University of South Carolina
Course Title: Institutional Introductory Pharmacy Practice ExperienceSite Information:Site NameSite AddressPreceptor Information:Name & CredentialsPhone NumberEmail Address Indicate preferred communication methodCourse Purpose: The goal of the Institutional Introductory Pharmacy Practice Experience is to provide opportunities for students to develop professionally in the institutional setting and build upon knowledge and skills acquired through the first two years of the didactic curriculum and introductory hospital laboratory course. Students will embrace the concepts of professionalism and shared accountabilities for health outcomes, expand drug and disease knowledge, and develop practical, critical thinking skills. This practice experience is base on medication use process and systems-based experience, not a clinical experience. This practice experience is accomplished in the settings of hospitals, long-term care facilities, and home infusion pharmacies. This experience will be directed and evaluated by one or more preceptors.Patient Population(s) Exposed To:Specify patient populations students exposed to regularly if applicable (i.e. diverse population of adults and children)Hours Credit: FourPre-Rotation Requirements for Student:Indicate any information or documentation that the student must provide prior to starting rotation (i.e. On-site orientation, site-specific paperwork, drug test, physical).Learning Outcomes:At the conclusion of this Institutional Introductory Pharmacy Practice Experience, students should be:Professional: Exhibits behaviors and values that are consistent with the trust given to the profession by patients, other healthcare providers, and society.Self-Aware: Examines and reflects on personal knowledge, skills, abilities, beliefs, biases, motivation, and emotions that could enhance or limit personal and professional municator: Effectively communicates verbally and nonverbally when interacting with an individual, group, or organization.Educator: Educates all audiences by determining the most effective and enduring ways to impart information and assess understanding.Problem-Solver: Identifies problems, explores and prioritizes potential strategies; and designs, implements and evaluates viable solutions.Innovator: Engages in innovative activities by using creative thinking to envision better ways of accomplishing goals.Collaborator: Actively participates and engages as a healthcare team member by demonstrating mutual respect, understanding, and values to meet patient care needs.Leader: Demonstrates responsibility for creating and achieving shared goals, regardless of position.Learner: Develops, integrates, and applies knowledge from the foundational sciences (e.g., pharmaceutical, social/behavioral/administrative, and clinical sciences) to evaluate the scientific literature, explain drug action, solve therapeutic problems, and advance population health and patient centered care.Caregiver: Provides patient-centered care as the medication expert (collects and interprets evidence, prioritizes, formulates assessments and recommendations, implements, monitors and adjusts plans, and documents activities).Manager: Manages patient healthcare needs using human, financial, technological, and physical resources to optimize the safety and efficacy of medication use systems.Includer: Recognizes social determinants of health to diminish disparities and inequalities in access to quality care.Prerequisite Knowledge and Skills:Students must have successfully completed Pharmacy Skills Lab III: Introduction to Health-Systems Pharmacy and Pharmacy Skills Lab IV: Applied Health-Systems Pharmacy and have, at minimum, professional year two standing. List specific items that students should be knowledgeable about prior to starting your rotation such as disease states, relevant laws and regulations.Attendance Requirements: Students are expected to abide by the attendance requirements set forth in the SCCP Institutional IPPE Experiential Manual. Dress Code Requirements: Students are expected to abide by the dress code requirements found in the SCCP Academic Bulletin and SCCP APPE Experiential Manual. List any site-specific dress code requirements here.Academic Integrity: Students are expected to abide by the academic integrity policy found in the SCCP Academic Bulletin. MUSC and USC university-specific policies may apply where necessary.Site-Specific Requirements:List any parking requirements or other site-specific rules that students must abide by here.Student Schedule:State the hours the student is expected to be on site. If applicable, indicate that the hours may not be firm, and describe situations in which a student may need to stay after hours in order to complete tasks.State events or meetings inside or outside those hours that a student should attend.If possible, provide typical daily schedule indicating when different activities or breaks may take place. Include time to meet with student to discuss student’s performance (at minimum midpoint and final evaluations) and make recommendations for improvement.Consider constructing a calendar of dates/times to discuss specific topics, have journal club meetings, or other assignment discussions. Determining when these are in advance will allow the student to be prepared.Grading Procedures:Grading will occur via electronic IPPE evaluations on E-Value. Students will receive a grade at midpoint that does not count towards the final grade on a transcript. The grade received at midpoint evaluation will be utilized for student self-reflection and to set goals for the second remaining half of the rotation. Students will receive a final grade of Pass or Fail on the last day of the APPE that will be transferred to the student’s transcript. Grading occurs via an automatic calculation present in electronic evaluations in E-Value.Grading Scale:Pass:70 – 100Fail:0 - 69.99Evaluation Criteria: (The electronic evaluation tool in E-value will allow you to evaluate student performance across the following learning outcomes, by assessing the student’s accomplishment of the following learning objectives):Learning Outcomes(Performance in the following learning outcomes is assessed in the SCCP Institutional Introductory Pharmacy Practice