preceptorevaluationofstudent ... -...

REVISED 5/2015

Preceptor Evaluation of Student

Advanced Pharmacy Practice Experience : CLINICAL

Instructions:

Each student must be evaluated during mid-‐point and final week of the rotation against four educational outcome categories (i.e., Knowledge, Essentials for Patient Care, Approach to Patient Care, and Personal and Professional Development). Each outcome category has competencies (e.g., Applies the Knowledge of the Profession) that must be rated according to the student’s performance by using the scale below. This is a global assessment of general competencies expected of students. The student does not need to necessarily demonstrate all listed competencies.

4 = Performs within and often beyond the expectations of a student at this level. 3 = Performs within the expectations of a student at this level in most areas. Some areas are still in

need of growth. 2 = Performs within the expectations of a student at this level in only some areas. Several areas are

still in need of significant growth. 1 = Student has too many areas needing development; a passing grade cannot be given. N/A = Not addressed

Once the rating is determined, use the comment section to provide further insight regarding the performance of the student. This is especially useful to highlight examples of excellence and deficiencies. If the student rating is “2” or “1,” it is required to provide commentary that includes areas that need development and significant growth. The student must receive scores of 2 or greater in each and every competency order to pass the course.

PLEASE NOTE: ACPE Accreditation Standards require a mid-‐point evaluation of student progress. Please identify any area(s) of weakness and discuss with the student at the three week rotation point. Any serious deficiencies should be reported to the Assistant Deans for Experiential Programs: Tracy K. Pettinger at 208-‐282-‐5012 or Kevin W. Cleveland at 208-‐373-‐1872. I. Foundational Knowledge

Student’s Knowledge Base: Midterm ④③②① FINAL ④③②①

• Demonstrates a level-‐appropriate depth and breadth of knowledge in pharmaceutical and clinical sciences.

• Retains previously covered information. • Integrates and applies foundational knowledge and independently acquires new knowledge as needed

for the practice of pharmacy.

• Additional learning objectives not listed above that are specific to your practice site or rotation: • Strengths and Achievements: __________________________________________________________________

• Areas for Improvement: ______________________________________________________________________

EXAMPLE

REVISED 5/2015

II. Essentials for Practice and Patient Care

Patient Centered Care: Midterm ④③②① NA FINAL ④③②①NA • Efficiently gathers and organizes relevant data from a patient interview or medical record to create an

appropriate, prioritized assessment of the patient’s drug-‐related problems. • Performs basic aspects of physical assessment. • Appropriately assesses a patient’s risk for adverse drug reactions and interactions. • Establishes patient-‐specific therapeutic outcomes and monitoring parameters. • Articulates, documents, and implements an optimal pharmaceutical care plan, including appropriate

justification for patient-‐specific recommendations. • Monitors the patient and adjusts the care plan as needed.

Medication Use Systems Management: Midterm ④③②①NA FINAL ④③②①NA • Dispenses medications safely, accurately, efficiently, and in accordance with all federal and state

requirements. • Accurately calculates the quantity of medication to be compounded or dispensed, including the rate of

parenteral drug administration. • Makes rational recommendations regarding loading and maintenance doses, as well as adjustments in

medication dosage and frequency secondary to changing elimination rates or patient response. • Uses proper compounding and/or aseptic technique and quality assurance methods to accurately

compound sterile and non-‐sterile products. • Is familiar with basic medication distribution and inventory control systems. • Applies basic principles of marketing and business management to the delivery of pharmacy services,

including marketing of MTM and other patient care services and can justify fair compensation for these services.

• Understands the development and maintenance of a formulary system. • Manages health care needs of patients during transitions of care and optimizes the transition process. • Provides MTM for patients with complex pharmacotherapy regimens. • Reports and manages medication errors and adverse drug reactions. • Applies the principles of pharmacoeconomic, quality assurance, and humanistic outcomes research

methods to the evaluation of medication delivery systems and patient-‐centered care.

