Pharmaceutical Sciences, Faculty of
DSpace
Entry-to-Practice PharmD Program
University of British Columbia. Office of Experiential Education
Lau, Gilly
Tang, Alex
Wong, Gabriella
Tchen, Paulo
OUTPATIENT PRACTICUMS HANDBOOK FOR STUDENTS AND PRACTICE EDUCATORSIntroductory and Advanced Pharmacy Practice Experiences (IPPE, APPE) – OutpatientEntry-to-Practice PharmD ProgramEffective May 2019 – 2020Course Course Coordinator PHRM 171 (IPPE I) Gilly Lau PHRM 271 (IPPE II) Alex Tang PHRM 371 (IPPE III) Gabriella Wong PHRM 471 (APPE) Paulo TchenPHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 2 Table of Contents Acknowledgement ........................................................................................................................................ 4 Introduction .................................................................................................................................................. 5 SECTION 1 – DIRECT PATIENT CARE PRACTICUMS OVERVIEW ..................................................................... 6 1.1 Educational Outcomes ............................................................................................................... 6 1.2 Direct Patient Care Practicum Goals and Learning Objectives .................................................. 8 1.2.a Knowledge.................................................................................................................. 8 1.2.b Skills (Provision of Pharmaceutical Care) ................................................................... 9 1.2.c Attitudes and Behaviors (Professionalism) .............................................................. 11 1.3 Expected Level of Performance and Patient Complexity ......................................................... 13 1.4 Practice Educator Outpatient Practicum Activities Overview ................................................. 15 1.5 Student Practicum Summary Checklists .................................................................................. 16 1.5.a PHRM 171 Student Practicum Summary Checklist .................................................. 16 1.5.b PHRM 271 Student Practicum Summary Checklist .................................................. 17 1.5.c PHRM 371 Student Practicum Summary Checklist .................................................. 18 1.5.d PHRM 471 Student Practicum Summary Checklist .................................................. 19 1.6 E*Value Coursework for Outpatient Practicums ..................................................................... 20 SECTION 2 – REQUIRED COURSE ACTIVITIES .............................................................................................. 21 2.1 Student Introduction Resume .................................................................................................. 21 2.2 Learning Contract4.5 ................................................................................................................. 23 2.3 Service Activities ...................................................................................................................... 25 2.4 Counseling ................................................................................................................................ 28 2.5 Non-Prescription Assessment .................................................................................................. 30 2.6 New and Refill Prescription Assessment .................................................................................. 32 2.7 Full Patient Work Up and Care Plan ......................................................................................... 34 2.8 Follow Up Evaluation ............................................................................................................... 36 2.9 Drug Information Response4 .................................................................................................... 39 2.10 Professional and Specialty Service ......................................................................................... 42 2.11 Presentation ........................................................................................................................... 45 2.12 Health Promotion................................................................................................................... 48 2.13 Professional Practice Reflection ............................................................................................ 50 2.14 Medication Safety Reflection ................................................................................................. 52 PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 3 2.15 Giving Feedback to the Practice Educator ............................................................................. 54 2.16 Self-Assessment ..................................................................................................................... 56 SECTION 3 – ASSESSMENT PROCESSES ....................................................................................................... 59 3.1 Assessment Processes.............................................................................................................. 59 3.2 Grade Assignment .................................................................................................................... 61 SECTION 4 – ADDITIONAL INFORMATION .................................................................................................. 63 4.1 Overview of Outpatient Practicum Course Requirements ...................................................... 63 4.2 Course Schedule ....................................................................................................................... 64 4.2.a PHRM 171 Course Schedule ..................................................................................... 65 4.2.b PHRM 271 Course Schedule .................................................................................... 66 4.2.c PHRM 371 Course Schedule ..................................................................................... 67 4.2.d PHRM 471 Course Schedule .................................................................................... 69 4.3 Office of Experiential Education Contact Information ............................................................. 71 4.4 Policies ..................................................................................................................................... 74 REFERENCES ................................................................................................................................................ 75 PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 4 Acknowledgement UBC’s Point Grey Campus is located on the traditional, ancestral, and unceded territory of the xwməθkwəy̓əm (Musqueam) people. The land it is situated on has always been a place of learning for the Musqueam people, who for millennia have passed on in their culture, history, and traditions from one generation to the next on this site. The Office of Experiential Education would like to thank the many individuals who have generously permitted the adaptation of their materials in the revision of our learner handbooks and policies, with individual recognition to Ann Thompson, Andrea Cameron, Harriet Davies and Doreen Leong. These handbooks would not have been possible without the hard work of students Alice Wang and Deanna Lo and their assistance with the compilation of materials. We would also like to recognize Marguerite Yee, Amin Bardai, Rosemin Kassam and Angela Kim-Sing for their past contributions to our program. Thank you to the following groups for their collaboration and sharing of ideas: College of Pharmacists of British Columbia British Columbia Pharmacy Association Canadian Society of Hospital Pharmacists Drug and Poison Information Centre Association of Faculties of Pharmacy of Canada Pharmacy Experiential Programs of Canada PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 5 Introduction The mission of the Office of Experiential Education is to create and facilitate the structured learning opportunities necessary for students to develop the knowledge, skills and professional attributes required for direct-patient care roles and innovative pharmacy practice upon graduation. The Office of Experiential Education is responsible for the facilitation of over 1000 placements each year for our Entry-to-Practice PharmD Program, Flexible PharmD program and the Canadian Pharmacy Practice Program (CP3) for our international pharmacy graduates. Working closely with our experiential education sites and partners, we aim to provide students with valuable hands-on experience within a variety of pharmacy practice settings under the supervision and guidance of our qualified practice educators. Experiential education is an integral component of student learning. Students are immersed within the pharmacy practice setting in the early years of their program with the introductory pharmacy practice experience (IPPE) practicums and continue to the advanced pharmacy practice experience (APPE) practicums in their fourth and final year. These practicums are progressive and structured to provide students with practice experience in a variety of care sectors, involving patients with a variety of healthcare service needs. These learning experiences are fundamental for students to develop and refine their ability to apply the necessary knowledge, skills and professional attributes to provide evidence-based patient-centered care within the real-world practice environment. By the completion of their program, we strive for our students to have the competence and confidence to serve as valued and collaborative members of the health care team. The Faculty is grateful to the many dedicated practice educators that enthusiastically welcome our students to their practice sites each year. Without their unwavering commitment and dedication, our experiential education program would not be possible. We thank each of our practice educators for their ongoing collaboration with the Faculty and their valued contributions to the clinical education of our students. Kind regards, Dr. Janice Yeung, BSc.(Pharm), ACPR, Pharm D Director, Office of Experiential Education PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 6 SECTION 1 – DIRECT PATIENT CARE PRACTICUMS OVERVIEW 1.1 Educational Outcomes The goal of the PharmD program is to graduate competent, caring pharmacists, ready to enter the rapidly evolving environment of pharmacy practice and to manage patient’s medication therapy. The learning opportunities in the program are designed to help students meet the Educational Outcomes for First Professional Degree Programs in Pharmacy articulated by the Association of Faculties of Pharmacy of Canada (AFPC) 1 and the Competencies of Entry Level Pharmacists articulated by the National Association of Pharmacy Regulatory Authorities (NAPRA) 2. The Educational Outcomes for First Professional Degree Programs in Pharmacy are structured around seven key pharmacist roles 1: 1) Care Provider: As Care Providers, pharmacy graduates provide patient-centered pharmacy care by using their knowledge, skills and professional judgement to facilitate management of a patient’s medication and overall health needs across the care continuum. Care Provider is the core of the discipline of pharmacy. 2) Communicator: As Communicators, pharmacy graduates communicate effectively in lay and professional language, using a variety of strategies that take into account the situation, intended outcomes of the communication and diverse audiences. 3) Collaborator: As Collaborators, pharmacy graduates work collaboratively with patients and intra- and inter-professional teams to provide safe, effective, efficient health care, thus fulfilling the needs of the community and society at large. 4) Leader-Manager: As Leaders and Managers, pharmacy graduates engage with others to optimize the safety, effectiveness and efficiency of health care and contribute to a vision of a high-quality health care system. 5) Health Advocate: As Health Advocates, pharmacy graduates demonstrate care for individual patients, communities and populations by using pharmacy expertise to understand health needs and advance health and well-being of others. 6) Scholar: As Scholars, pharmacy graduates take responsibility for excellence by applying medication therapy expertise, learning continuously, creating new knowledge and disseminating knowledge when teaching others. 7) Professional: As Professionals, pharmacy graduates take responsibility and accountability for delivering pharmacy care to patients, communities and society through ethical practice and the high standards of behaviour that are expected of self-regulated professionals. The Professional role is the overarching ethos of the discipline of pharmacy. Graduates should also recognize the four domains of the Model of Practice for Canadian Pharmacists (MSOP) developed by the National Association of Pharmacy Regulatory Authorities (NAPRA) 2. These PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 7 domains encompass standards against which pharmacists’ performance can be evaluated when the pharmacists are undertaking the activities imperative for safe and effective practice in their daily work. The Four Domains of MSOP for Canadian Pharmacists are: 1) Expertise in medications and medication-use 2) Collaboration 3) Safety and Quality 4) Professionalism and Ethics Students are also expected to review the UBC E2P PharmD Program Learning Outcomes as outlined on the E2P PharmD Program Hub on the learning management system Canvas. For your reference: 1AFPC Educational Outcomes for First Professional Degree Programs in Pharmacy in Canada 2017. Available at: http://www.afpc.info/system/files/public/AFPC-Educational%20Outcomes%202017_final%20Jun2017.pdf 2NAPRA Professional Competencies for Canadian Pharmacists at Entry to Practice. Available at: http://napra.ca/sites/default/files/2017-08/Comp_for_Cdn_PHARMACISTS_at_EntrytoPractice_March2014_b.pdf PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 8 1.2 Direct Patient Care Practicum Goals and Learning Objectives As outlined in the Association of Faculties of Pharmacy of Canada (AFPC) Educational Outcomes for First Professional Degree Programs in Pharmacy in Canada, the provision of patient care and the role of care provider is at the heart of the discipline of pharmacy. The overarching goal of the direct patient care practicums across the four years of the UBC E2P PharmD program is to ensure that graduates have the knowledge, skills and professional attributes necessary to provide exemplary patient care. Below are the overall goals and learning objectives for all direct patient care (DPC) practicums within the UBC E2P PharmD program. 1.2.a Knowledge Goal Develop, integrate and apply the knowledge necessary to provide patient-centered pharmacy care to facilitate management of a patient’s medication and overall health needs across the care continuum. Learning Objectives By the end of this course, students will be able to: AFPC Reference NAPRA Reference 1) Apply knowledge of the following to patient-specific clinical findings to make appropriate, patient-specific drug therapy recommendations: a) Pathophysiology, risk factors, etiology, and clinical presentation of medical conditions, including symptoms, physical assessment, relevant diagnostics, and laboratory findings b) Pharmacology, pharmacokinetics, pharmaceutics, and evidence-based therapeutics CP 1.1, SC1, SC2 2) Apply knowledge of safe medication practices to optimize medication use for patients and health care delivery CP3, LM1 3) Apply knowledge of regulations and ethical principles through practice in accordance with the laws, ethical codes, and regulatory requirements (e.g. bylaws, professional standards, policies and/or guidelines) that govern pharmacy practice within their jurisdiction. CP1, CP3.2 1.1, 1.2, 1.4, 1.5 PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 9 1.2.b Skills (Provision of Pharmaceutical Care) Goal Develop and demonstrate the clinical skills and professional judgement necessary to provide patient-centered pharmacy care to facilitate management of a patient’s medication and overall health needs across the care continuum. Learning Objectives By the end of this course, students will be able to: AFPC Reference NAPRA Reference 4) Prioritize assigned work, identifying patients who are most likely to experience drug therapy problems and setting priorities to manage and balance patient care, workflow and practice requirements LM 2.2, LM 4.2, PR 3.1 5) Establish and maintain a respectful, professional, and ethical relationship with the patient and/or their caregivers centered on the patient’s needs, values, desired level of care and health goals CL1, CM1, CM2 2.1 6) Gather, interpret and assess relevant history from the patient, his/her health records, caregivers, and other healthcare professionals including: a) Patient demographics b) Chief complaint/reason for encounter c) History of present illness d) Past medical history e) Family history f) Functional history g) Social history h) Nutritional status, dietary restrictions/needs, and exercise i) Review of systems utilizing a head-to-toe approach (e.g. signs/symptoms, physical exam, labs, diagnostics, imaging, microbiology) j) Health care team members involved in the care of the patient CP2.1, SC1 2.2, 2.3 7) Gather, interpret and assess a best possible medication history (BPMH), including: a) Allergy history b) Adverse drug reactions c) Current medications/medications prior to admission d) Past medication history CP 2.1, SC 1 2.2, 2.3 PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 10 e) Non-prescription medication history f) Immunization history g) Social drug history h) Medication experience and adherence 8) Develop a prioritized medical problem list, identifying both the patient’s active and chronic issues CP 2.2, SC1 2.3 9) Identify and justify a prioritized list of all actual and potential patient-specific drug therapy problems CP2.2, HA1, SC1, SC2 2.3, 2.4 10) Determine the desired outcomes and patient-specific medication-related and non-pharmacological goals of therapy, specifying measurable endpoints, target values and associated timeframes CL 1.1, CL 1.3, CM 1, CM 2.1, CM 2.4, CP 1.4, CP 2.3, HA1, SC1, SC2 2.5.1 11) Identify a prioritized list of all viable therapeutic alternatives through integration of relevant patient data, best available evidence and comparing