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. 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: Community Introductory Pharmacy 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 Community Introductory Pharmacy Practice Experience is to provide opportunities for students to develop professionally in the community setting and build upon knowledge and skills acquired through the first year of the didactic curriculum and introductory community 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 accomplished in such settings as chain, independent, and community clinic pharmacies that have direct patient contact. 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: 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 Community Introductory 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.
The student who completes an introductory community practice rotation should be able to:
1. Follow laws, professional standards and pharmacy policies when practicing in a community environment.
2. Determine a patient's eligibility for service and use references, patient profiles or professional knowledge to evaluate written or oral prescription instructions for completeness, correctness, and therapeutic problems.
3. Check a prescription for completeness and the therapeutic appropriateness of prescriptions.
4. Extemporaneously compound prescriptions (if applicable).
5. Fill, label and file prescriptions correctly.
6. Perform calculations correctly to compound, dispense, and administer medications.
7. Dispense prescriptions and advise patients on dosage, side effects and other problems that could be anticipated with their therapy.
8. Communicate with patients or their representatives effectively.
9. Counsel patients (or their representatives) for each medication in patients' drug regimen:
10. Conduct patient interviews to obtain patient information upon receival of new or refilled prescriptions.
11. Respond to drug information inquiries from patients and other healthcare professionals.
12. Exhibit knowledge of OTC items and surgical devices, which is sufficient to assist patients in selecting and/or using these items.
13. Exhibit knowledge of health aid devices.
14. Perform basic administrative and management functions associated with a community pharmacy operation.
15. Perform all actions necessary to receive payment from third party payers.
16. Possess basic management and administrative skills.
17. Provide point-of-care and patient-centered services (student may shadow the following activities):
18. Document interventions in patient records according to site-specific policies.
19. Utilize professional knowledge and judgment to analyze and solve typical and atypical practice problems encountered in daily
pharmacy practice.
20. Interact with other healthcare professionals encountered on a daily basis in the community setting.
21. Add any additional objective(s) that students will complete that specifically pertain to your rotation.
Prerequisite Knowledge and Skills:
Students must have successfully completed SCCP 670: Pharmacy Skill Lab II: Introduction to Community Pharmacy and SCCP 671: Pharmacy Skills Lab I: Compounding and Applied Pharmaceutics and have, at minimum, professional year one 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 Community IPPE Experiential Manual. Requirements are located at:
https://www.sccp.sc.edu/programs/experiential/forms/General/IPPE%20Introductory%20Community%20Experiential%20Manual.pdf
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 in advance what these will be allows 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 – 100
Fail: 0 - 69.99
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)
Follow laws, professional standards and pharmacy policies when practicing in a community environment. / · Discuss federal laws regarding controlled substances and misbranding
· Discuss state laws and regulations regarding community pharmacy operations
· Discuss state laws and regulations regarding the sale of OTC schedule substances
· Discuss state laws and regulations regarding the sale of needles and syringes
· Discuss state laws and regulations regarding the sale of poisons
Determine a patient's eligibility for service and use references, patient profiles or professional knowledge to evaluate written or oral prescription instructions for completeness, correctness, and therapeutic problems. / · Determine a patient's eligibility for services by properly checking:
1) third party authorization cards when needed
2) other identification cards as appropriate
3) patient profiles when needed
Check a prescription for completeness and the therapeutic appropriateness of prescriptions. / · Ensure patients' names and addresses are correctly and legibly on the prescriptions
· Ensuring drug names, strengths, dosage forms, and units are legible & complete
· Ensuring the directions to the patients are legible and complete
· Ensuring that prescriptions are properly signed in accordance with state laws
· Correctly interpreting physicians' names from their signatures
· Correctly verifying that the medication is in stock
· Correctly verifying the DEA number of the physician if necessary
· Clarifying or obtaining needed information from the patient
· Clarifying or obtaining needed information from the prescriber
· Use needed references to clarify questions
· Verify doses as being safe and non toxic
· Verify doses as being practical to measure and administer
· Select correct patient profiles for review
· Use patient profiles to determine if specific brands were previously used
· Use patient profiles to identify any drug duplication
· Use patient profiles to identify any possible drug incompatibilities
· Use patient profiles to verify authorized refills
· Clarify therapeutic questions with patients if possible
· Clarify therapeutic questions with prescriber if necessary
Extemporaneously compound prescriptions (if applicable). / · Select the appropriate equipment
· Properly clean the equipment before and after compounding.
· Select the appropriate ingredients.
