The University of Houston College of Pharmacy … · Apply the systems approach to medication...

The University of Houston College of Pharmacy

DOCTOR OF PHARMACY

AMBULATORY CARE

MANUAL AND SYLLABI

A Guide for Students

Ambulatory APPE Office

College of Pharmacy

The University of Houston

1441 Moursund Street Room 430

Houston, Texas 77030

(832) 842-8359

(832) 842-8330 Fax

Summer 2016 – Spring 2017

Feel free to contact any of us if you have any questions or problems.

Santhi Masilamani, PharmD, CDE, MBA

Director for Ambulatory APPE

(832) 842-8359 (office)

E-mail: [email protected]

Nancy Ordonez, PharmD Assistant Dean for Experiential Programs (832) 842-8337 (office)

E-mail: [email protected]

Lupita Curiel Program Coordinator

(832) 842-8337 (office)

Email: [email protected]

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mailto:[email protected]



TABLE OF CONTENTS

Course Title Number

Required Ambulatory APPEs Page

PHAR 5644 47

PHAR 5658 50PHAR 5662 53

PHAR 5663 56PHAR 5664 59

PHAR 5668 62PHAR 5670 65

PHAR 5672 68PHAR 5673 71

PHAR 5686 74PHAR 5691 77

PHAR 5695 80

Medication Therapy

Association Management

Academic Scholarship

Pharmacy Management

Legal and Regulatory

Managed Care

Community Pharmaceutical Care

Clinical Pharmaceutical Research

Veterinary Pharmacy

Psychiatry

Drug Information

Geriatrics

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PHAR 5675 ………………………………………… 1

PHAR 5693 ………………………………………… 4

Electives

Ambulatory Care

Advanced Community

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COURSE TITLE AND COURSE NUMBER: AMBULATORY CARE PHAR 5696, PHAR 5675 HOURS CREDIT: 6 COURSE PURPOSE: The goal of the Ambulatory Care Advanced Pharmacy Practice Experience is to provide opportunities for students to build upon knowledge and skills acquired through didactic education and Introductory Pharmacy Practice Experiences and apply them in direct patient care activities in the ambulatory care setting. Students will actively participate in direct patient care using the elements of JCPP Pharmacist Care process which includes obtaining patient medical and medication histories, providing drug regimen reviews, interviewing patients, evaluating therapy adherence, developing medication management plans, monitoring patients' therapeutic outcomes, consulting with physicians and non-physician providers, and providing education to patients and health care professionals. This course takes place in an ambulatory care, multidisciplinary practice setting. Practice sites may include hospital-based clinics, physician group practices, community or public health clinics, managed care facilities that provide health care directly to patients, or similar practice settings. Team members may include pharmacists, physicians, physician assistants, nurse practitioners, nurses, and other healthcare providers. This experience will be directed and evaluated by one or more preceptors. Interprofessional Experience: The pharmacist is a member of an interdisciplinary team that serves the patient’s interest above all other concerns. Team members may include pharmacists, physicians, physician assistants, nurse practitioners, nurses, and other healthcare providers. This experience may be directed and evaluated by one or more preceptors. PROFICIENCIES (Outcomes): 1. Apply pharmacotherapy principles and foundational knowledge to deliver patient-centered care. 2. In collaboration with the health care team, provide safe, effective and cost-effective patient care to a diverse

patient population following a consistent JCPP pharmacist patient care process 3. Administer medications to a diverse patient population. 4. Ensure continuity of care during patient transitions between care settings. 5. Apply the systems approach to medication safety activities to identify and report medication errors 6. Apply pharmacy practice management skills related to human resources, medication resources, informatics,

pharmacy workload and financial performance 7. Provide education to patients, caregivers, health care professionals, students, and the public (individuals and

groups) on prescription medications, self-care products which may include alternative therapies, devices, dietary supplement, and complementary medications using culturally competent methods

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8. Communicate with health professionals effectively in oral and written format using appropriate documentation methods and systems

9. Display professional behavior, self-awareness, advocacy, and commitment to the profession

ASSESSMENTS:

1) Preceptor Mid and End of Rotation Evaluation 2) Intern self, mid, and end of rotation evaluation 3) Interventions (NOT graded by preceptor):

A minimum of one (1) intervention per week using the method stated below. Interventions will be graded on quality and completeness. Qualtrics will be utilized for interventions. You will have 6 interventions at the end of the rotation. Of those six (6), you will need the following.

a. At least two (2) interventions on chronic medication adjustment b. At least two (2) interventions on disease education for patient c. At least one (1) intervention on drug-drug interaction and resolution

4) Assignments: (To be graded by preceptor using the standard rubrics on Blackboard. To be uploaded by student on

Blackboard before the last day of the rotation) d. Complete one SOAP note per week for a total of six (6)

i. Could be a format other than SOAP that is utilized/approved by site ii. Each SOAP should be graded before the next one is done

e. Complete one drug information request using standard form f. Complete one journal club on a landmark or other assigned trial g. Complete one mock collaborative practice agreement

Grading Procedures: Grading will occur via electronic APPE evaluations on E-Value. Students will receive a grade at midpoint that does not count towards the final grade on a transcript. The grade received at midpoint evaluation will be utilized for student self-reflection and to set goals for the second remaining half of the rotation. Students will receive a final grade on the last day of the APPE that will be transferred to the student’s transcript. Grading occurs via an automatic calculation present in electronic evaluations in E-Value.

1. Grading Criteria

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Grading Criteria is competency based. Minimal passing performance is 70%. A total of 500 points may be achieved upon completion of the assigned APPE. These points are composed of scores as delineated below. The following maximum point values may be achieved in each of the areas: Final Evaluation from preceptor (rubric) 300 points Assignments 100 points Practice Experiential Director Grade __ 100 points*** TOTAL 500 points *In order to receive a passing grade for the rotation the intern: 1. Must NOT receive four (4) or more “2” ratings on the end on rotation evaluation 2. Must NOT receive a “1” rating on the end on rotation evaluation on dimensions.

***Practice Experiential Director Grade – Accountability points

A letter grade is assigned based on the total points earned.**

Grading Scale:

A = 450 - 500 points (90 - 100%) B = 400 - 449 points (80 - 89%) C = 350 - 399 points (70 - 79%) D = 325 - 349 points (65 - 69%) – repeat APPE F = <325 points (< 65%) – repeat APPE **To obtain a grade of C or better the student must:

a. Follow honor code and guidelines of the Internship and Attendance Policies. b. Complete all required course evaluations (preceptor, site, intern). c. Complete all assignments. d. Submit all required rotation paperwork by the appropriate deadlines.

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COURSE TITLE AND COURSE NUMBER: Advanced Community - PHAR 5693 HOURS CREDIT: 6 COURSE PURPOSE: The goal of the Advanced Community Advanced Pharmacy Practice Experience is to provide opportunities for students to build upon knowledge and skills acquired through didactic education and Introductory Pharmacy Practice Experiences and apply them in direct patient care activities in the community pharmacy setting. Students will actively participate in direct patient care using the elements of JCPP Pharmacist Care process which includes obtaining patient medical and medication histories, providing drug regimen reviews, interviewing patients, evaluating therapy adherence, developing medication management plans, monitoring patients' therapeutic outcomes, consulting with physicians and non-physician providers, and providing education to patients and health care professionals. This course takes place in a community pharmacy setting. Practice sites include moderate volume community pharmacies with adequate OTC. This experience will be directed and evaluated by one or more preceptors. Interprofessional Experience: The pharmacist is a member of an interdisciplinary team that serves the patient’s interest above all other concerns. Team members may include pharmacists, physicians, physician assistants, nurse practitioners, nurses, and other healthcare providers. This experience may be directed and evaluated by one or more preceptors. PROFICIENCIES (Outcomes): 1. Apply pharmacotherapy principles and foundational knowledge to deliver patient-centered

care. 2. Appropriately prepare, dispense, and administer medications to a diverse patient population. 3. Identify, document and manage medication safety issues. 4. Consult and advise patients and caregivers on prescription medications, self-care products,

alternative therapies, devices, dietary supplement, complementary medications. 5. Manage the medication use system effectively. 6. Participate in the promotion of public health. 7. Collaborate with interprofessional healthcare members to optimize patient health and

medication outcomes 8. Apply pharmacy practice management skills related to human resources, medication resources,

pharmacy data systems, pharmacy workload and financial performance 9. Provide education to patients, caregivers, health care professionals, students, and the public

(individuals and groups) on prescription medications, self-care products which may include alternative therapies, devices, dietary supplement, and complementary medications using culturally competent methods

10. Communicate with a diverse patient population, caregiver, and health care professional to reach optimal outcomes

11. Display professional behavior, self-awareness, advocacy, and commitment to the profession ASSESSMENTS:

1) Preceptor Mid and End of Rotation Evaluation 2) Intern self, mid, and end of rotation evaluation

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3) Interventions (NOT graded by preceptor): The following will be recorded using the Qualtrics link on Blackboard (Advanced Community APPE Intervention Survey 2016-17 in the Advanced Community course folder)

a. Record number of device counseling b. Record number of pediatric patients/families counseled c. Record number of drug information questions answered (standard form on

blackboard) d. Record number of medication errors reported and action taken

4) Assignments: (To be graded by preceptor using the standard rubrics on Blackboard. To

be uploaded by student on Blackboard before the last day of the rotation) a. Complete self-care (OTC) education for 3 patients b. Complete RPh and technician schedule for one week c. Complete a DEA 222 form (either a de-identified form from store or the blank one on

the next page) d. Outline 2 major interactions and your resolution (standard form on blackboard)


1. Grading Criteria Grading Criteria is competency based. Minimal passing performance is 70%. A total of 500 points may be achieved upon completion of the assigned APPE. These points are composed of scores as delineated below. The following maximum point values may be achieved in each of the areas: Final Evaluation from preceptor (rubric) 200 points Final Exam, 70% to pass 100 points Assignments 100 points Projects, assignments, interventions P/F Practice Experiential Director Grade __ 100 points*** TOTAL 500 points *In order to receive a passing grade for the rotation the intern: 1. Must NOT receive four (4) or more “2” ratings on the end on rotation evaluation 2. Must NOT receive a “1” rating on the end on rotation evaluation on dimensions.



