APPE Manual 2016-2017 - FAMU College Of Pharmacy

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College of Pharmacy and Pharmaceutical SciencesA Manual of Experiential LearningforPreceptors and Student PharmacistsADVANCED PHARMACY PRACTICE EXPERIENCE(APPE)2016 - 2017Office of Experiential Programs1415 S Martin Luther King Jr BlvdTallahassee, FL 32307Phone: (850) 561-2588Fax: (850) 599-3347www.pharmacy.famu.edu

Table of ContentsSection 1: General InformationCollege AdministrationFlorida Department of Health- Board of PharmacyRotation Schedule 2015-2016Section 2: General Description of APPE ProgramAPPE RequirementsOrganizational StructureEvaluation ProceduresSection 3: Program Guidelines and PoliciesCurricular RequirementsPreceptor Site ApprovalFinancial ResponsibilityBackground and Drug TestingProgram ResponsibilityProfessional LiabilityConcurrent EmploymentHealthcare and IllnessChanging APPE SitesAbsence from SiteRegistration and Pre-RegistrationGraduation RequirementsSection 4: Preceptor InformationGuidelines for PreceptorsCultural CompetencyPreceptor Site SelectionPreceptor ProfileCourtesy Appointment ApplicationSection 5: Student Pharmacist InformationGuidelines for Student PharmacistCultural CompetencyAPPE Code of EthicsFPA/APhA Code of EthicsPledge of ProfessionalismPatient’s Bill of RightsSection 6: Advanced Pharmacy Practice ExperienceGeneral StatementEducational OutcomesAcademic Learning CompactsStudent FormsNAPLEX Competency 33-513435-404142-4748-51

Florida Agricultural and Mechanical UniversityCollege of Pharmacy and Pharmaceutical SciencesProgram Administration and Contact InformationMichael Thompson, Pharm.D.Margareth Larose-Pierre, Pharm.D.Jocelyn Jones, Pharm.D.Nathaniel Eraikhuemen, Pharm.D.Frank Emanuel, Pharm.D.Gervin Robertson, Pharm.D.Tayanna Richardson, Pharm.D.Cynthia Hall, Pharm.D., J.D.Charles Weaver, Th.D.Dean and ProfessorAssociate Dean for Academic Affairs (Crestview)Asst. Dean of Clinical and Administrative SciencesDivision Director, DavieDivision Director, JacksonvilleDivision Director, TallahasseeDivision Director, Tampa BayDirector of Experiential ProgramsStudent Affairs CoordinatorCrestview Education CenterMargareth Larose, Pharm.D.153 West Woodruff Ave.Crestview, FL 32536Phone- (850) 689-7915Fax- (850) 689-7870margareth.larose@famu.eduDavie Instructional SiteNathaniel Eraikhuemen, Pharm.D.Nob Hill Office Park10650 W State Road 84, Suite 200Davie, FL 33324Phone- (954) 651-9222Fax- (954) 424-6811nathan.eraikhuemen@famu.eduJacksonville Instructional SiteFrank Emanuel, Pharm.D.2050 Art Museum Drive4800 Building, Suite 200Jacksonville, FL 32207Phone- (904) 391-3900Fax- (904) 391-3915frank.emanuel@famu.eduTallahassee Instructional SiteGervin Robertson, Pharm.D.1415 S Martin Luther King, Jr. Blvd.Tallahassee, FL 32307Phone- (850) 561-2588Fax- (850) 599-3347gervin.robertson@famu.eduTampa Bay Instructional SiteTayanna Richardson, Pharm.D.3500 East Fletcher Ave., Suite 133Tampa, FL 33613Phone- (813) 975-6500Fax- (813) 975-4865tayanna.marr@famu.eduDirector of Experiential ProgramsCynthia Hall, Pharm.D, J.D.1415 S Martin Luther King Jr BlvdTallahassee, FL 32307Phone- (850) 599-3369Fax- (850) 599-3344cynthia.hall@famu.eduStudent Affairs CoordinatorCharles Weaver1415 S Martin Luther King Jr BlvdTallahassee, FL 32307Phone- (850) 561-2588Fax- (850) 599-3347charles.weaver@famu.edu

