APPE Manual 2018-2019 - University of Utah · 2020. 7. 13. · APPE Manual 2018-2019 Page 1...

APPE Manual 2018-2019

University of Utah College of Pharmacy


The University of Utah is fully committed to affirmative action and to its policies of nondiscrimination and equal opportunity in all programs, activities, and employment with regard to race, color, national origin, sex, age, status as a person with a disability, religion, sexual orientation and status as a veteran or disabled veteran. The University seeks to provide equal access to its programs, services and activities for people with disabilities. Reasonable prior notice is needed to arrange accommodations. Evidence of practices not consistent with these policies should be reported to the Office of Equal Opportunity and Affirmative Action: (801) 581-8365 (V/TDD). If any of the writings, lectures, films or presentations in these courses includes material that conflicts with the core beliefs of some students, accommodations may be made. Please review the syllabus carefully and discuss any potential concerns with the course master at your earliest convenience. The University of Utah College Of Pharmacy Professional Program is accredited by the American Council of Pharmaceutical Education, 311 West Superior Street, suite 512, Chicago, IL 60610, (312)664-3575, (800)533-3606.


Table of Contents

Experiential Education Program Staff ..................................................... 3 Experiential Education Calendar ............................................................. 4 Experiential Education Requirements ..................................................... 5 Experiential Education Policies ............................................................... 5

Rotation Scheduling .................................................................................... 5 Schedule Changes ....................................................................................... 5 Rotations in Place of Employment .............................................................. 6 Registration ................................................................................................. 6 Student Absences ....................................................................................... 6 Health Insurance ......................................................................................... 6 Worker’s Compensation ............................................................................. 7

Student Expectations .............................................................................. 7 Initial Contact with Preceptor .................................................................... 7 Student Requirements ................................................................................ 7 Site-Specific Requirements ......................................................................... 8 Student Contact Information ...................................................................... 8 Standards for Professional Students ........................................................... 8 Academic and Professional Standards ...................................................... 10 Academic Dishonesty ................................................................................ 10

Standards for Experiential Education Preceptors ................................... 11 Sites with Pharmacist Preceptors with Stipulations ................................. 12

Grading Criteria and Evaluations ........................................................... 12 Academic Standards.................................................................................. 12 General Information ................................................................................. 12 Grade/Point Scale ..................................................................................... 13 Timing of Evaluations ................................................................................ 13

Appendices ........................................................................................... 14 A: Ongoing Student Immunization Requirements .................................... 14 B: Student Rotation Assignments ............................................................. 16

Student Self-Evaluation................................................................. 16 Evaluation of Preceptor ................................................................ 16 Self Reflection ............................................................................... 17

C: Objectives for Required Rotations ........................................................ 19 D: Fuel Reimbursement and Housing for Rural Sites ................................ 23 E: Code of Conduct for Pharmacists ......................................................... 28


Experiential Education Staff (Back to Table of Contents)

Director Krystal Moorman, PharmD, BCPS 30 South 2000 East, Room 105J Salt Lake City, UT 84112 Phone: 801-581-4590 Fax: 801-581-3716 Email: [email protected] Experiential Education Program Specialists Carrie Kirkpatrick, RN, BSN 30 South 2000 East, Room 105H Salt Lake City, UT 84112 Phone: 801-213-3421 Fax: 801-581-3716 Email: [email protected] Elle Popescu 30 South 2000 East, Room 105D Salt Lake City, UT 84112 Phone: 801-213-3553 Email: [email protected] Experiential Education Program Assistant Emily Clifford 30 South 2000 East, Room 105K Salt Lake City, UT 84112 Phone: 801-581-5502 Email: [email protected]

mailto:[email protected]






Experiential Education Calendar (Back to Table of Contents)

Summer 2018 – Spring 2019

Rotation Dates Block 1 Summer May 28 – July 6, 2018 Block 2 Summer July 9 – Aug. 17, 2018 Block 3 Fall Aug. 20 – Sept. 28, 2018 Block 4 Fall Oct. 1 – Nov. 9, 2018 Block 5 Fall Nov. 12 – Dec. 21, 2018 Block 6 Spring Jan. 7 – Feb. 15, 2019 Block 7 Spring Feb. 18 – Mar. 29, 2019 Block 8 Spring April 1 – May 9, 2019 In order to meet University grading deadlines, grades must be completed by the following cut-offs to avoid incomplete grades; Blocks 1 and 2: Grades are due to be posted on August 13th, but rotation ends on the 17th. Assignments will still be due one week after completion. Incompletes will be issued for all students until all assignments and evaluations are submitted. Blocks 3, 4, and 5: Assignments must be received by Thursday, December 20th at midnight in order to not receive an incomplete (one week +24 hours earlier than normal). Blocks 6, 7, 8: All assignments must be received May 9th at midnight (one week +24 hours earlier than normal) in order to post on time. If all assignments and evaluations are not turned in by this date, degree posting and graduation may be delayed. Licensure may be affected. ** Students will not be penalized unless they miss the due date for final evaluations of one week after rotation ends (the normal due date). However, turning in assignments early for Blocks 5 and 8 will allow you to not receive an Incomplete for Fall and Spring grades. All students with a Block 2 rotation will initially receive an Incomplete for that rotation, which will be replaced as soon as grades and assignments are received.


Experiential Education Requirements (Back to Table of Contents)

Required Experiences

Experiential Education consists of two introductory practice experiences and seven advanced clinical practice experiences. The seven advanced practice experiences are scheduled throughout the student’s last academic year. They are each six weeks in length and are graded with a letter grade.

• Required rotations: must be completed in the state of Utah

1. Acute Care

2. Advanced Community

3. Advanced Health-Systems

4. Ambulatory Care

5. Clinical Information Services

• One rotation must be with core faculty.

