Syllabus Template for Preceptors: This template document is intended to assist you in constructing a rotation syllabus to enhance communication with students and meet objectives established by SCCP and our accrediting body, ACPE. Replace or address the highlighted text with the information that is specific to your rotation, then delete this header text and the highlighted instructions for your final syllabus.

Course Title: Advanced HospitalPharmacy Practice Experience

Site Information:

Site Name

Site Address

Preceptor Information:

Name & Credentials

Phone Number

Email Address

Indicate preferred communication method

Course Purpose: The goal of the Advanced HospitalPharmacy Practice Experience is to provide opportunities for students to build upon knowledge and skills acquired through didactic education and Introductory Pharmacy Practice Experiences and apply them in direct patient care activities in thehospital setting. Students will actively participate in pharmacy operations and services relating to systems for drug distribution and drug control, scope of clinical services provided by the department, management of the department, department relationships within the institution and health system, regulatory, human resources, and technology issues.Thisexperience will be directed and evaluated by one or more preceptors.

Patient Population(s) Exposed To:

Specify patient populations students exposed to regularly (i.e. diverse population of adults and children)

Hours Credit: Four

Pre-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 Objectives:

At the conclusion of this Advanced Hospital Pharmacy Practice Experience, students should be able to:

Enter any additional objectives at the end of the list. If you feel any of the provided objectives do not apply to your site, discuss with the Experiential Education Department.

  1. Collaborate as an interprofessional team member in a variety of healthcare settings. Participate in the management of medical emergencies.
  2. Demonstrate effective written and oral communication skills to healthcare practitioners and patients.
  3. Demonstrate mature and professional attitudes, habits, values, and behaviors.
  4. Properly prepare, dispense, and store all medications using rotation site’s systems.
  5. Recommend appropriate prescription and nonprescription medications, dietary supplements, diet, nutrition, traditional nondrug therapies, and complementary and alternative therapies to patients and members of the healthcare team, taking into consideration patient’s specific pharmacotherapeutic agents, dosing regimens, dosage forms, routes of administration, delivery systems, and pharmacokinetic principles in order to promote optimal health care.
  6. Formulate a concise and evidence-based patient-centered care plan in collaboration with other health care professionals, patients, and/or their caregivers which considers a patient’s health literacy, culture, and psychosocial factors to provide optimal health care.
  7. Demonstrate an understanding of the pathophysiology and pharmacotherapy of the most common acute and chronic disease states encountered in the hospital setting. Enter any additional disease states not listed above that the student should have baseline knowledge of upon entering the rotation.
  8. Alzheimer’si. Asthma
  9. Cancerj. COPD
  10. Diabetesk. Heart Disease
  11. HIV / AIDSl. Hypertension
  12. Influenza & Pneumoniam. Kidney Disease
  13. Liver Diseasen. Metabolic Syndrome
  14. Obesityo. Parkinson’s Disease
  15. Septicemiap. Stroke
  16. Identify, report, and analyze medication errors and adverse drug reactions to identify preventable cause and remedial preventive actions. Manage the medication use system and apply the system’s approach to medication safety. Conduct a drug use review.
  17. Adhere to legal requirements in pharmacy practice, including, but not limited to, accreditation, legal, regulatory/legislative, safety requirements, and drug administration. Participate in discussions regarding the role of key organizations in public safety and key health care policy matters that may affect pharmacy.
  18. Retrieve, analyze, evaluate, and apply (using critical thinking, problem-solving, and scientific reasoning skills) relevant scientific data, evidence-based data, and other information when solving practice problems (patient-specific and general practice) utilizing technology available at the rotation site.
  19. Perform systematic literature/reference searches and reviews to provide pharmacotherapy/drug information to healthcare practitioners verbally and/or in writing.
  20. Present a patient summary with confidence and in an organized format that includes pertinent information (includes documentation in charts and to preceptor/healthcare team).
  21. Provide education to a diverse patient population and healthcare professionals regarding medical conditions, wellness, dietary supplements, durable medical equipment, and medical and devices.
  22. Participate in the allocation and supervision of pharmacy technician staff, pharmacy data management systems, medication resource management, including workload and financial performance. Participate in the planning processes of a pharmacy.
  23. Participate in purchasing activities and the pharmacy’s quality improvement program.
  24. Participate in discussions regarding drug approval process. Manage investigational drugs utilized at the health system.
  25. Discuss business plan development to support a patient care service, including the need, feasibility, resources, and sources of funding. Participate in the design, development, marketing, and reimbursement process for new patient services.
  26. Participate in the health system’s formulary process, therapeutic protocol development, and perform prospective and retrospective financial and clinical outcomes analyses on these items.
  27. Add any additional objective(s) that students will complete that specifically pertain to your rotation.

