Curriculum

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The primary objective of the Pharmacy Practice Experiences (PPE) is for the student to learn through experience. Students must actively participate in pharmacy practice and seek guidance from their preceptor, other pharmacy staff/health care professionals, their DKICP Advisor or the course coordinator.

Introductory Pharmacy Practice Experiences (IPPE)

Introductory Pharmacy Practice Experiences (IPPE) occurs in the first, second and third years that provides for a minimum of 300 hours of introductory experiences required by the Accreditation Council for Pharmacy Education (ACPE).

As the IPPE Experience continues through the curriculum, students should expect to gain experience in making professional decisions, with the preceptor encouraging greater autonomy as the student learns and demonstrates his or her problem-solving skills.

This chart shows the breakdown of the 300 hours of introductory experiences required by ACPE. The elements are described in detail below.Figure 1. IPPE

PY1 – PHPP 501/502 IPPE

First year IPPE courses PHPP 501 and 502 are intended as a baseline exposure to the basic roles and responsibilities of the pharmacist and other health care professionals in the hospital and long term care setting.

PY1 Retail Rotation – PHPP 506

4-week full time retail rotation occurs in the summer after the 1st professional year. The rotation encompasses an introduction to pharmacy practice in the community setting through observational and direct delivery of care to patients.

Students participate in a mock retail environment and complete an intense retail orientation during the spring semester of their PY1 year. This orientation includes and introduction/overview to basic retail law and daily operations of retail pharmacy. Students also have a hands-on approach by simulating activities in the pharmacy practice lab.

PY2 – PHPP 503/504 IPPE

The second year of our IPPE program is a unique program which provides for development in the following areas: 1) patient medication intake interview; 2) chart review and patient data extraction skills, 3) case presentation skills and 4) Journal Club/Evidence Based Medicine skills.

During the fall semester of the PY2 year, the students are APhA immunization certified, trained in taking manual blood pressures, participate in simulated patient cases and presentations, as well as small group mock patient interviews. Simulation workshops include a vertical integration of Integrated Therapeutic topics, which assist in the application of knowledge obtained thru the didactic curriculum. During the spring semester, PY2 students spend time in the community health care clinics and aging disability resource center (ADRC).

PY2/3 – PHPP 505 IPPE

This two-week rotation takes place during the summer after the PY2 year and encompasses exposure to institutional hospital pharmacy. Students are paired with a clinical pharmacist for patient care rounds, and spend time in the pharmacy performing central pharmacy duties and in the sterile product areas. This rotation allows the student to follow an acute care patient over several days, monitor the continuity of care, and present a patient case in SOAP format.

PY3 – Semester IPPE

PY3 students participate in IPPE simulated activities during the fall and spring semesters of the P3 year. Workshop activities will integrate the use of the SIM Man high fidelity simulator, and include performing physical assessment skills, designing and calculating appropriate drug therapy regimens, and assessing the simulated patient.

The Vet Med rotation provides an opportunity for pharmacy students to become exposed to and aware of veterinary medicine. Students spend 2 afternoons with a veterinarian at an animal clinic where they learn how human medicine is used in veterinary practice, become acquainted with veterinary procedures, and gain an understanding of how veterinarians interact with pharmacists.

Advanced Pharmacy Practice Experiences (APPE)

Advanced pharmacy practice experiences for the PY4 students began immediately after the PY3 year. Students are scheduled to participate in six rotations that are six weeks in length, providing students with a minimum of 1440 hours of experience. Mandatory rotations include:

  1. Hospital Inpatient Pharmacy
  2. Acute care
  3. Ambulatory Care
  4. Community pharmacy

Each student chooses two elective rotations. Rotations are held on all four major islands of Hawaiʻi, Kauaʻi, Maui and Oʻahu, as well as the US territories of American Samoa, Guam and Saipan. Students also have the opportunity to complete rotations at a variety of mainland sites.

This chart shows the breakdown of the 1440 hours of Advanced Pharmacy Practice Experiences required by the ACPE. The elements are described in detail below.Figure 2. APPE

APPE Boot Camp

PY3 students attend several APPE Preparation Boot Camp Sessions during the month of April prior to starting their APPE rotations (approximately 8 hours). During this Boot Camp, students are provided with forms and tools that are necessary for them to become organized and prepared for APPE rotations. Students are informed about learning objectives, activities that may be encountered on required rotations, and expectations and requirements for each rotation. Current PY4 students also have the opportunity to participate in this Boot Camp by giving presentations to the PY3 students of their experiences and helpful hints on what helped them succeed on rotations.