• Electives- 2 in any category except for CIS, or any rotation that does not fall into these categories

• One rural rotation must be completed as either an IPPE or APPE in Utah. Anything outside of an Urbanized Area, as defined by the U.S. Census Bureau, is considered rural.

Experiential Education Policies (Back to Table of Contents)

Rotation Scheduling (Back to Table of Contents)

APPE rotations are assigned using a lottery system. Students are given a two-week time period to rank their preferences for required and elective rotations. The rank list must be approved by the student’s faculty mentor or the EE director.

The lottery system is run by rotation type and randomizes students each time a rotation type is run. The system will assign students based on their preferences, provided that the preceptor


has availability during a block they still have open in their schedule. Elective rotations are run last. Results are reviewed to ensure each student has a schedule that meets all requirements. Manual changes may be made by EE to ensure all students’ requirements are met.

Schedule Changes (Back to Table of Contents)

From the day the schedule is available, students have 1 week to make changes to their schedule according to the process outlined in APPE Orientation. After this 1-week period, rotation changes will only be made in the case of medical or family emergencies or cancelled rotations unless student obtains approval from EE Director and written approval from both the preceptor of the rotation they wish to cancel and the rotation they want to add.

Scheduling a rotation that is not already offered You may ask to arrange a rotation in Utah if that site is not already offered in the lottery. Requests must be made to the EE Team by September 1st the fall before APPE’s start. The rotation must be approved by the EE Director, a Clinical Training Agreement must be in place by March 1, and the preceptor must meet all requirements. This includes being willing to take other University of Utah students and offer availability in the lottery. If a preceptor specifically opens up a rotation or selects an individual student for their rotation as a result of the Preceptor Meet and Greet Event, it must be communicated to the APPE Coordinator in EE by 1 week after the Preceptor Meet and Greet date. Clinical Training Agreements There must be a CTA in place for all rotation sites for the entirety of each rotation. Expiration, cancellation, or a CTA that has not been fully executed by the due date will result in cancellation of the rotation and reassignment of the student. EE Staff makes every effort to execute and renew contracts in advance of the lottery and well before expiration. However, circumstances beyond our control may affect the availability of rotations at certain sites. These contracts are reviewed by the EE Department, Dean of the COP, Legal Counsel for the University, and the office of the Vice President for Health Sciences, as well as appropriate representatives from the rotation site. Changes in the contract may result in additional requirements and additional costs for the student. Student will be notified of any changes to the rotation requirements that result from a new contract as soon as they are finalized. The student may be given the opportunity to move to a different rotation if the student is unable to reasonably meet or would incur a significant burden from the new requirements.

Rotations in Place of Employment (Back to Table of Contents)

Due to ACPE restrictions, students will not be permitted to complete rotations in their place of employment unless the following conditions apply:

“Students may be placed in an IPPE or APPE in a pharmacy where they are employed as long as their experiential education and employee roles are clearly differentiated and do not overlap. For example, a student may be employed by a health system in a specific capacity and/or in one area of the facility and be assigned to an IPPE or APPE in a clearly distinct capacity or area of the health system. (ACPE Standard 10.16)”


Registration (Back to Table of Contents)

Students must follow these guidelines for course registration during their P4 year:

Summer Semester: Block 1 and 2 clerkships

Fall Semester: Block 3, 4, and 5 clerkships (+seminar)

Spring Semester: Block 6, 7, and 8 clerkships (+IPE)

Rotation names correspond to the name of the rotation in CORE ELMS. Only register for “APPE Elective if the clerkship is not also available as one of the five core rotations. If you are registering for the same course name more than once, register for different sections. If your rotation is with core faculty, register for the course under their name. If your rotation is not with a core faculty preceptor, register for the course listed under Krystal Moorman.

Student Absences (Back to Table of Contents)

The experiential schedule does not follow the University schedule. Students are expected to follow the preceptor’s schedule at all times. This may include being at the site on weekends, holidays or extended hours. The minimum number of on-site hours for an experience is 240 hours. Your rotation may exceed that, depending on the preceptor and site’s schedule. Students are not permitted to take time off on traditional University holidays or breaks.

Students planning to attend a professional meeting or schedule residency or career interviews during clerkships should request this time off from the preceptor and notify the EE Director as soon as possible. Students may take up to two days from the experience for these purposes or for illness. There are no vacation days. Vacations should be scheduled for the off block. The preceptor may require make-up time or additional projects to account for missed time. The time and/or type of assignment will be decided at the discretion of the preceptor. Students who miss more than two days from the experience for any purpose must make up the time at the site. The make-up time will be coordinated with the preceptor’s schedule and approved by the EE Director.

Health Insurance (Back to Table of Contents)

Documentation of health insurance must be provided to the College for the duration of the APPE rotations.

Workers’ Compensation (Back to Table of Contents)

If you are injured while on site during one of your clerkship rotations, you are covered under the University’s Workers’ Compensation Insurance (this includes out-of-state and out-of-


country rotations). Please note that the coverage is from the University, not the rotation site’s Worker’s Comp.

You must fax (1-801-585-7375) or scan and email the E1 Form 122 to the below designated contact within 24 hours of the injury. Scan and email is preferred. https://www.hr.utah.edu/forms/lib/E1.pdf

HR Contacts: • Last Name (A-K): 801-581-7448, [email protected] • Last Name (L-Z): 801-585-0044, [email protected]

If you need medical attention, the following sites can provide care with no out-of-pocket expenses:

• Red Med at the Union building on campus by the bowling alley (preferred) • University of Utah Redwood Clinic at 1525 W. 2100 S (preferred for serious injury) • University of Utah Hospital Urgent Care Clinic at 50 N. Medical Drive • South Jordan Clinic at 5126 W. Daybreak Parkway

You must tell them that this is a Workers’ Compensation case.

