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