APPE Manual 2017-2018 - University of Utah · University of Utah College of Pharmacy . APPE Manual . 2017-2018. The University of Utah is fully committed to affirmative action and

APPE Manual 2017-2018 Page 1

University of Utah College of Pharmacy

APPE Manual 2017-2018

The University of Utah is fully committed to affirmative action and to its policies of nondiscrimination and equal opportunity in all programs, activities, and employment with regard to race, color, national origin, sex, age, status as a person with a disability, religion, sexual orientation and status as a veteran or disabled veteran. The University seeks to provide equal access to its programs, services and activities for people with disabilities. Reasonable prior notice is needed to arrange accommodations. Evidence of practices not consistent with these policies should be reported to the Office of Equal Opportunity and Affirmative Action: (801) 581-8365 (V/TDD). If any of the writings, lectures, films or presentations in these courses includes material that conflicts with the core beliefs of some students, accommodations may be made. Please review the syllabus carefully and discuss any potential concerns with the course master at your earliest convenience. The University of Utah College Of Pharmacy Professional Program is accredited by the American Council of Pharmaceutical Education, 311 West Superior Street, suite 512, Chicago, IL 60610, (312)664-3575, (800)533-3606.


Table of Contents

Experiential Education Program Staff ..................................................... 3 Experiential Education Calendar ............................................................. 4 Experiential Education Requirements ..................................................... 5 Experiential Education Policies ............................................................... 5

Rotation Scheduling .................................................................................... 5 Schedule Changes ....................................................................................... 5 Rotations in Place of Employment .............................................................. 6 Registration ................................................................................................. 6 Student Absences ....................................................................................... 6 Health Insurance ......................................................................................... 6 Worker’s Compensation ............................................................................. 7

Student Expectations .............................................................................. 7 Initial Contact with Preceptor .................................................................... 7 Student Requirements ................................................................................ 7 Site-Specific Requirements ......................................................................... 8 Student Contact Information ...................................................................... 8 Standards for Professional Students ........................................................... 8 Academic and Professional Standards ...................................................... 10 Academic Dishonesty ................................................................................ 10

Standards for Experiential Education Preceptors ................................... 11 Sites with Pharmacist Preceptors with Stipulations ................................. 12

Grading Criteria and Evaluations ........................................................... 12 Academic Standards.................................................................................. 12 General Information ................................................................................. 12 Grade/Point Scale ..................................................................................... 13 Timing of Evaluations ................................................................................ 13

Appendices ........................................................................................... 14 A: Ongoing Student Immunization Requirements .................................... 14 B: Student Rotation Assignments ............................................................. 16

Student Self-Evaluation ................................................................. 16 Evaluation of Preceptor ................................................................ 16 Reflective Learning Portfolio ........................................................ 17

C: Objectives for Required Rotations ........................................................ 19 D: Fuel Reimbursement and Housing for Rural Sites ................................ 23 E: Code of Conduct for Pharmacists ......................................................... 28


Experiential Education Program Staff (Back to Table of Contents)

Director Krystal Moorman, PharmD, BCPS 30 South 2000 East, Room 105J Salt Lake City, UT 84112 Phone: 801-581-4590 Fax: 801-581-3716 Email: [email protected] Experiential Education Program Specialists Heidi Bates 30 South 2000 East, Room 105D Salt Lake City, UT 84112 Phone: 801-213-3553 Fax: 801-581-3716 Email: [email protected] Carrie Kirkpatrick, RN, BSN 30 South 2000 East, Room 105H Salt Lake City, UT 84112 Phone: 801-213-3421 Fax: 801-581-3716 Email: [email protected]

mailto:[email protected]





Experiential Education Calendar (Back to Table of Contents)

Summer 2017 – Spring 2018

Rotation Dates • Block 1: May 22, 2017 – June 30, 2017 • Block 2: July 3, 2017 – August 11, 2017 • Block 3: August 14, 2017 – September 22, 2017 • Block 4: September 25, 2017 – November 3, 2017 • Block 5: November 6, 2017 – December 15, 2017 • Block 6: January 1, 2018 – February 9, 2018 • Block 7: February 12, 2018 – March 23, 2018 • Block 8: March 26, 2018 – May 3, 2018

Final grades are due at the completion of the rotation. In order to meet University grading deadlines, grades must be completed by the following cut-offs to avoid incomplete grades. Blocks 1 and 2: August 11, 2017 Blocks 3, 4, and 5: December 15, 2017 Blocks 6, 7, 8*: May 3, 2018 *Late grades for Spring may delay degree posting and affect licensure.


Experiential Education Requirements (Back to Table of Contents)

Required Experiences

The Experiential Education Program consists of two introductory practice experiences and seven advanced clinical practice experiences. The seven advanced practice experiences are scheduled throughout the student’s last academic year. They are each six weeks in length and are graded with a letter grade.

• Required rotations: must be completed in the state of Utah

1. Acute Care

2. Advanced Community

3. Advanced Health-Systems

4. Ambulatory Care

5. Clinical Information Services

• One rotation must be with core faculty

• Electives- 2 in any category (not CIS), plus additional offerings that do not fall into these categories

• One rural rotation must be completed as either an IPPE or APPE

Experiential Education Policies (Back to Table of Contents)

Rotation Scheduling (Back to Table of Contents)

APPE rotations are assigned using a lottery system. Students are given a two-week time period to rank their preferences for required and elective rotations. The rank list must be approved by the student’s faculty mentor or the EE director.

The lottery system is run by rotation type and randomizes students each time a rotation type is run. The system will assign students based on their preferences, provided that the preceptor has availability during a block they still have open in their schedule. Elective rotations are run last. Results are reviewed to ensure each student has a schedule that meets all requirements.