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Grading Scale:



Resources: Required:

Texas Pharmacy Act and Regulations (available online from TSBP) Texas Controlled Substance Act Texas Dangerous Drug Act Class Rules Generic Substitution Pharmacy Technicians Compounding Dipiro JT, Talbert RL, Yee GC, et al, eds. Pharmacotherapy: A Pathophysiologic Approach – most recent edition Berardi RR, et. al (Editors), Handbook of Nonprescription Drugs, American Pharmaceutical Association

Recommended: Sprowls (Editor), Prescription Practice, Lippincott Ansel and Stoklosa, 13th ed., Pharmaceutical Calculations U.S.P. Dispensing Information Facts and Comparisons, Physicians’ Desk Reference, Pharm Index, or American Drug Index

Suggested References: Journal of American Pharmacist Association Pharmacy Times Drug Topics

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Pharmacy Practice Experience Exam

1) Product identifications including trade name, generic name, primary indication, usual dosing schedule, and side effects.

2) Pharmacy law questions as it applies to community practice.

3) Questions covering OTC products, third party programs, patient counseling, and pharmaceutical care topics.

4) Required Reading material

5) Math exam - questions including: a) prescription markups b) gross profit calculations c) misc. commercial calculations d) temp conversions e) W/W, W/V, V/V problems

*** Students will take the exam online on Blackboard. Blackboard passwords must be current and available before exam starts.

F. DEA 222 form

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Advanced Community Pharmacy Study Guide

What OTC products can be recommended to a person with diabetes? What OTC Products can be recommended to a person with hypertension?

What OTC Products can be recommended to a woman who is pregnant?

During the 1st trimester:

During the 3rd trimester:

Throughout the entire pregnancy:

What OTC medications can be used during lactation? What is the pediatric dosing for the following drugs?

Aspirin

Acetaminophen

Ibuprofen

Trimethoprim

Sulfamethoxazole

Amoxicillin (otitis media)

Erythromycin

Pseudoephedrine

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Analgesics/Antipyretics List the OTC analgesic/antipyretic drugs that may be given to infants 0 to 2 years with dosing, potential side effects, and contraindications.

List the OTC analgesic/antipyretic drugs that may be given to children 2 years and up with dosing, potential side effects, and contraindications:

For the following analgesics list: OTC Brand Names, OTC length of use, maximum OTC dose, side effects, and contraindications:

Acetaminophen

Aspirin

Ibuprofen

Ketoprofen

Naproxen Sodium What herbal or nutraceutical products are available OTC for analgesic, antipyretic, or joint pain? List their brand name, active ingredients, label uses, and recommended dosage.

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Antacids & H2 Antagonists Name the use and common side effects with the following product ingredients:

Sodium Bicarbonate

Calcium Carbonate

Aluminum

Magnesium

Aluminum and Magnesium Hydroxides What medications can interact with antacid products?

Name the MAJOR active ingredients in the following products: Gas-X

Gaviscon

Mylanta

Mylicon

Rolaids

List the H2 antagonist products available OTC including: Brand Name, active ingredients, recommended dosage, contraindications for use, and side effects.

What proton pump inhibitor is available OTC for heartburn? What is its length of use OTC, contraindications for use, and side effects?

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Laxatives/Antidiarrheals/Antigas/Hemorrhoidal Products What is the mechanism of action of each of the following laxatives, active ingredients, recommended dosage, and give an example of each one:

stimulants

bulk-forming

emollient

lubricant

saline

enemas

suppositories

What advice would you give to patients concerning laxative products?

List the anti-gas products available OTC with brand name, active ingredient and dose.

List the antidiarrheal products available OTC with brand name, active ingredient, dose, and mechanism of action of the active ingredient.

List the hemorrhoidal products available OTC with brand name, active ingredient, and dose.

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Cough/Cold/Allergy Products List the brand name and generic name of products in the following categories also name the use, a major side effect, a contraindication and suggested dosing (if it is a combination product, list in all categories that apply)

Antihistamines Drowsy

Non-Drowsy

Decongestants

Antitussives

Expectorants

Cough suppressants What is the difference between a humidifier and a vaporizer?

Vitamins/Minerals What are the fat-soluble vitamins?

What are the water-soluble vitamins?

Calcium Supplements – list the brand name, strengths, and recommended dosage

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Calcium citrate:

Calcium lactate:

Calcium gluconate

Calcium carbonate Which of the calcium supplements has the best absorption?

Which of the calcium supplements has the least effect on the stomach? i.e., stomach pain and nausea, etc.

Name the major drug interactions with calcium products:

Iron Supplement – list the Brand Name, strengths, and recommended dosage

Ferrous sulfate

Ferrous gluconate

Ferrous fumarate Which of the iron supplement has the best absorption?

Name the major drug interactions with iron products:

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Herbal Products What are the uses, side effects and contraindications of the following:

Glucosamine

Chondroitin

DHEA

St. John’s Wort

Zinc lozenges

Ginseng

Ginkoba

Garlic

Echinacea

Golden Seal

Green Tea Extract Sleep Aids and Sedative Products What is the major active ingredient of the following? List dosage and recommend length of use.

Nytol

Sominex

Tylenol PM

Unisom

What is Melatonin and what is its mechanism of action?

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List OTC topical products for analgesia, active ingredients and recommended use: List OTC topical antibacterial products, active ingredients, and recommended use:

List OTC topical antiseptic products, active ingredients, and recommended use:

List OTC topical anti-itch products, active ingredients, and recommended use:

List OTC topical antifungal products, active ingredients, and recommended use:

List OTC vaginal antifungal products, active ingredients, and recommended use:

List OTC wart products, active ingredients, and recommended dosage:

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Other OTC Products/Areas What is Syrup of Ipecac and how should it be used?

What is the product “Swimmer’s Ear”?

What is “pinkeye” and what OTC preparation(s) can be use for it?

What is the best treatment for an insect bite?

What is “Dr. Smith’s Ointment” and what is it use for?

List 3 ear and 5 eye products; give their use, active ingredients, major side effects and contraindications.

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Define and explain the following and give examples:

1. Return on Equity:

2. Gross Margin Percentage:

3. Current ratio:

4. Quick ratio:

5. Inventory turnover:

6. Break even analysis of a business:

7. Prescription pricing using the:

a) Markup method

b) Professional fee method

c) Sliding scale method

8. Inventory control terms:

a) Acquisition cost

b) Procurement costs

c) Carrying costs

9. What is a prime vendor?

10. What is a “gross profit?”

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SAMPLE COMMERCIAL CALCULATONS

1. Calculate the retail price on a prescription item (exclusive of additional professional fees, cost of the container, etc) if the item costs $3.50 and a 100% markup on the cost is desired.

2. What percent of gross profit would be realized on the item in problem 1?

3. Calculate the selling price of an article which was bought at $6.00 per dozen, if the overhead was 25% of the gross sales and the new profit was 8% of the selling price.

4. The gross sales of a store are $380,000 per year and the total overhead is $120,000. At what price must an article be sold if it costs $8.00 per dozen and the store is to make a 10% net profit?

5. An order of toys cost $350.00 plus $20.00 freight. The selling price for the whole lot is $550.00, and other overhead expenses are 25% of sales. What percent net profit is realized?

6. A solution manufacturer packs 6 bottles of the solution to each case. The bottles of solution cost the buyer $1.50 each, less a 40% trade discount. On the purchase of 48 cases or more, an additional 15% discount is given, plus a 2% cash discount. Calculate the buyer’s cost of 12 dozen cases of the merchandise, bought under the foregoing terms, if the freight on the shipment is prepaid.

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SAMPLE COMMERCIAL CALCULATIONS/ANSWERS

1. Calculate the retail price on a prescription item (exclusive of additional professional fees, cost of the container, etc) if the item costs $3.50 and a 100% markup on the cost is desired.

cost = $3.50

$ 3.50 x 100% = $3.50, the amount of markup

$ 3.50 + $ 3.50 = $7.00, the retail

price Answer: $7.00

2. What percent of gross profit would be realized on the item in problem 1?

$ 3.50 (mark-up)

--------------------------- x 100% = 50% $7.00 (selling price)

Answer: 50%, the percent of the gross profit based on the selling price.

3. Calculate the selling price of an article which was bought at $6.00 per dozen, if the overhead was 25% of the gross sales and the new profit was 8% of the selling price.

12 articles cost $6.00

$6.00 divided by 12 = $0.50, cost of one article

100% = selling price

100% - { 25% (overhead) + 8% (net profit) } = cost

100% - 33% (gross profit) = 67%, the cost of the article

$0.50 = 67% of the selling

price X = 100% of the

selling price

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67 X = 50

X = $0.746 or $0.75, the selling price of the

article Answer: $0.75, the selling price of the article

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4. The gross sales of a store are $380,000 per year and the total overhead is $120,000. At what price must an article be sold if it costs $8.00 per dozen and the store is to make a 10% net profit?