· Check the ingredients and discard any showing signs of deterioration.
· Calculate the amounts of ingredients to use.
· Correctly measure or weigh the ingredients.
· Combine the ingredients in proper sequence.
· Perform the steps needed to produce a pharmaceutically elegant product.
· Properly package the final product.
· Correctly note all calculations or special instructions on the prescription.
Fill, label and file prescriptions. / · Create and update patient profiles
· Select the proper ingredients
· Substitute generically where permitted or indicated
· Use or maintain automated dispensing equipment
· Dispense proper quantities of drugs based on basic dosing principles
· Identify brand drugs with their manufacturers
· Find medications on the stock shelves
· Price prescriptions
· Bill third parties for pharmacy services
· Record medication information in patient profiles
· Record refill information in patient profiles
· Identify and properly annotate prescriptions in various schedules
· Prepare labels that are legally correct
· Prepare labels that are professionally elegant
· Select and attach proper auxiliary labels where indicated
· File prescriptions for schedule substances
· Check filled prescriptions for accuracy and completeness
Perform calculations correctly to compound, dispense, and administer medications. / · Complete at least 1 calculation for a compounded medication.
· Complete at least 1 calculation for an oral medication.
· Complete at least 1 calculation used to administer a certain dose of a medication.
Dispense prescriptions and advise patients on dosage, side effects and other problems that could be anticipated with their therapy. / · Counsel a minimum of 1 patient each day on their new medication.
Communicate with patients or their representatives effectively. / · Greet patients in a pleasant and concerned manner
· Communicate at the patient's level of understanding (level of literacy)
· Use professional knowledge to answer questions concerning drug therapy
· Use appropriate references to answer questions concerning drug therapy
· Interpret and evaluate information that patients provide in regards to drug therapy
· Triage patients according to need for self-treatment or referral to physician office
· Perform basic physical assessments to determine severity of condition
Counsel patients (or their representatives) for each medication in patients' drug regimen: / · Counsel on the following:
1) Trade, generic, common or descriptive names for drugs intended use and expected action
2) Routes, dosage forms, dosages, and administration schedules
3) Special directions for preparation
4) Special directions for administration
5) Precautions to be observed during administration
6) Expected side effects and methods to avoid them
7) Techniques for self-monitoring therapy
8) Proper storage
9) Potential drug/drug or drug/food interactions or other contraindications
10) Refill information
11) Actions to be taken in the event of a missed dose
12) Any information peculiar to the drug or patients' condition
· Identify at least 1 patient whose literacy or lingual skills limit the understanding of normal counseling.
· Identify at least 2 patients who are not compliant with their standing medications.
Conduct patient interviews to obtain patient information upon receipt of new or refilled prescriptions. / · Obtain information from a patient about:
1) Drug allergies
2) Concurrent medications
3) Any OTC or herbal medicines being used
4) Family and personal health history
5) Lifestyle activities that may affect health, pharmacotherapy, and/or disease state management
6) Compliance of medication directions
7) Create 4 new patient profiles.
8) Update 4 existing patient profiles.
Respond to drug information inquiries from patients and other healthcare professionals. / · Complete 2 written drug information responses (actual or simulated by preceptor) from healthcare professionals using appropriate resources.
· Complete 2 written drug information responses (actual or simulated by preceptor) from patients.
Exhibit knowledge of OTC items and surgical devices, which is sufficient to assist patients in selecting and/or using these items. / · Assist 1 patient each week in selecting OTC products by:
1) the therapeutic class of the product
2) questions to ask patients before any product in this
class is recommended
3) questions to ask patients before this specific product
is recommended
4) the ingredients in the product
5) the composition of the product compared to other
products in the therapeutic class
6) the recommended daily dose of the product
7) the cost effectiveness of using the product compared
to other products in the class
8) the common side effects associated with the product
9) the expected side effects of the product compared to
other products in the class
10) the warnings or cautions that should be given to a
patient
11) the overdose or abuse potential of the product
Exhibit knowledge of health aid devices. / · Determine for 8 devices during the rotation:
1) how the appropriate device or aid for a patient can be determined
2) how the device is accurately measured or fitted
3) the directions for using a device
4) precautions with or limitations of the device
5) proper storage and care for the device
6) the differences between differently priced devices of the same type
Perform basic administrative and management functions associated with a community pharmacy operation. / · Differentiate between items to be ordered direct or through a wholesaler
· Determine quantities of items to be ordered
· Place a pharmacy order for prescription and OTC items