Experience Evaluation Tool)Learning Objectives(The following learning objectives will facilitate achievement of the rotation learning outcomes) Learning Activities (The following assignments/activities will be used to introduce, practice, and/or assess the rotation learning objectives) (Retain any example activities/assignments that apply to your specific rotation from column below. Delete the examples that do not apply. Add any additional learning activities assigned on your rotation)PROFESSIONALISMProfessional: Exhibits behaviors and values that are consistent with the trust given to the profession by patients, other healthcare providers, and society.Dressed in professional attire at all times and in total compliance with the professional dress code established by the practice site and college of pletes all assignments, duties and responsibilities on time or before the required deadline.Demonstrates an understanding of the pharmacist’s code of ethics and utilizes it consistently in all professional interactions. Demonstrates knowledge of HIPAA regulation and sensitivity to confidentiality issues. Adheres to attendance policies and demonstrates punctuality and time management while actively participating in all scheduled activities. Display preparation, initiative, and accountability consistent with a commitment to excellence in patient-centered care.Demonstrate professional and ethical behavior in all practice environments Accept responsibility for patient care Make and defend rational, ethical decisions within the context of personal and professional values Self-Aware: Examines and reflects on personal knowledge, skills, abilities, beliefs, biases,motivation, and emotions that could enhance or limit personal and professional growth.Identify knowledge gaps through personal reflection and initiates self-directed learning experiences for personal and professional growth. Recognizes and take responsibility for errors, develops and implements a plan to correct the error, and describes a plan to prevent such errors in the future.Maintain motivation, attention, and interest (e.g., habits of mind) during learning experiences; approach tasks with desire to learn. Demonstrate persistence and flexibility in all situations; engaging in help seeking behavior (including personal, professional, or academic support) when appropriate. Complete and discuss the following with the preceptor:Pre-Rotation ReflectionMidpoint Self-EvaluationFinal Self-EvaluationPost-Rotation ReflectionCOMMUNICATION SKILLSCommunicator: Effectively communicates verbally and nonverbally when interacting with an individual, group, or municate with others using an organized structure, specific questioning techniques (e.g., motivational interviewing), and medical terminology adapted for the audience. Actively listen and ask appropriate open and closed-ended questions to gather information. Use available technology and other media to assist with communication as appropriate. Use effective interpersonal skills to establish rapport and build trusting relationships. Communicate assertively, persuasively, confidently, and clearly. Demonstrate empathy when interacting with others. Obtain feedback to assess learning and promote goal setting and goal attainment. Communicate effectively (using verbal, non-verbal, and written communication as appropriate) with patients, caregivers, and other healthcare providers, at a suitable level for the partner in the interaction, to engender a team approach to patient care Demonstrate effective communication skills (verbal, non-verbal, and written) at an appropriate level for patients, caregivers, healthcare providers, and the general public Educator: Educates all audiences by determining the most effective and enduring ways to impart information and assess understanding.Assess learning needs of the intended audience and select the most effective techniques/strategies to achieve learning objectives. Presents topic or case in an organized and timely manner. Utilizes audiovisual aids and technology that enhance delivery and understanding of the presentation. Ensure instructional content contains the most current information from appropriate sources relevant for the intended audience. Use effective written, visual, verbal, and nonverbal communication skills to provide patient/caregiver self-management education Assess and validate the ability of patients and their agents to obtain, process, understand, and use health- and medication-related informationCounsel patients on proper self-care and preventative care Use appropriate methods of patient education to review indications, adverse effects, dosage, storage, and administration techniques Use effective written, visual, verbal, and nonverbal communication skills to provide education to the patient/caregiver on drug, drug use, self- or preventative care, or other health-related education to healthcare providers Communicate alternative therapeutic strategies to the prescriber to correct or prevent drug-related problems Assist a patient in correctly selecting an over-the-counter preparation Develop and provide drug, drug use, or other health-related education to consumers or health providers Provide accurate response to drug information requests written and verbally Use effective written, visual, verbal, and nonverbal communication skills to counsel and educate a patient or caregiver regarding appropriate medication use, whether prescription and self-care Demonstrate and/or describe proper administration technique for various drug delivery systems (e.g., inhalers, eye drops) PROBLEM-SOLVING, INNOVATION, AND ENTREPRENEURSHIPProblem-Solver: Identifies problems, explores and prioritizes potential strategies; and designs, implements and evaluates viable solutions.Clarifies a drug information question and generates correct answers in a timely and systematic manner.Identifies problems that require emergency medical attention and also identifies what steps should be taken to activate emergency procedures.Innovator: Engages in innovative activities by using creative thinking to envision better ways of accomplishing goals.Demonstrate initiative when confronted with challenges. Uses creative thinking to envision alternative approaches to solving a problem or accomplishing a