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
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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
Office hours by appointment
IPPE Coordinator: Sherrie Bendele
PHR 5.102, 512-232-2630
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
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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
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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:
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“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
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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.
This will help set up the items to cover during the orientation meeting.
Goal Setting: To make the experience more meaningful to you and the preceptor, set three goals for the
semester that you and your preceptor want to achieve.
Orientation items: The student-intern needs to bring the following items to the orientation meeting:
Introduction letter
Goal setting form
Schedule of classes, labs and exams
Dates of professional meetings, etc.
Experience Form Where to locate form Where to submit form
Introduction letter and Goal Setting form Canvas Canvas
Medication Therapy Management
Complete American Pharmacist’s Association Delivering Medication Therapy Management Services national
certificate training program. These activities include medication therapy review, development of personal
medication records and medication-related action plans, intervention and referral, documentation and follow-
up. Pharmacist-interns will accomplish this by participating in the following:
Completion and documentation of five CMR MTM cases from your practice site with the following criteria:
Minimum of five prescription medications
Minimum of three chronic disease states
Failure to meet these criteria may result in a zero grade for that CMR case
Follow-up with patients on MTM Cases #1 and #2
Experience Form Where to locate form Where to submit form
MTM form for comprehensive medication
reviews
Canvas
MTM form
Canvas
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Behavior change action plan and Follow-up
documentation on MTM Cases #1 and #2
MTM Reflection
APhA MTM Certificate course
Self-study Assessment
Live Seminar evaluation
Post-seminar exercise
MTM Certificate of Achievement
Action plan and
Follow-up
documentation
form
Reflection
APhA MTM Certificate
course forms found
on-line at APhA
website (link and
voucher code
provided by Sherrie
Bendele)
MTM forms for
comprehensive medication
reviews
Action plan and Follow-up
documentation forms
Reflection form
APhA MTM Certificate course
forms are completed on-line at
APhA website (link and voucher
code provided by Sherrie
Bendele)
Know Your Medicine: The College of Pharmacy has a community outreach initiative called Know Your Medicine
(KYM) that offers free comprehensive medication reviews to underserved populations. Student-interns can use
cases from KYM events provided the following guidelines are observed:
The student-intern must obtain approval from their assigned community site preceptor. The site may have
plenty of cases to work through and that needs to be the student-intern’s priority. If there is difficulty
getting cases at the assigned site, this gives the student-intern another option.
The student-intern needs to fill out an FPD Community Service hours documentation form and have it signed
by the preceptor at the KYM event. Turn form into Prof Rush
Preceptor: Student-intern will need training on any MTM platform you utilize, such as Mirixa or
OutcomesMTM. Please review all cases with student-intern before they turn them in for a grade.
Top 300 Prescription Drugs and Top 100 Non-Prescription Drugs
Student-interns will utilize Access Pharmacy’s Top 300 flashcards and study guides as they work through the
semester. This list will cover the majority of medications that are dispensed in a community pharmacy and help
prepare for the P4 year and NABLEX.
Student-interns will have to create a profile on Access Pharmacy at https://accesspharmacy.mhmedical.com/.
Extensive study flashcards are provided under the Study Tools tab. Become familiar with all of the material on
these flashcards and utilize them as you work up your MTM cases.
Top 300 Prescription Drug Challenge – This is a set of short exams to test your knowledge. Different tiers of
questions correspond to particular years of the average PharmD program. There are eight different medication
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categories. The student-intern will test in each of those categories and post the results on Canvas. The
categories are:
Analgesics
Anti-infectives
Cardiovascular
Endocrine
Gastrointestinal
Miscellaneous
Neurologic
Respiratory
Top 100 Non-Prescription Drugs – Review and apply to patient counseling at rotation site.
Experience Form Where to locate form Where to submit form
Access Pharmacy Top 300 Prescription Drug
flashcards and Drug Challenge test results
Access Pharmacy Top 100 Non-Prescription Drug
flashcards
Access Pharmacy
Study Tools tab
Top 300
Prescription Drug
and Top 100 Non-
Prescription Drug
flashcards
Top 300
Prescription Drug
Challenge
Pick Tier 2 for each
exam
Take exams and
submit
Email test results
to your email
Save and submit to
Canvas
Canvas
Test results for each of the
eight categories
Quiz for Top 100 Non-
Prescription Drugs
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Preceptor: You do not need to do anything in this area. Feel free to quiz your student-intern on these
medications. You should be able to access these as well since you are UT preceptor. You will need to set up
your own account, but it should be free of charge.
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Patient Safety
Patient safety exercises - For this course, patient safety is defined as any aspect of the prescription process that
may affect the accurate delivery and administration of a medication. This process follows the prescription from
the prescribing physician to the actual use by the patient. The patient safety exercises include:
Completion of six Drug Utilization Reviews. One review will be submitted on Canvas for grading. All reviews
will be documented on the student evaluation form in PhIRST.
Completion of a Pharmacy Site Survey that mimics a Texas State Board of Pharmacy (TSBP) inspection
Completion of the Key Elements of the Prescription Filling Workflow Process worksheet and algorithm based
on the Institute of Safe Medication Practices (ISMP) model
Experience Form Where to locate form Where to submit form
Drug Utilization Review (DUR)
Must perform minimum of six DUR’s
Only turn in one DUR for grading
Pharmacy Site Survey
Key Elements of the Prescription Filling Workflow
Process worksheet
Algorithm based on Institute of Safe Medication
Practices (ISMP) model
Patient Safety Reflection
All Patient Safety
forms found on
Canvas
Canvas
Drug Utilization Review
(DUR): Only ONE DUR form
will be submitted on Canvas
for grading.
