Community Practice Rotation
Advanced Pharmacy Practice Experience (APPE)
Taking Community Practice into the Future
"Studies have shown that pharmacists can reduce medication errors, improve patient outcomes, and decrease costs by providing patient-care services in a variety of settings. Community pharmacists are in a unique position to decrease negative medication outcomes in ambulatory patients. In this setting, pharmacists are readily accessible to their patients and often have existing relationships that can be built on to provide further care." - (The Role of the Community Pharmacist in Identifying, Preventing, and Resolving Drug-Related Problems. Medscape.com. Accessed on December 19, 2007. http://www.medscape.com/viewarticle/421293_1)
Taking place in community pharmacy services, this experience emphasizes a wide range of exposures, to include: prescription dispensing and OTC selection; patient communication and education; communication with prescribers and other health care providers; and pertinent management activities. Building upon previous internship experiences, assignments will be made to facilities that can provide the greatest degree of new and unique exposure for a particular student.
Task List for Community Rotations
A list of specific tasks has been established for each of the core rotations to serve as a guide to the minimum requirements necessary to demonstrate competency. Provided below are samples of a few of the tasks defined for each specific core experiential rotation. (Note: Completion of this activity or task may be dependent on site expectations, practice of the preceptor and expectations of the preceptor. Reasonable effort should be made to accomplish these tasks when possible.)
- Process Prescriptions (> 100) of various types.
- Evaluate patient medication profiles. Discuss and document the resolution of 10 patient- profile (Clinical) DUR problems.
- Develop/Discuss/Document resolution of 10 patient-insurance problems.
- Discuss the handling of the following scenarios with preceptor: suspected RX forged, discovery of an error, prescriber consensus challenges, traveler’s forgotten meds, notifying a patient that a medication error has occurred, dealing with difficult patient / MD.
Counsel patients on the use of medications (> 20 pts) including: insulin, statins, opiates (acute/chronic), inhalers, warfarin, pediatric dose measuring/administration, or others selected by preceptor.