Prerequisite Knowledge and Skills:

Students must have successfully completed Introductory Pharmacy Practice Experiences and required didactice courses prior to beginning their Hospital Advanced Pharmacy Practice Experience. List specific items that students should be knowledgeable about prior to starting your rotation such as disease states, relevant laws and regulations.Students should be familiar with and prepared to apply treatment guidelines for optimal patient care for the following disease states:

  1. Alzheimer’s
  2. Asthma
  3. Cancer
  4. COPD
  5. Diabetes
  6. Heart Disease
  7. HIV / AIDS
  8. Hypertension
  9. Influenza & Pneumonia
  10. Kidney Disease
  11. Liver Disease
  12. Metabolic Syndrome
  13. Obesity
  14. Parkinson’s Disease
  15. Septicemia
  16. Stroke
  17. Enter any additional disease states not listed above that the student should have baseline knowledge of upon entering the rotation.

Attendance Requirements: Students are expected to abide by the attendance requirements set forth in the SCCP APPE Experiential Manual. Requirements are located at:

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 hospital 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 in advance what these will be allows the student to be prepared.

Grading Procedures:

Grading will occur via electronic APPE 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 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:

A:90 – 100

B+:85 – 89.99

B:80 – 84.99

C+:75 – 79.99

C:70 – 74.99

D+:65 – 69.99

D:60 – 64.99

F: 59.99

Assignments/Activities:

Learning Objective / Example Components/Activities of Learning Objective
(delete this column after moving components/activities you will utilize to column to the right) / Required Activities/Assignments
(The following assignments/activities will be used to introduce, practice, and/or assess the particular outcome)
(fill in any example components from column to the left that will use as well as additional assignments/activities you will use) / Mapped Evaluation Competency
(The following competency being measured is based on the evaluation assigned to this rotation)
(select one or more competencies on your respective evaluation – all competencies should have related objectives/activities)
Collaborate as an interprofessional team member in a variety of healthcare settings. Participate in the management of medical emergencies. /
  • Prepare and deliver educational programs to health professionals that promote appropriate use of medications.
  • Spend time with a registered nurse to observe the following: a) delivery of medication from pharmacy; b) dispensing from a dispensing device; c) patient identification; d) delivery method; e) record of delivery; and f) resolution of discrepancies.
  • Participate in the preparation of stocking a code cart and attend/observe a code if applicable.
  • Discuss drug therapy and progress of assigned patients with preceptor and/or other professionals without notice.
  • Visits other hospital departments involved in diagnosis and treatment (e.g., E.R., critical care units, radiology, laboratory, anesthesiology, O.R., respiratory therapy, etc.) and describes the basic responsibilities of the department, its drug use policies and process, and its relationship with the pharmacy.

Demonstrate effective written and oral communication skills to healthcare practitioners and patients. /
  • Perform a medication reconciliation with accuracy and effective communication skills.
  • Prepare and deliver educational programs to health professionals or a lay audience that promote appropriate use of medications and/or health promotion.
  • Complete 2 phone calls to physicians to obtain an alternate medication order.

Demonstrate mature and professional attitudes, habits, values, and behaviors. /
  • Demonstrate responsibility by being on time for all clerkship related activities, dressing professionally, respecting lines of authority.
  • Complete all tasks thoroughly and in a timely manner, and communicate appropriately.
  • Demonstrate good judgment, initiative, responsibility and maturity.
  • Incorporate feedback from preceptor(s) for future behavior.
  • Cooperate with patients, pharmacy staff and other health professionals.
  • Show assertiveness and independence by undertaking self-directed responsibilities and articulating personal viewpoint.
  • Demonstrate pride and purpose for the role of the pharmacist in the total health care of the patient.
  • Discuss with the preceptor strategies for meeting the pharmacist’s need for life-long learning. (e.g., participate in local pharmaceutical association meetings, continuing education programs, presentations to community organizations, etc.)
  • Demonstrate respect for patients and other health care professionals.

Properly prepare, dispense, and store all medications using rotation site’s systems. /
  • Participate in the processing of drug orders (including preparation of IV medications) from entry into the pharmacy system to patient delivery (student's role may include simulation and/or training in some areas, depending on institutional policies and procedures).
  • Participate in receiving drug orders, applying the order, and stocking the medication to the shelves.
  • Review and interpret medication records including nonprescription products and dietary supplements.
  • Perform calculations as needed to formulate, prepare or administer medications.
  • Receive and correctly interpret a medication order obtained in oral and written form.Verifies the proper dosage, dosage form and accuracy of the medication order.
  • Analyze a medication order for appropriateness, including an assessment of the efficacy and safety of the medication, potential drug-interactions, immediacy of need, and formulary status.