Pharmacy Site Survey
Key Elements worksheet
ISMP model algorithm
Reflection
PhIRST
All DURs are dated and signed
off on the student evaluation
form by the student and
preceptor
Preceptor:
DURS
Please point out any DURs to the student-intern that occur while they are there. You may need to go ahead
and resolve the issue to keep the workflow moving, but you may want to print it out and have the student-
intern resolve it on their own as well.
The student-intern will need to document completion of six DURs on Canvas. You will need to approve
these. See PhIRST section for instructions.
They will turn in a form on Canvas for a grade – you do not need to review this.
Pharmacy Site Survey
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The student-intern may need guidance on locating items on the survey. You are not responsible for reviewing
this form. The student-intern will submit it for a grade on Canvas.
Key Elements and algorithm for prescription workflow
The student-intern will submit this for a grade on Canvas. I recommend reviewing their findings with them if
you have time.
Prescription Management
Prescription management activities – These activities include some of the most basic duties of a community
pharmacy while reinforcing communication skills learned in the P1 and P2 years. The areas are:
Prescription transfers from one pharmacy to another. This does NOT include transfers between pharmacies
that are within the same company.
Taking new prescriptions over the phone from a healthcare provider
Counseling patients on new medications
The student-intern is asked to perform the Indian Health Services counseling technique. This evidence-based
technique is a more interactive style of communication and has shown to provide significantly greater recall of
key information compared to traditional counseling methods. The key questions are:
What did the doctor tell you this medication was for? (Name and purpose)
How did the doctor tell you to take the medications? (Dose, frequency, duration, storage, technique)
What did the doctor tell you to expect? (Positive outcomes, side effects and what to do)
Final verification – “Just to make sure I did not leave anything out, please tell me how you are going to use
your medication.”
Experience Form Where to locate form Where to submit form
PhIRST
Prescription transfers, taking new prescriptions over the phone and patient counseling activities are dated
and signed off on the student evaluation form in PhIRST by the student-intern and preceptor.
Preceptor: Approve all transfers, new prescriptions and counseling documented by student-intern on PhIRST.
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Elective Activities
Student-interns will participate in a minimum of two of the following elective activities to build upon previous
learning and skill development:
Administration of immunizations
Public health projects
Demonstration of patient assessment skills through health screenings, etc.
Other activities assigned by preceptor
NOTE: Not all practice sites participate in immunizations and health screenings. If these are not available to
you, you will pick two other activities with the approval of your preceptor.
Experience Form Where to locate form Where to submit form
Elective Reflection Canvas Canvas
Preceptor: All student-interns will be expected to administer immunizations if your site participates in that
program. You may assign the student-intern more than two elective experiences if you have time.
Immunizations and health screenings are assessed on PhIRST in the Exercises Evaluation form. Any other
elective experiences may be evaluated in the preceptor notes section for End-of-Rotation evaluation. Simply
state the experience and if the student-intern completed the exercise satisfactorily.
REFLECTIONS
Reflections on experiences will be required at designated times. These reflections give the student-interns an
opportunity to think about what they have learned and examine the procedures used in completing each
exercise. It is strongly encouraged to write the reflection immediately upon completion of the exercise while it is
still fresh in the student-intern’s mind. It is also strongly recommended that reflection notes are written on a
weekly basis to keep track of highlights and thoughts that occur. Reflections need to be one to two pages in
length and will be submitted on Canvas.
Preceptor: There is nothing you need to do in this area. The student-intern will submit for a grade on Canvas.
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STUDENT ASSESSMENT
This is a 2-hour experience-based course graded “Credit/Fail”. To receive credit for this course, the student-
intern must satisfactorily complete ALL course requirements. Failure to successfully complete ANY of the course
requirements independently may result in automatic failure of the entire course. If a student-intern fails this
course, the course must be repeated. You are not guaranteed to be able to take it during the next offering since
practice sites are limited. A delay in graduation is possible since the course takes place over an entire semester
and is only available during the fall and spring semesters.
Details for these assessment areas are provided on pages 15 - 19 of this document.
EXPERIENTIAL HOURS
Pharmacist-interns must complete a minimum of 92 experiential hours. These will be documented in PhIRST and
approved by the preceptor.
Preceptor: Approve all hours documented by student-intern in PhIRST.
CANVAS ASSIGNMENTS
There are a total of 25 assignments to submit on Canvas for grading. Each assignment is awarded points based
on grading rubrics. Total points awarded on all assignments must be 70% or better in order to pass this portion
of the course. If a student-intern has less than 70% of the total possible points, they will be allowed to submit an
additional MTM case for grading. If this additional case does not bring the student-intern’s points to 70%, the
student-intern fails the course and it must be repeated. The assignments consist of:
Five MTM cases from your practice site
Behavior change action plan and Follow-up documentation on MTM Cases #1 and #2
Top 300 Prescription Drug Challenge test results (8 categories)
Drug Utilization review exercise
Pharmacy Site Survey
Key Elements of the Prescription Filling Workflow Process worksheet
Algorithm based on the Institute of Safe Medication Practices (ISMP) model
Four reflections
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PRECEPTOR EVALUATION FORM
The preceptor evaluation form on PhIRST will document the student-intern’s performance in 16 designated
areas, prescription management activities and professional points.
