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College of pharmacy and health sciences
College of Pharmacy & Health Sciences

Pharmacy Practice Experiences

Pharmacy Practice Experiences are provided throughout the professional 4-year curriculum to enhance development of knowledge, skills, attitudes and values of our students, in tandem with didactic education.

Introductory Pharmacy Practice Experience (IPPE)

Curriculum

Introductory Pharmacy Practice Experiences (IPPEs) represent the first experiential learning opportunities for Butler University PharmD students. The IPPE are incorporated into the early phases of the professional curriculum and are designed to expose students to the common contemporary pharmacy practice models and to facilitate the development of knowledge application and clinical reasoning skills in preparation for the Advanced Pharmacy Practice Experience (APPE).

Butler PharmD students are required to successfully complete two 160-hour IPPE rotations prior to commencing APPE rotations.

Community IPPE

The Community IPPE is a 160 hour on-site rotation conducted in a community or retail pharmacy practice setting. The Community IPPE is designed to introduce students to the fundamentals of community pharmacy practice and engages students in learning opportunities to enhance technical, clinical, and professional knowledge, skills, abilities, and attitudes. Community IPPE rotations introduce students to interprofessional practice involving shared patient care decision-making, professional ethics and expected behaviors, and direct patient care activities.

The Community IPPE takes place following the completion of the first professional (P1) year. Students are assigned a Community IPPE rotation block by the Experiential Education Office. All Community IPPE rotations take place during summer rotation blocks one through four which take place May through August.

Institutional IPPE

The Institutional IPPE is a 160 hour on-site rotation conducted in a hospital or institutional pharmacy practice setting. The Institutional IPPE is designed to introduce students to the fundamentals of inpatient pharmacy practice and engages students in learning opportunities to enhance technical, clinical, and professional knowledge, skills, abilities, and attitudes. Institutional IPPE rotations introduce students to interprofessional practice involving shared patient care decision-making, professional ethics and expected behaviors, and direct patient care activities. 

The Institutional IPPE takes place following the successful completion of the second professional (P2) year. Students are assigned an Institutional IPPE rotation block by the Experiential Education Office.

In addition to the traditional 4-week summer rotation blocks one through four, longitudinal IPPE rotation blocks are available for the Institutional IPPE. Longitudinal Institutional IPPE rotations are conducted over five to six months during the summer-to-fall or fall-to-spring rotation blocks. Longitudinal rotation schedules involve a small number of weekday rotation experiences but primarily consist of weekend experiences.

Schedules

2020-2021 Academic Year

  • Block 1: May 11 — June 5, 2020
  • Block 2: June 8 — July 3, 2020
  • Block 3: July 6 — July 31, 2020 
  • Block 4: August 3 — August 28, 2020

2021-2022 Academic Year

  • Block 1: May 10 – June 4, 2021
  • Block 2: June 7 – July 2, 2021
  • Block 3: July 5 – July 30, 2021
  • Block 4: August 2 – Aug 27, 2021

Grading

IPPE will be graded on a pass or fail basis. The assessment scale is displayed in the table below. The student must “meet expectations” on all learning objectives before advancement to Advanced Pharmacy Practice Experience (APPE). Students who do not “meet” learning objectives will be required to develop a plan to meet any of the unmet learning objectives with the assistance of a preceptor, faculty, and/or the Experiential Education Office. This may require additional classroom or site-based activities.

 

IPPE Assesment

Needs Improvement The student performs at a level below where they should be at this point in their pharmacy education (1 year of didactic curriculum for community IPPE and 2 years for institutional IPPE). The student does not display professional attributes or attitudes consistent with a readiness to enter general practice.
Meets Expectations

The student performs at a level consistent with expectations or at least is displaying developing

habits, skills, abilities, and/ or knowledge in areas that are improving and/ or requiring further development.

Not Applicable Student not assessed because competency was not applicable at site.

 

Advanced Pharmacy Practice Experience (APPE)

Curriculum

The purpose of the Advanced Practice Experiences (APPE) is to allow students to demonstrate acquired knowledge, skills and attitudes in a professional setting. Students are required to complete and pass all the practice experiences in order to qualify for graduation.

Rotation Requirements

General Requirements

Ten 4-week rotations (160 hours/rotations) are required. The ten rotations consist of the following:

  • 1 General Medicine
  • 1 Acute Care Inpatient
  • 1 Hospital/Health System
  • 1 Ambulatory Care
  • 2 Community Practice
  • 2 Patient Care elective (in-patient or out-patient)
  • 2 Elective rotations (either patient care or non-patient care)

Medical Spanish Concentration

Same requirements as above.