Health and Wellness/Population-‐based Care: Midterm ④③②①NA FINAL ④③②①NA • Identifies and provides effective health promotion and disease prevention services. • Accurately assesses the patient’s/caregiver’s self-‐management skills and encourages patients to take an

active role in their overall health and wellness. • Appropriately applies clinical guidelines and/or interprets medication use reviews to develop disease

management protocols to optimize population-‐based outcomes. • Assists pertinent local and state organizations, health care providers, and policy makers in the

development of public health initiatives and policies. • Identifies the role and responsibility of pharmacists in emergency preparedness and response.

• Strengths and Achievements: __________________________________________________________________


EXAMPLE

REVISED 5/2015

III. Approach to Practice and Care

Problem-‐solving: Midterm ④③②① FINAL ④③②① • Identifies and ranks patient-‐related health care concerns. • Explores multiple solutions by organizing, prioritizing, and defending each possible solution. • Critically evaluates and utilizes scientific literature to provide an evidence-‐based approach to patient

care and pharmacy practice. • Anticipates positive and negative outcomes by reviewing assumptions and potential consequences. • Identifies appropriate monitoring parameters and monitors patients for both intended and unintended

consequences. • Reflects on the solution implemented and its effects to improve future performance.

Patient Education and Advocacy Midterm ④③②①NA FINAL ④③②①NA • Provides effective counseling to patients and/or caregivers including proper instructions for self-‐care and

the safe and effective use of medications and devices. • Provides effective education to a variety of audiences including, patients, other health care

professionals, students and the lay public. • Assists patients in taking responsibility for and control of their health. • Recognizes patients having difficulty navigating the health care system and helps them obtain optimal

services.

Interprofessional Collaboration Midterm ④③②①NA FINAL ④③②①NA • Actively participates and engages as a healthcare team member by demonstrating mutual respect,

understanding, and values to meet patient care needs.

Cultural Sensitivity Midterm ④③②①NA FINAL ④③②①NA • Communicates and interacts in a professional and culturally sensitive manner including demonstrating

respect and sensitivity for others, being open-‐minded and nondiscriminatory, and maintaining patient confidentiality.

Communication Midterm ④③②① FINAL ④③②① • Provides accurate and useful drug information by defining the needs of the requestor, thoroughly

evaluating information from all appropriate resources and effectively communicating a response. • Communicates effectively and appropriately at all levels (patient, interprofessional, lay public, peers). • Demonstrates skill in verbal, non-‐verbal, and written forms of communication. • Displays effective interpersonal skills.



EXAMPLE

REVISED 5/2015

IV Personal and Professional Development

Leadership, Innovation & Entrepreneurship Midterm ④③②①NA FINAL ④③②①NA • Demonstrates responsibility for creating and achieving shared goals, regardless of position. • Persuasively communicates goals to the team to help build consensus. • Empowers team members by actively listening, gathering feedback, and fostering collaboration. • Engages in innovative activities by using creative thinking to envision better ways of accomplishing

professional goals. • Demonstrates initiative when confronted with challenges.

Professionalism and Self-‐awareness Midterm ④③②① FINAL ④③②① • Demonstrates professional behavior including but not limited to: punctuality, reliability, meeting

deadlines, appropriate dress, and assuming responsibility for one’s actions. • Accepts responsibility for individual patient outcomes and gives priority to patient well-‐being and safety,

even if it means making personal sacrifices. • Maintains high standards with regard to moral, ethical and legal conduct. • Demonstrates a commitment to professional growth and life-‐long learning, including the ability to self-‐

assess, accept and utilize feedback, and learn independently. • Utilizes reflections to set goals and develop a personal plan for improvement. • Seeks personal, professional, or academic support to address personal limitations.



Midterm Grade Final Grade During this rotation this student has completed ______________ hours of advanced practice experience. A, A-‐ Consistently demonstrates a high level of competence in all areas B+, B, B-‐ Meets competency requirements in all areas C+, C, C-‐ Deficiency identified in knowledge base, endpoint competencies, or professionalism D+, D, D-‐ Multiple deficiencies in knowledge base, competency level and/or professionalism F Fail

EXAMPLE

preceptorevaluationofstudent ... -...

Documents