goal. INTERPROFESSIONAL COLLABORATIONCollaborator: Actively participates and engages as a healthcare team member by demonstratingmutual respect, understanding, and values to meet patient care needs.Demonstrates knowledge of roles and respectful attitudes and behaviors for other health care professionals, engaging them appropriately in the specific care situation.Describes characteristics of an effective team; actively participates and contributes to the team’s activities with preceptor assistance.Identifies relevant references necessary to participate in an exchange of information and listens attentively to other professionals. Demonstrate caring, ethical, and professional behavior when interacting with peers, professionals, patients, and caregivers Leader: Demonstrates responsibility for creating and achieving shared goals, regardless of position.Develop relationships, value diverse opinions, and understand own strengths and weaknesses to promote teamwork. Explain the characteristics of leadership compared to management. Identify situations within the practice site which require leadership or management skills.FOUNDATIONAL KNOWLEDGELearner: Develops, integrates, and applies knowledge from the foundational sciences (e.g., pharmaceutical, social/behavioral/administrative, and clinical sciences) to evaluate the scientific literature, explain drug action, solve therapeutic problems, and advance population health and patient centered care.Demonstrates ability to identify drug product generic names and dosage forms.Discusses medications’ (i.e., OTC and/or medication order) mechanism of action and appropriate use with preceptor and/or patient.Performs accurate calculations needed to correctly dispense medications.Demonstrates appropriate knowledge of disease pathophysiology of topics selected by preceptor.Integrate knowledge from foundational sciences to explain how specific drugs or drug classes work and evaluate their potential value in individuals and populations.Selects an appropriate resource for answering the drug related request.Defines references as primary, secondary and tertiary.Collect accurate and comprehensive drug information from appropriate sources to make informed, evidence-based, patient-specific, or population-based decisionsRecognize the type of content that is available in general (tertiary), secondary, and primary information sources Collect, summarize, analyze, and apply information from the biomedical literature to patient-specific or population-based health needs Demonstrate utilization of drug information resources Describe the type of content in commonly used drug and medical information resources. Collect and interpret accurate drug information from appropriate sources to make informed, evidence-based decisions Use effective written, visual, verbal, and nonverbal communication skills to accurately respond to drug information questions ESSENTIALS FOR PRACTICE AND CARECaregiver: Provides patient-centered care as the medication expert (collects and interpretsevidence, prioritizes, formulates assessments and recommendations, implements, monitors and adjusts plans, and documents activities.Collects complete patient history, laboratory and physical exam data if available to identify problems.Identifies actual and potential drug related problems, stating rationale for prioritization.Assesses the appropriateness of delivery system of product for the patient, identifies pharmacokinetic patient factors influencing drug therapy (i.e. metabolism, obesity, pregnancy, age), identifies concomitant drug therapy that influences new therapy, and identifies viable alternative actions to prevent problems.Identifies medications that are associated with genetic variability and describes appropriate modifications of therapy. Evaluate medication orders to identify drug-related problems Assess the urgency and risk associated with identified drug-related problems Evaluate patient information and medication information that places a patient at risk for developing drug-related problems Perform accurate pharmaceutical calculations, especially involved in the preparation of compounded oral, topical, rectal, ophthalmic, or parenteral preparation, and pharmacokinetic calculation of appropriate doses Apply mathematical principles (e.g., accurately perform dose calculations, kinetics) in pharmacy practice Apply mathematics to pharmacokinetics in drug therapy regimen design and patient assessment. Accurately prepare and dispense medications or supervise the preparation of medications Evaluate the acceptability and accuracy of a prescription and verify that the information is correct, then correctly prepare the prescription and label for dispensing Evaluate appropriateness of medication orders by correlating the order with patient-specific data and drug information Compound parenteral and non-parenteral drug products using accurate calculations, pharmaceutical components, and techniques Dispense medications and devices in accordance with legal requirements Provide safe, accurate, and time-sensitive medication distribution Appropriately compound, dispense, or administer a medication, pursuant to a new prescription, prescription refill, or drug order Accurately process and dispense medication pursuant to a new prescription, prescription refill, or drug order Determine appropriate storage of compounded medications before and after dispensing Collect patient histories in an organized fashion, appropriate to the situation and inclusive of cultural, social, educational, economic, and other patient-specific factors affecting self-care behaviors, medication use and adherence Obtain, record, and interpret a history from a patient to at minimum include drug allergies and reactions, drugs (prescription, non-prescription, and herbal) being taken, doses being used, cultural, social, educational, economic, and other patient-specific factors affecting self-care Obtain and interpret patient information to determine the presence of a disease, medical condition, or drug-related problem(s), and assess the need for treatment and/or referral Gather and organize accurate and comprehensive patient-specific information Obtain and interpret patient information, inclusive of cultural, social, educational, economic, and other patient-specific