and contrasting the pros and cons of each alternative, including assessment of efficacy, safety, patient factors, administration issues and cost CP1.5, CP2.3, SC1, SC2 2.5.2, 2.5.3 12) Identify, justify and defend a list of appropriate, patient-specific recommendations for identified drug therapy problems CP2.3, SC1, SC2 2.5.4, 6.1 13) Create and implement a care plan in collaboration with the patient and healthcare team members through communication means as appropriate, including, but not limited to: a) Obtaining consent b) Making appropriate patient-specific therapeutic recommendations c) Making a referral and/or consulting others d) Adapting, initiating, discontinuing, dispensing or administering medication as authorized e) Engaging the patient or caregiver through education and counselling, empowerment and self-management f) Communicating the rationale for the care plan within the circle of care CL1, CL2, CM1, CM2, CP2.4, HA1, LM1.4, SC1, SC2, SC4 2.5, 2.6, 2.7, 3.1, 6.1, 7.1, 7.2, 8.1, 8.2, 8.3, 8.4 14) Develop an appropriate, patient-specific monitoring plan and/or plans for continuity of care, specifying efficacy and safety endpoints, target values, frequency and timeframes for monitoring CL2, CP2.5 2.5.8 PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 11 15) Provide follow up evaluation and assessment of effectiveness, safety and patient adherence and tolerance to drug therapy CP 2.5, SC1, SC2 2.8 16) Proactively document patient-related healthcare issues, care plans and medication orders/clarifications in a clear, concise, and organized manner, fulfilling professional and legal requirements CM1, CM2, CL2.3, LM 1.4 1.5 17) Effectively respond to medication- and practice-related questions and educate others in a timely manner, utilizing systematic literature search, critical appraisal skills, and appropriate means of communication (verbal or written, as appropriate) CM1, CM2, SC1, SC2, SC4 6.1, 6.2, 7.1, 7.2.1, 7.2.3, 7.3 18) Advocate for the health and wellness of patients and the community, promoting disease prevention and facilitating patient access to the health care system and required services LM 1.1, LM3.1, HA 1, HA2 5.1, 5.2 1.2.c Attitudes and Behaviors (Professionalism) Goal Demonstrate the attitudes and high standards of behavior expected of self-regulated professionals for delivering pharmacy care to patients, communities and society through ethical practice. Learning Objectives By the end of this course, the student will consistently: AFPC Reference NAPRA Reference 19) Demonstrate the attitudes, qualities, ethical principles, commitment, and characteristics of a professional as expected by patients, other pharmacists, regulatory bodies, and other healthcare professionals including demonstration of, but not limited to: a) Accountability b) Attire and appearance c) Confidentiality d) Honesty and integrity e) Punctuality PR1, PR2 1.4 20) Demonstrate responsibility and commitment to their own learning and the ongoing refinement and advancement of critical thinking, scientific reasoning, problem-solving and decision-making skills through the demonstration of, but not limited to: a) Self-directed learning b) Self-evaluation LM3, PR3 1.4 PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 12 c) Personal reflection d) Receptiveness to feedback e) Adaptability and openness to change 21) Demonstrate an understanding of the role of the pharmacist within the healthcare team, practicing within their scope of practice and all legal and ethical requirements CP1, PR1, PR2 1.1, 1.2 PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 13 1.3 Expected Level of Performance and Patient Complexity For each direct patient care practicum, students will be expected to achieve the Direct Patient Care Goals and Learning Objectives at the corresponding expected performance level for their respective program year which is described in the below table. The table also provides guidance on patient complexity and characteristics commensurate with year level, however the practice educator and/or designated pharmacist will determine if the expectations on "patient complexity” for course activities are met. This may or may not be within the “patient characteristics” parameters that are suggested below, as a number of other factors may contribute to complexity, including: psychological (e.g. cognitive impairment), social (e.g. affordability of treatment), biological (e.g. organs affected, degree of dysfunction), health-care system related (e.g. number of involved health care providers). These dimensions should also be taken into account when assessing the student’s level of performance in the care of their patients. Practicum Course Expected Level of Performance Student Characteristics3 Expected Patient Complexity Patient Characteristics PHRM 171 Novice Has incomplete understanding and minimal or "textbook" knowledge without connecting it to practice. Approaches tasks mechanistically. Little or no conception of dealing with complexity. Needs close supervision or instruction. LOW Medical Conditions: 1-3 Number of medications: 3-5 PHRM 271 PHRM 272* Advanced Beginner Has a working understanding and knowledge of key aspects. Tends to see actions as a series of steps. Appreciates complex situations, but only able to achieve partial resolution. Able to achieve some steps using own judgement, but supervision needed for overall task. LOW-MODERATE Medical Conditions: 3-5 Number of medications: 5-7 PHRM 371 MODERATE Medical Conditions: 5-7 Number of medications: 7+ PHRM 471 PHRM 472 PHRM 473 Competent Has good working and background understanding. Now sees actions at least partially in terms of longer-term goals. Copes with complex situations through deliberate analysis and planning. Able to work independently to a standard that is acceptable though may lack refinement. Able to achieve most tasks using own judgement. MODERATE Medical Conditions: 5-7 Number of medications: 7+ PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 14 * As second year students PHRM 272 students are expected to perform at the level outlined above. However, given the short duration and the observational nature of the practicum the assessment of the performance will be different compared to the other direct patient care practicums. Please review the additional information in the Assessment of Student Learning, A Guidebook for Practice Educators. PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 15 1.4 Practice Educator Outpatient Practicum Activities Overview The table below describes the general activities for outpatient practicums and the role of the practice educator in each of these activities. Practicum Requirements Brief Description (Please see corresponding course handbook section for details) Practice Educator (PE) Role UBC Pharmacy Student Health and Safety Orientation (HSO) Required, student-led WorkSafeBC orientation and documentation Student to review with PE within the first 24 hours on site. 72-Hour Checklist Orientation checklist to introduce the student to the site, practicum schedule, site policies/procedures, etc. Student to review checklist with PE within the first 72 hours on site. Student Introduction Resume One week prior to the practicum, student to upload updated version of his/her resume to E*Value. Student to review resume with PE within the first 72-hours on site Review student introduction resume uploaded on E*Value and discuss resume with student as part of orientation to site. PE to verify completion on E*Value Learning Contract Student to identify learning objectives and assess his/her progress towards attaining these objectives throughout the practicum using a learning contract Student and PE to review within the first 72-hours of the practicum and revisit at midpoint and final weeks of practicum. PE to verify completion on E*Value Service Activities Student will participate in various workflow and service activities as they arise in daily practice including: drug inventory ordering and disposal, prescription filing, compounding, refill reauthorization requests, prescription transfer, receiving verbal prescriptions, prescription processing, and prescription final checking All practicum activities to be completed under the direct supervision of a pharmacist practice educator and/or designated pharmacist. PE to verify safe and satisfactory completion on E*Value Note: For PHRM 171, the following activities are not assessed: Full Patient Workup and Care Plan, Follow Up Evaluation, Drug Information Response, Health Promotion For PHRM 271, 371, and 471, no documentation is required for the following activities: Professional Practice Reflection, Medication Safety Reflection Counseling Student will provide patient education and counseling Non-Prescription Assessment Student will provide pharmaceutical care to patients requiring non-prescription assessment New and Refill Prescription Assessment Student will provide pharmaceutical care to patients with both new and refill prescriptions Full Patient Workup and Care Plan Student will complete a full patient workup and care plan which includes: patient interview and patient assessment, development of a care plan for each medical condition, complete follow-up with this patient, and document all components appropriately Follow Up Evaluation Student will conduct follow up evaluations Drug Information Response Student to answer drug information requests using best available evidence Professional and Speciality Service Student to participate in professional and specialty services including: medication review services, adaptations, immunization services, specialty compounding, etc. Presentation Student to prepare and deliver presentations for a specific audience on relevant topics as agreed upon with PE Health Promotion Student to participate in promoting health and wellness of the community through health promotion activities Professional Practice Reflection Student to discuss role and functions of pharmacists as described in the College of Pharmacists of BC’s Framework of Professional Practice and review their reflection with PE Medication Safety Reflection Student to complete reflection on medication safety and review their reflection with PE Giving Feedback to the Practice Educator Student to provide constructive feedback to PE throughout practicum and complete evaluation survey PE to review feedback received from student. PE to verify satisfactory completion on E*Value Self-Assessment Student to reflect upon his/her knowledge, skills, and professional attributes thus far on practicum and devise an action plan going forward. Self-assessment and action plan to be discussed and agreed upon with the PE PE to verify satisfactory completion on E*Value Direct Patient Care Practice Educator Assessment of Student PE to observe and assess student performance over the course of the practicum and formally document and discuss this assessment with student at midpoint and final PE to complete midpoint and final assessment of student on E*Value PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 16 1.5 Student Practicum Summary Checklists The following checklists are intended to be a resource for students to track completion of all practicum requirements in their course. 1.5.a PHRM 171 Student Practicum Summary Checklist Minimum Required Practicum Requirements Where to complete/submit for course completion Student Submission Deadline 1  UBC Pharmacy Student Health and Safety Orientation (HSO) Canvas 72 hours after practicum begins 1  72-Hour Checklist No submission to OEE No submission 1  Student Introduction Resume 1) E*Value PDF upload of resume 2) Acknowledge completion on Practicum Activities E*Value Coursework 1) One week before practicum begins 2) 11:55pm on the last scheduled OEE practicum block date 1  Learning Contract Student to acknowledge completion on Practicum Activities E*Value Coursework (no submission to OEE) 11:55pm on the last scheduled practicum block date Detailed in Section 2.3  Service Activities 20  Counseling 1  Non-Prescription Assessment 2  New and Refill Prescription Assessment 2  Professional and Specialty Service 4  Presentation 1  Professional Practice Reflection 1  Medication Safety Reflection 1  Giving Feedback to the Practice Educator 1) Review and discuss feedback and acknowledge on Practicum Activities E*Value Coursework 2) Complete Student Evaluation of Practice Educator and Practice Site on E*Value 11:55pm on the last scheduled practicum block date 1  Self-Assessment (Week 2) Complete on Self-Assessment E*Value Coursework By the midpoint assessment Midpoint, Final  Direct Patient Care Practice Educator Assessment of Student Practice educator to submit by end of week 2 (Midpoint) and end of week 4 (Final) on E*Value No student submission; Submitted by practice educator 1  Student Evaluation of the Office of Experiential Education Course Complete Student Evaluation of the Office of Experiential Education Course on E*Value 11:55pm on the last scheduled practicum block date STUDENTS ARE EXPECTED TO REVIEW, UNDERSTAND, AND COMPLETE ALL ACTIVITY REQUIREMENTS AS DESCRIBED IN THIS COURSE HANDBOOK PERTAINING TO THEIR RESPECTIVE PRACTICUM COURSE. PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 17 1.5.b PHRM 271 Student Practicum Summary Checklist Minimum Required Practicum Requirements Where to complete/submit for course completion Student Submission Deadline 1  UBC Pharmacy Student Health and Safety Orientation (HSO) Canvas 72 hours after practicum begins 1  72-Hour Checklist No submission to OEE No submission 1  Student Introduction Resume 1) E*Value PDF upload of resume 2) Acknowledge completion on Practicum Activities E*Value Coursework 1) One week before practicum begins 2) 11:55pm on the last scheduled OEE practicum block date 1  Learning Contract Acknowledge completion on Practicum Activities E*Value Coursework 11:55pm on the last scheduled OEE practicum block date No Minimum  Service Activities 20  Counselling 8  Non-Prescription Assessment 8 New, 8 Refill  New and Refill Prescription Assessment 1  Full Patient Workup and Care Plan 4  Follow Up Evaluation 2  Drug Information Response 1  Professional and Specialty Service 3  Presentation 1  Health Promotion 1  Giving Feedback to the Practice Educator 1) Review and discuss feedback and acknowledge on Practicum Activities E*Value Coursework 2) Complete Student Evaluation of Practice Educator and Practice Site on E*Value 1  Self-Assessment Week 2 Complete Self-Assessment E*Value Coursework By the end of Week 2 Midpoint, Final  Direct Patient Care Practice Educator Assessment of Student Practice educator to submit by end of week 4 (Midpoint) and end of week 8 (Final) on E*Value No student submission; Submitted by practice educator 1  Student Evaluation of the Office of Experiential Education Course Complete Student Evaluation of the Office of Experiential Education Course on E*Value 11:55pm on the last scheduled OEE practicum block date STUDENTS ARE EXPECTED TO REVIEW, UNDERSTAND, AND COMPLETE ALL ACTIVITY REQUIREMENTS AS DESCRIBED IN THIS COURSE HANDBOOK PERTAINING TO THEIR RESPECTIVE PRACTICUM COURSE. PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 18 1.5.c PHRM 371 Student Practicum Summary Checklist Minimum Required Practicum Requirements Where to complete/submit for course completion Student Submission Deadline 1  UBC Pharmacy Student Health and Safety Orientation (HSO) Canvas 72 hours after practicum begins 1  72-Hour Checklist No submission to OEE No submission 1  Student Introduction Resume 1) E*Value PDF upload of resume 2) Acknowledge completion on Practicum Activities E*Value Coursework 1) One week before practicum begins 2) 11:55pm on the last scheduled OEE practicum block date 1  Learning Contract Acknowledge completion on Practicum Activities E*Value Coursework 11:55pm on the last scheduled OEE practicum block date No Minimum  Service Activities 40  Counselling 16  Non-Prescription Assessment 16 New, 16 Refill  New and Refill Prescription Assessment 3  Full Patient Workup and Care Plan 8  Follow Up Evaluation 2  Drug Information Response 2  Professional and Specialty Service 3  Presentation 1  Health Promotion 1  Giving Feedback to the Practice Educator 1) Review and discuss feedback and acknowledge on Practicum Activities E*Value Coursework 2) Complete Student Evaluation of Practice Educator and Practice Site on E*Value 2  Self-Assessment Week 2  Self-Assessment Week 6 Complete Self-Assessment E*Value Coursework By the end of Week 2 and Week 6 Midpoint, Final  Direct Patient Care Practice Educator Assessment of Student Practice educator to submit by end of week 4 (Midpoint) and end of week 8 (Final) on E*Value No student submission; Submitted by practice educator 1  Student Evaluation of the Office of Experiential Education Course Complete Student Evaluation of the Office of Experiential Education Course on E*Value 11:55pm on the last scheduled OEE practicum block date STUDENTS ARE EXPECTED TO REVIEW, UNDERSTAND, AND COMPLETE ALL ACTIVITY REQUIREMENTS AS DESCRIBED IN THIS COURSE HANDBOOK PERTAINING TO THEIR RESPECTIVE PRACTICUM COURSE. PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 19 1.5.d PHRM 471 Student Practicum Summary Checklist Minimum Required Practicum Requirements Where to complete/submit for course completion Student Submission Deadline 1  UBC Pharmacy Student Health and Safety Orientation (HSO) Canvas 72 hours after practicum begins 1  72-Hour Checklist No submission to OEE No submission 1  Student Introduction Resume 1) E*Value PDF upload of resume 2) Acknowledge completion on Practicum Activities E*Value Coursework 1) One week before practicum begins 2) 11:55pm on the last scheduled OEE practicum block date 1  Learning Contract Acknowledge completion on Practicum Activities E*Value Coursework 11:55pm on the last scheduled practicum block date No Minimum  Service Activities No Minimum  Counseling 80 Non-Rx  Non-Prescription Assessment 80 New Rx 80 Refill Rx  New and Refill Prescription Assessment 5  Full Patient Work-up and Care Plan 80  Follow Up Evaluation 8  Drug Information Response 4  Professional and Specialty Service 8  Presentation 1  Health Promotion 1  Giving Feedback to the Practice Educator 1) Review and discuss feedback and acknowledge on Practicum Activities E*Value Coursework 2) Complete Student Evaluation of Practice Educator and Practice Site on E*Value 11:55pm on the last scheduled practicum block date 2  Self-Assessment (Week 2)  Self-Assessment (Week 6) Complete Self-Assessment E*Value Coursework By the end of Week 2 and Week 6 Midpoint, Final  Direct Patient