Preceptor evaluation of designated areas: The first three exercises apply to Medication Therapy
Management. Exercise 4 applies to Public Health and exercises 5 & 6 apply to Patient Safety. Exercises 7 & 8
apply to the elective exercises and all may not be applicable to the student-intern’s evaluation. Exercises 9 – 16
apply to professional development and allow the preceptor to assess the student-intern on slightly more
subjective and important areas. It is possible that all the bullet points under each exercise are not able to be
accomplished in every practice setting for which this form is used. Each exercise will be evaluated as it applies to
the practice site. An evaluation rubric is attached to the online evaluation form and will be used to assess your
performance. In order to satisfactorily complete the preceptor evaluation, the student-intern:
Must NOT receive 3 or more “2” ratings on the end of rotation evaluation on Exercises 1-8
Must NOT receive a “1” rating on the end of rotation evaluation
A mid-rotation evaluation will be recorded on the student-intern’s evaluation form. The practitioner-faculty
member should discuss the student-intern’s overall performance with him/her, pointing out strengths and
areas where improvement can be made. Any indication that the student-intern may fail the course needs to
be reported to the course coordinator as soon as possible.
Prescription management activities:
Prescription transfers – Minimum of three
Taking new prescriptions over the phone – Minimum of three
Counseling patients on new medications – Minimum of 24
NOTE: The preceptor has the discretion to have you perform more of these activities than the minimum
requirement.
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APHA MTM CERTIFICATE PROGRAM
APhA’s Delivering Medication Therapy Management Services in the Community certification program plus
all required activities and documentation. Attendance at the live portion of this program is required – no
exceptions. Failure to attend the live portion of this program may result in automatic failure of PHM 287H.
Successful completion of Self-Study Statement of Credit
Successful completion of the pre-case workup
Attendance at live portion of course
View Canvas modules on Elderly Patient and The Business of MTM
Completion and documentation of five CMR MTM cases from your practice site with the following criteria:
Minimum of five prescription medications
Minimum of three chronic disease states
Failure to meet these criteria may result in a zero grade for that CMR case
Completion of seminar evaluation
Completion of post-seminar exercise
Completion of MTM Certificate of Achievement
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PROFESSIONAL POINTS
Professional points: Professionalism is expected anytime the student-intern is at the assigned site or related
events/activities. It is also expected in the Canvas assignments. Patient safety, pharmacy efficiency and
adherence to TSBP rules and laws are affected when a community pharmacist does not show up on time, is
inappropriately dressed, or fails to get assigned work accomplished on time. If the student-intern receives a total
of 15 or more professional points during the course, the student-intern may fail the course regardless of
completion of all other course elements. The points are documented on the evaluation form on PhIRST and are
determined as follows:
Unexcused absence – 10 points for each occurrence
Violation of HIPAA – 10 points for each occurrence
15+ minutes late for a shift – 3 points for each occurrence
Lack of professional business casual attire, lab coat or UT name badge worn during your assigned shifts – 1
point for each occurrence
Late evaluation or hours forms – 3 points for each day past deadline
Missing designated deadlines on course timeline – 3 points for each day past deadline. These include the
following:
All MTM cases – four separate deadlines throughout the course
Action plan and Follow-up with MTM Cases #1 and #2
Top 300 Prescription Drug Challenge
Top 50 Non-Prescription Drug quiz
Drug Utilization review exercise
Pharmacy Site Survey
Key Elements of the Prescription Filling Workflow Process worksheet
Algorithm based on the Institute of Safe Medication Practices (ISMP) model
All reflections
Missing designated deadlines on APhA’s MTM certificate course may result in additional cost to you as
determined by APhA or not receiving your MTM Certificate of Achievement. Some employer groups and
insurance companies are now requiring this certificate. You must complete all of the following to print the
certificate at the end of the course:
Self-study Statement of Credit
Seminar evaluation
Post-seminar exercise
MTM Certificate of Achievement
Preceptor: Since we cannot be there with the student-intern, we rely on our preceptors to evaluate their
professionalism at the site. Please evaluate the following areas on PhIRST:
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Unexcused absence – 10 points for each occurrence
Violation of HIPAA – 10 points for each occurrence
15+ minutes late for a shift – 3 points for each occurrence
Lack of professional business casual attire, lab coat or UT name badge worn during your assigned shifts – 1
point for each occurrence
SCHEDULES
Schedules will be determined by the student-intern and site preceptor. The number of hours
scheduled each week may vary depending on the student-intern, the preceptor and the
practice site’s activities. All efforts will be made to accommodate the schedules of involved
entities. Weekend and evening hours may be necessary to fulfill all course requirements, i.e.
