therapy information from the literature and make recommendations utilizing evidence-based medicine to health care professionals. 4. Counsel and educate patients and/or caregivers on the appropriate use of their medications utilizing the medication therapy management Educational Outcome Patient Assessment, Medication Therapy Management Competencies Ignatian Values, Professionalism, Citizenship and Leadership, Critical Thinking, Communication, Patient Assessment, Medication Therapy Management Professionalism, Citizenship and Leadership, Critical Thinking, Communication, Patient Assessment, Drug Information Professionalism, Citizenship and Leadership, Critical Thinking, Educational Activities Assigned readings, Lecture, Group discussions, Case study/disease state presentations, Quizzes Assessment Measure(s) Preceptor Evaluation of Educational Activities 1.2, 2.2, 2.4, 2.5, 3.5, 3.6, 4.1, 4.2, 4.3, 5.1, 5.2, 5.3, 5.4, 5.6, 5.7, 6.1-6.13 Direct patient care, Case study presentations, Documentation of interventions Preceptor Evaluation of Educational Activities 2.2, 2.4, 2.5, 3.3, 3.4, 3.5, 3.6, 4.1, 4.2, 4.3, 5.1, 8.2, 8.3, 8.4, 8.5 Answer drug information questions, Documentation of interventions Preceptor Evaluation of Educational Activities 2.2, 2.4, 2.5, 3.5, 3.6, 4.1, 4.2, 4.3, 6.6 Direct patient care, Documentation of interventions Preceptor Evaluation of Educational Activities 5.1, 5.3, 5.4, 5.7, 6.2, 6.3, 6.4, 6.8 principles when possible. INSTRUCTIONAL METHODS: ACTIVE LEARNING METHODS: REQUIRED ACTIVITIES: Communication, Medication Therapy Management, Drug Information, Public Health 8.2, 8.5, 9.5, 9.6, 9.9 Demonstrations, individual patient management and discussion, care plan development, oral presentations, role-modeling, and reading assignments. Group discussions, demonstrations, individual patient management and discussion, care plan development, oral presentations. Clinical monitoring of cardiovascular patients Pharmacokinetic monitoring of patients Patient case presentation and discussion ADDITIONAL ACTIVITIES AS DIRECTED BY THE PRECEPTOR: Patient counseling and education Inservice(s)/Presentation(s) Exams/Quizzes Projects Papers GRADING: Grading for this rotation will be established by the preceptor based on the following: Attendance, attitude, and professional attire Professionalism, ethics and responsibility Communication and interpersonal skills Presentation of patient information Demonstration of pharmacotherapeutic skills (including patient assessment and monitoring, therapeutic decision-making, and intervention), and integration of basic biomedical, pharmaceutical and clinical science knowledge to optimize patient care outcomes. Demonstration of critical thinking skills Documentation of interventions Daily activities Case presentation(s) Written/oral presentation(s) Quizzes/Examination(s) Project(s) A failure on any dimension or assignment is grounds for failure of the rotation. Specific evaluation criteria will be presented to the student within 48 hours from initiation of the rotation. A final grade is assigned according to the following grading scale. Grades will not be rounded: 100-90 A < 90 and ≥ 85 B+ < 85 and ≥ 80 B < 80 and ≥ 75 C+ < 75 and ≥ 70 C < 70 F The final grade will be weighted in the following way: 10% Patient Assessment 40% Medication Therapy Management 20% Communication Skills 5% Drug Information 5% Professionalism, Ethics, Responsibility 20% Rotation Specific Projects/Assignments Unprofessional and/or unethical behavior will not be tolerated, and will be grounds for immediate failure of the rotation, and/or dismissal from the program. An unexcused absence, including excessive tardiness, is grounds for failure of the rotation. EXAMINATIONS: Students arriving late for an examination/quiz will receive a zero. This may result in failure of the rotation. Students who are unable to take an examination/quiz as scheduled due to circumstances deemed “excusable” by the instructor, must make arrangements to make up the examination/quiz as soon as possible. Students must notify the preceptor of an impending absence prior to the exam. The determination as to whether the reason for absence is excusable lies solely with the preceptor. Students who are unable to take an examination/quiz due to circumstances deemed “non-excusable” by the instructor will receive a grade of zero. This may result in failure of the rotation. INSTRUCTOR: Director, Office of Experiential Education Assistant Director, Office of Experiential Education Katie Packard, Pharm.D., MS, BCPS Dan Hilleman, Pharm.D. TEXT(S): None. Readings will be assigned by the individual preceptor. **The latest policies, including those regarding students with disabilities and misconduct can be found on the School's web site at http://spahp.creighton.edu/Acad_SAffairs/policies.asp. Each student is responsible for becoming familiar with all of the latest policies. “Faculty reserve the right to make changes in the course that they deem necessary, and will provide a copy of such changes to the Pharmacy Program Curriculum Committee for review before the next offering of the course.”