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Assignments

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Quick Assignment Index

Student Performance Evaluation by Clinical Instructor (50%)

Explanation: Although frequent feedback will be provided to students by clinical instructors, student performance in this course will be formally evaluated at the midpoint and at the end of the clerkship.

Expectations: The clinical instructor with use the Midpoint evaluation to provide formative feedback on student performance at the 3-week point in the course. The Final evaluation will factor into the student’s course grade.

Evaluation: The clinical instructor will use the online SPE form to evaluate the student. The score will be entered in the Grading Record. Grades will not be reported to the Registrar’s Office until the evaluations are complete. See the Student Performance Evaluation in the General Manual for more information.

Patient Profile Review Using the PPCP (10%)

Explanation: This assignment serves as a guide for developing profile review skills necessary for practice as a registered pharmacist.

Expectations: Students are required to complete five (5) patient profile reviews (see sample form). Profile reviews should be assigned by the clinical instructor (approximately every week) and completed without the use of computerized drug-use-evaluation software. Students should review profiles utilizing the Pharmacists’ Patient Care Process (five steps) and at least five different evidenced-based guidelines. Students should know the number of profile reviews is a minimum and students may have the opportunity to review additional profiles to gain greater experience.

Please note: students may use the documentation format available at the site rather than the sample form.

Please:

  • refer to the Patient Profile Review Page for additional information.
  • check the 741-course web page for resources.
  • follow HIPAA guidelines located in the Experiential Education Policies when completing this activity.

Evaluation: The clinical instructor will review the patient profile reviews and discuss findings with the student. The clinical instructor will evaluate the completeness of the patient profile reviews using the Patient Profile Review Evaluation Form included in the Appendices.

Scoring of the activity will encompass three major domains:

  1. Completeness of the database. (This is the collect phase of the Pharmacists’ Patient Care Process.)
  2. Thoroughness of the drug-related and medical-related problems requiring monitoring. (This is the assess phase of the Pharmacists’ Patient Care Process)
  3. Progress notes. (This includes the plan, implementation of the plan, and monitoring phases of the Pharmacists’ Patient Care Process.)

See the Patient Profile Review Evaluation Form Rubric for information about grading this activity.

  • Students may document using the format of the 741-practice site. Documentation forms will not be turned in to the School. Students MUST keep a copy of the documentation forms. Please follow HIPAA guidelines for this activity.
  • Students will upload the Patient Profile Review Using the PPCP – Evaluation Form completed by the clinical instructor on the 741- course web page.
  • The clinical instructor will enter the scores on the online grading record.

Medication Therapy Management (15%)

Explanation: Per APhA – Medication therapy management, also referred to as MTM, is a term used to describe a broad range of health care services provided by pharmacists, the medication experts on the health care team. As defined in a consensus definition adopted by the pharmacy profession in 2004, medication therapy management is a service or group of services that optimize therapeutic outcomes for individual patients. Medication therapy management services include medication therapy reviews, pharmacotherapy consults, anticoagulation management, immunizations, health and wellness programs and many other clinical services. Pharmacists provide medication therapy management to help patients get the best benefits from their medications by actively managing drug therapy and by identifying, preventing and resolving medication-related problems.

Students will complete medication therapy management services (MTM) during the Ambulatory Pharmaceutical Care Clerkship. This activity will provide student pharmacists experience with intervention-based services, comprehensive medication reviews, and notifying health care providers with clinical recommendations. The goal of this intervention-based service is to assist two patients to improve their medication adherence.

Expectations:

  1. During the required 741 APPE rotation, students will complete a minimum of two focused adherence interventions. Students, with the help of the clinical instructor, should identify two patients who would benefit from a targeted adherence consultation. Students will document the consultations using the usual platform at the practice site.

  2. During the required 741 APPE rotation, students will complete a minimum of four Comprehensive Medication Review and Assessment (CMR/A) services. The goal of CMR/As is for students to review subjective and objective data, identify, and resolve drug therapy problems. See the drug therapy worksheet posted on the course web page for examples of drug therapy problems. Students will bill for the CMR/As per the usual process at the practice site. If a site does not bill for CMR/A services, the student is not expected to submit billing for the MTM services; however, the student is expected to complete at least one billing form. Students will document the CMR/As using the usual platform at the practice site.

    CMR/As will consist of the following steps:

    1. Medication Therapy Review – the student will collect patient-specific information, assess medication therapies for drug therapy problems, develop a prioritized list of drug therapy problems and create a plan to resolve drug therapy problems.
    2. Personal Medication List – the student will create a comprehensive list of the patient’s medications including prescription, nonprescription, herbal, and supplements and provide it to the patient.
    3. Medication Action Plan – the student will create a medication action plan for the patient listing actions for the patients to use in tracking progress for self-management.
    4. Interventions and/or referral – as needed, the student will recommend interventions or referrals to other providers to optimize drug therapy.
    5. Documentation and Follow Up – MTM service is documented utilizing the usual process at the pharmacy practice site. A follow up visit is scheduled based on the needs of the patient.

    Sites use a variety of programs and platforms to support MTM documentation and billing. Platforms may be specific to the site or commercial products. An example of a commercial product typically used for eligible Medicare Part D members includes OutcomesMTM®. Another MTM program is the Wisconsin Pharmacy Quality Collaborative (WPQC) for eligible Wisconsin Forward Health (Medicaid) members. WPQC services may also be completed by participating in United Way of Dane County Medication Review events. Interested students should contact WSPS to participate in United Way of Dane County Medication Review events.

