APhA-ASP
Generation Rx
REPORTING GUIDELINES
Reporting Cycle:
January 1, 2012 – December 31, 2012
Due Date:
January 5, 2013 at 11:59pm (PST)
Generation Rx APhA-ASP Reporting Guidelines Page 1 of 10
APhA Academy of Student Pharmacists Patient Care Programs
Generation Rx
REPORTING GUIDELINES
APhA-ASP will recognize chapters that implement a Generation Rx program in their local community. Events may be
conducted at any time throughout the reporting cycle. Chapters must use the following reporting guidelines to
participate in this award program. These guidelines outline how your chapter should write its report on the
project(s) that were implemented as part of the Generation Rx program. Your chapter should also include
photographs, videos, and examples of unique supporting materials from your projects and events.
Remember to answer all questions with honesty and integrity. The APhA-ASP Generation Rx Awards Selection
Committee will review the report, and may ask for supporting documentation or further clarification to aid in its
decision.
Please complete and submit the following sections of the APhA-ASP Generation Rx Reporting Guidelines that
outline your Chapter’s activities from January 1, 2012 to December 31, 2012:
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Section I:
Section II:
Section III:
Section IV:
Section V:
Chapter Contact Information
Essay
Chronological List
Generation Rx Executive Summary
Report Submission and Advisor Signature
CRITERIA FOR AWARD SELECTION
Collaboration (20 points):
What is the extent of collaboration with other organizations? (e.g. state and local pharmacy organizations, local
health departments, community pharmacies, law enforcement, school districts, senior citizens groups, community
organizations, local addiction/mental health groups, student health organizations, etc.)
Participation (20 points):
How many student pharmacists, college of pharmacy faculty and staff, and additional pharmacists were involved in
planning or implementation?
Originality (25 points):
How creative, innovative, and original were projects and programs related to Generation Rx?
Outcome (35 points):
What effect did the project have in your community? How many people were surveyed, educated, or affected
through this project?
Generation Rx APhA-ASP Reporting Guidelines Page 2 of 10
NATURE OF THE AWARDS
The APhA-ASP Generation Rx Awards Selection Committee may consist of the following individuals:
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APhA-ASP Communications Standing Committee (1-2)
APhA-ASP Education Standing Committee (1-2)
APhA-ASP Policy Standing Committee (1-2)
APhA-ASP National Executive Committee (1-2)
University of Utah School on Alcoholism and Other Drug Dependencies Pharmacy Section
Leader or Advisory Committee Members (1-2)
APhA Student Development Staff Member (1)
Cardinal Health Foundation Representatives (1-2)
The following recognition will be given:
National Generation Rx Recognition Program
 The top 5 winning chapters will be recognized during the APhA Annual Meeting & Exposition at the
APhA-ASP Opening General Session. Winning chapters will receive the following recognition:
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1st Place – crystal award and $1,000
2nd Place – framed certificate and $750
3rd Place – framed certificate and $500
4th Place – framed certificate and $250
5th Place – framed certificate and $125
University of Utah School on Alcoholism and Other Drug Dependencies
 Opportunity for 2 students from each of the 1st, 2nd, and 3rd place chapters to attend the Pharmacy
Section of the University of Utah School on Alcoholism and Other Drug Dependencies (June 16-21,
2013).
 Meeting travel, housing, registration, and incidentals included within prize.
 Chapter representatives would present a poster on their project, as well as conduct a PowerPoint
presentation/workshop.
Student Pharmacist Magazine
 Generation Rx section of July/August issue will include a report from the 1st, 2nd, and 3rd place chapter
projects.
All decisions made by the Generation Rx Awards Selection Committee are final.
Generation Rx APhA-ASP Reporting Guidelines Page 3 of 10
ENTRY REQUIREMENTS
Report Submission
 Reports must be submitted by 11:59pm PST on January 5, 2013.
 Reports, forms, photographs, supporting materials, and videos will only be accepted electronically via
each Chapter’s Dropbox folder. (See instructions below.)
 Send an email to [email protected] with the Report Submission and Advisor Signature (Section V)
page attached to notify APhA Staff that the report has been submitted.
Formatting & Style
 Reports may only be submitted as a Word document or PDF.
 Reports should be double-spaced using a 10-point, Arial font, with 1” margins (left and right).
 The header of each page of your report must contain your Chapter’s Name.
 The end of the report essay must contain word count.
 The footer of each page must contain Page X of Y.
 Files must be labeled as “Chapter Name Generation Rx Report.doc or .pdf”.