In an emergency, call 911 or go to the nearest emergency room.

Student Expectations (Back to Table of Contents)

Initial Contact with Preceptor (Back to Table of Contents)

Students must contact their preceptor at least two weeks prior to the start of the experience to help plan for the first day and discuss expectations of the experience. Students should inquire about introductory or review readings, clerkship schedule, and site policies that they would need to know prior to orientation (e.g., parking, expected dress).

Student Requirements (Back to Table of Contents)

Requirements for All Rotations

• Annual Regulatory Training in Canvas (e.g., HIPAA, Bloodborne Pathogens)

• Annual Background Check

• Current BLS Card

• APhA Immunization Certification

• Intern License

• Immunizations (see Appendix)

*All documentation needs to be uploaded into CORE ELMS.

https://www.hr.utah.edu/forms/lib/E1.pdf





Site-specific Requirements: (Back to Table of Contents)

• Training or Paperwork: Some sites require additional paperwork and/or training. The requirements and deadlines are located in CORE ELMS Document Library. It is the student’s responsibility to manage and complete the requirements by the deadlines. Failure to complete the requirements on time may result in cancellation of the rotation.

• Drug screen: Some sites require a urine drug screen. If required, this will be noted in the Requirements Document for the specific site in CORE ELMS. Students can get screened at any location and must upload the results to their CORE ELMS account. If a student takes prescription medications that may cause positive results, the student must provide a signed physician’s note verifying that it is a prescribed medication.

• Liability Insurance: Students who are doing an out-of-state APPE are required to purchase their own professional liability insurance. The required limits on the policy are $1,000,000/occurrence and $3,000,000 aggregate. A copy of the policy must be uploaded in CORE ELMS.

• Out of State Intern license: Students who are doing an out-of-state rotation must provide a license, if required by the state, from the state in which the rotation will occur and upload it to CORE ELMS.

• These requirements are visible only to you and the EE staff. Your preceptors cannot view your health records, background check, or other uploaded information in the requirements section.

• Cancellation of a rotation due to student’s failure to meet requirements, including meeting deadlines, will result in a referral to the Scholastic Standards Committee.

• If any of the above requirements are incomplete or become expired, you will be pulled from your rotation site. Being removed from your rotation due to not meeting the requirements will result in a referral to the Scholastic Standards Committee.

Student Contact Information (Back to Table of Contents)

Students are required to keep contact information updated in CORE ELMS at all times. It is only visible to preceptors who you have/will have on your schedule and EE staff/faculty. It is not accessible by any other preceptors/faculty.

Standards for Professional Students* (Back to Table of Contents)

1. Students will exhibit a professional demeanor in manner, dress and adherence to professional standards at all times.

2. Students will follow the University of Utah dress code at all times, unless expressly directed to do otherwise by their preceptor. (https://pulse.utah.edu/policies/Lists/Policies/DispForm.aspx?ID=1880)

https://pulse.utah.edu/policies/Lists/Policies/DispForm.aspx?ID=1880


3. Students will wear University of Utah College of Pharmacy student identification at all times while at experiential sites unless site-specific names badges are required.

4. Students are obligated to respect any legal, professional or business confidences revealed during the practice experience and may be required to sign a site-specific confidentiality agreement. Students will respect patient confidentiality at all times.

5. Students actively participate in all learning activities.

6. Students will communicate professionally at all times with all persons involved with professional training, including preceptors, patients, and patient’s caregiver.

7. Students will not question the advice or directions of the faculty preceptor in the presence of others. Constructive criticism should be viewed as a means of learning and not embarrassment.

8. Students are expected to identify and research general pharmaceutical care issues prior to asking appropriate questions.

9. Students will clarify expectations with the preceptor if they are not clear.

10. Students will not make professional decisions or offer medical advice without checking with the preceptor.

11. Students will take initiative in communicating with physicians and patients.

12. Students will be constantly alert to the laws and regulations which govern practice and seek clarification of any points which are not clear.

13. Students will be punctual as defined by the preceptor on that rotation.

14. Students will not be permitted to accept or receive any form of remuneration for professional experiences performed for academic credit pertaining to this program.

15. Students are not allowed to be on rotation with a preceptor to whom the student is related or who is or has been a co-worker or employer of that student. Exceptions may be made for advanced clinical clerkships on a case-by-case basis.

16. Students are responsible for checking their University email account daily. Only valid University email accounts are used for University business. Students are expected to return emails within 24 business hours.

17. Students experiencing problems/conflicts during a clerkship should discuss his/her concerns with the preceptor as soon as possible. If the concerns are not adequately addressed by the preceptor, the student should then contact the EE Team.

*Failure to adhere to these or other professional standards may result in a failing grade for the experience and referral to the scholastic standards committee for unprofessional conduct.

Academic and Professional Standards (Back to Table of Contents)


The College of Pharmacy is dedicated to the education and development of students into pharmacists who employ critical thinking skills and evidence in caring for their patients. Pharmacy practice requires a commitment to a life of service, dedication to continuous learning and high ethical standards. The Advanced Pharmacy Practice Experiences in the Doctor of Pharmacy Program help students to strengthen their foundation of knowledge, attitudes, skills and behaviors that are necessary for the practice of pharmacy throughout their careers.

All College of Pharmacy preceptors and students have responsibilities in assuring that have acquired the necessary foundation to provide pharmaceutical care to patients. The College of Pharmacy has an obligation to provide each student with a fair opportunity to meet the high standards of scholarship and integrity associated with the PharmD degree and the profession of pharmacy. As professional students progress through their experiential curriculum, preceptors are obligated to evaluate whether students are qualified to practice pharmacy. In seeking these academic credentials, with the understanding that satisfactory performance is a prerequisite to the receipt of that credential, students are consenting to frank evaluation by those charged with the responsibility of supervising performance in the experiential courses.

