pha 5942 introductory pharmacy practice experience ii ... · as part of their introductory pharmacy...
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PHA 5942 Introductory Pharmacy Practice Experience II:
Community Practice Requirement Manual
Preceptor’s Edition
College of Pharmacy Health Science Center Department of Pharmacy Practice PO Box 100486 Office of Experiential Programs Gainesville, Fl 32610-0486 Tel: (352) 273-6228
The Foundation for The Gator Nation An Equal Opportunity Institution
Dear Pharmacist,
Allow us to take this time to thank you for your participation in helping further student pharmacy education and careers in pharmacy. We understand that the importance of practice experience cannot be overemphasized in the profession of pharmacy today. Understanding the principles of proper patient care is essential if pharmacy is to grow as a profession and maintain the respect of patients and other health care providers. We hope that you will join us in conveying these messages to our students. As part of their Introductory Pharmacy Practice Experience Course (PHA 5942c), students in their first professional year are required to gain exposure and competence in the community pharmacy setting prior to their continuance in their degree program for their second professional year. To acquire this exposure and competence they are required to spend 80 hours under the supervision of a pharmacist preceptor in a community setting at some point during that first year. So as to provide maximum flexibility to our students and the pharmacists they work with we have designed this experience in such a way that the students can do it at any community pharmacy willing to provide the experience and that is committed to helping them meet the objectives regardless of where the pharmacy is located. Students may complete this experience at any point prior to their beginning their second year. You will find below a guide to aid you in assessing a student’s competency levels on the various objectives listed. The primary focus of this experience will be to document their competence in the prescription dispensing process while offering them significant opportunity for exposure to the careful and systematic assessment of the patient's drug therapy, to identify potential and existing drug related problems, and work with other health care team members to minimize the risk to the patient in a community pharmacy setting. The student will learn the goals of clinical intervention and the steps necessary to effectively execute those interventions. Evaluating and solving drug related problems, optimizing patient interactions, and acting as a primary health care source are also goals. We sincerely ask you to help students achieve all of these goals in their time at your practice. The student is required to provide at minimum 80 hours of unpaid* service. Each student must demonstrate that they have completed the listed competencies with professionalism. Please check off the items that were fulfilled and sign the list at the end of the 80 hours of service for the pharmacy student to return to their campus course coordinator. This layout is designed to help the preceptor observe specific goals that must be achieved during a pharmacy student’s time there. The completion of the hours and proper paperwork completion is the responsibility of the pharmacy student. They should take the initiative to ask for feedback and improve on their skills during their time at work with you.
* ACPE accreditation standards do not allow for sites to pay students for hours that are being accrued to meet course requirements for coursework in a pharmacy degree program.
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Contact Information:
Overall Course Coordinator: Randell Doty, Pharm.D. Office: (352) 273-6228 Fax: (352) 273-6498 Email: doty@cop.ufl.edu Jacksonville Campus: Carol Motycka, Pharm.D. 580 W 8th Street/Tower 2 Jacksonville Campus Director Jacksonville, FL 32209-6533 Office: (904) 244-9590 Fax: 904-244-9591 Email: motycka@cop.ufl.edu Lisa Inge, Pharm.D. Jacksonville Assistant Campus Director Office: (904) 244-9590 Email: Inge@cop.ufl.edu Orlando Campus: Erin St. Onge, Pharm.D. 2725 Binion Road Orlando Campus Director Apopka, Florida 32703-8504 Office: 407-884-2034 ext 141 Fax: 407-814-6185 Email: stonge@cop.ufl.edu Renee Rose, Pharm.D. Orlando Assistant Campus Director Office: 407-884-2034 ext 136 Email: rlrose@cop.ufl.edu St. Petersburg Campus: Jennifer Williams, Pharm.D. 9200 113th Street North, PH 105 St. Petersburg Campus Director Seminole, FL 33772 Office (727) 394-6213 Fax: 727-394-6149 Email: williams@cop.ufl.edu Carinda Feild, PharmD St Pete Assistant Campus Director Office (727) 394-6213 Email: cfeild@cop.ufl.edu
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Criteria and Responsibilities for Sites, Preceptors and Students
Site Criteria:
A community pharmacy setting where students can participate in the following activities:
• All areas of the medication use system (prescription receipt, order processing, dispensing, administration and patient monitoring).
• Initiatives that promote safe, accurate, and time-sensitive delivery of medications. • Preparation of medications for patients (perform basic calculations, establish a patient profile,
evaluate appropriateness of using basic dosing criteria) • Interaction with all employees in order to learn the roles/responsibilities of all pharmacist positions
and pharmacy technicians/other staff. • Interview/counsel patients about both prescription and self-care products. • Communicate with other health professionals to clarify prescription orders.
