PHA5759 Advanced Pharmacy Practice Experience

Transcription

1PHA5759 Advanced Pharmacy Practice ExperienceReadinessSpring 20211 Credit Hours – [Satisfactory-Unsatisfactory Grading]This course offers students with a capstone experience that provides a transition from thefirst three years of the curriculum to the fourth year of Advanced Pharmacy PracticeExperiences (APPE). The capstone experience provides learning activities and assessmentsthat simulate student responsibilities during an APPE.Teaching Partnership LeaderLisa Vandervoort, Pharm.D. Email: lvandervoort@cop.ufl.edu Office: Lake Nona Campus Phone: 407-313-7013 Office Hours: Please see the Canvas course site for posted office hours.See AppendixA. for Course Directory of Faculty and Staff Contact Information. Entrustable Professional ActivitiesThis course will prepare you to perform the following activities which the public entrusts a Pharmacist toperform:1.Collect information to identify a patient’s medication-related problems and health-related needs.2. Analyze information to determine the effects of medication therapy, identify medication-related problems, andprioritize health-related needs.3. Establish patient-centered goals and create a care plan for a patient in collaboration with the patient, caregiver(s), and otherhealth professionals that is evidence-based and cost-effective4.5.6.7.8.9.10.11.12.Implement a care plan in collaboration with the patient, caregivers, and other health professionals.Follow-up and monitor a care plan.Collaborate as a member of an interprofessional team.Identify patients at risk for prevalent diseases in a population.Minimize adverse drug events and medication errors.Maximize the appropriate use of medications in a population.Ensure that patients have been immunized against vaccine-preventable diseases.Educate patients and professional colleagues regarding the appropriate use of medications.Use evidence-based information to advance patient care.COPYRIGHT 2021 UNIVERSITY of FLORIDA

213. Fulfill a medication order.Course-Level ObjectivesUpon completion of this course, the student will be able to:1. Demonstrate time-management skills necessary to balance multiple practice-related responsibilities withattention to patient care priorities.2. Perform simulations related to practice tasks that are student expectations during APPES and are relatedto the entrustable professional activities and the Pharmacists’ Patient Care Process. Specifically:a.Collect information to identify a patient’s medication-related problems and health-related needs.b. Analyze information to determine the effects of medication therapy, identify medication-related problems,and prioritize health-related needs.c. Establish patient-centered goals and create a care plan for a patient in collaboration with the patient, caregiver(s), andother health professionals that is evidence-based and cost-effectived.e.f.g.Implement a care plan in collaboration with the patient, caregivers, and other health professionals.Follow-up and monitor a care plan.Collaborate as a member of an interprofessional team.Minimize adverse drug events and medication errors.Maximize the appropriate use of medications in a population.h. Educate patients and professional colleagues regarding the appropriate use of medications.i. Use evidence-based information to advance patient care.j. Fulfill a medication order.3. Demonstrate professional demeanor including communication skills during all activities that occur during the course.4. Demonstrate self-awareness of abilities in the practice-setting and in accomplishing continuousprofessional development.Course Pre-requisites1. Completion of all coursework in Blocks 1-18 of the Pharm.D. curriculum.Course Co-requisites1. None.Course OutlinePlease routinely check your campus calendar and the Canvas course site for any messages about changes in theschedule including meeting dates/times, deadlines, and room changes.COPYRIGHT 2021 UNIVERSITY of FLORIDA

3This experience requires presence on your campus from 8am-5pm each day unless otherwise indicated. (Seescheduling in Canvas)Similar to an APPE activity, the team/care provider will contact you at unscheduled times and request aconsult/assistance. During the week, you will receive a Canvas communication to provide the followingconsults/assistance at times that are not listed in the schedule below. Please watch your emails closely sincetheir consults/activities are time sensitive and you must be prepared to address the consult/assistance when itis requested. The communication will also indicate when the consults/activities are due.Performance will be evaluated using Appendices A-K and Canvas Multiple Choice Questions (Multiple ChoiceQuestions (MCQ) that have 6-25 options for answers).Below are the consults/activities that will occur during the week. These will be graded using rubrics in theAppendices and via Canvas Multiple Choice Questions:1. Pharmacokinetics consult. (initial recommendations via MCQ and graded SOAP note and follow up;graded with a rubric)2. Provide recommendations using protocols.3. Drug information questions (graded with a rubric)4. Address issues that arise with patients across the week (potential ADR, medication error, need for followup of monitoring parameters, patient education plans)5. Transitions in Care (graded via Canvas)6. Review orders and approve dispensing of products.Date/TimeActivityAssessmentPrior to Start of the PreAPPE Readiness Week(due by 5 pm on Feb 26th)1. Contact the preceptor by 1. Graded onsubmitting an emailprofessional(done prior to eachcommunicationAPPE)Not required in Spring 2021 2. Identify a set of2. Ungraded butinformation resourcesessential for the(must fit in coat pocket)week.3. Identify data collectionform that you plan onusing to workup/monitorpatients.Monday, March 1st8:30am – 9:30amOrientation and overviewof the week (all campuseswill be synchronously3. CourserequirementCOPYRIGHT 2021 UNIVERSITY of FLORIDALearningObjective3EPA2lN/A2aN/A4N/AN/A

