Advanced Pharmacy Practice Experiences (APPE)

The APPE sequence takes place during your fourth (P4) year. You will provide advanced clinical pharmacy services in various health care environments to build on your previous academic experience.

Program Overview Requirements Goals and Objectives Rotation Types

APPE Goals of Core and Direct Patient Care Rotations

Goals:
To provide outstanding patient centered care to patients and assist preceptors and mentors in their daily activities. To do this, students must effectively educate and communicate with patients, care providers, administrators and others that support and care for patients.

Objectives:

  1. Community Rotations
    By the end of the rotation, the student will be able to demonstrate the following:
    • Pharmacists Patient Care (PPC)
      • PPC 1. Efficiently and appropriately optimize patient-specific outcomes using the Pharmacist Patient Care Process (PPCP) in the community pharmacy setting, including collaboration with other healthcare professionals.
      • PPC 2. Proactively identify and resolve drug-related problems including patient-specific barriers to medication adherence.
      • PPC 3. Educate patients about self-care and medication self-administration including making recommendations regarding medications (prescription and OTC) and non-drug therapy alternatives.
      • PPC 4. Triage and refer patients to other members of the health care team to meet a specific patient’s health needs.
    • Communication and Education (C&E)
      • C&E 1. Proactively perform patient-centered counseling and medication education using the most current and relevant information.
      • C&E 2. Adjust communication styles and techniques (e.g. motivational interviewing, coaching, counseling/education) in response to patient specific needs and individual social determinants of health (e.g. culture, religion, health literacy, literacy, disabilities, and cognitive impairment).
    • Population Health (PH)
      • PH 1. Provide patients with health and wellness strategies including provision of community screening and education services when indicated.
    • Dispensing System and Safety Management (D&S)
      • D&S 1. Accurately apply the prescription verification process (e.g. legitimate prescription, appropriate dose, interactions, DUR).
      • D&S 2. Use a computerized pharmacy management system and best practices related to safe medication use in distribution of medications to patients.
    • Practice Management (PM)
      • PM 1. Demonstrate the role of a pharmacist in managing legal, human, financial, technological and/or physical resources for day-to-day operations in the pharmacy.
      • PM 2. Participate in continuous quality improvement techniques to optimize the medication use process.
         
  2. Ambulatory Care Rotations
    By the end of the rotation the student will be able to demonstrate the following:
    • Pharmacist Patient Care (PPC)
      • PPC 1. Demonstrate appropriate depth and breadth of pharmacotherapeutics and disease-related knowledge for common conditions in the ambulatory care clinic population.
      • PPC 2. Efficiently and appropriately optimize patient-specific outcomes for ambulatory care patients using the Pharmacist Patient Care Process (PPCP), in collaboration with other healthcare providers.
    • Communication and Education (C&E)
      • C&E 1. Document patient care activities and care plan clearly and concisely to reflect the PPCP in the appropriate site-specific system.
      • C&E 2. Advocate for patient access to medications to optimize patient outcomes.
      • C&E 3. Perform patient-centered medication education.
      • C&E 4. Adjust communication style, techniques, and language in response to patient-specific needs and individual social determinants of health.
    • Interprofessional Collaboration (IPC)
      • IPC 1. Actively contribute as a member of an interprofessional healthcare team.
    • Evidence Based Medicine (EBM)
      • EBM 1. Apply evidence-based medicine practices to demonstrate knowledge of information applicable to ambulatory care practice.
    • Practice-Specific Responsibilities (PSR)
      • PSR 1. Use population-level data and quality metrics to identify and develop practices or strategies for improving outcomes and/or addressing health promotion and disease prevention for the population served by the clinic.
         
  3. Acute Care
    By the end of the rotation the student will be able to demonstrate the following:
    • Pharmacist Patient Care (PPC)
      • PPC 1. Demonstrate appropriate depth and breadth of pharmacotherapeutics and disease-related knowledge for a variety of common conditions seen in adult acute care patients.
      • PPC 2. Efficiently and appropriately optimize patient-specific outcomes for acute care patients using the Pharmacist Patient Care Process (PPCP).
      • PPC 3. Accurately prioritize multiple patient care responsibilities/needs in times of high activity and workload.
      • PPC 4. Apply pharmacokinetic dosing principles for a variety of commonly used drugs to determine the correct dose.
    • Communication and Education (C&E)
      • C&E 1. Document patient care activities clearly and concisely to reflect the PPCP in the appropriate site-specific health record system(s).
      • C&E 2. Educate healthcare team members on pharmacy topics relevant to their roles and practice.
    • Interprofessional Collaboration (IPC)
      • IPC 1. Actively contribute as a member of an interprofessional healthcare team.
    • Evidence-Based Medicine (EBM)
      • EBM 1. Apply evidence-based medicine practices to demonstrate knowledge of information applicable to acute care medicine.
    • Practice-Specific Responsibilities (PSR)
      • PSR 1. Perform institutional procedures and apply best practices to ensure continuity of care for patients transitioning across healthcare settings.
         
  4. Health Systems
    By the end of the rotation the student will be able to demonstrate the following:
    • Dispensing System and Safety Management (D&S)
      • D&S 1. Accurately verify new medication orders.
      • D&S 2. Ensure the accurate preparation of medication orders
      • D&S 3. Respond appropriately to basic drug procurement issues using site protocol(s).
    • Practice Management (PM)
      • PM 1. Oversee the workflow of the dispensing process.
      • PM 2. Participate in continuous quality improvement projects to assess and/or optimize the medication use process.
    • Communication and Education (C&E)
      • C&E 1. Document patient care activities and care plan clearly and concisely to reflect the PPCP in the appropriate site-specific system.
      • C&E 2. Perform patient-centered medication education.
      • C&E 3. Adjust communication style, techniques, and language in response to patient-specific needs and individual social determinants of health.
    • Interprofessional Collaboration (IPC)
      • IPC 1. Actively contribute as a member of an interprofessional healthcare team.