Required APPE Syllabi - Union University · Required APPE Syllabi Page 2 Required APPE Syllabi Contents ... The course will include preparation and delivery of a presentation. The

Required APPE Syllabi Page 1

Required APPE Syllabi


Required APPE Syllabi

Contents

Required Advanced Pharmacy Practice Experiences (APPEs)....................................................................... 3

Student End-Of-Rotation Checklist ........................................................................................................... 4

APPE 700 Advanced Institutional Pharmacy Practice ............................................................................... 5

APPE 710A Advanced Chain Community Pharmacy Practice ................................................................. 14

APPE 710B Advanced Independent Community Pharmacy Practice ...................................................... 24

APPE 720A Ambulatory Care Pharmacy Practice .................................................................................... 34

APPE 730A Internal Medicine Pharmacy Practice .................................................................................. 43

APPE 730 Acute Care Pharmacy Practice ................................................................................................ 51


Required Advanced Pharmacy Practice Experiences (APPEs)

The Advanced Pharmacy Practice Experiences consist of 10 one-month rotations beginning in January of

the third professional year and concluding in March of the fourth professional year. Courses are

designed to focus on the development of professional skills required for contemporary pharmacy

practice. During these courses, students spend one month (approximately 160 hours) in a variety of

practice settings. Students are exposed to the role and responsibilities of the pharmacist in each practice

and the importance of the pharmacist in patient care.

Required Advanced Pharmacy Practice Experiences. Students must complete 6 required experiences.

Required experiences are:

Advanced Institutional Practice

Advanced Chain Community Practice

Advanced Independent Community Practice

Acute Care

Ambulatory Care

Drug Information (semester-long)

Elective Experiences. Students must select five (5) elective experiences from an approved list

representing a variety of practice settings including cardiology, oncology, critical care, other medical

subspecialties, as well as practice management and other specialty pharmacy practices.

Course Credit. Students earn four (4) hours of academic credit upon successful completion of each APPE

course.

Required APPE Syllabus. Each of the following Required APPE Syllabi are designed to provide a general

structure to each course and preceptor. Because rotation sites and patient populations are unique, the

preceptors are allowed and encouraged to add additional activities and responsibilities to each course.

Because some aspects of grading are structured, preceptors are not allowed to remove requirements

from the standard syllabus without the permission of the Office of Experiential Education.


Student End-Of-Rotation Checklist

Students should submit the following documentation at the conclusion of the rotation:

Reflective Paper

The assigned reflective paper should be uploaded to Coursework in E*Value at the conclusion of

the rotation. The Office of Experiential Education will review submitted work; however the

grade is determined by the Clinical Preceptor.

Assignments

A copy of all assignments (including reflective papers, pharmacy calculations, drug summaries,

drug information forms, oral presentation slides or handout) should be uploaded to Coursework

in E*Value at the conclusion of the rotation. The Office of Experiential Education will review

submitted work; however the grade is determined by the Clinical Preceptor. Failure to upload

required assignments in a timely manner to E*Value may result in a grade reduction for

unprofessional behavior.

Student Self Assessment, Evaluation of Preceptor, and Evaluation of Site (Appendix C)

All evaluations must be completed in E*Value within 3 days of the conclusion of the rotation. All

comments regarding the preceptor and the site must be written in a professional manner. The

school will not share individual student evaluations with the preceptor. Preceptors will receive

de-identified student feedback in aggregate.

Summary of coursework required for submission to E*Value

Course Interventions Drug

Information Presentations Other

700 4 SOAP notes 2 questions Inservice IPE reflection

paper

710A (all) 4 SOAP notes 2 questions Inservice or

journal article review

710B (all)

4 SOAP notes 2 questions Inservice or

journal article review

Top 200 drug quiz (required once)

720 4 SOAP notes 2 questions Inservice

730 (all) 4 SOAP notes 2 questions Inservice

740-770 Inservice or

project


Union University

School of Pharmacy

Course Syllabus

APPE 700 Advanced Institutional Pharmacy Practice

4 Credit hours

Course Coordinator: Mark Stephens, Pharm.D., BCPS

Director of Experiential Education

Providence Hall Room 126

Phone: 731-661-5975 (voice)

FAX: 731-661-5980

Office Hours: By appointment

E-mail: [email protected]

Other Course Instructors:

Various Clinical Preceptors will be involved in the course. Students will be assigned a Clinical Preceptor

and practice site. The student and/or the Preceptor should inform the Course Coordinator of any

circumstances or relationships that could adversely affect the preceptor/student relationship and the

desired learning outcomes.

Credit Hours:

4 Credit hours

Clinical Hours:

The course will be completed during a calendar month. The course usually begins on the first weekday of

the month and ends on the last week day of the month. The Clinical Preceptor may change this schedule

as necessary.

Clinical hours and location are to be mutually approved by the Course Coordinator and the Clinical

Preceptor. The work schedule is expected to be 40 hours per week during the calendar month. The

Clinical Preceptor will determine the exact work schedule. Evening and weekend hours are permitted.

Course Description:

This Advanced Pharmacy Practice Experience (APPE) is a required course. The course is designed to

offer the student advanced experience in an institutional pharmacy practice setting. Students will be

expected to apply knowledge and skills learned during the experience and previously in the curriculum in

order to accurately and efficiently fill prescription orders; comply with state and federal laws as well as

regulations from accrediting agencies; collect patient specific information for the development of an

evidence-based treatment plan; respond to drug information questions; communicate effectively (orally

and in writing) with patients, caregivers, and other health professionals; and conduct themselves in a

professional manner.


Prerequisites:

The student must be enrolled in the Union University Doctor of Pharmacy Program. The student must

successfully complete all prior didactic courses and all four introductory pharmacy practice experiences.