4Date/TimeActivity(Synchronous Session –Active Learning Room onyour campus)connected or recordedvideo)Monday, March 1st8:30 amMonday, March 1st8:30 amComplete the selfawareness assessment andstart of course surveyYou will receive your topicassignment. You willpresent your topicassignment later in theweek according to theschedule posted in Canvas.You will receiveinformation about yourverbal defense caseMonday, March 1stReview PPCP videoMonday March 1st 9:004:30You will receive alerts fromClinical Pharmacy Service(Canvas) during the daythat need to be addressedby a given deadline (e.g., 1hr)Tuesday March 2nd8:30am-10:30 am or 10:30am-12:30 pmMonitor the ClinicalPharmacy ServiceNotifications and provideappropriate responsewithin time limitTuesday, March 2nd8:30Verbal defense. A group of24-30 students will beassigned a facilitator toanswer questions on thecase and related issues.Attend on ZoomYou will be assigned a setof patients to work up. (OnWednesday you will beexpected to provide asummary of the patientand your a,2d,2e2,4,52e,2h5,8(selfawareness)Not graded butyou will be gradedduring yourpresentation onFriday.Not graded butyou will be gradedduring the verbaldefense sessionon Tuesday amUngradedassessmentactivity checkedfor completenessMissedassignments willbe assessed underprofessionalismAssessment of therequestedconsultationactivity.Graded via rubric2a, 2b, 2hNot graded butyou will be gradedduring Wednesdayrounds.2a,2b,2cCOPYRIGHT 2021 UNIVERSITY of FLORIDA1,2,3

5Date/TimeTuesday March 2nd 8:304:30You will receive alerts fromClinical Pharmacy Service(Canvas) during the daythat need to be addressedby a given deadline (e.g., 1hr)Wednesday, March 3rd1 hour prior to assignedround timeWednesday, March 3rd8:30-10:30 Groups 17-24; 3132; 43-4710:30-12:30 Groups 1-8; 2527; 33-371:00-3:00 Groups 9-16; 28-30;38-42Wednesday, March 3rd8:30am-4:00pmYou will receive alerts fromClinical Pharmacy Service(Canvas) during the daythat need to be addressedby a given deadline (e.g., 1hr)Thursday, March 4thAll day you will receivealerts from ClinicalPharmacy Service (Canvas)during the day that need toActivityduring rounds with apharmacist preceptor.During rounds you will alsobe expected to explainyour rationale for your planand answer otherquestions typical of rounds.Monitor the ClinicalPharmacy ServiceNotifications and provideappropriate responsewithin time limitEach student will receiveupdated information aboutthe patients assigned onTuesday and need toprepare for rounds.Participate in a roundingexperience with anattendingpharmacist/facultymember and 5 otherstudents.Follow up on patientsassigned. You will receivealerts from ClinicalPharmacy Service (Canvas)during the day that need tobe addressed within anarrow window of time.Follow up on patientsassigned. You will receivealerts from ClinicalPharmacy Service (Canvas)during the day that need toAssessmentLearningObjectiveEPAAssessment of therequestedconsultationactivity.2e,2h5,8Not graded butyou will be gradedduring cultymember willevaluate yourrecommendationsfor the patient,rationale, andcommunicationskills during theroundingexperience.Assessment of ssessment of RIGHT 2021 UNIVERSITY of FLORIDA