12 articles cost $8.00

$8.00 divided by 12 = $0.67, the cost of one article

$120,000

-------------- x 100% = 31.5%, the overhead $380,000

31.5% (overhead) + 10% (net profit) = 41.5% markup or GP

100% (total sales) - 41.5% (gross profit) = 58.5%, the cost of the article based on

the selling price

Therefore: $0.67 (cost) ------------------ =

$1.14 58.5%

Answer: $1.14, the selling price of the article based on the given overhead, if a 10% net profit is to be realized

5. An order of toys cost $350.00 plus $20.00 freight. The selling price for the whole lot is $550.00, and other overhead expenses are 25% of sales. What percent net profit is realized?

Total costs = $350.00 + $20.00 = $370.00

Overhead = $550.00 x .25 = $137.50

Total expense = $370.00 + 137.50 = $507.50

$550.00 - $507.50 = $42.50

$42.50 ------------ X 100% = 7.73% $550.00

Answer: 7.73%

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6. A solution manufacturer packs 6 bottles of the solution to each case. The bottles of solution cost the buyer $1.50 each, less a 40% trade discount. On the purchase of 48 cases or more, an additional 15% discount is given, plus a 2% cash discount. Calculate the buyer’s cost of 12 dozen cases of the merchandise, bought under the foregoing terms, if the freight on the shipment is prepaid.

12 dozen cases = 12 x 12 = 144 cases

144 x 6 (bottles/case) = 864 bottles bought 1 bottle costs $1.50 less a 40% trade discount

$1.50 x 0.40 = $0.60, the amount of trade discount on one bottle

$1.50 x 0.60 = $0.90, the cost per bottle less the trade discount

$0.90 x 0.15 = $0.135, the amount of the quantity discount

$0.90 - $0.135 = $0.765, the cost per bottle less the quantity discount

$0.765 x 0.02 = $0.0153, the amount of the cash disc.

$0.765 - $0.0153 = $0.75, the net cost per bottle

$0.75 x 864 bottles = $648.00, the net cost of the lot of

merchandise Answer: $648.00, the net cost of the lot of

merchandise

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Major Interaction Form

Drug

Description of Interaction

Category/source

Resolution

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The QuEST/SCHOLAR-MAC process

Qu – Quickly and accurately assess the patient; ask about current complaint using the SCHOLAR process: • S – Symptoms – what are the main and associated/related symptoms?

• C – Characteristics – what are the symptoms like?

• H – History – what has been done so far? Has this ever happened before, and if so, what was done? What was successful, what wasn’t?

• O - Onset – when did this particular problem start?

• L – Location – where is the problem?

• A – Aggravating factors – what makes it worse?

• R – Remitting factors – what makes it better?

o Ask about other meds, products, OTCs, natural products

o Ask about coexisting conditions, allergies

E – Establish that the patient is an appropriate candidate for self-care. Use the following to guide your decision: • No severe symptoms (subjective assessment, but important)

• No symptoms that persist or return repeatedly

• No self-treating to avoid necessary medical care

S – Suggest appropriate self-care strategies

• Medications

• General care measures

T – Talk with the patient • Medication Action

• Administration

• Adverse effects and their management

• What to expect from treatment

• What is appropriate follow-up: when, with whom, for what

M – Medications – ask about OTC and Rx meds, and natural products/vitamins/therapeutic foods, etc. A – Allergies – ask about all allergies (meds, environmental, chemical, etc.) C – Conditions – ask about medical conditions, diseases – when diagnosed, how treated, etc. Determine a plan for follow-up and assessing response, where appropriate.

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Documentation form for OTC consults:

Name: _DOB: Date:

Phone #: _

and Accurately assess the situation:

Symptoms:

Symptom severity: 1 2 3 4 5 6 7

8 9 10 [Not

severe] [Extremely severe]

Location:

Allergies:

Meds (Rx and OTC):

Medical Conditions

------------------------------------------------------------------------------------------------------

Establish that the patient is a candidate for OTC therapy: Candidate? Yes:

No:

Suggest a product: What was recommended? List product, dosing, other pertinent information:

Product/Dosage form:

Dose for patient/condition:

Notes:

Characteristics:

History:

Onset:

Aggravating Factors:

Relieving/Remitting Factors:

Quickly

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TALK/Counseling:

Follow-up: When and with whom? RPh to call patient? Yes: No: Date/Time for Follow-up: _/

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Documentation form for OTC consults:

Name: _DOB: Date:

Phone #: _

and Accurately assess the situation:

Symptoms:

Symptom severity: 1 2 3 4 5 6 7 8 9 10 [Not

severe] [Extremely severe]

Location:

Allergies:

Meds (Rx and OTC):

Medical Conditions

Establish that the patient is a candidate for OTC therapy: Candidate? Yes:

No:

Suggest a product: What was recommended? List product, dosing, other pertinent information:

Product/Dosage form:

Dose for patient/condition:

Notes:

TALK/Counseling:

Follow-up: When and with whom?

RPh to call patient? Yes: No: Date/Time for Follow-up: _/

Characteristics:

History:

Onset:

Aggravating Factors:

Relieving/Remitting Factors:

Quickly

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APPENDIX

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Common Third-Party Terms

Capitation: Reimbursement to a provider based on a fixed dollar amount per month per member, rather than on individual fees for specific services. This method is used to pay for physician services and, often, prescription drugs in health maintenance organizations.

Cost-containment: A critical objective of all managed care programs. It manifests itself in many different ways- 'through incentives on the use of generic drugs, through formularies, through a cap on reimbursement for certain drugs, through preferred or exclusive provider contracts, through drug utilization review, and through other methods to control expenditures on products and services.

Diagnosis-related group: A classification system for hospital inpatients that groups patents according to principal diagnosis, presence of a surgical procedure, age, or complications, and other relevant criteria. DRGs are used mainly in Medicare and Medicaid programs to determine reimbursement.

Drug utilization review: The continuing analysis of use and cost of drugs, from which patterns of prescribing, dispensing, and patient use can be determined. DUR is used to detect inappropriate prescribing and drug use.

Fee-for-service: A method of payment in which a charge is imposed for each service provided. Historically, this has been the way of paying for health-care services.

Generic substitution: The dispensing by a pharmacist of a generic drug in place of the brand-name entity prescribed. Every state now permits generic substitution under certain circumstances. Regulations vary considerably, however, from state to state.

Health maintenance organization: A prepaid healthcare plan that presents an organized, coordinated system of health care within a specific geographic area. The system provides a comprehensive set of basic and supplemental health services, including physicians, specialists, inpatient facilities, outpatient facilities, and, often, prescription drugs. Subscribers voluntarily enroll and prepay a fixed amount of money at regular intervals.

Independent practice association: A form of HMO in which physicians practice independently and see both HMO and non-HMO patients. As in other types of HMOs, patients receive services in exchange for a prepaid premium and possible nominal charges at the time of service. However, they see office-based physicians who generally practice medicine much as fee-for-service physicians do.

Managed care: A system for delivering health care that

MERCHANDISING GLOSSARY

combines the monitoring and management of services to obtain better results for the patient at lower cost. In managed care, providers must work within a system that holds them accountable to the plan in relation to costs and results for the patient. When talking about managed care, most people are referring to health maintenance organizations and preferred provider organizations.

Peer review committee: A committee of physicians within a health maintenance organization that reviews and establishes guidelines for capitation rates.

Pharmacy services administrative organization: Often the same as a preferred provider organization. a PSAO includes administrative services such as claims processing.

Preferred provider organization: An organization that contracts with payers and insurers to offer its services at substantial savings to enrollees of a plan. Payment rules offer incentives to patients to choose PPO providers over non-PPO providers, while participating providers often agree to utilization review and other measures to restrain cost. PPOs differ from HMOs in that they do not provide prepaid care but rather services at a negotiated fee.

Prepaid group practice: A form of HMO in which a group of practitioners work together under a single administrative entity. There are two varieties: the staff model, which hires its own salaried physicians, who usually treat only HMO patients; and the group model, which contracts with a group practice made up of physicians who continue to work in their own offices and service both HMO and non-HMO patients.

Therapeutic substitution: The practice whereby a pharmacist, with the physician's knowledge and approval, dispenses a chemical entity different from the one prescribed but in the same therapeutic class. Therapeutic substitution is common in HMOs, hospitals, and other institutions under guidelines agreed to by the institution.

Third-party prescription drug programs: A form of health-care delivery program that calls for some kind of insurance to reimburse a pharmacy for drugs dispensed. The programs can be either governmental or private. The primary government program is Medicaid. Several states also have programs to assist the low income elderly who do not qualify for Medicaid in paying for their drugs. In private third-party programs, the ultimate payers, for the most part, are companies - that is, employers - that often buy coverage from an insurer by paying premium.

Sources: Blue Cross of California, Woodland Hills, Calif., National, Pharmaceutical Council Inc., Reston, Va., and V. Montergrande & Co. Inc., Irvine, Calif.

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Banner - a vertical rectangle of plastic, cloth, or paper, used as an announcement or advertisement. Bill Back - bill sent to manufacturer or salesman by an account for promotional allowances due the account for advertising or displaying product Bin - a holder for bulk merchandise

Bottle Topper - a small cardboard display designed to circle the neck of a bottle and carry an advertising message Brand Consciousness - the degree of awareness consumers have of a particular product

Brand Image - the qualities attributed to a particular brand by consumer. Can be real or imaginary Brand Loyalty - consumer faithfulness toward a brand, measured by length of time or regularity of use

Brand Name - a name selected by the advertiser to identify his product to the consumer and to set it apart from all other products Brand Selection - the consumer seeks a particular item but has no brand preference, or has two or more brands in mind. When selection of the brands is made in the store it is called “in store brand selection.” Brand Switching - the action whereby a customer buys a brand different from his customary brand. A “brand switch” may be planned prior to store entry or it may be made at the point of purchase, usually from some form of in-store stimulation.