Schedule Changes (Back to Table of Contents)

From the day the schedule is available, students have 1 week to make changes to their schedule. After this 1-week period, rotation changes will only be made in the case of medical or family emergencies or cancelled rotations unless student obtains approval from EE Director and express written approval from both the preceptor of the rotation they wish to cancel and the rotation they want to add.


Rotations in Place of Employment (Back to Table of Contents)

Due to ACPE restrictions, students will not be permitted to complete rotations in their place of employment unless the following conditions apply:

“Students may be placed in an IPPE or APPE in a pharmacy where they are employed as long as their experiential education and employee roles are clearly differentiated and do not overlap. For example, a student may be employed by a health system in a specific capacity and/or in one area of the facility and be assigned to an IPPE or APPE in a clearly distinct capacity or area of the health system. (ACPE Standard 10.16)”

Registration (Back to Table of Contents)

Students must follow these guidelines for course registration during their P4 year:

• Summer Semester: Block 1 and 2 clerkships

• Fall Semester: Block 3, 4, and 5 clerkships (+seminar)

• Spring Semester: Block 6, 7, and 8 clerkships (+IPE)

Student Absences (Back to Table of Contents)

The experiential schedule does not follow the University schedule. Students are expected to follow the preceptor’s schedule at all times. This may include attending the site on weekends, holidays or extended hours. The minimum number of on-site hours for an experience is 240 hours. Your rotation may exceed that, depending on the preceptor and site’s schedule. Students are not permitted to take off on traditional University holidays or breaks.

Students planning to attend a professional meeting or schedule residency or career interviews during clerkships should request this time off from the preceptor and notify the EE Director as soon as possible. Students may take up to two days from the experience for these purposes or for illness. There are no vacation days. Vacations should be scheduled for the off block. The preceptor may require make-up time or additional projects to account for missed time. The time and/or type of assignment will be decided at the discretion of the preceptor. Students who miss more than two days from the experience for any purpose must make up the time at the site. The make-up time will be coordinated with the preceptor’s schedule and approved by the EE Director.

Health Insurance (Back to Table of Contents)

Students are responsible for providing their own health insurance.


Workers’ Compensation (Back to Table of Contents)

If you are injured while on site during one of your clerkship rotations, you are covered under the University’s Workers’ Compensation Insurance (this includes out-of-state and out-of-country rotations). You must fax (1-801-585-7375) or scan and email the E1 Form 122 to the below designated contact within 24 hours of the injury. Scan and email is preferred. https://www.hr.utah.edu/forms/lib/E1.pdf

HR Contacts: • Last Name (A-K): Jesse Justet, 801-581-7448, [email protected] • Last Name (L-Z): Alex Latimer, 801-585-0044, [email protected]

If you need medical attention, the following sites can provide care with no out-of-pocket expenses:

• Red Med at the Union building on campus by the bowling alley (preferred) • University of Utah Redwood Clinic at 1525 W. 2100 S (preferred for serious injury) • University of Utah Hospital Urgent Care Clinic at 50 N. Medical Drive • South Jordan Clinic at 5126 W. Daybreak Parkway

You must tell them that this is a Workers’ Compensation case.

In an emergency, call 911 or go to the nearest emergency room.

Student Expectations (Back to Table of Contents)

Initial Contact with Preceptor (Back to Table of Contents)

Students must contact their preceptor at least two weeks prior to the start of the experience to help plan for the first day and discuss expectations of the experience. Students should inquire about introductory or review readings, clerkship schedule, and site policies that they would need to know prior to orientation (e.g., parking).

Student Requirements (Back to Table of Contents)

All Rotations*

• Annual Regulatory Training (e.g., HIPAA, Bloodborne Pathogens)

• Background Check

• Current BLS Certificate

• APhA Immunization Certification

• Intern License

• Immunizations (see Appendix)

*All documentation needs to be uploaded into CORE ELMS/RxPreceptor™.

https://www.hr.utah.edu/forms/lib/E1.pdf






Site-specific Requirements: (Back to Table of Contents)

• Training or Paperwork: Some sites require additional paperwork and/or training. The requirements and deadlines are located in CORE ELMS/RxPreceptor™ Document Library. It is the student’s responsibility to manage and complete the requirements by the deadlines. Failure to complete the requirements on time may result in a delayed or cancellation of the rotation.

• Drug screen: Some sites require either a 5-panel or 10-panel drug screen. Students can get screened at any location. If a student takes prescription medications that may cause positive results, the student must provide the office a signed physician’s note verifying that it is a prescribed medication.

o Ashley Regional – 5- or 10-panel o HealthSouth – 10-panel o Intermountain – 5-panel o St. Mark’s – 10-panel o University of Utah – 10-panel

• Liability Insurance: Students who are doing an out-of-state APPE are required to purchase their own professional liability insurance. The required limits on the policy are $1,000,000/occurrence and $3,000,000 aggregate. Once purchased, a copy of the policy must be uploaded in CORE ELMS, and a copy emailed to the EE Program Staff.

Student Contact Information (Back to Table of Contents)

Students are required to keep contact information updated in CORE ELMS/RxPreceptor™. There may be times when your preceptor needs to get a hold of you to make other meeting arrangements. It is only visible to preceptors who you have/will have on your schedule and EE staff/faculty. It is not accessible by any other preceptors/faculty.

Standards for Professional Students* (Back to Table of Contents)

1. Students will exhibit a professional demeanor in manner, dress and adherence to professional standards at all times.

2. Students will follow the University of Utah dress code at all times, unless expressly directed to do otherwise by their preceptor. (http://healthcare.utah.edu/careers/docs/DressCodePolicy.pdf)

3. Students will wear University of Utah College of Pharmacy student identification at all times while at experiential sites unless site-specific names badges are required.

4. Students are obligated to respect any legal, professional or business confidences revealed during the practice experience and may be required to sign a site-specific confidentiality agreement. Students will respect patient confidentiality at all times.

