College of Pharmacy
Experiential Program
Rotation Selection Process | Preceptor Section | Student Section | Forms | Dates | Immunization Requirements | Links| Contact
Experiential Rotations Forms
For additional information, contact:
Christy F. Cox, M. Ed., Pharm. D.
Director of Experiential Programs
SWOSU Pharmacy Practice Department
Pasteur Medical Building
1111 North Lee, Suite #241
Oklahoma City, OK 73103
(405) 601-8335
Fax: (405) 601-1201
christy.cox@swosu.edu
During the Advanced Pharmacy Practice Experiential (AAPE) part of the program the student will be assigned to Nine (9) professional experiences each lasting a calendar month. These consist of
- three (3) Medicine
- two (2) Community
- one (1) Institutional
- two (2) Selective
- one (1) Ambulatory Medicine
Students will be allowed to enter up to three preferences for each of the nine rotations
On-Line Pharmacy Experiential Site Evaluations. Please complete this evaluation. It will help us improve the Pharmacy Practice rotation experience. You and your answers will be kept anonymous. Thanks
| Available Selective Rotations |
Review these sites prior to the Informational Meeting. |
| Available Medicine Rotations |
Review these sites prior to the Informational Meeting. |
| *Concurrent Hours - from Intro to Pharmacy & Pharm Care Labs (must be filled out prior to deadline) |
DOC format Adobe Acrobat format |
| *Immunization Requirements Prior to going on Experiential Rotations | Requirements |
| *Informed Consent Regarding Hazards on Clinical Rotations (to be read, signed and turned in at the Briefing Meeting) |
DOC format Adobe Acrobat format |
| *OSBI Background Check (The sex offender option must be checked or another check will have to be done.) |
HTML page |
| *Placement Application Form (request for sites, must be filled out prior to deadline) |
DOC format Adobe Acrobat format |
| *Student Agreement Form (to be signed and dated and returned prior to deadline) |
DOC format Adobe Acrobat format |
| *Vitae Form (to be filled in completely and returned prior to deadline) |
DOC format Adobe Acrobat format |
| Change of Assignment request form instructions (if you want to change your assignment) |
Adobe Acrobat format |
| Laboratory Data Sheet (to help the student follow the patient's lab data) |
DOC format Adobe Acrobat format |
| Patient Profile Sheets - DOC format is better (to assist the students on their rotations) |
DOC format Adobe Acrobat format |
| Practicum Experience Report (to let the student know where their concurrent hours came from) |
DOC format Adobe Acrobat format |
| Student Evaluation of Experiential Experience Site (filled out by the students upon completion of their rotation) |
On-Line Evaluations |
| Student Grade Sheet (experiential rotation evaluation) |
DOC format Adobe Acrobat format |
| Student Grade Sheet (medicine evaluation) |
DOC format Adobe Acrobat Format |
| Summary of Laboratory Data (a more comprehensive lab data sheet) |
DOC format Adobe Acrobat format |
Forms noted with an asterisk (*) MUST be returned to the Pharmacy Practice Office by the deadline or you will NOT be allowed to go on rotations!
If your contact information changes (e-mail address, mailing address, and/or phone number), please contact Cassie Larman (405) 601-2484 as soon as possible.
For the next 365 days...
