TTUHSC School of Pharmacy
Home SOP Faculty

Faculty & Staff

Self Governance » Faculty Meetings Committee

Course Approval

Pediatric Camp and Ambulatory Care Elective Rotation PHAR XXXX


Syllabus


Course Title: Pediatric Camp and Ambulatory Care Elective

Course Number: Pharmacy XXXX

Team Leader: Michelle Condren, Pharm.D.

Team Members: Allyson Gaylor, Pharm.D. and Lesli Hallman, Pharm.D.

Rotation Coordinator(s): TBA

Clerkship Coordinator:

Loree Allen
School of Pharmacy
1300 Coulter, Rm. 206
Amarillo, TX 79106
Phone: 806/356-4000 Ext 306
Fax: 806/356-4018
Email: loree@cortex.ama.ttuhsc.edu

Daily Schedule:


Non-camp weeks (5 weeks total): Monday through Friday, generally 8 am - 5pm. This will include daily discussions, working on project assignments, and attending asthma and diabetes clinics. Each student will attend clinic for an estimated 12-20 hours total during the non-camp weeks. **The number of clinic hours will depend on the clerkship site (Dallas vs Amarillo vs Lubbock).**

Camp week (9 days total): 7am - midnight. The student will be in a bunk with the children and attend all of their meals and activities. Therefore, 7 camp days consist of continual contact with children.

*Amarillo students also have the option of attending a 6 day asthma camp

**While approximately 120 hours are obtained during the diabetes camp, the TSBP only allows 50 internship hours weekly. Therefore, not all hours while at camp will be counted toward internship hours. All hours will be counted toward course credit. The student is responsible for completing a minimum of 240 hours for course credit. **

Textbook/Course Materials:


  1. Walsh J, Roberts R. Pumping Insulin: Everything you need for success with an insulin pump. 3rd ed. Torrey Pines Press, San Diego.
  2. Medical Staff Guidelines (provided)

  3. Amarillo only:

  4. National Asthma Education and Prevention Program. Expert Panel Report 2: Guidelines for the diagnosis and management of asthma. National Institutes of Health pub no 98-4051. Bethesda, MD 1997 www.nhlbi.nih.gov/guidelines/index.htm
  5. American Academy of Allergy, Asthma & Immunology. Pediatric Asthma: Promoting best practice 1999. www.aaaai.org/members/resources/initiatives/pediatricasthmaguidelines/default.stm

Prerequisites: P-4 standing as per Student Credentialing Committee

Catalog Description: Summer semester clerkship offering pharmaceutical care opportunities in pediatric diabetes camp and ambulatory care environments. During camp, each student will be responsible for the care of 6-8 children under the supervision of a licensed health-care professional. Clinic experiences may include endocrinology, asthma, cystic fibrosis, neurology, and/or general pediatrics.

Course Mission: The mission of this clerkship is to develop clinical skills and to deliver pharmaceutical care to pediatric patients in a camp and clinic environment. This clerkship is designed to enhance the student's understanding of the unique characteristics of the pediatric patient population, pediatric disease states, and pediatric pharmacotherapy, and to improve the student's ability to provide pharmaceutical care.

Course Objectives:


Upon completion of this clerkship, the student will be able to:

  1. Prepare and administer insulin doses
  2. Perform blood sugar testing
  3. Educate children about diabetes and asthma
  4. Participate in meal planning for diabetic patients
  5. Treat a diabetic patient for hyperglycemia and hypoglycemia
  6. Adjust a diabetic patient's insulin regimen, including those on insulin pump therapy
  7. Compare and contrast the various insulin preparations
  8. Describe the quality of life aspects of being a child with diabetes