Care Practice Educator Assessment of Student Practice educator to submit by end of week 4 (Midpoint) and end of week 8 (Final) on E*Value No student submission; Submitted by practice educator 1  Student Evaluation of the Office of Experiential Education Course Complete Student Evaluation of the Office of Experiential Education Course on E*Value 11:55pm on the last scheduled practicum block date STUDENTS ARE EXPECTED TO REVIEW, UNDERSTAND, AND COMPLETE ALL ACTIVITY REQUIREMENTS AS DESCRIBED IN THIS COURSE HANDBOOK PERTAINING TO THEIR RESPECTIVE PRACTICUM COURSE. PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 20 1.6 E*Value Coursework for Outpatient Practicums E*Value Coursework is an online tool utilized to track student completion of all required practicum activities. Students are expected to participate in each course activity as outlined in this handbook and use the E*Value Coursework tool to indicate completion for each activity. Practice educators are required to verify the completion of course activities on E*Value by the last day of practicum. Students are expected to be familiar with the use of E*Value prior to the start of their practicums. Detailed instructions for using E*Value are posted on Canvas for students and on the OEE Practice Educator Resource Center for practice educators. Note: E*Value can only be accessed at the following URL: https://ca.e-value.net/. Please note that searching E*Value on the internet may result in finding the U.S. website for E*Value, which is incorrect. The below table describes the E*Value Coursework to be completed by students, the required deadline for completion, and the practice educator role for each: E*Value Coursework Student Completion Deadline Practice Educator Role Practicum Activities By 11:55 pm on the last scheduled OEE practicum block date Practice educator verification required at the end of the practicum Self-Assessment Please refer to Section 2.16 for deadline(s) associated with each practicum course Practice educator verification required In addition to documentation of activity completion on E*Value, students will be required to complete additional documentation for some course activities. This will be described under each specific course activity section of the handbook (e.g. complete learning contract form, patient care plans, follow-up evaluations, written correspondence with health care providers, etc.). It is the student’s responsibility to ensure all completed documentation is shared with their practice educator. Students are responsible for tracking these documents, which may be requested by the practice educator(s) on site and/or the OEE for review at any time. Students must ensure the confidentiality of all patient information in their documentation. Resources  E*Value Coursework instructions PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 21 SECTION 2 – REQUIRED COURSE ACTIVITIES 2.1 Student Introduction Resume Purpose Constructing, organizing, and maintaining a strong resume is an important skill for pharmacists. Students will develop and maintain a comprehensive resume for each of their practicum experiences. Students will use their resume as an opportunity to introduce their accomplishments, (e.g. academic achievements, awards), experiences (e.g. work experience, practicums, volunteering, teaching), community involvement (e.g. volunteer activities), and relevant skills, to the practice educator prior to the start of the practicum. In discussing their resume with their practice educator, students will have the opportunity to practice sharing their skills and experiences, as part of their practice site orientation. (DPC Learning Objectives: 19-21; see Section 1.2) Process 1) Two to four weeks prior to the start of the practicum, the student is required to create, edit, and/or update their resume. The student should accurately and comprehensively identify their education, experiences, publications and posters, presentations, scholarships, certifications, awards, and/or professional associations. An OEE Resume Template is provided to students, however students can use any appropriate template of their preference. 2) One-week prior to the start of the practicum, the student must upload their resume in PDF format onto their E*Value account and inform their practice educator that the resume is available for their review. 3) Within the first 72 hours of the practicum, the student and practice educator should meet to review the resume and discuss the student’s skills and experiences to date. 4) Student to acknowledge the completion of this activity on the Practicum Activities E*Value Coursework and submit for practice educator verification. Resource(s) on Canvas  OEE Resume Template  E*Value Student Introduction Resume Instructions for Uploading Resume  UBC Student Services: https://students.ubc.ca/career/career-resources/resumes-cover-letters-curricula-vitae PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 22 Verification of Activity Completion Student Practice Educator PHRM 171  Student to upload completed resume to E*Value one week prior to start of their practicum and review resume with practice educator within the first 72-hours of the practicum  Prior to/on the last day of the practicum, practice educator to verify satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM 271  Student to upload completed resume to E*Value one week prior to start of their practicum and review resume with practice educator within the first 72-hours of the practicum  Prior to/on the last day of the practicum, practice educator to verify satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM 371  Student to upload completed resume to E*Value one week prior to start of their practicum and review resume with practice educator within the first 72-hours of the practicum  Prior to/on the last day of the practicum, practice educator to verify satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM 471  Student to upload completed resume to E*Value one week prior to start of their practicum and review resume with practice educator within the first 72-hours of the practicum  Prior to/on the last day of the practicum, practice educator to verify satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 23 2.2 Learning Contract4.5 Purpose In addition to the learning objectives outlined for the course, a Learning Contract is developed by the student to proactively identify their own personal learning objectives for the practicum. The Learning Contract is intended to enhance and guide the student’s learning process throughout their required on-site activities as well as assist the student in assessing their own progress in attaining the learning objectives they have self-identified.6 The Learning Contract is also intended to support continuity in learning needs as students transition to their next practicum, or practice, as well as to reinforce the role of self-directed and life-long learning in pharmacy practice. (DPC Learning Objectives: 19-21; see Section 1.2) Process 1) During the first 72 hours of the practicum, the student must identify at minimum three personal, site-specific learning objectives and document these objectives in the “PLAN” section of the Learning Contract form. a) The learning objectives should follow the commonly used “SMART” approach to guide with the process: Specific, Measurable, Attainable, Relevant, Timely b) The learning objectives must be realistic and attainable and take into consideration the context of the site, available resources, and duration of the practicum. Objectives may be knowledge or skill based in nature; knowledge-related learning objectives are generally centered on certain therapeutic topics, while skill-related learning objectives pertain to learning “how” to complete a task. 2) By the end of the first 72-hours on practicum, the student is to review the “PLAN” section of their Learning Contract form with their practice educator and/or designated pharmacist. a) The practice educator may help to clarify and articulate these learning objectives, as well as assist in identifying activities or resources to support the attainment of these proposed learning objectives. b) The practice educator may also suggest or make modifications to the learning objectives to ensure they are appropriate and attainable by the completion of the practicum. 3) Throughout the practicum, the student is to complete activities to achieve the identified learning objectives. 4) At the mid-point of the practicum, the student is to review their progress towards attaining their learning objectives with the practice educator to determine which learning objectives have been met, and which ones still need to be met. PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 24 5) During the last week of the practicum, the student must ensure they have completed the “ACT” and “REFLECT” components of the Learning Contract. Following which, the student will review and discuss with the practice educator the progress in achieving the stated learning objectives. 6) Student to acknowledge completion and review of all three components, PLAN-ACT-REFLECT, of the Learning Contract with their practice educator and/or designated pharmacist on the Practicum Activities E*Value Coursework. Submit this for practice educator verification. Resource(s) on Canvas  Learning Contract Form (required for PHRM 171, 271, 371, & 471)  Learning Contract Form from previous practicum (if applicable) Verification of Activity Completion Student Practice Educator PHRM 171  Student to complete each section, PLAN-ACT-REFLECT, of the Learning Contract form at the appropriate intervals of time  Prior to/on the last day of the practicum, practice educator to verify satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM 271  Student to complete each section, PLAN-ACT-REFLECT, of the Learning Contract form at the appropriate intervals of time  Prior to/on the last day of the practicum, practice educator to verify satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM 371  Student to complete each section, PLAN-ACT-REFLECT, of the Learning Contract form at the appropriate intervals of time  Prior to/on the last day of the practicum, practice educator to verify satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM 471  Student to complete each section, PLAN-ACT-REFLECT, of the Learning Contract form at the appropriate intervals of time  Prior to/on the last day of the practicum, practice educator to verify satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 25 2.3 Service Activities Purpose Pharmacists are often conducting service activities, which are an essential part of the day-to-day operations of outpatient practice settings. Students will have the opportunity to participate in these activities during their practicums. Some of these activities may be in the context of dispensing, communication with others, or simply part of the daily operation required for the pharmacy to function effectively to meet the needs of patients (e.g. answering phone calls or acknowledging individuals waiting to be helped at a pharmacy counter). Many of these workflow and operational functions have associated site-specific policies and procedures to ensure patient safety in how they are carried out and documented and align with legal and regulatory requirements. Pharmacists must routinely develop, evaluate, and modify these policies, processes, and procedures to continually advance their practice. (DPC Learning Objectives: 1-7, 16, 18, 19-21; see Section 1.2) Process 1) During the first week of the practicum, the student will clarify and review with the practice educator the site-specific policies and procedures required to engage in specific service activities. This includes reviewing the patient profile and/or PharmaNet record where necessary. Students are encouraged to observe and to ask questions to clarify the process for each service activity as needed. 2) The student will locate, review, and become familiar with the legal, regulatory, and professional requirements outlined by legislative bodies (e.g. provincial law), regulatory bodies (e.g. College of Pharmacists of BC), and site-specific policies, for the safe and complete provision of each of the service activities being undertaken. For example, students will locate, review and become familiar with the legal, professional, and regulatory requirements for prescription transfers. Under the guidance and supervision of the practice educator and/or designated pharmacist, the student will participate, in full compliance with all legal, regulatory, and professional requirements, in various workflow and service activities as they arise in daily practice including, but not limited to: drug inventory ordering and disposal, prescription filing, compounding, completing refill reauthorization requests, prescription transfer, receiving verbal prescriptions, patient profile creation, prescription processing, and prescription final checking. Students will need to prioritize and manage their time to balance pharmacy workflow, patient care, and practice requirements. 3) Student to acknowledge the completion of this activity on the Practicum Activities E*Value Coursework and submit for practice educator verification. Resource(s) on Canvas  College of Pharmacists of BC: PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 26 o http://www.bcpharmacists.org/professional-practice-policies-and-guides o http://www.bcpharmacists.org/practice-review-program  BC Ministry of Health: https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/pharmacare/pharmacies  BC Pharmacy Association: https://www.bcpharmacy.ca/resource-centre (membership required) Verification of Activity Completion Student Practice Educator PHRM 171  Under the direct supervision of the practice educator and/or designated pharmacist, students are expected to complete the following services listed below. These activities represent MINIMUMS, however should there be insufficient opportunity to perform some of these service activities, the practice educator, in discussion with the student, may substitute some of these activities with other comparable activities related to outpatient pharmacy workflow. o Participate in processing 2 drug inventory orders o Participate in processing and disposal of 3 expired drugs (1 non-prescription, 1 prescription, and 1 narcotic/controlled) o File 100 prescriptions o Prepare 4 compounds o Request 20 refill reauthorizations from prescriber o Complete 4 prescription transfers o Receive 2 verbal prescriptions o Create and complete 8 patient profiles o Enter and process 20 prescriptions o Complete 10 prescription checks  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM 271  There is no minimum expectation for this course, however, ongoing student participation in daily pharmacy workflow and service activities as required by the practice educator is expected for successful completion of this course activity  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM 371 PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 27  There is no minimum expectation for this course, however ongoing student participation in daily pharmacy workflow and service activities as required by the practice educator is expected for successful completion of this course activity  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM 471  There is no minimum expectation for this course, however, ongoing student participation in daily pharmacy workflow and service activities as required by the practice educator is expected for successful completion of this course activity  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 28 2.4 Counseling Purpose Patient education and counseling is an integral component of the pharmacist’s role in the pharmaceutical care process. Patients need to understand their medication therapies, including what they are taking, why they are taking them, how to optimally take them (including proper use of any medical device/aids), and what to monitor for in terms of effectiveness and safety. Documentation of patient education and counseling is critical as it creates a record of the patient care provided. To promote continuity of care, the documentation of patient care activities should include the information provided, relevant findings, desired patient outcomes, recommendations, and follow-up planned.1,7 (DPC Learning Objectives: 1-3, 5, 13-14, 16, 19-21; see Section 1.2) Process 1) Under the direct supervision of the practice educator and/or designated pharmacist, the student will: a) Provide patient education and counseling to patients/caregivers, for example, with new and/or refill prescriptions and non-prescription medication therapies, including what medication they are taking, why they are taking it, how to optimally take it, any potential adverse effects, relevant monitoring parameters for effectiveness and safety, and outcomes of therapy, amongst others. The student may be asked to review or practice their counseling with the practice educator prior to discussion with the patient/caregiver. The student should communicate relevant, accurate, and concise information in an effective and organized manner, tailored to the specific audience. b) Share information with patients/caregivers in a respectful manner and in such a way that is understandable, encourages discussion, and enhances participation in decision-making.8 c) Where appropriate, ask for permission to follow up with patient and establish a follow up plan. d) Document this interaction as per practice site requirements and in compliance with all professional and legal requirements, under the direct supervision of the practice educator.1 For PHRM 171, 271, and 371, students are also required to document their care provided in the Patient Care Journal. Students should use the Patient Care Journal to document all care provided to patients during the practicum. e) Follow-up with patient(s) as applicable and assess for effectiveness, safety, and adherence. 2) Student to acknowledge the completion of this activity on the Practicum Activities E*Value Coursework and submit for practice educator verification. Resource(s) on Canvas PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 29  Patient Care Journal (required for PHRM 171, 271, and 371)  Requirements Checklist for Counseling  College of Pharmacists of BC: http://www.bcpharmacists.org/library/5_Programs/5-2_PRP/5219-PRP_Support_Tool_Counselling.pdf Verification of Activity Completion Student Practice Educator PHRM 171  Student to provide patient education and counseling to a minimum of 20 patients under the guidance and supervision of the practice educator and/or designated pharmacist. Document the patient encounters on the Patient Care Journal.  