Required APPE Syllabi Page 1
Required APPE Syllabi
Required APPE Syllabi Page 2
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 APPE Syllabi Page 3
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.
Required APPE Syllabi Page 4
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
Required APPE Syllabi Page 5
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.
Required APPE Syllabi Page 6
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
plans for a patients
Develop evidence-based pharmacotherapy care Develop evidence-based pharmacotherapy
plans for a patients
Required APPE Syllabi Page 7
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,
caregivers, and other members of the
healthcare team
Utilize informatics in daily practice Utilize informatics in daily practice
Describe the institution’s medication
distribution system and safely and
accurately prepare and deliver drug products
to patients.
Communicate effectively to patients,
caregivers, and other members of the
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
distribution system and safely and
accurately prepare and deliver drug products
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:
Required APPE Syllabi Page 8
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.
Required APPE Syllabi Page 9
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)
Required APPE Syllabi Page 10
5. Utilize informatics in daily practice
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
6. Manage a patient-centered practice
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.
Required APPE Syllabi Page 11
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
Required APPE Syllabi Page 12
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.
Required APPE Syllabi Page 13
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.
Required APPE Syllabi Page 14
Union University
School of Pharmacy
Course Syllabus
APPE 710A Advanced Chain Community Pharmacy Practice
4 Credit hours
Course Coordinator: Mark Stephens, Pharm.D., BCPS
Director of Experiential Education
Office: 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 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.
Required APPE Syllabi Page 15
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 (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)
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:
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
Manage a patient-centered practice
Function with professionalism as an effective member of an interdisciplinary team
Course Mapping to Terminal Outcomes
Terminal Outcomes Course Objectives
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
Required APPE Syllabi Page 16
treatment plans for patients
Verbally communicate with patients,
caregivers, and other members of the
healthcare team in an effective manner.
Provide pharmaceutical care and disease state
management
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
pharmacotherapy plans for patients
Develop evidence-based pharmacotherapy care
plans
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
pharmacotherapy plans for patients
Successfully interpret and apply current
literature to practice
Provide health and wellness strategies Provide medication therapy management
(MTM) by developing evidence-based
pharmacotherapy plans for patients
Communicate effectively Verbally communicate with patients,
caregivers, and other members of the
healthcare team in an effective manner.
Successfully interpret and apply current literature
to practice
Successfully interpret and apply current
literature to practice
Verbally communicate with patients,
caregivers, and other members of the
healthcare team in an effective manner.
Utilize informatics in daily practice Safely and accurately prepare and deliver
drug products to patients.
Successfully interpret and apply current
literature to practice
Manage a patient-centered practice Manage a patient-centered practice
Required APPE Syllabi Page 17
Practice in a legal and ethical manner Safely and accurately prepare and deliver
drug products to patients.
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
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
Berger, B. Communication Skills for Pharmacists. 3rd
edition. Washington, DC.
American Pharmacists Association. ISBN: 978-1-58212-132-1
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
Stethoscope
Required APPE Syllabi Page 18
Special Projects or Activities:
Projects or activities will be assigned to assure the completion of course objectives. The preceptor may
require additional activities.
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
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, patient, or caregiver when necessary.
b. Medication Preparation
i. Accurately enter information into the pharmacy computer system (where
allowed).
ii. Utilize pharmacy calculations in medication preparations
iii. Accurately process medication orders including drug selection, labeling,
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
Required APPE Syllabi Page 19
d. 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 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
development of a treatment/pharmaceutical care plan
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.)
5. Utilize informatics in daily practice
a. Complete training 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
6. Successfully interpret and apply current literature to practice
a. Formulate and document the answer to drug information questions
i. Collect pertinent background information
Required APPE Syllabi Page 20
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.