5. Students actively participate in all learning activities.

http://healthcare.utah.edu/careers/docs/DressCodePolicy.pdf

http://healthcare.utah.edu/careers/docs/DressCodePolicy.pdf


6. Students will communicate professionally at all times with all persons involved with professional training, including preceptors, patients, and patient’s caregiver.

7. Students will not question the advice or directions of the faculty preceptor in the presence of others. Constructive criticism should be viewed as a means of learning and not embarrassment.

8. Students are expected to identify and research general pharmaceutical care issues prior to asking appropriate questions.

9. Students will clarify expectations with the preceptor if they are not clear.

10. Students will not make professional decisions or offer medical advice without checking with the faculty preceptor.

11. Students will take the initiative in communicating with physicians and patients, but will not step beyond the realm of professional courtesy.

12. Students will be constantly alert to the laws and regulations which govern practice and seek clarification of any points which are not clear.

13. Students are required to notify the faculty preceptor as soon as possible of any required absences or tardiness (e.g., seminars). Absences for reasons other than required or emergency purposes are discouraged, and should be kept to a minimum during the experience so as not to impact the learning experience or jeopardize the final grade.

14. Students will be punctual.

15. Students will not permitted accept or receive any form of remuneration for professional experiences performed for academic credit pertaining to this program.

16. Students are not allowed to be on clerkship with a faculty preceptor to whom the student is related or who is or has been a co-worker or employer of that student. Exceptions may be made for advanced clinical clerkships on a case-by-case basis.

17. Students are responsible for checking their University email account daily. Only valid University email accounts are used for University business.

18. Students experiencing problems/conflicts during a clerkship should discuss his/her concerns with the faculty preceptor as soon as possible. If the concerns are not adequately addressed by the faculty preceptor, the student should then contact the EE Director.

*Failure to adhere to professional standards may result in a failing grade for the experience and referral to the scholastic standards committee for unprofessional conduct.


Academic and Professional Standards (Back to Table of Contents)

The College of Pharmacy is dedicated to the education and development of students into pharmacists who employ critical thinking skills and evidence in caring for their patients. Pharmacy practice requires a commitment to a life of service, dedication to continuous learning and high ethical standards. The Advanced Pharmacy Practice Experiences in the Doctor of Pharmacy Program help students to strengthen their foundation of knowledge, attitudes, skills and behaviors that are necessary for the practice of pharmacy throughout their careers.

All College of Pharmacy preceptors and students have responsibilities in assuring that have acquired the necessary foundation to provide pharmaceutical care to patients. The College of Pharmacy has an obligation to provide each student with a fair opportunity to meet the high standards of scholarship and integrity associated with the PharmD degree and the profession of pharmacy. As professional students progress through their experiential curriculum, preceptors are obligated to evaluate whether students are qualified to practice pharmacy. In seeking these academic credentials, with the understanding that satisfactory performance is a prerequisite to the receipt of that credential, students are consenting to frank evaluation by those charged with the responsibility of supervising performance in the experiential courses.

In order to receive a professional degree in pharmacy, students must:

1. Meet the academic requirements of each core and elective clerkship

2. Meet the academic requirements of the Doctor of Pharmacy Program and the Graduate School

3. Uphold the University of Utah’s and College of Pharmacy’s standards of academic honesty, including, but not limited to, refraining from cheating, plagiarizing, research misconduct, misrepresenting one's work and/or inappropriately collaborating

4. Uphold the professional and ethical standards of the profession of pharmacy as set forth in the American Pharmacists Association Code of Ethics for Pharmacists (Appendix E).

Academic Dishonesty (Back to Table of Contents)

Plagiarism or failure to attribute is a form of academic dishonesty. Based on the University of Utah Student Code (Direct quote):

“Academic Misconduct” includes, but is not limited to, cheating, misrepresenting one’s work, inappropriately collaborating, plagiarism, and fabrication or falsification of information as defined further below. It also includes the facilitating academic misconduct by intentionally helping or attempting to help another to commit an act of academic misconduct. . . .


a. Misrepresenting one’s work includes, but is not limited to, representing material prepared by another as one’s own work, or submitting the same work in more than one course without prior permission of both faculty members.

b. “Plagiarism” means the intentional unacknowledged use or incorporation of any other person’s work in, or as a basis for, one’s own work offered for academic consideration or credit for public presentation. Plagiarism includes, but is not limited to, representing as one’s own, without attribution, any other individual’s words, phrasing, ideas, sequence of ideas, information or any other mode or content of expression.

In the College of Pharmacy, the following is used to provide additional guidance for courses and clerkship experiences.

Plagiarism or failure to attribute is a form of academic dishonesty. This is using anyone else's work as your own. This includes another student's, another author's, etc. Consequences for committing academic dishonesty can include: failing the assignment, failing the class, probation or dismissal from the College or University. In the College of Pharmacy, issues related to academic dishonesty are referred to the Scholastic Standards Committee in for further action.

While everyone has their own concept of plagiarism, the guide that will be used for class and clerkships is copying more than 7 consecutive words verbatim without quotations and referencing, or more than 2 sentences in an assignment that reflect the original author's phrasing, sentence structure and meaning rather than the student's own thoughts.

You can also commit academic dishonesty by helping someone else commit plagiarism. Likewise, if you create an assignment for one class and present it for credit in a second course, this also falls under this standard unless you have the permission of both course masters to use the material in both places. Please be careful. If you are unsure, ask questions of your course master/preceptor.

Standards for Experiential Education Preceptors (adapted from ACPE Standards, 2016)

(Back to Table of Contents)

1. Preceptors must have a license in good standing. If action is taken on a preceptor’s license,

the EE Director must be notified immediately.

2. Practices ethically and shows compassion for patients

3. Accepts personal responsibility for patient outcomes

4. Has education, experience and competence commensurate with position

5. Practices evidence-based medicine

6. Wants to educate students, patients, and other healthcare professionals

7. Advocates for patients and profession

8. Possesses ability to think critically and solve problems


9. Documents student evaluation at midpoint and final. Evaluations provide an accurate picture of student strengths and areas for improvement. Preceptor reviews evaluations with students.

