Transcript Precepting Pharmacy Students

Precepting Pharmacy
Students
Don Uden, PharmD
Professor, U of MN College of
Pharmacy
Curriculum Director MRHS
Pharmacy Curriculum
 Minimum two years of prepharmacy prerequisites
– General biology
– Microbiology
– Anatomy
– Calculus
– General chemistry
– Organic chemistry
– Physics
– English composition
– Economics
– Public speaking
Pharmacy Curriculum
 4 years
 3 years mainly classroom
 1 year experiential
Pharmacy Curriculum
 Biochem/immunology/physiology 13
credits
 Pharmacology and therapeutics 25 credits
 Drug design and drug action 25 credits
 Pharmacy practice 20 credits
 Patient assessment 3 credits
 Miscellaneous courses and electives
Pharmacy Curriculum
 4th Year
– 10 – 5 week clerkships
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Hospital and community pharmacy
Acute care
Ambulatory care
Pediatrics or geriatrics
3 elective clerkships
Post pharmacy education
 Residencies
– General
– Specialized
 Fellowships
Precepting Pharmacy Students
 Pharmacy students are educated to provide
pharmaceutical care.
 Pharmaceutical care is founded in the
premise that all patients require drug
therapy to be appropriately indicated,
effective, safe, and convenient.
What can the pharmacy student
do for you??
 Complete medication record for patients
 Research and present new pharmaceutical product
reviews
 Research and present formulary reviews
 Literature searches on therapies
 F/U patients who are placed on new medications
 F/U patients who are having difficulty with
present medication regimen
Drug Therapy Problems
 176 billion dollars are spent annually
addressing problems associated with drug
therapy.
 Pharmacy student responsibility
– indication, efficacy, safety and convenience.
 They should be able to answer questions
regarding indication, efficacy, safety and
convenience.
Indication
 What is present in review of systems,
physical exam, laboratory or diagnostic
testing that confirms or refutes an indication
for drug therapy?
 Does the patient need additional drug
therapy or is he/she receiving unnecessary
drug therapy?
Efficacy
 What is present in review of systems,
physical exam, laboratory or diagnostic
testing that confirms or refutes that a
medication is efficacious?
 Is the patient receiving the wrong drug or is
the dose too low?
Safety
 What is present in review of systems,
physical exam, laboratory or diagnostic
testing that confirms or refutes that a
medication is safe?
 Is the patient experiencing an adverse drug
reaction or is the dose too high?
Convenience
 Is the patient able to follow the
recommended schedule?
 Is the patient able to afford the medication?
Clinic Activities
 3 half days per week
 4 patients per day
 Access to medical record prior to seeing
patient
 Perform medication history prior to primary
provider seeing patient
 If appropriate observe the physical exam
 Discuss questions of interest.