7. Manage a patient-centered practice
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
i. Demonstrates sensitivity to patients and family members
ii. Demonstrates respect for other health professionals
c. Maintains confidentiality
d. Exhibits cultural sensitivity (sensitivity to ethnicity, economic status, age, etc)
e. Makes ethical decisions
f. Punctual
i. Arrives on time, prepared
ii. Complete 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
Required APPE Syllabi Page 21
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:
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:
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.
Required APPE Syllabi Page 22
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.
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.
Required APPE Syllabi Page 23
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.
Required APPE Syllabi Page 24
Union University
School of Pharmacy
Course Syllabus
APPE 710B Advanced Independent Community Pharmacy Practice
4 Credit hours
Course Coordinator: Mark Stephens, Pharm.D., BCPS
Director of Experiential Education
Office: 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 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.
Required APPE Syllabi Page 25
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
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)
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:
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
Manage a patient-centered practice
Function with professionalism as an effective member of an interdisciplinary team
Course Mapping to Terminal Outcomes
Terminal Outcomes Course Objectives
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
Required APPE Syllabi Page 26
treatment plans for patients
Verbally communicate with patients,
caregivers, and other members of the
healthcare team in an effective manner.
Provide pharmaceutical care and disease state
management
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
pharmacotherapy plans for patients
Develop evidence-based pharmacotherapy care
plans
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
pharmacotherapy plans for patients
Successfully interpret and apply current
literature to practice
Provide health and wellness strategies Provide medication therapy management
(MTM) by developing evidence-based
pharmacotherapy plans for patients
Communicate effectively Verbally communicate with patients,
caregivers, and other members of the
healthcare team in an effective manner.
Successfully interpret and apply current literature
to practice
Successfully interpret and apply current
literature to practice
Verbally communicate with patients,
caregivers, and other members of the
healthcare team in an effective manner.
Utilize informatics in daily practice Safely and accurately prepare and deliver
drug products to patients.
Successfully interpret and apply current
literature to practice
Manage a patient-centered practice Manage a patient-centered practice
Required APPE Syllabi Page 27
Practice in a legal and ethical manner Safely and accurately prepare and deliver
drug products to patients.
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
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
Berger, B. Communication Skills for Pharmacists. 3rd
edition. Washington, DC.
American Pharmacists Association. ISBN: 978-1-58212-132-1
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
Stethoscope
Required APPE Syllabi Page 28
Special Projects or Activities:
Projects or activities will be assigned to assure the completion of course objectives. The preceptor may
require additional activities.
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
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, patient, or caregiver when necessary.
b. Medication Preparation
i. Accurately enter information into the pharmacy computer system (where
allowed).
ii. Utilize pharmacy calculations in medication preparations
iii. Accurately process medication orders including drug selection, labeling,
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
Required APPE Syllabi Page 29
iii. Accurately receive of a telephone prescription from a prescriber office
d. 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 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
development of a treatment/pharmaceutical care plan
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:
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.)
5. Utilize informatics in daily practice
a. Complete training 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
6. Successfully interpret and apply current literature to practice
a. Formulate and document the answer to drug information questions
i. Collect pertinent background information
Required APPE Syllabi Page 30
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)
7. Manage a patient-centered practice
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
a. Adheres to dress code
b. Exhibits professional, courteous, respectful, compassionate behavior
i. Demonstrates sensitivity to patients and family members
ii. Demonstrates respect for other health professionals
c. Maintains confidentiality
d. Exhibits cultural sensitivity (sensitivity to ethnicity, economic status, age, etc)
e. Makes ethical decisions
f. Punctual
i. Arrives on time, prepared
ii. Complete assignments on time
g. Demonstrates dependability, accountability, sense of duty, willingness to learn, positive
attitude
Required APPE Syllabi Page 31
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 Top 200 Drug Exam is 5% 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:
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.
Required APPE Syllabi Page 32
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.
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.
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.
Required APPE Syllabi Page 33
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.
Required APPE Syllabi Page 34
Union University
School of Pharmacy
Course Syllabus
APPE 720A Ambulatory Care Pharmacy Practice
4 Credit hours
Course Coordinator: Mark Stephens, Pharm.D., BCPS
Director of Experiential Education
Office: 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 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.
