St. John’s University
College of Pharmacy and Allied Health Professions
Doctor of Pharmacy Rotation – Learning Contract
Family Medicine Inpatient Rotation
Preceptor: Sharon See, Pharm.D., BCPS
Family Medicine – CPP 361
Inpatient Clerkship I - CPP 5403
Inpatient Clerkship II -CPP 5405
Course Number: CPP 5403, CPP 5405, CPP 361
Course Credit: 3 hours
Hours: 8 hours/day (19 days)
Course Description:
This course is an experiential rotation at Beth Israel Medical Center that is intended to expose the student to various aspects of clinical pharmacy practice in the inpatient family medicine setting. Under the direct guidance of Dr.See, the student will function as an integral part of the health care team performing numerous activities in accordance with the concept of total patient care. The clinical site activities will include, but not limited to, presenting patient case studies emphasizing rational drug therapy, participating in daily work rounds and providing patient education and drug information. Conferences will be scheduled at the institution to discuss patient care activities and effective patient management.
PREREQUISITES: CPP 308-Drug Information (Practitioner Option)
CPP 301-Therapeutics (Practitioner Option)
Must have completed all required coursework scheduled through the fall semester of 5th year (Undergraduate Pharm.D. program)
COMPETENCY BASED OBJECTIVES:
After completion of the rotation, the student should be able to:
1. Describe the pathophysiology of selected disease states
2. Extract information from the medical record and construct a data base for each patient:
The data base will consists of:
a. Patient age, sex and race
b. Chief complaint
c. History of present illness
d. Past medical history
e. Significant physical findings
f. Medication history
g. Social history
h. Laboratory data and diagnostic studies
i. Patient progress notes
3. Monitor and review select patient therapy for efficacy, appropriateness of therapy and toxicity.
4. Discuss the objectives of treating patients with various primary diseases based on the patient’s laboratory parameters, physiologic state and concurrent diseases.
5. Evaluate drug therapy of particular patients and recommend alternative therapy when deemed necessary.
6. Recommend appropriate drug therapy for patients with compromised hepatic and/or renal function in select disease states.
7. Recognize a drug-related problem or disease and prepare a pharmaceutical care plan for such problems.
8. Discuss the mechanisms of action, therapeutic advantages and disadvantages of various drugs within the same therapeutic class.
9. Discuss new and/or controversial therapies and medications in internal medicine.
10. Answer drug information questions for patients, medical students, nurses, physicians, pharmacists and other health care professionals.
11. Demonstrate ability to communicate effectively, both verbally and in writing to patients and other health care professionals.
12. Discuss patients and their drug therapies on rounds with the medical team.
LEARNING ACTIVITIES:
The student will be expected to:
A. General
1. Adhere to all the general policies outlined in the Doctor of Pharmacy Rotations contained in all other formal documents provided by St. John’s University College of Pharmacy and Allied Health Professions.
2. Maintain strict confidentiality with respect to sensitive information obtained at any time during the module.
B. Specific
1. Attendance and participation in daily medical rounds with assigned medical teams.
a. Documentation: as per preceptor
2. Monitor and review select patient therapy for efficacy, appropriateness of therapy, and drug related problems. Discuss pharmaceutical care plans with preceptor.
a. Documentation: Patient monitoring sheets and verbal discussions with preceptor.
3. Provide patient education, obtain drug histories and perform discharge counseling.
a. Documentation: Submit drug histories and patient counseling forms as part of patient management
4. Answer patient-specific drug information questions resulting from rounds, patient contacts or assigned readings.
a. Documentation: Submit drug information responses with references to preceptor when applicable.
5. Present formal patient case studies.
a. Documentation: Submit 1-2 formal written case studies
6. Review journals and pertinent literature relevant to internal medicine.
a. Documentation: Journal club presentation and/or conduct discussions with preceptor
7. Provide in-service lecture(s) to pharmacy students, nursing staff, or medical team when requested.
a. Documentation: Submit outline and lecture handouts.
8. Report cases of adverse drug reactions.
a. Documentation: Submit institution’s ADR reporting form or FDA drug reaction reporting form.
9. Attend all departmental and interdepartmental educational functions including lectures, grand rounds, and journal clubs.
a. Documentation: As per preceptor
10. Document all pharmacy interventions on appropriate hospital forms and electronic databases.
a. Documentation: Beth Israel Medical Center Pharmacy Department Intervention form and MedKeeper Database (SJU)
11. Serve all patients encountered during this course to the best of your ability and reflect on these experiences on a daily basis for personal and professional growth. The student should be prepared to discuss these experiences with their preceptor.
a. Documentation: As per preceptor
Method of Instruction:
Definition of Academic Service-Learning (AS-L):
Academic Service-Learning at St. John’s University is a classroom/experiential site- based program that involves students in some form of required community service activity and uses that activity as a means of understanding course concepts. It is a pedagogical approach whereby students engage in a service activity that benefits the common (public) good. The service activity meets course objectives, and through reflection students examine issues pertaining to justice and identity.
Application of Academic Service-Learning:
Within CPP 361, 5403, 5405, doctor of pharmacy students become integrated members of a healthcare team that is dedicated to optimizing patient care and fulfilling health care needs. This course provides an important experiential learning opportunity for the student in which they practice, perform and observe theories and practical applications of the course content and their discipline. The course is designated as an AS-L course and has been approved as such by the University’s Office of Academic Service-Learning. Due to the direct and indirect patient care responsibilities of CPP 361, 5403, 5405, the student will spend a significant amount of time engaged in service activity that benefits the common (public) good. In addition to service activities, students will participate in structured and organized reflection that will be organized by their preceptor. Reflection is an important component of AS-L since it provides the opportunity for students to link what they learn in the course with what transpires in pharmacy practice and their communities. Reflection can be accomplished in a variety of ways such as: discussions, papers and diaries.
Following the completion of the course, the student should be aware that the Office of Academic Service-Learning will contact them to solicit their feedback on this AS-L experience. Students are urged to complete this feedback honestly and as soon as possible upon receipt.
Updated 12/3/08 SS