Sites should also have:
• Physical resources and computer technologies that are standards of practice in the community setting.
• Procedure/policies are established to prevent, identify, report and analyze medication errors and adverse reactions.
• References appropriate for community practice.
Preceptor Criteria:
A preceptor for Introductory Pharmacy Practice Experiences should:
• Have the desire to teach pharmacy students. • Be a licensed or a registered health care practitioner in good standing with his/her respective state
board of practice. • Practiced in their discipline as a licensed practitioner for at least the past 2 years or be willing to co-
precept with a practitioner who meets this requirement. • Read and be willing to follow the program of activities/assessments detailed in the IPPE manual for
the IPPE program they are precepting. • Be aware of the preceptor training resources available to them noted in the IPPE program manual • Demonstrate the professional attitudes and values that students are expected to develop including:
o Practice ethically o Demonstrate compassion for patients o Accept personal responsibility for patient outcomes o Member or leader within at least one professional pharmacy organization
• Utilize clinical/scientific publications in clinical care decision making and evidence-based practice.
Preceptor Responsibilities:
• Provide guidance and a safe environment for students to accomplish their goals and objectives. • Verify that student achieved all goals and objectives as stated below, using the Competency Checklist
found on page 9.
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• Verify student has completed all mandatory hours without pay, using the Record of Experience found on page 10.
Preceptor Benefits:
• Pharmacists choosing to participate may (but are not required to) become appointed as clinical faculty for the University of Florida College of Pharmacy.
• Preceptors have access to training and CE from the Preceptor Training and Resource Network. The instructions for accessing this are on page 13.
Student Responsibilities:
When participating in this experience, students are expected to:
• Engage in patient care, operational, or other activities as directed by their preceptor and as needed to meet the requirements of this experience.
• Maintain professionalism while achieving completion of all competencies and goals. (Please see the UF professionalism compact at the end of this document that all UF students agree to.)
• Ensure requirements are met and documentation is submitted for successful completion of this experience, including:
o Providing a minimum 80 hours of unpaid* service to the community pharmacy setting under the supervision of a pharmacist preceptor.
o Filling out all proper paper work, found on pages 8 and 9, to be approved by preceptor and submitting documentation to individual campus contacts
o Establishing feedback system with supervising pharmacist to enhance quality of work and progression throughout pharmacy education program
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Frequently Asked Questions:
How do I become a registered preceptor?
If you are a pharmacist licensed and in good standing with the board we believe you are capable of providing this experience. (See the preceptor criteria on page 4 of this manual.) We will be recording the fact that you have supervised students in our database. This will allow students to see that you have been a preceptor before. In addition, preceptors can choose to be appointed as clinical faculty if they would like to. Please contact Melissa Willingham <mwillingham@cop.ufl.edu> if you would like to start this process.
Does my site have to be affiliated with UF via contract?
Yes, since this is part of a university course this is the case. This helps both the site and the university be covered from a liability point of view. For most chains stores this contract is already in place. This is also the case for many independents pharmacies that we have worked with previously. If you have already precepted UF students in the past more than likely this is already in place. Please contact Melissa Willingham <mwillingham@cop.ufl.edu> if you need help with this process.
What kind of contact will there be with the College?
Aside from the documentation included in this package there is no requirement to be in touch with the College per se. We would be happy to speak to you if you have questions/concerns/suggestions. We very much want to hear feedback on how the experiences are going and are available as a resource if you or your student are having trouble of some sort. You can find the contact information for this course on page 3. We will be providing preceptor development opportunities in addition to those listed in this Manual that we will announce via the email contacts we gather from the documentation you submit.
Can a student complete this requirement at a store they already work for?
This somewhat depends on the restrictions of the site. From the perspective of the College it would be ok. This does not change the limitation that they cannot be paid for this portion. For example, if a student worked at a pharmacy, they could stay after their paid shift was completed or come in on their days off and accrue hours toward this requirement. If however the site did not allow employees on site and not clocked in this would not work at that site.
What should I do if there are issues regarding professionalism with the student?
As mentioned in the section on student responsibilities we expect our students to conduct themselves in a professional manner. (See the professionalism compact on page 11) Students who do not meet these standards are not meeting the requirements of the experience and should be counseled. If the problem persists you are not obligated to continue their experience. If such issues happen please contact us. We will need to help that student learn from the situation.
Why not just place them in pharmacies like you do for advanced students?
Our goal by choosing this method was to increase the flexibility of sites, preceptors and students while at the same time opening up opportunities for students and preceptors to participate in these activities at locations distant from our campus locations. Prior to this, the number of sites involved and their locations were limited to those specific geographical areas. By choosing this method students can complete this requirement on weekend, over breaks, etc.
