PHA 5942 Introductory Pharmacy Practice Experience II:

Community Practice Requirement Manual

Preceptor’s Edition

College of Pharmacy Health Science Center Department of Pharmacy Practice PO Box 100486 Office of Experiential Programs Gainesville, Fl 32610-0486 Tel: (352) 273-6228

The Foundation for The Gator Nation An Equal Opportunity Institution

Dear Pharmacist,

Allow us to take this time to thank you for your participation in helping further student pharmacy education and careers in pharmacy. We understand that the importance of practice experience cannot be overemphasized in the profession of pharmacy today. Understanding the principles of proper patient care is essential if pharmacy is to grow as a profession and maintain the respect of patients and other health care providers. We hope that you will join us in conveying these messages to our students. As part of their Introductory Pharmacy Practice Experience Course (PHA 5942c), students in their first professional year are required to gain exposure and competence in the community pharmacy setting prior to their continuance in their degree program for their second professional year. To acquire this exposure and competence they are required to spend 80 hours under the supervision of a pharmacist preceptor in a community setting at some point during that first year. So as to provide maximum flexibility to our students and the pharmacists they work with we have designed this experience in such a way that the students can do it at any community pharmacy willing to provide the experience and that is committed to helping them meet the objectives regardless of where the pharmacy is located. Students may complete this experience at any point prior to their beginning their second year. You will find below a guide to aid you in assessing a student’s competency levels on the various objectives listed. The primary focus of this experience will be to document their competence in the prescription dispensing process while offering them significant opportunity for exposure to the careful and systematic assessment of the patient's drug therapy, to identify potential and existing drug related problems, and work with other health care team members to minimize the risk to the patient in a community pharmacy setting. The student will learn the goals of clinical intervention and the steps necessary to effectively execute those interventions. Evaluating and solving drug related problems, optimizing patient interactions, and acting as a primary health care source are also goals. We sincerely ask you to help students achieve all of these goals in their time at your practice. The student is required to provide at minimum 80 hours of unpaid* service. Each student must demonstrate that they have completed the listed competencies with professionalism. Please check off the items that were fulfilled and sign the list at the end of the 80 hours of service for the pharmacy student to return to their campus course coordinator. This layout is designed to help the preceptor observe specific goals that must be achieved during a pharmacy student’s time there. The completion of the hours and proper paperwork completion is the responsibility of the pharmacy student. They should take the initiative to ask for feedback and improve on their skills during their time at work with you.

* ACPE accreditation standards do not allow for sites to pay students for hours that are being accrued to meet course requirements for coursework in a pharmacy degree program.

 

   

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Contact Information:

Overall Course Coordinator: Randell Doty, Pharm.D. Office: (352) 273-6228 Fax: (352) 273-6498 Email: doty@cop.ufl.edu Jacksonville Campus: Carol Motycka, Pharm.D. 580 W 8th Street/Tower 2 Jacksonville Campus Director Jacksonville, FL 32209-6533 Office: (904) 244-9590 Fax: 904-244-9591 Email: motycka@cop.ufl.edu Lisa Inge, Pharm.D. Jacksonville Assistant Campus Director Office: (904) 244-9590 Email: Inge@cop.ufl.edu Orlando Campus: Erin St. Onge, Pharm.D. 2725 Binion Road Orlando Campus Director Apopka, Florida 32703-8504 Office: 407-884-2034 ext 141 Fax: 407-814-6185 Email: stonge@cop.ufl.edu Renee Rose, Pharm.D. Orlando Assistant Campus Director Office: 407-884-2034 ext 136 Email: rlrose@cop.ufl.edu St. Petersburg Campus: Jennifer Williams, Pharm.D. 9200 113th Street North, PH 105 St. Petersburg Campus Director Seminole, FL 33772 Office (727) 394-6213 Fax: 727-394-6149 Email: williams@cop.ufl.edu Carinda Feild, PharmD St Pete Assistant Campus Director Office (727) 394-6213 Email: cfeild@cop.ufl.edu

 

   

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Criteria and Responsibilities for Sites, Preceptors and Students

Site Criteria:

A community pharmacy setting where students can participate in the following activities:

• All areas of the medication use system (prescription receipt, order processing, dispensing, administration and patient monitoring).