The student must also have the following:

1. A current health insurance policy

2. Proof of immunization for

a. measles, mumps and rubella (MMR) or positive titer;

b. positive history for chicken pox (varicella) or positive titer;

c. hepatitis B series or documented immunity; and

d. an annual TB skin test.

e. an annual influenza vaccine (or signed declination)

3. An annual criminal background check

4. An annual urine drug screen

5. Annual HIPAA/OSHA certification

6. Basic Life Support for the Healthcare Provider

Course Objectives: At the conclusion of this rotation, the student should be able to:

1. Conduct practice activities that assure patient safety by upholding state and federal laws and

regulations of accreditation agencies (i.e. JCAHO).

2. Describe the institution’s medication distribution system and safely and accurately prepare and

deliver drug products to patients.

3. Develop evidence-based pharmacotherapy plans for a patients

4. Communicate effectively to patients, caregivers, and other members of the healthcare team

5. Utilize informatics in daily practice

6. Manage a patient-centered practice

7. Function as an effective member on an interdisciplinary team through maintaining a high level of

professionalism, maintaining confidentiality, and exhibiting cultural sensitivity

Course Mapping to Terminal Outcomes

Terminal Outcomes Course Objectives

Provide compassionate care amongst diversity Describe the institution’s medication

distribution system and safely and

accurately prepare and deliver drug products

to patients.

Develop evidence-based pharmacotherapy

plans for a patients

Provide pharmaceutical care and disease state

management

Develop evidence-based pharmacotherapy


Develop evidence-based pharmacotherapy care Develop evidence-based pharmacotherapy



plans

Communicate effectively Communicate effectively to patients,

caregivers, and other members of the

healthcare team

Successfully interpret and apply current literature

to practice

Communicate effectively to patients,


healthcare team

Utilize informatics in daily practice Utilize informatics in daily practice

Describe the institution’s medication



to patients.



healthcare team

Manage a patient-centered practice Conduct practice activities that assure

patient safety by upholding state and federal

laws and regulations of accreditation

agencies (i.e. JCAHO).

Describe the institution’s medication



to patients.

Manage a patient-centered practice

Practice in a legal and ethical manner Conduct practice activities that assure

patient safety by upholding state and federal

laws and regulations of accreditation

agencies (i.e. JCAHO).

Function as a member of an interdisciplinary team Function as an effective member on an

interdisciplinary team through maintaining a

high level of professionalism, maintaining

confidentiality, and exhibiting cultural

sensitivity

Methods of Instruction:

The course objectives will be achieved through hands-on learning at the rotation site. The experience will

include patient interactions and may involve simulated patient encounters. Readings may be assigned.

The course will include preparation and delivery of a presentation. The objectives will also be met

through completion of written assignments.

Recommended Textbooks:


DiPiro, J. et al. Pharmacotherapy: A Pathophysiologic Approach. 7th edition. New York.

McGraw-Hill. ISBN: 978-0-07-147899-1

Chisholm-Burns MA. et al. Pharmacotherapy Principles & Practice. 2nd

edition. New York.

McGraw-Hill. ISBN: 978-0-07-162180-9

Assigned Readings and Research:

The preceptor may assign reading. Assigned readings are expected to be completed prior to the designated

deadlines and will be essential for student background prior to discussions. Quizzes may be administered

periodically to assess knowledge and understanding of material.

Required or Recommended Equipment:

Calculator

Special Projects or Activities:

Projects or activities will be assigned to assure the completion of course objectives. The preceptor may

require additional activities.

1. Conduct practice activities that assure patient safety by upholding state and federal laws and

regulations of accreditation agencies.

a. Discuss with your preceptor how state and federal laws and accrediting agencies affect

institutional pharmacy practice. The discussion may include:

i. Joint Commission standards for Medication Management

ii. Participate in unit inspections

iii. Joint Commission Core Measures

iv. Controlled substance inventory

v. National Patient Safety Goals, high risk medications

Review the Joint Commission website for National Patient Safety Goals

at www.jointcommission.org/standards.

a. The discussion may include abbreviations to avoid, look

alike/sound alike medications, anticoagulation monitoring etc.

b. Discuss steps that the pharmacy or the institution has taken to

improve medications safety.

vi. Legal issues

2. Describe the institution’s medication distribution system and safely and accurately prepare and

deliver drug products to patients.

a. Prospective DUR

i. Assess medications orders for appropriate therapy, dose, dosage form,

compatibility

ii. Analyze patient records for pertinent information including allergies, potential

interactions with medications or disease states, or duplicate therapy

iii. Clarify or correct medication order information to assure the order is accurate

and legal. Contact the prescriber when necessary.

http://www.jointcommission.org/standards


b. Medication Preparation

i. Accurately enter information into the pharmacy order entry system (where

allowed).

ii. Utilize pharmacy calculations in medication preparations

iii. Accurately process medication orders including drug selection, labeling,

compounding, repackaging.

iv. Accurately prepare IV admixtures in accordance to USP 797 guidelines

c. Medication Delivery and Distribution

i. Verify the accuracy of orders prepared by other individuals or by technology

ii. Discuss and participate (where available) in the use of automated dispensing

systems

iii. Discuss the use of investigational drugs

iv. Discuss the use of home medications

v. Discuss the rationale for automatic substitution, automatic stop orders, standard

IV concentrations, etc.

