pha 5162l professional practice skills laboratory ii 5162l professional practice skills laboratory...

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1 PHA 5162L Professional Practice Skills Laboratory II Spring 2016 1 Semester Credit Hours Course Purpose: This course introduces foundational patient care skills and essential tasks that a pharmacist is expected to perform in daily practice. You will be asked to integrate knowledge, skills and attitudes while practicing foundational skills including: interviewing a patient who seeks self-care, researching and answering drug information questions, assisting patients and caregivers in addressing insurance/prescription coverage, dispensing medications in a community setting, and displaying professionalism. These basic skills provide a foundation for provision of patient care/pharmacy practice during years 2 through 4. The patient care skills and tasks taught in this course will prepare you to enter into community practice settings during your first Introductory Pharmacy Practice Experience. Course Faculty and Office Hours (See Appendix A for Contact Information and a List of Course Faculty) Teaching Partnership Leader: Karen R. Sando, Pharm.D., BCACP, CDE Email: [email protected] Office: HPNP 3306 Phone: (352) 273-6224 Preferred form of contact: Email Teaching Partners: Stacey Curtis, PharmD Email: [email protected] Phone: 352-273-6228 Randell Doty, PharmD Email: [email protected] Phone: 352-294-4984 Jason Powell, PharmD Email: [email protected] Phone: 352-265-7015 Brittany Johnson, PharmD Email: [email protected] Phone: TBA Lanh Dang, PharmD Email: [email protected] Phone: TBA Teresa Roane, PharmD, BCACP Email: [email protected] Phone: TBA Janet Schmittgen, RPh Email: [email protected] Phone: 352-273-6236 Kathryn Smith, PharmD Email: [email protected] Phone: TBA Stacey Baggett, PharmD (Orl) Email: [email protected] Phone: 407-313-7054 Eric Egelund, Ph.D, PharmD (Jax) Email: [email protected] Phone: 904-244-9876 Heather Dean, PharmD (Jax) Email: TBA Phone: TBA Kathleen Solomon (Jax) Email: [email protected] Phone: TBA Academic Coordinator Christine Salama, M.A. Email: [email protected] Office: HPNP 4312 Phone: 352-273-5617 Office Hours: by email and appointment

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Page 1: PHA 5162L Professional Practice Skills Laboratory II 5162L Professional Practice Skills Laboratory II ... ommunity Pharmacy” Review APhA Immunization ... Review Community Pharmacy

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PHA 5162L Professional Practice Skills Laboratory II Spring 2016 1 Semester Credit Hours

Course Purpose: This course introduces foundational patient care skills and essential tasks that a pharmacist is expected

to perform in daily practice. You will be asked to integrate knowledge, skills and attitudes while

practicing foundational skills including: interviewing a patient who seeks self-care, researching and

answering drug information questions, assisting patients and caregivers in addressing

insurance/prescription coverage, dispensing medications in a community setting, and displaying

professionalism. These basic skills provide a foundation for provision of patient care/pharmacy practice

during years 2 through 4. The patient care skills and tasks taught in this course will prepare you to enter

into community practice settings during your first Introductory Pharmacy Practice Experience.

Course Faculty and Office Hours (See Appendix A for Contact Information and a List of Course Faculty) Teaching Partnership Leader: Karen R. Sando, Pharm.D., BCACP, CDE Email: [email protected] Office: HPNP 3306 Phone: (352) 273-6224 Preferred form of contact: Email Teaching Partners: Stacey Curtis, PharmD Email: [email protected] Phone: 352-273-6228 Randell Doty, PharmD Email: [email protected] Phone: 352-294-4984 Jason Powell, PharmD Email: [email protected] Phone: 352-265-7015 Brittany Johnson, PharmD Email: [email protected] Phone: TBA Lanh Dang, PharmD Email: [email protected] Phone: TBA Teresa Roane, PharmD, BCACP Email: [email protected] Phone: TBA Janet Schmittgen, RPh Email: [email protected] Phone: 352-273-6236 Kathryn Smith, PharmD Email: [email protected] Phone: TBA Stacey Baggett, PharmD (Orl) Email: [email protected] Phone: 407-313-7054 Eric Egelund, Ph.D, PharmD (Jax) Email: [email protected] Phone: 904-244-9876 Heather Dean, PharmD (Jax) Email: TBA Phone: TBA Kathleen Solomon (Jax) Email: [email protected] Phone: TBA

Academic Coordinator Christine Salama, M.A. Email: [email protected] Office: HPNP 4312 Phone: 352-273-5617 Office Hours: by email and appointment

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This Course Will Prepare You to Perform the Following Activities Which the

Public Entrusts a Pharmacist to Perform:

EPA A1. Collect subjective and objective data EPA A2. Interpret patient data and identify problems. EPA A3. Formulate evidence-based care plans. EPA A4. Counsel a patient about medications and health-wellness EPA A5. Assess and Counsel a patient about health/wellness EPA B1. Form clinical/practice-related questions and retrieve evidence to advance patient care. EPA C1. Identify system failures and contribute to a culture of safety and improvement. EPA D1. Demonstrate soft-skills in daily practice EPA E1. Safely and accurately dispense medications within a medication use system including supervision of pharmacy technicians. EPA E2. Assist patients and care givers to obtain their medications and related para-pharmaceuticals in an affordable manner that meets their healthcare needs.

Course Objectives Upon completion of this course, the student will: 1. Collect basic subjective and objective evidence from a patient who seeks self-care, by interviewing

the patient using an organized structure and specific questioning technique (e.g. SCHOLAR-MAC). 2. Interpret patient data gathered during a self-care consultation and identify actual or potential drug-

related problems. 3. Provide counseling to a patient or caregiver seeking self-care including any need for referral. 4. Analyze new and refill prescriptions for appropriateness and enter into a community pharmacy

software system. 5. Given a patient case, select appropriate vaccines using an immunization schedule from the Advisory

Committee on Immunization Practices (ACIP), and identify appropriate timing, doses, and routes of administration.

