Adams, Jeff

Barnes, Lisa

Beall, Donna G.

Colucci, Vincent J.

Keeley, Kendra

Miller, Sarah

English

University of Montana

University of Montana ScholarWorks at University of Montana University of Montana Course Syllabi Open Educational Resources (OER) Fall 9-1-2008 PHAR 505.00: Pharmacy Practice IV–Pharmaceutical Care Donna G. Beall University of Montana, Missoula, donna.beall@umontana.edu Jeff Adams University of Montana, Missoula, jeff.adams@umontana.edu Sarah Miller University of Montana, Missoula, sarah.miller@umontana.edu Lisa Barnes University of Montana, Missoula, lisa.barnes@umontana.edu Vincent J. Colucci University of Montana, Missoula, vincent.colucci@umontana.edu See next page for additional authors Follow this and additional works at: https://scholarworks.umt.edu/syllabi Let us know how access to this document benefits you. Recommended Citation Beall, Donna G.; Adams, Jeff; Miller, Sarah; Barnes, Lisa; Colucci, Vincent J.; and Keeley, Kendra, "PHAR 505.00: Pharmacy Practice IV–Pharmaceutical Care" (2008). University of Montana Course Syllabi. 11973. https://scholarworks.umt.edu/syllabi/11973 This Syllabus is brought to you for free and open access by the Open Educational Resources (OER) at ScholarWorks at University of Montana. It has been accepted for inclusion in University of Montana Course Syllabi by an authorized administrator of ScholarWorks at University of Montana. For more information, please contact scholarworks@mso.umt.edu. Instructor Donna G. Beall, Jeff Adams, Sarah Miller, Lisa Barnes, Vincent J. Colucci, and Kendra Keeley This syllabus is available at ScholarWorks at University of Montana: https://scholarworks.umt.edu/syllabi/11973                                                                                                                      PHAR 505: Pharmacy Practice IV 4 credits Fall, 2008 M-W-F 8:10-9:00 SB 117 Lab sessions M-Tu-W-Th 1pm-3pm SB 229 Course Description: The fourth in a sequence of Pharmacy Practice courses, this course is designed to challenge the student to apply learned skills and information in a coordinated approach.Course Coordinator: Donna Beall CHC-106 Telephone: 243-6710donna.beall@umontana.edu SB-328 Telephone: 243-4237Instructors: Jeff Adams, MD Curry Health Center Telephone: 243-2767Sarah Miller SB-330 Telephone: 243-5787Lisa Barnes SB-318 Telephone: 243-4203Vince Colucci SB-346 Telephone: 243-4634Kendra Keeley SB-320 Telephone: 243-2310Materials and Resources: Required Texts: Jones RM and Rospond RM editors. Patient Assessment in PharmacyPractice.Philadelphia (PA): Lippincott Williams and Wilkins; 2003.Goals of the Course: The goal of this course is to provide the student with practical information aboutpharmaceutical care and to enhance skills that will optimize drug therapy management. Thiswill include aspects of dispensing, compounding, management, communication (both verbaland written), physical assessment, disease state monitoring, immunization and legal issues. Objectives: Upon completion of the course, the student will be able to:1. Take a cogent health history and perform an appropriate physical assessment that will assisthim/her in making decisions regarding optimizing drug therapy in patients;2. Demonstrate competence in performing, interpreting and recording examination to the leveldefined in lab for a given system or anatomic region;3. Develop a care plan, communicate recommendations (both verbally and in writing) to physicians and document interventions when given a case/scenario;4. After reviewing pertinent literature on a given pharmaceutical care issue/topic, communicate via a debate its relevance to the pharmacy profession;5. Obtain certification in immunization by demonstrating skill of injection technique and knowledge of immunizations and legal aspects of an immunization program.6. Demonstrate the ability to interview and assess prospective immunization patients and to safelyimmunize adult patients in the ambulatory pharmacy setting.                                                                      Expectations/Activities: It is the student’s responsibility and obligation to:1. Attend and participate in lectures and lab sessions. In cases of sickness or other emergenciesnecessitating a student’s absence from a lab session, the student must make arrangements to reschedule.  Since students work in groups during the lab sessions, a switch with another group iswarranted.  All reschedules must be prior approved by Donna Beall (243-6710 or e-mail donna.beall@umontana.edu); 2. Read assigned materials BEFORE attending class/lab and prepare written assignments to be handed in to instructor when due;3. Conduct a health/medication history or “brown bag” activity with a senior (refer to assignment);4. In the assigned small groups, given pharmaceutical care issue/topic, communicate its relevance tothe pharmacy profession (refer to assignment);5. Conduct yourself in a professional manner, understand that confidentiality of the patient (fellowstudent) must be preserved;6. Class civility:  Your student colleagues have strongly indicated that they wish to spend theirvaluable time in class listening to topics.  They do not appreciate any “side” conversations whilethe instructor is lecturing.  