10. Demonstrates self-directed approach to their own professional development

11. Engages as collaborative, contributing member of team

12. Shows commitment to practice, professional societies and community

13. Displays mutual respect for learners, supervisors, co-workers, etc.

Sites with Pharmacist Preceptors with Stipulations (Back to Table of Contents) Students will not be placed with any pharmacist preceptor having stipulations on their license (probationers). Sites which employ pharmacist preceptors with stipulations on their license(s) will be asked to provide a documented plan for student supervision that does not include the probationer. This plan will be evaluated by the Experiential Education Advisory Committee and decisions regarding site participation will be made on a case-by-case basis. Further, if a pharmacist preceptor has stipulations related to substance abuse, students will not be placed with the pharmacist preceptor for a period of two years after the stipulations have been removed from the license.

Grading Criteria and Evaluations (Back to Table of Contents)

Academic Standards (Back to Table of Contents)

“Satisfactory progress” in the PharmD Program is defined as “maintaining a cumulative or semester University and Professional grade point average of 3.0 or higher, receiving no grades below C+, nor any grades of E, EU, NC, I or W in any professional core or elective course.” The cumulative professional grade point average is based on the grades obtained from all attempts at professional and core and elective courses.

General Information (Back to Table of Contents)

Grading for all advanced experiences is determined by use of a rubric. The rubric serves two main purposes. First, it allows the preceptor to assess the student’s ability in various areas of clinical practice and provide suggestions for improvement. Second, it provides a quantitative mechanism upon which a decision can be made as to whether a student should receive a passing grade for the clerkship. It is important to understand that successful completion of the clerkship is based on skills, knowledge and behaviors. In general, a minimum score of 3 is required in all areas of the rubric.


Grade/Point Scale (Back to Table of Contents)

The grading rubric uses a five-point grading scale. An average of points received on the rubric will have the following grades:

4.67 to 5.0 A 4.34 to 4.66 A- 4.00 to 4.33 B+ 3.67 t0 3.99 B 3.34 to 3.66 B- 3.0 - 3.33 C+ Students who achieve less than 3 as an average will receive a grade less than C+. Students who receive less than C+ will be required to repeat a clerkship in the same category as the failed rotation.

Timing of Evaluations (Back to Table of Contents)

Midpoint

A first evaluation of progress will be performed at the end of the first three weeks of the professional experience by the faculty preceptor. The ratings that are given should be discussed with explanations in order for the student to understand which areas are areas of strength, and which areas need improvement in order to achieve a passing grade. In the event that there are multiple areas of deficiency, the EE director should be contacted.

Final

A final evaluation by the preceptor will be provided to the student at the conclusion of the experience. This evaluation should summarize the student’s strengths and provide direction on the skills, knowledge, or behaviors that the student should continue to work on in future clerkships. The final evaluation can be completed in RxPreceptor™. Students should forward this information to their next preceptor.

APPE Manual 2017 - 2018 Page 14

Appendix A: Ongoing Student Immunization Requirements (Back to Table of Contents)

What is appropriate documentation? Students must provide official documentation from a healthcare provider or local health department to fulfill the immunization requirements. Documentation of a vaccine must include the name of the vaccine, date, time, and signature of the person administering. How do I document immunizations? All documentation must be uploaded to CORE ELMS and kept current. If there is a previously uploaded document for that requirement, select “Replace” in order to archive the previous document. The student is responsible for ensuring their immunizations are up to date. What is a titer? A titer is a laboratory test that measures the presence and amount of antibodies in blood. A blood sample is taken and tested. If the test is positive (above a particular known value) the individual has immunity. If the test is negative (no immunity) or equivocal (not enough immunity) you need to be vaccinated. 1. Annual Tuberculosis (TB)

• Students must have an annual TB test completed- Skin Test, QuantiFERON Gold, or T-SPOT (see below if your test is positive). Upload as “Annual TB Test.”

• The student should keep their TB tests consistent every year (e.g., If the student takes a two-step skin test as the baseline, then they should continue to have a skin test done every year rather than switch to a blood test).

• If the student has a positive result, the student must have a chest x-ray. Results of the x-ray must be uploaded in CORE ELMS. o If the chest x-ray is normal, the student never needs to take another TB test. o If the chest x-ray is abnormal, the student needs to be cleared by their physician or

local health department. Students cannot go on rotation without clearance.

2. Annual Influenza vaccine: Must provide documentation every year by the deadline set by the University of Utah for their employees to receive the latest flu vaccine (usually around October). Note that as with all documentation, it must include the date, time, and location of administration, along with the signature of the person administering it. A prescription label from the pharmacy where it was administered would not be accurate documentation by itself. 3. Hepatitis B Hepatitis B vaccinations and titer should have been documented prior to admission. If your titer was not positive, you must complete up to three additional vaccinations, and provide documentation of a positive titer, indicating immunity. Students will not be allowed to attend rotations if they have not completed two series of vaccination or cannot produce a positive titer. All titers, whether positive or negative, and all vaccinations must be uploaded into CORE ELMS as you receive them so we can track your progress in completing this requirement.

• Students must provide documentation of:


o 3 Hepatitis B vaccinations AND a titer after 30 days of getting the last vaccine to confirm immunity OR

o 3 Twinrix ® (combined Hepatitis A and Hepatitis B for adults)vaccinations AND a titer after 30 days of getting the last vaccine to confirm immunity: Standard Schedule - Administered at 0, 1, and 6 months (3 shots) OR Rapid Schedule - Administered at 0, 7, and 21-31 days AND a booster

dose 12 months after the first dose (4 shots) • If after your second series of three vaccinations, your titer results are still negative,

indicating that you are not immune to Hepatitis B, please follow the below instructions. o Send an email to [email protected] . o Upload your titer results into the Hepatitis B Titer section of CORE ELMS o The Experiential Education team will contact you with further instructions.