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Goals, Objectives & Activities
Upon completion of this experience the student should possess the following via demonstration of the listed competencies. Please initial all the competencies that were met by the student during their time with you using the Competency Checklist provided on page 9 of this document
1. Recognition of the professionalism that the community pharmacist must display when interacting with other healthcare related personnel and patients (Competencies 15,17)
a. Maintaining a good attitude when cooperating with other healthcare personnel and patients. b. Using professional judgment when interpreting professional standards to colleagues and patients. c. Respecting and having an open mind to the opinions and advice of other healthcare personnel
and patients. d. Accepting responsibility and accountability for your own action and as a professional in the field
of pharmacy.
2. An understanding of the covenantal relationship between the pharmacist and patient goes beyond filling the correct medication for the correct patient, but encompasses empathy and trust between the two parties (Competencies 16,18)
a. Uphold the responsibility of caring for the patient, beyond filling the prescription. b. Respect the confidentiality of the patient. c. Express empathy for patients, patients’ families, and health professionals. d. Be aware of cultural sensitivity among a patient population. e. Assess health literacy and adherence/compliance.
3. An understanding of the laws and regulations that a pharmacy and pharmacist must abide by within their professional practice (Competencies 8,9,10,13,14)
a. Follow all laws and regulations that a pharmacy and pharmacist must abide by, which can include, but are not limited to the following:
i. Obtain the appropriate and necessary licensure, permits, and equipment needed to practice.
ii. Keep appropriate records of pharmacy/patient documentation according to state and federal laws/regulations.
iii. Be conscious of patient confidentiality by following HIPAA’s regulation. iv. Understand how to prevent, identify, report, and analyze medication errors and adverse
reactions. b. Be knowledgeable in the legal and professional standards governing the field pharmacy. c. Display ethical and moral values when dealing with colleagues and patients.
4. An understanding of the basic daily duties of the community pharmacist: (Competencies 1,2,5,10,11) a. Interpret prescriptions for completeness and accuracy by identifying key components of a
prescription and being able to perform verification of any uncertainties. b. Validate and physically document called-in prescriptions from voicemail recorded from a health
care provider’s office. c. Prepare, fill, and document prescriptions accurately, including simple compounded preparations,
to be dispensed to patients with instructions. d. Provide consultation and recommendation of OTC products to patients. e. Understand how the responsibilities of a staff pharmacist differ from those of the pharmacy
manager and technicians. f. Assist in resolving billing problems.
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5. An awareness of the safety role the community pharmacist engages to protect the patients, the pharmacy, and him/herself: (Competencies 3,13,14)
a. Understand the process of identifying and resolving medication related problems while being able to implement strategies to prevent future occurrences.
b. Describe the record keeping process for controlled substances and poisons received, stored, and dispensed by the pharmacy, including governmental forms to be processed.
c. Describe the pharmacy’s quality assurance program, including medication error prevention, narcotic inventory control, and pharmacy inspections, etc.
6. Recognition of the important role of effective communication in the pharmacy setting and a capability to properly perform the skill of communication not only at a professional level but also properly at the patient level: (Competencies 4,6,7)
a. Appropriately communicate with patients or health care professionals to confirm prescription information or clarify unclear/missing components.
b. Address questions posed by patients and health care professionals with answers that are appropriate, professional, and directed to the individual inquiring.
c. Provide the opportunity for counseling to each patient and, when counseling, do so effectively. d. Use appropriate references available in the pharmacy when addressing concerns from patients
and questions from other health care professionals.
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Competency Checklist for IPPE 2 Community Practice Requirement In concert with the above listed Goals and Objective, under the direct supervision of the preceptor or a supervising pharmacist, the student should show that they are competent in each of the areas listed below. The preceptor or supervising pharmacist should initial each line when competence has been adequately demonstrated. In many situations there may be multiple pharmacists supervising the student depending on the pharmacists’ shifts or the area of the pharmacy operation in which the student is participating. The initials placed below should be those of the supervising pharmacist who has actually witnessed the demonstration of competence. Competency Initials The pharmacy student has demonstrated that they can: 1. Interpret prescriptions for completeness and accuracy. _______
2. Prepare, fill, and document prescriptions accurately. _______ 3. Understand the process of identifying, resolving, and preventing medication related problems. _______
4. Communicate with patients or health professionals to confirm or clarify prescription information. _______ 5. Prepare (using appropriate calculations) simple preparations accurately to be dispensed to patients _______
6. Use appropriate references available in the pharmacy to counsel patients or answer questions asked by patients or health professionals.
