Experiential Education Manual
VII. APPE Rotations

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D. Community A/B APPE Rotation

1. Description

The Community Professional Experience Rotation courses are four credit hour courses intended to be taken as part of the Pharmacy Practice series. A variety of community pharmacies within and outside the State of Oklahoma are utilized as teaching/practice sites. During this course the student will gain experience with both prescription and non-prescription medications, administrative functions, and specialty areas in a community pharmacy.

A significant portion of the course is practical experience. During the rotation, each student will be placed under the supervision of an approved preceptor and will be assigned a SWOSU Pharmacy Practice Experiential faculty member. The student will devote a minimum of 40 hours per week practicing as in intern in a community pharmacy. The student will be involved in daily activities as well as projects assigned by the preceptor.

In addition to reporting to an assigned preceptor, each student will also report to a designated SWOSU Pharmacy Practice Experiential faculty member. During the rotation, various reading assignments and projects may be required by the faculty member. Completed projects will be submitted to the appropriate faculty member. The faculty member will visit with each student to discuss and provide feedback for assignments and projects. These assignments and projects are separate from the preceptor’s assignments.

2. Daily Activities

Each student will be required to participate in daily activities within the pharmacy to which they are assigned. Activities will vary from pharmacy to pharmacy, based on services offered.

3. Objectives

The preceptor(s) and student(s) will work together to meet rotation objectives applicable to the rotation by setting goals, guiding activities, performing assessments, and conducting self-reflections. Objectives may include, but are not limited to, the following:

  1. Foundational Knowledge and Skills
    1. Demonstrate appropriate depth and breadth of pharmacotherapeutics and disease-related knowledge for making decisions or recommendations
    2. Effectively prioritize responsibilities and workload
    3. Interpret drug literature and other resources to formulate an appropriate response to drug information requests
    4. Accurately perform pharmacy calculations for medications given by various routes including those that are compounded
  2. Direct Patient Care
    1. Perform prospective drug utilization reviews to determine the presence of the following:
      1. Therapeutic duplication, drug-disease contraindications, drug-drug interactions, incorrect dosage, incorrect duration of therapy, drug allergy interactions, suboptimal utilization
    2. Demonstrate effective verbal and/or written communication
    3. Provide patient care through the application of the Pharmacist Patient Care Process, as it applies to the community pharmacy setting
    4. Identify opportunities for health promotion, counseling on wellness behaviors, and education on self-management techniques
    5. Address patient-specific factors contribution to suboptimal medication use including patients’ psychosocial behavioral, socioeconomic, religious, moral, and cultural factors
    6. Recommend medications, non-drug therapy alternatives, and/or follow-up care with other members of the healthcare team when appropriate
    7. Provide patient education in a well-organized and patient specific manner, including points outlined in OBRA 90:
      1. Name & strength of drug, dosing regimen, dosage form, route of administration, duration of therapy, special directions and precautions for administration, common side effects, self-monitoring techniques, proper storage, prescription renewal, actions to take of a dose is missing
  3. Interprofessional Collaboration
    1. Identify roles and responsibilities of team members
    2. Effectively communicate and collaborate with other professions to advocate for pharmacy-related patient care needs
  4. Practice/Systems Management
    1. Describe the function, use, and potential benefits and errors associated with medication use systems
    2. Describe the appropriate roles of technicians, interns, and pharmacists, understanding the importance of personnel management
    3. Identify the organizational structure and general management and security policies of the site
    4. Describe how safety and licensing organizations strive to ensure quality of healthcare
    5. Apply pharmacy laws and regulations to practice.
    6. Describe the inventory considerations related to financial decision-making in the pharmacy
    7. Describe factors affecting pharmacoeconomics, including third party participation, management, and reimbursement
    8. Describe procurement, security, and management of controlled substance inventory
    9. Describe the appropriate preparation and use of non-sterile, sterile, and hazardous medications
    10. Accurately, safely, and efficiently process, verify, and dispense prescriptions by utilizing onsite technology
    11. Participate in medication safety and quality assurance processes
    12. Apply evidence-based guidelines in patient-specific and population-based care
    13. Act as a patient advocate
  5. Professionalism and Accountability
    1. Demonstrate ability to engage in self-assessment and self-directed learning.
    2. Demonstrate an ability to work on a team with others including preceptor, staff, healthcare professionals, and other students
    3. Explore innovative approaches to improve quality or overcome barriers in the practice of pharmacy
    4. Demonstrate professionalism as it relates to appearance, timeliness, initiative, responsibility, judgement, and insight

4. Required Assessments

Student will have the opportunity to demonstrate progress and will be evaluated by the preceptor via the APPE Midpoint and Final Evaluation tool.

During the rotation, completion of various reading assignments and projects will be required. Each of these must be completed by the deadline set by the preceptor and/or the SWOSU Pharmacy Practice Experiential faculty member.

Assigned activities may require time outside the rotation. Students should consult their preceptor and faculty member to inform them of planned projects before beginning any assignment. If you have any questions regarding the projects, contact the preceptor or faculty member. Additional assignments may be assigned by the preceptor or faculty member.

5. Grading and Examination

The final grade will be assigned based on evaluations on the following areas:

Final Examination = 30 points
Projects = 20 points
Preceptor Evaluation = 50 points
Total Points Possible = 100 points

The following scale will normally be used in evaluation all areas of performance in the Community Professional Experience rotation.

A = 93 or above
B = 86-92
C = 75-85
D = 70-74
F = 69 or below