Saturday screenings, immunization clinics, etc. Schedules for the following month need to be
determined by the 22nd day of the month. A week’s notice is required for any changes to the
schedule and must be approved by the student-intern and site preceptor. This notice must be
done in the preferred form of the preceptor and may include email, phone call or other
methods. It is required that student-interns be present on all days of the scheduled rotation
period. Regular and prompt attendance mimics the actual working world. If you are unable to
make your assigned shift at the last minute due to illness or other unforeseen circumstances,
you must call the practice site as soon as you know you are unable to make your shift. Failure
to do so may result in a deduction of 10 professional points. Studying for exams, double
scheduling events during your assigned shifts, etc. are not considered unforeseen
circumstances. Holidays may be observed by the pharmacist-intern provided the preceptor
approves. Religious holidays may be observed according to University policy. The student-
intern must make up the hours missed during this time.
Hours:
The Hours Form in PhIRST is designed to keep track of all hours completed each week. It is the
student-intern’s responsibility to ensure this form is complete, accurate and current on a
weekly basis. If a preceptor feels that there is reason to believe that a student-intern may be
misrepresenting his/her hours as recorded on the hour sheet, they have been instructed to
notify the Course Coordinator immediately. This type of behavior constitutes academic
dishonesty and will not be tolerated. The penalty for falsification of hours is failure of the
course.
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STANDARDS OF CONDUCT
Student-interns are required to abide by the facility’s Health Information Portability and
Accountability Act (HIPAA) policies. You may be required to sign a temporary HIPAA form at
your site.
Student-interns must abide by all laws and regulations pertaining to a stsudent-intern as
defined by the Texas Pharmacy Act and Rules. Violation of these laws and regulations may
jeopardize the student-intern’s privilege to become a registered pharmacist in Texas and
may also result in failure of the course and dismissal from the College and/or the University.
Student-interns will be removed from a practice site for conduct deemed unprofessional by
the preceptor and/or Student Affairs Office, or if the student-intern’s actions endanger a
patient’s health or welfare. Removal from a practice site may result in failure of the course.
The core values of the University of Texas are learning, discovery, freedom, leadership,
individual opportunity and responsibility. Each member of the university is expected to
uphold these values through integrity, honesty, trust, fairness and respect towards peers
and the community.
Professional demeanor and dress are expected and required throughout the course. The
student-intern is representing the University of Texas College of Pharmacy and is expected
to behave accordingly.
IPE Involvement: You will be communicating with other healthcare professionals such as
pharmacists, nurses, Physician Assistants, Nurse Practitioners and physicians. You may also
have some interaction with professional pharmacy students from other Colleges of
Pharmacy at your practice site. Most of these communications (other than pharmacists and
other student-interns) will be via phone or fax. Professional communications, both oral and
written, are expected at all times.
Resources and references used: Student-interns need to use appropriate references and
guidelines throughout the course from respected and widely recognized scientific journals,
publications and national guidelines. All resources used need to be cited on designated
assignments and any material that is used or developed in the public health project.
Wikipedia, known biased references, and resources that are not nationally recognized by
the scientific community are not to be used. Failure to properly recognize resources is a
violation of the honor code and is considered unprofessional conduct.
Academic Integrity: Each student-intern in the course is expected to abide by the
University of Texas Honor Code: “As a student of The University of Texas at Austin, I
shall abide by the core values of the University and uphold academic integrity.”
Plagiarism is taken very seriously at UT. Therefore, if you use words or ideas that are
not your own (or that you have used in previous class), you must cite your sources.
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Otherwise, you will be guilty of plagiarism and subject to academic disciplinary action,
including failure of the course. You are responsible for understanding UT’s Academic
Honesty and the University Honor Code which can be found at the following web
address: http://deanofstudents.utexas.edu/conduct/
Honor code – You are expected to follow the University of Texas College of Pharmacy
honor code during this course. The complete honor code can be found at
http://www.utexas.edu/pharmacy/students/handbook98/3code.html
There may be more than one student-intern per practice site. It is acceptable to work
together on MTM cases if the preceptor allows it. However, all assignments turned in must
be the original work of each student and not duplicated by all student-interns at that site.
For example, all student-interns at that site can do the pre-work and patient interview on
an MTM case. Student-interns need to complete their own action plan. You will need to
coordinate with each other on any physician and patient communications so there is no
duplication of effort or confusion.
GENERAL REQUIREMENTS
Student-interns need to provide a binder to keep all records and documentation.
E-Mail and Canvas messages – Email and Canvas messages are recognized as an official
mode of university correspondence; therefore, you are responsible for reading these for
university and course-related information and announcements. You are responsible for
keeping the university informed about changes to your email address. Please check your
email and Canvas messages regularly and frequently. Daily checking is recommended, but
should be a minimum of twice weekly to stay current with university and course-related
communications, some of which may be time-critical. You can find UT Austin’s policies and
instructions for updating your email address at
http://www.utexas.edu/its/help/utmail/1564.
Transportation – Each student-intern attested to, as part of the annual survey, and will be
held accountable for the following statement:
“I understand that I am responsible for my own personal transportation to and
from any practice sites to which I am assigned for the purpose of completing
experiential course requirements (CARE program, IPPEs, APPEs). This may include
the use of public transportation, or other methods of transportation, if I cannot
drive. It may also include a commute of longer distances than anticipated.”
Prompt arrival is expected.
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Dress Code - UT student-intern name badges, business casual dress and white jackets are to
be worn at all times while fulfilling the course objectives. Blue jeans and open-toed shoes
are unacceptable dress even if the practice site allows it. The Texas State Board of
Pharmacy requires you to have your intern card in your possession at all times.