4. Tdap: • 1 Tdap vaccination or TD booster within the past 10 years. A new vaccination is

required if yours is greater than 10 years old.

Students: MMR, Varicella, and initial Two-step TB requirements are outlined in the Pre-Admission Student Immunization Requirements document found in the Document Library of CORE ELMS/RxPreceptor™. Documentation of these must remain on file, in CORE ELMS/RxPreceptor™ for your rotations.



Appendix B: Student Rotation Assignments (Back to Table of Contents)

Grades will remain incomplete until all required assignments are submitted for each rotation block. A student’s grade will be dropped 1 step (per assignment) for every week an assignment is late until a grade lower than C+ is the highest grade possible. At that time, the student will be required to complete another rotation. For each block, the following are required: Student Self-Evaluation (Back to Table of Contents) Purpose This self-assessment checklist allows the student to perform a self-assessment of their knowledge and experience at the start of the clerkship. This can aid in the structuring of learning opportunities throughout the year. These scores are not related to competencies or grades. At the end of the experience, a re-evaluation of your skills and knowledge allows you to document the progression of your educational experience with respect to skills and knowledge gained over the academic year. Instructions Students should rate their level of skill/knowledge in all areas before and after each experience. Areas may be left blank in the post-assessment only if there was no change in that area. Assuming you have access to the usual resources, a score of “1” would indicate that you would need extensive direction in solving a problem related to that area. A score of “5” would indicate that, given ready access to the usual resources, you could work independently to solve problems related to that area. At the start of the experience: Students complete the Initial Self-Assessment in RxPreceptor™ (In the Evaluations section under Self Evaluations) on or before the start of the experience and share results with their preceptor. Due Wednesday of Week 1. At the end of the experience: Students again rate themselves in all areas by completing the Final Self-Assessment RxPreceptor™ (In the Evaluations section under Self Evaluations). This serves as a means of documenting changes in skills and knowledge gained during the professional experience. Due one week after clerkship is completed. Evaluation of Preceptor (Back to Table of Contents) Experiential and preceptor evaluations are very important to the success of the Professional Experiential Program. We rely on student’s assessment of their learning experience and use the information to help train our preceptors. Experiential and preceptor evaluations are to be completed by the student within one week of completing the clerkship. These are completed anonymously online in CORE ELMS/RxPreceptor™ in the Evaluations section.

• Without constructive comments, this evaluation will be considered incomplete.


Reflective Learning Portfolio (Back to Table of Contents) Reflective learning portfolios are defined as collection of evidence that attests to the student’s attainment of knowledge, skills and attitudes. This attainment is tied to specific learning outcomes of the program. Portfolios are designed to promote self-awareness and reflection. Reflections will be completed with each APPE and have been incorporated into the student self- assessments. Self-Reflection: Initial Student Self-Evaluation

• Choose three areas you would like to improve upon during the rotation. At least one should come from the CAPE Outcomes (document located in the Document Library in CORE ELMS).

• Describe three specific career goals and how you hope the rotation will help you reach those goals (250 word minimum)

Self-Reflection: Final Student Self-Evaluation • Reflect on your goals from the beginning of the rotation. Did you improve upon your

three defined areas of growth? Please provide specific examples that demonstrate how you improved, or explain why you did not improve. (500-750 words)

• What challenges did you experience in this rotation? What did you learn from them? (250 to 400 words)

• What is the most important thing you learned on this rotation? (100 to 250 words) • How has this rotation helped reinforce or change your future career goals? (100 to 250

words)

CAPE Outcomes (http://www.aacp.org/documents/CAPEoutcomes071213.pdf)

• Provide patient-centered care as the medication expert (collect and interpret evidence, prioritize, formulate assessments and recommendations, implement, monitor and adjust plans, and document activities).

• Manage patient healthcare needs using human, financial, technological, and physical resources to optimize the safety and efficacy of medication use systems.

• Design prevention, intervention, and educational strategies for individuals and communities to manage chronic disease and improve health and wellness.

• Describe how population-based care influences patient- centered care and influences the development of practice guidelines and evidence-based best practices.

• Identify problems; explore and prioritize potential strategies; and design, implement, and evaluate a viable solution.

• Educate all audiences by determining the most effective and enduring ways to impart information and assess understanding.

• Assure that patients’ best interests are represented. • Actively participate and engage as a healthcare team member by demonstrating

mutual respect, understanding, and values to meet patient care needs. • Recognize social determinants of health to diminish disparities and inequities in

access to quality care.

http://www.aacp.org/documents/CAPEoutcomes071213.pdf


• Effectively communicate verbally and nonverbally when interacting with an individual, group, or organization.

• Examine and reflect on personal knowledge, skills, abilities, beliefs, biases, motivation, and emotions that could enhance or limit personal and professional growth.

• Demonstrate responsibility for creating and achieving shared goals, regardless of position.

• Engage in innovative activities by using creative thinking to envision better ways of accomplishing professional goals.

• Exhibit behaviors and values that are consistent with the trust given to the profession by patients, other healthcare providers, and society.


Appendix C: Objectives for Required Rotations (Back to Table of Contents)

Applicable to all Advanced Pharmacy Practice Experiences: Curricular Goals Prepare pharmacists in a research-intensive, academic health center to be exemplary professionals who enable progress in healthcare by incorporating biomedical research advances into practice, serve as medication experts, and who advocate for and defend the public health. General Learning Outcomes Upon conclusion of the professional program graduates will be able to: 1) Apply fundamental scientific, analytic and problem-solving skills to all areas of pharmacy

practice 2) Communicate effectively both orally and in writing 3) Work collaboratively on healthcare teams 4) Base patient care/practice decisions on sound science and best evidence 5) Apply medication safety and quality-improvement principles to pharmacy practice 6) Manage medication-use systems 7) Promote public health and wellness 8) Develop behaviors to practice in an ethical, culturally aware and professional manner 9) Demonstrate a commitment to continuous professional development Acute Care At the completion of this professional experience, the student should be able to: 1) Obtain a medication history from patients admitted to the medical team. This shall include:

evaluating the patient’s knowledge of the medications he/she is taking, collecting any allergy or adverse drug reaction information, inquiring about use of over-the-counter agents or herbal remedies, screening for drug-induced problems or drug interactions and assessing noncompliance.

