SECTION II: APPE SPECIFIC INFORMATION

1. APPE Type and Name: Please list the APPE type you are detailing. If you are filling out information for a PATIENT CARE or NON-PATIENT CARE (ELECTIVE) experience please put the name of your APPE next to the type, e.g. PATIENT CARE – NUTRITION SUPPORT. Note that only one APPE type should be listed here. Patient Care- General Surgery

2. Primary Preceptor: Please list the primary preceptor for this APPE, her/his title, area of

practice or specialty, and an email address where she/he can be contacted by students. If the primary preceptor would like a work number included, please list that as well (listing a phone number is optional). Brian Howard, PharmD, BCPS email: brian.howard@hcmed.org

3. Preceptors: Optional Information. If there are other preceptors the students will come in regular contact with, please list their names, titles and areas of practice or specialty. Marcelline Rudebusch, PharmD email: marcelline.rudebusch@hcmed.org

4. APPE Structure: Please use this space to explain where the students will be working/learning, what activities they will participate in, and how they will be splitting up their time within those areas and/or activities. Students will be following/monitoring patients in the burn unit and/or on the Surgery, Trauma, Neurosciences floor (STN). Students will use the majority of their day to monitor his/her patients. This will be done by incorporating the following activities: Using kinetics to properly monitor, dose, and adjust antibiotics. Recognizing and adjusting medications for renal function Learning standard treatment for burn patients Identifying drug interactions and medication errors Time will be allotted in the afternoon to discuss patients and topics with preceptors. Student Roles and Responsibilities: Please list and explain what the student role/s will be during this APPE, e.g. reviewing charts, interviewing patients, medication counseling, etc. Also include any written or presentation responsibilities they will have, e.g. drug information papers, journal clubs, presentations, etc. Students will:

Follow and monitor patients in the burn unit and on STN Review patient medication lists and identify appropriate interventions Prepare for and discuss various topics with preceptors

5. Educational Opportunities: Please list any group learning opportunities the students will have, e.g. noon conference, journal club reviews, lunch and learn sessions, topic discussions, committee meetings, etc. Lunch and learn noon medicine conferences are available. Students are asked to limit

noon conference attendance to those with topics relevant to pharmacy practice.

6. Other Requirements: If you would like students to do a brief interview or send in their CV prior to registering for your APPE, have foreign language skills, etc., please list the necessary requirements here.

SECTION I: GENERAL APPE SITE INFORMATION

1. APPE Experience Types: Please place a check mark next to the rotation types available

at your facility. __ ACUTE CARE

__ AMBULATORY CARE

__ COMMUNITY PRACTICE

__ INSTITUTIONAL PRACTICE

x_ PATIENT CARE

__ NON-PATIENT CARE (ELECTIVE)

2. Facility or Pharmacy Name: Please indicate the name of your facility or pharmacy

below. Patient Care APPE at HCMC in Kidney Transplantation

3. Region: Please place a check mark next to the region in which your site, facility or

pharmacy resides. __ BEMIDJI

__ BRAINERD

__ DULUTH/IRON RANGE

__ FERGUS FALLS

__ MANKATO

__ ROCHESTER

__ SAINT CLOUD

__x TWIN CITIES

__ OTHER

THIS ENDS THE GENERAL SITE INFORMATION SECTION. PLEASE CONTINUE AND FILL OUT SECTION II, THE APPE SPECIFIC INFORMATION. IF YOUR SITE HAS MULTIPLE APPES, PLEASE ANSWER THE FOLLOWING QUESTIONS (1 THROUGH 7) FOR EACH APPE AVALIBLE AT YOUR SITE. SECTION II: APPE SPECIFIC INFORMATION

1. APPE Type and Name:

PATIENT CARE-KIDNEY TRANSPLANTATION

2. Primary Preceptor:

Tracy Anderson-Haag, Pharm.D., BCPS Clinical Pharmacist-Kidney Transplantation Email: ander363@umn.edu Phone: 612-347-7797

3. Preceptors:

N/A

4. APPE Structure:

This practice experience primarily involves care of inpatient kidney transplant patients with some involvement in ambulatory care of outpatient kidney transplant patients in the Transplant Clinic. Approximately 60% of the students time will be spent in self-directed preparation of thorough pharmacotherapeutic assessments and care plans for the transplant patients under their care. Approximately 20% of student time will be spent one-on-one with the primary preceptor, 10% or time in group lectures or learning experiences and 10% on projects assigned by preceptor.