Required APPE Syllabi Page 35
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
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
Course Objectives: At the conclusion of this rotation, the student should be able to:
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
8. Utilize informatics in daily practice
9. Manage a patient-centered practice
10. Function with professionalism as an effective member on an interdisciplinary team
Course Mapping to Terminal Outcomes
Terminal Outcomes Course Objectives
Provide compassionate care amongst diversity Verbally communicate with patients,
caregivers, and other members of the
healthcare team in an effective manner.
Create effective and appropriate written
Required APPE Syllabi Page 36
communication for patients, caregivers,
healthcare team members or the public.
Collect, analyze, and accurately evaluate
subjective and objective patient
information for the development of a
treatment/pharmaceutical care plan
Design evidence-based treatment plans
Successfully interpret and apply current
literature to practice
Provide pharmaceutical care and disease state
management
Collect, analyze, and accurately evaluate
subjective and objective patient
information for the development of a
treatment/pharmaceutical care plan
Design evidence-based treatment plans
Develop evidence-based pharmacotherapy care
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
Design evidence-based treatment plans
Successfully interpret and apply literature
to practice
Utilize informatics in daily 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
Verbally communicate with patients,
caregivers, and other members of the
healthcare team in an effective manner.
Formulate and write accurate and concise
SOAP notes which document
Pharmacy interventions
Required APPE Syllabi Page 37
Successfully interpret and apply current literature
to practice
Successfully interpret and apply current
literature to practice
Verbally communicate with patients,
caregivers, and other members of the
healthcare team in an effective manner.
Create effective and appropriate written
communication for patients, caregivers,
healthcare team members or the public.
Design evidence-based treatment plans
Utilize informatics in daily practice Utilize informatics in daily practice
Successfully interpret and apply literature
to practice
Manage a patient-centered practice Manage a patient-centered practice
Practice in a legal and ethical manner Manage a patient-centered practice
Function with professionalism as an
effective member on an interdisciplinary
team
Function as a member of an interdisciplinary
team
Function with professionalism as an
effective member on an interdisciplinary
team
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
Berger, B. Communication Skills for Pharmacists. 3rd edition. Washington, DC. American Pharmacists Association. ISBN: 978-1-58212-132-1
Required APPE Syllabi Page 38
Assigned Readings and Research:
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.
Required or Recommended Equipment:
Calculator
Stethoscope
Special Projects or Activities:
Projects or activities will be assigned to assure the completion of course objectives. The preceptor may
require additional activities.
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.
Required APPE Syllabi Page 39
f. Participate in a Journal Club (if available)
4. Collect, analyze, and accurately evaluate subjective and objective patient information for the
development of a pharmaceutical care plan
a. Identify and obtain pertinent objective health information from the patient’s medical
record, pharmacy profile, limited physical exam, etc.
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.
5. Design evidence-based treatment plans
a. Design and recommend pharmacotherapy plans (including pharmacologic and non-
pharmacologic) for a minimum of 10 patients
b. Design a monitoring plan for the identified problems
c. Identify wellness and 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 (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
i. Use appropriate terminology
ii. Avoid use of unapproved abbreviations
7. Successfully interpret and apply literature to practice
a. 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
v. Document the question and response, including AMA format citations, on the
Drug Information Form provided by the School
8. Utilize informatics in daily practice
a. Complete training of technology in an appropriate period of time
Required APPE Syllabi Page 40
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
9. Manage a patient-centered practice
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
10. Function as an effective member on an interdisciplinary team
a. Adheres to dress code
b. Exhibits professional, courteous, respectful, compassionate behavior
i. Demonstrates sensitivity to patients and family members
ii. Demonstrates respect for other health professionals
c. Maintains confidentiality
d. Exhibits cultural sensitivity (sensitivity to ethnicity, economic status, age, etc)
e. Exhibits punctuality
i. Arrives on time, prepared
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
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.