Cell phones are not to be used for personal business during the hours at your site. You may
use them to access resource materials related to the course with the permission of your
preceptor.
Services for Students with Disabilities: Student-interns with disabilities may request
appropriate academic accommodations from the Division of Diversity and Community
Engagement, Services for Students with Disabilities at 512-471-6259 (voice) or 512-232-
2937 (video phone) or www.utexas.edu/diversity/ddce/ssd.
Counseling and Mental Health Center: Do your best to maintain a healthy lifestyle this
semester by eating well, exercising, avoiding drugs and alcohol, getting enough sleep and
taking time to relax. This will help you achieve your goals and cope with stress. All of us
benefit from support during times of struggle. You are not alone. There are many helpful
resources available on campus and an important part of the college experience is learning
how to ask for help. Asking for support sooner rather than later is often helpful. If you or
anyone you know experiences any academic stress, difficult life events, or feelings like
anxiety or depression, we strongly encourage you to seek support. You can find more
information at the following website:
https://www.cmhc.utexas.edu/individualcounseling.html
Campus Carry: Student-interns should familiarize themselves with the information provided
by the University regarding the implementation of campus carry legislation. Information
sheets can be found at http://campuscarry.utexas.edu/information.
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TIMELINE
Deadlines for required documentation are on the timeline which is the last page of the syllabus.
All required documentation for the week must be submitted by 11:59pm that Sunday.
DATE ACTIVITY COMPLETED
Live Training Already completed along with all online modules
Week One: 6/6 – 6/9 Contact preceptor, set up orientation meeting and send
introduction letter
Initial self-evaluation completed by student on PhIRST
Week Two: 6/10 – 6/16 Complete scheduled hours at rotation site
Site orientation
Complete MTM-related Canvas videos
Goal setting form due
Top 300 Prescription Drug Challenge – Access Pharmacy (8
quizzes)
Review Top 100 Non-Prescription Drugs - Access Pharmacy
Week Three: 6/17 – 6/23 Complete scheduled hours at rotation site
Week Four: 6/24 – 6/30 Complete scheduled hours at rotation site
All Patient Safety exercises and reflection due
Week Five: 7/1 – 7/7 Complete scheduled hours at rotation site
CMR MTM Case #1 and Behavior Change Action Plan #1 due
Mid-rotation exercise and overall summary evaluations
completed by preceptor and student on PhIRST
Week Six: 7/8 – 7/14 Complete scheduled hours at rotation site
CMR MTM case #2 and Behavior Change Action Plan #2 due
Week Seven: 7/15 – 7/21 Complete scheduled hours at rotation site
CMR MTM case #3 due
Elective reflection due
Week Eight: 7/22 – 7/28 Complete scheduled hours at rotation site
CMR MTM case #4 due
Follow-up on MTM Cases #1 and #2 due
Week Nine: 7/29 – 8/4 Complete scheduled hours at rotation site
CMR MTM case #5 due
Goals reflection due
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MTM Reflection exercise due
Week Ten: 8/5 – 8/8 To complete by 11:59pm on August 8th
All scheduled hours at rotation site
All course requirements, including Canvas assignments
Final exercise and overall summary evaluations plus hours forms
on PhIRST by student-intern and preceptor
All APhA on-line forms
Post-seminar exercises and evaluations
Print out MTM Certificate of Achievement for your files
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PhIRST
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Community IPPE Online Forms
Student Guide
During your Community IPPE rotation, you will document your progress and track hours worked using
several online forms (these replace the old paper forms you may have seen in past years). Using these
online tools, your preceptor and coordinator can also work with you document your activities and
evaluate your proficiency at the assigned tasks. You may view and print the online forms at the end of
the rotation for your records, and the College will continue to make them available online.
ENTERING THE EXERCISE EVALUATIONS
1. Go to the IPPE Portal at https://utdirect.utexas.edu/phirst/comm_ippe_evaluations.WBX
and log in with your EID.
The portal will give you access to all the online forms for the rotation and show you the completion
status of your evaluations. Currently you can access the Exercises Evaluation and the Hours Sheet.
Later in September, the Summary Evaluation will be available. You will not need to enter a summary
until the rotation midpoint.
To enter the exercises evaluation, click on the link at the bottom of the ‘Exercises’ column. It will
read ‘Begin Exercises’ your first time through, and will create a form for you. Thereafter it will read
‘View/Update Exercises’ (as in the example below), until the Course Coordinator approves the
evaluation, at which point you can access by clicking ‘View Exercises’, as no further updates are
allowed.
It is a good idea to bookmark the portal because you will be coming back to it throughout the
semester.
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2. Click the (Begin)/View/Update Exercises link to view the following screen. Check the rotation
header to make sure your name and other rotation data are correct. It is possible that only the
course name and date/rotation info are filled in, until your preceptor has been authorized for the
forms; then their name and site information will appear.
Note the links above the header, which allow you to jump to the prescription management activities
at the bottom of this page (you can also scroll down but there are 16 exercises, so it can take a
while). You can also use the middle link to jump back to the Evaluation Portal, and in the near
future you can jump to the Summary screen as well.
3. Please review the Performance Criteria and Scoring Rubric before rating the exercises; you and the
preceptor will be using the same rubric.