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM 271  Student to provide patient education and counseling to a minimum of 20 patients under the guidance and supervision of the practice educator and/or designated pharmacist. Document the patient encounters on the Patient Care Journal.  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM 371  Student to provide patient education and counseling to a minimum of 40 patients under the guidance and supervision of the practice educator and/or designated pharmacist. Document the patient encounters on the Patient Care Journal.  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM 471  Student to provide patient education and counseling as required under the guidance and supervision of the practice educator and/or designated pharmacist.  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 30 2.5 Non-Prescription Assessment Purpose Pharmaceutical care is the fundamental focus of all direct patient care practicum activities. Students are expected to take responsibility for and participate in the role of a pharmaceutical care practitioner through the integration of both cognitive (pharmacotherapy workup) and physical work (implementation of patient care process through collaboration with the patient, caregivers, and interdisciplinary team).9,10 (DPC Learning Objectives: 1-21; see Section 1.2) Process4,7 1) Students should review the Requirements Checklist for Care Plans (see Canvas) and additional relevant course materials regarding the patient care thought process from preceding courses in the program curriculum prior to beginning their practicum. 2) Under the guidance and supervision of the practice educator and/or designated pharmacist, students will provide pharmaceutical care to patients requiring a non-prescription assessment or consultation (e.g. over-the-counter, natural health products, etc.). This includes:  Conducting patient assessments (including, but not limited to, gathering patient specific data, conducting patient interviews, allergy assessments etc.) to identify and prioritize drug therapy problems,  Developing and implementing care plans that address the desired patient specific outcomes,  Following up with relevant health care providers within circle of care, and  Completing follow-up evaluations with the patient Care provided should be consistent with the principles of pharmaceutical care described in the program curriculum and in Cipolle RJ, Strand LM, Morley PC Pharmaceutical Care Practice: The Patient Centered Approach to Medication Management, McGraw Hill, 2012. 3) Students must report their patient workup and all recommendations, including any documentation completed, with the practice educator prior to discussing with the patient/caregiver, physician, or other health care provider. Documentation requirements may vary between sites and will be determined by the practice educator and should be in compliance with all professional and legal requirements. Students are encouraged to use the documentation resources they are familiar with using at the faculty while on practicum, should this assist in their process and be preferred by practice educators. However, for PHRM 171 students, it is mandatory to document the care provided using the Care Plan Form, in addition to any site-specific documentation requirements. 4) Student to acknowledge the completion of this activity on the Practicum Activities E*Value Coursework and submit for practice educator verification. PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 31 Resource(s) on Canvas  Care Plan Form (required for PHRM 171)  Pharmacotherapy Work-up Notes – Assessment11,12  Allergy Assessment Form  Follow Up Evaluation form  Requirements Checklist for Best Possible Medication History (BPMH) Interview  Requirements Checklist for Allergy Assessment  Requirements Checklist for Care Plans  Requirements Checklist for Follow Up Evaluation  Pharmaceutical Care Practice: The Patient-Centered Approach to Medication Management, 3rd Edition, by Robert J. Cipolle, Linda M. Strand, and Peter C. Morley. Verification of Activity Completion Student Practice Educator PHRM 171  Assess and provide pharmaceutical care to, at minimum, one patient requiring a non-prescription assessment or consultation  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM 271  Assess and provide pharmaceutical care to, at minimum, eight patients requiring a non-prescription assessment or consultation  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM 371  Assess and provide pharmaceutical care to, at minimum, 16 patients requiring a non-prescription assessment or consultation  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM 471  Assess and provide pharmaceutical care to, at minimum, 80 patients requiring a non-prescription assessment or consultation  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 32 2.6 New and Refill Prescription Assessment Purpose Pharmaceutical care is the fundamental focus of all direct patient care practicum activities. Students are expected to take responsibility for and participate in the role of a pharmaceutical care practitioner through the integration of both cognitive (pharmacotherapy workup) and physical work (implementation of patient care process through collaboration with the patient, caregivers, and interdisciplinary team).9,10 (DPC Learning Objectives: 1-21; see Section 1.2) Process4,7 1) Students should review the Requirements Checklist for Care Plans (see Canvas) and additional relevant course materials regarding the patient care thought process from preceding courses in the program curriculum prior to beginning their practicum. 2) Under the guidance and supervision of the practice educator and/or designated pharmacist, students will provide pharmaceutical care to patients requiring a new or refill prescription assessment. This includes:  Conducting patient assessments (including, but not limited to, gathering patient specific data, conducting patient interviews, allergy assessments etc.) to identify and prioritize drug therapy problems,  Developing and implementing care plans that address the desired patient specific outcomes,  Following up with relevant health care providers within circle of care, and  Completing follow-up evaluations with the patient Care provided should be consistent with the principles of pharmaceutical care described in the program curriculum and in Cipolle RJ, Strand LM, Morley PC Pharmaceutical Care Practice: The Patient Centered Approach to Medication Management, McGraw Hill, 2012. 3) Students must report their patient workup and all recommendations, including any documentation completed, with the practice educator prior to discussing with the patient/caregiver, physician, or other health care provider. Documentation requirements may vary between sites and will be determined by the practice educator and should be in compliance with all professional and legal requirements. Students are encouraged to use the documentation resources they are familiar with using at the faculty while on practicum, should this assist in their process and be preferred by practice educators. However, for PHRM 171 students only, it is mandatory to document the care provided using the Care Plan Form, in addition to any site-specific documentation requirements. 4) Student to acknowledge the completion of this activity on the Practicum Activities E*Value Coursework and submit for practice educator verification. PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 33 Resource(s) on Canvas  Care Plan Form (required for PHRM 171)  Pharmacotherapy Work-up Notes – Assessment11,12  Allergy Assessment Form  Follow Up Evaluation form  Requirements Checklist for Best Possible Medication History (BPMH) Interview  Requirements Checklist for Allergy Assessment  Requirements Checklist for Care Plans  Requirements Checklist for Follow Up Evaluation  Pharmaceutical Care Practice: The Patient-Centered Approach to Medication Management, 3rd Edition, by Robert J. Cipolle, Linda M. Strand, and Peter C. Morley. Verification of Activity Completion Student Practice Educator PHRM 171  Assess and provide pharmaceutical care to, at minimum, two patients with new prescriptions. Of these: o One must be an infectious disease case o One must be a non-infectious disease case  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM 271  Assess and provide pharmaceutical care to, at minimum, eight patients requiring new prescription assessments and eight patients requiring refill prescription assessments  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM 371  Assess and provide pharmaceutical care to, at minimum, 16 patients requiring new prescription assessments and 16 patients requiring refill prescription assessments  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM 471  Assess and provide pharmaceutical care to, at minimum, 80 patients requiring new prescription assessments and 80 patients requiring refill prescription assessments  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework.  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 34 2.7 Full Patient Work Up and Care Plan Purpose Pharmaceutical care is the fundamental focus of all direct patient care practicum activities. Students are expected to take responsibility for and participate in the role of a pharmaceutical care practitioner through the integration of both cognitive (pharmacotherapy workup) and physical work (implementation of patient care process through collaboration with the patient, caregivers, and interdisciplinary team).9,10 (DPC Learning Objectives: 1-21; see Section 1.2) Process4,7 1) Students should review the Requirements Checklist for Care Plans (see Canvas) and additional relevant course materials regarding the patient care thought process from preceding courses in the program curriculum prior to beginning their practicum. 2) Under the guidance and supervision of their practice educator and/or designated pharmacist, students will complete a full patient work up, which includes:  Conducting patient assessments (including, but not limited to, gathering patient specific data, conducting patient interviews, allergy assessments etc.) to identify and prioritize drug therapy problems,  Developing and implementing care plans for all medical conditions that address the desired patient specific outcomes,  Following up with relevant health care providers within circle of care, and  Completing follow-up evaluations with the patient Care provided should be consistent with the principles of pharmaceutical care described in the program curriculum and in Cipolle RJ, Strand LM, Morley PC Pharmaceutical Care Practice: The Patient Centered Approach to Medication Management, McGraw Hill, 2012. For PHRM 371 and 471, each of the completed full patient work ups should also meet the criteria for a reimbursable medication review service through PharmaCare. 3) Students must report their patient workup and all recommendations, including all documentation completed, with the practice educator prior to discussing with the patient/caregiver, physician, or other health care provider. Documentation requirements may vary between sites and will be determined by the practice educator and should be in compliance with all professional and legal requirements. Students are encouraged to use the documentation resources they are familiar with using at the faculty while on practicum, should this assist in their process and be preferred by practice educators. 4) Student to acknowledge the completion of this activity on the Practicum Activities E*Value Coursework and submit for practice educator verification. PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 35 Resource(s) on Canvas  Care Plan Form  Pharmacotherapy Work-up Notes – Assessment11,12  Allergy Assessment Form  Follow Up Evaluation form  Requirements Checklist for Best Possible Medication History (BPMH) Interview  Requirements Checklist for Allergy Assessment  Requirements Checklist for Care Plans  Requirements Checklist for Follow Up Evaluation  Pharmaceutical Care Practice: The Patient-Centered Approach to Medication Management, 3rd Edition, by Robert J. Cipolle, Linda M. Strand, and Peter C. Morley.  “Presenting Patient Information on Practicum” Video/Slides Verification of Activity Completion Student Practice Educator PHRM 171  Not assessed for PHRM 171; students are encouraged to participate as applicable in any full patient work ups under the direct supervision of the practice educator and/or designated pharmacist if the opportunity is available.  Not assessed for PHRM 171 PHRM 271  Assess and provide a full pharmaceutical care work up for, at minimum, one patient  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM 371  Assess and provide a full pharmaceutical care work up for, at minimum, three patients. Each of these work-ups must meet the criteria for a reimbursable medication review service through Pharmacare  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM 471  Assess and provide a full pharmaceutical care work up for, at minimum, five patients. Each of these work-ups must meet the criteria for a reimbursable medication review service through Pharmacare  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 36 2.8 Follow Up Evaluation Purpose This activity allows students to conduct follow up evaluations as a part of the pharmaceutical care process and determination of patient outcomes. Follow up evaluation provides the opportunity to assess the effectiveness, safety and adherence of the recommendation(s) made, ensures continuity of care and is where clinical experience and new knowledge is gained.10 Follow up should occur in a timely manner, have focused monitoring parameters detailing both safety and efficacy outcomes, and should be documented appropriately. (DPC Learning Objectives: 1, 15-16, 19-21; see Section 1.2) Process 1) The student is to identify, with their practice educator and/or designated pharmacist, patients requiring follow up. Students may follow up with patients and/or their caregiver in-person at the practice site, by telephone, during non-prescription assessments, new/refill prescription assessments, full patient work ups, drug information requests, or during other consultations where patients are identified as benefiting from follow up. 2) With each identified patient, when arranging the follow up, the student will collaborate with the patient and/or caregiver to determine an appropriate time/date and method (phone or in person) of follow up. The student will share the purpose for follow up and obtain informed consent. 3) The student will discuss their plan with the practice educator and/or designated pharmacist prior to conducting the follow up. 4) Under the direct supervision of the practice educator and/or designated pharmacist, the student will conduct the follow up evaluation, ensuring to assess each of the patient’s efficacy and safety outcomes identified: a) Determine the clinical status of the patient, through effective communication, questions, and subjective and objective data in order to monitor medication therapy1 b) Evaluate the efficacy and safety of the care plan1 c) Evaluate the adherence of the patient to the care plan d) Follow up with relevant health care providers within circle of care 5) The student is required to document and date any subjective and objective data obtained during the follow up. Documentation requirements may vary between sites and will be determined by the practice educator and should be in compliance with all professional and legal requirements. Students are encouraged to use the documentation resources they are familiar with using at the faculty while on practicum, should this assist in their process and be preferred by practice educators. The student may conduct multiple follow ups for the same patient, which must be documented and dated appropriately. PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 37 6) The student is to discuss the follow up conducted with the practice educator and/or designated pharmacist and determine the patient’s outcome status and any future therapeutic plans. 7) With practice educator guidance, the student will determine and document whether there are any new DTPs identified from the information gathered. If new information arises that changes the care plan, the student must collaborate with the practice educator and/or designated pharmacist to address any patient or caregiver concerns. If applicable, document the next date for follow up and any additional comments. 8) Student to acknowledge the completion of this activity on the Practicum Activities E*Value Coursework and submit for practice educator verification. Resource(s) on Canvas  Follow Up Evaluation Form  Requirements Checklist for Follow Up Evaluation Verification of Activity Completion Student Practice Educator PHRM 171  Not assessed for PHRM 171; students are encouraged to participate in any follow up evaluations under the direct supervision of the practice educator and/or designated pharmacist if the opportunity is available.  