  9. Amarillo only:

  10. Classify a patient's asthma severity
  11. Develop a treatment and education plan for children with asthma
  12. Treat a patient having an asthma exacerbation
  13. Demonstrate the appropriate use of a metered-dose inhaler, dry powder inhaler, nebulizer, and spacers
  14. Describe the mechanism of action, pharmacokinetics, side effects, dosing, indications, monitoring parameters, and patient information for the drugs used in the treatment of pulmonary diseases. These may include but are not limited to: albuterol, cromolyn, leukotriene modifiers, inhaled corticosteroids, oral corticosteroids, antihistamines)
  15. Create an asthma action plan for a patient

Tech's Top Ten

  1. COMMUNICATION


    Competency Definition: Pharmacists effect patient care and the delivery of health care using timely, efficient, and appropriately targeted communication skills. Communication skills provide the foundation for patient - pharmacist relationships as well as relationships with other health care providers and payers.

    The P4 clerkship student shall be able to:

    1. Communicate an educational message to a patient appropriate to a selected clinical situation
    2. Communicate with a patients or patient's agent at an appropriate level
    3. Communicate a complex principle or idea in simple terms
    4. Establish rapport with patients and patients' agents
    5. Establish professional rapport with other members of the health care team
    6. Establish him/herself as an integral member of the health care team
    7. Impart a sense of control of a selected clinical situation
    8. Impart a sense of urgency in a selected clinical situation
    9. Impart a personal feeling of respect for the values of others
    10. Impart a personal feeling of respect for the opinions of others
    11. Assert his/her objectives in the best interest of quality patient care in a professional manner

  2. USE OF BASIC SCIENCE


    The P4 clerkship student shall be able to:

    1. Develop a disease management strategy
    2. Create an appropriate drug regimen for a selected patient
    3. Define non?drug treatment for a selected patient
    4. Define a therapeutic goal for a selected patient
    5. Define a therapeutic endpoint for a selected patient
    6. Monitor drug therapy for a selected patient
    7. Manage adverse drug reactions for a selected patient
    8. Adjust drug therapy for a selected patient
    9. Assess progress to a defined therapeutic goal or endpoint for a selected patient

  3. PROBLEM PREVENTION AND SOLVING


    1. Organize the essential elements given an unarticulated problem in a patient care setting
    2. Define the problem associated with a selected health care scenario in a patient care setting
    3. State the consequences of not solving the problem associated with a selected health care scenario in a patient care setting
    4. Define the stakeholders in a selected health care scenario in a patient care setting
    5. Describe the process of problem solving in a selected health care scenario in a patient care setting
    6. Describe the considerations to be made in the problem solving process for a selected health care scenario in a patient care setting
    7. State the solution to the problem defined for a selected health care scenario in a patient care setting
    8. Describe the up-side and the down-side of the proposed solution to the problem defined for a selected health care scenario in a patient care setting
    9. Describe the impact of the suggested solution on the stakeholders in a selected health care scenario in a patient care setting
    10. Describe how the solution to a problem defined for a selected health care scenario can be evaluated in a patient care setting
    11. Persuasively present the suggested solution to other health care colleagues and to patients and patients' agents

  4. DISPENSING OF PHARMACEUTICALS


    Competency definition: Pharmacists perform a unique "safeguard" role in health care by consistently assessing the appropriateness of doses so as to avoid both supertherapeutic and subtherapeutic doses. A pharmacist's mathematical abilities are combined with knowledge of pharmaceutical products and their delivery to create systems approaches to ensuring safe and appropriate doses. The calculation, preparation and assessment of parenteral and nonparenteral doses are central to the pharmaceutical care process in all practice settings.

    1. define the normal dose and number of dosage units for any drug product (prescription and nonprescription) used in any of their patient's regimens.
    2. calculate the appropriate dose for any drug product using mathematical skills and mathematical reasoning.
    3. convert doses based upon different dosage forms of a pharmaceutical product.

  5. PROVIDING PHARMACEUTICAL CARE TO INDIVIDUAL PATIENTS AND POPULATIONS


    5.1 - Providing Individual Patient Care

    Competency Definition: Pharmacists base their clinical decision making on an understanding of the most common disease entities. Therefore, students must learn the most common disease states encountered in each clerkship course (e.g. pathophysiology, diagnosis and diagnostic studies, clinical laboratory medicine, treatment regimens, and monitoring parameters) and apply this knowledge to direct patient care.

