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  • Summer 2019

    PHM W287H – Clinical Skills: Community Care

    The University of Texas at Austin College of Pharmacy

    Community Introductory Pharmacy Practice Experience (C-IPPE)

    Syllabus and Manual

  • 1 | P a g e

    TABLE OF CONTENTS

    ITEM PAGE(S)

    Course Syllabus 2-25

    PhIRST

    Student-intern guide 27-36

    Preceptor guide 37-54

    FORMS

    Introduction letter 56

    Goal setting 57

    Comprehensive Medication Review 58-62

    Behavior change action plan 63

    MTM follow-up 64

    Drug Utilization Review (DUR) 65

    Pharmacy site survey 66-76

    Key elements of prescription workflow process 77-82

    Reflections 83-84

    This manual is for student-interns and preceptors participating in the Community IPPE. It contains all

    of the information needed to successfully complete this experience. While it is a lengthy document, it

    is intended to be an extensive reference to use throughout the experience. The course syllabus

    describes all of the required experiences along with how the student-intern will be evaluated on each

    experience. The PhIRST guide will provide step-by-step instructions on how to navigate through the

    College of Pharmacy’s evaluation and hours documentation system that the student-intern will

    continue to use in their P4 year. The forms section contains copies of all of the assignment forms the

    student-intern will complete. The student-intern has access to these documents in the Canvas

    learning management system.

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    UNIQUE NUMBERS

    Austin: 88083

    Course Coordinator: Sharon Rush, R.Ph.

    PHR 2.222F, 512-232-3463

    sharon.rush@austin.utexas.edu

    Office hours by appointment

    IPPE Coordinator: Sherrie Bendele

    PHR 5.102, 512-232-2630

    s.bendele@austin.utexas.edu

    Office hours by appointment

    COURSE GOALS

    The Community Introductory Pharmacy Practice Experience (IPPE) is an activity-based

    experience in a community pharmacy practice setting designed to help student-interns develop

    a better understanding of the profession of pharmacy from a community pharmacy

    perspective. This experience will better prepare student-interns for their Advanced Pharmacy

    Practice Experience.

    COURSE OBJECTIVES

     Student-interns will be able to integrate basic clinical and scientific knowledge in the care of

    ambulatory patients in actual practice settings through the performance of Medication

    Therapy Management

     Student-interns will review patient medication histories and develop action plans to

    optimize a patient’s medication therapy and outcomes

     Application of communication skills and behavioral change models as student-interns

    encourage patients to improve lifestyle behaviors that affect health outcomes

     Enhance knowledge of Top 300 Prescription and Top 50 Non-Prescription drugs

     Assess patient safety by performing drug utilization reviews, drug information requests and

    analysis of the prescription filling workflow process

     Demonstrate longitudinal learning through continued application of patient assessment and

    immunizations

    mailto:sharon.rush@austin.utexas.edu mailto:s.bendele@austin.utexas.edu

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     This course provides 92 Patient Care IPPE hours, 0 hours of simulation and 2 hours of

    reflection toward the student-intern’s overall IPPE requirement.

    PREREQUISITES

    Completion of the second professional year in the College of Pharmacy. The student-interns

    will have completed the following courses prior to their Community IPPE:

    P1 year:

     Normal Physio/Pathophysiology I & II

     Pharmaceutical Biochemistry I & II

     Physical & Chemical Principles of Drugs

     Medicinal Chemistry Principles

     Basic Pharmaceutical Science Lab

     Biopharmaceutics

     Intro to Patient Care A & B

     Pharmaceutics

     Personnel Mgmt and Patient Behavior

    P2 year:

     Drug Information and Evidence-Based Practice

     Pharmacotherapeutics I & II

    o Labs/Renal/Autonomics

    o Inflammatory Diseases

    o Hypertension

    o Arrhythmias

    o Blood Clotting and Hyperlidemia

    o Heart Failure & Acute CV Disease

    o Respiratory Diseases

    o Antibiotics

    o Infectious Disease Management

    o Antiviral, Antifungal, Anti-Parasitic

     Nonprescription Pharmacotherapeutics I & II

     Patient Assessment Skills

     Pharmacy and the Healthcare System

     Pharmacy Professional Communications

     Experiential Pharmacy Practice and Patient Counseling

     Integrated Basic and Applied Kinetics

  • 4 | P a g e

     Interprofessional Ethics

     Introduction to Clinical Skills

     Institutional IPPE

    P3 year (fall):

     Basic IV Admixtures

     Pharmacotherapeutics III & IV

    o Psychiatric Disorders

    o Surgical and Pain

    o Addiction

    o Oncology

    o Neurology

    o Diabetes

    o Gastrointestinal

    o Hormones

    P3 year (spring):

     Advanced Pharmacotherapeutics

     Pharmacy Law

     Advanced Evidence-Based Practice

     Pharmacoeconomics

    COURSE STRUCTURE

    Prior to the P3 year, student-interns will be distributed to three campuses: UT Austin,

    UTHSCSA, and UTRGV. Within these geographic areas, student-interns will be assigned to a

    preceptor and will participate in community/ambulatory care-specific activities. Flexibility to

    accommodate the student-intern’s class and lab schedule, preceptor availability and patient

    load will be observed. Student-interns will complete 92 hours over the course of the semester

    at approximately 6-7 hours per week. During this time, student-interns are required to

    participate and complete assigned activities.

    COURSE LITERATURE

    Required:

     “Delivering Medication Therapy Management Services in the Community” APhA

    certificate course (online)

    Recommended:

  • 5 | P a g e

     “The Patient Care Process for Delivering Comprehensive Medication Management”

     “Enhancing Motivation for Change in Substance Abuse Treatment”

    o NOTE: While this focuses on substance abuse, the communication principles

    behind behavior change can apply to any healthcare situation where a patient

    may need to change a behavior, lifestyle or routine to achieve a better outcome.

     Various handouts and/or articles provided on Canvas

    REQUIRED ACTIVITIES AND RELATED DOCUMENTATION FORMS

    This course utilizes three different documentation systems:

    Canvas Learning Management System: Additional resources may be found at:

    https://utexas.instructure.com/courses/633028 and at

    https://utexas.instructure.com/courses/633028/wiki/canvas-for-students-new. Canvas will be used for

    communication, distribution of course materials and documents, submission of assignments and grading of

    assignments.

    APhA website: This course utilizes the APhA MTM website at www.pharmacist.com to document most materials

    related to the APhA MTM certificate course. Web links and voucher codes will be provided to you by the IPPE

    coordinator, Sherrie Bendele.

    PhIRST: PhIRST is the UT College of Pharmacy’s experiential program database. It requires a UT EID and

    password to enter the system. You utilized this system in your Institutional IPPE and will again throughout your

    P4 rotations. This system will document all hours at the practice site, self-evaluations and preceptor evaluations.

    All of your prescription management activities and professional points will be documented here. The evaluation

    and hours forms are considered legal documents since they are periodically audited by the Texas State Board of

    Pharmacy in order to determine and verify internship credit hours. These will be electronically maintained,

    certified and submitted by the pharmacist-intern and preceptor. Final approval will be performed by the course

    coordinator at the end of the semester.

    You will be required to complete activities in the following areas:

     Medication Therapy Management

     Top 300 Prescription and Top 100 Non-Prescription drugs

     Patient Safety

     Prescription Management

     Electives

    https://utexas.instructure.com/courses/633028 https://utexas.instructure.com/courses/633028/wiki/canvas-for-students-new http://www.pharmacist.com/

  • 6 | P a g e

    Details for each of these areas are provided on pages 7 - 15 of this document.

    Orientation to Practice Site

    Several items have been provided to make the student-intern’s orientation to the practice site more efficient

    while setting specific goals that an individual student-intern would like to achieve.

    Introduction letter: The student-intern will fill out the provided introduction letter and send it to the preceptor.

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