5. Student Roles and Responsibilities: Students will actively participate in all aspects of the pharmaceutical care of kidney transplant patients. The student will perform complete pharmacotherapeutic assessments on inpatient transplant patients immediately post transplant or following admission for post transplant complications. This will involve chart review, direct patient interaction and communication with other health care professionals. Students will also be actively involved in therapeutic drug monitoring of outpatient transplant patients. Patient work-ups will be presented to the preceptor daily for feedback and discussion. This APPE will facilitate the development of clinical skills and their application in the transplant patient population. Students are responsible for one formal case presentation. A 15-minute powerpoint presentation is required, with a 5 minute question/answer session to follow. This presentation is given to other students, pharmacy residents and pharmacists at the site. Additionally, an article review or journal club and other additional projects may be assigned as determined by the preceptor.

6. Educational Opportunities:

Students are required to attend all student conferences, the nephrology teaching conference each Wednesday at 12pm and Nephrology Grand Rounds each Friday at 12pm. Students are also invited to attend educational opportunities sponsored by the Department of Medicine when they are pertinent to pharmacy practice. Students will attend one Transplant Journal Club monthly.

7. Other Requirements:

Students should have an interest in clinical pharmacy and patient care for this APPE.

Patient Care – Inpatient Medicine/ Inpatient Oncology Service Primary Preceptors Katie Won PharmD, BCOP Gwen Betterman PharmD, BCOP Clinical Specialist, Hematology/ Oncology Katie.Won@hcmed.org Gwen.Betterman@hcmed.org 612-873-4734 APPE Structure The student will be on a 5 week rotation as a part of an inpatient general medicine service. The student will accomplish this through interactions with patients, physicians, nurses and other professionals at HCMC on rounds with the resident physician team and through chart reviews. Students will also provide clinical pharmacy services on a daily basis to the patients on the inpatient hematology/oncology service. Students will spend 50% of their time on the inpatient medicine service patients and 20% of their time on the oncology/hematology service patients. The other 30% of time shall be used for independent study time on relevant topics to patient specific topics. Student Roles and Responsibilities The student will participate in rounds with the resident physician teams. To prepare for rounds students will have to work up and maintain a pharmacotherapy plan for all patients admitted to the services. The students will learn how to initiate and monitor therapy used to treat hematology/ oncology patients, both chemotherapy and other drug therapy. The students will be responsible for one case presentation during the rotation. The presentation will be in a power point format and given to fellow students and preceptors at HCMC. A project may also be assigned (chart review, nursing in-service, education etc.) Educational Opportunities Students will meet with their preceptor daily and review cases and discuss patient specific topics. The student and preceptor may discuss further topics as assigned by the preceptor. Attending the other student cases is a requirement. The student is also invited to attend Tumor Conference held weekly to discuss complicated oncology cases and may attend general medicine noon conference.

IF YOUR SITE HAS MULTIPLE APPES, PLEASE ANSWER THE FOLLOWING QUESTIONS (1 THROUGH 7) FOR EACH APPE AVALIBLE AT YOUR SITE. SECTION II: APPE SPECIFIC INFORMATION

1. APPE Type and Name:

PATIENT CARE – NEPHROLOGY HCMC

2. Primary Preceptor: Bhavin Patel, PharmD Clinical Pharmacist – Nephrology E-mail: Bhavin.Patel@hcmed.org Phone: (612) 347-6371

3. Preceptors:

N/A 4. APPE Structure:

This practice experience involves care of inpatient chronic renal failure, dialysis, and kidney transplant patients. Approximately 40% of the student’s time will be spent in spent in self-directed preparation of thorough pharmacotherapeutic assessments and care plans for the renal patients under their care. Approximately 30% of the student’s time will be spent on rounds with the multidisciplinary health care team. Approximately 20% of the student’s time will be spent on one-on-one discussion time with the primary preceptor. The remaining 10% of student’s time will be spent in group lectures and learning experiences.

5. Student Roles and Responsibilities: Students will actively participate in all aspects of the pharmaceutical care of renal patients. The student will perform complete pharmacotherapeutic assessments on inpatient renal (chronic renal failure, dialysis, and kidney transplant) patients. This will involve reviewing patients’ charts; evaluating the rationale and appropriateness of all prescribed medications; identifying, resolving, and preventing drug therapy problems; providing pharmacokinetic drug monitoring; actively participating in daily medical rounds; communicating with other health care professionals; and providing patient medication consultation if appropriate. Patient work-ups will be presented to the primary preceptor daily for feedback and discussion. This APPE will facilitate the development of clinical skills and their application in the renal patient. Students will be responsible for at least one formal 15-minute PowerPoint presentation, followed by a 5-minute question/answer session. This presentation will be given to pharmacists, pharmacy residents, and other rotating students at the site. Additionally, an article review or journal club and other additional projects may be assigned as determined by the preceptor.

