The pharmacy student’s fourth (P4) year is comprised of seven required six-week rotations as part of the Advanced Pharmacy Practice Experience (APPE) program. The rotations typically begin in May of the year the PharmD candidate finishes the third (P3) year of the program. The final rotation ends around mid-May the following year.
The P4 year is intended to provide practical pharmacy experience in five areas:
- Ambulatory pharmacy practice - Activities focused on providing patient care for disease states and conditions through interactions with non-hospitalized patients and health care teams in outpatient clinics. The pharmacist student provides direct patient care services with oversight by a prescriber or under collaborative drug therapy management protocols and has access to and documents her/his activities in patients’ medical records.
- Community pharmacy practice (traditional) - Activities focused on providing patient care through drug distribution and counseling patients about medications and health-promotion and disease-prevention activities.
- Community pharmacy practice (disease state management) - Activities focused on providing disease state and/or medication management care by appointment to patients who are referred by other health care practitioners or to patients who request those services. The rotation may also include community pharmacy – traditional services.
- Hospital (clinical practice) - Activities focused on providing patient care through interactions with hospitalized patients and health care teams.
- Hospital (institutional/clinical practice) - Activities focused on providing patient care through drug distribution and other centralized functions in a hospital setting.
Elective experiences may also apply to further practicum. Some examples of elective rotations include those related to education, industry, or research.
In addition, students are expected to develop a Pharmaceutical Care Portfolio (DOC) documenting provisions of pharmaceutical care through drug information-related activities while on various rotations. Examples of material to be included in the portfolio that demonstrate the student's ability to provide and document pharmaceutical care are: narrative descriptions of pharmaceutical care; drug information requests; drug monographs for formulary consideration; preparation of a drug information bulletin, newsletter, or presentation; adverse drug reaction and/or product problem reports; presentation of a journal club; and committee summaries from attendance at pharmacy related committee/subcommittee meetings.
The objective of the advanced pharmacy practice experience program is to build on previous didactic, laboratory and experiential courses to further develop students’ ability to utilize the competencies required for pharmacy practice. Students, after successful completion of the APPE program, will have the knowledge, skills and self-confidence to be competent, independent pharmacy practitioners.
For more detailed information, please refer to the PHRD 8700 Advanced Pharmacy Practice Experience Syllabus (DOC).