6. Perform a patient screening for vaccination eligibility and identify valid contraindications for vaccinations.

7. Demonstrate appropriate technique for giving a subcutaneous and intramuscular vaccination. 8. In a simulated community setting, accurately dispense medications in accordance with legal and

regulatory requirements. 9. Provide counseling to a patient or caregiver on a new prescription in a simulated community

pharmacy setting. 10. Direct a technician to complete an appropriate task related to dispensing in a simulated community

setting. 11. Assist patients and caregivers in addressing insurance/prescription coverage. 12. Demonstrate the ability to perform a point of care test (e.g., lipid screening). 13. Compare and contrast over-the-counter devices for patient self-testing and provide counseling to a

patient on appropriate use of such devices. 14. Utilize drug information resources and tools within the community pharmacy setting to formulate a

response to a drug information question posed from a patient/caregiver or health care professional. 15. Perform a review of systems and interpretation of laboratory/physical exam data for a simulated

patient for the following body systems: gastrointestinal, nervous system, endocrine system, and immune system.

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16. Document patient care activities in various systems utilized in pharmacy practice (e.g. electronic health records or community pharmacy software).

17. Identify common medication errors and potential medication errors in the community setting. 18. Report concerns about medication safety through an appropriate process in a simulated community

setting. 19. Communicate medication errors to other health-care team members using structured communication

techniques (e.g. SBAR – situation, background, assessment, recommendation).

Pre-Requisite Knowledge and Skills Professional Practice Skills Lab I

Co-requisites Pathophysiology & Patient Assessment II Principles of Medicinal Chemistry & Pharmacology II Principles of Drug Individualization Personal & Professional Development

Lab Location & Sessions:

1. Location:

a. Gainesville: All labs are held in the Pharmacy Skills Lab that is located on the first floor

of HPNP Building (HPNP 1310)

b. Jacksonville: COP Lab

c. Orlando: Room 435.

2. Sessions: See Appendix D for Sessions on Each Campus.

Weekly Course Outline

Course Structure.

This course is offered in a blended learning format that utilizes a weekly module-based design that

combines pre-laboratory online learning with face-to-face laboratory instruction and performance-

based assessment. The student should expect 1 to 2 hours of pre-laboratory preparation and 2 hours of

laboratory contact time per week.

The course will take place on Mondays from 8:30 am to 6 pm HPNP 1310 (Skills Laboratory). You will be

assigned to a specific section that will meet for a 2-hour block (e.g. 8:00 am to 10:00 am). Jacksonville

and Orlando students – please check your specific campus schedule for class meetings times and

locations.

Following certain labs, a 1-hour debrief will take place via Big Blue Button Students are encouraged to

attend live to enhance the discussions. Sessions will be recorded for later viewing. Laboratory debriefs

will allow course instructors to provide feedback on class performance for in-lab activities and

simulations and allow students the opportunity to clarify questions on course content. Course

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instructors will also provide key take home points for the specific module and tips to enhance

performance during future assessments.

ALERT about Schedule: Please routinely check your campus calendar and the Canvas course site for any

messages about changes in the schedule including meeting dates/times, deadlines, and room changes.

See Appendix B for Section Times of each campus.

Dates or Week

Instructor Related Learning Objectives

Learning Activities/Topic Instructor Contact Hours

Jan 11th

Stacey Curtis

4,8,9 Module 1: New Prescriptions in the Community Pharmacy Pre-Lab Learning Activities:

Watch Lecture – “Receiving New Rxs in the Community Pharmacy” (45 min )”

Review New Rx Counseling Rubric (15 min)

In-Lab Activities:

Pre-Lab Quiz

MyDispense – New Rx activities

Voicemail prescriptions

Transfer prescriptions

New Prescription Counseling

1 hr 2 hours

Jan 18th

No Lab: MLK Holiday

Jan 25th

Randell Doty and Teresa Roane

5,6,7 Module 2: Immunizations in the Community Pharmacy Pre-Lab Learning Activities:

Watch Lecture – “Immunizations in the Community Pharmacy”

Review APhA Immunization Course materials module

In-Lab Activities:

Pre-Lab Quiz

Practice subcutaneous and IM injection technique

Practice evaluating patient’s for appropriate immunizations

2 hr 2 hrs

Jan 27th

Wednesday Jan 27th 4:00 to 5:00 pm – Big Blue Button Session (Modules 1 and 2)

Feb 1st Karen Sando

1,2,9,15 Module 3: Patient Assessment – Gastrointestinal System Pre-Lab Learning Activities:

Pre-Lab Quiz (15 min)

Shadow Health Module – Gastrointestinal System

2.25 hrs

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Dates or Week

Instructor Related Learning Objectives

Learning Activities/Topic Instructor Contact Hours

Watch Lecture – “Patient Assessment – Gastrointestinal System”

Review Patient Chart in EPIC EDU In-Lab Activities:

Pre-Lab Quiz

Team Interview – GI Complaint

Team SOAP Note

Look Up and Counsel –GI Top 200 Medications

2 hrs

Feb 8th Janet Schmittgen

3,12,13 Module 4: Point of Care Testing and Patient Self-Testing in Community Pharmacy Pre-Lab Learning Activities:

Watch Lecture – “Point of Care Testing and Patient Self-Testing” (45 min)

Review Cholesterol Screening and Cardiovascular Risk Assessment Tools (1 hour)

In-Lab Activities:

Pre-Lab Quiz

Demonstrate use of cholesterol screening devices

Compare and contrast patient self-testing devices available in community pharmacies

2 hrs 2 hrs

Feb 9th Tuesday Feb 9th 4:00 to 5:00 pm: Big Blue Button Session (Modules 3 and 4)

Feb 15th

Karen Sando

7,9,15 Module 5: Patient Assessment – The Endocrine System Pre-Lab Learning Activities:

Watch Lecture “Patient Assessment – The Endocrine System” (30 min)