    Students should inquire about which MTM platform is used at the site and complete the MTM platform training by the end of week one. Students will upload the training certificate or submit a paragraph describing the completed training if a certificate is not provided. All students are encouraged to become WPQC certified regardless of the platform used at the site. Of note, there is no cost for WPQC certification for students.

    Please note: For students at 741 sites participating in the WPQC program:
    If you are at a 741 site participating in the Wisconsin Pharmacy Quality Collaborative (WPQC), you are required to complete the WPQC training and upload the training certificate on the 741-course web page.

    Please note: For students at 741 sites NOT participating in the WPQC Program:
    If you are at a 741 site that is not participating in the WPQC program, you are required to complete the site MTM training and upload the training certificate on the 741-course web page. In place of billing for the actual service, you will instead complete on billing form using the Information to Collect when Submitting WI Forward Health MTM Claims using the guidelines outlines in the WI ForwardHealth Provider Handbook. The billing form may be found on the course web page under MTM.

    Sample MTM Platforms:

    Evaluation: The clinical instructor will evaluate the student’s performance using the Student Performance Evaluation Tool.

    • Students will upload their MTM training certificate / documentation on the 741-course web page.
    • The Clinical instructor will enter the number of MTM focused adherence consults and CMR/As completed on the online grading record.
    • The Clinical instructor will enter scores on the Student Performance Evaluation under Domain 2 -Essentials for Practice assessing MTM skills.

    Case Presentation (10%)

    Explanation: The purpose is to allow students the opportunity to refine their skills in concisely presenting patients and provide the background for a therapeutic discussion.

    Expectations: Students are required to present one oral case presentation to colleagues based on a patient receiving care at the APPE site. The case presentation should focus on ONE disease state and ONE drug therapy. Students will give a 30-minute formal verbal presentation using PowerPoint. Case presentation schedules for students in the Madison and Milwaukee regions may be found on the course web page. Students in other regions will present as assigned by the clinical instructor.

    Please refer to the Case Presentation Activity Description for a case example and evaluation criteria.

    Evaluation: Clinical instructors(s)/Faculty will evaluate the student’s performance using the Case Presentation Evaluation Form also found in the Appendices.

    • Students will upload to the 741-course web page the case PowerPoint presentation and the completed Case Presentation Evaluation Form by 11:59pm on the last day of the block.
    • If the regional coordinator graded the case, students will provide the case evaluation to the clinical instructor so that he/she may enter the case score.
    • The clinical instructor will enter the score on the online grading record.

    Journal Article Review (10%)

    Explanation: The purpose of a journal article review is to facilitate the evaluation of current research findings and the implications for clinical practice.

    Expectations: The steps for this activity include:

    • Reading the article, Finding Truth from the Medical Literature: How to Critically Evaluate an Article by William F. Miser, MD, MA, posted on the course web page.
    • Selecting and reading one journal article from primary or secondary literature. Be sure to share the article with your clinical instructor.
    • Completing the journal article template posted on the course web page to guide discussion preparation.
    • Discussing the article with your clinical instructor.

    Evaluation: Using the journal article template, students will evaluate one article and complete the Journal Article Template Form. The clinical instructor will discuss the article with the student using the completed journal article template as a guide.

    The clinical instructor will evaluate the student using the following scale:

    0 (NO)
    Not done or Unacceptable    		 1 (Inconsistent)
    Some deficiencies with information provided.    		 2 (YES)
    Acceptable. Sufficient information provided

    • Students will upload to the 741-course web page the Journal Article Template Form by 11:59pm of the last day of the block.
    • The clinical instructor will enter the score on the online grading record.

    Collaborative Practice Agreement (CPA) Review (5%)

    Explanation: The purpose of the CPA review is for students to learn the legal requirements and the required components of a CPA.

    Expectations: Students will develop a one or two page summary that includes:

    • A definition of collaborative practice
    • A definition of a collaborative practice agreement
    • A description of the regulatory requirements for collaborative practice agreements in the state of WI
    • A summary of one CPA in use at the practice site

    See the Resources page for suggested references. Students will discuss their review with the clinical instructor.

    Evaluation: The clinical instructor will evaluate the student using the following scale:

    0 (NO)
    Not done or Unacceptable    		 1 (Inconsistent)
    Some deficiencies with information provided.    		 2 (YES)
    Acceptable. Sufficient information provided

    • Students will upload the summary on the 741-course web page by 11:59pm of the last day of the block.
    • The clinical instructor will enter the score on the online grading record.

    Student Rotation Self-Evaluation (Required)

    Explanation: See the Student Rotation Self-Evaluation Process for details.

    Expectations: The following is an overview of the process:

    • A BASELINE self-evaluation is done ONCE prior to the start of the first APPE rotation of the year. The baseline self-evaluation must be reviewed with the site clinical instructor during the first week.
    • SMART Goals must be entered by the end of week 2.
    • A post-rotation self-evaluation must be completed at the end of each rotation. It must be reviewed by the student and site clinical instructor during the last week of each block.
    • In subsequent blocks, the post-rotation self-evaluation from the previous block must be reviewed with the site clinical instructor during the first week.
    • Failure to complete the self-evaluation will result in an “incomplete” for the block.

    Reflection Document

    Students will write a paragraph reflecting on a learning opportunity or memorable professional development event that occurred during the rotation. Students will upload on the 741-course web page a copy of the reflection by 11:59pm of the last day of the block.

    iTOFT (Required)

    Explanation: See the APPE Evaluations in the General Manual for a full description of the tool.

    Expectations: Instructors will verify that the iTOFT evaluation is completed. The iTOFT evaluation is accessible from the grading record.

    Evaluation: The iTOFT evaluation is required, but the evaluation score is not factored into the final course grade.

741 Manual