Not assessed for PHRM 171 PHRM 271  Student to provide follow up evaluation for a minimum of four patients under the guidance and supervision of the practice educator and/or designated pharmacist  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM 371  Student to provide follow up evaluation for a minimum of eight patients under the guidance and supervision of the practice educator and/or designated pharmacist  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM 471  Student to provide follow up evaluation for a minimum of 80 patients under the guidance and supervision of the practice educator and/or designated pharmacist  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 38  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework completion of this activity on the Practicum Activities E*Value Coursework PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 39 2.9 Drug Information Response4 Purpose This activity allows students to respond to drug information questions or requests that pharmacists encounter on a daily basis. A pharmacotherapy workup10 (Necessary, Effective, Safe, Adherence) and critical appraisal and evaluation of available evidence must be completed to effectively formulate a response. Drug information responses must be comprehensive, organized, accurate and timely. (DPC Learning Objectives: 1, 4, 6-7, 10-12, 14-21; see Section 1.2) Process 1) The student is to identify and discuss with the practice educator and/or designated pharmacist resources and references available at the practice site to assist in the provision of drug information. The student is to become familiar with the context and focus of each. 2) The student will complete drug information responses, as requested by patients, practice educators, physicians, pharmacists, and other health care providers. For each, the student must: a) Clearly define the specific question being asked and when the response is due. Using the Drug Information Request and Response form, or an appropriate site-specific documentation tool, gather appropriate background information relating to the drug information request. Use additional support documents, such as the Pharmacotherapy Workup Notes – Assessment11,12 form, or additional patient assessment form, to assist in gathering pertinent patient information. b) The focus of this outpatient practicum activity is on patient-specific drug information responses; however, students may also receive non-patient-specific questions as well. Students are expected to respond to both types of questions as they arise. c) Articulate relevant background information to provide the general context from which the question arises. This general context is necessary when formulating the real question that needs to be answered and to ensure the information provided will be applicable and appropriate for the recipient of the drug information response. d) Complete a pharmacotherapy work-up10, in order to capture all relevant patient information. e) Review the How to Perform a Literature Search13 video. f) Perform a search of the resources, references, and evidence to respond to the patient-specific question. Consider the type/nature of the question (e.g. dosing, drug-interaction, adverse effects, etc.) to help guide the use of appropriate resources and use primary resources where possible. g) Critically appraise and evaluate the information in the context of the patient. h) Compose an evidence-based written response to the drug information request, using appropriate referencing and scientific-writing skills. PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 40 i) Indicate all references used to procure the answer. Where primary resources are used, they must be cited using Vancouver Style. 3) Student to review and discuss response to each drug information request with the practice educator and/or designated pharmacist in a timely manner. 4) Under the direct supervision of the practice educator and/or designated pharmacist, the student will provide the drug information response to the person requesting the drug information either verbally or in writing, as the situation requires. 5) If new information arises that changes the drug information response, the student will follow-up as required. 6) Student to acknowledge the completion of this activity on the Practicum Activities E*Value Coursework and submit for practice educator verification. Resource(s) on Canvas  Drug Information Request and Response Form  Requirements Checklist for Drug Information Response  Pharmacotherapy Workup Notes – Assessment11,12  “How to Perform a Literature Search” video13  UBC Library: Pharmacy Literature Search Skills Tutorial –http://guides.library.ubc.ca/pharmacysearchskills Verification of Activity Completion Student Practice Educator PHRM 171  Not assessed for PHRM 171; students are encouraged to participate in any drug information requests under the direct supervision of the practice educator and/or designated pharmacist if the opportunity is available.  Not assessed for PHRM 171 PHRM 271  Student to complete a minimum of two drug information responses to patient-specific requests under the guidance and supervision of the practice educator and/or designated pharmacist.  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 41 PHRM 371  Student to complete a minimum of two drug information responses to patient-specific requests under the guidance and supervision of the practice educator and/or designated pharmacist.  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM 471  Student to complete a minimum of eight drug information responses to patient-specific requests under the guidance and supervision of the practice educator and/or designated pharmacist.  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 42 2.10 Professional and Specialty Service Purpose Professional and specialty services include a broad range of pharmacist activities in the outpatient practice setting, focused on pharmaceutical care provided in the context of the pharmacist’s expanded scope of practice beyond the traditional role. These activities may vary between sites and include publicly-funded professional services such as immunizations, prescription adaptations, and medication review services, as well as privately-funded professional services. These services may also include collaborative and innovative initiatives between the pharmacy and external partners, involving inter- and intra-professional collaboration, to ensure patients receive the necessary care and services. (DPC Learning Objectives: 1-21; see Section 1.2) Process 1) Prior to beginning this activity, the student must clarify and review with the practice educator and/or designated pharmacist, any site-specific policies and procedures required in order to engage in professional and specialty services. Students are encouraged to observe and ask questions to clarify each of the processes as needed. Examples of professional and specialty services include, but are not limited to:  Medication Review Services  Prescription Adaptations (e.g. renewals, changes, therapeutic substitutions)  Immunization services  Specialty compounding (includes necessary research and compounding)  New research or practice-based initiative collaboratively with other healthcare providers  Initiating compliance packing for a patient and completing required documentation  Facilitate the processing of specialty forms and approval processes (e.g. Special authority, 3rd party insurance claims, reimbursement programs and government forms; helping to get a drug restriction removed for a non-benefit medication etc.)  Providing an emergency medication supply to a patient after a thorough assessment process  Initiating a patient on the smoking cessation program For any professional and specialty service provided, the student must additionally locate, review, and become familiar with the requirements and restrictions outlined by legislation (e.g. provincial law), regulatory bodies (e.g. College of Pharmacists of BC), and reimbursing bodies (e.g. Ministry of Health, private third-party payers). For example, this includes patient eligibility, legal and regulatory requirements, criteria for reimbursement, and required documentation. 2) The student will participate, within their scope of practice as a pharmacy student and as permitted by/under the supervision of the practice educator and/or designated pharmacist, in the provision of professional and specialty services as they arise during the practicum. PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 43 3) The student is required to complete all required onsite documentation for this activity and review it with the practice educator and/or designated pharmacist. This must occur prior to notifying any other individuals or healthcare professionals related to the professional and specialty service conducted, as required (e.g. notify original prescriber for any adapted prescription). For PHRM 471 specifically, students must also complete the Professional and Specialty Service Log for review with their practice educator. 4) The student will communicate and follow up with all relevant individuals for this activity as necessary. 5) Student to acknowledge the completion of this activity on the Practicum Activities E*Value Coursework and submit for practice educator verification. Resource(s) on Canvas  Professional and Specialty Service Log (required for PHRM 471)  BC Ministry of Health: https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/pharmacare/pharmacies  College of Pharmacists of BC: http://www.bcpharmacists.org/professional-practice-policies-and-guides  BC Pharmacy Association: https://www.bcpharmacy.ca/resource-centre (membership required) Verification of Activity Completion Student Practice Educator PHRM 171  Shadow the delivery of, at minimum, two different professional and specialty services and participate in completing all required documentation for the specific activity. Review all documentation with your practice educator and/or designated pharmacist.  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM 271  Where permitted, within the student’s scope of practice (e.g. immunizations), and under the direct supervision of the practice educator and/or designated pharmacist, the student will complete a minimum of one professional and specialty service activity. For PHRM 271 only, students may consider the full patient work up completed (please see Provision of Pharmaceutical Care) as a professional and specialty service activity if this work up should meet the criteria for a reimbursable medication review service through Pharmacare.  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 44 Students must work with the practice educator to ensure they meet the requirements for this service appropriately, including appropriate documentation.  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM 371  Where permitted, within the student’s scope of practice (e.g. immunizations), and under the direct supervision of the practice educator and/or designated pharmacist, the student will complete a minimum of two different professional and specialty service activities. Students must work with the practice educator to ensure they meet the requirements for this service appropriately, including appropriate documentation.  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM 471  Where permitted, within the student’s scope of practice (e.g. immunizations), and under the direct supervision of the practice educator and/or designated pharmacist, the student will participate and lead in, at minimum, four professional and specialty service activities of which at least two of the activities should be different from each other. Complete all required onsite documentation for each activity, and in addition, document each activity on a separate Professional and Specialty Service Log form.  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 45 2.11 Presentation Purpose Presentations enable students to develop their skills as scholars and communicators,1 consolidate their learning, share therapeutic knowledge, and build effective communication skills. Students are provided with the opportunity to prepare and deliver presentations designed to meet the learning needs of a specific audience, including those on drug categories, such as prescription drug class, non-prescription drug class, and medical device demonstration, or other relevant topics. (DPC Learning Objectives: 1, 17-21; see Section 1.2) Process For each presentation, under the direct supervision of the practice educator and/or designated pharmacist, the student must: 1) Plan Determine the specific topic for each presentation, as well as the duration, audience, and format of the presentation. The specific topic is to be approved by the practice educator, however students are encouraged to discuss any areas of interest with their practice educator. Students may present to the practice educator, pharmacy staff, other health care professionals, patients, the public, or others as directed. Students are recommended to plan approximately for a 10-15-minute presentation, as well as 5-10 minutes for questions. Microsoft PowerPoint (or equivalent) presentations, though not a course requirement, may be required by the practice site, or may be a presentation format that students find helpful. 2) Prepare Prepare for the presentation on their own time outside of the onsite practicum hours. a) Structure presentation for allotted time and tailor content to learning needs of the intended audience. b) Develop clear and effective visual aids or presentation tools as required; organize and display information in a coherent and comprehensive format for delivery. Prepare handouts in advance of the presentation if applicable. All such materials must be reviewed by the practice educator and/or designated pharmacist before distribution. c) For drug category presentations, content should be structured around a NESA framework (e.g. Necessary- drug indication(s); Effective- role of medication, mechanism of action, dose, onset of action, evidence supporting efficacy; Safety- contraindications, adverse drug reactions, toxicity monitoring; Adherence- cost, lifestyle considerations, etc.). Use an evidence-based approach to evaluate research/information gathered, where applicable, and demonstrate knowledge in the specified topic area. d) For device/dosage form demonstrations, content should include, but is not limited to, the rationale/evidence for the device, proper technique in using the device, and any additional counseling points, such as how to clean/maintain the device. PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 46 e) Prepare presentation in advance to allow time for review and feedback by the practice educator and incorporation of any suggested edits as required. f) Practice to ensure an organized and well-paced presentation g) Anticipate and prepare for questions the audience may have in advance. 3) Deliver Conduct the presentation with clear delivery, tailored to the audience. a) Keep track of time and pacing of the presentation. b) Use appropriate verbal communication for the intended audience to articulate information with correct terminology. c) Use appropriate non-verbal communication to show confidence, enhance interest and audience comprehension. d) Listen carefully and effectively respond to audience questions; do not guess at an answer. 4) Following completion of each presentation, reflect upon feedback from the practice educator and/or designated pharmacist in order to implement any required changes prior to the next presentation. 5) Acknowledge the completion of this activity on the Practicum Activities E*Value Coursework and submit for practice educator verification. Resource(s) on Canvas  Requirements Checklist for Presentation  Canvas – Professional Communications Hub: https://canvas.ubc.ca/courses/11842 Verification of Activity Completion Student Practice Educator PHRM 171  Complete four presentations: o One medical supply/support demonstration (e.g. brace, crutch, cane, walker) o Two medical device/dosage form demonstrations (e.g. eye drop, vaginal ovule, MDI inhaler) o One drug class (prescription or non-prescription) If the practice site does not have opportunities to demonstrate a medical supply/support, the practice educator, in discussion with the student, may substitute for a different, comparable presentation.  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 47 PHRM 271  Complete three presentations, focused on each of the three categories below: o One prescription drug class o One non-prescription drug class o One medical aid/device demonstration  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM 371  Student to complete a minimum of three presentations; presentation topics should be varied and approved by the practice educator  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM 471  Complete eight presentations; presentation topics should be varied and approved by the practice educator  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 48 2.12 Health Promotion Purpose The health promotion activity is intended to facilitate discussion of and enhance patient care functions at the practicum site. As a part of providing pharmaceutical care, students will promote health, education, and/or awareness within the community by participating in and discussing health promotion and disease prevention activities. (DPC Learning Objectives: 1, 17-21; see Section 1.2) Process 1) Within the first week of the practicum, the student will discuss with the practice educator and/or designated pharmacist which health promotion activities will be taking place at the practicum site. Students should identify and share any topics of particular interest with their practice educator. Students may work with their practice educator to identify a health topic of interest to a patient population served by the pharmacy.14 Examples of health promotion activities include, but are not limited to:  Organizing and/or participating in a vaccination or other clinic  Community presentations (e.g. providing presentation on osteoporosis at a long-term care facility)  Creating patient education resources on specific topics (e.g. smoking cessation or skin care)  Presenting topics to local health care providers 2) Under the direct supervision of the practice educator and/or designated pharmacist, students will participate in or lead the health promotion activities at the practicum site, as outlined for the specific practicum course, and complete any documentation as required. For PHRM 471, students must also complete the Health Promotion Summary form and review it with their practice educator. 3) Following completion of the activity, students will discuss with their practice educator and/or designated pharmacist: a) How each health promotion activity impacted patient care outcomes, b) The role of the pharmacist in health promotion and disease prevention, and c) How this role is implemented in the practice setting 4) Student to acknowledge the completion of this activity on the Practicum Activities E*Value Coursework and submit for practice educator verification. Resource(s) on Canvas  Health Promotion Summary Form (required for PHRM 471) PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 49 Verification of Activity Completion Student Practice Educator PHRM 171  Not assessed for PHRM 171; students are encouraged to participate in any health promotion activities under the direct supervision of the practice educator and/or designated pharmacist if the opportunity is available.  Not assessed for PHRM 171 PHRM 271  Under the direct supervision of the practice educator and/or designated pharmacist, the student will participate in a minimum of one health promotion activity at the practicum site. The expectation is not that the student leads this activity, however the student should be an actively engaged participant.  