• Initiatives that promote safe, accurate, and time-sensitive delivery of medications. • Preparation of medications for patients (perform basic calculations, establish a patient profile,

evaluate appropriateness of using basic dosing criteria) • Interaction with all employees in order to learn the roles/responsibilities of all pharmacist positions

and pharmacy technicians/other staff. • Interview/counsel patients about both prescription and self-care products. • Communicate with other health professionals to clarify prescription orders.

Sites should also have:

• Physical resources and computer technologies that are standards of practice in the community setting.

• Procedure/policies are established to prevent, identify, report and analyze medication errors and adverse reactions.

• References appropriate for community practice.

Preceptor Criteria:

A preceptor for Introductory Pharmacy Practice Experiences should:

• Have the desire to teach pharmacy students. • Be a licensed or a registered health care practitioner in good standing with his/her respective state

board of practice. • Practiced in their discipline as a licensed practitioner for at least the past 2 years or be willing to co-

precept with a practitioner who meets this requirement. • Read and be willing to follow the program of activities/assessments detailed in the IPPE manual for

the IPPE program they are precepting. • Be aware of the preceptor training resources available to them noted in the IPPE program manual • Demonstrate the professional attitudes and values that students are expected to develop including:

o Practice ethically o Demonstrate compassion for patients o Accept personal responsibility for patient outcomes o Member or leader within at least one professional pharmacy organization

• Utilize clinical/scientific publications in clinical care decision making and evidence-based practice.

Preceptor Responsibilities:

• Provide guidance and a safe environment for students to accomplish their goals and objectives. • Verify that student achieved all goals and objectives as stated below, using the Competency Checklist

found on page 9.

 

   

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• Verify student has completed all mandatory hours without pay, using the Record of Experience found on page 10.

Preceptor Benefits:

• Pharmacists choosing to participate may (but are not required to) become appointed as clinical faculty for the University of Florida College of Pharmacy.

• Preceptors have access to training and CE from the Preceptor Training and Resource Network. The instructions for accessing this are on page 13.

Student Responsibilities:

When participating in this experience, students are expected to:

• Engage in patient care, operational, or other activities as directed by their preceptor and as needed to meet the requirements of this experience.

• Maintain professionalism while achieving completion of all competencies and goals. (Please see the UF professionalism compact at the end of this document that all UF students agree to.)

• Ensure requirements are met and documentation is submitted for successful completion of this experience, including:

o Providing a minimum 80 hours of unpaid* service to the community pharmacy setting under the supervision of a pharmacist preceptor.

o Filling out all proper paper work, found on pages 8 and 9, to be approved by preceptor and submitting documentation to individual campus contacts

o Establishing feedback system with supervising pharmacist to enhance quality of work and progression throughout pharmacy education program

 

   

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Frequently Asked Questions:

How do I become a registered preceptor?

If you are a pharmacist licensed and in good standing with the board we believe you are capable of providing this experience. (See the preceptor criteria on page 4 of this manual.) We will be recording the fact that you have supervised students in our database. This will allow students to see that you have been a preceptor before. In addition, preceptors can choose to be appointed as clinical faculty if they would like to. Please contact Melissa Willingham <mwillingham@cop.ufl.edu> if you would like to start this process.

Does my site have to be affiliated with UF via contract?

Yes, since this is part of a university course this is the case. This helps both the site and the university be covered from a liability point of view. For most chains stores this contract is already in place. This is also the case for many independents pharmacies that we have worked with previously. If you have already precepted UF students in the past more than likely this is already in place. Please contact Melissa Willingham <mwillingham@cop.ufl.edu> if you need help with this process.

What kind of contact will there be with the College?