In order to receive a professional degree in pharmacy, students must:

1. Meet the academic requirements of each core and elective clerkship

2. Meet the academic requirements of the Doctor of Pharmacy Program and the Graduate School

3. Uphold the University of Utah’s and College of Pharmacy’s standards of academic honesty, including, but not limited to, refraining from cheating, plagiarizing, research misconduct, misrepresenting one's work and/or inappropriately collaborating

4. Uphold the professional and ethical standards of the profession of pharmacy as set forth in the American Pharmacists Association Code of Ethics for Pharmacists (Appendix E).

Academic Dishonesty (Back to Table of Contents)

Plagiarism or failure to attribute is a form of academic dishonesty. Based on the University of Utah Student Code (Direct quote):

“Academic Misconduct” includes, but is not limited to, cheating, misrepresenting one’s work, inappropriately collaborating, plagiarism, and fabrication or falsification of information as defined further below. It also includes the facilitating academic misconduct by intentionally helping or attempting to help another to commit an act of academic misconduct. . . .

a. Misrepresenting one’s work includes, but is not limited to, representing material prepared by another as one’s own work, or submitting the same work in more than one course without prior permission of both faculty members.


b. “Plagiarism” means the intentional unacknowledged use or incorporation of any other person’s work in, or as a basis for, one’s own work offered for academic consideration or credit for public presentation. Plagiarism includes, but is not limited to, representing as one’s own, without attribution, any other individual’s words, phrasing, ideas, sequence of ideas, information or any other mode or content of expression.

In the College of Pharmacy, the following is used to provide additional guidance for courses and clerkship experiences.

Plagiarism or failure to attribute is a form of academic dishonesty. This is using anyone else's work as your own. This includes another student's, another author's, etc. Consequences for committing academic dishonesty can include: failing the assignment, failing the class, probation or dismissal from the College or University. In the College of Pharmacy, issues related to academic dishonesty are referred to the Scholastic Standards Committee in for further action.

While everyone has their own concept of plagiarism, the guide that will be used for class and clerkships is copying more than 7 consecutive words verbatim without quotations and referencing, or more than 2 sentences in an assignment that reflect the original author's phrasing, sentence structure and meaning rather than the student's own thoughts.

You can also commit academic dishonesty by helping someone else commit plagiarism. Likewise, if you create an assignment for one class and present it for credit in a second course, this also falls under this standard unless you have the permission of both course masters to use the material in both places. Please be careful. If you are unsure, ask questions of your course master/preceptor.

Standards for Experiential Education Preceptors (adapted from ACPE Standards, 2016)

(Back to Table of Contents)

1. Preceptors must have a license in good standing. If action is taken on a preceptor’s license,

the EE Director must be notified immediately.

2. Practices ethically and shows compassion for patients

3. Accepts personal responsibility for patient outcomes

4. Has education, experience and competence commensurate with position

5. Practices evidence-based medicine

6. Wants to educate students, patients, and other healthcare professionals

7. Advocates for patients and profession

8. Possesses ability to think critically and solve problems

9. Documents student evaluation at midpoint and final. Evaluations provide an accurate picture of student strengths and areas for improvement. Preceptor reviews evaluations with students.


10. Demonstrates self-directed approach to their own professional development

11. Engages as collaborative, contributing member of team

12. Shows commitment to practice, professional societies and community

13. Displays mutual respect for learners, supervisors, co-workers, etc.

Sites with Pharmacist Preceptors with Stipulations (Back to Table of Contents) Students will not be placed with any pharmacist preceptor having stipulations on their license (probationers). Sites which employ pharmacist preceptors with stipulations on their license(s) will be asked to provide a documented plan for student supervision that does not include the probationer. This plan will be evaluated by the Experiential Education Advisory Committee and decisions regarding site participation will be made on a case-by-case basis. Further, if a pharmacist preceptor has stipulations related to substance abuse, students will not be placed with the pharmacist preceptor for a period of two years after the stipulations have been removed from the license.

Grading Criteria and Evaluations (Back to Table of Contents)

Academic Standards (Back to Table of Contents)

“Satisfactory progress” in the PharmD Program is defined as “maintaining a cumulative or semester University and Professional grade point average of 3.0 or higher, receiving no grades below C+, nor any grades of E, EU, NC, I or W in any professional core or elective course.” The cumulative professional grade point average is based on the grades obtained from all attempts at professional and core and elective courses.

General Information (Back to Table of Contents)

Grading for all advanced experiences is determined by use of a rubric. The rubric serves two main purposes. First, it allows the preceptor to assess the student’s ability in various areas of clinical practice and provide suggestions for improvement. Second, it provides a quantitative mechanism upon which a decision can be made as to whether a student should receive a passing grade for the clerkship. It is important to understand that successful completion of the clerkship is based on skills, knowledge and behaviors. In general, a minimum score of 3 is required in all areas of the rubric

Grade/Point Scale (Back to Table of Contents)

The grading rubric uses a five-point grading scale. An average of points received on the rubric will have the following grades:

4.67 to 5.0 A 4.34 to 4.66 A- 4.00 to 4.33 B+


3.67 t0 3.99 B 3.34 to 3.66 B- 3.0 - 3.33 C+ Students who achieve less than 3 as an average will receive a grade less than C+. Students who receive less than C+ will be required to repeat a clerkship in the same category as the failed rotation.

