Rotation Structure Worksheet - Institutional

Rotation Structure Worksheet - Institutional

Company/Site: ______

Participant: ______E-mail:______Contact #: ______

Competency / Activity
(How is it achieved?) / Teaching Method / Assessment/Documentation / Status
IP/TBD / Time Frame
1 / Speak and write clearly, using logical patterns of organization. / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
2 / Demonstrate sensitivity and tolerance within a culturally diverse society. / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
3 / Demonstrate an appreciation of the obligation to participate in efforts to help individuals and to
improve society and the health care system. / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
4 / Promote intellectual growth and continued professional competence through self-learning. / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
5 / Gather and organize information in order to identify ongoing or potential drug-related problems and the root cause of the problems. / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
6 / Communicate alternative dosage strategies to the prescriber to help resolve specific patient therapeutic problems. / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
7 / Receive and correctly interpret oral and written prescription orders. / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
8 / Verify prescription order for legitimacy and apply local, state, and federal regulations properly when filling prescriptions. / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
9 / Collaborate with physicians, other health care professionals, patients, and/or their caregivers to formulate a pharmaceutical care plan. / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
10 / Integrate basic knowledge as needed to design, implement, and evaluate patient-specific pharmacotherapeutic regimens. / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
11 / Identify allergies and potential drug-drug and drug-disease interaction when using the patient’s drug profile. / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
12 / Integrate patient and drug information with drug dosing methods to calculate appropriate dosage adjustments. / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
13 / Accurately prepare prescriptions. / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
14 / Accurately prepare parenteral and enteral nutrition products. / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
15 / Accurately prepares or has general understanding of how to prepare cytotoxic agents. / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
16 / Accurately prepare IV/injectable products. / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
17 / Demonstrate appropriate aseptic technique when preparing IV/injectable drugs. / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
18 / Accurately and efficiently performs flow rate calculations as needed when filling injectable products. / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
19 / Demonstrate ability to use medication supply and dispensing system (e.g. Pyxis or medication dispensing system). / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
20 / Display the attitudes, habits, and values required to render pharmaceutical care. / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
21 / Demonstrates understanding of purchasing, inventory management, and storage of controlled substances. / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
22 / Demonstrates knowledge of purchasing, inventory management, and storage of prescription and non-prescription medications. / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
23 / Comply with federal, state, and local laws and related regulations that affect the practice of pharmacy. / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
24 / Participate in the process for reporting and managing medication errors and adverse drug reactions. / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
25 / Participate in the process for conducting drug use evaluations. / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
26 / Participate in the evaluation of a drug product for formulary consideration. / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
27 / Document quality assurance activities according to the specifications of relevant accrediting and regulatory bodies / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
28 / Identify and use appropriate drug information resources to respond to patient specific drug problems or inquiries from other health professionals. / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
29 / Develop and present educational materials tailored to the needs and educational background of a given audience (e.g. staff presentations, journal clubs, etc.). / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
30 / Demonstrate judgment, initiative, responsibility, and maturity. Displays a cooperative attitude and is receptive to feedback. / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
31 / Responds to assignments and responsibilities in a timely manner. / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
32 / Reports to rotation site, patient care activities, group discussions, and meetings on time. / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
33 / Exhibits neatness and professionalism in appearance and work. / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
34 / Maintains confidentiality. / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing
35 / Demonstrates tact when dealing with staff, patients, and other health professionals. / □ Lecture □ Panel experts □ Video Tapes
□ Small Group □ Case Studies □ Guest Speaker
□ Project □ Role Play □ Observation
□ Group Discussion □ Guided Practical Experience
□ Other: ______/ □ Test □Quiz □ Resrch. Paper □Indiv. .Project □ Group Project □ Poster □ Oral Presentation
□ Hmwrk □ Lab exe. □ Demonstration □ Case
□ Other □ Observation
□ Documentation______/ □ IP
□ TBD / □ 1st half
□ 2nd half
□ Ongoing

Status: IP – In Progress / TBD – To Be Developed Time Frame: H1 – 1st half of rotation / H2 – 2nd half of rotation / ONG - OngoingPage 1