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4. Initially you will fill out the start-of-rotation evaluation, based on your self-evaluation of each of the
skills mentioned in the middle section. Enter a score of from 1-5 in the section marked in red
“(req’d) Start of Rotation”. You may also enter a comment in the section at right under “Student
Comments”.
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5. Continue down the exercises and enter an eval score for each; exercises 7 and 8 are optional, but
you may wish to rate them anyway if they are relevant to your rotation (please check with your
preceptor to be sure).
6. Once you have completed the initial evaluation of all the exercises (except possibly 7 and 8), click
the button Save Exercise Evaluations at the bottom of the section.
7. At the midpoint, and again at the end of the rotation, return to the Exercises and score your Mid-
rotation and End-of-rotation competency (the required sections will be so marked, as with the initial
evaluation). You can continue to update your student comments, and you may read your
preceptor’s comments as well. Be sure to always save the latest evaluation using the button.
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8. The Prescription Management section allows you to document your activities throughout the
rotation. Each section has its own update button: enter the dates you performed the activity and
then click Update to save them. Your preceptor will periodically approve the dates, after which
they will be locked.
Always use the date format MM/DD/YYYY (make sure it’s a 4-digit year) when entering your
activities. The data will not save correctly otherwise.
9. The Prescription Transfer and Phone activities each require 3 documented dates the activity was
performed:
The Patient Counseling activity section requires 24 such activities:
The Drug Utilization Review (DUR) section requires 6 dates of performance:
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NOTE: the summary assessment page will be available in late September, prior to the
rotation midpoint.
ENTERING THE EVALUATION SUMMARY
1. To enter the midpoint and final summary assessments (required for all rotations), from the IPPE
Portal, you will click the link under the Summary column.
2. You will see the same rotation header and scoring rubric as with the competencies screen.
Scroll down for instructions which are specific to the assessments screen. As a student, you will
enter only the midpoint overall assessment (800 characters or about 10 lines), and at the end of
the rotation, a final overall assessment (1600 characters or about 20 lines). You will be able to
see (but not change) your preceptor’s assessments after they have been entered.
3. Click the Submit student midpoint button after you have entered your midpoint
assessment. You may complete your midpoint either before or after your preceptor completes
his or her midpoint evaluation of you. You will return to the top of the form and may return to
the evaluation portal using the link.
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4. Repeat the process at the end of the rotation by returning to the portal, selecting the
assessments form, and scrolling to the Student Final Overall Assessment. Enter up to 1600
characters describing your experience, per the evaluation instructions you have been given, and
click the Submit student final button. You will once more be returned to the top of
the form and can go back to the evaluation portal.
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ENTERING HOURS DATA
1. Go to the IPPE portal at https://utdirect.utexas.edu/phirst/comm_ippe_evaluations.WBX
and log in with your EID.
2. Click on View/Update Hours Sheet at the bottom of the page; the hours sheet will appear.
3. Review the rotation header to make sure you’re in the right rotation, and then in the section labeled
Week 1, enter the site-based hours scheduled for each day you plan to work on-site that week.
Enter the hours for each day as a range of ‘start’ to ‘finish’ times, for example, ‘8-5’, ‘7:30-5:30’. If
there is a break during the day when you will not be working, you may enter something like ‘7-12/1-
5’. You can enter up to 25 characters for each day’s scheduled hours.
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10. You may enter your scheduled hours prior to the start of the week as you are planning them, then
click Submit to save the data. You may come back at any time during the rotation to update the
hours for any week until your preceptor has approved that week.
11. Periodically return to the hours sheet and enter your actual hours worked, in the boxes labeled
‘Total Site-based Hours Completed’. The computer will not calculate them for you based on your
schedule. The totals will be automatically computed and displayed after you have entered them
however.)
You must use only digits and an optional decimal point in the hours-completed boxes; do not use +, >, < or
other characters. You may estimate your time to a fraction of an hour; however it must be in decimal format.
12. Here is an example of Week 1 after hours scheduled, worked and completed have been entered,
and the preceptor has approved it.
13. When appropriate, enter any comments about something you wish to document in the row
provided, under the site-based hours completed. Your preceptor will be able to both read your
comments and add to them prior to approving each week’s hours. Once the preceptor has
approved the week’s hours, it will be locked and you will see the green approval message below the
week as in the example above. Please contact your preceptor if you need them to unlock the week
so that you can update any hours or comments.
14. Repeat the above steps for each week of the rotation. Be sure to click Submit after updating the
hours sheets to save your work. To review your totals for the rotation, scroll to the bottom of the
form at any time to see a summary of hours completed.
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15. At the end of the rotation, the Course Coordinator will review the entire hours sheet and make sure
it meets all the requirements for hours worked, and then approve it. After final Coordinator
approval, you can still view the hours sheet but you cannot make any changes to it.
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Community IPPE Online Forms
Preceptor Guide 2017
OVERVIEW
The forms for IPPE rotation evaluations and hours sheets are all online within the PHirst system,
accessible via your UT EID login. These forms replace the older paper forms that you may have filled out
in past years. Now, because these forms are integrated with PHirst, you can access them using
convenient links next to the name of each student you are precepting, when you click ‘View
Assignments’ upon logging into PHirst, as shown below.
The IPPE Rotation Evaluation is broken up into two forms: the Exercises and Activities form, and the
Summary Form. Completion of both forms is required for a complete rotation evaluation. The Course
Coordinator will sign off on the forms at the end of the rotation.