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM 371  Under the direct supervision of the practice educator and/or designated pharmacist, the student will participate in and lead a minimum of one health promotion activity at the practicum site.  Student must review all materials created for this activity with the practice educator prior to sharing with any others, including the public.  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM 471  Under the direct supervision of the practice educator and/or designated pharmacist, the student will participate in and lead a minimum of one health promotion activity at the practicum site.  Document on Health Promotion Summary form and review all content-related materials created for this activity with the practice educator.  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 50 2.13 Professional Practice Reflection Purpose There are a wide range of responsibilities and challenges a practicing pharmacist experiences on a day-to-day basis. The Framework of Professional Practice, developed by the College of Pharmacists of BC (CPBC), describes good pharmacy practice and provides a comprehensive description of Pharmacist Roles and Functions.7 Students, through discussions with their practice educator and/or designated pharmacist, will develop their knowledge and gain an appreciation for these various Pharmacist Roles and Functions. (DPC Learning Objectives: 19-21; see Section 1.2) Process 1) Prior to commencing the practicum, the student should review this activity description in full, the CPBC Framework of Professional Practice document (available at www.bcpharmacists.org), and the Professional Practice Reflection Form. 2) Gradually, over the course of the practicum, discuss each of the Pharmacist Roles and Functions using the suggested discussion questions/topics provided in the Professional Practice Reflection Form. Students are encouraged to use these suggested questions/topics to identify any areas of personal interest. Students do not need to ask all questions listed, however other topics of interest not listed on the form can also be explored. 3) Students should note how these Pharmacist Roles and Functions are demonstrated on site and how they impact the health of patients. Students should also note the interplay with other inter- and intra-professional care providers at the practice site. Students are encouraged to document what they learn through these discussions to assist in the completion of their reflection. 4) Towards the last week of the practicum, students are to select the one Pharmacist Role that resonated most with them, and complete the reflection portion of the Professional Practice Reflection Form, answering the reflection questions listed. 5) Review and discuss the documented reflection with the practice educator and/or designated pharmacist. 6) Student to acknowledge the completion of this activity on the Practicum Activities E*Value Coursework and submit for practice educator verification. Resource(s) on Canvas  College of Pharmacists of BC – Framework of Professional Practice: http://www.bcpharmacists.org/professional-practice-policies-and-guides  Professional Practice Reflection Form (required for PHRM 171) PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 51 Verification of Activity Completion Student Practice Educator PHRM 171  Student to discuss their completed reflection with the practice educator and/or designated pharmacist.  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory completion of this activity on the Practicum Activities E*Value Coursework  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework PHRM 271  No documentation required for this course. Students are encouraged continue to discuss these topics with their practice educator to develop a deeper understanding of Pharmacist Roles and Functions  No verification required PHRM 371  No documentation required for this course. Students are encouraged continue to discuss these topics with their practice educator to develop a deeper understanding of Pharmacist Roles and Functions  No verification required PHRM 471  No documentation required for this course. Students are encouraged continue to discuss these topics with their practice educator to develop a deeper understanding of Pharmacist Roles and Functions  No verification required PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 52 2.14 Medication Safety Reflection Purpose It is incumbent on pharmacists and practice sites to have continuous quality improvement processes and systems in place to enhance medication safety and minimize errors and adverse events. It is critical to understand how these processes work together to ensure patient safety, as any error can have a serious impact on the health of patients. Medication safety and advancing safe medication use is a key priority in the Canadian health care system. Pharmacists must understand how to proactively prevent errors in practice and appropriately address any errors should they arise. (DPC Learning Objectives: 2, 3, 19-21; see Section 1.2) Process 1) Prior to commencing the practicum, the student must review this activity description in full and the Medication Safety Reflection Form. 2) Document at least three processes/systems in place at the practice site to prevent errors on a daily basis. Additionally, throughout the practicum, make note of at least four errors the pharmacy caught and corrected. For example, a patient was prescribed or dispensed the incorrect drug, dose, or directions, or there may have been a drug interaction. Students may also ask their practice educator for examples of errors caught and corrected in the past. 3) Reflect upon these errors, and answer the reflection questions using the Medication Safety Reflection Form. 4) Review and discuss the documented reflection with the practice educator and/or designated pharmacist. 5) Student to acknowledge the completion of this activity on the Practicum Activities E*Value Coursework and submit for practice educator verification. Resource(s) on Canvas  Medication Safety Reflection Form (required for PHRM 171) Verification of Activity Completion Student Practice Educator PHRM 171  Student to discuss their completed reflection with the practice educator and/or designated pharmacist  Prior to/on the last day of the practicum, practice educator to verify safe and satisfactory PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 53  Student is to acknowledge and confirm completion on the Practicum Activities E*Value Coursework completion of this activity on the Practicum Activities E*Value Coursework PHRM 271  Students must continue to review, be familiar with, and abide by the site-specific, legal, and regulatory requirements regarding medication error prevention and management. Students are encouraged to discuss these topics with the practice educator to continue to develop their understanding. No documentation required for this course.  No verification required PHRM 371  Students must continue to review, be familiar with, and abide by the site-specific, legal, and regulatory requirements regarding medication error prevention and management. Students are encouraged to discuss these topics with the practice educator to continue to develop their understanding. No documentation required for this course.  No verification required PHRM 471  Students must continue to review, be familiar with, and abide by the site-specific, legal, and regulatory requirements regarding medication error prevention and management. Students are encouraged to discuss these topics with the practice educator to continue to develop their understanding. No documentation required for this course.  No verification required PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 54 2.15 Giving Feedback to the Practice Educator Purpose Providing feedback is a critical skill for pharmacists and is an essential element in any productive workplace environment. An effective student-practice educator partnership begins with an open dialogue, including respectful, professional, and constructive communication throughout the practicum. Students will assume an active role in the feedback process as timely and constructive feedback will assist the practice educator(s) in enhancing the student’s learning experience on-site. (DPC Learning Objectives: 19-21; see Section 1.2) Process 1) On the first day of the practicum, establish a commitment to feedback conversations at regular intervals (e.g. five minute daily feedback sessions at the end of each day with your practice educator). During these feedback conversations, solicit feedback on what went well that day and what could be improved on. For this activity, seek permission from the practice educator to provide feedback to them as well. This establishes mutual respect at the outset of the practicum. 2) Throughout the practicum, reflect on what the practice educator is doing well and what they might be able to improve on, with respect to the student learning experience on-site. Incorporate any other areas that may be effective or ineffective for student learning and make consideration to the learning opportunities that are realistic and available at the practice site. 3) Consider how to communicate this feedback, constructively and effectively to the practice educator. Review the video Giving Feedback Part 1.15 4) Share feedback with the practice educator at the agreed-upon times, maintaining tact and professionalism at all times. Note: We encourage these feedback conversations to be collaborative and bidirectional (e.g. student and practice educator both provide feedback to one another) 5) At the end of the practicum, as a summative evaluation for the practice educator, complete the Student Evaluation of the Practice Educator and Practice Site on E*Value and discuss this with the practice educator and/or designated pharmacist. Note: This evaluation is not anonymous and responses are visible to the practice educator(s) and the OEE. PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 55 6) Student to acknowledge having reviewed and discussed their Student Evaluation of the Practice Educator and Practice Site with the practice educator on the Practicum Activities E*Value Coursework and submit for practice educator verification. Resource(s) on Canvas  Giving Feedback Part 1 Video15  E*Value Evaluation Form: Student Evaluation of the Practice Educator and Practice Site Verification of Activity Completion Student Practice Educator PHRM 171  Following review and discussion of feedback with the practice educator and/or designated pharmacist throughout the practicum, student to submit the Student Evaluation of Practice Educator and Practice Site on E*Value and acknowledge activity completion on the Practicum Activities E*Value Coursework  Prior to/on the last day of the practicum, practice educator to verify review and discussion of this activity on the Practicum Activities E*Value Coursework PHRM 271  Following review and discussion of feedback with the practice educator and/or designated pharmacist throughout the practicum, student to submit the Student Evaluation of Practice Educator and Practice Site on E*Value and acknowledge activity completion on the Practicum Activities E*Value Coursework  Prior to/on the last day of the practicum, practice educator to verify review and discussion of this activity on the Practicum Activities E*Value Coursework PHRM 371  Following review and discussion of feedback with the practice educator and/or designated pharmacist throughout the practicum, student to submit the Student Evaluation of Practice Educator and Practice Site on E*Value and acknowledge activity completion on the Practicum Activities E*Value Coursework  Prior to/on the last day of the practicum, practice educator to verify review and discussion of this activity on the Practicum Activities E*Value Coursework PHRM 471  Following review and discussion of feedback with the practice educator and/or designated pharmacist throughout the practicum, student to submit the Student Evaluation of Practice Educator and Practice Site on E*Value and acknowledge activity completion on the Practicum Activities E*Value Coursework  Prior to/on the last day of the practicum, practice educator to verify review and discussion of this activity on the Practicum Activities E*Value Coursework PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 56 2.16 Self-Assessment Purpose Students will be asked to self-assess their knowledge, skills, and professional attributes while on practicum. Students will reflect on progress made as well as develop actionable steps going forward for improvement. This activity will create an opportunity for continual self-evaluation, which is an important skill required of all pharmacists. This also serves to provide formal checkpoints for practice educators to provide students with timely and regular feedback to ensure students remain on track for their practicum. (DPC Learning Objectives: 19-21; see Section 1.2) Process 1) The student will review the Direct Patient Care (DPC) Practice Educator Assessment of Student form and self-reflect on their performance thus far on practicum, comparing it to the expected level of performance and areas outlined on the assessment form. Students should consider each area of the assessment rubric and what they are doing well, what needs to improve, and what next steps might be needed: a) Knowledge Within the three "Knowledge" domain categories on the DPC Practice Educator Assessment of Student, where do you believe your performance stands? Briefly provide examples of how you came to this assessment. What did you do well? What was most challenging? What do you plan to work on during the remainder of your practicum? How are you going to make improvements (e.g. your specific action plan)? How will you know if your action plan was successful? b) Skills Within the twelve "Skill" domain categories on the DPC Practice Educator Assessment of Student, where do you believe your performance stands? Briefly provide examples of how you came to this assessment. What did you do well? What was most challenging? What do you plan to work on during the remainder of your practicum? How are you going to make improvements (e.g. your specific action plan)? How will you know if your action plan was successful? c) Professionalism Within the three "Professionalism" domain categories on the DPC Practice Educator Assessment of Student, in what ways did you demonstrate the attributes of professional behaviour? Briefly provide examples of this. PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 57 What is your specific action plan to ensure you continue to consistently demonstrate the attributes of professional behaviour? 2) The student will then login to E*Value and document their reflection on their performance using the Self-Assessment E*Value Coursework fields (questions as above) and submit for practice educator review.  For Four-Week Practicums (PHRM 171, 271): At the time of the scheduled midpoint assessment (at the end of week 2), the student will first initiate a review of their completed Self-Assessment E*Value Coursework with their practice educator and/or designated pharmacist. The practice educator will then review their completed midpoint assessment with the student. The student will make any necessary revisions to their action plan based on the collaborative discussion and review of both assessments.  For Eight-Week Practicums (PHRM 371, 471): At the end of weeks 2 and 6, the student will review the completed Self-Assessment E*Value Coursework with their practice educator and/or designated pharmacist. The student will make any necessary revisions to their action plan based on the collaborative discussion and review of the self-assessment. 