6Date/TimeActivitybe addressed by a givendeadline (e.g., 1 hr)Thursday March 4th Onehour prior to assigned clinictimeThursday March 4thbe addressed by a givendeadline (e.g., 1 hr)Review clinic 5Attend ambulatory careclinic and completeassigned duties.Assessment of therequested activity2a thru 2e1,2,3,4,5Complete any patient carenote documentation fromclinicIn-service presentation andtopic discussion via zoomPatient care notewill be graded2d4In-service/topicpresentations willbe graded.2k11Friday, March 5thAfter in-servicepresentation/topicdiscussionComplete the Peer reviewsand self-awarenessassessment and evaluatethe course.4Friday March 19thComplete Personal Plan ofImprovementSubmissionMissedassignments willbe assessed underprofessionalismSubmissionMissedassignments willbe assessed underprofessionalism8:30-6:00 Student attendsfor 1.5 hours at assignedtimeThursday March 4th Onehour after assigned clinictimeFriday March 5th8:30-10:30 Groups 9-16; 2830 ,38-4210:30-12:30 Groups 17-24;31-32; 43-471:00-3:00 Groups 1-8,2527,33-374Required Textbooks/ReadingsEach student will develop a set of electronic and paper-based resources to personally use when accomplishingthe week of activity. These resources must fit within the student’s lab coat pocket.The student may also use their personal laptop to access online resources such as the following: AccessPharmacy, McGraw-Hill Professional, New York, NY (This resource is available through the UFHealth Science Center Library.) id 1593 - Thefollowing resources will be frequently used:COPYRIGHT 2021 UNIVERSITY of FLORIDA

7oo Nemire R, Kier K, Assa-Eley MT. Pharmacy Student Survival Guide. 3rd Edition. McGraw-Hill.Brunton L. Goodman and Gilman’s The Pharmacological Basis of Therapeutics, McGraw-HillProfessional, New York, NY, 12th Edition, 2011. ISBN-13:978-0071624428; ISBN-10:0071624422(Available in Access Pharmacy)o Dipiro, J, Talbert R, Yee G, Matzke G, Wells B, Posey L. Pharmacotherapy – A pathophysiologicapproach. McGraw-Hill Professional, New York, NY, 10th Edition, 2017. ISBN-13: 9781259587481; ISBN-10: 1259587487 (Available in Access Pharmacy)o Other available resources include: Multiple textbooks, Calculators, Pharmacotherapy Casebookand Care Plans, Cases, Self-Assessments and Multimedia VideosKrinsky DL, Ferreri SP, Hemstreet B, et al. Handbook of nonprescription drugs: An interactive approachto self-care. 18th ed. Washington, D.C.: American Pharmacists Association; 2015.Guidance with textbooks/readings available online via the UF libraries1. Use UF VPN to access UF Libraries Resources when off-campus.2. The UF HSC library staff can assist you with questions or issues related to accessing online librarymaterials. For assistance contact your College of Pharmacy librarian or visit the HSC Library Website atthis URL: http://www.library.health.ufl.edu/Suggested Textbooks/Readings The student is also expected to retrieve primary literature references as needed to address patient careneeds. These may be accessed through the UF Health Sciences Center Library.Other Required Learning ResourcesN/AMaterials & Supplies FeesNoneStudent Evaluation & GradingThis course is graded using a Satisfactory-Unsatisfactory grading scheme. Requirements for a grade ofSatisfactory are listed below. To pass the course with a grade of Satisfactory, any assessments with a grade thatis not Satisfactory (S) will require development of a personal plan for demonstrating competency during the firstAPPE. (See Appendix K)If more than 4 items starred below are Unsatisfactory, a grade of Incomplete (I) may be assigned until thepersonal plan is satisfactorily completed. If the personal plan/remediation is/are not satisfactorily completed, agrade of U (Unsatisfactory) will be assigned.The faculty will use Appendices A-G to assess performance.COPYRIGHT 2021 UNIVERSITY of FLORIDA