Aside from the documentation included in this package there is no requirement to be in touch with the College per se. We would be happy to speak to you if you have questions/concerns/suggestions. We very much want to hear feedback on how the experiences are going and are available as a resource if you or your student are having trouble of some sort. You can find the contact information for this course on page 3. We will be providing preceptor development opportunities in addition to those listed in this Manual that we will announce via the email contacts we gather from the documentation you submit.

Can a student complete this requirement at a store they already work for?

This somewhat depends on the restrictions of the site. From the perspective of the College it would be ok. This does not change the limitation that they cannot be paid for this portion. For example, if a student worked at a pharmacy, they could stay after their paid shift was completed or come in on their days off and accrue hours toward this requirement. If however the site did not allow employees on site and not clocked in this would not work at that site.

What should I do if there are issues regarding professionalism with the student?

As mentioned in the section on student responsibilities we expect our students to conduct themselves in a professional manner. (See the professionalism compact on page 11) Students who do not meet these standards are not meeting the requirements of the experience and should be counseled. If the problem persists you are not obligated to continue their experience. If such issues happen please contact us. We will need to help that student learn from the situation.

Why not just place them in pharmacies like you do for advanced students?

Our goal by choosing this method was to increase the flexibility of sites, preceptors and students while at the same time opening up opportunities for students and preceptors to participate in these activities at locations distant from our campus locations. Prior to this, the number of sites involved and their locations were limited to those specific geographical areas. By choosing this method students can complete this requirement on weekend, over breaks, etc.

 

   

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Goals, Objectives & Activities

Upon completion of this experience the student should possess the following via demonstration of the listed competencies. Please initial all the competencies that were met by the student during their time with you using the Competency Checklist provided on page 9 of this document

1. Recognition of the professionalism that the community pharmacist must display when interacting with other healthcare related personnel and patients (Competencies 15,17)

a. Maintaining a good attitude when cooperating with other healthcare personnel and patients. b. Using professional judgment when interpreting professional standards to colleagues and patients. c. Respecting and having an open mind to the opinions and advice of other healthcare personnel

and patients. d. Accepting responsibility and accountability for your own action and as a professional in the field

of pharmacy.

2. An understanding of the covenantal relationship between the pharmacist and patient goes beyond filling the correct medication for the correct patient, but encompasses empathy and trust between the two parties (Competencies 16,18)

a. Uphold the responsibility of caring for the patient, beyond filling the prescription. b. Respect the confidentiality of the patient. c. Express empathy for patients, patients’ families, and health professionals. d. Be aware of cultural sensitivity among a patient population. e. Assess health literacy and adherence/compliance.

3. An understanding of the laws and regulations that a pharmacy and pharmacist must abide by within their professional practice (Competencies 8,9,10,13,14)

a. Follow all laws and regulations that a pharmacy and pharmacist must abide by, which can include, but are not limited to the following:

i. Obtain the appropriate and necessary licensure, permits, and equipment needed to practice.

ii. Keep appropriate records of pharmacy/patient documentation according to state and federal laws/regulations.

iii. Be conscious of patient confidentiality by following HIPAA’s regulation. iv. Understand how to prevent, identify, report, and analyze medication errors and adverse

reactions. b. Be knowledgeable in the legal and professional standards governing the field pharmacy. c. Display ethical and moral values when dealing with colleagues and patients.

4. An understanding of the basic daily duties of the community pharmacist: (Competencies 1,2,5,10,11) a. Interpret prescriptions for completeness and accuracy by identifying key components of a

prescription and being able to perform verification of any uncertainties. b. Validate and physically document called-in prescriptions from voicemail recorded from a health

care provider’s office. c. Prepare, fill, and document prescriptions accurately, including simple compounded preparations,

to be dispensed to patients with instructions. d. Provide consultation and recommendation of OTC products to patients. e. Understand how the responsibilities of a staff pharmacist differ from those of the pharmacy

manager and technicians. f. Assist in resolving billing problems.