Buying-Break - a space in a display, made by removing one or two of the packages and providing easy consumer access to merchandise on the shelf or in a display; also, this shows the consumer that he is not the first to buy the product

Channel Strip & Danglers - product name and/or messages which are printed on chipboard or plastic for use is store price channels

Clerk Exposure - the length of contact between the merchandise and the clerk after the merchandise has been displayed Convenience Goods - those consumer goods which the customer usually buys frequently and prefers to purchase with a minimum amount of effort CO-OP Contract - co-operative display contract between the manufacturer and retailer Cost of Goods Sold - the actual cost of merchandise sold during a period. It can be computed by using the following equation:

(Beginning inventory in dollars) +

(Purchases in dollars) -

(Ending inventory in dollars) =

C.O.G.S. Counter Card - at the point of purchase, a card with brand name and product information designed for use on the checkout or service counter. It may be placed with the merchandise to serve as a reminder.

Counter Unit - a display piece with product that is designed for counter-top placement Cut-Case - a shipping carton designed to be cut into shelf trays, each tray carrying product and the product message

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Dispenser - a sign or display containing a literature pocket or tear-off pad Display - a device or an accumulation of devices which, in addition to identify and/or advertising a company and/or product, may also merchandise by actually offering product for sale. A display characteristically bears an intimate relationship with the product.

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Display Card - a piece of display advertising, printing or mounted on cardboard, for attachment to display of merchandise

Display Carton - carton designed to fold out into a display without removing the product Dump Bin - holder designed to stand on the floor for merchandise in random order. So called because the merchandise can be “dumped” in from the case End-Cap Display or Feature-End Display - a display of open-stock merchandise that is built at the end of a store fixture or gondola

Facings - the number of packages of an item on the front line of the store shelf Floor Case - a common drugstore fixture, which is clear glass on all sides and rests on the floor. It is usually 40-45 inches high Floor Stand - is often the most effective merchandising display. A display unit that can be set up to display product on the floor of a retail outlet. A floor stand that contains product is called ‘prepacked display” or simply “prepack” Gondola - island shelving, open on two sides, used in the center of the store

Gondola End - a display designed to be used at the end of a gondola. “Gondola ends” are usually large displays Gondola Topper - a two-sided display designed to rest on the top of the gondola in such a way that it can be seen from both aisles, or coming or going in both aisles Gross Margin (Gross Profit) - the difference between selling price of a product and its cost

Gross Merchandising - the act of placing product in two different product category locations within the same retail store Header - a message board projecting above the display and giving the headline or advertising message; usually larger than a riser Horizontal Merchandising - when merchandise is displayed horizontally on a single shelf

Hot-Spot-Cross - a theory used to effect maximum sales of a given product sold off the shelf. Based on the “bull’s-eye principle” that the hottest spot in the display area is at the center and at eye-level Impulse Buying - making an unplanned purchase

Impulse Sales - plus sales for retailers who would not have had them except for the display of “impulse” items which caused consumers to make unplanned purchases Insert - an advertisement packaged with retail merchandise

Inventory Invested - the dollar amount invested in the inventory Island (See Gondola) - a display designed to stand alone, with merchandise available from all sides

Lead Time - the time between the arrival of signs, displays and product at their ultimate locations and the date the promotion is due to break Mass Display - a display featuring a sizable grouping of the product plus the message

Merchandiser - a display containing merchandise for immediate sale

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Merchandising Aids - a merchandising aid is anything that attracts a consumer to buy, informs him about a product, points out a special bargain price, or helps increase sales. In short, anything which helps get a product off the shelf and into a consumer’s hands. Movable Merchandisers - a merchandiser with two or more wheels which permit the retailer to move the entire display without disturbing the merchandise Net Profit - the difference between gross profit and all expenses of doing business

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Off-Invoice Allowance - these are discounts that are reflected in billing. They reduce invoice prices and are used to obtain promotional support and/or increase inventory (e.g., one free with 11)

Off-Shelf Display - a display of merchandise in addition to that product’s regular departmental shelf display Open-Stock Promotion - allowance or free goods on regular merchandise

O.T.C. - refers to “over the counter” merchandise. In retail drug, it refers to products other than prescriptions Over-The-Wire-Banner - a long rectangular piece of paper with the product message printed on both sides. When thrown over a wire, the messages are back-to-back and can be seen from either side

Package-Couponing - coupon contained in a package to apply next purchase Package Talker - printed, promotional point-of-purchase material attached to the package

Pennant - same as “banner” pointed at the bottom Planogram - a merchandising blueprint that designates stock levels, positions, and number of facings within a given section

Point-of-Purchase Material (or P.O.P.) - is any display material designed for use at the point of sales - either where the product is located on the shelf or generally in the store

Pre-Pack - a display designed to be packed with merchandise by the manufacturer and shipped as a unit Price and Copy - point-of-purchase material that contains product name, size, and price

Product Spotters - small shelf signs, pointers or arrows designed to call attention to a particular product or brand that would otherwise be lost among the others. Usually attached to shelf edge and contains price and copy information

Productivity or Space to Sales - refers to sales in dollars per square foot of floor space or dollar sales per running or linear inch or foot of shelf space. For determining space allotment per product, productivity must be measured and facings, quantity and position provided accordingly. An alternate method for space allotment is recording item turnover and assigning space commensurate with movement Proprietaries - generally advertised O.T.C. drug products also available in non-pharmacy outlets

Push Money (P.M.) - a set payment made to clerks for selling a manufacturer’s product. Payment is usually based on so much per bottle, can, etc.

Push Product - item which is promoted because of employee compensation or store profit. This is a managerial decision relating to profit Rack - a floor stand featuring shelves, pockets, or hooked arms, usually of wire, designed for special display of a group of related items, sometimes a subdepartment, for customer self-selection and/or self-service. Racks may or may not carry an advertiser message.

Rack Jobber - a contractor who places the racks in the retail outlet and maintains them with merchandise Retail Merchandising - product layout designed for customer convenience and maximum turnover. Placing the right product in the right place at the right time in the right quantity and at the right price

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Return on Investment (ROI) - this is a measure of profitability of any business. It indicates, for every dollar of capital investment in the firm, how many cents were produced this period in earnings. It is computed by the following formula:

Net earnings (Profit) $’s = ROI Total Capital Invested

Riser - that part of display which projects above the merchandising presentations, or a sign or display which rises from the top shelf of an aisle and, hence, is visible from others parts of the store.

Section Overlap - the tendency of products from one section to drift or carry over into another product section

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Self-Selector - a display containing merchandise organized in such a way that the customer may readily select color, size, style, etc

Shamming - a display method that creates the massed impact of multiple facings with a minimum amount of inventory. The method calls for the use of wood 2 x 4 shams to create a stepped effect or display build-up

Shelf-Extender - a display in the form of a small tray designed to be fastened or clamped to a shelf and to project from it in order to extend the space of the shelf Shelf Facings - the number of times a product carton, bottle, etc., is stocked side by side with a shelf visible to customers Shelf Miser - a small display designed to fit on the shelf and to hold more units in the same space that would ordinarily be on the shelf. These frequently have spring or gravity-feed arrangements to keep the front of the facing full Shelf Strip - a devise of tag stock, plastic, wire , or other material, pressure-fit into the price railing under a product, as an attention-getting device Shelf-Talker - a printed card designed to lay on the shelf under the product and project out and down to carry and advertising message which will call attention to the product. The flap end is frequently die-cut. It is sometimes held in place with pressure-sensitive adhesive

Sign – a device that identifies a company or product and carries an advertising or directional message. Signs may be separate entities, or an integral part of a display. “Signs”, as commonly used, means separate entities Streamer - a printed plastic, paper, or cloth banner for window or interior use

Traffic Flow Analysis - this is a technique of counting and analyzing the number of persons that enter a store during a specific time period, the route they take within the store and the kinds of merchandise they are exposed to during the time they are in the store Turnover Rate - this is a ratio which indicates the velocity of movements of merchandise in a store during a specific period, usually one year. It is computed by using the following formula:

Cost of goods sold - $’s:Average merchandise inventory - $’s (At Cost Price) = Turnover of merchandise

Vertical Merchandising - when the merchandise is displayed on more than one shelf by sizes one above the other, in a narrow column

Wall Section - merchandise shelving that is located on the perimeter walls of a drugstore Window Display - a retail outlet display placed in the windows facing outside to attract the attention of pedestrians passing the establishment Window Strip - an advertising message carried horizontally at the bottom of a window

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Look-Alike / Sound-Alike

Brand-To-Brand Bold = pairings of medications available in identical strengths.

Italics = pairings available in similar, or "look-alike strengths" (i.e. 0.25mg vs. 25mg).