8There will also be peer assessments using Appendices K and LAssessment ItemPharmacist Patient Care ProcessRounding*Verbal Recommendation Diabetes Clinic Patient*Verbal Recommendation Warfarin Clinic Patient*Self-Care Patient Recommendation*CommunicationVerbal Defense*Vancomycin SOAP Note for Initial Dose*Diabetes patient SOAP Note*Diabetes patient interview*Warfarin patient interview*Application of Knowledge*RubricCriteria for SatisfactoryAppendix AAppendix GAppendix GAppendix DAssessed as Ready by FacilitatorAssessed as Ready by FacilitatorAssessed as Ready by FacilitatorAssessed as Ready by FacilitatorAppendix HAppendix FAppendix FAppendix IAppendix IAntimicrobial Stewardship CasesMedication Reconciliation/Transitions in Care CaseVancomycin case and follow upAnticoagulation case and follow upPain CasesDrug Interaction CasesUtilize evidence to advance patient careDrug Information Question #1*In-service presentation*Pharmacy Practice*MCQMCQMCQMCQMCQMCQAssessed as Ready by FacilitatorAssessed as Ready by FacilitatorS or S on rubricAssessed as Ready by FacilitatorAssessed as Ready by Facilitator80% or above combined average onactivities listed belowCombined averageCombined averageCombined averageCombined averageCombined averageCombined averageAppendix BAppendix ES requires a total of at least 40/50Assessed as Ready by Facilitator80% or above combined average onactivities listed belowCommunity CasesMCQCombined averageInpatient VerificationMCQCombined averageIV Room CasesMCQCombined averageOncology CaseMCQCombined averageHeparin ProtocolMCQCombined averageMTM CasesMCQCombined averageProfessionalism *80/100 pointsSubmission of Survey on time10 pointsAttendance5 points for each infractionVerbal and Written Communication10 points for each infractionTimeliness of Submissions of Activities5 points for each infractionCompletion of Peer Evaluations and PPCP video10 points for each infractionTopic Discussion ParticipationAppendix C20 points for lack of participationTimeliness of Submission of Personal Plan for Appendix J25 points if not completed andImprovementsubmitted Professionalism-For each infraction the students will lose the amount of points next to each item listed. A score of 80 points will lead to remediation.COPYRIGHT 2021 UNIVERSITY of FLORIDA

9Rounding of grades:Final grades in Canvas will be rounded to the 2nd decimal place. If the decimal is X.495 or higher, Canvas willround the grade to X.50. The above scale depicts this policy and grades are determined accordingly. Gradeassignment is made using this policy and NO EXCEPTIONS will be made in situations where a student’s grade is“close.”RemediationRemediation will be as follows:Verbal Recommendations or RoundingCommunicationApplication of Knowledge Canvas assessmentsDrug InformationPharmacy Practice Canvas assessmentsProfessionalismMeet with Course Coordinator or designeeMeet with Course Coordinator or designeeRetake or submit a plan to reviewRetake with a different questionRetake or submit a plan to reviewMeet with practicing pharmacy manager to discusseffects of unprofessional actions on patient care,pharmacy team and health care team.Educational Technology UseThe following technology below will be used during the course and the student must have the appropriatetechnology and software.1. ExamSoft Testing Platform2. Canvas Learning Management System3. EHRGoTM Academic Electronic Health RecordFor technical support, navigate to Educational Technology and IT Support Contact Information at this dents/technical-help/Pharm.D. Course PoliciesThe Policies in the following link apply to this course. Review the Pharm.D. Course Policies carefully, at this dents/course-policies/Makeup AssignmentsMakeup assignments will be required for excused absences Students will be required to complete the makeupassignment within one week of the completion of the course.COPYRIGHT 2021 UNIVERSITY of FLORIDA

10Appendix A. Course DirectoryTeaching Partnership Leader/Course Director:Lisa Vandervoort, Pharm.D.Email: lvandervoort@cop.ufl.eduOffice: Lake Nona CampusPhone: 407 313 7013Office Hours: Please see the Canvas course site for posted office hours. Concerns about performanceQuestionsto Ask: Guidancewhen there are performance problems (failing grades) General questions about contentAcademic Coordinator:Misti MerrillEmail: mmerrill@cop.ufl.eduNicole MarloweEmail: nicolemarlowe@cop.ufl.eduNatalie HastyEmail: nataliehasty@cop.ufl.eduAbsence/Tardy Email: absent3pd@cop.ufl.edu and email the course coordinator (Visit the course policy site forfurther instructions)Instructional Designer:Name: Julie ThomasEmail: julie.thomas@ufl.eduOffice: HPNP 4309 Phone: (352) 273-6284Questions to Ask: Issues related to course policies (absences, make up exams, missed attendance)Absence/tardy requests (Only the Academic Coordinator handles absence requests)Questions about dates, deadlines, meeting placeAvailability of handouts and other course materialsAssignment directionsQuestions about grade entries in gradebook (missing grades, incorrect grade)COPYRIGHT 2021 UNIVERSITY of FLORIDA

