Experiential Education Manual
VII. APPE Rotations

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G. Selective A/B APPE Rotation

1. Description

The Selective Professional Experience Rotation courses are four credit-hour course, intended to be taken as part of the Pharmacy Practice series. A variety of locations both within and outside the state of Oklahoma are utilized as teaching/practice sites. The course is designed to expose the pharmacy student to the practical aspect of working in a specialized area of the student’s interest. Among some of the types of rotations that are available are Indian Health Services, Home Health Care Services, Nuclear Pharmacy, Long Term Care Facilities, Scholarship, Research, Administrative, Pharmacy Benefit Management, and additional Community, Institutional, and Medicine experiences.

A significant portion of the course is practical experience. During the rotation, each student will be placed under the supervision of an approved preceptor. The student will devote a minimum of 40 hours per week practicing as an intern. The student will be involved in daily activities as well as special 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 Activates

Each student will be required to participate in various activities within the site to which they are assigned. Activities will vary from site to site 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 decision 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 drug utilization reviews to determine the presence of the following:
      1. Therapeutic duplication, drug-disease contraindications, drug-drug interactions, 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 selective rotation setting
    4. Identify opportunities for health promotion and/or counselling on wellness behaviors
    5. Provide patient education in a well-organized and patient specific manner
    6. Develop, document, and monitor therapeutic plans that accommodate patients’ psychosocial, behavioral, socioeconomic, religious, moral, and cultural factors
  3. Interprofessional Collaboration
    1. Identify roles and responsibilities of healthcare team members
    2. Effectively communicate and collaborate with members of an interprofessional team to advocate for pharmacy-related patient care needs
    3. Describe the function of and/or attend pharmacy-related meetings
  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 pharmacist, understanding the importance of personnel management
    3. Identify the organizational structure and general management policies of the site
    4. Describe how safety, licensing, and accreditation organizations strive to ensure quality of healthcare
    5. Apply pharmacy laws and regulations to practice
    6. Comprehend and utilize the site’s formulary policy, understanding the formulary development process
    7. Describe the processes related to financial decision-making in the pharmacy, including inventory control and insurance reimbursement
    8. Describe pharmacoeconomic factors that impact safety and provision of patient care
    9. Describe the appropriate preparation and use of non-sterile, sterile, and hazardous medications, including injectable preparations
    10. Accurately, safely, and effectively process medication orders and dispense prescriptions 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 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, judgment, and insight

4. Required Assessments

Students 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, projects, discussion boards, and quizzes 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 in the following areas:

  1. Electronic discussion boards and quizzes = 20 points
  2. Projects = 30 points
  3. Preceptor Evaluation = 50 points
  4. Total Points Possible = 100 points

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

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