 

   

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5. An awareness of the safety role the community pharmacist engages to protect the patients, the pharmacy, and him/herself: (Competencies 3,13,14)

a. Understand the process of identifying and resolving medication related problems while being able to implement strategies to prevent future occurrences.

b. Describe the record keeping process for controlled substances and poisons received, stored, and dispensed by the pharmacy, including governmental forms to be processed.

c. Describe the pharmacy’s quality assurance program, including medication error prevention, narcotic inventory control, and pharmacy inspections, etc.

6. Recognition of the important role of effective communication in the pharmacy setting and a capability to properly perform the skill of communication not only at a professional level but also properly at the patient level: (Competencies 4,6,7)

a. Appropriately communicate with patients or health care professionals to confirm prescription information or clarify unclear/missing components.

b. Address questions posed by patients and health care professionals with answers that are appropriate, professional, and directed to the individual inquiring.

c. Provide the opportunity for counseling to each patient and, when counseling, do so effectively. d. Use appropriate references available in the pharmacy when addressing concerns from patients

and questions from other health care professionals.

 

   

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Competency Checklist for IPPE 2 Community Practice Requirement In concert with the above listed Goals and Objective, under the direct supervision of the preceptor or a supervising pharmacist, the student should show that they are competent in each of the areas listed below. The preceptor or supervising pharmacist should initial each line when competence has been adequately demonstrated. In many situations there may be multiple pharmacists supervising the student depending on the pharmacists’ shifts or the area of the pharmacy operation in which the student is participating. The initials placed below should be those of the supervising pharmacist who has actually witnessed the demonstration of competence. Competency Initials The pharmacy student has demonstrated that they can: 1. Interpret prescriptions for completeness and accuracy. _______

2. Prepare, fill, and document prescriptions accurately. _______ 3. Understand the process of identifying, resolving, and preventing medication related problems. _______

4. Communicate with patients or health professionals to confirm or clarify prescription information. _______ 5. Prepare (using appropriate calculations) simple preparations accurately to be dispensed to patients _______

6. Use appropriate references available in the pharmacy to counsel patients or answer questions asked by patients or health professionals.

_______

7. Give appropriate answers to questions asked by the patient or health professionals. _______ 8. Describe the appropriate and necessary licensure, permits, and equipment needs of the pharmacy. _______

9. Comprehend the legal and professional standards governing pharmacy. _______ 10. Comply with regulations and deal ethically with colleagues and patients. _______

11. Assist patients by providing a consultation and guiding the patient in selecting the most appropriate OTC product.

_______

12. Contrast the responsibilities of staff pharmacist and pharmacy manager and pharmacy technicians _______ 13. Describe the record keeping for controlled substances and poisons received, stored, and dispensed

by the pharmacy.

_______ 14. Describe the pharmacy’s quality assurance program, including medication error prevention,

narcotic inventory control, and pharmacy inspections, etc. _______

15. Use professional judgment when interpreting professional standards in the patient’s interest. _______

16. Demonstrate an understanding of the pharmacist’s responsibility to the care of the patient, and respect the confidentiality of the patient.

_______

17. Cooperate with pharmacy staff and maintain a good attitude when completing the experience _______ 18. Demonstrate human relation skills with patients, patients’ families, and health professionals _______ There may be sites that will not be able to provide the activities necessary to meet all these competencies. In such a case the preceptor should mark those competencies as N/A (Not Available). If the activities were available but for reasons outside the control of the student they were unable to participate in them, the preceptor should mark these as N/O (No Opportunity)

 

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University of Florida College of Pharmacy

RECORD of EXPERIENCE for

(Student Name) (UFID) (Pharmacist Preceptor's Name) (Pharmacist Preceptor's License#) (Name of Pharmacy) (Pharmacy Phone Number) (Pharmacy Address) (City, State and Zip code)

Week Beginning Week Ending Hours Month Day Year Month Day Year Total Hours =

(Pharmacist Signature/Date) (Pharmacist Preceptor's Email)

 

 

 

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University  of  Florida  College  of  Pharmacy  