11 Assistance with ExamSoft (Distance campus students may contact the Educational Coordinator for useof SofTest and assistance during exams. The Academic Coordinator is the contact person for issuesrelated to grading and posting of ExamSoft grades.)COPYRIGHT 2021 UNIVERSITY of FLORIDA

12Other Teaching Partnership Faculty Members:John M Allen, Pharm.D., BCPS, BCCP, FCCMJohn.Allen@cop.ufl.eduShauna Buring, Pharm.D.sburing@cop.ufl.eduAnthony M. Casapao, Pharm.D., M.P.H.Casapao@cop.ufl.eduTeresa Cavanaugh, Pharm.D., BCPSTCavanaugh@cop.ufl.eduLindsey Childs-Kean, Pharm.D., MPH, BCPSLChild-Kean@cop.ufl.eduEmily Cicali, PharmDEmily.cicali@cop.ufl.eduKelsey Cook, Pharm.D., BCPSKelsey.cook@ufl.eduRhonda Cooper-Dehoff, PharmD, MS, FAHA, FACC, FCCPdehoff@cop.ufl.eduStacey Curtis, PharmDscurtis@cop.ufl.eduM.S., FAHA, FACC, FCCPChristina E. DeRemer, Pharm.D., BCPS, BCACP, FASHPCDeRemer@cop.ufl.eduDavid DeRemer, Pharm.D., BCOP, FCCP, FHOPADDeRemer@cop.ufl.eduEric Dietrich, PharmD, BCACP, CPC, CPB, CEMCead1129@ufl.eduRandell Doty, PharmDdoty@cop.ufl.eduCOPYRIGHT 2021 UNIVERSITY of FLORIDA

13Julio Duarte, PharmD, PhDJuliod@cop.ufl.eduEric F. Egelund, Ph.D., Pharm.D.EEgelund@cop.ufl.eduAmanda Elchynski, Pharm.D.aelchynski@cop.ufl.eduMichelle Farland, PharmD, BCPS, CDEmfarland@cop.ufl.eduCarinda J. Feild, Pharm.D.CFeild@cop.ufl.eduReginald Frye, Pharm.D., Ph.D, FCCPFrye@cop.ufl.eduJessica Huston, PharmD.jessicahuston@cop.ufl.eduAdonice Khoury, Pharm.D., BCPSAKhoury@cop.ufl.eduKalen Manasco, PharmD, BCPS, FCCP, FPPAGkmanasco@cop.ufl.eduRobin Moorman Li, Pharm.D., BCACP, CPEmoorman@cop.ufl.eduShannon A Miller, Pharm.D., BCACPSMiller@cop.ufl.eduCarol Motycka, Pharm.D., BCACPmotycka@cop.ufl.eduKhoa A Nguyen, Pharm.D.khoanguyen@cop.ufl.eduErin St Onge, Pharm.D.stonge@cop.ufl.eduCOPYRIGHT 2021 UNIVERSITY of FLORIDA

14Jason Powel, PharmDJPdrums@ufl.eduPriti Patel, Pharm.D., BCPSppatel@cop.ufl.eduChristopher Piszczatoskicpiszczatoski@cop.ufl.eduTeresa Roane, Pharm.D., MBA, BCACPtroane@cop.ufl.eduBarbara Santevecchi, PharmD, BCPS, BCIDPbsantevecchi@cop.ufl.eduJanet Schmittgen, RPhJSchmittgen@cop.ufl.eduNathan Seligson, Pharm.D.Nseligson@cop.ufl.eduBethany Shoulders, Pharm.D., BCCCPBRShoulders@cop.ufl.eduSteven Smith, Pharm.D., M.P.H.ssmith@cop.ufl.eduJanel Soucie, Pharm.DJSoucie@cop.ufl.eduKimberly Stultz, Pharm.D.kstultz@cop.ufl.eduJames Taylor, Pharm.D., CDE, BCACPJTaylor@cop.ufl.eduVeena Venugopalan, Pharm.D., BCPSVVenugopalan@cop.ufl.eduKaren Whalen, Pharm.D, BCPS, CDECOPYRIGHT 2021 UNIVERSITY of FLORIDA