2) Develop an appropriate assessment and plan from the information obtained in the medication history.

3) Demonstrate the ability to use the electronic medical record to effectively monitor drug therapy.

4) Develop a treatment plan for all acute medical problems in assigned patients. This includes the ability to monitor drug therapy using a problem-based format which includes: a problem list, goals of therapy, treatment plan and appropriate monitoring parameters.

5) Identify problems concerning drug therapy including inappropriate choice of drug, of dosage form, of route of administration or of dosing schedule, duplication of drugs, drug interactions, contraindications and adverse drug reactions.

6) Communicate effectively with healthcare team members. 7) Demonstrate the ability to properly counsel patients about the appropriate use of their

prescription and non-prescription medications.


8) Demonstrate an advanced ability to verbally disseminate clinically significant drug information regarding drug therapy when requested to do so or when it is appropriate for better patient care.

Advanced Community At the completion of this professional experience, the student should be able to: 1) Describe the philosophy of the interdisciplinary approach in community pharmacy care

and its benefits to patients. 2) Develop the ability to assist physicians, residents and/or other health care providers

with drug product selection, drug dosing, and screening for possible drug interactions. 3) Demonstrate knowledge of essential questions to ask a patient in a medication history,

specifically pertaining to the following: the patient’s knowledge of their disease state, purpose of taking medications, directions/regimen of medication, and any drug allergies.

4) Prepare and dispense medications and develop patient counseling skills by identifying common problems encountered when counseling a patient and ways to avoid these problems.

5) Obtain a complete medication therapy review from patients. This includes the following: evaluating the patient’s knowledge of the medications he/she is taking, collecting any allergy or adverse drug reaction information, inquiring about over-the-counter agents or herbal remedies, screening for drug-induced problems or drug interactions, and assessing compliance.

6) Use the current prescription, medication history and patient profile to analyze drug therapy and treatment plans, and document interventions as they relate to the identification, resolution or prevention of medication-related problems involved in pharmaceutical care.

7) Recommend appropriate non-prescription drug therapy and self-care for patients based upon information gathered.

8) Demonstrate appropriate selection and use of drug information resources in responding to questions from health care professional. Critically review and evaluate the medical and pharmaceutical literature in researching drug information questions and preparing case presentations.

9) Counsel and educate patients on disease states, prescription, over-the-counter and natural products.

10) Manage the medication use system and applying the systems approach to medication safety.

11) Participate in the pharmacy’s quality improvement program. Advanced Health Systems At the completion of this clerkship, the student will be able to: 1) Describe the organizational structure of the healthcare-system and the department of

pharmacy services relating to the system i) Describe the role of the director(s) and/or managers within the pharmacy

department ii) Describe the roles of department supportive personnel

2) Review policies and procedures as they relate to hiring and disciplining personnel i) List challenges to training and retaining personnel


ii) Attend and/or lead a staff meeting 3) Participate in discussions with management about pharmacy workload and financial

performance i) Describe the fiscal planning process ii) Describe the budgetary issues that health-systems face

4) Discuss and analyze the use of medication management systems, including storage, preparation, distribution, procurement and inventory control

5) Participate in the health-system’s medication safety/ patient safety initiative(s) i) Describe the purpose, structure and process of such initiatives ii) Write an analysis of one project, including outcomes of the project, or iii) Perform medication reconciliations, or iv) Perform discharge patient counseling

6) Create and write up a plan to support a new patient care service. This may include any one of the following:

i) The feasibility and need of the service; ii) Barriers to the service; iii) Needed resources; or iv) Potential benefits of the service

7) Participate in the health-system’s quality improvement process through any one of the following:

i) Perform a financial analysis ii) Attend and present to the Pharmacy and Therapeutics meeting or other similar

meeting iii) Develop a clinical drug guideline iv) Perform a drug use evaluation

8) Review policies and procedures for the management of medical emergencies through any one of the following:

i) Attend mortality and morbidity meetings ii) Participate with emergency department pharmacists iii) Attend a cardiac arrest with the cardiac team pharmacist

9) Describe the applicable state and federal laws as they pertain to the health-system’s policies and procedures.

Ambulatory Care At the completion of this clerkship, the student will be able to: 1) The student should be able to demonstrate knowledge of signs, symptoms, diagnosis,

pathophysiology, clinical course, etiology, and treatment of disease states commonly encountered in a primary care clinic population.

2) Take a thorough medication history, and effectively communicate with patients to discover pertinent past and present medical information.

3) Effectively review patient medical records to gather relevant information, and then demonstrate ability to apply information to assess appropriateness of drug therapy and formulate most effective treatment plan.

4) Document all pharmacy activities in clear, concise, and organized written progress notes. 5) Identify, assess, evaluate, and report adverse drug reactions.


6) Independently monitor and manage patients’ long-term pharmacotherapy after provider referral.

7) Develop relationships with clinic practitioners that facilitate development of patient panel and encourage appropriate patient referral.

8) Respond efficiently and accurately to all drug information questions/ requests from clinic staff and patients.