3. Develop evidence-based pharmacotherapy plans

a. Develop and recommend pharmacotherapy interventions (including pharmacologic and

non-pharmacologic) for a minimum of 4 patients

b. Design a monitoring plan for the identified problems

c. Identify disease prevention strategies

i. Identify or calculate risk for diseases

ii. Identify vaccinations needed

iii. Identify and recommend appropriate medication and non-medication related

disease prevention strategies

d. Using a SOAP note or other specified format, concisely and accurately document patient

interventions in the medical record or other location specified by the site

i. Use appropriate terminology

i. Avoid use of unapproved abbreviations

4. Communicate effectively

e. Formulate and document the answer to at least 2 drug information questions

i. Include an accurately stated question

ii. Collect pertinent background information

iii. Use primary, secondary, and tertiary literature as appropriate to formulate an

answer

iv. Respond to the question clearly and concisely, citing sources

f. Document the question and response, including AMA format citations, on the Drug

Information Form provided by the School

g. Prepare and deliver an inservice on a medication or pharmacy related topic

i. (Use Oral Presentation Evaluation Form)

h. Participate in a Journal Club (if available)



a. Complete training of technology in an appropriate period of time

b. Follow procedures

c. Appropriately and efficiently utilize technology to deliver patient care

d. Appropriately and efficiently utilize technology to identify problems, solve problems, and

document activities


a. Discuss the roles and responsibilities of other healthcare team members in the pharmacy

i. Discuss the organizational structure of the pharmacy department and how it

relates to the institution

ii. Discuss human resource related topics (e.g. scheduling, job descriptions,

evaluations and compensation, competencies, etc.)

iii. Discuss purchasing, reimbursement, inventory control

iv. Discuss the function of committees where pharmacists participate and the

pharmacist’s role on the committee (Attend meetings)

b. Demonstrate the ability to organize responsibilities and function in a practice setting

7. Function as an effective member on an interdisciplinary team

a. Discuss the roles and responsibilities of other healthcare team members outside of the

pharmacy (nursing, physical therapy, respiratory therapy, occupational therapy, etc.)

i. Shadow at least one non-physician healthcare professional for at least 4 hours

ii. Observe and discuss how the pharmacy and medications impact their ability to

take care of patients

iii. Write a 250 word reflection paper describing what you learned.

b. Adheres to dress code

c. Exhibits professional, courteous, respectful, compassionate behavior

i. Demonstrates sensitivity to patients and family members

ii. Demonstrates respect for other health professionals

d. Maintains confidentiality

e. Exhibits cultural sensitivity (sensitivity to ethnicity, economic status, age, etc)

f. Maintains punctuality

i. Arrives on time, prepared

ii. Completes assignments on time

g. Demonstrates dependability, accountability, sense of duty, willingness to learn, positive

attitude

Final Examination

The preceptor may conduct a final written and/or oral final examination at the completion of the rotation.

The composition of the final examination is at the discretion of the Clinical Preceptor. The final

examination will count for not more than 20% of the final grade.


Methods of Evaluation:

The preceptor will evaluate student performance during the experience using several grading rubrics:

Student Presentation Evaluation

Preceptor Evaluation of Student (Midpoint and Final).

Final Grade:

The clinical preceptor will establish the percentage of the total grade that each learning objective

determines. The items included on the Preceptor Final Evaluation of Student Performance must be at least

70% of the student’s final grade.

The oral presentation is 10% of the student’s final grade.

Additional assignments may comprise up to 20% of the final grade.

The final exam (optional) may comprise up to 20% of the final grade.

*A grade of F (< 2.0 on the 4 point scale) for professionalism may result in letter grade reductions or a

failing grade (F) for the course, regardless of the grade in other sections.

Final grades for the course are A, B, C, or F. The final grade will be based on the student’s performance

on learning objectives, as well as the student’s performance on their oral presentation, additional

assignments, and the final exam (if applicable). The grade will be calculated on a 4-point scale.

A= 4.0-3.4

B= 3.3-2.7

C= 2.6-2.0

F< 2.0

Attendance:

Prompt attendance each day of the pharmacy practice experience is mandatory. Attendance is considered

an important component of professionalism and is expected by Doctor of Pharmacy candidates. In the

event of emergencies and/or necessary absences, prior communication with the preceptor is required.

Permission for absences will be handled on an individual basis.

Assignments:

All assignments must be submitted to the Preceptor on the date set by the Preceptor. This will allow the

preceptor adequate time to review and evaluate each assignment. Failure to complete assignments by the

date due may result in letter grade deductions for the course for unprofessional conduct.

A copy of all assignments must be uploaded to E-Value under Coursework within 3 days of the

completion of the rotation. Failure to upload assignments by the due date may result in grade deductions

for unprofessional conduct.

SOAP note on at least 4 patients


Copy of formal presentation or project

Response to 2 drug information questions

Reflective paper

A copy of all assignments should also be placed in your portfolio.

Academic Dishonesty:

In order to maintain integrity and professionalism at the highest level, dishonesty of any sort, including

cheating (giving or receiving aid on a test or other work that is required to be performed independently)

and plagiarism, will not be tolerated. In the context of this course, plagiarism is defined as copying more

than six consecutive words verbatim or more than two sentences that reflect the original author’s

phrasing, sentence structure, or meaning. The penalty for cheating and plagiarism is a grade of zero for

the assignment. The student will also be reported to the academic center as required by school policy

(please see the School of Pharmacy Student Handbook).

Professionalism:

Students are expected to treat everyone, including the preceptor(s), facility staff, and patients with the

highest level of respect. Any disruptive or disrespectful behavior will impact the student’s grade and may

result in dismissal from the facility. The student will respect the confidentiality of the pharmacy’s patients

and their records in accordance with the applicable law. The student will become familiar with and follow

the policies and procedures of the pharmacy. The student will respect the confidentiality of the

pharmacy’s business model and practices. A grade of F (< 2.0 on the 4 point scale) for professionalism

may result in letter grade reductions or a failing grade (F) for the course, regardless of the grade in other

sections.