The IPPE Hours Sheet tracks the students’ expected and actual hours, with a space for comments each
week. You will need to review and approve each week after the student has entered it, which will lock
the week from further updates. At the end of the rotation, if all is in order, the Course Coordinator will
approve the hours sheet, which will lock the entire hours sheet from further updates. A totals section at
the bottom of the form will allow you to view the entire rotation’s hours, week by week (up to 16
weeks).
Each of the forms will be demonstrated in this help guide. You access both of these forms through the
Evaluation Portal, covered in the next section.
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ENTERING EXERCISE EVALUATIONS
1. Go to https://utdirect.utexas.edu/phirst/index.WBX and log in. Click View Assignments on the
Navigation Menu at left. You should see all the students assigned to you for the current year’s
rotations. Rotation ‘B’ is the Community IPPE rotation you are looking for.
2. To the right of a student’s name, under the heading ‘Evaluation’, click View/Update. There are
two separate evaluation forms that need to be filled out: one for the exercises/activities and
one for the summary; each form must be completed at both the rotation midpoint and final
milestones. When you click the link you’ll see the student’s Evaluation Portal, showing the
status of each phase of the rotation’s evaluations, for both you and the student. Below those
status lines, you’ll see the status of the director’s approval; it will either show the date approved
or that the approval is ‘Pending’.
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3. Under ‘Exercises’, click View/Update Exercises. You’ll see the form containing the rotation’s 16
exercise evaluations and prescription management activities. Please take a moment to review
the FERPA agreement regarding confidentiality of the student’s records. Additionally, note the
navigation links below the FERPA statement. Clicking the Prescription Management Activities
link will take you to that part of the form if you wish jump directly there; the exercises take up a
lot of the form so you will use this a lot. The two links next to that one will take you back to the
evaluation portal or on to the evaluation summary.
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The rotation header confirms that you’re looking at your student and the correct rotation
sequence and year. Below the header you’ll see the scoring rubric you should use for your
evaluation of the exercises, and the instructions describe how you are to perform the midpoint
and final evaluations.
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4. Scroll down a bit to the Exercises Section. All the exercise evaluations are structured the same
way: student and preceptor scoring, activities covered, and student and preceptor comments;
there are evaluations for both midpoint and final evaluations for you, as well as a ‘start of
rotation’ evaluation the student will fill out. By now, the student should have already entered
both their initial and midpoint assessments, as seen on the left-hand side of the form below the
activities.
a) Review the exercises relevant to the evaluation of this rotation.
b) Enter your assessment for the midpoint on the left side of the form (under “Practitioner-
Faculty”).
c) Optionally, you may enter a short comment (150 characters max) about this competency’s
assessment evaluation.
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Required versus Optional Exercises
All exercises are required except #7 (Health Screenings) and #8 (Immunizations), which are
optional. If any of the other exercises are missing evaluations for a stage of the rotation, that
stage will not be considered complete.
Useful Tip: If you accidentally mark a score for an optional exercise but you didn’t mean to do so,
or if you marked the final section when you meant to mark the midpoint section, you may use
the Clear button for that section to erase your score.
All 16 exercises are on the same form. Repeat the above steps for each one.
IMPORTANT: Always click the Save evaluation button at the end of the Exercises Section
so that your online session does not time out; you may thus save your work and return later on
to finish the evaluation.
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5. After you have saved the midpoint evaluation, you will be returned to the top of the form; if
your evaluation was saved, you will see the success message.
6. From the top of the form, you may click the link Return to Evaluation Portal or you may click
Summary Evaluations to continue on to that form.
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7. At the end of the rotation, after the student has entered their final evaluation scores and
assessments, return to the Exercises form via the Evaluation Portal as before, and enter your
final evaluations for each required exercise, as well as any optional exercises relevant to the
student’s experience in the rotation.
You may enter an optional final comment for each competency, if needed, as shown below.
8. Be sure to scroll to the bottom and click Save evaluation when you are finished.
9. Throughout the rotation, the student will enter their prescription management activity dates,
and you will need to approve them. There are three required instances of prescription transfer
and taking prescriptions over the phone. After the student has entered a date, you may check
the approval box and click Update.
10. There are 24 required Patient Counseling activities:
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11. There are six required Drug Utilization Review activities:
12. Below the activities, you can use the next section to track any deductions for professionalism;
you will enter the number of occurrences for each deduction, and the system will calculate the
total points deducted.
The Coordinator will add any additional deductions and the total professional points deductions
will appear in the lower-right corner of the lower box.
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Tip: note the status message concerning the Coordinator’s approval. Once it has been approved
the entire form will be locked to further updates.
13. After both you and your student have completed all required midpoint and final competencies,
and entered the required number of activities and approvals (with hopefully not too many
deductions!), the Coordinator can approve the evaluation form. Once they have approved the
evaluation it can still be viewed by you, the student and the coordinator in the future. If you or
the student needs to update any competencies after Coordinator approval, please contact the
Coordinator and they can recall their approval.
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ENTERING EVALUATION SUMMARIES
5. To enter the midpoint and final summary (required for all rotations), return to the Evaluation
Portal, and click the View/Update Summary link under the “Summary” column. As mentioned
earlier, you may also get to the summary form from the link at the top of the Exercises Form.
This is convenient if you are going to do the summary form immediately following the exercises.