Drug name Drug name Accupril®…….. Accutane® Accupril® Accolate® Adderal®…….… Inderal® Alkeran®…….. Leukeran® Altace®…….….. Artane® Ambien®…….… Amen® Avandia®……… Coumadin® Bumex®…….…. Permax® Cafergot®…….. Carafate® Cardene®…….… Cardura® Cardene SR®…. Cardizem

SR® Cardura®…….… Ridaura® Cardura®…….. Coumadin® Cataflam®…….. Catapres® Cefzil®…….….. Ceftin® Ceftin®…….….. Cipro® Cefol®…….…… Cefzil® Celebrex®…….. Celexa® Celexa®…….….. Zyprexa® Clinoril®…….…. Clozaril® Clinoril®…….… Oruvail® Cognex®…….… Corgard® Cozaar®…….…. Zocor® Cytotec®…….… Cytoxan® Darvon®…….…. Diovan® Demerol®…….. Desyrel® Demerol®…….. Detrol® Detrol®…….….. Ditropan® Diflucan®…….. Diprivan® Dynabac®…….. DynaCirc® Dynacin®…….… DynaCirc® Edecrine®…….. Eulexin® Elavil®…….…… Eldepryl® Elavil®…….…….. Oruvail® Elavil®…….…….. Plavix® Elmiron®…….…… Imuran® Eskalith®…….…… Estratest® Estratest®…….….. Estratab® Eulexin®…….…… Edecrin® Flomax®…….…… Fosamax® Flomax®…….…… Volmax® IMDUR®…….….. Imuran®

Drug name Drug name Lanoxin®…….…… Xanax® Lasix®…….……… Luvox® Levbid®…….……. Lithobid® Levbid®…….……. Lopid® Levbid®…….……. Lorabid® Levoxyl®…….…… Luvox® Librax®…….…… Librium® Lioresal®…….…. Lotensin® Lioresal®…….…. Loniten® Lomotil®…….….. Ludiomil® Lomotil®…….… Lamisil® Lomotil®…….… Lanoxin® Loniten®…….… Lotensin® Lortab®…….….. Lorabid® Lortab®…….…. Luride® Loxitane®…….. Soriatane® Micro-K®…….. Micronase® Monoket®…….. Monopril® Navane®…….… Norvasc® Neoral®…….….. Nizoral® Neurontin®…… Noroxin® Parafon Forte®.. Paraflex® Percocet®…….. Percodan® Precose®…….… Precare® Pravachol®…….. Prevacid® Pravachol®…… Prinivil® Prevacid®…….. Prinivil® Prinivil®…….…. Proventil® Prinivil®…….… Prilosec® Prinivil®…….… Plendil® Prilosec®…….. Plendil® Prozac®…….…. Prilosec® Prozac®…….….. Proscar® Relafen®………. Rezulin® Roxanol®……… Roxicet® Serentil®…….… Serzone® Serzone®…….. Seroquel® Serentil®…….… Sinequan® Slo-bid®…….…. Slo-

Phyllin® Tegretol®……. Toradol® Toradol®…….….. Torecan® Tri-Norinyl®……. Triphasil® Ultram®…….…… Voltaren® 39

Brand-To-Generic Look-Alike / Sound- Alike

Generic-To-Generic Look-Alike / Sound- Alike

IMDUR®…….….. Inderal LA®

IMDUR®…….….. K-Dur® Imuran®…….…… Tenormin® Inderal®…….…… Isordil® Inderal®…….…… Toradol® K-Phos Neutral®… Neutra-

Phos-K® Klonopin®…….….. Clonidine® Lamictal®…….….. Lamisil® Lamictal®…….….. Lomotil® Lamictal®…….…. Ludiomil® Lanoxin®…….….. Lasix® Lanoxin®…….…… Lonox®

Uricit-K®…….…. Urised® Viagra®…….……. Allegra® Viracept®…….…. Viramune® Virilon®…….….. Verelan® Yocon®…….…… Zocor® Zebeta®…….….. Diabeta® Zestril®…….……. Vistaril® Ziac®…….…….. Tiazac® Zocor®…….…… Zoloft® Zofran®…….….. Zantac® Zyrtec®…….….. Zyprexa®

Drug Name Drug Name Buspar®…….…….. Bupropion Bumex®…….…….. Bupropion Compazine®…….… Chlorpromazine Cardene®…….…… Codeine Lodine®…….…….. Codeine Dantrium®…….….. Danazol Elavil®…….……… Enalapril Flumadine®…….…. Flutamide Glucotrol®…….….. Glyburide Halotestin®…….. Haloperidol Leukeran®…….…. Leukovorin Monopril®…….… Minoxidil Norflex®…….…… Norfloxacin

Drug name Drug name Oxycontin®…….. Oxycodone Paxil®…….……… Paclitaxel Parlodel®…….….. Pindolol Pravachol®…….. Propranolol Propulsid®…….. Propranolol Risperdal®…….. Reserpine Retrovir®…….… Ritonavir Serentil®…….….. Sertraline Serentil®…….….. Selegeline Serzone®…….…. Sertraline Serzone®…….….. Selegeline Toradol®…….….. Tramadol

Drug Name Drug Name Acetazolamide……. Acetohexamide Albuterol…….…….. Levalbuterol Amantadine…….… Ranitidine Amilioride…….….. Amlodipine Bupropion…….…… Buspirone Buspirone………….. Risperidone Captopril…….…… Carvedilol Cefaclor…….…….. Cephalexin Cephalexin…….…. ciprofloxacin

Drug name Drug name Furosemide…….. Torsemide Glipizide…….…… Glyburide Hydralazine…….. Hydroxyzine Hydrocodone…….. Hydrocortisone Lamivudine…….. Lamotrigine Levodopa…….….. Methyldopa Methadone…….… Methylphenidate Metaprolol…….… Misoprostol Nelfinavir….….. Nevirapine

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Other Dosage Forms Look-Alike / Sound- Alike

Chlorpromazine…. Chlorpropamide Chlorpromazine…. Prochlorperazine Clomiphene…….… Clomipramine Clomipramine……. Desipramine Clonazepam…….…. Clonidine Clonazepam…….…. Clorazepate Cyclobenzaprine….. Cyproheptadine Cyclosporine….… Cyclophosphamide Desipramine…….. Imipramine Desipramine…….. Nortriptyline Dicyclomine…….. Doxycycline Doxepin…….……. Doxycycline Erythromycin…… Azithromycin Etidronate…….….. Etretinate Flurazepam…….. Temazepam

Nifedipine…….… Nicardipine Nifedipine…….… Nimodipine Penicillin…….…. Penicillamine Phenobarbital….. Pentobarbital Prednisone…….. Prednisolone Quinine…….…… Quinidine Ranitidine…….…. Rimantadine Rimantadine…… Amantadine Rifampin…….…. Rifapentine Risperidone…….. Reserpine Selegeline…….…. Sertraline Sulfasalazine…… Sulfadiazine Sulfasalazine…… Sulfisoxazole Sulfisoxazole……. Sulfadiazine Tolazamide…….. Tolbutamide

Drug name Drug name Alora®…….……… Aldara® Alupent®…….…… Atrovent® Betagan®…….….. Betoptic® Efudex®…….……. Eurax® Estraderm®…….. Testoderm® Granulex®…….… Regranex® Nasalcrom®…….. Nasalide® Nasarel®…….….. Nizoral®

Drug name Drug name

Nicoderm®…….. Nitro- Derm®

Ocufen®…….….. Ocuflox® Ocufen®…….…. Ocular® Ocufen®…….…. Ocupress® Pediapred®……. Pediazole® Trusopt®…….. Cosopt® Vexol®…….….. VoSol®

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OTC Product List (This is not a complete list but a sample of products available for the listed categories)

Note: Not all product lines/dosage forms are listed

Analgesics, External

Aspercreme

Ben-Gay

Mentholatum

Mineral Ice

Myoflex

Analgesic, Internal

Child, Anacin-3

Infant’s Anacin-3

Anacin-3

Anacin

St.Jos.Asp.Free

Tempra

Tylenol – Children’s

Tylenol – Jr.

Tylenol

Ascripton

Ascripton A/D

Bayer Aspirin

Bufferin

Ecotrin

Advil

Haltran

Medipren

Midol 200

Motrin IB

Nuprin

Tendar

Excedrin

Excedrin PM

Percogesic

Doan’s Extra Stength

Legatrin

Antiacids

Alka-Selzer

AlternaGel

Amphojel

Di-Gel

Gas-X

Gaviscon

Gaviscon-2

Gelusil

Gelusil M

Gelusil-II

Maalox

Maalox D.S.

Mylanta

Mylanta II

Mylicon

Pepto Bismol

Riopan

Riopan X

Riopan Plus

Rolaids

Tums

Tums w/Simethicone

Lactaid

Lactrase

Antidiarrheals

Charocaps

Equalactin

Imoduim A-D

Kaopectate

Pepto-Bismol

Rheaban

Diasorb

Donnagel

Donagel-PG

Parapectolin

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Antiemetic Products

Bonine

Dramamine

Marezine

Triptome

Cough/Cold/Allergy

Benylin Cough Syp

Benylin DM

Benylin Decongest.

Benylin Expector.

Children’s Nyquil

Delsym

Formula 44 Cough

Vicks Child’s Syp.