Late Assignments Your grade will be dropped 1 step if an assignment is late. Assignments are late at midnight on the due date. If this results in a grade lower than C+, you will be required to repeat the rotation type. Your grade will remain an Incomplete until all assignments have been turned in.

Timing of Evaluations (Back to Table of Contents)

Midpoint

A first evaluation of progress will be performed at the end of the first three weeks of the professional experience by the faculty preceptor. The ratings that are given should be discussed with explanations in order for the student to understand which areas are areas of strength, and which areas need improvement in order to achieve a passing grade. In the event that there are multiple areas of deficiency, the EE Director should be contacted.

Final

A final evaluation by the preceptor will be provided to the student at the conclusion of the experience. This evaluation should summarize the student’s strengths and provide direction on the skills, knowledge, or behaviors that the student should continue to work on in future clerkships. The final evaluation can be completed in CORE ELMS. Students should forward this information to their next preceptor.

APPE Manual 2018 - 2019

Appendix A: Annual Immunization Guidelines What is appropriate documentation? Students must provide an official health record of administration to fulfill the immunization requirements. Documentation of a vaccine includes the name of the vaccine, date, time, location, and signature of the person administering. USIIS may be helpful to find documentation. Your employee health or student health record are also acceptable documentation. How do I document immunizations? All documentation must be uploaded to CORE ELMS and kept current. The student is responsible for ensuring their immunizations are up to date throughout the program. What is a titer? A titer is a laboratory test that measures the presence and amount of antibodies in blood. A blood sample is taken and tested. If the test is positive (above a particular known value) the individual has immunity. If the test is negative (no immunity) or equivocal (not enough immunity) you need to be vaccinated. Your MMR, Varicella, and initial baseline TB requirements are outlined in the Pre Admission Student Immunization Requirements Document. Documentation of these must remain on file for your rotations. Annual Tuberculosis (TB)

• A blood test is the preferred method for annual TB testing. • Students must have one annual TB test completed- Skin Test, QuantiFERON Gold, or T-

SPOT (see below if your test is positive). Upload as “Annual TB Test.” • If the student has a positive result, the student must have a chest x-ray. Results of the x-

ray must be uploaded in CORE ELMS. o If the chest x-ray is normal, the student never needs to take another TB test unless

they experience symptoms, have an exposure, or as required by a rotation site. o If the chest x-ray is abnormal, the student needs to be cleared by their physician or

local health department. Students cannot go on rotation without clearance.

2. Annual Influenza: Must provide documentation every year by October 31st for that flu season’s vaccine. A prescription label or receipt from the pharmacy where it was administered would not be accurate documentation by itself.

http://www.usiis.org/index.shtml


3. Hepatitis B: Hepatitis B vaccinations and titer should have been documented prior to admission. If your titer was not positive, you must complete up to three additional vaccinations, and provide documentation of a positive titer, indicating immunity. Students will not be allowed to attend rotations if they have not completed two series of three vaccinations or cannot produce a positive titer. The entire process may take 14 months. It is your responsibility to follow through to complete this. All titers, whether positive or negative, and all vaccinations must be uploaded into CORE ELMS as you receive them so we can track your progress in completing this requirement.

• Students must provide documentation of: o 3 Hepatitis B vaccinations AND a titer after 30 days of getting the last vaccine to

confirm immunity o Standard Schedule - Administered at 0, 1, and 6 months (3 shots)

• If your titer is negative: start a second series of three vaccinations, and repeat a titer after each vaccine or at the end of the series of 3 vaccines. If your titer results are still negative after receiving a total of 6 vaccines, indicating that you are not immune to Hepatitis B, please follow the below instructions.

o Send an email to [email protected] . o The Experiential Education team will contact you with further instructions.

4. Tdap: 1 Tdap vaccination or TD booster within the past 10 years. A new vaccination is required if yours is greater than 10 years old.



Appendix B: Student Rotation Assignments

(Back to Table of Contents) For each block, the following are required: Student Self-Evaluation (Back to Table of Contents) Purpose This self-assessment checklist allows the student to perform a self-assessment of their knowledge and experience at the start of the clerkship. This can aid in the structuring of learning opportunities throughout the year. These scores will not be used to calculate your final grade. They are a means for self- reflection. At the end of the experience, a re-evaluation of your skills and knowledge allows you to document the progression of your educational experience with respect to skills and knowledge gained over the academic year. Instructions Students should rate their level of skill/knowledge in all areas before and after each experience. Areas may be left blank in the post-assessment only if there was no change in that area. Assuming you have access to the usual resources, a score of “1” would indicate that you would need extensive direction in solving a problem related to that area. A score of “5” would indicate that, given ready access to the usual resources, you could work independently to solve problems related to that area. At the start of the experience: Students complete the Initial Self-Assessment in CORE ELMS (In the Evaluations section under Self Evaluations) on or before the start of the experience and share results with their preceptor. Due at 11:59pm Friday of Week 1. At the end of the experience: Students again rate themselves in all areas by completing the Final Self-Assessment CORE ELMS (In the Evaluations section under Self Evaluations). This serves as a means of documenting changes in skills and knowledge gained during the professional experience. Due at 11:59pm Friday, one week after rotation is completed. Evaluation of Preceptor (Back to Table of Contents) Experiential and preceptor evaluations are very important to the success of Experiential Education. We rely on a student’s assessment of their learning experience and use the information to help train our preceptors. Experiential and preceptor evaluations are to be completed by the student within one week of completing the clerkship. These are completed anonymously online in CORE ELMS in the Evaluations section. Without constructive comments, this evaluation will be considered incomplete.

Reflective Learning Reflective learning is defined as a collection of evidence that attests to the student’s attainment of knowledge, skills and attitudes. This attainment is tied to specific learning outcomes of the program. Self-reflection assignments are designed to promote self-awareness and reflection.