3) The student will submit their completed Self-Assessment E*Value Coursework for practice educator verification. Resource(s) on Canvas  E*Value Coursework: Self-Assessment (required for PHRM 171, 271, 371, & 471)  Direct Patient Care Practice Educator Assessment of Student (available on Canvas for student reference)  Assessment of Student Learning – A Guidebook for Practice Educators Verification of Activity Completion Student Practice Educator PHRM 171  By the midpoint assessment (end of Week 2), the student is to submit the completed Self-Assessment E*Value Coursework  Practice educator to verify satisfactory completion at the midpoint assessment (end of Week 2) on the Self-Assessment E*Value Coursework PHRM 271  By the midpoint assessment (end of Week 2), the student is to submit the completed Self-Assessment E*Value Coursework  Practice educator to verify satisfactory completion at the midpoint assessment (end of Week 2) on the Self-Assessment E*Value Coursework PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 58 PHRM 371  At the end of week 2, the student is to submit the completed Self-Assessment E*Value Coursework  Practice educator to verify satisfactory completion at the end of Week 2 on the Self-Assessment E*Value Coursework  At the end of week 6, the student is to submit the completed Self-Assessment E*Value Coursework  Practice educator to verify satisfactory completion at the end of Week 6 on the Self-Assessment E*Value Coursework PHRM 471  At the end of week 2, the student is to submit the completed Self-Assessment E*Value Coursework  Practice educator to verify satisfactory completion at the end of Week 2 on the Self-Assessment E*Value Coursework  At the end of week 6, the student is to submit the completed Self-Assessment E*Value Coursework  Practice educator to verify satisfactory completion at the end of Week 6 on the Self-Assessment E*Value Coursework PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 59 SECTION 3 – ASSESSMENT PROCESSES 3.1 Assessment Processes All assessments are guided by the programmatic assessment model for the E2P PharmD Program under the leadership of the Director of Student Assessment. The course assignments and activities are based on the course objectives, AFPC educational outcomes, and are in accordance with the UBC E2P PharmD Program’s Cognitive Model. Feedback is a critical component of a student’s growth and learning throughout their practicums. Practice educators are encouraged to provide verbal feedback and assessment of performance to the student on a daily basis. A formal formative assessment using the online Practice Educator Assessment of Student* form is completed by the practice educator at the midpoint of the practicum. This assessment reflects the practice educator’s observation and assessment of the student’s performance based on the criterion, and the rubrics and expectations of the University. The practice educator and student are expected to meet at the midpoint to formally discuss the student’s progress and review the completed formative assessment form. A formal summative assessment is completed at the end of the practicum using the same online Practice Educator Assessment of Student* form. The practice educator should consider all sources of information to assess overall student performance throughout the course of the practicum including, but not limited to, completed presentations, care plans, education and counselling, collaboration with team members, etc. By the end of the practicum, the student’s overall level of performance must be commensurate with their year level, as previously outlined. The practice educator and student are expected to meet on the last day of the practicum to formally discuss the student’s progress and review the completed summative assessment form. For two-week practicums such as PHRM 272, only one formal written summative assessment is completed at the end of the practicum. All assessment forms are to be completed online on E*Value and are electronically submitted directly to the OEE upon completion. The practice educator and/or designated pharmacist that is completing the assessment component of the course should have sufficient and multiple opportunities to interact with the student and observe their interactions to appropriately determine their level of performance in completing the course activities and learning objectives for the practicum. Depending on the practice environment and practicum itself, a student may regularly interact or be supervised by multiple pharmacists while onsite. In this case, there may be a designated practice educator who will complete the formal midpoint and/or PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 60 final assessment of the student and provide feedback after reviewing the course work and consulting with other pharmacists who have observed or interacted with the student as necessary. *Note: The Practice Educator Assessment of Student form varies depending on the course. The table below outlines the OEE Practice Educator Assessment of Student Forms used in each course and the frequency of formal assessment: Course Assessment Form Frequency/Type PHRM 171 PHRM 271 PHRM 371 PHRM 471 PHRM 472 PHRM 473 (DPC) Direct Patient Care (DPC) Practice Educator Assessment of Student Midpoint Final PHRM 272 PHRM 272 Practice Educator Assessment of Student Final PHRM 473 (NDPC) Non-Direct Patient Care Practice Educator Assessment of Student Midpoint Final PHRM 473 (NDPC) LEAP Non-Direct Patient Care: LEAP – Practice Educator Assessment of Student Midpoint Final Practice educators are strongly encouraged to review the Assessment of Student Learning – A Guidebook for Practice Educators for further information on the assessment processes for the practicum courses. It is the responsibility of the student to immediately contact the course coordinator and alert them to any assessment scores below the expected level of performance at any point during the practicum to ensure appropriate support and guidance can be provided. PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 61 3.2 Grade Assignment The Pharmacy 171, 271, 371 and 471 practicums are Pass-Fail grading. Students must be successful in ALL the required course components in order to be successful in each course, respectively. The required course components for each course include: 1) Completion of Required Practicum Hours Students must complete the practicum hours in full per the respective practicum course. 2) Practice Educator Assessment of Student Students must meet the expected level of performance for ALL criteria as outlined and described in the Practice Educator Assessment of Student* form and consistently exhibit ALL elements within the Professionalism domain to successfully complete the practicum. 3) Evidence of Learning Students must ensure that all required course activities and assignments, as described in this handbook, are completed and verified by the practice educator as being completed satisfactorily and safely. The required submission to demonstrate evidence of learning and verification of activity completion for each of the required course activities for the practicum courses must be completed online in E*Value by the specified deadline for submission, which is on the last OEE scheduled practicum block date at 11:55pm. The University of British Columbia grants the degree and therefore assigns the final course grade. Although satisfactory academic performance is a prerequisite to advancement, it is not the sole criterion in the consideration of the suitability of a student for promotion or graduation. The Faculty reserves the right to require a student to withdraw from the Faculty if that student is considered to be unsuited to proceed with the study or practice of pharmacy. UBC FOPS Academic Regulations: http://www.calendar.ubc.ca/vancouver/index.cfm?tree=12,213,397,392 Students must be successful in both 1) the Practice Educator Assessment of Student and 2) all components of the course to receive a pass (P) grade. The assessment is non-compensatory. This means that the expected level of performance must be met for all criteria listed and as described in the Practice Educator Assessment of Student* to be successful in this course component. A fail (F) grade will be recommended to the Student Progress Committee, if one or more of the following instances occur. The student:  Does not complete required number of practicum hours  Does not meet expected level of performance for any element on the Practice Educator Assessment of Student* PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 62  Does not consistently exhibit professional attributes and skills  Does not submit required course submissions (evidence of learning) by the specified deadline  Poses any risk to patient safety and is negligent in the provision of patient-centered care The final grade for the practicum (e.g. pass/fail) will be determined by the Faculty’s Student Progress Committee. *Note: The Practice Educator Assessment of Student form varies depending on course. The table in Section 3.1 Assessment Processes outlines the OEE Practice Educator Assessment of Student forms used in each course. PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 63 SECTION 4 – ADDITIONAL INFORMATION 4.1 Overview of Outpatient Practicum Course Requirements Described below is the continuum of learning activities for the direct patient care practicums occurring in the outpatient practice setting in the E2P PharmD program. This table is intended to provide a high-level overview of each course, including minimum activity requirements, however further detail for each activity category and the associated expectations can be found in the applicable course handbook sections. IPPE APPE Practicum Requirement PHRM 171 Minimum required (4 weeks, 160 hours) PHRM 271 Minimum required (4 weeks, 160 hours) PHRM 371 Minimum required (8 weeks, 320 hours) PHRM 471 Minimum required (8 weeks, 320 hours) UBC Pharmacy Student Health and Safety Orientation 1 1 1 1 72-Hour Checklist 1 1 1 1 Student Introduction Resume 1 1 1 1 Learning Contract 1 1 1 1 Service Activities Drug Inventory Ordering: 2 Drug Disposal: 3 Prescription Filing: 100 Compounding: 4 Refill Reauthorizations: 20 Prescription Transfer: 4 Verbal Prescriptions: 2 Patient Profiles: 8 Prescription Entry + Processing: 20 Prescription Checks: 10 Completed daily (no minimum) Completed daily (no minimum) Completed daily (no minimum) Counseling 20 20 40 Completed daily (no minimum) Non-Prescription Assessment 1 8 16 80 New and Refill Prescription Assessment 2 New Rx 8 New Rx 8 Refill Rx 16 New Rx 16 Refill Rx 80 New Rx 80 Refill Rx Full Patient Workup and Care Plan n/a 1 3 5 Follow up Evaluation n/a 4 8 80 Drug Information Response n/a 2 2 8 Professional and Specialty Service 2 1 2 4 Presentation 4 3 3 8 Health Promotion n/a 1 1 1 Professional Practice Reflection 1 n/a n/a n/a Medication Safety Reflection 1 n/a n/a n/a Giving Feedback to the Practice Educator 1 1 1 1 Self-Assessment 1 1 2 2 Direct Patient Care Practice Educator Assessment of Student Midpoint & Final Midpoint & Final Midpoint & Final Midpoint & Final Student Evaluation of the Office of Experiential Education Course 1 1 1 1 PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 64 4.2 Course Schedule The following are suggested scheduling guides to help plan out the required activities during each of PHRM 171, 271, 371, and 471, respectively. These schedules include all required practicum activities for each course. The timing of activities may vary due to site and practice educator-specific circumstances. Once set by the practice educator, students must adhere to the daily schedule, daily activities, and practicum hours as required in the Entry-to-Practice PharmD Program Practicum Policies, Procedures, and Guidelines. For all practicum activities, students must review all recommendations and documentation with the practice educator and/or designated pharmacist prior to interacting or discussing with the patient/caregiver, physician or other health care providers. PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 65 4.2.a PHRM 171 Course Schedule Week 1 Monday Tuesday Wednesday Thursday Friday  Complete and submit the UBC Pharmacy Student Health and Safety Orientation  Orientation to pharmacy staff & services  Review completed Student Introduction Resume and 72-hour Checklist with practice educator  Ensure practice educator can access E*Value  Review Learning Contract (PLAN section) with practice educator  Reflect on activities completed and have a plan for Week 2  Shadow practice educator in interactions with patients and health care providers  Establish expectations and mechanism for reporting with practice educator  Complete ¼ of Service activities  Provide Counseling to at least five patients  Identify one patient case for patient workup (e.g. New Rx Assessment)  Complete one Presentation  Start discussing Professional Practice Reflection assignment  Start Medication Safety Reflection assignment  Provide feedback to practice educator at agreed-upon times/intervals Week 2  Complete ¼ of Service activities  Provide Counseling to at least five patients  Identify one patient case for patient workup (e.g. New Rx Assessment)  Discuss one patient workup with your practice educator (e.g. New Rx Assessment from last week)  Shadow your practice educator for one Professional and Specialty Service and complete documentation  Complete one Presentation  Continue with Professional Practice Reflection assignment  Continue with Medication Safety Reflection assignment  Provide feedback to practice educator at agreed-upon times/intervals  Complete Self-Assessment E*Value Coursework for Week 2  MIDPOINT ASSESSMENT  Revisit Learning Contract  Reflect on activities completed have a plan for Week 3 Week 3  Complete ¼ of Service activities  Provide Counseling to at least five patients  Identify one patient case for patient workup (e.g. Non-Rx Assessment)  Discuss one patient workup with your practice educator (e.g. New Rx Assessment from last week)  Shadow your practice educator for one Professional and Specialty Service and complete documentation  Complete one Presentation  Continue with Professional Practice Reflection assignment  Wrap up Medication Safety Reflection – Discuss reflection with practice educator  Provide feedback to practice educator at agreed-upon times/interval  Reflect on activities completed have a plan for Week 4 Week 4  Revisit Learning Contract and complete ACT and REFLECT sections  Complete ¼ of Service activities  Provide Counseling to at least five patients  Discuss one patient workup with your practice educator (e.g. Non-Rx Assessment from last week)  Complete one Presentation  Wrap up Professional Practice Reflection - Discuss reflection with practice educator  Discuss feedback provided to practice educator in Student Evaluation of the Practice Educator and Practice site  Complete and review all required course work with practice educator and/or designated pharmacist and submit Practicum Activities E*Value Coursework by deadline  FINAL ASSESSMENT  Complete Student Evaluation of OEE Course on E*Value by deadline  Complete Student Evaluation of Practice Educator and Practice Site on E*Value by deadline PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 66 4.2.b PHRM 271 Course Schedule Week 1 Monday Tuesday Wednesday Thursday Friday  Complete and submit the UBC Pharmacy Student Health and Safety Orientation  Orientation to pharmacy staff & services  Review completed Student Introduction Resume and 72-hour Checklist with practice educator  Sign into E*Value and ensure practice educator can access E*Value  Review Learning Contract (PLAN section) with practice educator  Reflect on activities completed and have a plan for Week 2  Become familiar with workflow, patient demographics, and site-specific services  Establish expectations and mechanism for reporting and documentation with practice educator  Determine site-specific evidence of learning for applicable course activities  Identify one patient for full patient workup  Discuss pharmacist role in health promotion and disease prevention, and how this role is implemented in the practice setting. Determine Health Promotion activity to participate in  Assess patients with new (min 2/week) and refill (min 2/week) prescriptions, and non-prescriptions (min 2/week) for DTPs. Provide patient education, counseling and monitoring (min 5/week). Complete Service activities as required  Follow Up (min 1/week) with patients for whom pharmaceutical care was initiated  Provide feedback to practice educator at agreed-upon times/intervals  Document on and update the E*Value Coursework for required activities Week 2  Complete interview and assessment of selected patient for full patient workup  Complete one Drug Information Response  Complete one Presentation  Assess patients with new (min 2/week) and refill (min 2/week) prescriptions for DTPs. Provide patient education, counseling and monitoring (min 5/week). Complete Service activities as required  Follow Up (min 1/week) with patients for whom pharmaceutical care was initiated  Provide feedback to practice educator at agreed-upon times/intervals  Document on and update the E*Value Coursework for required activities  Complete Self-Assessment E*Value Coursework for Week 2  MIDPOINT ASSESSMENT  Revisit Learning Contract  Reflect on activities completed and have a plan for Week 3 Week 3  Complete one Drug Information Response  Complete one Professional and Specialty Service activity  Complete one Presentation  Assess patients with new (min 2/week) and refill (min 2/week) prescriptions for DTPs. Provide patient education, counseling and monitoring (min 5/week). Complete Service activities as required  Follow Up (min 1/week) with patients for whom pharmaceutical care was initiated  Provide feedback to practice educator at agreed-upon times/intervals  Document on and update the E*Value Coursework for required activities  Reflect on activities completed and have a plan for Week 4 Week 4  Present and review completed full patient workup care plans with practice educator and conduct follow up for full patient work up  Complete one Presentation  Complete ACT/REFLECT sections of Learning Contract and discuss with practice educator  Assess patients with new (min 2/week) and refill (min 2/week) prescriptions for DTPs. Provide patient education, counseling and monitoring (min 5/week). Complete Service activities as required  Follow Up (min 1/week) with patients for whom pharmaceutical care was initiated  Complete Student Evaluation of Practice Educator and Practice Site survey on E*Value and share feedback with practice educator directly.  Ensure all patient care activities have been completed and documentation shared with practice educator  Complete and review all required course work with practice educator and/or designated pharmacist and submit to E*Value by deadline  FINAL ASSESSMENT  Complete Student Evaluation of the OEE Course on E*Value PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 67 4.2.c PHRM 371 Course Schedule Week 1 Monday Tuesday Wednesday Thursday Friday  Complete and submit the UBC Pharmacy Student Health and Safety Orientation  Begin working through the 72 Hour Checklist with the practice educator  Review completed Student Introduction Resume and 72-hour Checklist with practice educator  Sign into E*Value and ensure practice educator can access E*Value  Review Learning Contract (PLAN section) with practice educator  Reflect on activities completed this week and have a plan for Week 2  Orientation to pharmacy staff & services  Become familiar with workflow, patient demographics, and site-specific services  Establish expectations and mechanism for reporting and documentation with practice educator  Establish expectations for and collaborate with practice educator to plan for regular feedback conversations  Determine site-specific evidence of learning for applicable course activities  Identify one patient for first full patient workup. Complete interview and assessment of selected patient  Determine Health Promotion activity to be completed in discussion with practice educator  Discuss Professional and Specialty Service activity opportunities with practice educator  Complete new (min 2/week) and refill (min 2/week) prescription assessments. Provide patient education, counseling and monitoring (min 5/week). Complete Service activities as required  Provide pharmaceutical care to patients requesting non-prescription assessment (min 2/week)  Follow up (min 1/week) with patients for whom pharmaceutical care was initiated  Complete and share any documentation with practice educator as required for activities  Document on and update E*Value Coursework for required activities Week 2  Complete one Drug Information Response activity  Complete one Presentation to practice educator/staff  Complete new (min 2/week) and refill (min 2/week) prescription assessments. Provide patient education, counseling and monitoring (min 5/week). Complete Service activities as required  Provide pharmaceutical care to patients requesting non-prescription assessment items (min 2/week)  Follow up (min 1/week) with patients for whom pharmaceutical care was initiated  Complete and share any documentation with practice educator as required for activities  Document on and update E*Value Coursework for required activities  Provide feedback to practice educator at agreed-upon times/intervals  Complete Self-Assessment E*Value Coursework for Week 2  Reflect on activities completed this week and have a plan for Week 3 Week 3  Complete first full patient workup report to practice educator  Identify one patient for second full patient workup. Complete interview and assessment of selected patient  Complete new (min 2/week) and refill (min 2/week) prescription assessments. Provide patient education, counseling and monitoring (min 5/week). Complete Service activities as required  Provide pharmaceutical care to patients requesting non-prescription assessment (min 2/week)  Follow up (min 1/week) with patients for whom pharmaceutical care was initiated  Complete and share any documentation with practice educator as required for activities  Document on and update E*Value Coursework for required activities  Provide feedback to practice educator at agreed-upon times/intervals  Reflect on activities completed this week and have a plan for Week 4 Week 4  Complete one Presentation to practice educator/staff  Complete one Drug Information Response activity  Complete one Health Promotion activity  Complete new (min 2/week) and refill (min 2/week) prescription assessments. Provide patient education, counseling and monitoring (min 5/week). Complete Service activities as required.  