9) Practice primary care activities and all pharmacy related functions with confidence. 10) Critically evaluate primary literature and use evidence to inform clinical decision making. 11) Create effective learning experiences and teaching materials for providers, staff, and

patients. Clinical Information Systems At the completion of this clerkship, the student will be able to: 1. Demonstrate effective written and verbal communication skills through various activities. 2. Compare, contrast, and effectively use tertiary references. 3. Compare, contract, and effectively use secondary references. 4. Given primary literature,

a. describe the study in detail, including study design, patient selection criteria, methodology, and statistical analysis.

b. identify flaws in the study design and methodology. c. describe the strengths and weaknesses of the study.

d. assess if the conclusions are appropriate based on the information presented in the study.

e. assess the generalizability of the study results to clinical practice in general or to a specific patient/situation.

5. Identify discrepancies and controversies in policies, literature, information sources, and systems and develop a rational plan to deal with the controversy.

6. Describe the purpose and function of the Pharmacy and Therapeutics Committee.


Appendix D: Fuel Reimbursement and Housing for Rural Sites (Back to Table of Contents)

Students who wish to be reimbursed for housing or fuel must follow the below steps:

1. Apply to AHEC at least 6 weeks in advance – AHEC application 2. Once AHEC tells you what services they will provide, complete the Rural Housing and

Fuel Form 3. If you wish to use the Santaquin apartment, complete the Santaquin Apartment Request

Form a. Students who would like to use the Santaquin apartment must still apply to

AHEC. b. Apply for housing in case we do not have space for the demand and for fuel

reimbursement (ask for the travel stipend for fuel in the Additional Information section of the application).

Rural Sites Some sites may not be listed. If you are not sure if your site is rural, please contact the EE Office, [email protected].

• Central – Bicknell, Payson, Santaquin, Nephi, Mt. Pleasant, Richfield, Delta • Southwest – Beaver, Panguitch, Cedar City • Southeast – Blanding, Monticello • Northeast – Heber, Vernal, Roosevelt, Duchesne, Price • North –Trementon, Brigham City

Area Health Education Center (AHEC) Services (website) Application - https://utah-ahec.org/application/cr/

• An application is required at least 6 weeks in advance, but the earlier the better. AHEC services are given on a first-come, first-serve basis.

• Students who do not apply to AHEC will not be reimbursed for housing or fuel by the College of Pharmacy.

• AHEC should contact you within 2 weeks after you submit the application.

Housing

• AHEC has permanent housing in Cedar City, Beaver, Blanding, and St. George (for rural areas of Washington County only). View these housing options at their website.

• AHEC has housing in other rural cities. Since their availability changes constantly, you must submit their application to find out if they have housing in your city.

• If AHEC cannot find housing for you in a rural site, they will give you a stipend (up to $700) that will help cover the cost of your own housing arrangement. You will be reimbursed for the cost of your housing (up to $700) when the rotation is over and need to provide them with an invoice or receipt.

o For APPE’s only, the COP will supplement AHEC’s stipend up to $1,050 total.

https://utah-ahec.org/application/cr/

http://utahcop.az1.qualtrics.com/SE/?SID=SV_6EEOtiM74ZaVwOx


http://utahcop.az1.qualtrics.com/jfe/form/SV_3l7zzLxdtE1kexf



https://www.suu.edu/ahec/clinical-training.html


https://www.suu.edu/ahec/clinical-training.html


• If you are staying at a relative’s house and would like to pay them rent, AHEC may be able to give you a stipend. Explain your situation in the Additional Information section of the application. The COP will not reimburse for housing at a relative’s home.

Fuel Travel Stipend

• Everyone can apply for a travel stipend for fuel reimbursement, even if you do not need housing.

• Indicate you are interested in the travel stipend for fuel in the Additional Information section of the application.

Reimbursement

• You must complete and submit a brief AHEC survey at the end of your rotation to be reimbursed.

• Fuel – if receiving fuel reimbursement from AHEC, you do not have to save gas receipts.

Cancellation Policy

If the student cancels less than 3-weeks before their start date without a special circumstance (e.g. rotation is canceled by the preceptor, family emergency, health emergency), the student is subject to pay for all costs and fees AHEC accrued from coordinating a housing arrangement (e.g. $100 administrative fee, housing costs).

Santaquin Apartment

The College of Pharmacy leases an apartment which can be used for the Santaquin, Payson, and Nephi sites. Information about the apartment is on pages 3-4. If you would like to stay at this apartment, complete the Santaquin Apartment Request Form. Apply to AHEC for housing in case we do not have space for the demand and for fuel reimbursement (ask for the travel stipend for fuel in the Additional Information section of the application). Other Housing Options Students are responsible for arranging their own housing in rural areas that AHEC and the College of Pharmacy does not have housing contracts with.

If students receive the $700 housing stipend from AHEC, the COP will only reimburse up to $350 more for APPE students only.

If students applied to AHEC at least 6 weeks in advance and did not receive the $700 housing stipend, the COP will reimburse up to $700 for IPPE students and $1,050 for APPE students.

Housing option websites:

• www.flipkey.com • www.homeaway.com • www.vrbo.com • www.tripping.com/ • www.airbnb.com • www.ksl.com


http://www.flipkey.com/

http://www.homeaway.com/

http://www.vrbo.com/

https://www.tripping.com/

http://www.airbnb.com/

http://www.ksl.com/


College of Pharmacy Reimbursement Process

Housing reimbursement

• The COP will only reimburse housing if the student applied to AHEC at least 6 weeks in advance and did not receive their services.

• If housing is not available through AHEC or the COP, complete the Rural Housing and Fuel Form.

• Once your rotation is finished, send the rent invoice or your payment receipt to the EE Manager (you will not be reimbursed until your rotation is over).

• The EE Manager will approve the reimbursement and send it to the COP Accounting/Finance Manager to process.

Fuel reimbursement

The COP will only reimburse fuel if the student applied to AHEC at least 6 weeks in advance and did not receive their services.

If AHEC cannot provide fuel reimbursement, the COP will reimburse you if you follow the below process.