They do appreciate students raising questions about important lectureaspects for further discussion or clarification.  Out of respect for your classmates, we will nottolerate excessive and disruptive talking during lecture.  The instructor may first ask you to besilent; you may be asked to leave class if you persist in disruptive talking. The professionalismcode will be honored. Please note that questions and relevant discussion are encouraged;7. Cell phones must be in the “off” mode during class. Disruption due to the use of cell phones in class will not be tolerated; this includes cell phones turned to the “vibration” mode as well astexting. Cell phones will not be allowed out during exams.8. Young children: It may sometimes be necessary for a student to bring their young child to class, due to school illness policy, daycare provider illness, etc.  It is acceptable to bring a child to class inthese situations.   Please remember that children generally are NOT entertained by lectures, soprovide some activity for them during class. It is the responsibility of the parent to assure that thechild does not disrupt other students;9. All students must practice academic honesty. Academic misconduct is subject to an academic penalty by the course instructor and/or a disciplinary sanction by the University.  All students need to be familiar with the Student Conduct Code. The Code is available for review online athttp://life.umt.edu/VPSA/name/StudentConductCode.;10. Perform successfully on all activities, exams and final lab practical.                                                                                                                                                                                                   Grading: The instructor reserves the right to change any of the following including points for an assignment, add assignments, or eliminate assignments. The final grade of this course will be based on your performance in the following categories:Lecture exams 2 @ 100 points eachImmunization exam 100 pointsFinal Exam 50 pointsPresentation Activity 100 pointsHealth/medication history 50 points(Senior Activity)PA Lab practical 100 pointsLab assignmentsMedical Interview 10 pointsPA write-ups 40 points1) Vital signs and HEENT 102) Chest and Abdomen 103) Complete write-up - Vital signs through neuro 20650 points total for the course ***** PLEASE NOTE - plusses and minuses may be assigned at the end of the semester when grades are determined.598-650 points A- -A533-597 points B- – B+468-532 points C- – C+422-467 points D<422 FAssignmentsI. Assignment 1: Health/medication history – 50 pointsGoal of assignment:  Conduct a health/medication history on a senior (age > 65 years).  You mayinterview (in person NOT via telephone) the same individual that you met through earlier seniorpartner assignments.  Be sure he/she is taking at least one prescription medication, nonprescription product or nutritional supplement. Assess the drug regimen and include any recommendation(s) you would have for this patient.1. This is an “individual” assignment that must be completed by September 29, 20082. If you need a senior or need contact info on the individual you have used in otherassignments, please contact Gayle Hudgins3. Students may develop their own data collection form for this assignment4. Data form(s) passed-in must have ALL patient-identifiable information removed5. Please submit TWO (2) copies of this assignment.  Gayle Hudgins will keep one for yourexperiential file.6. Grading of assignmentsa. 0 points – not completed b. 5 points lost for each day latec. 5 points will be deducted for each patient-id found in your write-upd. Complete Points (i.e.50) awarded for typed history, complete with assessment andrecommendations and all patient –identifiers removed    II. “Pharmaceutical Care” Assignment/Presentation – 100 points                                                                                                                           Goal of assignment:  All issues have different perspectives.  It is important to understand relevant issuesfacing our profession.  After reviewing pertinent literature on a given pharmaceutical care issue/topic,communicate its relevance to the pharmacy profession1. This is a “group” assignment.  Groups will be assigned by the instructor.  Each member ofthe group will receive the same grade2. Topics/Issues and groups will be assigned on the first day of class3. It is expected, that the group will:a. Critically review the literature on the given topic/issue.  (Literature evaluation/support isworth 25 points)b. Present their position in 10 minutesc. Lead a discussion (with the “opposing team”) for 10 minutes4. Students will be evaluated based on the following criteria:# points(100 total)Exceeded expectation(receives total #points)Met expectation(receives ½ of total points)Below expectation(receives NOpoints)Succinctly statedposition5Support of position 25Presentation is clear 10Presentation is organized10Presentation is concise 10Presentation is professional10Time 10 minutes +/-two minutes 5Facilitation of discussion10Written report 155 Groups MUST hand in a progress report by 10/13/08.  