Self-Reflection: Initial Student Self-Evaluation

• Choose three areas you would like to improve upon during the rotation. At least one should come from the CAPE Outcomes (document located in the Document Library in CORE ELMS).

• Describe three specific career goals and how you hope the rotation will help you reach those goals

Self-Reflection: Final Student Self-Evaluation • Reflect on your goals from the beginning of the rotation. Did you improve upon your

three defined areas of growth? Please provide specific examples that demonstrate how you improved, or explain why you did not improve.

• What challenges did you experience in this rotation? What did you learn from them? • What is the most important thing you learned on this rotation? • How has this rotation helped reinforce or change your future career goals?


CAPE Outcomes (http://www.aacp.org/documents/CAPEoutcomes071213.pdf)

• Provide patient-centered care as the medication expert (collect and interpret evidence, prioritize, formulate assessments and recommendations, implement, monitor and adjust plans, and document activities).

• Manage patient healthcare needs using human, financial, technological, and physical resources to optimize the safety and efficacy of medication use systems.

• Design prevention, intervention, and educational strategies for individuals and communities to manage chronic disease and improve health and wellness.

• Describe how population-based care influences patient- centered care and influences the development of practice guidelines and evidence-based best practices.

• Identify problems; explore and prioritize potential strategies; and design, implement, and evaluate a viable solution.

• Educate all audiences by determining the most effective and enduring ways to impart information and assess understanding.

• Assure that patients’ best interests are represented. • Actively participate and engage as a healthcare team member by demonstrating

mutual respect, understanding, and values to meet patient care needs. • Recognize social determinants of health to diminish disparities and inequities in

access to quality care. • Effectively communicate verbally and nonverbally when interacting with an

individual, group, or organization. • Examine and reflect on personal knowledge, skills, abilities, beliefs, biases,

motivation, and emotions that could enhance or limit personal and professional growth.

• Demonstrate responsibility for creating and achieving shared goals, regardless of position.

• Engage in innovative activities by using creative thinking to envision better ways of accomplishing professional goals.

• Exhibit behaviors and values that are consistent with the trust given to the profession by patients, other healthcare providers, and society.

http://www.aacp.org/documents/CAPEoutcomes071213.pdf


Appendix C: Objectives for Required Rotations (Back to Table of Contents)

Applicable to all Advanced Pharmacy Practice Experiences: Curricular Goals Prepare pharmacists in a research-intensive, academic health center to be exemplary professionals who enable progress in healthcare by incorporating biomedical research advances into practice, serve as medication experts, and who advocate for and defend the public health. General Learning Outcomes Upon conclusion of the professional program graduates will be able to: 1) Apply fundamental scientific, analytic and problem-solving skills to all areas of pharmacy

practice 2) Communicate effectively both orally and in writing 3) Work collaboratively on healthcare teams 4) Base patient care/practice decisions on sound science and best evidence 5) Apply medication safety and quality-improvement principles to pharmacy practice 6) Manage medication-use systems 7) Promote public health and wellness 8) Develop behaviors to practice in an ethical, culturally aware and professional manner 9) Demonstrate a commitment to continuous professional development Acute Care At the completion of this professional experience, the student should be able to: 1) Obtain a medication history from patients admitted to the medical team. This shall include:

evaluating the patient’s knowledge of the medications he/she is taking, collecting any allergy or adverse drug reaction information, inquiring about use of over-the-counter agents or herbal remedies, screening for drug-induced problems or drug interactions and assessing noncompliance.

2) Develop an appropriate assessment and plan from the information obtained in the medication history.

3) Demonstrate the ability to use the electronic medical record to effectively monitor drug therapy.

4) Develop a treatment plan for all acute medical problems in assigned patients. This includes the ability to monitor drug therapy using a problem-based format which includes: a problem list, goals of therapy, treatment plan and appropriate monitoring parameters.

5) Identify problems concerning drug therapy including inappropriate choice of drug, of dosage form, of route of administration or of dosing schedule, duplication of drugs, drug interactions, contraindications and adverse drug reactions.

6) Communicate effectively with healthcare team members. 7) Demonstrate the ability to properly counsel patients about the appropriate use of their

prescription and non-prescription medications.


8) Demonstrate an advanced ability to verbally disseminate clinically significant drug information regarding drug therapy when requested to do so or when it is appropriate for better patient care.

Advanced Community At the completion of this professional experience, the student should be able to: 1) Describe the philosophy of the interdisciplinary approach in community pharmacy care

and its benefits to patients. 2) Develop the ability to assist physicians, residents and/or other health care providers

with drug product selection, drug dosing, and screening for possible drug interactions. 3) Demonstrate knowledge of essential questions to ask a patient in a medication history,

specifically pertaining to the following: the patient’s knowledge of their disease state, purpose of taking medications, directions/regimen of medication, and any drug allergies.

4) Prepare and dispense medications and develop patient counseling skills by identifying common problems encountered when counseling a patient and ways to avoid these problems.

5) Obtain a complete medication therapy review from patients. This includes the following: evaluating the patient’s knowledge of the medications he/she is taking, collecting any allergy or adverse drug reaction information, inquiring about over-the-counter agents or herbal remedies, screening for drug-induced problems or drug interactions, and assessing compliance.

6) Use the current prescription, medication history and patient profile to analyze drug therapy and treatment plans, and document interventions as they relate to the identification, resolution or prevention of medication-related problems involved in pharmaceutical care.

7) Recommend appropriate non-prescription drug therapy and self-care for patients based upon information gathered.

8) Demonstrate appropriate selection and use of drug information resources in responding to questions from health care professional. Critically review and evaluate the medical and pharmaceutical literature in researching drug information questions and preparing case presentations.

