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 Entry Level Doctor of Pharmacy Program (Pharm.D.) 239 students* Non-Traditional Doctor of Pharmacy Program (Pharm.D.) 25 students Graduate Program in Pharmaceutical Sciences (M.S. and Ph.D.) 22 students *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 1 st 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)
IPPE I - Educational Goals 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 II Educational Goal Dispensing Manage Pharmacy Operations Manage Medication Use Systems
Educational Goals - Dispensing 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 nonverbal 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 Manage Pharmacy Operations 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 Medication Use Systems 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
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.
APPE OBJECTIVES 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 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
APPE ADMINISTRATIVE - OBJECTIVES 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)
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
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