Faculty/Staff/Student’s  Compact  Exhibiting   professional   behavior   is   a   never   ending   necessity   which   starts   at   the   beginning   of   pharmacy   school   and   continues  throughout  one’s  career.    We  are  all  committed  to  act  as  professionals  in  all  situations  to  protect  our  patients,  our  college,  and  our  profession.    This  compact  is  an  agreement  to  work  in  a  partnership  to  promote  professionalism  within  all  faculty,  staff,  and  students.    One  way  of  achieving  this  goal  is  to  demonstrate  the  behaviors  listed  in  the  UF  PHARMD  CORES.    If  everyone  continues  to  strive  to  exhibit  these  behaviors  in  all  situations,  this  compact  will  be  fulfilled  by  our  team  effort.    Together,  we  will  be  successful  in  attaining  our  goal  of  meeting  professional  standards  within  our  college.    

As  a  University  of  Florida  student,  faculty  or  staff  member,  I  pledge  to  follow  the  

UF  PHARMD  CORES  Uplifting  leadership  

  Develop  ways  to  lead  fellow  pharmacists  and  other  health  care  professionals  to  achieve  superior  patient  care  

  Accept  responsibility  to  find  ways  to  help  lead  patients  toward  better  health  and  quality  of  life  

Functional  in  all  environments  

  Maintain  professional  demeanor    

  Demonstrate  the  ability  to  control  frustration  and  anger  during  stressful  situations    

  Develop  new  ways  to  improve  stressful  situations  

Personally  responsible  and  motivated  for  self-­‐improvement  

  Fulfill  responsibilities  completely  and  on  time  with  the  proper  amount  of  effort  

Independently  identify  tasks  which  need  to  be  completed  and  completes  with  in  a  timely  manner  

  Accept  responsibility  for  actions  

  Be  aware  of  his/her  limits  in  pharmacy  practice  and  be  willing  to  ask  for  help  

  Accept  and  responds  appropriately  to  criticism  

Honesty  and  demonstrates  integrity  

  Follow  all  confidentiality  guidelines  in  all  aspects  of  healthcare  

  Follow  up  with  all  questions  from  team,  patients  etc.    

Altruistic  

  Serve  as  a  patient  advocate  

Reliable  

  Arrive  on  time  as  agreed  upon  and  fully  participates  

  Communicate  well  with  all  involved  parties  

Mature  and  dependable  

  Demonstrate  personal  commitment  to  tasks,  patients,  and  team  

 

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  Exhibit  acceptable  attendance    

  Demonstrate  empathy  with  patients  and  family  

  Develop  proper  patient  rapport  

  Exhibit  creative  thinking  when  solving  problems  

  Identify  personal  biases  and  work  to  ensure  these  are  not  affecting  patient  care  

Dedicated  to  the  profession  of  pharmacy,  to  the  team,  and  the  patients  

  Function  well  with  the  health  care  team  

  Promote  the  practice  of  pharmacy  within  the  health  care  team  

  Build  a  good  rapport  with  all      

  Work  diligently  with  team  to  solve  problems    

Committed  to  excellence  and  collaboration  

  Advocate  for  change  in  pharmacy  practice  as  health  care  changes  occur  

  Exhibit  an  inquisitive  drive  for  improvements  in  patient  care  and  pharmacy  practice  as  a  whole  

  Demonstrate  a  strong  work  ethic  

Organizational  involvement  

  Participate  in  professional  organizations  to  promote  the  practice  of  pharmacy  

Respectful  of  others  

  Work  with  all  members  of  healthcare  team  in  a  proper  manner  

  Treat  patients  and  family  members  with  respect  at  all  times  

  Interact  respectfully  with  patients  who  might  not  exhibit  respect  in  return  

  Demonstrate  tolerance  and  acceptance  for  people  and  different  situations    

Ethical  

  Strive  to  behave  ethically  in  all  situations  

Show  the  ability  to  identify  any  improper  procedures  and  is  willing  to  report  these  to  improve  patient  care  

Understand  the  principles  behind  developing  proper  professional  relationships  with  patients  

Service  driven  

  Exhibit  dedication  to  the  improvement  of  the  patient  and  overall  community  

 

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