9) Counsel and educate patients on disease states, prescription, over-the-counter and natural products.

10) Manage the medication use system and applying the systems approach to medication safety.

11) Participate in the pharmacy’s quality improvement program. Advanced Health Systems At the completion of this clerkship, the student will be able to: 1) Describe the organizational structure of the healthcare-system and the department of

pharmacy services relating to the system i) Describe the role of the director(s) and/or managers within the pharmacy

department ii) Describe the roles of department supportive personnel

2) Review policies and procedures as they relate to hiring and disciplining personnel


i) List challenges to training and retaining personnel ii) Attend and/or lead a staff meeting

3) Participate in discussions with management about pharmacy workload and financial performance

i) Describe the fiscal planning process ii) Describe the budgetary issues that health-systems face

4) Discuss and analyze the use of medication management systems, including storage, preparation, distribution, procurement and inventory control

5) Participate in the health-system’s medication safety/ patient safety initiative(s) i) Describe the purpose, structure and process of such initiatives ii) Write an analysis of one project, including outcomes of the project, or iii) Perform medication reconciliations, or iv) Perform discharge patient counseling

6) Create and write up a plan to support a new patient care service. This may include any one of the following:

i) The feasibility and need of the service; ii) Barriers to the service; iii) Needed resources; or iv) Potential benefits of the service

7) Participate in the health-system’s quality improvement process through any one of the following:

i) Perform a financial analysis ii) Attend and present to the Pharmacy and Therapeutics meeting or other similar

meeting iii) Develop a clinical drug guideline iv) Perform a drug use evaluation

8) Review policies and procedures for the management of medical emergencies through any one of the following:

i) Attend mortality and morbidity meetings ii) Participate with emergency department pharmacists iii) Attend a cardiac arrest with the cardiac team pharmacist

9) Describe the applicable state and federal laws as they pertain to the health-system’s policies and procedures.

Ambulatory Care At the completion of this clerkship, the student will be able to: 1) The student should be able to demonstrate knowledge of signs, symptoms, diagnosis,

pathophysiology, clinical course, etiology, and treatment of disease states commonly encountered in a primary care clinic population.

2) Take a thorough medication history, and effectively communicate with patients to discover pertinent past and present medical information.

3) Effectively review patient medical records to gather relevant information, and then demonstrate ability to apply information to assess appropriateness of drug therapy and formulate most effective treatment plan.

4) Document all pharmacy activities in clear, concise, and organized written progress notes.


5) Identify, assess, evaluate, and report adverse drug reactions. 6) Independently monitor and manage patients’ long-term pharmacotherapy after provider

referral. 7) Develop relationships with clinic practitioners that facilitate development of patient panel

and encourage appropriate patient referral. 8) Respond efficiently and accurately to all drug information questions/ requests from clinic

staff and patients. 9) Practice primary care activities and all pharmacy related functions with confidence. 10) Critically evaluate primary literature and use evidence to inform clinical decision making. 11) Create effective learning experiences and teaching materials for providers, staff, and

patients. Clinical Information Systems At the completion of this clerkship, the student will be able to: 1. Demonstrate effective written and verbal communication skills through various activities. 2. Compare, contrast, and effectively use tertiary references. 3. Compare, contract, and effectively use secondary references. 4. Given primary literature,

a. describe the study in detail, including study design, patient selection criteria, methodology, and statistical analysis.

b. identify flaws in the study design and methodology. c. describe the strengths and weaknesses of the study.

d. assess if the conclusions are appropriate based on the information presented in the study.

e. assess the generalizability of the study results to clinical practice in general or to a specific patient/situation.

5. Identify discrepancies and controversies in policies, literature, information sources, and systems and develop a rational plan to deal with the controversy.

6. Describe the purpose and function of the Pharmacy and Therapeutics Committee.


Appendix D: Fuel and Housing Reimbursement for Rural Sites (Back to Table of Contents)

Rural Sites Definition Some sites may not be listed. Anything outside of an Urbanized Area, as defined by the U.S. Census Bureau, is considered rural. If you are not sure if your site is rural, please contact the EE Office Team. Out of State Rotations- Students are responsible for all costs for any rotation outside of Utah. Neither AHEC nor the COP will provide any reimbursement for these rotations. Area Health Education Center (AHEC) Services (website)

• Central – Bicknell, Payson, Santaquin, Nephi, Mt. Pleasant, Richfield, Delta • Southwest – Beaver, Panguitch, Cedar City • Southeast – Blanding, Monticello • Northeast – Heber, Vernal, Roosevelt, Duchesne, Price • North –Tremonton, Brigham City

Students who wish to receive reimbursement must follow the following guidelines: Application - https://utah-ahec.org/application/cr/

• An application is required at least 6 weeks in advance, but the earlier the better. AHEC services are given on a first-come, first-serve basis.

• If AHEC funds are unavailable, the student may be reimbursed by the COP • Students who do not apply to AHEC will not be reimbursed for housing or fuel by the

College of Pharmacy. • AHEC should contact you within 2 weeks after you submit the application. Contact them

if you do not hear from them 2 weeks after application. • Once AHEC tells you what services they will provide, complete the Rural Housing and

Fuel Form

Housing

• AHEC has permanent housing in Cedar City, Beaver, Blanding, and St. George (for rural areas of Washington County only). View these housing options at their website.

• Since AHEC’s housing availability changes constantly, you must submit their application to find out if they have housing in your city.

• If AHEC cannot find housing for you in a rural site, they will give you a stipend (up to $1050) that will help cover the cost of your own housing arrangement. You will be reimbursed for the agreed upon cost of your housing when the rotation is over and need to provide them with an invoice or receipt.