Watch Lecture “Diabetes in the Community Pharmacy Setting” (30 min)

In-Lab Activities:

Pre-Lab Quiz

Diabetes Device Counseling (Glucose Meters and Insulin Devices)

Hypoglycemia Products and Counseling

Ketone Testing and Hyperglycemia Counseling

1.25 hr 2 hrs

Feb 22nd

Jason Powell

1,2,15 Module 6: Patient Assessment – The Nervous System Pre-Lab Activities:

Shadow Health Module – Neuro System Exam (30 min)

1.5 hrs

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Dates or Week

Instructor Related Learning Objectives

Learning Activities/Topic Instructor Contact Hours

Watch Lecture “Patient Assessment – The Nervous System” (45 min)

In-Lab Activities:

Pre-Lab Quiz

Review Community Pharmacy Profile of Geriatric Patient

Patient Assessment Activities o Brown Bag Medication Review o Fall Risk Assessment o Mini Mental Status Exam o Stroke Risk Assessment

2 hrs

Feb 29th to March 4th:

No Lab - 1PD Spring Break

March 7th

Janet Schmittgen and Rae Jesano

1,14,16 Module 7: Drug Information Resources in the Community Pharmacy Pre-Lab Learning Activities:

Watch Lecture “Drug Information Resources in the Community Pharmacy” (45 min)

Practice- Forming a Practice-Related Question Online Module (1 hour)

In-Lab Activities:

Pre-Lab Quiz

Drug Information Station #1 – Patient Question

Drug Information Station #2 – Prescriber Question

2 hrs 2 hrs

March 9th

Wednesday March 9th 4:00 to 5:00 pm: Big Blue Button Session (Modules 5,6,7)

March 14th

Brittany Johnson

1,2,3,16 Module 8: Introduction to Self-Care – SCHOLAR MAC/QuEST Pre-Lab Learning Activities:

Watch “Good and Bad Simulated Patient Interview – SCHOLAR-MAC/QuEST” (30 min)

Review SCHOLAR-MAC/QuEST Rubric (15 min)

In-Lab Activities:

Pre-Lab Quiz

SCHOLAR-MAC Interview with Simulated Patient

1 hr 2 hrs

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Dates or Week

Instructor Related Learning Objectives

Learning Activities/Topic Instructor Contact Hours

QuEST Write-Up

Look Up and Counsel – Dietary Supplements

March 21st

Stacey Curtis

1,11 Module 9: Prescription Insurance in the Community Pharmacy Pre-Lab Learning Activities:

Watch Lecture – “Prescription Insurance in the Community Pharmacy Setting” (45 min)

In-Lab Learning Activities:

Pre-Lab Quiz

Entering Prescription Insurance Information

Coverage Problem Stations o Drug Not Covered o Step Therapy o Prior Authorization Required

Patient Counseling Scenario – “Why Isn’t It Covered?!”

1 hr 2 hrs

March 23rd

Wednesday March 23rd 4:00 to 5:00 pm: Big Blue Button Session (Modules 8 and 9)

Mar 28th

Lanh Dang 1,2,10,17,18 Module 10: Medication Errors and Safety in the Community Pharmacy Pre-Lab Learning Activities:

Watch Lecture – “Medication Errors and Safety in the Community Pharmacy” (50 min)

In-Lab Learning Activities:

Pre-Lab Quiz

Supervising Technicians in the Dispensing Process – Preventing Errors

Patient Counseling – Explaining an Error

Reporting and Learning from an Error – Continuous Quality Improvement (CQI)

Debrief and end of class discussion

1 hour 2 hrs

Apr 4th

Karen Sando

1,2,19 Module 11: Communicating with Other Health Team Members – SBAR Pre-Lab Learning Activities:

Watch Lecture – “Communicating with Other Health Care Team Members Using SBAR” (50 min)

Watch “Good and Bad SBAR Video Examples” (20 min)

1.5 hrs

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Dates or Week

Instructor Related Learning Objectives

Learning Activities/Topic Instructor Contact Hours

Review SBAR Rubric/Checklist (15 min) In-Lab Learning Activities:

Pre-Lab Quiz

SBAR Practice in Groups of 3 (Pharmacist, Physician, Observer) (45 min)

SBAR Assessment (60 min)

2 hrs

Apr 6th Wednesday April 6th 4:00 to 5:00 pm: Big Blue Button Session (Modules 10 and 11)

Apr 11th

Randell Doty

1,2,3 Module 12: First Aid and Skin Care Pre-Lab Learning Activities:

Review materials from Patient Care 1 on Self-Care for First Aid and Skin Care (60 min)

Watch Simulated Patient Interview – “First Aid and Skin Care SCHOLAR-MAC”

In-Lab Learning Activities:

Pre-Lab Quiz

Refer or Treat Patient Interviews o Minor Wounds and Burns o Atopic and Contact Dermatitis o Lice

1.5 hrs 2 hrs

Apr 13th

Wednesday April 13th 4:00 to 5:00 pm: Big Blue Button Session (Module 12 and info about Year 1 OSCE)

Apr 18th

Kate Smith 1,2,3,4,8,11 Module 13: Cough, Cold, and Pain Pre-Lab Learning Activities:

Watch Lecture – “Filling Controlled Substances in the Community Pharmacy” (45 min)

Review materials from Patient Care 1 on Self-Care for Cough, Cold, and Pain (60 min)

In-Lab Learning Activities:

Pre-Lab Quiz

Receiving New Rxs for Controlled Substances

SCHOLAR-MAC/Quest Interview (Cough and Cold)

Insurance Coverage Problem – Allergy Medications

2 hrs 2 hrs

Apr 22nd to Apr 29th

Year 1 Objective Structured Clinical Exams (OSCE) begin – this will take place in Gainesville for ALL 1PD students (each student will be scheduled for an individual day/time, please refer to posted schedule)

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Dates or Week

Instructor Related Learning Objectives

Learning Activities/Topic Instructor Contact Hours

May 5th

Top 200 Drug Exam 8:30 am to 10:30 am (Room TBA)

Textbooks

Shadow Health Digital Clinical Experience

Students may access Shadow Health via this link: http://shadowhealth.com/

Click “Login/Sign Up” then click on “Sign Up”.