    The P4 clerkship student shall be able to:

    1. Describe the responsibilities of the pharmacist in a patient care setting
    2. Assess the outcome of pharmacotherapy and nondrug treatment in a patient care setting
    3. Manage a medical problem in a patient care setting
    4. Manage symptoms in a patient care setting
    5. Prevent an undesired outcome in a patient care setting
    6. Manage an undesired outcome in a patient care setting
    7. Assess the impact of a medical problem on the quality of life of a selected patient in a patient care setting
    8. Assess the impact of pharmacotherapy and nondrug treatment on the quality of life of a selected patient in a patient care setting
    9. Plan a therapeutic approach in a patient care setting
    10. Empower the patient as an active partner in a patient care setting
    11. Function as a pharmacist in selected health care settings
    12. Administer a selected dosage form
    13. Perform a drug use evaluation in a patient care setting
    14. Document interventions in a patient care setting
    15. Assess the effectiveness of selected interventions in a patient care setting

    5.2 - Patient -Care Plans

    Competency Definition: Central to provision of patient care is creation of a pharmacist's care plan. The major steps in care plan creation, implementation, and modification include: data gathering, patient assessment, care plan formulation/implementation, modification of care plan and implementation of a follow-up plan. Communication of the care plan to the patient and other health care professionals is fundamental to improving patient health care outcomes.

    The P4 clerkship student shall be able to:

    1. accurately and efficiently locate information in the medical chart or other records and apply this information to patient care.
    2. demonstrate effective data gathering skills and be able to report this data in an organized and concise format.
    3. identify both active and potential drug-related problems.
    4. integrate both objective and subjective patient information in the development of the patient care plan.
    5. assess, evaluate, and apply drug information/clinical data to promote optimal health care for an individual patient and for patient populations.
    6. develop a pharmacotherapy plan complete with alternative solutions to treat, improve, and solve drug related problems.
    7. implement a rational pharmacotherapy plan and follow-up for an individual patient.

  6. PROFESSIONALISM


    Competency Definition: Pharmacists should conduct their professional and personal lives in accordance with a set of moral principles and values. These principles govern pharmacists' individual and collective group activities. Professionalism entails adherence to moral, ethical and technical codes of conduct as well as supporting the entire body of persons committed to the pharmacy profession.

    The P4 clerkship student shall be able to:

    1. Demonstrate empathy in the care of patients in a patient care setting
    2. Acknowledge patient rights in a patient care setting
    3. Demonstrate sensitivity to individual patient values in a patient care setting
    4. Practice within legal guidelines in a patient care setting
    5. Practice in an ethical manner in a patient care setting
    6. Take into consideration personal ethics and values in health care decision-making in a patient care setting
    7. Defend a decision made in a selected situational dilemma in a patient care setting
    8. Demonstrate the ability to lead where indicated in a patient care setting
    9. Demonstrate an appropriate level of flexibility in a patient care setting
    10. Demonstrate the ability to define the concept of job satisfaction in a patient care setting
    11. Demonstrate the ability to define patient interest in a patient care setting
    12. Demonstrate the ability to define the general interest of the profession of pharmacy in a patient care setting
    13. Demonstrate the ability to promote good health and healthy lifestyles in a patient care setting
    14. Demonstrate sensitivity to the impact of external influences on the profession of pharmacy in a patient care setting
    15. Demonstrate the ability to perform as a role model in a patient care setting
    16. Demonstrate the ability to prioritize several tasks in a patient care setting
    17. Demonstrate the ability to influence colleagues in a patient care setting
    18. Demonstrate the ability to motivate patients in a patient care setting
    19. Demonstrate the ability to work within their professional limits in a patient care setting
    20. Demonstrate the ability to work within a team in a patient care setting
    21. Demonstrate the ability to persuasively influence an outcome in a patient care setting
    22. Demonstrate the ability to continuously learn in a patient care setting
    23. Demonstrate a commitment to continuous, lifelong learning
    24. Demonstrate the ability to work within their personal limits in a patient care setting
    25. Demonstrate the ability to follow when indicated in a patient care setting