Dress:

Professional attire is required during all rotations and should be in compliance with the Union University

School of Pharmacy dress code and practice site. If dress code requirements conflict between the two

codes, the more stringent of the two should be followed. The preceptor should make the final

determination of what is required at the site. Students with Disabilities:

Students with disabilities that require specific accommodations should make an appointment with the

course coordinator within the first week of the course to discuss the appropriateness of the instructional

methods in this class or any accommodations that may be needed. Health Insurance Portability and Accountability Act (HIPAA):

Union University recognizes the legal and moral responsibility to safeguard the privacy of all patients by

maintaining confidentiality and safeguarding all protected health information. Students must comply with

all privacy policies adopted by the practice site of the group leader and Union University. Any breach of

HIPAA policies may result in disciplinary action, up to and including dismissal from the academic

program.

Final Note:

The course coordinator reserves the right to make necessary and appropriate adjustments to this

syllabus and to grading in order to meet learning objectives.


Non-emergent, personal use of a cell phone is prohibited. Use of a cell phone for communications

while at the practice site will be determined by the Clinical Preceptor.


Union University

School of Pharmacy

Course Syllabus

APPE 710A Advanced Chain Community Pharmacy Practice

4 Credit hours



Office: Providence Hall Room 126

Phone: 731-661-5975 (voice)

FAX: 731-661-5980

Office Hours: by appointment







Credit Hours:

4 Credit hours

Clinical Hours:



as necessary.




Course Description:


offer the student advanced experience in a chain community pharmacy practice setting. Students will be

expected to apply knowledge and skills learned during the experience and previously in the curriculum in

order to accurately and efficiently fill prescription orders, collect patient specific information for

medication therapy management; respond to drug information questions, communicate effectively (orally

and in writing) with patients, caregivers, and other health professionals, and conduct themselves in a

professional manner.


Prerequisites:






a. measles (rubeola), mumps and rubella or positive titer;

b. positive history for chicken pox (varicella) or positive titer;

c. hepatitis B series or documented immunity; and

d. an annual TB skin test.

e. an annual influenza vaccine (or signed declination)






Verbally communicate with patients, caregivers, and other members of the healthcare team in an

effective manner.

Safely and accurately prepare and deliver drug products to patients.

Collect, analyze, and accurately evaluate subjective and objective patient information for the

development of a treatment/pharmaceutical care plan

Provide medication therapy management (MTM) by developing evidence-based treatment plans

for patients.

Successfully interpret and apply literature to practice

Utilize informatics in daily practice


Function with professionalism as an effective member of an interdisciplinary team



Provide compassionate care amongst diversity Safely and accurately prepare and deliver

drug products to patients.

Collect, analyze, and accurately evaluate

subjective and objective patient information

for the development of a

treatment/pharmaceutical care plan

Provide medication therapy management

(MTM) by developing evidence-based


treatment plans for patients

Verbally communicate with patients,


healthcare team in an effective manner.


management







pharmacotherapy plans for patients

Develop evidence-based pharmacotherapy care

plans








Successfully interpret and apply current

literature to practice

Provide health and wellness strategies Provide medication therapy management



Communicate effectively Verbally communicate with patients,




to practice






Utilize informatics in daily practice Safely and accurately prepare and deliver




Manage a patient-centered practice Manage a patient-centered practice


Practice in a legal and ethical manner Safely and accurately prepare and deliver


Function as a member of an interdisciplinary team Function with professionalism as an

effective member on an interdisciplinary

team through maintaining a high level of

professionalism, maintaining


sensitivity







DiPiro, J et al. Pharmacotherapy: A Pathophysiologic Approach. 7th edition. New York. McGraw-

Hill.ISBN: 978-0-07-147899-1


edition. New York.

McGraw-Hill. ISBN: 978-0-07-162180-9

Berger, B. Communication Skills for Pharmacists. 3rd

edition. Washington, DC.

American Pharmacists Association. ISBN: 978-1-58212-132-1






Calculator

Stethoscope





1. Verbally communicate with patients, caregivers, and other members of the healthcare team in an

effective manner.

Activity:

The student will counsel at least 20 patients on prescription medications, including use of the

Public Health Service three prime questions. Counseling should include demonstration of

medication use (inhalers, injections, etc.)

Activity:

The student will elicit (using the seven questions) and assess patient information to advise at least

5 patients in the use of non-prescription medications.

Activity:

The student will prepare and deliver a 10-15 minute inservice on a medication related topic

OR

The student will critically review and present the findings of at least two recent journal articles

pertinent to the practice.

2. Safely and accurately prepare and deliver drug products to patients.

Activity:

a. Prospective DUR

i. Assess medications orders for appropriate therapy, dose, dosage form




and legal. Contact the prescriber, patient, or caregiver when necessary.


i. Accurately enter information into the pharmacy computer system (where

allowed).



compounding, and reconstitution.

c. Transmit and receive prescription information

i. Accurately receive a prescription refill authorization from a prescriber office

ii. Accurately and completely transfer a prescription to another pharmacy

iii. Accurately receive of a telephone prescription from a prescriber office


d. Medication Delivery and Distribution



systems

iii. Discuss methods used to prevent and detect dispensing errors.

e. Knowledge of pharmacy laws and regulations

3. Collect, analyze, and accurately evaluate subjective and objective patient information for the


a. Identify and obtain pertinent objective health information from the patient’s medical

record, pharmacy profile, limited physical exam, etc.

4. Provide medication therapy management (MTM)

a. Review the APhA website on MTM services

b. Discuss MTM related services with your preceptor. Discuss how medication problems

are indentified, prevented, and resolved.

Activity:

Under the supervision of the clinical preceptor, the student should provide a medication therapy

management service for a minimum of 4 patients. Services may include:

1. Pharmacotherapy review to identify, prevent, and/or resolve a medication related

problem

2. Disease management support (diabetes, hypertension, anticoagulation, smoking

cessation, etc.)