To register for the Course enter PIN # 3399-5559-2513-9889 Patient Assessment in Pharmacy

Herrier RN, Apgar DA, Boyce RW, Foster SL. eds.. New York, NY: McGraw-Hill; 1st Ed.; 2014. ISBN-13: 978-0071751940 (Text available at Access Pharmacy Database on HSC Library Website www.library.health.ufl.edu)

Instructors may require additional readings such as review articles, websites, or other reading materials

to enhance student understanding for a specific module. These resources will be provided and posted to

the course site. Some instructors may use resources that are available via Access Pharmacy in the HSC

Database.

Other Resources

Sigler Drug Cards

Students are expected to purchase Sigler Prescription Drug Cards in order to study for the Top 200 Drugs

Examination. The Card Set can be purchased by calling 1-800-446-6293 and paying by credit card.

Provide the code “florida10” and you should receive a $10 discount off of list price. Phone ordering is

available 9:00 am to 5:00 pm central time (10:00 am to 6:00 pm EST).

Students will receive a 4” ring binder containing the Top 300 drugs in 4 x 6” cards along with a

pocket index guide with full lists of included medications by generic name, brand name, class,

and rank, as well as medical abbreviations, weights & measures, and other pertinent

information.

MyDispense Community Pharmacy Software Simulation

MyDispense is an online pharmacy simulation that allows you to develop and to practice your

dispensing skills. It provides a safe environment in which you may make mistakes without

experiencing the serious consequences of practicing in the real world. For your maximum

benefit use MyDispense as seriously as you would when dispensing medicines in real practice.

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You will access a number of exercises, grouped into tutorials, each designed to support specific

learning outcomes. At the end of each exercise you will receive feedback to indicate how well

you did and to outline any mistakes you might have made. You may also undertake marked

assessment exercises in MyDispense. Each student will be provided a unique login in order to

access MyDispense for lab activities. For MyDispense resources, please access the MyDispense

Module Icon within the course site.

EPIC EDU

Epic EDU is the educational version of the UF Academic Health Center’s Electronic Health Record

(EHR). This environment is separate from the production environment which is used for actual

patient care. This educational version is used to teach both health profession students and post-

graduate residents how to effectively use the EHR to improve patient safety and quality. Each

student will receive two unique logins: 1) Shands username and password, and 2) EPIC EDU

username. The password for the Epic EDU environment is “train.” For Epic EDU resources,

including FAQ guides and how to access the system, please access the Epic EDU Module Icon

within the course site.

Student Evaluation & Grading Evaluation Methods and how grades are determined

Assessment Item Description Grade Weight Weekly Pre-Lab Quizzes (N = 13)

Weekly Pre-Lab Quizzes will be completed at the beginning of the lab session each week. Quizzes will consist of 10 multiple-choice, true-false, or case-based questions and will cover material from pre-laboratory videos, reading, or other preparatory material.

15%

Weekly Performance Assessments

For each module, in-lab activities will consist of specific performance assessments related to the content of that module. Performance assessments will include tasks and skills required of a pharmacist including: interviewing a patient seeking self-care, counseling patients or caregivers on new prescriptions, assisting patients or caregivers with insurance problems, forming drug-information questions and responses, and reporting medication errors. Weekly performance assessments will be evaluated using grading rubrics or checklists specific to that task or activity. Assessments may be evaluated individually or in teams. Rubric/checklist criteria and expectations for the in-lab assessment will be posted for each module prior to the start of lab.

35%

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Assessment Item Description Grade Weight (Example Appendix C for example Weekly Performance Checklist )

Weekly Professionalism Score

Students will be evaluated each week for professionalism on a zero to ten point scale. Please see Appendix B for specific items assessed for professionalism.

10%

Top 200 Drug Exam This will consist of 50 multiple choice questions taken from the drug cards. Eligible content includes brand name, generic name, class/indication. Students must obtain an 80% or better on this exam in order to pass the course. Those who do not achieve this score will receive an incomplete for the course and retake the exam in Professional Practice Skills Lab III in the Fall semester. If a passing score (i.e., ≥ 80%) is achieved on the second attempt then the score from both attempts will be averaged to arrive at the score which will be used for determining the course grade. Students who fail to obtain a passing score after two attempts will meet with the course coordinator to discuss potential options, which may include a 3rd attempt. Failing to pass this course may result in a student’s progression through the curriculum being delayed. A student’s performance in other aspects of the course will help determine how the situation is addressed. Resources will be provided to assist the student in self-guided study for this content.

20%

Year End OSCE Examination

The Year 1 OSCE will consist of 16 stations and will cover key skills learned throughout the Professional Practice Skills Lab Sequence in the 1st professional year. Knowledge, skills, and attitudes gained from other courses during the 1st year will also be evaluated. The Year 1 OSCE is a milestone assessment and must be successfully passed in order to advance to year 2 in the curriculum. An overall performance average across stations will contribute to the course grade. Students scoring below the minimum pass threshold will receive an incomplete in the course and must meet with the course coordinator for remediation.

20%

Total 100%

Grading Scale

> 92.5% A 89.5-92.4% A- 86.5-89.4% B+

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82.5-86.4% B 79.5-82.4% B- 76.5-79.4% C+ 72.5-76.4% C 69.5-72.4% C- 66.5-69.4% D+ 62.5-66.4% D 59.5-62.4% D- < 59.4% E

Rounding of grades: Final course grade will only be rounded up if the decimal is 0.5 or higher. The above

scale depicts this policy.

Educational Technology Use The following technology below will be used during the course and the student must have the

appropriate technology and software. Appendix A outlines who to contact if you have questions about

technology.