Required APPE Syllabi Page 41
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:
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:
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.
Formal presentation or project
Copy of four SOAP notes
Response to two drug information questions
Portfolio:
A copy of selected assignments must be added to your professional portfolio. Your academic advisor will
review 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
Required APPE Syllabi Page 42
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.
Required APPE Syllabi Page 43
Union University
School of Pharmacy
Course Syllabus
APPE 730A Internal Medicine Pharmacy Practice
4 Credit hours
Course Coordinator: Mark Stephens, Pharm.D., BCPS
Director of Experiential Education
Providence Hall Room 125
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 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.
Required APPE Syllabi Page 44
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. 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
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
8. Utilize informatics in daily practice
9. Manage a patient-centered practice
10. Function with professionalism as an effective member on an interdisciplinary team
Required APPE Syllabi Page 45
Course Mapping to Terminal Outcomes
Terminal Outcomes Course Objectives
Provide compassionate care amongst diversity Discuss the pathophysiology and current
therapeutic treatment recommendations
for disease states common to an
ambulatory care practice
Design an evidence-based treatment plan
for identified problems Successfully
interpret and apply current literature to
practice
Provide pharmaceutical care and disease state
management
Collect, analyze, and accurately evaluate
subjective and objective patient
information for the development of a
pharmaceutical care plan
Design an evidence-based treatment plan
for identified problems
Develop evidence-based pharmacotherapy care
plans
Design an evidence-based treatment plan
for identified problems Successfully
interpret and apply current literature to
practice
Provide health and wellness strategies Design an evidence-based treatment plan
for identified problems
Communicate effectively Communicate effectively to patients,
caregivers, and other members of the
healthcare team
Successfully interpret and apply current literature
to practice
Successfully interpret and apply current
literature to practice
Communicate effectively to patients,
caregivers, and other members of the
healthcare team
Utilize informatics in daily practice Safely and accurately prepare and deliver
drug products to patients.
Communicate effectively to patients,
caregivers, and other members of the
healthcare team
Successfully interpret and apply current
literature to practice
Manage a patient-centered practice Manage a patient-centered practice
Required APPE Syllabi Page 46
Practice in a legal and ethical manner Function with professionalism as an
effective member on an interdisciplinary
team
Function as a member of an interdisciplinary
team
Function with professionalism as an
effective member on an interdisciplinary
team
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. 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
a. Educate a minimum of 10 patients and/or caregivers regarding the treatment plan
Required APPE Syllabi Page 47
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
i. Identify and address potential barriers to the recommended treatment plan
including financial, cognitive or physical, biases or beliefs, cultural, etc.
b. Prepare and deliver a 15-20 minute presentation on a medication related topic.
c. Participate in a Journal Club (if available)
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 pharmaceutical care plan
a. Identify and obtain pertinent objective health information from the patient’s medical
record, pharmacy profile, etc.
6. Design an evidence-based treatment plan for identified problems
a. Design and recommend pharmacotherapy plans (including pharmacologic and non-
pharmacologic) for a minimum of 10 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
ii. Avoid use of unapproved abbreviations
7. Successfully interpret and apply literature to practice
a. 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
Required APPE Syllabi Page 48
iv. Respond to the question clearly and concisely, citing sources
v. Document the question and response, including AMA format citations, on the
Drug Information Form provided by the School
8. Utilize informatics in daily practice
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
9. Manage a patient-centered practice
a. Discuss practice management issues pertinent to the site including collaborative
practice agreement, reimbursement for services, payers, etc.
b. Discuss new service development
c. Discuss cost savings initiatives
10. Function as an effective member on an interdisciplinary team
g. Adheres to dress code
h. Exhibits professional, courteous, respectful, compassionate behavior
i. Demonstrates sensitivity to patients and family members
ii. Demonstrates respect for other health professionals
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
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).