3. Health and wellness program

4. Immunizations

5. Other clinical service

Each patient encounter should be documented in a SOAP note format or on applicable forms (i.e.

immunization record, etc.)


a. Complete training in an appropriate period of time




document activities

6. Successfully interpret and apply current literature to practice

a. Formulate and document the answer to drug information questions

i. Collect pertinent background information


ii. Use primary, secondary, and tertiary literature as appropriate to formulate

answers

iii. Respond to the question clearly and concisely, citing sources

iv. Document the question and response, including citations

Activity:

The student should document at least two drug information questions. Documentation must

include an accurately stated question, additional patient information gathered to accurately

answer the question (if applicable), a minimum of one appropriately cited reference (AMA

format) and a concise and accurate answer to the question. Questions should be documented on

the Drug Information Form. Each drug information question should be on a different request type,

e.g. one drug interaction question, one adverse reaction question.


a. Correctly utilize automation, technology, and informatics to improve workload efficiency

and patient safety

b. Adhere to pharmacy law

Activity:

Discuss with the preceptor practice management issues pertinent to the pharmacy, such as:

a. Accounting principles

b. Inventory control

c. Human resources: scheduling, job descriptions, evaluations and compensation,

competencies, etc.)

d. Corporate goals

8. Function with professionalism as an effective member of an interdisciplinary team

a. Adheres to dress code

b. Exhibits professional, courteous, respectful, compassionate behavior



c. Maintains confidentiality

d. Exhibits cultural sensitivity (sensitivity to ethnicity, economic status, age, etc)

e. Makes ethical decisions

f. Punctual


ii. Complete assignments on time


attitude

Final Examination









Final Grade:







* A grade of F (< 2.0 on the 4 point scale) for professionalism may result in letter grade reductions or a





A= 4.0-3.4

B= 3.3-2.7

C= 2.6-2.0

F< 2.0

Attendance:

Punctual attendance each day of the pharmacy practice experience is mandatory. Attendance is considered




Assignments:








Formal presentation or project

Copy of four MTM interventions or encounters

Response to two drug information questions

Portfolio:

A copy of assignments should be added to your professional portfolio. Your academic advisor will review

your portfolio periodically.









Professionalism:








sections.

Dress:







methods in this class or any accommodations that may be needed. Health Insurance Portability and Accountability Act (HIPAA):





program.


Final Note:






Union University

School of Pharmacy

Course Syllabus

APPE 710B Advanced Independent Community Pharmacy Practice

4 Credit hours




Phone: 731-661-5975 (voice)

FAX: 731-661-5980








Credit Hours:

4 Credit hours

Clinical Hours:



as necessary.




Course Description:


offer the student advanced experience in an independent community pharmacy practice setting. Students

will be expected to apply knowledge and skills learned during the experience and previously in the

curriculum in order to accurately and efficiently fill prescription orders, collect patient specific

information for medication therapy management; respond to drug information questions, communicate

effectively (orally and in writing) with patients, caregivers, and other health professionals, and conduct

themselves in a professional manner.


Prerequisites:






f. measles (rubeola), mumps and rubella or positive titer;

g. positive history for chicken pox (varicella) or positive titer;

h. hepatitis B series or documented immunity; and

i. an annual TB skin test.

j. an annual influenza vaccine (or signed declination)






Verbally communicate with patients, caregivers, and other members of the healthcare team in an

effective manner.

Safely and accurately prepare and deliver drug products to patients.

Collect, analyze, and accurately evaluate subjective and objective patient information for the


Provide medication therapy management (MTM) by developing evidence-based treatment plans

for patients.

Successfully interpret and apply literature to practice



Function with professionalism as an effective member of an interdisciplinary team



Provide compassionate care amongst diversity Safely and accurately prepare and deliver









treatment plans for patients





management









plans










Provide health and wellness strategies Provide medication therapy management



Communicate effectively Verbally communicate with patients,




to practice












Practice in a legal and ethical manner Safely and accurately prepare and deliver


Function as a member of an interdisciplinary team Function with professionalism as an


team through maintaining a high level of

professionalism, maintaining


sensitivity







DiPiro, J et al. Pharmacotherapy: A Pathophysiologic Approach. 7th edition. New York. McGraw-

Hill.ISBN: 978-0-07-147899-1


edition. New York.

McGraw-Hill. ISBN: 978-0-07-162180-9

Berger, B. Communication Skills for Pharmacists. 3rd

edition. Washington, DC.

American Pharmacists Association. ISBN: 978-1-58212-132-1






Calculator

Stethoscope





1. Verbally communicate with patients, caregivers, and other members of the healthcare team in an

effective manner.

Activity:

The student will counsel at least 20 patients on prescription medications, including use of the

Public Health Service three prime questions. Counseling should include demonstration of

medication use (inhalers, injections, etc.)

Activity:

The student will elicit (using the seven questions) and assess patient information to advise at least

5 patients in the use of non-prescription medications.

Activity:

The student will prepare and deliver a 10-15 minute inservice on a medication related topic

OR

The student will critically review and present the findings of at least two recent journal articles

pertinent to the practice.

2. Safely and accurately prepare and deliver drug products to patients.

Activity: Complete the Top 200 Drug Exam (generic name vs. trade name)

Activity:

a. Prospective DUR

i. Assess medications orders for appropriate therapy, dose, dosage form




and legal. Contact the prescriber, patient, or caregiver when necessary.


i. Accurately enter information into the pharmacy computer system (where

allowed).



compounding, and reconstitution.

c. Transmit and receive prescription information

i. Accurately receive a prescription refill authorization from a prescriber office

ii. Accurately and completely transfer a prescription to another pharmacy


iii. Accurately receive of a telephone prescription from a prescriber office

d. Medication Delivery and Distribution



systems

iii. Discuss methods used to prevent and detect dispensing errors.

e. Knowledge of pharmacy laws and regulations





4. Provide medication therapy management (MTM)

a. Review the APhA website on MTM services

b. Discuss MTM related services with your preceptor. Discuss how medication problems

are indentified, prevented, and resolved.