15whalen@cop.ufl.eduKristin Wiisanen, Pharm.D. FAPhA, FCCPkwiisanen@cop.ufl.eduLihui Yuan, PharmD, PhD, RPhyuanlh@cop.ufl.eduCOPYRIGHT 2021 UNIVERSITY of FLORIDA

16Appendix A –Rounding RubricCriteriaCollect DataExcellent (10 pts)Competent (8 pts)Needs Improvement (5 pts)Deficient (2 pts)Collects appropriatedata points and canconnect them tomedication problemCollects some of theappropriate data pointsand can connect them tomedication problemCollects appropriate datapoints but struggles withconnecting them tomedication problemDoes not collectappropriate data pointsKnowledge ofDisease StateDemonstrates in-depthunderstanding ofdisease state. Discussessigns/symptoms/labvalues associated withdisease state.Demonstrates in-depthunderstanding of thedrug classes in the case.Recognizes alternativetherapies for specificdisease state.Demonstrates basicunderstanding of diseasestate. Identifies principlesigns/symptoms/labvalues associated withdisease state.States correctinformation and answersquestions regarding thespecific drugs listed inthe case (MOA, dose,indications, etc)Makes mistakes whenpresenting case- specificinformation about thedisease state.Not familiar withsigns/symptoms/labvalues associated withdisease state.Makes mistakes whenpresenting case-specificinformation about drugtherapyUnable to recall basicinformation aboutspecific drugs listed inthe case. (Indication,dose, priatetreatment goalsIdentifies all medicationrelated problemsIdentifies some of themedication relatedproblemsIdentifies some of themedication relatedproblems with proddingDoes not providemedication relatedproblemsProvides appropriatetreatment goals for allidentified problemsProvides appropriatetreatment goals for someidentified problemsProvides appropriatetreatment goals for someidentified problems withproddingDoes not provideappropriate treatmentgoalsTreatment PlanProvides appropriaterecommendationsincluding dose, route,frequency ordiscontinuation ifneeded;Provides somerecommendationsincluding dose, route,frequency ordiscontinuation ifneeded;Provides somerecommendations butdoes not include dose,route, frequency;Does not provideappropriaterecommendations orgives intsProvides appropriatetherapeutic and toxicendpoints andtimeframe formonitoringProvides appropriatetherapeutic and toxicendpoints but wrongtimeframe for monitoringProvides therapeutic butnot toxic endpointsCannot provideappropriate endpointsfor monitoringCommunicatePlan ClearlyConcise/efficientsummary of patientproblems w/ allnecessary informationConcise/efficientsummary of patientproblems w/ most of thenecessary informationRambling/unorganizedsummary of most of thepatient problems w/ thenecessary informationUnable to presentpatient information orprovide necessaryinformationKnowledge ofDrug TherapyReady for APPEs80 pointsScoreNot Ready for APPEs (provide specific reasons whybelow) 0 pointsFails to respond to get back to you questions within 3 hourssubtract 5 pointsTotal Points /160COPYRIGHT 2021 UNIVERSITY of FLORIDA

17Appendix B – Drug Information RubricImprovementDrug related question provided YES10 points each NOAnswer provided using literature to support answer. YES NOReferences provided in AMA or MLA format YES NOAt least one primary reference provided YES NONo grammar or spelling errors YES NOFinal Scoreof 50 pointsSatisfactory requires at least35/50 pointsComments:COPYRIGHT 2021 UNIVERSITY of FLORIDA

18Appendix C – Topic Discussion RubricCriteriaEngagementExcellent (10 pts)Competent (8 pts)Needs Improvement(5 pts)Deficient (2 pts)Somewhat engagedby providingcomments whenprompted but notasking commentsSomewhat preparedas demonstrated byability to answerquestions withsignificant relianceon material. (spendssignificant amount oftime flipping throughnotes etc)Does not providecomment evenwhen askedScoreActively engagedby providingcomments andasking questionswithout promptingDemonstratespreparedness byansweringquestions withoutreferencingmaterialModeratelyengaged byproviding commentsand asking minimalquestionsModeratelyprepared asdemonstrated byability to answerquestions withminimal reliance onmaterialCommunicationPositive, inclusive,using propergrammar andpronunciationPositive, inclusivewith few grammaror pronunciationerrors;AttitudePositive attitudeand supportive ofothers, activelylisteningMostly positiveattitude andsupportive of othersPositive attitude butinterrupts othersActs like doesn’twant to be there.OverallParticipated andadded newinformation orideas to thediscussionParticipated andcontributed but didnot add new ideasto discussionParticipated butfollowed discussion,did not add todiscussionPoor ated byinability to answerquestions evenwhen referencingmaterialNot involved in thediscussionTotal Points /50Satisfactory requires a score of at least 40/50Comments:COPYRIGHT 2021 UNIVERSITY of FLORIDA