• If you are staying at a relative’s house and would like to pay them rent, AHEC may be able to give you a stipend, typically lower than the usual reimbursable amount. Explain your situation in the Additional Information section of the application, explaining any

https://www.suu.edu/ahec/clinical-training.html

https://utah-ahec.org/application/cr/

http://utahcop.az1.qualtrics.com/SE/?SID=SV_6EEOtiM74ZaVwOx

http://utahcop.az1.qualtrics.com/SE/?SID=SV_6EEOtiM74ZaVwOx

https://www.suu.edu/ahec/clinical-training.html


hardship that may occur to the person whose home you are staying in. The COP will not reimburse for housing at a relative’s home.

Fuel Travel Stipend

• Everyone can apply for a travel stipend for fuel reimbursement, even if you do not need housing.

• Indicate you are interested in the travel stipend for fuel in the Additional Information section of the application. Follow the above steps for housing to apply for fuel reimbursement.

• The COP will also provide reimbursement for fuel to Logan and St. George, which are not considered rural locations by AHEC.

Reimbursement from AHEC

• You must complete and submit a brief AHEC survey at the end of your rotation to be reimbursed.

• If receiving fuel reimbursement from AHEC, you do not have to save gas receipts.

Cancellation Policy If the student cancels less than 3-weeks before their start date without a special circumstance (e.g. rotation is canceled by the preceptor, family emergency, health emergency), the student is subject to pay for all costs and fees AHEC accrued from coordinating a housing arrangement (e.g. $100 administrative fee, housing costs).

Other Housing Options Students are responsible for arranging their own housing in rural areas where AHEC does not provide housing.

If students applied to AHEC at least 6 weeks in advance and did not receive the $1050 housing stipend, the COP will reimburse up to $1,050 for APPE students.

Housing option websites:

• www.flipkey.com • www.homeaway.com • www.vrbo.com • www.tripping.com/ • www.airbnb.com • www.ksl.com

College of Pharmacy Reimbursement Process

Housing reimbursement

• The COP will only reimburse housing if the student applied to AHEC at least 6 weeks in advance and did not receive their services.

• Once your rotation is finished, send the rent invoice or your payment receipt to the EE Team (you will not be reimbursed until your rotation is over).

http://www.flipkey.com/

http://www.homeaway.com/

http://www.vrbo.com/

https://www.tripping.com/

http://www.airbnb.com/

http://www.ksl.com/


• The EE Team will approve the reimbursement and send it to the COP Accounting/Finance Manager to process.

Fuel reimbursement

The COP will only reimburse fuel if the student applied to AHEC at least 6 weeks in advance and did not receive reimbursement from AHEC.

If AHEC cannot provide fuel reimbursement, the COP will reimburse you if you follow the below process in detail.

• Completely fill your tank before you drive to your rural site city. • When you arrive at your rural site, re-fill your tank and keep the receipt. • When your rotation is over, fill up your tank before you leave the city. • Once you arrive to your home city, re-fill your tank and keep the receipt. • Submit both receipts to the EE Team for reimbursement.


Appendix E: Code of Conduct for Pharmacists (APhA- http://www.pharmacist.com/code-ethics; accessed 5/11/16)

(Back to Table of Contents) Preamble Pharmacists are health professionals who assist individuals in making the best use of medications. This Code, prepared and supported by pharmacists, is intended to state publicly the principles that form the fundamental basis of the roles and responsibilities of pharmacists. These principles, based on moral obligations and virtues, are established to guide pharmacists in relationships with patients, health professionals, and society. I. A pharmacist respects the covenantal relationship between the patient and pharmacist. Considering the patient-pharmacist relationship as a covenant means that a pharmacist has moral obligations in response to the gift of trust received from society. In return for this gift, a pharmacist promises to help individuals achieve optimum benefit from their medications, to be committed to their welfare, and to maintain their trust. II. A pharmacist promotes the good of every patient in a caring, compassionate, and confidential manner. A pharmacist places concern for the well-being of the patient at the center of professional practice. In doing so, a pharmacist considers needs stated by the patient as well as those defined by health science. A pharmacist is dedicated to protecting the dignity of the patient. With a caring attitude and a compassionate spirit, a pharmacist focuses on serving the patient in a private and confidential manner. III. A pharmacist respects the autonomy and dignity of each patient. A pharmacist promotes the right of self-determination and recognizes individual self-worth by encouraging patients to participate in decisions about their health. A pharmacist communicates with patients in terms that are understandable. In all cases, a pharmacist respects personal and cultural differences among patients. IV. A pharmacist acts with honesty and integrity in professional relationships. A pharmacist has a duty to tell the truth and to act with conviction of conscience. A pharmacist avoids discriminatory practices, behavior or work conditions that impair professional judgment, and actions that compromise dedication to the best interests of patients. V. A pharmacist maintains professional competence. A pharmacist has a duty to maintain knowledge and abilities as new medications, devices, and technologies become available and as health information advances. VI. A pharmacist respects the values and abilities of colleagues and other health professionals. When appropriate, a pharmacist asks for the consultation of colleagues or other health professionals or refers the patient. A pharmacist acknowledges that colleagues and other health professionals may differ in the beliefs and values they apply to the care of the patient.

http://www.pharmacist.com/code-ethics


VII. A pharmacist serves individual, community, and societal needs. The primary obligation of a pharmacist is to individual patients. However, the obligations of a pharmacist may at times extend beyond the individual to the community and society. In these situations, the pharmacist recognizes the responsibilities that accompany these obligations and acts accordingly. VIII. A pharmacist seeks justice in the distribution of health resources. When health resources are allocated, a pharmacist is fair and equitable, balancing the needs of patients and society. * adopted by the membership of the American Pharmacists Association October 27, 1994.

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