Activity:

Under the supervision of the clinical preceptor, the student should provide a medication therapy

management service for a minimum of 4 patients. Services may include:

6. Pharmacotherapy review to identify, prevent, and/or resolve a medication related

problem

7. Disease management support (diabetes, hypertension, anticoagulation, smoking

cessation, etc.)

8. Health and wellness program

9. Immunizations

10. Other clinical service

Each patient encounter should be documented in a SOAP note format or on applicable forms (i.e.

immunization record, etc.)


a. Complete training in an appropriate period of time




document activities

6. Successfully interpret and apply current literature to practice

a. Formulate and document the answer to drug information questions

i. Collect pertinent background information


ii. Use primary, secondary, and tertiary literature as appropriate to formulate

answers

iii. Respond to the question clearly and concisely, citing sources

iv. Document the question and response, including citations

Activity:

The student should document at least two drug information questions. Documentation must

include an accurately stated question, additional patient information gathered to accurately

answer the question (if applicable), a minimum of one appropriately cited reference (AMA

format) and a concise and accurate answer to the question. Questions should be documented on

the Drug Information Form. Each drug information question should be on a different request type,

e.g. one drug interaction question, one adverse reaction question.

Activity:

Participate in a Journal Club (if available)


a. Correctly utilize automation, technology, and informatics to improve workload efficiency

and patient safety

b. Adhere to pharmacy law

Activity:

Discuss with the preceptor practice management issues pertinent to the pharmacy, such as:

c. Accounting principles, cash flow management

d. Inventory control

e. PBM Contracts

f. Wholesalers: selection, purchasing power

g. Advertising, marketing

h. Human resources: scheduling, job descriptions, evaluations and compensation,

competencies, etc.)

8. Function with professionalism as an effective member of an interdisciplinary team







e. Makes ethical decisions

f. Punctual


ii. Complete assignments on time


attitude


Final Examination








Final Grade:






The Top 200 Drug Exam is 5% of the final grade.







A= 4.0-3.4

B= 3.3-2.7

C= 2.6-2.0

F< 2.0

Attendance:

Punctual attendance each day of the pharmacy practice experience is mandatory. Attendance is considered





Assignments:








Copy of four MTM interventions or encounters


Portfolio:

A copy of assignments should be added to your professional portfolio. Your academic advisor will review

your portfolio periodically.









Professionalism:








sections.

Dress:







methods in this class or any accommodations that may be needed.


Health Insurance Portability and Accountability Act (HIPAA):





program.

Final Note:






Union University

School of Pharmacy

Course Syllabus

APPE 720A Ambulatory Care Pharmacy Practice

4 Credit hours




Phone: 731-661-5975 (voice)

FAX: 731-661-5980








Credit Hours:

4 Credit hours

Clinical Hours:

The course will be completed during a calendar month. The course usually begins on the first weekday

of the month and ends on the last week day of the month. The Clinical Preceptor may change this

schedule as necessary.




Course Description:

This Advanced Pharmacy Practice Experience (APPE) is a required course. The course is designed to offer

the student advanced experience in an ambulatory care pharmacy practice setting. Students will be

expected to apply knowledge and skills learned during the experience and previously in the curriculum

in order to communicate effectively with patients and healthcare providers, develop evidence-based

treatment plans, respond to drug information questions, manage a patient-centered practice, and

conduct themselves in a professional manner.


Prerequisites:




1. A current health insurance policy 2. Proof of immunization for

k. measles, mumps and rubella (MMR) or positive titer l. positive history for chicken pox (varicella) or positive titer m. hepatitis B series or documented immunity n. an annual TB skin test o. an annual influenza vaccine (or signed declination)

3. An annual criminal background check 4. An annual urine drug screen 5. Annual HIPAA/OSHA certification 6. Basic Life Support for the Healthcare Provider


1. Discuss the pathophysiology of disease states common to an ambulatory care practice

2. Discuss current therapeutic treatment recommendations for disease states common to an

ambulatory care practice

3. Verbally communicate with patients, caregivers, and other members of the healthcare team

in an effective manner

4. Create effective and appropriate written communication for patients, caregivers, healthcare

team members or the public.

5. Collect, analyze, and accurately evaluate subjective and objective patient information for

the development of a treatment/pharmaceutical care plan

6. Design evidence-based treatment plans

7. Successfully interpret and apply literature to practice



10. Function with professionalism as an effective member on an interdisciplinary team



Provide compassionate care amongst diversity Verbally communicate with patients,



Create effective and appropriate written


communication for patients, caregivers,

healthcare team members or the public.


subjective and objective patient

information for the development of a


Design evidence-based treatment plans




management







plans

Discuss the pathophysiology of disease

states common to an ambulatory care

practice

Discuss current therapeutic treatment

recommendations for disease states

common to an ambulatory care practice


Successfully interpret and apply literature

to practice


Provide health and wellness strategies Design evidence-based treatment plans

Communicate effectively Discuss the pathophysiology of disease

states common to an ambulatory care

practice

Discuss current therapeutic treatment

recommendations for disease states

common to an ambulatory care practice




Formulate and write accurate and concise

SOAP notes which document

Pharmacy interventions



to practice






Create effective and appropriate written

communication for patients, caregivers,

healthcare team members or the public.


Utilize informatics in daily practice Utilize informatics in daily practice

Successfully interpret and apply literature

to practice


Practice in a legal and ethical manner Manage a patient-centered practice

Function with professionalism as an


team

Function as a member of an interdisciplinary

team



team


The course objectives will be achieved through hands-on learning at the rotation site. The experience

will include patient interactions and may involve simulated patient encounters. Readings may be

assigned. The course will include preparation and delivery of a presentation. The objectives will also be

met through completion of written assignments.


