Syllabus Template for Preceptors: This template document is intended to assist you in making a rotation syllabus to enhance communication with students. Replace the highlighted text with the information that is specific to your rotation, then delete this header text for final syllabus.
Course Title: Adult Medicine Advanced Pharmacy Practice Experience
Course Purpose:
The goal of the Adult Medicine Advanced Pharmacy Practice Experience is to provide opportunities for students to build on knowledge and skills acquired through didactic education and introductory pharmacy practice experiences and apply them in direct patient care activities in the adult medicine setting. This course takes place in an internal medicine/general medicine unit where patients are managed using a team-based approach. Team members may include pharmacists, physicians, nurses, and other healthcare providers. Students may participate in the following types of activities: rounding with a healthcare team, obtaining patient histories, identifying problems requiring therapeutic interventions, solving problems, consulting with physicians, monitoring patient outcomes, and providing educational sessions for the professional staff.
Preceptor(s) and Site Information:
PRECEPTOR: insert the following information
Name(s)
Contact Information
Indicate preferred communication method
Pre-Rotation Requirements for Student
PRECEPTOR: Include any information or documentation that the student must provide (i.e. immunization requirements, HIPAA training, etc.) prior to starting rotation. Note that prerequisite knowledge and skills (recommended review of therapeutic guidelines, etc.) are specified in a subsequent section.
Learning Objectives:
At the conclusion of the Adult Medicine Advanced Pharmacy Practice Experience, students should be able to:
1. Formulate a concise and evidence-based patient-centered care plan in collaboration with other health care professionals, patients, and/or their caregivers which considers the patient's health literacy, culture, and psychosocial factors.
2. Implement, monitor, evaluate, and adjust pharmaceutical care plans with accuracy and timeliness. Ensure continuity of pharmaceutical care for a patient across health care settings.
3. Deliver presentation to health professionals about appropriate use of medications. (e.g., inservice, 15-30 minute presentation to an interprofessional team.)
4. Conduct a journal club presentation to a group of peers/health professionals.
5. Identify, report and analyze medication errors and adverse drug reactions to identify preventable cause and remedial preventive actions.
6. Collaborate as an interprofessional team member in a variety of healthcare settings.
7. Demonstrate general principles for good communication with patients and other providers when listening, talking, and writing.
8. Communicate with another health care professional about the appropriateness of a patient's pharmacotherapy with clarity and accuracy (drug, dosing, dosage forms, routes of administration, delivery systems).
9. Present a patient summary with confidence and in an organized format that includes only pertinent information. (Example: brief patient summary during rounds or when proposing recommendations to a care provider.)
10. Give a formal case presentation that includes presentation of patient data, development of a comprehensive care plan, a summary of literature pertinent to the medication-related problems, and an oral defense of recommendations.
11. Prepare an accurate, concise, and organized written patient care plan.
12. Work with individuals of other professions to maintain a climate of mutual respect and shared values.
13. Use the knowledge of one's own role and those of other professions to appropriately assess and address the healthcare needs of the patients and populations served.
14. Demonstrate the ability to assimilate and apply basic, clinical, and social science knowledge in the care of patients and resolution of practice problems.
15. Demonstrate ethical behaviors that are essential to the practice of pharmacy.
16. Adhere to legal requirements in pharmacy practice
17. Apply critical thinking, problem-solving, and scientific reasoning skills to the practice of pharmacy (both when solving patient problems and general practice problems.
18. Gather, analyze, and apply relevant scientific data, evidence-based data, and other information when solving practice problems (both patient-specific and general practice problems).
Course Outline, Activities, and Assignment Deadlines:
Student Schedule:
PRECEPTOR:
· 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.
· When possible, provide typical daily schedule indicating when different activities or breaks may take place. Include time to meet with the student to discuss the student’s performance and make recommendations for improvement.
· Consider making a calendar of dates/time to discuss specific topics, have journal club meetings, or have other conferences. Determining in advance what these will be allows student to be prepared.
Required Activities/Assignments:
In order to achieve the stated learning objectives, students completing the Adult Medicine Advanced Pharmacy Practice Experience should complete the following activities/assignments:
1. Attend and participate in patient care or interdisciplinary rounds (nursing rounds if physician-led rounds unavailable to students) and prepare one formal SOAP note/progress note each week (total of eight notes) on an assigned patient.
2. Present at least one formal patient case presentation, including analysis and interpretation of the primary medical literature as it applies to the patient case. The audience will be selected by the preceptor.
3. Discuss with the preceptor the treatment, monitoring, and outcomes of the majority of the following common adult medicine patient conditions, with discussions based on actual or simulated patient cases and/or drug therapy problems:
a. Chronic Obstructive Pulmonary Disease/Asthma
b. Community Acquired and Healthcare Associated Pneumonia
c. Congestive Heart Failure
d. Coronary Artery Disease
e. Myocardial Infarction
f. Hypertension, including Hypertensive Crisis and Urgency
g. Stroke/Transient Ischemic Attacks
h. Anticoagulation and Venous Thromboembolism
i. Diabetes
j. Renal Failure/End Stage Renal Disease
k. Hepatic Disorders
l. HIV/Opportunistic Infections
m. Skin and Soft Tissue Infections
4. Participate in therapeutic drug monitoring activities, including:
a. Application of pharmacokinetic dosing principles to drugs in the following classes, as applicable to the institution: antibiotics, antiepileptics, and/or immunosuppressants for organ transplant rejection; and
b. Recommendation of dosing adjustments for renal and hepatic impairment
5. Present at least one journal club presentation, including analysis and interpretation of the primary medical literature.
