Download - Howard University College of Pharmacy
Howard University
College of Pharmacy
Preceptor Orientation
2012 – 2013
May 2012
OBJECTIVES
Overview of College of Pharmacy
The Role of Experiential Program
Educational Goals for IPPE and APPE
Preceptor Responsibility
Utilizing E*Value
Schedule, Evaluations, Hours Verification
Providing Rotation Assignments (Portfolio)
Preceptor Resources
PHARMACY DEGREE PROGRAMS
• 239 students*
Entry Level – Doctor of Pharmacy Program (Pharm.D.)
• 25 students
Non-Traditional Doctor of Pharmacy Program (Pharm.D.)
• 22 students
Graduate Program in Pharmaceutical Sciences (M.S. and Ph.D.)
*74% US Citizens, 22% Permanent Residents, 4% International
Howard University – College of Pharmacy
Howard University – Founded in 1867
Pharmacy instructions began in “Department of
Medicine” in 1868
Evening Program “knowledge of the art and science
of pharmacy”
1870 – James Thomas Wormley – 1st Graduate
1882 – Separate College
Mission
Provide pharmaceutical education of excellent
quality to students with high academic, scholarship
and leadership potential, with particular emphasis
upon recruitment, retention and graduation of
promising African American and other minority
students
Curriculum – First Professional Year
First Professional Year – Fall Semester Biomedical Sciences I
Biomedical Sciences II
Drug Informatics
Introduction to Pharmacy
Pharm. Care I
First Professional Year – Spring Semester Pharmaceutics
Pharmaceutical Chemistry I
Pharmacological Therapeutics I
Pharm. Sciences Lab
Principles of Pharm. Admin.
Team Building
First Professional Year – Summer Semester Introductory Pharmacy Practice Experience I
Curriculum – Second Professional Year
Second Professional Year – Fall Semester Biopharmaceutics
Biostatistics/Research Methods
Pharmaceutical Chemistry II
Pharmacological Therapeutics II
Pharm. Care II
Elective
Second Professional Year – Spring Semester Integrated Therapeutics IA
Integrated Therapeutics IB
Integrated Therapeutics IC
Integrated Therapeutics Lab I
Pharmacokinetics
Pharmacoepidemiology & Outcome Res.
Elective
Second Professional Year – Summer Semester Introductory Pharmacy Practice Experience II
Curriculum – Third Professional Year
Third Professional Year – Fall Semester Integrated Therapeutics IIA
Integrated Therapeutics IIB
Integrated Therapeutics IIC
Integrated Therapeutics Lab II 4
Pharm. Jurisprudence
Pharm. Compounding Lecture & Lab
Third Professional Year – Spring Semester Integrated Therapeutics IIIA
Integrated Therapeutics IIIB
Integrated Therapeutics IIIC
Integrated Therapeutics Lab III
Nonprescription Therapeutics
Third Professional Year – Summer Semester Advanced Pharmacy Practice Experience I
Curriculum – Fourth Professional Year
Fourth Professional Year – Fall Semester
Advanced Pharmacy Practice Experience II
Health Care Ethics
Fourth Professional Year – Spring Semester
Advanced Pharmacy Practice Experience III
Health Care Ethics
Experiential Program Staff
Anthony Wutoh, RPh, PhD Interim Dean
Daphne Bernard, PharmD Assistant Dean for Academic and Student Affairs
Olu Olusanya, PharmD Chair, Department of Clinical and Administrative Pharmacy Sciences
Wendell Bunyan, RPh, MHA Director of Experiential and External Programs
APPE Coordinator
Tamara Foreman, PharmD Co-Director of Experiential Programs
IPPE Coordinator
Portfolio Coordinator
Leslie Washington Department Office Manager
Experiential Program
Pharmacy Practice Experiences (Rotations)
Experiential education provides students with an opportunity to receive hands-on experience at a variety of practice settings
PROGRESSIVE
Partners with patients, physicians, nurses, other health care professionals, and administrators.
