Ambulatory Pharmacy Practice (PhPr 803)

The purpose of the Ambulatory Care Pharmacy Practice Rotation is to allow students to develop skills and gain experience in various roles in which a pharmacist contributes to patient care in outpatient settings.

Prior to the rotation, the student should download the Checklist for All Rotations and the Ambulatory Care Rotation Checklist can be used as guides for student activities during the rotation. 

Preceptors may download an Ambulatory Care Rotation Syllabus template to use as a guide to create a syllabus for their rotation.

Ambulatory Care Rotation Goals and Objectives
The following are guidelines regarding activities in which students should gain experience or at least exposure during the Ambulatory Care Pharmacy Rotation. These goals and objectives and the suggested time to spend on particular tasks may be adjusted according to the student's previous experience, the preceptor's expertise, and the unique characteristics of the rotaiton site.

Overall ratings of the accomplishment of checklist tasks are reflected in items 1 and 2 (Knowledge/Application section) of the form used for the final rotation evaluation and grade assignment. 

1.  Health Care Planning and Medication Therapy Management

  • Collect, organize, and evaluate patient specific information from various sources
  • Apply disease state knowledge to individual patients to evaluate existing medication therapies
  • Integrate health promotion and disease prevention measures into patient health care plans.
  • Recognize social/economic issues that affect drug therapy and potential solutions.
  • Communicate with patients and health care providers to make interventions to improve care.
  • Organize patient information into a SOAP note format for documentation of patient interactions and patient care interventions according to rotation site procedures

2. Patient Care

  • Educate patients regarding disease states, therapies, and required monitoring and follow-up care
  • Perform monitoring activities to assess efficacy and potential toxicity of drug therapies
  • Demonstrate effective communication skills for interviewing/counseling patients
  • Respond appropriately to drug information inquiries from other health care providers
  • Document patient care activities according to procedures at rotation site

3. Disease State/Therapeutic Knowledge

  • Demonstrate knowledge of medical conditions commonly encountered in ambulatory care settings.  If the rotation site is a specialty clinic, students should demonstrate knowledge of the disease states pertinent to that particular clinic
  • Recognize situations in which therapies usually recommended for a particular condition are not appropriate for an individual patient and evaluate alternatives
  • Identify areas in disease state management in which pharmacists may most positively impact patient care
  • Demonstrate knowledge of current immunization practices/recommendations

4. Clinic Management

  • Demonstrate knowledge of billing procedures applicable to pharmacy services
  • Demonstrate knowledge of third party payer issues pertinent to pharmacy practice, including formulary and prior authorization procedures
  • Understand working structure of the clinic including functions of all clinic personnel and their relationships to each other and the pharmacist



Originally posted: August 29, 2013
Last updated: July 31, 2015
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