6. Educational Opportunities:

Students will be required to attend all student conferences (most Tuesdays), nephrology teaching conferences (every Wednesday), and Nephrology Grand Rounds (every Friday). Students are also encouraged to attend educational opportunities sponsored by the Department of Medicine when the topic is pertinent to pharmacy practice.

7. Other Requirements:

Students should be interested in clinical pharmacy, have excellent communication skills, and the ability to work independently for this APPE.

(1 THROUGH 7) FOR EACH APPE AVALIBLE AT YOUR SITE. SECTION II: APPE SPECIFIC INFORMATION

1. APPE Type and Name: Patient Care-Toxicology, Hennepin County Medical Center

2. Primary Preceptor: Stacey Bangh, PharmD, DABAT, CSPI Clinical Coordinator, Hennepin Regional Poison Center Stacey.bangh@hcmed.org Phone: 612-873-2108 3. Preceptors: Deborah Anderson, PharmD Managing Director

Specialists in Poison Information:

Rachel Brandt, PharmD, CSPI Ted Gray, RPh, CSPI Scott Hokenson, PharmD, CSPI Chris Lintner, RPh, CSPI Kevin Sell, RPh, CSPI Steve Setzer, RPh, CSPI

APPE Structure:

The Hennepin Regional Poison Center is a certified poison center, as designated by the American Association of Poison Control Centers, located in the Hennepin County Medical Center. The goals of this rotation include:

1. Become familiar with the role of a pharmacist in a poison control center. 2. Identify various information resources used by poison center staff. 3. Learn the general techniques used to prevent absorption of toxins when exposed by various routes. 4. Learn the means available for enhancing the elimination of various toxins. 5. Describe the toxic characteristics of various classes of drugs. 6. Identify toxidromes and suggest agents likely to be responsible. 7. Describe the value of the toxicology laboratory in the management of the poisoned patient and interpret relevant laboratory data. 8. Be able to relay poison information to the lay public, emergency room staff and other health care professionals. 9. Prepare and present a clinical toxicology case. 10. Learn basic principles of poison prevention and the role of Poison Centers.

Students work closely with the pharmacist and physician staff of the poison center as well as other pharmacy students, emergency medicine residents and toxicology fellows. Students spend approximately 40% of their time with pharmacists on the phones, 30% of their time in group learning activities, 10% of their time at various conferences, 10% of their time working on their project/presentation and 10% on miscellaneous learning opportunities (listed below under Educational Opportunities)

Student Roles and Responsibilities: Students spend time the majority of their time understanding the role of a pharmacist in a

poison control center by listening to calls coming into the center and discussing them with the pharmacists, performing callbacks and eventually taking calls under the direct supervision of the pharmacists. Students also learn about the management of toxicology cases by participating in didactic sessions on various toxicology topics with staff as well as any medical students, residents and fellows rotating through the center. Discussions on gastric decontamination, toxicity of household products, over the counter medications as well as various chemical toxins and prescription medication toxicity are discussed in these sessions. Students are expected to complete one project during the course of the rotation. This can be a written project such as a newsletter or an educational project such as assisting our education department with an outreach program. All students give a case presentation to the other pharmacy students rotating at the Hennepin County Medical Center. This is a 20 minute power-point presentation given on the toxicology case/topic of their choice. Students are also expected to attend educational toxicology conferences provided by poison center staff, emergency medicine residents and toxicology fellows. The hours for this rotation include mostly weekday hours along with a couple of evening shifts in an attempt to familiarize the student with the variety of calls that come into the center on different shifts.

Educational Opportunities:. There are a large variety of educational opportunities available on this rotation including:

• Poison Center Conferences • Noon Pharmacy Student Conferences • Emergency Medicine Conferences • Medical Examiners Conference • Spending a shift with one of the physicians in the Hennepin County Medical

Center Emergency Department • Spending half a day with the Regions Hospital Toxicology Service • Touring the hyperbaric oxygen chamber • Visiting a research lab run by a pharmacist at the Hennepin County Medical

Center

Other Requirements There are no additional requirements for entrance into this APPE.