Accounts for at least 30 percent of the curriculum
Experiential Program
Ensures that every student has multiple opportunities to perform patient-centered care activities in a variety of settings
In-depth, structured, and carefully coordinated with other components of the curriculum
Require active participation and patient care responsibilities, in a progressive fashion
Designed to develop the practice skills, judgment, professional behavior, attitudes and values, confidence, and personal responsibility needed for each student to embark on an independent and collaborative practice
Experiential Program Courses
IPPE I
Community Setting
IPPE II
Managed Care or Hospital Setting
APPE
5 Core Rotations (Community, Administrative,
“Clinical”)
3 Electives (Industry, FDA, Association
Management)
Collect appropriate and accurate patient information in order to process prescriptions and provide drug information.
Utilize medication profiles and other appropriate monitoring instruments for therapeutic problem solving.
Recognize and appropriately manage patients with physical and sensory deficits to help improve medication use and any issues regarding compliance.
Identify potential medication noncompliance, and use appropriate methods to intervene.
IPPE I - Educational Goals
Provide patient education for both prescription and OTC medications by verbal, written, audio-visual, and group discussion techniques.
Use appropriate pharmacy laws and ethics at the practice site.
Participate in the preparation, handling, dispensing, administering and monitoring of therapeutic agents at the practice site.
Acquire a working knowledge of the most common disease states applicable to the practice site.
Appropriately utilize the computer systems at the practice site.
IPPE I - Educational Goals
IPPE II – Educational Goal
Dispensing
Manage Pharmacy Operations
Manage Medication Use Systems
Prepares IV admixtures, including adult and baby TPN’s
Uses appropriate aseptic techniques in preparing IV admixtures
Preparation of special dosage forms
Drug distribution
Cart filling
Selection of appropriate equipment and containers
Administration functions
Quality assurance-check expiration dates etc…
Document calculations and procedures
Determine appropriateness of prescription order received
Evaluate and select product, while assuring product/prescription accuracy
Drug dispensing to appropriate patients
Recognizing and reporting potential drug interactions (drug/drug, drug/food, drug/disease)
Communicates effectively with other health professionals (physicians, nurses etc). Student obtains and provides accurate and concise information in a professional manner by appropriate use of oral, written or/and non-verbal language.
Uses the best available resources to provide cost-effective regimens when answering a drug information question. Is able to evaluate information obtained from various sources and provide response in a timely fashion.
Clearly exhibits reliability and credibility in dealing with others
Is assertive and self motivated
Educational Goals - Dispensing
Controls drug inventory
Exercises effective time management that places the patients needs first at all times
Applies professional and ethical standards of practice when communicating with others
Provides drug security, storage, and control procedures
Maintains facilities and equipment
Participates in personnel management
Evaluates pharmaceutical care systems to continuously improve patient care
Utilizes computer skills to provide patient care and facilitate the management of pharmaceutical care systems
Is conscientious in following appropriate work procedures, keeping accurate records, documenting actions and takes appropriate steps to ensure accuracy in services delivered.
Is diligent in making sound judgment, and gives thought to possible consequences.
Educational Goals –
Manage Pharmacy Operations
Attends meetings involving pharmacy presentation
Participates in a formulary review
Maintains quality assurance
Participates in managed care issues (reimbursement)
Understands and abides with the laws for effective storage and dispensing of controlled substances, and keeps a good log of medicines dispensed
Good understanding/handling of Code drugs
Clearly demonstrates an understanding of medications with stop dates
Educational Goals –
Manage Medication Use Systems
APPE – OBJECTIVES
Demonstrate comprehension of the pathophysiology, relevant anatomy, physical assessment and diagnostic criteria, prognosis, and management of specific disease states and conditions associated with the ambulatory patient population.
Design, individualize and monitor drug and OTC/herbal therapeutic regimens for the disease states/conditions specified above.
Utilize patient home monitoring data to assist in the construction of therapeutic regimens.