One patient care elective will be at an underserved site that is Spanish-speaking (i.e. Alivio clinic, Shalom, Timmy Foundation Trip)

Pharmaceutical Sciences Research Concentration and Patient Care Research Concentration

  • 3 Pharmaceutical Sciences Research or Patient Care Research
  • 1 General Medicine
  • 1 Acute Care Inpatient
  • 1 Hospital/Health System
  • 1 Ambulatory Care
  • 2 Community Practice
  • 1 Elective rotations (For Pharmaceutical Research Concentration, must be patient care)

PharmD/MBA

  • 1 General Medicine Rotation
  • 2 Acute Care Inpatient
  • 2 Community Pharmacy Rotation
  • 1 Ambulatory Care Rotation
  • 2 Administrative/Management Rotations (can be in hospital, community, managed care, or industry)
  • 2 Patient Care Elective Rotations

 Currently Offered Advanced Pharmacy Practice Experiences

  • RX 650—Academic Experience
  • RX 651—Administration, Law, and Management
  • RX 652—Advanced Ambulatory Care*
  • RX 655—Compounding**
  • RX 656—Alternative and Complementary Medicine*
  • RX 657—Ambulatory Care*
  • RX 658—Cardiology*
  • RX 660—Clinical Research
  • RX 661—Community Practice*
  • RX 662—Critical Care*
  • RX 664—Drug Information
  • RX 665—Emergency Medicine and Trauma*
  • RX 666—General Medicine*
  • RX 667—Geriatrics*
  • RX 670—Home Healthcare*
  • RX 671—Industrial Pharmacy
  • RX 672—Infectious Disease*
  • RX 674—Long Term Care**
  • RX 675—Managed Care/Health Policy**
  • RX 677—Neurology*
  • RX 678—Nutrition Support*
  • RX 679—Oncology*
  • RX 680—Pharmaceutical Sciences Research
  • RX 681—Neonatology*
  • RX 682—Pediatrics*
  • RX 686—Pharmacy Systems and Technology
  • RX 687—Poison Control and Toxicology**
  • RX 688—Pulmonary*
  • RX 690—Psychiatry and Neuropsychology*
  • RX 691—Radiopharmaceuticals**
  • RX 692—Underserved Clinic Experience*
  • RX 693—State Board/Associations of Pharmacy
  • RX 694—Surgery*
  • RX 695—Transplantatin*
  • RX 696—Women’s Health*
  • RX 699—Special Topics/ Elective in Pharmacy Practice**

*denotes direct patient care rotation

**denotes either direct patient care or non-patient care rotation, depending on assigned site

Schedule

2020-2021 Academic Year

  • Block 1: May 11— June 5, 2020
  • Block 2: June 9 — July 3, 2020
  • Block 3: July 6 — July 31, 2020 
  • Block 4: Aug 3 — Aug 28, 2020
  • Block 5: Aug 31 — Sept 25, 2020
  • Block 6: Sept 28 — Oct 23, 2020
  • Block 7: Oct 26 — Nov 20, 2020
  • Block 8: Nov 23 — Dec 18, 2020   
  • Block 9: Jan 4 —J an 29, 2021
  • Block 10: Feb 1 — Feb 26, 2021
  • Block 11: March 1 — March 26, 2021
  • Block 12: March 29 — April 23, 2021

2021-2022 Academic Year

  • Block 1: May 10 – June 4, 2021
  • Block 2: June 7 – July 2, 2021
  • Block 3: July 5 – July 30, 2021
  • Block 4: Aug 2 – Aug 27, 2021
  • Block 5: Aug 30 – Sept 24, 2021
  • Block 6: Sept 27 – Oct 22, 2021
  • Block 7: Oct 25 – Nov 19, 2021
  • Block 8: Nov 22 – Dec 17, 2021
  • Block 9: Jan 3 – Jan 28, 2022
  • Block 10: Jan 31 – Feb 25, 2022
  • Block 11: Feb 28 – March 25, 2022
  • Block 12: March 28 – April 22, 2022

Student Evaluation Scales

Professionalism and Work Ethics

  • Students performance on items in this section will be evaluated with the following grading scale: (C) Consistently, (I) Inconsistently, (N) Never,
  • Comments are required for any scores of “inconsistently” or “never”.

Entrustable Professional Activities

  • Students will be evaluated on items in this section using the grading scale below. Comments are required for any scores of “below expectations” or “fail”.
Exceeds Expectations Ready for supervision at a distance. I trust the learner to completely and accurately…
Meets Expectations Ready for reactive supervision. I trust the learner, with limited correction, to…
Below Expectations

Ready for direct, proactive supervision. Learner requires direct supervision and frequent correction, to…

Fail I do not trust the learner to…

Overalll Assessment

Pass

  • Performs at a level consistent with expectations or at least is displaying developing habits, skills, abilities, and/or knowledge areas that are improving.
  • Demonstrates consistent professionalism and communicates effectively with preceptor and other health care professionals.

Fail

  • Breaches patient confidentiality or violates policies of the site.
  • Did not meet requirements and expectations outlined by the preceptor.
  • Displays skills, abilities, and/or knowledge areas that require significant improvement and are a concern for patient care.
  • Professional behavior is inappropriate and/or unethical (e.g. exceeds absences allowed, inappropriate language or communication).