PhPr 803C - Ambulatory Pharmacy Practice
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Goals
The primary purpose of the Ambulatory Care Pharmacy Practice Rotation is to allow students to gain experience and develop skills in the various roles in which a pharmacist contributes to patient care in the ambulatory care setting.
Objectives
In keeping with that purpose, students should At the completion of this rotation, the student should be able to:
- Demonstrate an understanding of pharmacy-related health care issues for ambulatory patients, including:
- compliance
- patient education
- cost-effectiveness
- nonprescription drug use
- doctor shopping
- pharmacy shopping
- Demonstrate the ability to gather appropriate information from the patient, laboratory, consultants, and other sources and make appropriate drug therapy decisions in the limited time of a clinic visit.
- Coordinate inpatient and outpatient drug therapy, particularly with regard to follow-up of response, side effects, and compliance after discharge from a hospital or long-term care facility.
- Recognize the indications for and institute appropriate preventive medicine techniques including, but not limited to, vaccinations for high risk groups; appropriate calcium and vitamin supplements; and control of potentially serious adverse drug effects, etc.
- Participate actively and effectively in a multidisciplinary health team within the ambulatory care setting. Recognize the value of and utilize practitioners in other fields, including nurses, nurse assistants, nurse practitioners, physician assistants, laboratory technicians, social workers, psychologists, nutritionists, and physicians.
- Provide effective consultation regarding appropriateness of drug therapy, pharmacokinetics, product selection, side effects, drug interactions, contraindications, etc., to ambulatory care practitioners from other disciplines.
- Effectively utilize pharmacokinetic principles and techniques in an ambulatory care environment.
- Demonstrate effective patient education and/or behavior modification techniques.
- Demonstrate competence in managing common therapeutic problems encountered in ambulatory care, including hypertension, chronic obstructive pulmonary disease, asthma, deep vein thrombosis. Also may be required to demonstrate competence in managing episodic problems such as vaginitis, contraception, allergy, otitis media, upper respiratory infections, alcohol and substance dependence.
Responsibilities
The responsibilities of the student during this rotation shall include the following:
- Provide consultation and drug information to any provider practicing in the assigned ambulatory or home health services.
- Provide therapeutic planning, patient teaching and follow-up for patients with therapeutic or drug acquisition problems.
- Prepare and present to physicians, pharmacists, nurses or other allied health professionals at least one morning conference on a topic of therapeutic interest.
- Attend conferences as designated by the site preceptor.
- Provide primary patient care service under the supervision of the pharmacy faculty and/or pharmacy resident