Provide pharmaceutical care to patients requesting non-prescription assessment (min 2/week)  Follow up (min 1/week) with patients for whom pharmaceutical care was initiated  Complete and share any documentation with practice educator as required for activities  Document on and update E*Value Coursework for required activities  Provide feedback to practice educator at agreed-upon times/intervals  MIDPOINT ASSESSMENT  Revisit Learning Contract  Reflect on activities completed this week and have a plan for Week 5 PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 68 Week 5  Complete second full patient workup report to practice educator  Identify one patient for third full patient workup. Complete interview and assessment of selected patient  Complete new (min 2/week) and refill (min 2/week) prescription assessments. Provide patient education, counseling and monitoring (min 5/week). Complete Service activities as required.  Provide pharmaceutical care to patients requesting non-prescription assessment (min 2/week)  Follow up (min 1/week) with patients for whom pharmaceutical care was initiated  Complete and share any documentation with practice educator as required for activities  Document on and update E*Value Coursework for required activities  Provide feedback to practice educator at agreed-upon times/intervals  Reflect on activities completed this week and have a plan for Week 6 Week 6  Complete one Professional and Specialty Service activity  Complete one Presentation to practice educator/staff  Complete new (min 2/week) and refill (min 2/week) prescription assessments. Provide patient education, counseling and monitoring (min 5/week). Complete Service activities as required.  Provide pharmaceutical care to patients requesting non-prescription assessment (min 2/week)  Follow up (min 1/week) with patients for whom pharmaceutical care was initiated  Complete and share any documentation with practice educator as required for activities  Document on and update E*Value Coursework for required activities  Provide feedback to practice educator at agreed-upon times/intervals  Complete Self-Assessment E*Value Coursework for Week 6  Reflect on activities completed this week and have a plan for Week 7 Week 7  Complete third full patient workup report to practice educator  Complete one Professional and Speciality Service activity  Complete new (min 2/week) and refill (min 2/week) prescription assessments. Provide patient education, counseling and monitoring (min 5/week). Complete Service activities as required.  Provide pharmaceutical care to patients requesting non-prescription assessment (min 2/week)  Follow up (min 1/week) with patients for whom pharmaceutical care was initiated  Complete and share any documentation with practice educator as required for activities  Document on and update E*Value Coursework for required activities  Provide feedback to practice educator at agreed-upon times/intervals  Reflect on activities completed this week have a plan for Week 8 Week 8  Complete ACT/REFLECT sections of Learning Contract and discuss with practice educator  Complete Student Evaluation of Practice Educator and Practice Site survey on E*Value and discuss feedback with practice educator directly.  Complete new (min 2/week) and refill (min 2/week) prescription assessments. Provide patient education, counseling and monitoring (min 5/week). Complete Service activities as required  Provide pharmaceutical care to patients requesting non-prescription assessment (min 2/week)  Follow up (min 1/week) with patients for whom pharmaceutical care was initiated  Ensure all practicum activities have been completed and documentation for all shared with and reviewed with practice educator  Submit all required E*Value Coursework by deadline as required  Provide feedback to practice educator at agreed-upon times/intervals  FINAL ASSESSMENT  Complete Student Evaluation of the OEE Course survey on E*Value by deadline PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 69 4.2.d PHRM 471 Course Schedule Week 1 Monday Tuesday Wednesday Thursday Friday  Complete the UBC Pharmacy Learner Health and Safety Orientation  Orientation to pharmacy staff & services  Review completed Student Introduction Resume and 72-hour Checklist with practice educator  Sign into E*Value  Review Learning Contract (PLAN section) with practice educator  Reflect on activities completed this week and have a plan for Week 2 (Suggested Schedule noted for Weeks 1-8 to help keep you on track and in meeting course requirements)  Introduce yourself to the pharmacy/site team  Be familiar with workflow, patient demographics and specific site services  Discuss pharmacy practice issues with practice educator  Identify and interview Patient #1 for a full patient work-up  Discuss Health Promotion activity with practice educator and develop project plan with specific deadlines (date, time, audience and topic)  Complete one Drug Information Response  Discuss Professional and Specialty Service activity opportunities with practice educator  Assess patients with new (min 10/week) and refill (min 10/week) prescriptions for DTPs. Complete Service activities as required  Follow Up (min 10/week) with patients for whom pharmaceutical care was initiated  Complete one Presentation to practice educator/staff  Provide feedback to practice educator at agreed-upon times/intervals Week 2  Complete full patient work-up documentation for Patient #1 and discuss with practice educator  Work on Health Promotion activity  Complete one Drug Information Response  Complete one Professional and Specialty Service  Assess patients with new (min 10/week) and refill (min 10/week) prescriptions for DTPs. Complete Service activities as required  Follow Up (min 10/week) with patients for whom pharmaceutical care was initiated  Complete one Presentation to practice educator/staff  Provide feedback to practice educator at agreed-upon times/intervals  Complete Week 2 Self-Assessment  Revisit Learning Contract  Reflect on activities completed this week  Have a plan for Week 3 Week 3  Identify and interview Patient #2 for a full patient work-up  Work on Health Promotion activity  Complete one Drug Information Response  Assess patients with new (min 10/week) and refill (min 10/week) prescriptions for DTPs. Complete Service activities as required  Follow Up (min 10/week) with patients for whom pharmaceutical care was initiated  Complete one Presentation to practice educator/staff  Provide feedback to practice educator at agreed-upon times/intervals  Reflect on activities completed this week  Have a plan for Week 4 Week 4  Identify and interview Patient #3 for a full patient work-up  Work on Health Promotion activity  Complete one Drug Information Response  Complete one Professional and Specialty Service  Assess patients with new (min 10/week) and refill (min 10/week) prescriptions for DTPs. Complete Service activities as required  Follow Up (min 10/week) with patients for whom pharmaceutical care was initiated  Provide feedback to practice educator at agreed-upon times/intervals  MIDPOINT ASSESSMENT  Revisit Learning Contract  Reflect on activities completed this week and have a plan for Week 5 PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 70 Week 5  Work on Health Promotion activity  Complete one Drug Information Response  Assess patients with new (min 10/week) and refill (min 10/week) prescriptions for DTPs. Complete Service activities as required  Follow Up (min 10/week) with patients for whom pharmaceutical care was initiated  Complete one Presentation to practice educator/staff  Provide feedback to practice educator at agreed-upon times/intervals  Reflect on activities completed this week  Have a plan for Week 6 Week 6  Identify and interview Patient #4 for a full patient work-up  Work on Health Promotion activity  Complete one Drug Information Response  Complete one Professional and Specialty Service  Assess patients with new (min 10/week) and refill (min 10/week) prescriptions for DTPs. Complete Service activities as required  Follow Up (min 10/week) with patients for whom pharmaceutical care was initiated  Complete one Presentation to practice educator/staff  Provide feedback to practice educator at agreed-upon times/intervals  Complete Week 6 Self-Assessment  Revisit Learning Contract  Reflect on activities completed this week.  Have a plan for Week 7 Week 7  Identify and interview Patient #5 for a full patient work-up  Work on Health Promotion activity  Complete one Drug Information Response  Assess patients with new (min 10/week) and refill (min 10/week) prescriptions for DTPs. Complete Service activities as required  Follow Up (min 10/week) with patients for whom pharmaceutical care was initiated  Complete one Presentation to practice educator/staff  Provide feedback to practice educator at agreed-upon times/intervals  Reflect on activities completed this week  Have a plan for Week 8 Week 8  Finalize Health Promotion activity  Complete one Drug Information Response  Complete one Professional or Specialty service  Assess patients with new (min 10/week) and refill (min 10/week) prescriptions for DTPs. Complete Service activities as required  Follow Up (min 10/week) with patients for whom pharmaceutical care was initiated  Complete one Presentation to practice educator/staff  Complete ACT and REFLECT sections of your Learning Contract and review with your practice educator  Provide feedback to practice educator at agreed-upon times/intervals  Complete and review all required course work with practice educator or designated pharmacist and submit to E*Value Learning Module Coursework site by deadline as required  FINAL ASSESSMENT  Complete Student Evaluation of OEE course on E*Value by deadline  Complete Student Evaluation of Practice Educator and Practice Site on E*Value by deadline PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 71 4.3 Office of Experiential Education Contact Information Dr. Janice Yeung Director (604) 827 4846 janice.yeung@ubc.ca Ms. Tricia Murray Program Administrative Manager (604) 827 0183 tricia.murray@ubc.ca Faculty Course Coordinator & Portfolio Course Number, Description Mr. Gilly Lau Structured Practical Training & Community Engagement (IPPE) (604) 827 4044 gilly.lau@ubc.ca PHRM 171 Introductory Pharmacy Practice Experience (IPPE) – Outpatient I PHRM 473 Selected Advanced Pharmacy Practice Experience (APPE) – Outpatient Direct Patient Care Settings Ms. Kayla Fang Service Learning, Community Engagement (Non-Rx), Student Transition (Inpatient) & Health Authority Engagement (IPPE) (604) 827 0041 kayla.fang@ubc.ca PHRM 251 Institutional Practice Skills Course PHRM 270 Community Service Learning PHRM 272 Introductory Pharmacy Practice Experience (IPPE) – Inpatient Mr. Alex Tang Non-Direct Patient Care (604) 827 2384 alex.tang@ubc.ca PHRM 271 Introductory Pharmacy Practice Experience (IPPE) – Outpatient II PHRM 473 Selected Advanced Pharmacy Practice Experience (APPE) – Non-Direct Patient Care Settings Ms. Gabriella Wong (Maternity-Leave Replacement) Practice Educator Development & Community Engagement (Rural/Remote) (604) 827 4243 gabriella.wong@ubc.ca PHRM 371 Introductory Pharmacy Practice Experience (IPPE) – Outpatient III Mr. Paulo Tchen Student Transition (Outpatient), Community Engagement (APPE) & Community Outreach (604) 827 0173 tchen6@mail.ubc.ca PHRM 471 Advanced Pharmacy Practice Experience (APPE) – Outpatient PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 72 Dr. Asal Taheri Inpatient Practice & Health Authority Engagement (APPE) (604) 822 6107 asal.taheri@ubc.ca PHRM 472 Advanced Pharmacy Practice Experience (APPE) – Inpatient PHRM 473 Selected Advanced Pharmacy Practice Experience (APPE) – Inpatient Direct Patient Care Settings Mr. Larry Leung Interprofessional Education (604) 827 2482 larry.leung@ubc.ca IPE Activities are embedded or are scheduled on the Program Enhanced Activity Day (PEAD) Longitudinal Learning Mr. Jason Min Interprofessional Education (604) 827 2478 jason.min@ubc.ca IPE Activities are embedded or are scheduled on the Program Enhanced Activity Day (PEAD) Longitudinal Learning Faculty members provide support to practicum sites, practice educators, and students for any issues related to:  Course syllabi  Practicum-associated assignments and activities  Student assessment and evaluation  Student performance  Student absences  Personal injury or major illness of students on practicum  Any confidential issues related to the practicum Should students have any questions or issues requiring discussion with a faculty member, please contact the front desk to schedule an appointment. Appointments are available Monday to Thursday, 8.30am to 3pm, Fridays 8.30am to 12 noon. PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 73 Administrative Support Team Mr. Flavio Mikami Senior Program Assistant (604) 822 0433 flavio.mikami@ubc.ca Ms. Jane Lee Senior Program Assistant (604) 822 3216 j.lee@ubc.ca Ms. Vicky Lai Front Desk (604) 822 8077 phar.oee@ubc.ca The administrative staff provides support to practicum sites, practice educators and students for:  General enquiries  Practicum scheduling and placements  Practice educator or student contact information  E*Value access  Tracking  Mailings, forms etc.  UBC Cards Off-Hours Issues If you have immediate safety concerns for yourself or others, please call 911. Crisis and After-Hours Contacts  Vancouver Crisis Line | 1 800 SUICIDE (784 2433)  Vancouver General Hospital | 604 875 4111  Campus Security | 604 822 2222  Crisis Centre BC | http://crisiscentre.bc.ca/  Victim Link | 1 800 563 0808 (services in 110 languages)  Empower Me | 24/7 accessible counselling services for students with AMS health care o Call 1 (844) 741 6389 (toll-free) from anywhere in North America to be directly connected to the Empower Me Clinical Response Center o Log in to Empower Me (https://ear.powerflexweb.com/1545/login_SC.html) using "Studentcare" as the password or o Download additional Empower Me student assistance tools through the iAspiria mobile app (http://aspiria.ca/students/?stu-link=map) by entering "Studentcare" as the Login ID and selecting "Student" in the dropdown menu  UBC Counselling Services | 604 822 3811 o On campus support Monday to Friday, 8.30am-4.30pm o https://students.ubc.ca/health-wellness/mental-health-support-counselling-services PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 74 4.4 Policies Please refer to the Entry-to-Practice PharmD Program Practicum Policies, Procedures & Guidelines. Students are also expected to review the UBC E2P PharmD Program Policies and Procedures as outlined on the E2P PharmD Program Hub on Canvas. PHRM Outpatient Practicums Handbook Copyright © 2019 UBC Faculty of Pharmaceutical Sciences, Office of Experiential Education. All Rights Reserved. 75 REFERENCES 1) AFPC Educational Outcomes for First Professional Degree Programs in Pharmacy in Canada 2017. Available at: http://www.afpc.info/system/files/public/AFPC-Educational%20Outcomes%202017_final%20Jun2017.pdf 2) NAPRA Professional Competencies for Canadian Pharmacists at Entry to Practice. Available at: http://napra.ca/sites/default/files/2017-08/Comp_for_Cdn_PHARMACISTS_at_EntrytoPractice_March2014_b.pdf 3) Lester, S. Novice to Expert: the Dreyfus model of skill acquisition. Stan Lester Developments 2005. Available from: http://www.sld.demon.co.uk/dreyfus.pdf 4) Adapted with permission from: 2011-2012 Structured Practical Experience Program, Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario. 5) Adapted with Permission: College of Pharmacists BC, Professional Development and Assessment Program 2012. 6) Adapted with permission: Faculty of Medicine 2003 University of Manitoba, Winnipeg, Manitoba. 7) Adapted with permission: College of Pharmacists of British Columbia - Framework of Professional Practice: 2006. 8) Adapted from: Canadian Interprofessional Health Collaborative – A National Interprofessional Competency Framework 2010 9) Cipolle RJ, Strand L, Morely PR. Pharmaceutical Care Practice: The Patient Centered Approach To Medication Management, McGrawHill, 2012. 10) Cipolle RJ, Strand LM, Morley PC Pharmaceutical Care Practice: The Clinician’s Guide, McGraw Hill, 2004. 11) Adapted with permission from: © 2009 Copyright Medication Management Canada and 2003-2005 Peters Institute of Pharmaceutical Care, Cipolle RJ, Strand LM, Morley PC Pharmaceutical Care Practice: The Clinician’s Guide, McGraw Hill, 2004 12) Adapted with Permission: St.Paul's Hospital Pharmacy, Providence Health Care, Vancouver 2004 13) Pelletier, Tila. How to Perform a Literature Search [Internet]. Vancouver, BC. 2017 [cited 27 Feb 2018]. Video: 31 mins. 14) Adapted with permission: Pharmacy 4085 Manual. College of Pharmacy, Dalhousie University: 2012. 15) Ossareh S, Moshenko J. Giving Feedback Part 1 [Internet]. Vancouver, BC. 2017 [cited 13 Dec 2018]. Video: 34 mins.
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Outpatient Practicums Handbook for Students and Practice Educators : Introductory and Advanced Pharmacy Practice Experiences (IPPE, APPE) – Outpatient
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