FLORIDA BOARD OF PHARMACYAllison DudleyExecutive Director4052 Bald Cypress Way, Bin #C04Tallahassee, FL, 32399-3254Office: 850-245-4292Fax: 850-413-6982Website: http://www.floridaspharmacy.gov/Office Email: MQA Pharmacy@doh.state.fl.us4

FLORIDA A&M UNIVERSITYCOLLEGE OF PHARMACY AND PHARMACEUTICAL SCIENCESADVANCED PHARMACY PRACTICE EXPERIENCE (APPE) SCHEDULE DATESMAY 2016 – APRIL 2017MONTHSMAY 2016JUNE 2016JULY 2016AUGUST 20161 WEEK OFFSTART DATE5/2/165/30/166/27/167/25/168/29/16-9/2/16END DATE5/27/166/24/167/22/168/26/16SEPTEMBER 2016OCTOBER 2016NOVEMBER 2016DECEMBER 2016HOLIDAY /23/1610/21/1611/25/1612/23/16JANUARY 2017FEBRUARY 2017MARCH 2017APRIL 27/172/24/173/24/174/21/17MANDATORY DATES TO RETURN TO TALLAHASSEE CAMPUS:Annual Career FairGraduation WeekOctober 13, 2017April 24-28, 2017Graduation: A p r i l 2 9 , 2 0 1 7Place: Alfred Lawson Multipurpose CenterTime: TBAPlease make hotel reservations for graduation weekend as soon as possible.5

SECTION 2GENERAL DESCRIPTION OF THEADVANCED PHARMACY PRACTICE EXPERIENCEAdvanced Pharmacy Practice Experience (APPE)6

ObjectiveThe primary objective of the Advanced Pharmacy Practice Experience is to prepare pharmacy graduates withknowledge, skills, behaviors and values that are exhibited by well-trained general practice pharmacists.Summarily, these attributes are the educational outcomes of the Doctor of Pharmacy Curriculum. Learningexperiences in the Advanced Pharmacy Practice Experience (APPE) will allow the student pharmacist to workwith patients and other health care providers to screen for, prevent, and resolve medication-related problems aswell as provide health promotion, disease prevention and management services.The Advanced Pharmacy Practice Experience consists of nine (9) pharmacy practice experiences, (3)months of research, 3 Clinical Seminar and Research Methods courses.THE 9 APPE EXPERIENCES: (1440 Hours)GENERAL MEDICINE IGENERAL MEDICINE IIADVANCED HOSPITAL EXPERIENCEADVANCED COMMUNITY EXPERIENCEAMBULATORY CARE IELECTIVES I, II AND IIIAMBULATORY CARE IICoursesPHA 5917L CLINICAL SEMINAR AND RESEARCH METHODS IPHA 5918L CLINICAL SEMINAR AND RESEARCH METHODS IIPHA 5919L CLINICAL SEMINAR AND RESEARCH METHODS IIIResearch Experience:Each student pharmacist is required to complete a research project with emphasis on patient care.Student pharmacists are assigned an individual faculty member or preceptor to work with as his/herresearch advisor.All experiences have stated as their basis the course objectives as well as the educational outcomesincluded in the Doctor of Pharmacy curriculum. In order to facilitate these objectives and outcomes, theresponsibilities for the student pharmacist, preceptor, and the College of Pharmacy are given as follows:7