Scroll down to read the instructions which are specific to the summary form.
6. At midpoint, you will:
a. enter your midpoint overall assessment of student strengths (800 characters max,
or about 10 lines);
b. enter your midpoint overall assessment of areas in which the student can improve
(800 characters);
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c. state whether or not the student is progressing;
d. enter the date the assessment was discussed with the student;
e. if the student is NOT progressing, enter an improvement plan (1600 characters or
20 lines).
NOTE: You will be able to view your student’s midpoint assessment if they have entered one,
as below.
7. Click the Submit preceptor midpoint button after you have entered your midpoint
assessment. (Because the student’s summary is optional, you may complete your midpoint
either before or after your student completes their summary of the rotation.)
8. After you submit it, you will return to the top of the form and may return to the evaluation
portal using the link provided.
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If you stated that the student is NOT progressing as expected, the Coordinator will receive an
email with a link to the student’s evaluation so they can review your assessment and plan for
improvement. You may provide additional documentation to the Coordinator if requested.
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9. Repeat the process at the end of the rotation by returning to the evaluation portal, again
selecting the summary form, and scrolling to the Preceptor FINAL Overall Assessment. Enter
up to 1600 characters for your final assessment, per the evaluation instructions. If the
student is NOT progressing as expected, enter your documentation supporting this
statement. When finished (be sure to enter the date this was discussed with the student)
and click the Submit preceptor final button. You will once more be returned to
the top of the form and can go back to the evaluation portal.
10. As with the midpoint, if the student is not progressing (the case shown below), an email will
be sent to the Coordinator so they can review the evaluation and your comments. You may
be asked to provide additional supporting documentation to the Coordinator at this time.
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11. After you and (optionally) the student have completed your summaries, the Coordinator will
approve the evaluation. Once they have approved the summary it can no longer be
changed, although it can still be viewed by you, the student and the Coordinator in the
future. If you or the student needs to update anything in the summary after that, please
contact the Coordinator and they can recall their approval.
APPROVING HOURS FORMS
16. If you have not already done so, go to https://utdirect.utexas.edu/phirst/index.WBX and log
in. Click View Assignments on the Navigation Menu at left. You should see all the students
assigned to you for the current year’s rotations.
17. To the right of a student’s name, under the heading ‘Hours’, click View/Update. You’ll see
the student’s hour sheets for the entire rotation. The header and (completed) Week 1 hour
sheet is shown below.
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18. Review the rotation header and weekly schedules. The student should have input their
Hours Scheduled prior to the beginning of a week, and then updated the form with the total
hours actually worked. There is an optional comment area for both you and the student.
19. To approve a week’s hours, scroll down and review the student’s entries. When satisfied,
you may enter a comment, and click the Preceptor Approval button below the hours
report, thus recording your approval for that week. Ideally you will approve all time sheets,
but if there are issues with the student’s report, you should discuss the discrepancy with the
student so they can update the form, or take other action as requested.
20. The Recall Approval button: once you have approved a week, the student will no
longer be able to update the hour sheet for that week. However, if you had already
approved a week, but later you would like the student to make some changes, you may
recall your approval using the button just below that week.
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21. To review the totals for the rotation, scroll to the bottom of the form at any time for the
summary of hours completed and the final Coordinator’s approval status.
22. As with the competencies and summary forms, once the Coordinator has approved the
hours form, no further changes may be made, either by you or the student. If you later
discover that changes are needed, you may contact the Coordinator yourself and they can
recall their approval.
Tip: if at any time you have problems with any of these forms, you may click the link at the
bottom:
Comments to: Pharmacy Internship Rotation Specification and Tracking (PhIRST)
to send an email to our staff so they may contact and assist you.
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Forms
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INTRODUCTION LETTER
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GOAL SETTING
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COMPREHENSIVE MEDICATION REVIEW
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BEHAVIOR CHANGE ACTION PLAN
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MTM FOLLOW-UP
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DRUG UTILIZATION REVIEW (DUR)
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PHARMACY SITE SURVEY
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KEY ELEMENTS OF THE PRESCRIPTION WORKFLOW PROCESS
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REFLECTIONS
The reflections on your course assignments gives the student-intern an opportunity to think
about what they have learned and examine the procedures used in completing the
assignments. Reflections need to be more of a self-awareness exercise instead of a factual
report. Proper grammar and spelling must be used. Here are some guiding questions to aid
you in each reflection:
For the MTM reflection, the student-intern will be doing a small group project to help
determine MTM best practices. Student-interns will be divided into small groups that will
incorporate different types of practice sites to provide more diversified responses. One person will
submit the assignment for the entire group. Those results will be compiled and formed into a working
document for future classes and rotation sites.
The areas to address are:
What should each of these roles look like at a successful MTM practice site?
Cash register
Pharmacy Technician
Lead Pharmacy Technician (if applicable)
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Student-intern
Relief or Floater Pharmacist
Staff Pharmacist
Pharmacy Manager
What tools and resources help high performers reach their MTM goals?
Does every practice site need an MTM binder? If so, what important sections should it contain?
Does every practice site need an MTM lead? If so, what would this person do?
What workflow works best for MTM or adherence calls?
Once a month, _______ (role) does _______
Once a week, _______ (role) does _______
Once a day, ______(role) does _______
What do you need from the practice site’s computer system to be successful?