19Appendix D – Clinic Assessment (Self-Care Rubric)Self Care RubricCriteriaIntroductionRatingsScore10 points8 points5 points2 pointsExcellentIntroduces self byname, title,position; smilesand greets patientwarmlyGoodIntroduces self byname, title, orposition (not all 3);lukewarm greetingAverageMinimalintroduction;lukewarm to coldgreetingBelow AverageNo introduction;cold or no greetingDelivery andCommunication10 points8 points5 points2 pointsExcellentNo grammar orpronunciationerrors; effectivegestures;appropriate toneand volumeGoodFew grammar orpronunciationerrors; nodistracting gestures;appropriate toneand volume.AverageSome grammar orpronunciation errors;mildly distractinggestures;inappropriate tone orvolume occasionallyBelow AverageSeveral majorgrammar/usageerrors; distractinggestures/posture;inappropriatevolume and/ortoneEmpathy andCompassion10 points8 points5 points2 pointsExcellentMultiple effectiveempathystatements; visibleconcern andcompassionGoodFew empathystatements; somevisible concern andcompassion forpatientAverageMinimal empathy,compassion orconcern for patientBelow AverageNo empathy,compassion orconcern for patientPatientAssessment10 points8 points5 points2 pointsExcellentPerfect patientengagement;questions alwayspatient-centeredand relevantcollects all ate patientengagement;questions aremostly patientcentered andrelevant collectsmost of SCHOLARMAC elements;adequately efficientAverageMinimal patientengagement;questions are rarelypatient-centered orrelevant; minimal useof SCHOLAR- MACelements; minimallyefficientBelow AverageFails to engagepatient; questionsare irrelevant ornot patientcentered;inefficientRecommendation and Referral10 points8 points5 points2 pportinginformation andrationale ing rationaleor informationAverageMildly inaccuraterecommendation;incorrect and/or nosupporting rationaleor informationBelow AverageSeverelyinaccurate orinappropriaterecommendation;failure to makerecommendationCOPYRIGHT 2021 UNIVERSITY of FLORIDA

20despite adequatetimeCounseling andEducation10 points8 points5 points2 pointsExcellentExcellentcounseling andeducation; noerrors; concise andefficient; assessespatient’sknowledgeGoodGood counselingand education withminimal errors;mildly inefficientAverageAverage counselingwith errors made;minimal efficiency;Below AverageInappropriatepatient counseling;inaccurateeducation andcounseling;Content10 points8 points5 points2 pointsExcellentNo incorrect orinaccuratestatements;excellent focus andorganizationGoodFew incorrect orinaccuratestatements;adequate focus andorganizationAverageSome incorrect orinaccuratestatements; someorganizational orfocus problemsBelow AverageMultiple incorrector inaccuratestatements; noorganization orfocus10 points8 points5 points2 ppearanceAverageBelow averageappearanceBelow y for APPEs80 pointsNot Ready for APPEs (provide specificreasons why) 0 pointsTotal Points /160Comments:COPYRIGHT 2021 UNIVERSITY of FLORIDA

21Appendix E – Inservice Presentation RubricHandoutOrganization/ContentInformation is organizedin a concise and efficientmanner with no spellingmistakes. Only pertinentinformation provided,limited to 1 page. At least2 appropriate referencesprovided. (10 points)Information is mostlyorganized in a concisemanner with few spellingmistakes. Someextraneous informationprovided, limited to 1page. References providedbut not medicallyappropriate. (7.5 points)Informationdisorganized andinconsistent with manyspelling mistakes.Extraneous informationprovided and/or wentover the 1 page limit. Noreferences provided.(5 points)/ 10pointsIntroductionGreets audience warmlyand introduces self

o Nemire R, Kier K, Assa-Eley MT. Pharmacy Student Survival Guide. 3rd Edition. McGraw-Hill. o runton L. Goodman and Gilman’s The Pharmacological asis of The rapeutics, McGraw-Hill Professional, New York, NY, 12th Edition, 2011. ISBN-13:978-0071624428; ISBN-10:0