THE STUDENT PHARMACISTIt is the responsibility of the student pharmacist to have successfully completed all of the requiredcoursework for the curriculum prior to enrolling in the Advanced Pharmacy Practice Experience. It is theresponsibility of the student pharmacist to conduct him/herself in a professional manner and to abide byall rules and regulations promulgated by institutions affiliated with this Program, the Board of Pharmacyand the College of Pharmacy and Pharmaceutical Sciences at the Florida A&M University. Furthermore,the student pharmacist is required to exemplify the maturity and the responsibility expected of aprofessional. It is also expected of the student pharmacist to successfully achieve the designatedoutcomes of this phase of the curriculum prior to graduation (including a successful passing score on therequired comprehensive examination).THE PRECEPTORThe preceptor should willingly accept the responsibility for professional guidance and training and instructionof the APPE student. He/she should be able to devote time to attend preceptor training sessions offered by theFAMU/COPPS. He/she must agree to assist the College of Pharmacy and Pharmaceutical Sciences in theachievement of the educational objectives set forth and to provide a professional pharmacy practice experiencesthat are essential and appropriate for the APPE student pharmacist. (See the section on Preceptor Information inthis manual for additional responsibilities of the preceptor).THE UNIVERSITYThe Experiential Program, consisting of the Introductory and Advanced Pharmacy Practice Experiences, isadministered through the Division of Clinical and Administrative Sciences in the College of Pharmacy andPharmaceutical Sciences, Florida A&M University. The organizational structure and relationships aresummarized as follows.8

TBASite DirectorsInstructionalLiaison, ProfessionalExperience ProgramDr. Robert ThomasJacksonville: Dr. Frank EmanuelDavie: Dr. Nathaniel EraikhuemenTampa/Orlando: Dr. Tayanna Marr RichardsonCoordinator, ExperientialProgramsTHE PHARMACY PRACTICE DIVISIONDivDr. Charles WeaverInstructional Site DirectorsLiaison, ProfessionalExperience ProgramDr. Robert ThomasJacksonville: Dr. Frank EmanuelDavie: Dr. Nathaniel EraikhuemenTampa/Orlando: Dr. Tayanna Marr RichardsonDeanAssociate Dean of Academic Affairs(Crestview)Dr. Margareth Larose-PierreDr. Michael ThompsonCoordinator, ExperientialProgramsPharmacy PracticeDivision (Tallahasee)Dr. Charles WeaverDr. Gervin RobertsonAssistant Dean for Clinical and Administrative SciencesDr. Jocelyn JonesInstructional SiteDirectorsIntroductory PharmacyPractice ExperienceCoordinatorsDr. Cynthia HallDr. Patty GhazviniDirector ofExperientialProgramsDr. Cynthia HallStudent AffairsCoordinatorDr. Charles WeaverTallahasseeDr. GervinRobertsonJacksonvilleDr. FrankEmanuelTampaDr. TayannaRichardsonDavieDr. NathanielEraikhuemenAll inquiries regarding our Programs should be directed to either the Division Director located in therespective geographic location or to the Director of Experiential Programs at (850) 561-2588.The Office of Experiential Programs will process all inquiries related to this Program. The Student AffairsCoordinator will determine how issues should be routed. The major responsibility of the Coordinator will beto establish and maintain a constant line of communication with the Assistant Dean for Clinical andAdministrative Sciences, the Division Directors, preceptors and student pharmacists as the Office ofExperiential Programs is the clearinghouse for written and oral information from all of these individuals.9