factors affecting self-care behaviors, medication use and adherence to determine the presence of a disease, medical condition, or drug-related problem(s), including a basic medication history from a patient to include drug allergies, a description of allergic reactions, drugs being taken, doses being used, over-the-counter medications being taken, and herbal/natural products being used Obtain accurate and comprehensive patient history (including drug allergies, description of allergic reactions, drugs being taken, doses being used, over-the-counter medications being taken, herbal/natural products being used, self-care behaviors, and adherence) Gather information necessary to evaluate patient drug therapy (both patient history and utilization of a chart)Record all patient information accurately, legally, and succinctly Perform a basic review of a patient's medication profile to identify medication allergies, correct doses, duplicate medications, and important drug interactions Obtain and accurately record a patient's health and medication history Gather and accurately record a patient's health and medication information from his/her medical record Evaluate patient information to determine the presence of a disease, medical condition, or drug-related problem(s), and assess the need for treatment and/or referral Evaluate a patient's medication profile to identify medication allergies, appropriate doses and patient instructions, duplicate medications, and clinically relevant drug interactions Identify and prioritize a patient's drug-related problems Summarize key information related to the use of common (Top 200) medications Identify brand and generic names, dosage forms, and usual dosing ranges for common (e.g., Top 200) medications and other drugs routinely used in specific patient populations Describe the mechanism of action of common medications (e.g., Top 200 medications) and other drugs routinely used in specific patient populations at the molecular, cellular, systems, and whole organism levels List and describe the mechanism(s) of common drug interactions Cite the spectrum and common indications for commonly used antibiotics Identify target drug concentrations for Narrow Therapeutic Index drugs Determine the appropriate storage of compounded medications before and after dispensing Identify appropriate medication information sources for professional and patient use Manager: Manages patient healthcare needs using human, financial, technological, and physical resources to optimize the safety and efficacy of medication use systems.Dispensing SystemRecognizes applicable state and federal laws guiding the medication order dispensing process.Determines the indication/therapeutic need for medication, assesses the appropriateness of delivery system of product for the patient, identifies patient factors influencing drug therapy (i.e., insurance status, literacy, language), identifies concomitant drug therapy that influences new therapy and identifies viable alternative actions to prevent problems.Identifies correct drug, strength, dosage form, and dosing schedule; accurately prepare medication orders; follows appropriate drug product selection criteria; and selects an appropriate container for the drug product.Labels the medication with required elements (including appropriate auxiliary labels) accurately, practices performing the final check, confirms pharmacist’s check and correctly delivers medication to the correct patient.Identify and report ADEs to appropriate individuals and organizations (i.e., hospital ADR committee, Med Watch, USP).Stores medications with special requirements (i.e., refrigeration) properly and safely and correctly disposes, including hazardous and/or controlled substances, needles, syringes, and other potentially contaminated medications/devices. If product quality is compromised, identifies appropriate action.Manager – OperationsDescribe the role of the pharmacist and pharmacy technicians in each component of the practice site’s medication use system (i.e., procurement, storage, prescribing, transcription, dispensing, administration, monitoring, and documentation).Demonstrates understanding of the principles governing the economical turnover of stock; prepares and reviews purchase orders, evaluates vendor quality, and selects the most cost-effective source of a given product.Discusses the administrative structure of the pharmacy, identifies key roles and duties from that structure; explains the components of a job description.Explains the various types of automation available for pharmacists to use to improve efficiency and improve practice mission, analyzes the benefits of storage and distribution systems including bar coding if applicable. Identifies potential for medication errors and appropriate individuals and organizations that need to be notified. Identifies causes of medication errors and suggest systems to prevent future incidence. Explains the value of leadership, education, and advocacy in the pharmacist’s role of obtaining and maintaining accurate and complete medication information for a patient who is moving between different aspects of the medical ply with federal, state, and local laws and regulations related to pharmacy practice Apply legal and regulatory principles to medication distribution, use and management systems Practice ethically, including maintaining patient confidentiality, responding to errors in care, and professional misconduct (including plagiarism) Comply with federal, state, and local laws and regulations related to pharmacy practice Demonstrate empathy, assertiveness, effective listening skills, and self-awareness PATIENT ADVOCACY AND CULTURAL SENSITIVITYIncluder: Recognizes social determinants of health to diminish disparities and inequalities inaccess to quality care.Recognizes social, cultural and moral concerns and/or value systems and uses this information for appropriate professional interactions.Demonstrate sensitivity and responsiveness to culture, race/ethnicity, age, socioeconomic status, gender, sexual orientation, spirituality, disabilities, and other aspects of diversity and identity when interacting with patients, caregivers, and other healthcare professionals ................
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