Formula 44D Deco

Formula 44M

Naldecon DX

Naldecon EX

Novahistine

Novahistine DMX

Pediacare

Robitussin

Robitussin PE

Robitussin DM

Robitussin CF

Triaminic DM

Triaminic Expector

Actifed

Afrinol

Alleract

Allerest

Allerest Headache

Contac

Allerest Sinus

Benadryl

Chlor-Trimeton

Cough/Cold /Allergy Con’t

CoAdvil

Coricidin

Coricidin D

DayQuil

Dimetane

Dimetapp

Dixoral

Dixoral Plus

Dorcol

Sudafed

4-Way

Comtrex

CoTylenol

Dristan

Fedahist

NyQuil

Singlet

Sinulin

Tavist

Tavist-D

Neo-Synephrine

Afrin

Dristan Spray

Benzedrex

Otrivin

Sinex

Bronkaid

Primatine Mist/Tabs

Chloraseptic

Ear Products

Auro Ear Drops

Debrox

Murine Ear Drops

Auro-Dri

Dri/Ear

Swim-Ear

Eye Prodcuts

Clear Eyes

Collyrium Fresh Eyes

Murine Plus

Prefrin Liquifilm

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Visine Visine AC Hypotears

Liquifilm Tears Refresh

Tears Natural Tears Plus Dacriose

Stye Ophthalmic Oint. Lacri-Lube S.O.P

Hemorrdoidal Products

Americane Anusol Calmol-4 Nupercainal Pazo Preparation H Tronolane Tucks

Laxative Products

Castor Oil Colace Correctol

Citrate of Magnesia Doxidan

Dulcolax

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Equalactin Ex-Lax

Feen-A-Mint Fiberall FiberCon

Fletcher’s Castoria Konsyl

Konsyl-D Fleet Enema

Fleet Bisacodyl Metamucil Perdiem

Peri-Colace Phillips MOM Senokot Surfak

Pediculocides

A-200

Pronto R & C Step 2 RID TISIT

Kewll

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Topical Anti-Infectives

Betadine Mycitracin Neosporin Polysporin Cortaid Dermolate Aftate Cruez Desenex Tinactin

Sleep Aid Products

Anacin P.M. Doan’s P.M. Excedrin P.M. Sleep-Aid Nytol Sominex Tylenol PM Unisom

Stimulant Products

No Doz Pep-Back Vivaria

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COURSE TITLE AND COURSE NUMBER: Medication Therapy Management (MTM) – PHAR 5644 HOURS CREDIT: 6 COURSE PURPOSE: The goal of the Ambulatory Care Medication Therapy Management Advanced Pharmacy Practice Experience is to provide opportunities for students to build upon knowledge and skills acquired through didactic education and Introductory Pharmacy Practice Experiences and apply them in direct patient care activities in the ambulatory care setting. Students will actively participate in direct patient care using the elements of JCPP Pharmacist Care process which includes obtaining patient medical and medication histories, providing drug regimen reviews, interviewing patients, evaluating therapy adherence, developing medication management plans, monitoring patients' therapeutic outcomes, consulting with physicians and non-physician providers, and providing education to patients and health care professionals. This course takes place in a community pharmacy or community pharmacy management office setting. Team members may include pharmacists, physicians, physician assistants, nurse practitioners, nurses, and other healthcare providers. This experience will be directed and evaluated by one or more preceptors. Interprofessional Experience: The pharmacist is a member of an interdisciplinary team that serves the patient’s interest above all other concerns. Team members may include pharmacists, physicians, physician assistants, nurse practitioners, nurses, and other healthcare providers. This experience may be directed and evaluated by one or more preceptors. PROFICIENCIES (Outcomes): 1. Apply pharmacotherapy principles and foundational knowledge to deliver patient-centered care 2. In collaboration with the health care team, provide safe and effective patient care to a diverse patient population

following a consistent JCPP pharmacist patient care process 3. Administer medications to a diverse patient population. 4. Ensure continuity of care during patient transitions between care settings. 5. Apply pharmacy practice management skills related to human resources and informatics 6. Provide education to patients, caregivers, health care professionals, students, and the public (individuals and




47

ASSESSMENTS:


A minimum of one (1) intervention per week using the method stated below. Interventions will be graded on quality and completeness. Qualtrics will be used for interventions. You will have 6 interventions at the end of the rotation. Of those six (6), you will need the following.




i. Could be a format other than SOAP that is utilized/approved by site ii. Each SOAP or other format note should be graded before the next one is done

e. Complete one drug information request using standard form f. Complete one journal club on a landmark or other assigned trial g. Complete one mock collaborative practice agreement


1. Grading Criteria Grading Criteria is competency based. Minimal passing performance is 70%. A total of 500 points may be achieved upon completion of the assigned APPE. These points are composed of scores as delineated below. The following maximum point values may be achieved in each of the areas:

48

Final Evaluation from preceptor (rubric) 300 points Assignments 100 points Practice Experiential Director Grade __ 100 points*** TOTAL 500 points *In order to receive a passing grade for the rotation the intern: 1. Must NOT receive four (4) or more “2” ratings on the end on rotation evaluation 2. Must NOT receive a “1” rating on the end on rotation evaluation on dimensions.



Grading Scale:



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COURSE TITLE AND COURSE NUMBER: Association Management – PHAR 5658 HOURS CREDIT: 6 COURSE PURPOSE: The goal of the Association Management Advanced Pharmacy Practice Experience is to provide opportunities for students to build upon knowledge and skills acquired through didactic education and Introductory Pharmacy Practice Experiences and apply them in pharmacy association management. Students will actively participate in daily association management practices, contributing to the various programs, products and services offered to pharmacy association members. Practice sites may include NACDS, APhA or NCPA. Interprofessional Experience: The pharmacist is a member of an interdisciplinary team that serves the patient’s interest above all other concerns. Team members may include pharmacists, physicians, physician assistants, nurse practitioners, nurses, and other healthcare providers. This experience may be directed and evaluated by one or more preceptors. PROFICIENCIES (Outcomes): 1. Apply foundational knowledge to manage safe and effective patient-centered care. 2. Apply principles of pharmacy practice management to operations 3. Apply the systems approach to medication safety activities to identify and report medication errors 4. Apply pharmacy practice management skills related to human resources, medication resources, informatics,

workload and financial performance 5. Communicate with healthcare personnel in a face to face, written or electronic media to reach optimal outcomes 6. Display professional behavior, self-awareness, advocacy, and commitment to the profession ASSESSMENTS:

1) Preceptor Mid and End of Rotation Evaluation 2) Intern self, mid, and end of rotation evaluation 3) Assignments: (To be graded by preceptor using the standard rubrics on Blackboard. To be uploaded by student on

Blackboard before the last day of the rotation) a. Presentation – Formal or information b. Complete one journal club on a landmark or other assigned trial c. Others assignments as deemed appropriate by preceptor for APPE: ex: project

50


1. Grading Criteria Grading Criteria is competency based. Minimal passing performance is 70%. A total of 500 points may be achieved upon completion of the assigned APPE. These points are composed of scores as delineated below. The following maximum point values may be achieved in each of the areas: Final Evaluation from preceptor 300 points Assignments 100 points Practice Experiential Director Grade __ 100 points*** TOTAL 500 points *In order to receive a passing grade for the rotation the intern: 1. Must NOT receive four (4) or more “2” ratings on the end on rotation evaluation 2. Must NOT receive a “1” rating on the end on rotation evaluation on dimensions.



Grading Scale:


a. Follow honor code and guidelines of the Internship and Attendance Policies.

51

b. Complete all required course evaluations (preceptor, site, intern). c. Complete all assignments. d. Submit all required rotation paperwork by the appropriate deadlines.

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COURSE TITLE AND COURSE NUMBER: Academic Scholarship - 5662 HOURS CREDIT: 6 COURSE PURPOSE: The goal of the Association Management Advanced Pharmacy Practice Experience is to provide opportunities for students to build upon knowledge and skills acquired through didactic education and Introductory Pharmacy Practice Experiences and apply them in pharmacy association management. Students will actively participate in daily association management practices, contributing to the various programs, products and services offered to pharmacy association members. Practice sites may include NACDS, APhA or NCPA. Interprofessional Experience: The pharmacist is a member of an interdisciplinary team that serves the patient’s interest above all other concerns. Team members may include pharmacists, physicians, physician assistants, nurse practitioners, nurses, and other healthcare providers. This experience may be directed and evaluated by one or more preceptors. PROFICIENCIES (Outcomes):

1. Demonstrate proficiency in foundational sciences related to health care and pharmacotherapy 2. Review and revise coursework including lectures, skills labs, or other labs using a variety of instructional strategies 3. Develop assessment for the measurement of student mastery of material presented 4. Communicates verbally and nonverbally with students, faculty, healthcare team and/or organization 5. Display professional behavior, self-awareness, advocacy, and commitment to the profession

ASSESSMENTS:


Blackboard before the last day of the rotation) a. Presentation – Formal or information

i. Large Group Educational Delivery assignment - Delivers educational content on an assigned topic to a group of students or other suitable audience of greater than 60 individuals for at least estimated 45 minute time block

ii. Small Group Educational Delivery assignment - Delivers educational content on an assigned topic to a group of students or other suitable audience of no greater than 35 for at least estimated 30 minute time block

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b. Complete one journal club from a health care education literature c. Others assignments as deemed appropriate by preceptor for APPE:

i. Develops and reviews questions for an examination or other assessment based on a topic assigned.





Grading Scale:

A = 450 - 500 points (90 - 100%) B = 400 - 449 points (80 - 89%) C = 350 - 399 points (70 - 79%) D = 325 - 349 points (65 - 69%) – repeat APPE

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F = <325 points (< 65%) – repeat APPE **To obtain a grade of C or better the student must:


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COURSE TITLE AND COURSE NUMBER: Pharmacy Management – PHAR 5663 HOURS CREDIT: 6 COURSE PURPOSE: The goal of the Pharmacy Management Advanced Pharmacy Practice Experience is to provide opportunities for students to build upon knowledge and skills acquired through didactic education and Introductory Pharmacy Practice Experiences and apply them in pharmacy management. Students will actively participate in the managerial aspects of a community pharmacy with an emphasis on financial, operational, and human resource management, to provide the knowledge and skills necessary for initiating and maintaining a successful pharmacy practice. Interprofessional Experience: The pharmacist is a member of an interdisciplinary team that serves the patient’s interest above all other concerns. Team members may include pharmacists, physicians, physician assistants, nurse practitioners, nurses, and other healthcare providers. This experience may be directed and evaluated by one or more preceptors. PROFICIENCIES (Outcomes): 1. Apply foundational knowledge to manage safe and effective patient-centered care. 2. Apply principles of pharmacy practice management to pharmacy operations 3. Apply the systems approach to medication safety activities to identify and report medication errors 4. Apply pharmacy practice management skills related to human resources, medication resources, informatics,

pharmacy workload and financial performance 5. Communicate with healthcare personnel in a face to face, written or electronic media to reach optimal outcomes 6. Display professional behavior, self-awareness, advocacy, and commitment to the profession ASSESSMENTS:



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Grading Scale:


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COURSE TITLE AND COURSE NUMBER: Legal and Regulatory – PHAR 5664 HOURS CREDIT: 6 COURSE PURPOSE: The goal of the Legal and Regulatory Advanced Pharmacy Practice Experience is to provide opportunities for students to build upon knowledge and skills acquired through didactic education and Introductory Pharmacy Practice Experiences and apply them on this rotation. Students will actively participate in the governmental framework within which pharmacy is practiced, as well as acquire an understanding of the laws, regulations, and the ethical responsibilities applicable to pharmacists so that they will be able to protect the public and ensure patient wellbeing. Practice sites include Texas State Board of Pharmacy and Safety Net Pharmacy Association. Interprofessional Experience: The pharmacist is a member of an interdisciplinary team that serves the patient’s interest above all other concerns. Team members may include pharmacists, physicians, physician assistants, nurse practitioners, nurses, and other healthcare providers. This experience may be directed and evaluated by one or more preceptors. PROFICIENCIES (Outcomes): 1. Apply foundational knowledge to evaluate safe and effective patient-centered care. 2. Manage and prioritize workload 3. Participate in the daily function of the regulatory process of the organization. 4. Communicate with pharmacists and health professionals effectively in oral and written format using appropriate

documentation methods and systems 5. Display professional behavior, self-awareness, advocacy, and commitment to the profession

ASSESSMENTS:



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Grading Scale:


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COURSE TITLE AND COURSE NUMBER: Managed Care – PHAR 5668 HOURS CREDIT: 6 COURSE PURPOSE: The goal of the Managed Care Advanced Pharmacy Practice Experience is to provide opportunities for students to build upon knowledge and skills acquired through didactic education and Introductory Pharmacy Practice Experiences and apply them on this rotation. Students will gain practical experience and knowledge on managed care and the healthcare system as a whole and actively participate in providing managed prescription drug benefit analysis in US healthcare programs, including Medicare, Medicaid, and employer-based programs. Practice sites includes Texas Children’s Managed Care Program. Interprofessional Experience: The pharmacist is a member of an interdisciplinary team that serves the patient’s interest above all other concerns. Team members may include pharmacists, physicians, physician assistants, nurse practitioners, nurses, and other healthcare providers. This experience may be directed and evaluated by one or more preceptors. PROFICIENCIES (Outcomes): 1. Apply foundational knowledge to evaluate safe and effective patient-centered car 2. Provide safe, effective and cost-effective patient care to a diverse patient population following a consistent JCPP

pharmacist patient care process in collaboration with the health care team. 3. Administer medications to a diverse patient population. 4. Ensure continuity of care during patient transitions between care settings. 5. Apply knowledge of managed care principles 6. Communicate with pharmacists and health professionals effectively in oral and written format using appropriate

documentation methods and systems 7. Display professional behavior, self-awareness, advocacy, and commitment to the profession

ASSESSMENTS:

1) Preceptor Mid and End of Rotation Evaluation 2) Intern self, mid, and end of rotation evaluation

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3) Assignments: (To be graded by preceptor using the standard rubrics on Blackboard. To be uploaded by student on Blackboard before the last day of the rotation)

a. Presentation – Formal or information b. Complete one journal club on a landmark or other assigned trial c. Others assignments as deemed appropriate by preceptor for APPE: ex: project





Grading Scale:

A = 450 - 500 points (90 - 100%) B = 400 - 449 points (80 - 89%)

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C = 350 - 399 points (70 - 79%) D = 325 - 349 points (65 - 69%) – repeat APPE F = <325 points (< 65%) – repeat APPE **To obtain a grade of C or better the student must:


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COURSE TITLE AND COURSE NUMBER: Community Pharmaceutical Care PHAR 5670 HOURS CREDIT: 6 COURSE PURPOSE: The goal of the Community Pharmaceutical Care Advanced Pharmacy Practice Experience is to provide opportunities for students to build upon knowledge and skills acquired through didactic education and Introductory Pharmacy Practice Experiences and apply them in direct patient care activities in the independent community pharmacy setting. Students will actively participate in direct patient care using the elements of JCPP Pharmacist Care process which includes obtaining patient medical and medication histories, providing drug regimen reviews, interviewing patients, evaluating therapy adherence, consulting with physicians and non-physician providers, providing education to patients and health care professionals through compounded medications. This course takes place in an independent community pharmacy setting. This experience will be directed and evaluated by one or more preceptors. Interprofessional Experience: The pharmacist is a member of an interdisciplinary team that serves the patient’s interest above all other concerns. Team members may include pharmacists, physicians, physician assistants, nurse practitioners, nurses, and other healthcare providers. This experience may be directed and evaluated by one or more preceptors. PROFICIENCIES (Outcomes): 1. Apply pharmacotherapy principles and foundational knowledge to deliver patient-centered care. 2. Provide safe, effective and cost-effective patient care to a diverse patient population following a consistent JCPP

pharmacist patient care process in collaboration with the health care team. 3. Accurately calculate, compound and prepare sterile and non-sterile medication products using correct techniques 4. Ensure continuity of care during patient transitions between care settings. 5. Apply the systems approach to medication safety activities to identify and report medication errors 6. Apply pharmacy practice management skills related to human resources, medication resources, informatics,





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ASSESSMENTS:


A minimum of one (1) intervention per week using the method stated below. Interventions will be graded on quality and completeness. Enter evaluations on the Qualtrics link on blackboard. You will have 6 interventions at the end of the rotation. Of those six (6), you will need the following.

a. At least two (2) interventions on disease education for patient b. At least one (1) intervention on drug-drug interaction and resolution


Blackboard before the last day of the rotation) a. Complete one journal club on a landmark or other assigned trial


1. Grading Criteria Grading Criteria is competency based. Minimal passing performance is 70%. A total of 500 points may be achieved upon completion of the assigned APPE. These points are composed of scores as delineated below. The following maximum point values may be achieved in each of the areas: Final Evaluation from preceptor (rubric) 300 points Assignments 100 points Practice Experiential Director Grade __ 100 points*** TOTAL 500 points *In order to receive a passing grade for the rotation the intern: 1. Must NOT receive four (4) or more “2” ratings on the end on rotation evaluation

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2. Must NOT receive a “1” rating on the end on rotation evaluation on dimensions.



Grading Scale:



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COURSE TITLE AND COURSE NUMBER: Clinical Pharmaceutical Research PHAR 5672 HOURS CREDIT: 6 COURSE PURPOSE: The goal of the Clinical Pharmaceutical Research Advanced Pharmacy Practice Experience is to provide opportunities for students to build upon knowledge and skills acquired through didactic education and Introductory Pharmacy Practice Experiences and apply them in research based activities. Students will actively participate in bench research in the pharmacy field as well as pharmacy practice based research. This experience will be directed and evaluated by one or more preceptors. Interprofessional Experience: The pharmacist is a member of an interdisciplinary team that serves the patient’s interest above all other concerns. Team members may include pharmacists, physicians, physician assistants, nurse practitioners, nurses, and other healthcare providers. This experience may be directed and evaluated by one or more preceptors. PROFICIENCIES (Outcomes): 1. Apply pharmacotherapy principles and foundational knowledge to research 2. Apply research practice management skills related to medication use, informatics, clinical outcomes 3. Communicate with students, health care professionals, and research personnel in oral and written format using

appropriate documentation methods and systems 4. Display professional behavior, self-awareness, advocacy, and commitment to the profession ASSESSMENTS:


Blackboard before the last day of the rotation) a. Complete one journal club on a landmark or other assigned literature

Grading Procedures:

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Grading will occur via electronic APPE evaluations on E-Value. Students will receive a grade at midpoint that does not count towards the final grade on a transcript. The grade received at midpoint evaluation will be utilized for student self-reflection and to set goals for the second remaining half of the rotation. Students will receive a final grade on the last day of the APPE that will be transferred to the student’s transcript. Grading occurs via an automatic calculation present in electronic evaluations in E-Value.

1. Grading Criteria Grading Criteria is competency based. Minimal passing performance is 70%. A total of 500 points may be achieved upon completion of the assigned APPE. These points are composed of scores as delineated below. The following maximum point values may be achieved in each of the areas: Final Evaluation from preceptor (rubric) 300 points Assignments 100 points Practice Experiential Director Grade __ 100 points*** TOTAL 500 points *In order to receive a passing grade for the rotation the intern: 1. Must NOT receive four (4) or more “2” ratings on the end on rotation evaluation 2. Must NOT receive a “1” rating on the end on rotation evaluation on dimensions.



Grading Scale:


a. Follow honor code and guidelines of the Internship and Attendance Policies. b. Complete all required course evaluations (preceptor, site, intern).

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c. Complete all assignments. d. Submit all required rotation paperwork by the appropriate deadlines.