1. ExamSoft®

2. Canvas® Learning Management System

Class Attendance Policy

Attendance is mandatory for all labs and scheduled exams. You are expected to arrive to lab prior to the start of class and be seated so lab can begin on time. Unless there is an extenuating circumstance or serious life event (e.g. illness, death in the family), you will not be able to make-up a missed/incomplete lab or exam and you will receive a zero for any performance-based assessments scheduled for that week. Make-up labs or exams will only be given if important medical reasons warrant (e.g. doctor’s excuse, death in the family) and students contact their campus faculty course coordinator PRIOR to the start of lab in order to receive an excused absence. In the event the student cannot make their scheduled lab session (e.g. due to timing conflict with a professionally-related event scheduled in advance), the student may switch to an alternate lab session that day if this request is submitted via email to the campus course coordinator at least one week in advance. The appropriateness of the lab session swap will be up to the discretion of the campus course coordinator and may not be approved in all circumstances. Please refer to the University Attendance Policy at https://catalog.ufl.edu/ugrad/current/regulations/info/attendance.aspx

Quiz/Exam Policy

Weekly Pre-Lab Quizzes Weekly pre-lab quizzes will be administered online through the course website. Quizzes will consist knowledge related to that week’s module and covered during pre-lab preparatory activites (e.g., videos and readings). Quizzes will consist of multiple choice, true/false, or case-based questions. Weekly pre-

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lab quizzes will be completed at the start of each lab session. Performance on quizzes is an individual effort and collaboration is not permitted.

Top 200 Exam This will consist of 50 multiple choice questions taken from the drug cards. The exam will be administered via ExamSoft. Eligible content includes the brand name(s), generic name, and drug class/indication. Students must obtain an 80% or better on this exam in order to pass the course. Those who do not achieve this score will receive an Incomplete for the course and retake the exam in Professional Practice Skills Lab III in the Fall semester. If a passing score (i.e., ≥ 80%) is achieved on the second attempt then the score from both attempts will be averaged to arrive at the score which will be used for determining the course grade. Students who fail to obtain a passing score after two attempts will meet with the course coordinator to discuss potential options, which may include a 3rd attempt. Failing to pass this course may result in a student’s progression through the curriculum being delayed. A student’s performance in other aspects of the course will help determine how the situation is addressed. This is a self-taught portion of the course and students are responsible for preparing themselves for the exam. A list of the drugs that will appear on the examination will be released at the beginning of the course. Year 1 Objective Structured Clinical Exam The OSCE will consist of 16 stations where students have 10 minutes per station. Eight of the stations involve interacting with a person (patient or health-care provider) and the other 8 are computer-based questions to answer. Topics may include those from skills lab as well as from other required pharmacy courses in the 1st professional year. Each student will receive a specific appointment time for their OSCE. All students will take the OSCE at the Gainesville campus. More details will be provided on course website. The OSCEs have a minimum score which must be obtained in order to pass them. Students who fail to achieve this minimum score will meet with the course coordinator to determine the remediation process.

Make-up Quiz/Exam Policy Missing Weekly Pre-Lab Quizzes Because pre-lab quizzes will be administered at the start of the lab session, only those who are granted an excuse for missing the lab session will be granted a make-up for the quiz. In the event of a REAL EMERGENCY (illness, sudden death in the family), an extension on the weekly pre-lab quiz may be approved by the course coordinator in specific circumstances. These exceptions will be granted at the discretion of the course coordinator. Top 200 Drug Exam Attendance at the Top 200 Drug Exam is mandatory. In the event of a REAL EMERGENCY (illness, sudden death in the family), a make-up examination may be provided and is at the discretion of the course coordinator. Missing Scheduled Year 1 OSCE Examination Attendance and completion of the Year 1 OSCE is mandatory. The OSCE may only be missed for REAL EMERGENCIES (acute illness or sudden death in the family). A student who is unable to complete the exam should notify the course coordinator within 24 hours. Students with an absence deemed excusable by the course coordinator will be scheduled for another OSCE time within the testing window.

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Policy on Old Quizzes and Assignments Students will not be provided with old quizzes or assignments for study purposes in this course.

General College of Pharmacy Course Policies University Grading Policies

Please visit the following URL to understand how the University uses the course grade to compute your overall

GPA: https://catalog.ufl.edu/ugrad/current/regulations/info/grades.aspx

Concerns, Appeals, and Complaints

Students who have concerns about their evaluation of performance and/or student-faculty relations should

review the Student-Faculty Handbook for guidance. The Student-Faculty Handbook also outlines the chain

of command for any appeals and/or complaints.

Academic Integrity Policy

Students are expected to act in accordance with the University of Florida policy on academic integrity

(http://www.dso.ufl.edu/sccr/honorcodes/honorcode.php). This Honor Code specifies a number of behaviors

that are in violation of this code and the possible sanctions. Furthermore, you are obliged to report any

condition that facilitates academic misconduct to appropriate personnel. If you have any questions or concerns,

please consult the course’s Teaching Partnership Leader.

Students are also expected to abide by the UF Honor Code.

The following is the UF Honor Pledge: We, the members of the University of Florida community, pledge

to hold ourselves and our peers to the highest standards of honesty and integrity by abiding by the Honor

Code.

On all work submitted for credit by students at the University of Florida, the following pledge is either

required or implied: "On my honor, I have neither given nor received unauthorized aid in doing this

assignment."

Psychomotor and Learning Expectations

Psychomotor expectations relate to the ability to meet the physical demands of the pharmacy curriculum.

Physically impaired students and students with learning disabilities such as hearing impairment, visual

impairment, dyslexia or other specific learning disabilities such as sensory deficit or sensory-motor

coordination problems should cooperate with the faculty and staff in addressing these problems in order to

meet academic standards.

How to Request Learning Accommodations

Students with disabilities are strongly encouraged to register with Disabled Student Services in the Office for

Student Services (P202 Peabody Hall) and it is recommend this be accomplished prior to starting the course.