_______
7. Give appropriate answers to questions asked by the patient or health professionals. _______ 8. Describe the appropriate and necessary licensure, permits, and equipment needs of the pharmacy. _______
9. Comprehend the legal and professional standards governing pharmacy. _______ 10. Comply with regulations and deal ethically with colleagues and patients. _______
11. Assist patients by providing a consultation and guiding the patient in selecting the most appropriate OTC product.
_______
12. Contrast the responsibilities of staff pharmacist and pharmacy manager and pharmacy technicians _______ 13. Describe the record keeping for controlled substances and poisons received, stored, and dispensed
by the pharmacy.
_______ 14. Describe the pharmacy’s quality assurance program, including medication error prevention,
narcotic inventory control, and pharmacy inspections, etc. _______
15. Use professional judgment when interpreting professional standards in the patient’s interest. _______
16. Demonstrate an understanding of the pharmacist’s responsibility to the care of the patient, and respect the confidentiality of the patient.
_______
17. Cooperate with pharmacy staff and maintain a good attitude when completing the experience _______ 18. Demonstrate human relation skills with patients, patients’ families, and health professionals _______ There may be sites that will not be able to provide the activities necessary to meet all these competencies. In such a case the preceptor should mark those competencies as N/A (Not Available). If the activities were available but for reasons outside the control of the student they were unable to participate in them, the preceptor should mark these as N/O (No Opportunity)
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University of Florida College of Pharmacy
RECORD of EXPERIENCE for
(Student Name) (UFID) (Pharmacist Preceptor's Name) (Pharmacist Preceptor's License#) (Name of Pharmacy) (Pharmacy Phone Number) (Pharmacy Address) (City, State and Zip code)
Week Beginning Week Ending Hours Month Day Year Month Day Year Total Hours =
(Pharmacist Signature/Date) (Pharmacist Preceptor's Email)
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University of Florida College of Pharmacy
Faculty/Staff/Student’s Compact Exhibiting professional behavior is a never ending necessity which starts at the beginning of pharmacy school and continues throughout one’s career. We are all committed to act as professionals in all situations to protect our patients, our college, and our profession. This compact is an agreement to work in a partnership to promote professionalism within all faculty, staff, and students. One way of achieving this goal is to demonstrate the behaviors listed in the UF PHARMD CORES. If everyone continues to strive to exhibit these behaviors in all situations, this compact will be fulfilled by our team effort. Together, we will be successful in attaining our goal of meeting professional standards within our college.
As a University of Florida student, faculty or staff member, I pledge to follow the
UF PHARMD CORES Uplifting leadership
Develop ways to lead fellow pharmacists and other health care professionals to achieve superior patient care
Accept responsibility to find ways to help lead patients toward better health and quality of life
Functional in all environments
Maintain professional demeanor
Demonstrate the ability to control frustration and anger during stressful situations
Develop new ways to improve stressful situations
Personally responsible and motivated for self-‐improvement
Fulfill responsibilities completely and on time with the proper amount of effort
Independently identify tasks which need to be completed and completes with in a timely manner
Accept responsibility for actions
Be aware of his/her limits in pharmacy practice and be willing to ask for help
Accept and responds appropriately to criticism
Honesty and demonstrates integrity
Follow all confidentiality guidelines in all aspects of healthcare
Follow up with all questions from team, patients etc.
Altruistic
Serve as a patient advocate
Reliable
Arrive on time as agreed upon and fully participates
Communicate well with all involved parties
Mature and dependable
Demonstrate personal commitment to tasks, patients, and team
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Exhibit acceptable attendance
Demonstrate empathy with patients and family
Develop proper patient rapport
Exhibit creative thinking when solving problems
Identify personal biases and work to ensure these are not affecting patient care
Dedicated to the profession of pharmacy, to the team, and the patients
Function well with the health care team
Promote the practice of pharmacy within the health care team
Build a good rapport with all
Work diligently with team to solve problems
Committed to excellence and collaboration
Advocate for change in pharmacy practice as health care changes occur
Exhibit an inquisitive drive for improvements in patient care and pharmacy practice as a whole
Demonstrate a strong work ethic
Organizational involvement
Participate in professional organizations to promote the practice of pharmacy
Respectful of others
Work with all members of healthcare team in a proper manner
Treat patients and family members with respect at all times
Interact respectfully with patients who might not exhibit respect in return
Demonstrate tolerance and acceptance for people and different situations
Ethical
Strive to behave ethically in all situations
Show the ability to identify any improper procedures and is willing to report these to improve patient care
Understand the principles behind developing proper professional relationships with patients
Service driven
Exhibit dedication to the improvement of the patient and overall community
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