ASSESSMENT PROCEDURESThe assessment of the Advanced Pharmacy Practice Experience is critical in order to maintain a qualitycurriculum and assure that future clinicians possess appropriate knowledge, attitudes and skills. This process beginswith setting clear expectations at the beginning of an experience. This is followed by continual observation andfeedback regarding the student’s performance in the form of formative assessment. This form of assessmentinvolves providing students with daily feedback that is specific and speaks to their strengths and weaknesses.Summative assessment occurs at specific points within the experience. The College of Pharmacy usesPharmAcademic ( www.pharmacademic.com ) as a platform for documenting summative assessments.Summative assessment involves collecting feedback from both the student and the preceptor and includes thefollowing:The preceptor is required to complete the following forms online:§Midpoint Evaluation: This evaluation provides an opportunity for the preceptor to reinforce strengthsand identify weaknesses and challenges. Additionally, it is an opportunity for setting new goals andstrategies for improvement. This evaluation should occur at the midpoint of the specific experience andshould be reviewed with the student at that time.§Final Evaluation: This evaluation is completed at the end of the experience. The evaluation should becompleted prior to meeting with the student. It is important to include examples to support yourevaluation and that speak directly to the students specific positive attributes as well as areas forimprovement.The student pharmacist is required to complete the following forms:§Student Self-Assessment These evaluations are completed in coordination with the preceptor’s midpointand final evaluations. The aim of this assessment is to have students reflect on their performance and toallow for discussion with the preceptor and the midpoint and end of the experience. This assessment formcan be accessed at www.pharmacademic.com.§Student Evaluation of APPE Site. This assessment form is available at www.pharmacademic.com.§Student Evaluation of Preceptor. This assessment form is available at www.pharmacademic.com.§Prescriptive Plan -- depending on the quality of the student pharmacist’s performance during the APPE,the student pharmacist may have to complete a prescriptive plan. This assessment form is available atwww.pharmacademic.com.§All four of these evaluation forms should be completed online.It is the responsibility of the student pharmacist to encourage the preceptor to complete the appropriate on-lineevaluations. Failure of the preceptor to complete the evaluations should be reported to the respective DivisionDirector/instructional site personnel within five (5) days following the completion of the APPE.10

Completion of these forms is a requirement for the Advanced Pharmacy Practice Experience studentpharmacist. The information contained in them will provide the C O P P S with the necessary information tofacilitate effective monitoring of the student pharmacists, preceptors and the sites.11

SECTION 3PROGRAM GUIDELINES AND POLICIES12

GUIDELINES AND PROGRAM POLICIESCurricular Requirements:Student Pharmacists participate in the Advanced Pharmacy Practice Experience in their 4th professional year (i.e.semesters 11 and 12). The course listings in the University catalog are as follows:PHA 5694Inpatient General Medicine Patient Care I4 credit hoursPHA 5695Inpatient General Medicine Patient Care II4 credit hoursPHA 5692Ambulatory Patient Care I4 credit hoursPHA 5676Ambulatory Patient Care II4 credit hoursPHA 5626Hospital/Health System Pharmacy4 credit hoursPHA 5627Community Pharmacy4 credit hoursPHA 5651Elective I4 credit hoursPHA 5652Elective II4 credit hoursPHA 5653Elective III4 credit hoursPHA 5617LClinical Seminar and Research Methods I1 credit hourPHA 5618LClinical Seminar and Research Methods II1 credit hourPHA 5919LClinical Seminar and Research Methods III1 credit hourTotal Hours39 hoursThe prerequisite for the Advanced Pharmacy Practice Experience is the successful completion of all courseworkoffered in the previous 10 semesters of the Doctor of Pharmacy curriculum and 460 hours of IPPE experience.13