This brief report (1 page) should outline yourstance, site appropriate literature and list the contributions of each group member.6 Topicsi) Topic: The model of in-store clinics are increasing across the country. What are yourthoughts regarding in-store clinics? Are they a threat or opportunity to our profession?Group #1 Perspective FOR in-store clinicsGroup #2 Perspective AGAINST in-store clinics                                                                                  ii) Topic: Professionalism is an important component to the practice of pharmacy, yet it isdifficult to define or articulate. Can professionalism be instilled into students duringthe professional program?Group # 3 Professionalism can be instilled into pharmacy studentsGroup # 4 Professionalism cannot be instilled into pharmacy studentsiii) Topic: It has been recently reported in the literature and professional organizationsthat a general pharmacy residency should be required before working in patient care areas.Group #5 A pharmacy residency should be required to practice pharmacy by 2020.Group #6 A pharmacy residency should remain optional, and thus should not be required to practice pharmacy in patient care areasvi) Topic: Some pharmacies are piloting telepharmacy systems that make it possible forregistered pharmacy technicians to work in stores in remote or rural locations to delivermedications to customers after the prescription has been processed and adjudicated by a pharmacist working from a home or central pharmacy location.Group #7 Telepharmacy is a wonderful opportunity for pharmacy as well as the ruralcommunities it services and is GOOD for our profession and patients.Group #8 Telepharmacy is NOT good for patient care and is a threat to our profession.  v) Topic: One of the recommendations in the IOM report Preventing Medication Errors centers around technology in general and specifically electronic prescribingGroup # 9Technologies, including electronic prescribing, is feasible in ALL care settings andwill reduce medication errors and therefore should be instituted.Group# 10 E-prescribing and other technologies are NOT feasible and other strategies should beemphasized.vi) Topic: To engage in pharmaceutical care activities, corporations must be supportive and buy into the value.Group #11 PRO - Corporate cultures support pharmacists’ involvement in progressive patientcare roles.Group #12 CON – Corporate cultures do NOT support pharmacists’ involvement in progressivepatient care roles.5 Groups must be ready to present on the 1st day of presentations and will be randomly selected6 Groups must hand in a written report (2-3 pages) as well as 3 multiple choice questions pertaining to their issue on the day of their presentation. A 10 point reduction will occur if papers and/or questionsare not submitted that day.                                                   AUG/ SEPT SEPT/ OCT  NOV DEC Monday  25   Orientation/ Introduction1  Labor Day - Holiday   8   Data Collection  15   Care Planning 22 Exam 1  Pharmaceutical care material  29 ImmunizationSarah Miller   Health/medication history due6   ImmunizationSarah Miller    13 PA 2: HEENT part 2  Dr. Adams Progress report  due 20     PA 4: AbdomenDr. Adams   27  PA 6: Derm Dr. Adams  3   IPHARM Kerry Haney 10   StudentPresentations  17    CompoundingKristen Robbins  24 TB Program Combined with  public health  1 Hazardous waste management for  Tue 26 2 9 16 23 30 7 14 21 28 4  Election   Day 11Veterans  Day – Holiday 18 25 2 Wednesday 27 Overview of Pharmaceutical Care  Practice 3       Medical/Health History     10   Identifying Drug TherapyProblems  17  Documenting      24– CDTA –Immunizations Lisa Barnes   1   ImmunizationSarah Miller   8 No Class in lieu of immunization exam on  Friday afternoon 15 Special Issues in  Pharmacy PracticeResidency Information -  KK  22   Pain Assessment/DEA LAB 29   PA 7: Ortho Dr. McCue 5  Student Presentations  12   Student Presentations  19  Billing for Cognitive   Services- VC  26    Student travel day  3 USPNF 797 & quality assurance in parenteral Thur 28 4 11 18 25 2 9 16 23 30 6 13 20  27        4 Friday 29    Interviewing 5    Case Presentations –Education APPE    12 Basic Physical AssessmentSkills/Vial signs  19 Innovative Community Practices  26   Immunization   Lisa Barnes  3   ImmunizationSarah Miller    10 PA 1 HEENT  Dr Adams Exam 2  Immunization exam2-5pm  17 PA 3: ChestDr. Adams     24   PA 5: NeuroDr. Adams   31   Exam 3: PA material 7     StudentPresentations  14   StudentPresentations  21  Advocacy in Pharmacy Practice  28   THANKSGIVING Holiday 5   Review Week’s Lab Assignments  No Lab  No Lab  Medical Interviewing Chapter 3Vital Signs  Chapters 4 and 5Medical Interview write-up DUE  Time allocated to Interview senior for health/ medication history   assignment  Immunization Lab  Time allocated to work on group projectHEENT   Chapters 9 and 10  Chest/Abdomen Chapters 11,12,14,15 Vital Signs and HEENT Write-up DUE Neuro/ortho Chapters 18,17 Chest and Abdomen   write-up DUE Lab Practical review Complete write-up –  Vital signs through  Neuro write-up DUE Lab practicals Lab practicals  No LabLab practicals       pharmacists – LB practice

PHAR 505.00: Pharmacy Practice IV–Pharmaceutical Care

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PHAR 505.00: Pharmacy Practice IV–Pharmaceutical Care

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