DiPiro, J. et al. Pharmacotherapy: A Pathophysiologic Approach. 7th edition. New York. McGraw-

Hill. ISBN: 978-0-07-147899-1

Chisholm-Burns MA. et al. Pharmacotherapy Principles & Practice. 2nd edition. New York.

McGraw-Hill. ISBN: 978-0-07-162180-9

Berger, B. Communication Skills for Pharmacists. 3rd edition. Washington, DC. American Pharmacists Association. ISBN: 978-1-58212-132-1



The preceptor may assign readings. Assigned readings are expected to be completed prior to the

designated deadlines and will be essential for student background prior to discussions. Quizzes may be

administered periodically to assess knowledge and understanding of material.


Calculator

Stethoscope




1. Discuss the pathophysiology and of disease states common to an ambulatory care practice.

2. Discuss current therapeutic treatment recommendations for disease states common to an

ambulatory care practice.

3. Verbally communicate to patients, caregivers, and other members of the healthcare team in an

effective manner.

a. Conduct an interview with effective communication skills with a minimum of 10 patients

i. Elicit a chief complaint and history of present illness if applicable

ii. Elicit and/or update a past history including, medical, social, family, and surgical

1. History should include prescription medications, OTC, supplements,

herbals, other non-prescription products

iii. Determine the patient’s medication compliance

b. Conduct a review of systems as needed

c. Provide a concise but detailed presentation of the patient to the preceptor

d. Educate a minimum of 10 patients and/or caregivers regarding their treatment plan

i. Use appropriate language, medical terminology

ii. Counsel the patient regarding the pharmacologic and non-pharmacologic

treatment plan, including dosing instructions, potential adverse effects, etc.

iii. Counsel the patient regarding self-monitoring (when applicable)

iv. Determine the patient or caregiver’s comprehension of counseling

v. Respond appropriately to patient or caregiver’s questions

vi. Identify and address potential barriers to the recommended treatment plan

including financial, cognitive or physical, biases or beliefs, cultural, etc.

Prepare and deliver an inservice on a medication related topic

e. Prepare and deliver a 15-20 minute presentation on a medication related topic.


f. Participate in a Journal Club (if available)


development of a pharmaceutical care plan



i. Determine a patient’s vital signs, including pulse, blood pressure, respiratory

rate, temperature, pain scale, as necessary.

ii. Correctly and accurately complete a limited physical exam as required for the

care of the patient, such as heart auscultation, lung auscultation, exam of

extremities for edema, pulses, etc.


a. Design and recommend pharmacotherapy plans (including pharmacologic and non-

pharmacologic) for a minimum of 10 patients


c. Identify wellness and disease prevention strategies




disease prevention strategies (exercise, DASH diet, calcium with vitamin D, etc.)

6. Formulate and write accurate and concise SOAP notes which document pharmacy interventions

a. Using a SOAP note or other specified format, concisely and accurately document

patient interventions in the medical record or other location specified by the site


ii. Avoid use of unapproved abbreviations


a. Formulate and document the answer to at least 2 drug information questions




answer


v. Document the question and response, including AMA format citations, on the

Drug Information Form provided by the School






d. Appropriately and efficiently utilize technology to identify problems, solve problems,

and document activities


a. Discuss practice management issues pertinent to the site including collaborative

practice agreement, reimbursement for services, payers, etc.

b. Discuss job justification, cost savings initiatives

c. Discuss new service development








e. Exhibits punctuality


ii. Completes assignments on time

f. Demonstrates dependability, accountability, sense of duty, willingness to learn, positive

attitude

Final Examination

The preceptor may conduct a final written and/or oral final examination at the completion of the

rotation. The composition of the final examination is at the discretion of the Clinical Preceptor. The final






Final Grade:


determines. The items included on the Preceptor Final Evaluation of Student Performance must be at

least 70% of the student’s final grade.










A= 4.0-3.4

B= 3.3-2.7

C= 2.6-2.0

F< 2.0

Attendance:

Punctual attendance each day of the pharmacy practice experience is mandatory. Attendance is

considered an important component of professionalism and is expected by Doctor of Pharmacy

candidates. In the event of emergencies and/or necessary absences, prior communication with the

preceptor is required. Permission for absences will be handled on an individual basis.

Assignments:








Copy of four SOAP notes


Portfolio:

A copy of selected assignments must be added to your professional portfolio. Your academic advisor will

review your portfolio.










Professionalism:


highest level of respect. Any disruptive or disrespectful behavior will impact the student’s grade and

may result in dismissal from the facility. The student will respect the confidentiality of the pharmacy’s

patients and their records in accordance with the applicable law. The student will become familiar with

and follow the policies and procedures of the pharmacy. The student will respect the confidentiality of

the pharmacy’s business model and practices. A grade of F (< 2.0 on the 4 point scale) for

professionalism may result in letter grade reductions or a failing grade (F) for the course, regardless of

the grade in other sections.

Dress: Professional attire is required during all rotations and should be in compliance with the Union University School of Pharmacy dress code and practice site. If dress code requirements conflict between the two codes, the more stringent of the two should be followed. The preceptor should make the final determination of what is required at the site. Students with Disabilities: Students with disabilities that require specific accommodations should make an appointment with the course coordinator within the first week of the course to discuss the appropriateness of the instructional methods in this class or any accommodations that may be needed. Health Insurance Portability and Accountability Act (HIPAA): Union University recognizes the legal and moral responsibility to safeguard the privacy of all patients by maintaining confidentiality and safeguarding all protected health information. Students must comply with all privacy policies adopted by the practice site of the group leader and Union University. Any breach of HIPAA policies may result in disciplinary action, up to and including dismissal from the academic program.

Final Note:

The course coordinator reserves the right to make necessary and appropriate adjustments to

this syllabus and to grading in order to meet learning objectives.