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Students requesting classroom accommodation must first register with the Dean of Students Office. The Dean of Students Office will provide documentation to the student who must then provide this documentation to the Instructor when requesting accommodation.

Please visit the following URL for more information: http://www.dso.ufl.edu/drc

Please note that you must arrange for accommodations in advance; grades cannot be retroactively

changed

Faculty and Course Evaluations Students are expected to provide feedback on the quality of instruction in every course based on 10 criteria. These evaluations are conducted online at https://evaluations.ufl.edu . Evaluations are typically open around mid-semester and need to be completed by the established deadline. Summary results of these assessments are available to students at https://evaluations.ufl.edu .

Computer and Other Technology Requirements Students are required to meet the following computer and technology requirements: http://pharmacy.ufl.edu/education/student-affairs/admissions/student-computer-requirements/ ExamSoft® is used for administration of exams and students are required to follow the procedures that are established for exam administration. Students must bring a laptop to class to complete exams and this laptop must meet the computer and technology requirements established by the College. These technology requirements require a backup battery with at least 2 hours of life. Students must also complete mock exams prior to the actual exam to assure that all computer features are supported by ExamSoft®.

Expectations In Class and Other Learning Activities Students are expected to:

Be diligent and timely in studying the course material.

Be on time for class sessions, quizzes, and exams.

Be prepared for group discussions and conference calls. Do your own work.

Actively collaborate with peers when assigned to groups. Inform the course coordinator about an absence from an exam or other assigned class

activity at least 24 hours prior to the event. Dress appropriately for class sessions or clinically related activities.

Turn off cell phones and other electronic communication devices during a class session or

phone conference.

Be quiet during class sessions including peer presentations. Be focused and avoid distractive behaviors in class. Appropriately use the computer in class, i.e., do not be looking at unrelated information on the

web site during class.

Participate in class or group discussions. Raise one’s hand to be recognized before making a comment during a class session.

Be respectful to the teacher.

Be respectful to fellow students in discussions.

Be courteous, respectful, and civil when using discussion boards.

Focus on the course learning activities; it is not respectful to study for other coursework during the

class session.

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Address faculty with the appropriate title and name, i.e., Dr. (last name) or Professor (last name).

Address concerns about performance or course material directly with the course coordinator, facilitator, or teaching assistant.

Seek assistance with academic or personal difficulties as soon as possible.

Communications Discussion Board Policy The purpose of the discussion board is to provide a venue for you to enhance your learning. This is accomplished by having a thread for each module where you can post questions to the course coordinators. (A thread is a single link that is devoted to a topic.) The discussion board is also a place where your instructors may post virtual cases for you to work up.

Such interaction on the discussion boards with the instructors will allow you to clarify your questions and apply what you are learning in other parts of the course. The goal of these discussions is to help you learn.

Students Netiquette on the Discussion Board:

1. Post your comment on the correct discussion thread. If you have a question about A1 (Unit A - Module 1), post it in the discussion thread for A1 and not the B1 thread.

2. The discussion board is not a place to complain. Complaints should instead be directed directly to the instructor via email. This allows the primary course coordinator to quickly address your concern without causing distraction to other students who have limited time and want to focus on learning.

3. Use "netiquette." If you have never learned "netiquette" - please visit the following URL: http://www.albion.com/netiquette/corerules.html If you follow the rules of netiquette described in this URL, you will avoid posting an embarrassing or inappropriate comment.

4. The discussion board has been designed to allow you a place to ask further questions on the material to clarify any confusion, gain a deeper understanding of the material, or ask general course questions. A question you might see on a discussion board is “What do I need to study for the exam?” Please reflect on how this question can be perceived by your lecturing faculty as well as your fellow classmates. Rewording the question to address a specific topic would be more appropriate. For example, “Dr. XX, you listed numerous side effects for drug XX on slide XX. Of those, what are the most relevant that we could expect to occur and monitor for in clinical practice.” The type of material that is covered in these classes is material that is important for patient care. All of this material is important. There are variations in courses, but please make use of your syllabus since there might be guidance on how to prepare for various exams in your classes.

5. In most situations, lectures are released as planned by the course coordinators. Clarifying at the beginning of a semester on the planned release date/time, if not posted in the syllabus, is appropriate. Continual posts on the discussion board on weekly basis can become overwhelming for the course coordinator as well as your fellow students.

Faculty member Response Time:

1. The Course Coordinators/instructors will work to respond to postings within 24 hours of the posting between Monday and Friday 12N. Responses on weekends and holidays will be

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sporatic. (On weekends when assignments are due, students are advised to post questions before 12Noon on Friday.)

Email Communications:

1. When communicating with faculty via email, the subject line needs to include the course number & title.

2. At the end of the email, in addition to listing your name, list your academic year and campus/site.

Question/Answer sessions in live class sessions: Time is usually reserved at the end of the class for questions regarding the material to clear up any confusion or expand on material covered in the particular section. This is a valuable time for all students and since time is limited, the questions should focus on the topics at hand. Questions such as, “What material will be covered on an upcoming exam?” or, “Do we need to know dosing for the exam?” are inappropriate during this time period. In our profession, all material is important. However, if this question does need to be asked, please consider using the discussion board to clarify any specific exam questions.

Religious Holidays

Please see the University policy on attendance and religious holidays:

http://www.registrar.ufl.edu/catalog/policies/regulationattendance.html#religious.

Counseling and Wellness Center

Students who are experiencing issues and events that could adversely affect academic

performance and personal health should be encouraged to meet with the course coordinator or

facilitator or appropriate administrator for guidance. Students in the Gainesville area may contact the

UF Counseling and Wellness Center for Gainesville students (352-392-1575;

http://www.counseling.ufl.edu). Students outside the Gainesville area may obtain similar contact

information from the campus/program administrator.

Emergencies

Call the University Police Department for emergencies: 392-1111 or 9-1-1

Student Crisis Students who are experiencing issues and events are also encouraged to contact their local

crisis center. For Alachua County the Crisis Center number is 352-264-6789; for Jacksonville and

Duval County 904-632-0600 and toll free for Northeast Florida at 1-800-346-6185; for Orlando

407-425-2624; and, for St. Petersburg 727-344-5555 and Tampa 211 or 813-234-1234.