Teach patients to accurately utilize home monitoring and diagnostic devices and techniques accurately.
Identify potential medication-related problems in the ambulatory care patient population, and develop appropriate interventions.
Communicate therapeutic recommendations to prescribers.
Perform medication distribution as appropriate to the clerkship site.
Identify, evaluate, and solve pharmacy-related problems that impair the ability to provide or expand ambulatory
clinical pharmacy services.
Perform quality assurance as appropriate to the rotation site.
Utilize appropriate technology (computer system, Internet) to perform in the rotation site.
Provide drug information to patients and health professionals.
Perform accurate and complete medication and health histories, patient education/counseling, and recommend
appropriate self-care regimens during the rotation.
Appropriately document any pharmaceutical care services provided (according the guidelines of the site).
APPE – OBJECTIVES
APPE COMMUNITY - OBJECTIVES
Collect appropriate and accurate patient information in order to
process prescriptions and provide drug information.
Utilize medication profiles and other appropriate monitoring
instruments for therapeutic problem solving.
Recognize and appropriately manage patients with physical and
sensory deficits to help improve medication use and any issues
regarding compliance.
Identify potential medication noncompliance, and use appropriate
methods to intervene.
Provide patient education for both prescription and OTC medications
by verbal, written, audio-visual, and group discussion techniques.
Inventory and personnel management
APPE ADMINISTRATIVE - OBJECTIVES
Describe state and federal laws and regulations as well as applicable accreditation standards affecting pharmacy operations
Identify factors involved in managing personnel issues, including policies, procedures, and laws regarding hiring and termination of employees, workload and scheduling, worker rights, benefits, etc.
Describe differences in healthcare models: socialized medicine vs. US model of health care, for-profit vs. not-for-profit systems (institutional pharmacy administration)
Describe policies and guidelines for drug acquisition including quality specifications, supply, cost, delivery schedule, and mechanisms of assessment of purchasing policies
Understand systems for quality assurance and quality improvement
Describe system of inventory control which assures adequate inventory levels
Identify proper storage of various pharmaceutical dosage forms
Describe security system to prevent theft or pilferage of drugs
Understand financial/resource constraints existing in healthcare system
and how these impact pharmaceutical services
Understand importance of maintaining and reconciling accounts
receivable from third-party payers
Maintain and monitor operations budget
Understand process of medication pricing (independent/chain
pharmacy administration)
APPE ADMINISTRATIVE - OBJECTIVES
PRECEPTOR RESPONSIBILITY
Provide structure to practice experience
Orientation, Schedule, Accountability
Provide experience in line with course objectives
Complete Evaluations and Hours Verification
STUDENT RESPONSIBILITY
Attendance Policy
Dress Code
Professionalism
E*VALUE
View Schedule
Complete Student Evaluation
Hours Evaluation
Rotation Assignments – IPPE I
IPPE I Community Worksheet
Medical Device Comparison Chart
OTC Comparison Chart
Rotation Assignments – IPPE II
IPPE II Worksheet
SOAP Note
APPE - REQUIRED ASSIGNMENTS
One case for suspected Adverse Drug Reaction
One Case Report
Two Pharmaceutical Care Plans
One Journal Review
One case for suspected Drug-drug Interaction
One documented public health activities
One documented systems management activity
APPE - ROTATION ASSIGNMENTS
Drug Information Responses:
Drug Monograph:
Pharmacy-related Presentation:
Summary of a Drug Therapy Related Topic at a
Meeting/Committee
Documentation of pharmaceutical care skills
Any presentation duplication from rotation to rotation
as well as between other students is strictly prohibited.
Preceptor Resources
Access Pharmacy
http://accesspharmacy.com/
username: howard password: medicine
Pharmacy Library
www.pharmacy.howard.edu/
Select Preceptors, Select Educational Resources, Select Pharmacy Library
Username: Preceptors Password:Pharmacy123#
Training and CE Programs
QUESTIONS