• Completely fill your tank before you drive to your rural site city. • When you arrive at your rural site, re-fill your tank and keep the receipt. • When your rotation is over, fill up your tank before you leave the city. • Once you arrive to your home city, re-fill your tank and keep the receipt. • Submit both receipts to the EE Manager for reimbursement.

Santaquin Apartment Information

All students must complete the Santaquin Apartment Request Form Address: 25 West Main Street, #19 Santaquin, UT 84655

• It is on the south side of the street. Parking is in the back of the building. The apartment is on the top floor and there is no elevator.

Space:

• 2 bedrooms (one futon twin-size bed each) • Extra room (could be used as an extra bedroom or study room)

o This room does not have a bed. • Kitchen-living area • There is no washer and dryer, but there is a laundromat in Santaquin

Amenities:

• The apartment comes with pots and pans, small coffee maker, plates, cups, bowls, silverware, dish towels, table, chairs, and a shower curtain.

• There is no TV or internet service in the apartment. The Payson library has internet.





What to bring: • Bedding (sheets, blankets, pillow), towels, bath mat, personal use items, and cleaning

supplies (including a vacuum cleaner). • Only 2 rooms have beds, so someone may need to provide their own.

Additional Occupants:

• Students may need to share the apartment with one or two other students. • If a student has the apartment to himself/herself, family members may stay with the

student. • Pets are not allowed.

Pharmacy Locations & Transportation:

• Santaquin Pharmacy – the pharmacy is below the apartment. • Mountain View Hospital (Payson) is about 8 miles away. Public transit is available. Map • Central Valley Medical Center (Nephi) is about 19 miles away. Public transit is not

available. Map Fuel Reimbursement: If you would like to be reimbursed for fuel (to and from your rural city), complete the AHEC application for a travel stipend (up to $150). This must be done at least 6 weeks prior to your start date. Before you move in:

1. Read the lease agreement and sign the occupant letter. 2. Obtain renter’s insurance and send a copy to the EE Manager and landlord, Tara Wall.

a. You may opt out of renter’s insurance. It must be indicated at the bottom of the occupant letter.

3. Submit the signed occupant letter to the EE Manager by the given deadline. 4. Contact Tara Wall with your contact information and dates you will be staying at the

apartment. a. Tara Wall, [email protected], 801-362-1592

Apartment Key: Please contact the EE Office to get an apartment key. They key will be at the College of Pharmacy at the University of Utah to pick up. Please let Tara Wall know of any issues or problems with the apartment. Tara Wall, [email protected], 801-362-1592 Check-out Procedure:

• Remove all personal possessions. • Dust and clean all necessary shelves, cupboard, and top of doors, baseboards and closet. • Clean oven, trays, racks, and top burners thoroughly, • Clean refrigerator and defrost, and turn to low temperature.

https://goo.gl/maps/EcZsbEdwVKm

https://goo.gl/maps/cJSeEDWkCMw





• Clean sinks, bathtub, toilet; soap dish, and plumbing fixture. • Clean all windows, both inside and out. • Remove all trash and place in the garbage. • Clean and wash all light fixtures. • Vacuum all carpets thoroughly. • Return the key to the EE Office at the College of Pharmacy promptly.


Appendix E: Code of Conduct for Pharmacists (APhA- http://www.pharmacist.com/code-ethics; accessed 5/11/16)

(Back to Table of Contents) Preamble Pharmacists are health professionals who assist individuals in making the best use of medications. This Code, prepared and supported by pharmacists, is intended to state publicly the principles that form the fundamental basis of the roles and responsibilities of pharmacists. These principles, based on moral obligations and virtues, are established to guide pharmacists in relationships with patients, health professionals, and society. I. A pharmacist respects the covenantal relationship between the patient and pharmacist. Considering the patient-pharmacist relationship as a covenant means that a pharmacist has moral obligations in response to the gift of trust received from society. In return for this gift, a pharmacist promises to help individuals achieve optimum benefit from their medications, to be committed to their welfare, and to maintain their trust. II. A pharmacist promotes the good of every patient in a caring, compassionate, and confidential manner. A pharmacist places concern for the well-being of the patient at the center of professional practice. In doing so, a pharmacist considers needs stated by the patient as well as those defined by health science. A pharmacist is dedicated to protecting the dignity of the patient. With a caring attitude and a compassionate spirit, a pharmacist focuses on serving the patient in a private and confidential manner. III. A pharmacist respects the autonomy and dignity of each patient. A pharmacist promotes the right of self-determination and recognizes individual self-worth by encouraging patients to participate in decisions about their health. A pharmacist communicates with patients in terms that are understandable. In all cases, a pharmacist respects personal and cultural differences among patients. IV. A pharmacist acts with honesty and integrity in professional relationships. A pharmacist has a duty to tell the truth and to act with conviction of conscience. A pharmacist avoids discriminatory practices, behavior or work conditions that impair professional judgment, and actions that compromise dedication to the best interests of patients. V. A pharmacist maintains professional competence. A pharmacist has a duty to maintain knowledge and abilities as new medications, devices, and technologies become available and as health information advances. VI. A pharmacist respects the values and abilities of colleagues and other health professionals. When appropriate, a pharmacist asks for the consultation of colleagues or other health professionals or refers the patient. A pharmacist acknowledges that colleagues and other health professionals may differ in the beliefs and values they apply to the care of the patient.

http://www.pharmacist.com/code-ethics


VII. A pharmacist serves individual, community, and societal needs. The primary obligation of a pharmacist is to individual patients. However, the obligations of a pharmacist may at times extend beyond the individual to the community and society. In these situations, the pharmacist recognizes the responsibilities that accompany these obligations and acts accordingly. VIII. A pharmacist seeks justice in the distribution of health resources. When health resources are allocated, a pharmacist is fair and equitable, balancing the needs of patients and society. * adopted by the membership of the American Pharmacists Association October 27, 1994.