Non-emergent, personal use of a cell phone is prohibited. Use of a cell phone for

communications while at the practice site will be determined by the Clinical Preceptor.


Union University

School of Pharmacy

Course Syllabus

APPE 730A Internal Medicine Pharmacy Practice

4 Credit hours




Phone: 731-661-5975 (voice)

FAX: 731-661-5980








Credit Hours:

4 Credit hours

Clinical Hours:







Course Description:


the student advanced experience in an acute care pharmacy practice setting. Students will be expected

to apply knowledge and skills learned during the experience and previously in the curriculum in order to

accurately and efficiently communicate with patients, caregivers, and healthcare professionals; collect

and analyze patient information for the development of an evidence-based treatment plans in the acute

care setting; respond to drug information questions; and conduct themselves in a professional manner.


Prerequisites:





a. measles, mumps and rubella (MMR) or positive titer; b. positive history for chicken pox (varicella) or positive titer; c. hepatitis B series or documented immunity; and d. an annual TB skin test. e. an annual influenza vaccine (or signed declination)



1. Discuss the pathophysiology of disease states common to an acute care practice

2. Discuss current therapeutic treatment recommendations for disease states common to an acute

care practice

3. Verbally communicate with patients, caregivers, and other members of the healthcare team in

an effective manner













Provide compassionate care amongst diversity Discuss the pathophysiology and current

therapeutic treatment recommendations

for disease states common to an


Design an evidence-based treatment plan

for identified problems Successfully

interpret and apply current literature to

practice


management




pharmaceutical care plan


for identified problems


plans




practice

Provide health and wellness strategies Design an evidence-based treatment plan




healthcare team


to practice





healthcare team





healthcare team





Practice in a legal and ethical manner Function with professionalism as an


team


team



team








Hill. ISBN: 978-0-07-147899-1


McGraw-Hill. ISBN: 978-0-07-162180-9


The preceptor may assign reading. Assigned readings are expected to be completed prior to the




Calculator




1. Discuss the pathophysiology of disease states common to an acute care practice.


care practice.


an effective manner

a. Educate a minimum of 10 patients and/or caregivers regarding the treatment plan








i. Identify and address potential barriers to the recommended treatment plan


b. Prepare and deliver a 15-20 minute presentation on a medication related topic.

c. Participate in a Journal Club (if available)






record, pharmacy profile, etc.

6. Design an evidence-based treatment plan for identified problems









d. Using a SOAP note or other specified format, concisely and accurately document









answer














b. Discuss new service development

c. Discuss cost savings initiatives


g. Adheres to dress code

h. Exhibits professional, courteous, respectful, compassionate behavior



i. Maintains confidentiality

j. Exhibits cultural sensitivity (sensitivity to ethnicity, economic status, age, etc)

k. Maintains punctuality

iii. Arrives on time, prepared

iv. Completes assignments on time

l. Demonstrates dependability, accountability, sense of duty, willingness to learn, positive

attitude

Final Examination









Final Grade:












A= 4.0-3.4

B= 3.3-2.7

C= 2.6-2.0

F< 2.0

Attendance:





Assignments:



















Professionalism:










Final Note:






Union University

School of Pharmacy

Course Syllabus

APPE 730 Acute Care Pharmacy Practice

4 Credit hours




Phone: 731-661-5975 (voice)

FAX: 731-661-5980








Credit Hours:

4 Credit hours

Clinical Hours:







Course Description:


the student advanced experience in an acute care pharmacy practice setting. Students will be expected

to apply knowledge and skills learned during the experience and previously in the curriculum in order to

accurately and efficiently communicate with patients, caregivers, and healthcare professionals; collect

and analyze patient information for the development of an evidence-based treatment plans in the acute

care setting; respond to drug information questions; and conduct themselves in a professional manner.


Prerequisites:





a. measles, mumps and rubella (MMR) or positive titer; b. positive history for chicken pox (varicella) or positive titer; c. hepatitis B series or documented immunity; and d. an annual TB skin test. e. an annual influenza vaccine (or signed declination)



1. Discuss the pathophysiology of disease states common to an acute care practice


care practice


an effective manner













Provide compassionate care amongst diversity Discuss the pathophysiology and current

therapeutic treatment recommendations

for disease states common to an





practice


management




pharmaceutical care plan




plans




practice

Provide health and wellness strategies Design an evidence-based treatment plan




healthcare team


to practice





healthcare team





healthcare team





Practice in a legal and ethical manner Function with professionalism as an


team


team



team








Hill. ISBN: 978-0-07-147899-1


McGraw-Hill. ISBN: 978-0-07-162180-9


The preceptor may assign reading. Assigned readings are expected to be completed prior to the




Calculator




1. Discuss the pathophysiology of disease states common to an acute care practice.


care practice.


an effective manner

a. Educate a minimum of 10 patients and/or caregivers regarding the treatment plan








i. Identify and address potential barriers to the recommended treatment plan


b. Prepare and deliver a 15-20 minute presentation on a medication related topic. (Use

Oral Presentation Evaluation Form?)

c. Participate in a Journal Club (if available)






record, pharmacy profile, etc.

6. Design an evidence-based treatment plan for identified problems









d. Using a SOAP note or other specified format, concisely and accurately document









answer














b. Discuss new service development

c. Discuss cost savings initiatives








e. Maintains punctuality

v. Arrives on time, prepared

vi. Completes assignments on time

f. Demonstrates dependability, accountability, sense of duty, willingness to learn, positive

attitude

Final Examination









Final Grade:












A= 4.0-3.4

B= 3.3-2.7

C= 2.6-2.0

F< 2.0

Attendance:





Assignments:



















Professionalism:










Final Note:





Documents

Required APPE Syllabi - Union University · Required APPE Syllabi Page 2 Required APPE Syllabi Contents ... The course will include preparation and delivery of a presentation. The