6. Complete at least 2 written drug information responses using appropriate institutional documentation or the UF College of Pharmacy Drug Information Question Intake/Tracking Form.
7. Present at least one inservice to the pharmacy, nursing, or medical staff.
Other Learning Activities:
Students will benefit from exposure to the following learning activities during their Adult Medicine Advanced Pharmacy Practice Experience, when feasible within the rotation/site:
1. Evaluate patient profiles for compliance with Core Measures and make appropriate recommendations to adhere to current guidelines for the following:
a. Acute Myocardial Infarction;
b. Heart Failure;
c. Pneumonia; and
d. Surgical Care Improvement/Surgical Infection Prevention
2. Evaluate patient medication regimens for appropriate use of antibiotics (antimicrobial stewardship)
3. Shadow healthcare professionals in other settings, such as Nuclear Medicine, Dialysis, Respiratory Therapy, Cath Lab, etc.
4. Participate in Nutrition Support services
5. Perform activities that provide cost savings to the facility as applicable, including IV to PO conversions and review of high-cost medications for appropriate therapy.
Prerequisite Knowledge and Skills:
Students must have successfully completed Introductory Pharmacy Practice Experiences and required didactic courses prior to beginning their Adult Medicine Advanced Pharmacy Practice Experience. Students should be familiar with and prepared to apply treatment guidelines for optimal patient care for the following disease states (or others as directed by the preceptor):
a. Chronic Obstructive Pulmonary Disease/Asthma
b. Community Acquired and Healthcare Associated Pneumonia
c. Congestive Heart Failure
d. Coronary Artery Disease
e. Myocardial Infarction
f. Hypertension, including Hypertensive Crisis and Urgency
g. Stroke/Transient Ischemic Attacks
h. Anticoagulation and Venous Thromboembolism
i. Diabetes
j. Renal Failure/End Stage Renal Disease
k. Hepatic Disorders
l. HIV/Opportunistic Infections
m. Skin and Soft Tissue Infections
Student Evaluation and Grading:
Students will be evaluated using the SUCCESS system (log in or get more information about SUCCESS at: https://copnt17.cop.ufl.edu/ugsp/). Preceptors are encouraged to provide students with written copies of their midpoint and final SUCCESS evaluations, and to review and discuss each of these with the student.
Attendance Policy:
Attendance is mandatory as the quality of learning experiences is directly related to the time spent in the clinical environment. If sickness or other problems require absence during rotation time, students must arrange to make up lost time with the preceptor. Failure to participate in the assigned number of hours will result in an "Incomplete" grade for the course.
Excused Absences: each excused absence will be made up at the discretion of the instructor. Absences may be excused secondary to health or family issues (personal illness, dependent’s illness, doctor appointment, family crisis, etc.), professional issues (interview for position, educational meeting, etc.) or at the discretion of the preceptor for other reasons not listed here. Absences that are planned require notification prior to the day of the absence. A minimum of 1-week notice regarding planned absences is expected.
Unexcused Absences: an unexcused absence will result in a deficient evaluation of Competency 12 in the SUCCESS evaluation and the subsequent loss of grade that would produce. Each absence must be made up at the convenience of the instructor. Failure to notify at the time of the absence in the case of unexpected situations will result in an unexcused absence. Failure to notify in advance of planned activities will result in an unexcused absence.
Time missed due to administrative issues (e.g. fees not paid, lack of portfolio requirements) are counted as unexcused absences unless made up at the preceptor’s discretion after the originating offense is corrected.
Tardiness: two unexcused tardies will be the same as one unexcused absence. The definition of tardy will be left up to the instructor.
Minimum attendance for a complete rotation is 17 out of 20 working day rotations or 35 out of 40 day rotations. Students missing more than 3/20 or 5/40 for any reason that are NOT made up must reschedule the entire rotation at a later date.
Educational meetings are an important part of being a professional. Attendance will be encouraged, but not required. Faculty and instructors will encourage the students to attend meetings.
Residency and position interviews likewise are and important for professional advancement but must not be scheduled in time and number to significantly degrade the quality of the ongoing Advanced Pharmacy Practice Experience. This should be taken into consideration when they are scheduled. Days missed due to these events will be made up at the discretion of the preceptor.
Additional Policies and Information
University Grading Policies - Please visit the following URL to understand how the University uses the course grade to compute overall GPA: https://catalog.ufl.edu/ugrad/current/regulations/info/grades.aspx
Academic Integrity Policy - Students are expected to act in accordance with the University of Florida policy on academic integrity and to abide by the UF Student Honor Code, available at: http://www.dso.ufl.edu/sccr/honorcodes/honorcode.php.
Psychomotor and Learning Expectations - Psychomotor expectations relate to the ability to meet the physical demands of the pharmacy curriculum. Physically impaired students and students with learning disabilities such as hearing impairment, visual impairment, dyslexia or other specific learning disabilities such as sensory deficit or sensory-motor coordination problems should cooperate with the faculty and staff in addressing these problems in order to meet academic standards. Students with disabilities are strongly encouraged to register with Disabled Student Services in the Office for Student Services (P202 Peabody Hall) and this must be accomplished prior to starting the course. Please visit the following URL for more information: http://www.dso.ufl.edu/drc.
Preceptor Evaluations - All students are strongly encouraged to complete the course and instructor evaluations. The Office of Experiential Programs will provide students with directions for completing the online evaluations.
APPE Student Dress Code – Available at the Office of Experiential Programs Website: http://copnt13.cop.ufl.edu/doty/pep/
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University of Florida College of Pharmacy
Adult Medicine Advanced Pharmacy Practice Experience Syllabus