Recommend appropriate prescription and nonprescription medications, dietary supplements, diet, nutrition, traditional nondrug therapies, and complementary and alternative therapies to patients and members of the healthcare team, taking into consideration patient’s specific pharmacotherapeutic agents, dosing regimens, dosage forms, routes of administration, delivery systems, and pharmacokinetic principles in order to promote optimal health care. /
  • Write 2 progress notes regarding issues noted from medication reconciliation (i.e. missing outpatient medications or OTC or herbal products that may be causing harm).
  • Complete 4 IV to PO conversions.
  • Complete 4 pharmacy-to-dose orders using pharmacokinetic principles.

Formulate a concise and evidence-based patient-centered care plan in collaboration with other health care professionals, patients, and/or their caregivers which considers a patient’s health literacy, culture, and psychosocial factors to provide optimal health care. /
  • Conduct 4 patient history interviews and complete / update patient medical record accordingly.
  • Perform discharge medication teaching and/or instruct patients in medication education classes.

Demonstrate an understanding of the pathophysiology and pharmacotherapy of the most common acute and chronic disease states encountered in the hospital setting. /
  • Identify laboratory tests necessary to diagnose and monitor various disease states, describing the usefulness and limitations of each test.
  • Describe how certain disease states affect laboratory values and how they alter the interpretation of these laboratory values.
  • Review the mechanism of action, indications, contraindications, adverse effects, and drug-interactions for each of the patient’s medications.
  • Assess findings to determine real and potential pharmacotherapeutic problems, ranks them in order of acuity; describes probable causes/effects, and gathers additional information to define/clarify the problems.

Identify, report, and analyze medication errors and adverse drug reactions to identify preventable cause and remedial preventive actions. Manage the medication use system and apply the system’s approach to medication safety. Conduct a drug use review. /
  • Participate in quality processes that promote effective drug use and/or health (e.g., medication safety, quality improvement, drug use evaluations).
  • Participate in preparing and/or submitting an actual or simulated adverse event or medication error report to a standard reporting system (e.g., FDA MedWatch, medication error reporting, etc). Note: student's role may include reporting simulation and/or discussion with the preceptor.
  • Discuss with preceptor look-alike, sound-alike medications and methods to limit medication errors in the pharmacy.

Adhere to legal requirements in pharmacy practice, including, but not limited to, accreditation, legal, regulatory/legislative, safety requirements, and drug administration. Participate in discussions regarding the role of key organizations in public safety and key health care policy matters that may affect pharmacy. /
  • Discuss with the preceptor, or other pharmacist, national quality measures and safe medication use. Topics may include review of National Patient Safety Goals, Joint Commission accreditation, National Hospital Quality Measures, HEDIS, HCAHPS, etc
  • Spend time with the pharmacy staff member(s) responsible for controlled substances, with exposure to the following: a) procedures for procurement of controlled substances; b) inventory/storage requirements within the pharmacy department and in patient care areas; c) procedures for distribution/tracking of controlled substances and prevention of theft/diversion; and d) procedures for disposal/handling of expired or partially used products.

Retrieve, analyze, evaluate, and apply (using critical thinking, problem-solving, and scientific reasoning skills) relevant scientific data, evidence-based data, and other information when solving practice problems (patient-specific and general practice) utilizing technology available at the rotation site. /
  • Complete and update a patient medication record, in accordance with legal requirements and organizational policies and procedures.
  • Analyze patient information to determine the presence of any of the following medication or non-medication problems related to a patient's current therapy.
  1. Medication used with no medical indication
  2. Medical condition(s) for which there is no prescribed therapy (medication or non-medication)
  3. Medication or non-medication therapy prescribed inappropriately for a particular medical condition
  4. Unnecessary therapeutic duplication
  5. Medication to which the patient is allergic has beenprescribed
  6. Clinically significant drug-drug, drug-disease, drug-nutrient, or drug-laboratory test interactions or potential for such interactions
  • Use the patient medical record to locate pertinent information to provide pharmaceutical care.

Perform systematic literature/reference searches and reviews to provide pharmacotherapy/drug information to healthcare practitioners verbally and/or in writing. /
  • Complete at least 2 written drug information responses using appropriate documentation.
  • Conduct any of the following as indicated by the preceptor: critical evaluation of journal article, new drug update, drug class review, formal drug literature write-up, etc.

Present a patient summary with confidence and in an organized format that includes pertinent information (includes documentation in charts and to preceptor/healthcare team). /
  • Prepare 2 formal SOAP notes/progress notes each week on an assigned patient.
  • Present 1 formal patient case presentation. The audience will be selected by the preceptor.
  • Rank patient problems in order of acuity and determine endpoints or goals.

Provide education to a diverse patient population and healthcare professionals regarding medical conditions, wellness, dietary supplements, durable medical equipment, and medical and devices. /
  • Educate a patient/caregiver about dietary supplements.
  • Educate a patient/caregiver about medical and drug devices (i.e. inhaler, glucometer, liquid syringes, insulin syringes, insulin pens, etc).
  • Deliver at least one presentation (journal club, patient case, new drug review, educational presentation, etc) to healthcare professionals or the lay public.