PRECEPTOR-SITE APPROVALAll Advanced Pharmacy Practice Experience sites are acquired either by the Division Directors in theirrespective geographical area or by the Coordinator of Experiential Programs. Approval will be based on theguidelines set forth under Preceptor-Site Selection in this manual and the interview with the Division Director.FINANCIAL RESPONSIBILITYThe ultimate responsibility for all financial obligations associated with the student’s pharmacy education lieswith the student. This responsibility also applies to the Advanced Pharmacy Practice Experience and theexpenses, which may arise from the lodging, transportation, food and any other incidental costs.BACKGROUND AND DRUG TESTINGAll student pharmacists have to undergo a criminal history background check in the P-1 and P-3 years andfurther background screening may be required depending on the student’s assigned APPE facilities. Thestudent should be prepared to incur the cost of additional screenings with notification if it is required thatadditional background checks, drug screens and fingerprinting are required by a specific APPE site.PROGRAM RESPONSIBILITYThe administrative responsibility is assigned to Coordinator of Experiential Programs in conjunction with theDivision Directors in Tampa, Davie, Jacksonville, Crestview and Tallahassee. The entire Pharmacy Practicefaculty will serve in an advisory capacity.PROFESSIONAL LIABILITY INSURANCEAll students enrolled in the Advanced Pharmacy Practice Experience are covered by professional liabilityinsurance. The College of Pharmacy provides a blanket policy of coverage. Students are strongly encouragedto obtain additional malpractice insurance through their membership in professional pharmacy organizations.CONCURRENT EMPLOYMENTConcurrent employment during the Advanced Pharmacy Practice Experience is not encouraged. The APPEexperiences are 40 hours/week; students are not permitted to work during the required 40 hours/week.HEALTHCARE AND ILLNESSThe student pharmacist’s right to health care by the University’s Student Health Center remains in effect whilethe student pharmacist is participating in the Advanced Pharmacy Practice Experience. Healthcare outside ofthe FAMU Student Health Center is at the student’s expense unless covered by other medical care plans.It is recommended that the student pharmacist obtain personal medical insurance coverage.CHANGING APPE SITESThe student pharmacist is not allowed to change training sites. The division director makes all changes.This includes changing geographical location as well as changing practice experiences/sites.ABSENCE FROM SITEStudents are expected to be present at their practice site each assigned day. The preceptor will give eachstudent attendance requirements and consequences regarding absences. In addition, guidelines established byThe COPPS (see student handbook) and the University will be observed regarding attendance.REGISTRATION AND PRE-REGISTRATIONStudents will be expected to pre-register and/or register using the on-line process. Schedules should beobtained from Division Director/Student Affairs Coordinator. Student pharmacists must clear all financial andregistration holds.14

GRADUATION REQUIREMENTSIt is the student’s responsibility to complete all the requirements for graduation (i.e. photographs, graduationforms, etc.) at least one (1) semester before graduation is expected. In order to avoid problems in applying forgraduation, students should make sure that any and all financial indebtedness and academic deficiencies to theUniversity are cleared. Financial indebtedness can be verified by checking with the on-line student financialaccount site. Academic deficiencies can be verified in consultation with the COPPS’ Office of Student Servicesand the University Registrar’s Office.15

SECTION 4PRECEPTOR INFORMATION16

GUIDELINES FOR PRECEPTORS1. The Preceptor should indoctrinate the student pharmacist with the principles of professional ethics by deedsas well as words.2. The Preceptor should always explain, in detail, what is expected of a student pharmacist, with respect toappearance, attitude and method of practice and make certain that both he/she and his/her associates adhereto the same standards.3.The Preceptor must insist on communication with the student pharmacist at all times and be willing todiscuss any aspect of professional practice that does not violate his/her responsibility to his/her employer oremployees.4. The Preceptor’s role is that of both a teacher and a co-worker.5.The Preceptor should afford the student pharmacist the mutual respect and patience needed to insure anoptimal learning experience.6. The Preceptor should never assume a student pharmacist’s competency but determine it by reviewing hiswork profile and by discussion and experience.7.Criticism should be made constructively and empathetically and be conveyed to the student pharmacistprivately, whenever possible.8. The Preceptor should stimulate a positive attitude in all aspects of professional practice.9. The Preceptor should promote, at all times, a constructive and positive attitude toward fellow practitionersand other members of the health professions.10. The Preceptor should not discuss personal matters with the student pharmacist unless they relate to his/herprofessional practice.11. The Preceptor must keep in mind that fair and constructive evaluation of the student pharmacist’s ability toperform designated activities is a serious responsibility, which affects the student pharmacist’s progress andperformance as a future practitioner.17

CULTURAL COMPETENCYIt is the goal of the Pharmacy Practice Experiences to provide student pharmacists with the recognition thatthere is notable diversity in the cultures in which they will practice their profession.It is essential for thestudent pharmacist to know that everyone

Courtesy Appointment Application 23 Section 5: Student Pharmacist Information 24-32 Guidelines for Student Pharmacist 25-26 Cultural Competency 27 APPE Code of Ethics 28 FPA/APhA Code of Ethics 29 Pledge of Professionalism 30 Patient’s Bill of Rights 31-32 Section 6: Advanced Pharmacy

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