Required APPE Syllabi Page 49
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:
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:
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.
Formal presentation or project
Copy of four SOAP notes
Response to two drug information questions
Required APPE Syllabi Page 50
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.
Required APPE Syllabi Page 51
Union University
School of Pharmacy
Course Syllabus
APPE 730 Acute Care Pharmacy Practice
4 Credit hours
Course Coordinator: Mark Stephens, Pharm.D., BCPS
Director of Experiential Education
Providence Hall Room 125
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 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.
Required APPE Syllabi Page 52
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. 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
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
8. Utilize informatics in daily practice
9. Manage a patient-centered practice
10. Function with professionalism as an effective member on an interdisciplinary team
Required APPE Syllabi Page 53
Course Mapping to Terminal Outcomes
Terminal Outcomes Course Objectives
Provide compassionate care amongst diversity Discuss the pathophysiology and current
therapeutic treatment recommendations
for disease states common to an
ambulatory care practice
Design an evidence-based treatment plan
for identified problems Successfully
interpret and apply current literature to
practice
Provide pharmaceutical care and disease state
management
Collect, analyze, and accurately evaluate
subjective and objective patient
information for the development of a
pharmaceutical care plan
Design an evidence-based treatment plan
for identified problems
Develop evidence-based pharmacotherapy care
plans
Design an evidence-based treatment plan
for identified problems Successfully
interpret and apply current literature to
practice
Provide health and wellness strategies Design an evidence-based treatment plan
for identified problems
Communicate effectively Communicate effectively to patients,
caregivers, and other members of the
healthcare team
Successfully interpret and apply current literature
to practice
Successfully interpret and apply current
literature to practice
Communicate effectively to patients,
caregivers, and other members of the
healthcare team
Utilize informatics in daily practice Safely and accurately prepare and deliver
drug products to patients.
Communicate effectively to patients,
caregivers, and other members of the
healthcare team
Successfully interpret and apply current
literature to practice
Manage a patient-centered practice Manage a patient-centered practice
Required APPE Syllabi Page 54
Practice in a legal and ethical manner Function with professionalism as an
effective member on an interdisciplinary
team
Function as a member of an interdisciplinary
team
Function with professionalism as an
effective member on an interdisciplinary
team
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. 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
a. Educate a minimum of 10 patients and/or caregivers regarding the treatment plan
Required APPE Syllabi Page 55
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
i. Identify and address potential barriers to the recommended treatment plan
including financial, cognitive or physical, biases or beliefs, cultural, etc.
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)
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 pharmaceutical care plan
a. Identify and obtain pertinent objective health information from the patient’s medical
record, pharmacy profile, etc.
6. Design an evidence-based treatment plan for identified problems
a. Design and recommend pharmacotherapy plans (including pharmacologic and non-
pharmacologic) for a minimum of 10 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
ii. Avoid use of unapproved abbreviations
7. Successfully interpret and apply literature to practice
a. 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
Required APPE Syllabi Page 56
iv. Respond to the question clearly and concisely, citing sources
v. Document the question and response, including AMA format citations, on the
Drug Information Form provided by the School
8. Utilize informatics in daily practice
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
9. Manage a patient-centered practice
a. Discuss practice management issues pertinent to the site including collaborative
practice agreement, reimbursement for services, payers, etc.
b. Discuss new service development
c. Discuss cost savings initiatives
10. Function as an effective member on an interdisciplinary team
a. Adheres to dress code
b. Exhibits professional, courteous, respectful, compassionate behavior
i. Demonstrates sensitivity to patients and family members
ii. Demonstrates respect for other health professionals
c. Maintains confidentiality
d. Exhibits cultural sensitivity (sensitivity to ethnicity, economic status, age, etc)
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
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).
Required APPE Syllabi Page 57
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:
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:
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.
Formal presentation or project
Copy of four SOAP notes
Response to two drug information questions
Required APPE Syllabi Page 58
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.