  7. SOCIAL AND ADMINISTRATIVE SCIENCE


    Competency Definition: All pharmacists require practice management skills regardless of their specific practice setting or orientation. Frontline practicing pharmacists must participate in planning, organizing, leading and controlling organizational resources in the pharmacy environment. They may be responsible for demonstrating the outcomes of their practice to supervisors, other health care providers and payers. Other pharmacists may assume a more direct management role of technicians, other pharmacists, and operations.

    The P4 clerkship student shall:

    1. demonstrate time management skills.
    2. identify the cultural differences among patients and the impact these differences have on the delivery of pharmaceutical care.

Additional Competencies

ACCOUNTABILITY


Competency Definition: Pharmacists fulfill multiple responsibilities simultaneously. Central to all pharmacists' responsibilities is self- accountability to ensure that responsibilities are fulfilled to the fullest extent, within the expected time frames, and appropriate follow-up mechanisms are created, implemented, and monitored.

The P4 clerkship student shall be able to:

  1. place the care of patients above all other responsibilities.
  2. perform patient care functions in a punctual and professional manner.
  3. ensure that all patient care functions are performed prior to leaving for the day.
  4. provide optimal care for patients so that practice accountability will be applied to patient care post graduation.
  5. understand a pharmacist's role in patient care and be accountable for the provision of pharmaceutical care to patients
  6. learn to prioritize and complete the multiple responsibilities of a health care provider.

TEAMWORK


Competency Definition: Teamwork is work done by several associates with each doing a part, but, all subordinating personal prominence to the efficiency of the whole. Pharmacists function as an integral component of a team whose ultimate goal is to provide the best patient care possible.

The P4 Clerkship student shall be able to:

  1. function effectively within the team to optimize patient outcomes.
  2. communicate effectively within the team.
  3. handle an appropriate level of responsibility within the team.
  4. interact appropriately with different members of the team (e.g. pharmacists, patients, caregivers, physicians, medical students, nurses, therapists);
  5. sacrifice personal gain for the good of the team and its patient.

LITERATURE EVALUATION AND APPLICATION


Competency Definition: Pharmacists should consistently exhibit leadership in providing drug information using multiple state-of-the-art resources for both patient-specific drug therapy and system-wide drug therapy issues (e.g. creation of clinical practice guidelines or formulary backgrounds).

The P4 clerkship student shall be able to:

  1. demonstrate the ability to make rational, patient-specific therapeutic decisions, based upon critical evaluation of the literature and clinical experience.
  2. locate and analyze literature to solve a therapeutic dilemma in a timely fashion.
  3. make a recommendation to health care colleagues or a team.
  4. display the ability to find and accurately disseminate medical information through formal and informal presentations, discussions, and written communications.
  5. develop a personal method of staying current with the medical and pharmacy literature, including development of a filing system and/or a "peripheral brain."

INTERPRETATION AND APPLICATION OF PHYSICAL ASSESSMENT DATA


Competency Definition: Interpretation of physical assessment data and its application to creating and modifying drug therapy regimens is fundamental to pharmacy practice. Students shall incorporate physical assessment data into the provision of patient care and initiation, modification, and monitoring of drug therapy regimens.

The P4 student shall be able to:

  1. demonstrate skill in identifying and interpreting results of general and targeted physical exams (performed by any health care practitioner). apply physical exam data to the initiation and modification, and monitoring of drug therapy regimens.

Teaching Methods: This experiential course will be delivered in practice settings where students will provide clinical services under the supervision of pharmacy practice faculty / preceptors.