The following national call numbers are also available for students who reside outside of the main

COP campuses: a) 1-800-273-8255, and b) 1-800-784-2433.

How to Access Services for Student Success Students who need guidance for course success or who are having academic difficulty should contact

their advisor/facilitator or Campus Director/Senior Associate Dean for assistance.

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Faculty Lectures/Class Activities/Presentations Download Policy

Photography, Audio-visual recording, and transmission/distribution of classroom lectures and

discussions is prohibited unless there is expressed written permission. Recorded lectures and class

sessions are authorized solely for the purpose of individual or group study with other UF College of

Pharmacy students enrolled in the same class. Such recordings may not be reproduced, shared, or

uploaded to publicly accessible web environments. Students who do not adhere to this policy will

be considered to be breeching COP copyrights and/or FERPA law.

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Appendix A. Faculty and Staff: Who to Contact and Course Faculty Listing Directions for Contacting Course Faculty All questions on lecture material and course communication will occur through the discussion board on the course website. Discussion boards will be organized by weekly module topic and questions should be posted in appropriate location. The discussion board will be reviewed and questions answered within 3 business days after the posting. If you do not receive a response within 3 business days after posting, please email the academic coordinator who will then contact the faculty directly. Below is a guide about which faculty or staff to contact based on the specific question area you may have:

Academic Coordinator: 1. Questions about dates, deadlines, meeting place, etc. 2. Availability of handouts and other course materials 3. Assignment directions

Teaching Partnership Leader (Course Coordinator) 1. Issues related to course policies (absences, make up exams, missed attendance) 2. Questions about grades 3. Concerns about performance 4. Guidance when there are performance problems (failing grades) 5. General questions about content Distance Campus Coordinator(s) Jacksonville Coordinator(s): Lori Dupree, PharmD, BCPS Email: [email protected] Phone: 904-244-9590 Eric Egelund, PhD, PharmD Email: [email protected] Phone: 904-244-9876 Orlando Coordinator(s): Stacey Baggett, PharmD Email: [email protected] Phone: 352-273-6228

Teaching Partnership Faculty Members 1. Questions about content

Questions related to EPIC EDU 1. Technical problems (issues logging in, Citrix Receive download not opening, etc.). Call the EPIC

helpdesk at 352-265-0526 Teaching Partnership Leader (Course Coordinator) – Dr. Karen Sando Dr. Sando joined the UF faculty in September 2010. She earned an Associate of Arts in Pre-Pharmacy at St. Petersburg College in 2004. She went on to the University of Florida and graduated in 2008 with a Doctor of Pharmacy. After completing pharmacy school, she completed a residency specializing in Ambulatory Care through the University of Florida. After her residency, she worked for Shands Jacksonville in the UF Family Medicine clinic conducting pharmacy services in anticoagulation, pain management, and diabetes. Dr. Sando currently is the coordinator for clinical pharmacy services for

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Area Health Education Centers (AHEC). She offers pharmacist-run services in diabetes, anticoagulation, hypertension, hyperlipidemia, and smoking cessation at UF Health Family Medicine at Old Town. Dr. Sando also serves as a preceptor for 4th year pharmacy students on ambulatory care rotation. She also directs a PGY-2 Pharmacy Residency Program in ambulatory care. Course Faculty Stacey Curtis, PharmD Stacey Curtis received her Pharmacy degree from Florida A&M University in 1997 and received her PharmD through the WPPD Program at the University of Florida in Spring 2015. Stacey Curtis accepted the position as the Assistant Director of the Office of Experiential Programs in the Department of Pharmacotherapy and Translational Research in September 2014. Stacey continues to serve as the Regional Coordinator for the Gainesville, Panhandle, and Out of State rotations. Prior to her appointment, Stacey was a Wal-mart Pharmacy manager here in Gainesville. She has also worked as a Pharmacy Recruiter, Pharmacist Trainer, and Summer Intern Program Director for her region. In 2009, Stacey was awarded the “Community Pharmacist of the Year Award” for Wal-mart’s Southeast Region. Stacey has served as a preceptor for the College of Pharmacy since 2005 for APPE Rotations and International Students and her main focus is on student development and professionalism. Randell Doty, PharmD Dr. Doty received a Doctor of Pharmacy degree from the University of Tennessee in 1988 and completed a general clinical residency at the Veterans Administration Medical Center in Memphis Tennessee in 1989. He accepted an appointment in the Department of Pharmacy Practice at the University of Florida in 1989 and served as Associate Director of the Computer Applications in Pharmacy Center until it closed in 1991. Dr. Doty is a Clinical Associate Professor in the Department of Pharmacotherapy and Translational Research. He served for more than 20 years as director of Experiential Programs at the University of Florida College of Pharmacy and currently helps coordinate the IPPE courses as well as teaching in the Clinical Skills Lab course. He currently practices in the Emergency Department at UF Health Shands in Gainesville, FL. Jason Powell, PharmD Dr. Powell’s clinical practice is based at the UFHealth Family Medicine Clinic at Eastside, where he supervises WPPD students during their clinical training. Dr. Powell received his Pharm.D. degree from the University of Florida and completed a PGY-1 residency in Ambulatory Care at Eastside under the direction of Drs. Karen Sando and Jim Taylor. During residency training, he also completed the teaching certificate program at the UF College of Pharmacy and was actively involved in the training of IPPE, APPE, and WPPD students. Dr. Powell’s research interests include hyperlipidemia medication, warfarin and diabetes care. Janet Schmittgen, RPh [insert biosketch here]