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COURSE TITLE AND COURSE NUMBER: VETERINARY PHARMACY- PHAR 5673 HOURS CREDIT: 6 COURSE PURPOSE: The goal of the Veterinary Pharmacy Advanced Pharmacy Practice Experience is to provide opportunities for students to build upon knowledge and skills acquired through didactic education and Introductory Pharmacy Practice Experiences and apply them in direct patient care activities in the ambulatory care setting. Students will actively participate in veterinary patient care using the elements of JCPP Pharmacist Care process which includes obtaining patient medical and medication histories, providing drug regimen reviews, interviewing patients, evaluating therapy adherence, developing medication management plans, monitoring patients' therapeutic outcomes, consulting with physicians and non-physician providers, and providing education to veterinary patient’s caregivers and health care professionals. This course takes place in veterinary pharmacy practice setting. Team members may include pharmacists, veterinarians, nurses, and other healthcare providers. This experience will be directed and evaluated by one or more preceptors. Interprofessional Experience: The pharmacist is a member of an interdisciplinary team that serves the patient’s interest above all other concerns. Team members may include pharmacists, physicians, physician assistants, nurse practitioners, nurses, and other healthcare providers. This experience may be directed and evaluated by one or more preceptors. PROFICIENCIES (Outcomes): 1. Apply pharmacotherapy principles and foundational knowledge to deliver patient-centered care. 2. In collaboration with the health care team, provide safe and effective patient care to the veterinary patient

population following a consistent JCPP pharmacist patient care process 3. Accurately calculate, compound and prepare sterile and non-sterile medication products using correct techniques 4. Ensure continuity of care during patient transitions between care settings. 5. Apply the systems approach to medication safety activities to identify and report medication errors 6. Apply pharmacy practice management skills related to human resources and informatics 7. Provide education to veterinary patient caregivers and health care professionals (individuals and groups) on

prescription medications using culturally competent methods. 8. Communicate with health professionals effectively in oral and written format using appropriate documentation

methods and systems 9. Display professional behavior, self-awareness, advocacy, and commitment to the profession

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ASSESSMENTS:


A minimum of one (3) intervention total per rotation using the method stated below. Interventions will be graded on quality and completeness. Qualtrics will be used for interventions. You will have 6 interventions at the end of the rotation. Of those six (6), you will need the following.

a. At least two (2) interventions on disease education for caregiver b. At least one (1) intervention on drug modification


Blackboard before the last day of the rotation) c. Complete one SOAP note per week for a total of six (6)

i. Could be a format other than SOAP that is utilized/approved by site ii. Each SOAP or other format note should be graded before the next one is done

d. Complete one drug information request using standard form e. Complete one journal club on a landmark or other assigned trial


1. Grading Criteria Grading Criteria is competency based. Minimal passing performance is 70%. A total of 500 points may be achieved upon completion of the assigned APPE. These points are composed of scores as delineated below. The following maximum point values may be achieved in each of the areas: Final Evaluation from preceptor (rubric) 300 points Assignments 100 points

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Practice Experiential Director Grade __ 100 points*** TOTAL 500 points *In order to receive a passing grade for the rotation the intern: 1. Must NOT receive four (4) or more “2” ratings on the end on rotation evaluation 2. Must NOT receive a “1” rating on the end on rotation evaluation on dimensions.



Grading Scale:



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COURSE TITLE AND COURSE NUMBER: Psychiatry- PHAR 56786 HOURS CREDIT: 6 COURSE PURPOSE: The goal of the Psychiatry Pharmacy Advanced Pharmacy Practice Experience is to provide opportunities for students to build upon knowledge and skills acquired through didactic education and Introductory Pharmacy Practice Experiences and apply them in direct patient care activities in the ambulatory care setting. Students will actively participate in psychiatric patient care using the elements of JCPP Pharmacist Care process which includes obtaining patient medical and medication histories, providing drug regimen reviews, interviewing patients, evaluating therapy adherence, developing medication management plans, monitoring patients' therapeutic outcomes, consulting with physicians and non-physician providers, and providing education to veterinary patient’s caregivers and health care professionals. This course takes place in psychiatry pharmacy practice setting. Team members may include pharmacists, physician, nurses, and other healthcare providers. This experience will be directed and evaluated by one or more preceptors. Interprofessional Experience: The pharmacist is a member of an interdisciplinary team that serves the patient’s interest above all other concerns. Team members may include pharmacists, physicians, physician assistants, nurse practitioners, nurses, and other healthcare providers. This experience may be directed and evaluated by one or more preceptors. PROFICIENCIES (Outcomes): 1. Apply pharmacotherapy principles and foundational knowledge to deliver patient-centered care. 2. In collaboration with the health care team, provide safe, effective and cost-effective patient care to a diverse patient

population following a consistent JCPP pharmacist patient care process 3. Administer medications to a diverse patient population. 4. Ensure continuity of care during patient transitions between care settings. 5. Apply the systems approach to medication safety activities to identify and report medication errors 6. Apply pharmacy practice management skills related to human resources, medication resources, informatics,



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ASSESSMENTS:


A minimum of one (1) intervention per week using the method stated below. Interventions will be graded on quality and completeness. Qualtrics will be used for interventions. You will have 6 interventions at the end of the rotation. Of those six (6), you will need the following.

a. At least two (2) interventions on disease education for patient b. At least one (1) intervention on drug-drug interaction and resolution


Blackboard before the last day of the rotation) c. Complete one SOAP note per week for a total of six (6)


d. Complete one drug information request using standard form e. Complete one journal club on a landmark or other assigned trial



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Grading Scale:



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COURSE TITLE AND COURSE NUMBER: Drug Information – PHAR 5691 HOURS CREDIT: 6 COURSE PURPOSE: The goal of the Drug Information Advanced Pharmacy Practice Experience is to provide opportunities for students to build upon knowledge and skills acquired through didactic education and Introductory Pharmacy Practice Experiences and apply them in direct patient care activities in the ambulatory care setting. Students will actively participate in providing a drug information service while demonstrating knowledge drug information systems, application of the primary drug literature in responding to drug information requests, and effective oral and written communication skills. Team members may include pharmacists and physicians. This rotation experience will be directed and evaluated by one or more preceptors.

Interprofessional Experience: The pharmacist is a member of an interdisciplinary team that serves the patient’s interest above all other concerns. Team members may include pharmacists, physicians, physician assistants, nurse practitioners, nurses, and other healthcare providers. This experience may be directed and evaluated by one or more preceptors. PROFICIENCIES (Outcomes): 1. Apply pharmacotherapy principles and foundational knowledge to deliver patient-centered care. 2. Apply knowledge of the structural and functional dimensions of a Drug Information Service 3. Apply pharmacy practice management skills related to human resources, medication resources, informatics, pharmacy workload

and financial performance 4. Communicate with health professionals effectively in oral and written format using appropriate documentation methods and

systems 5. Display professional behavior, self-awareness, advocacy, and commitment to the profession ASSESSMENTS:

1) Preceptor Mid and End of Rotation Evaluation 2) Intern self, mid, and end of rotation evaluation 3) Assignments:

To be graded by preceptor using the standard rubrics on Blackboard. To be uploaded by student on Blackboard before the last day of the rotation

a. Complete one drug information request per week using standard form for a total of 6 (six) per rotation b. Complete one journal club on a landmark or other assigned trial

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1. Grading Criteria Grading Criteria is competency based. Minimal passing performance is 70%. A total of 500 points may be achieved upon completion of the assigned APPE. These points are composed of scores as delineated below. The following maximum point values may be achieved in each of the areas: Final Evaluation from preceptor (rubric) 300 points Assignments 100 points Practice Experiential Director Grade __ 100 points*** TOTAL 500 points *In order to receive a passing grade for the rotation the intern: 1. Must NOT receive four (4) or more “2” ratings on the end on rotation evaluation 2. Must NOT receive a “1” rating on the end on rotation evaluation on dimensions.



Grading Scale:

A = 450 - 500 points (90 - 100%) B = 400 - 449 points (80 - 89%) C = 350 - 399 points (70 - 79%) D = 325 - 349 points (65 - 69%) – repeat APPE F = <325 points (< 65%) – repeat APPE

**To obtain a grade of C or better the student must: a. Follow honor code and guidelines of the Internship and Attendance Policies. b. Complete all required course evaluations (preceptor, site, intern). c. Complete all assignments. d. Submit all required rotation paperwork by the appropriate deadlines.

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COURSE TITLE AND COURSE NUMBER: Geriatrics – PHAR 5695 HOURS CREDIT: 6 COURSE PURPOSE: The goal of the Geriatric Advanced Pharmacy Practice Experience is to provide opportunities for students to build upon knowledge and skills acquired through didactic education and Introductory Pharmacy Practice Experiences and apply them in direct patient care activities in the ambulatory care setting. Students will actively participate in direct patient care using the elements of JCPP Pharmacist Care process which includes obtaining patient medical and medication histories, providing drug regimen reviews, interviewing patients, evaluating therapy adherence, developing medication management plans, monitoring patients' therapeutic outcomes, consulting with physicians and non-physician providers, and providing education to long term care patients and health care professionals. This course takes place in a long term care setting. Team members may include pharmacists, physicians, physician assistants, physical therapists, nurse practitioners, nurses, and other healthcare providers. This experience will be directed and evaluated by one or more preceptors. Interprofessional Experience: The pharmacist is a member of an interdisciplinary team that serves the patient’s interest above all other concerns. Team members may include pharmacists, physicians, physician assistants, nurse practitioners, nurses, and other healthcare providers. This experience may be directed and evaluated by one or more preceptors. PROFICIENCIES (Outcomes): 1. Apply pharmacotherapy principles and foundational knowledge to deliver patient-centered care. 2. In collaboration with the health care team, provide safe, effective and cost-effective patient care to a diverse

patient population following a consistent JCPP pharmacist patient care process 3. Administer medications to a diverse patient population. 4. Ensure continuity of care during patient transitions between care settings. 5. Apply the systems approach to medication safety activities to identify and report medication errors 6. Apply pharmacy practice management skills related to human resources, medication resources, informatics,




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ASSESSMENTS:


A minimum of one (1) intervention per week using the method stated below. Interventions will be graded on quality and completeness. Qualtrics will be used to log your interventions. Please follow instructions no blackboard for ambulatory care courses. You will have 6 interventions at the end of the rotation. Of those six (6), you will need the following.





e. Complete one drug information request using standard form f. Complete one journal club on a landmark or other assigned trial



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Grading Scale:



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