Assessment Methods: Grading will be based on overall performance, professional performance and assignments.

Grading:

Professional Performance

50%

Assignments #1 Diabetes Education Assignment due the week
before camp (Week 2 or 3)

#2 Asthma Education Assignment for Amarillo
Students due in week 4.

OR
Diabetes Education Assignment for Dallas
students in week 3, 4, or 5


#3 Written Assignment due in week 6

10%

10%

10%

TSBP Intern-Clerkship Evaluation Form

20%

Total

100%

Intellectual Integrity: Standard

Attendance: Standard

Class Timeliness/Tardiness: Standard

48 Hour Turnaround Policy: Standard

Second Chance Policy: There is NO second chance policy regarding this clerkship. If a student fails this course, they must retake it at the next opportunity when it can be rescheduled.

Etiquette: Standard

Clerkship Confidentiality: Standard

Name Tags and Professional Attire: Standard

Candidate Disability: Standard

Ethical Standards: Standard

Facilities: Standard

Candidate Inquiries: Standard

Communication: Standard

Autobiographical Data Form: Standard

Immunizations and CPR Certification: Standard

Removal >From Practice Site: Standard

Maternity Notification: Standard

Exposure Reporting: Standard

Candidate Professional Leave Policy: Standard

PATIENT EDUCATION ASSIGNMENT

Objective: Develop and deliver age-appropriate medication and disease education to children with diabetes and asthma.

Description of the assignment: You will be required to develop two educational activities: one for children with diabetes and one for children with asthma. An age group will be assigned on the first day of the clerkship. This activity should be appropriate for the age group assigned and should be presentable in a 20 minute time frame. Each child in a group of 6-12 should be able to participate in the activity. The Diabetes Camp Guidelines, "I'm in Control" An Instructional Aid on Insulin-Dependent Diabetes Mellitus, and the AAAAI Pediatric Asthma Guidelines may be used as guides for developing patient education. You will present your educational activity to faculty and fellow students.

Grading of the assignment: Please see the grading form for details. You will be graded on the content of the educational activity. Is the content age appropriate, correct, and original? You will be graded on the presentation of the activity. Is the activity interesting, does it encourage involvement of all participants? Are the visual aids of an acceptable quality? Can the activity be completed in the allotted time frame? Are you able to answer questions posed by the faculty and students?

PATIENT EDUCATION ASSIGNMENT

Evaluation Form

Name of candidate:

Date:

Name of evaluator:

Rotation:

1 2 3 4 5 6 7 8 9 10

Content
Organization
Age-Appropriate
Accuracy
Originality

Presentation
Interesting to the intended audience
Involvement of all participants
Appropriate duration
Able to explain concepts
Able to answer questions

Visual Aids
Quality of visual aids

Total Points _____________

Comments




WRITING ASSIGNMENT

Objective: To evaluate your personal camp experience.

Description of the assignment: You will be required to submit a paper by the Thursday before the clerkship ends. This paper will describe your opinion of the camp elective experience. Highlight knowledge of diseases & medications gained as well as the humanistic experiences and benefits of the clerkship as appropriate. We would like for you to describe how this experience benefited you and how it will make you a better pharmacist, if applicable. The purpose is to express your personal opinion of the camp experience. Quotes from the paper may be used for future recruitment of students as camp volunteers or posted on the TTUHSC School of Pharmacy website.

Technical Requirements: Use 12 point font, double spaced. The paper should be between 3-5 pages in length.

Grading of the assignment: Grading will be based on grammar, spelling, organizational content, and the ability to express your thoughts in writing. See the evaluation form for further information.


WRITING ASSIGNMENT

Evaluation Form

Name of candidate:

Date:

Name of evaluator:

Rotation:

Score

Content
Organization (10 points)
Substantive (30 points)

Presentation
Technical information (grammar, spelling) (20 points)
Appropriate length (20 points)
Able to explain concepts (20 points)

Total Points _____________

Comments