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Kathryn Smith, PharmD Kathryn Smith received her Doctor of Pharmacy Degree at the University of Minnesota College of Pharmacy in 2013 and completed a Clinical and Community Pharmacy Residency with SUPERVALU Inc in 2014. Growing up in inner city Chicago and spending a summer at a rural hospital in Bangladesh, Kate has witnessed first-hand the healthcare disparities experienced by underserved communities. Seeking to equip herself with the knowledge and skills needed to eliminate healthcare disparities among her future patients, Kate served as the president of the Multicultural Pharmacy Student Organization during pharmacy school. During fourteen years of community pharmacy practice, she has developed her patient education skills, leading group classes on diabetes and precepting pharmacy students on rotation. In 2014, Kate joined the University of Florida College of Pharmacy as clinical practice faculty. Kate's research interests include improving clinical services in the community pharmacy setting and educating pharmacy students with both the clinical skills and cultural competency they need to serve their patients as well as the leadership principles they need to change the profession for the better. Teresa Roane, PharmD, BCACP Dr. Roane joined the faculty of the University of Florida College of Pharmacy in March 2010 as a Clinical Assistant Professor in the Medication Therapy Management (MTM) Communication and Care Center. She began her career in pharmacy in 1988 working as a pharmacy technician, becoming a certified pharmacy technician in 2000. She graduated from the University of Florida with her Doctor of Pharmacy degree in 2006. Prior to joining the University of Florida, Roane worked as a clinical pharmacist at AvMed Health Plans in Gainesville, FL. While at AvMed, she worked as the lead pharmacist for the MTM program, provided direct oversight of the utilization management program, served as resource for internal and external healthcare professionals, and also served as a preceptor for 3rd and 4th year UF PharmD clerkship students. She continues to work occasionally as a relief pharmacist at a small independent community pharmacy with locations in Alachua and Newberry, FL. In her spare time she enjoys spending time with her family and friends, playing volleyball, and reading. Lanh Dang, PharmD [insert biosketch here] Brittany Johnson, PharmD [insert biosketch here]

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Appendix B. Policies for the Laboratory Setting – Professionalism and Dress Code The Professional Practice Skills course series is meant to prepare you for the essential skills and tasks expected of a pharmacist in a variety of practice settings. As a student in this course, we would like for you to imagine that when you present to lab, you are presenting to your job as a pharmacist within the “Gator Healthcare System”. Therefore, the same professional expectations in a work setting will be applied in the laboratory setting. Students will be assessed weekly for a professionalism score. Items that will be assessed in the professionalism score include:

Punctuality – arriving to the laboratory session on time

Preparedness – completed pre-lab learning activities and prepared to engage in lab learning activities

Behavior – engaged and on task during the laboratory session, not distracting others or engaging in distracting behavior (e.g. checking social media sites, texting or playing on phone)

Handling of materials and equipment – treating laboratory equipment with respect and care

Independence of work – when individual effort is expected, completing work without the assistance of others

Cleanliness – maintaining a clean and organized work area

Following dress code – below is a dress code policy that is expected in patient care areas at UF Health and will be applied in the laboratory setting:

o Photo identification badge (Gator 1 ID) must be worn at all times and displayed. o White lab coats should be worn and should appear clean, wrinkle free, and in good

repair o Professional clothing: Pressed slacks or skirt/dress as appropriate for gender. Neat,

clean shirt or top Men should wear dress shirts or polo shirts with collar. Ties are optional.

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For women, low cut, midriff, strapless, or see-through blouses, shirts, or dresses are not acceptable. Undergarments should not be visible

T-shirts with slogans or pictures are not allowed except for sponsored events such as Children’s Miracle Network.

Jeans, shorts, miniskirts, and athletic shoes are not considered professional clothing.

Shoes should be clean, closed-toe with heels no greater than 2 inches. o Jewelry selection: Two earrings per ear maximum may be worn and must be appropriate

for patient care areas. No tongue/eyebrow/lip/nose piercing allowed. o Makeup should project a professional image o Hair must be clean and styled in such a manner as to prevent inadvertent contamination

during patient care and professional duties. Unusual hair styles or color, such as spikes, bright or fluorescent colors, are not allowed. Long hair should be controlled in the back unable to fall forward during activities. Facial hair must be neatly groomed or clean-shaven.

o Fingernails should be clean and maintained at a length that is not visible from the palmar aspect of the hand.

o Body art/tattoos should not be visible. o For patient comfort purposes, excessive perfumes, colognes, aftershaves, scented

lotions etc. should not be worn in patient care areas. o Gum chewing is not allowed in clinical settings.

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Appendix C: Weekly Performance Assessment Checklist Example

New Prescription Counseling Assessment Form Template

Introduction No [0] Yes [1]

1. Student introduces him/herself as Student Pharmacist.

2. Confirms patient name.

3. Confirms secondary identifier (birth date OR address).

Introduction Score: ___/ 3

Addresses/Educates Patient on the Following Issues for New Prescription No [0] Yes [1]

4. What this medication is used for.

Confirms use of medication…

5. How to take this medication.

Confirms or informs…

Confirms or informs…

6. What to expect from this medication (benefits).

Confirms or informs…

Confirms or informs…

Confirms or informs…

7. What to expect from this medication (side effects).

Confirms or informs…

Addressed/Educated Score: ___/ X

Closing No [0] Yes [1]

8. Allows opportunity for questions.

9. Verifies understanding (asks for repeat back OR asks patient to explain how he/she will use medication).

Closing Score ___/2

Overall Score: ___/XX

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Appendix D. Monday Lab Sessions

Gainesville:

Session 1: 8:30-10:25am

Session 2: 10:40-12:35pm

Session 3: 1:55-3:50pm

Session 4: 4:05-6:00pm

Jacksonville:

Session 1: 8:30-10:25am

Session 2: 10:40-12:35pm

Orlando:

Session 1 (Group A): 10am – 12pm

Session 2 (Group B): 12pm – 2PM

Session 3 (Group C): 2pm – 4PM

Note: For Year 1 OSCEs, please check posted schedule on course site for your individually scheduled

day/time. Year 1 OSCEs will take place in Gainesville for ALL students.