SUPPORTING MATERIALS
Photographs
Photographs must be submitted electronically through the Chapter’s Dropbox folder and must be labeled “Chapter
Name GRx Pic #.jpg” (i.e. “U Arizona GRx Pic 1.jpg” or “SDSU GRx 2.jpg”). Photographs should be submitted
separately of the text document of the report. Once photographs have been submitted electronically to APhA, the
Association reserves the right to use these photographs in APhA publications, marketing materials, and during
APhA meetings. Up to 10 photographs may be submitted.
Supporting Materials
Additional supporting materials developed by your chapter (original documents/materials only) may be included to
illustrate the activities described in your essay. All supporting materials must be scanned and submitted
electronically to the Dropbox folder as a PDF. Files must be labeled “Chapter Name GRx SM #.pdf” (i.e. “U Arizona
GRx SM 1.pdf” or “SDSU GRx SM 4.pdf”). Up to 10 supporting materials may be submitted.
Videos
Chapters are encouraged to submit their original videos (created by the Chapter) used to promote, market, or
educate fellow students, faculty, patients, and the community regarding Generation Rx. Chapters may also provide
links to media coverage regarding Chapter-specific programs; however, videos may not be reviewed until
January/February due to the review cycle of the Generation Rx Awards Selection Committee. Therefore, it is
encouraged that each Chapter obtain a copy of the video, as links to local news are deleted after time.
Due to the large size of video files, the Generation Rx Awards Selection Committee will only accept the URL, title,
and 35 word synopsis of the video on the Report Submission and Advisor Signature page (Section V). We
encourage you to upload your videos to your chapter, school or college of pharmacy, YouTube, or other online
video-sharing Web sites. APhA Student Development Staff may request the original file. Once videos have been
submitted electronically to APhA, the Association reserves the right to use or link these videos in APhA resources,
marketing, and during APhA meetings. Please do not submit your Chapter’s PharmFlix Video. This is a separate
competition and will not be reviewed by the APhA-ASP Generation Rx Awards Selection Committee. Up to 2 videos
may be submitted with the report.
Generation Rx APhA-ASP Reporting Guidelines Page 4 of 10
CHAPTER DROPBOX FOLDERS
In an effort to improve file transmission, security, and ease of uploading reports, APhA-ASP will only accept
reports, forms, photographs, supporting materials, and videos via each Chapter’s Dropbox Folder. Dropbox is a
Web-based file hosting service that uses networked storage to enable users to store and share files and folders
with others across the Internet using file synchronization.
1.
In May 2012, each Chapter President and Chapter Advisor received an email invitation from the
[email protected] Account to join a Dropbox Folder with the Chapter’s Name (example: University of
Arkansas for Medical Sciences – Chapter Reports). The Chapter President and Chapter Advisor are
responsible for sharing the Chapter Folder with the necessary Chapter Executive Committee Members and
Chapter Patient Care Project Chairs.
2.
Each Chapter is responsible for all of the files, forms, photographs, supporting materials, and videos
uploaded to the Dropbox folder. Please only use this as a method to transmit your files to APhA, and not as
your folder to store all of the original files. After the submission date, all files will be moved from the
Dropbox Folder to APhA’s server. Therefore, please keep your original files stored elsewhere.
3.
Create the following folder for Generation Rx Reports in the main folder of your Dropbox Account,
“Generation Rx”.
4.
Do not create sub-folders under the Generation Rx folder. The Generation Rx Awards Selection Committee
and Student Development Staff have found that multiple folders (while it may assist you with organizing the
file) leads to reports, forms, photographs, supporting materials, and videos either not being submitted,
missed, or not copied over to APhA’s server correctly.
5.
Please place the Report Submission and Advisor Signature page (Section V) in the Generation Rx folder.
6.
Once completed, one copy of the completed Report Submission and Advisor Signature page (Section V)
should be sent via email to [email protected], with the subject line “Chapter Name – Generation Rx
Reports”, notifying the Generation Rx Awards Selection Committee and APhA Staff that you have uploaded
your report, forms, photographs, supporting materials, and videos to your Chapter’s Dropbox folder. Only
one form per chapter should be submitted. The deadline for submitting this form via email is January 5,
2013 at 11:59pm PST.
7.
If you need assistance, have questions, or need more information, please contact Keith Marciniak, APhA
Senior Director of Student & New Practitioner Development by phone (800) 237-APhA ext. 7595, or via
email at [email protected].
As a reminder, all reports must be received via the Chapter’s Dropbox Folder by 11:59pm (PST) on January 5,
2013. Dropbox provides a time/date stamp on each file. Files with a time/date stamp after the deadline will not be
accepted.
Generation Rx APhA-ASP Reporting Guidelines Page 5 of 10
APhA Academy of Student Pharmacists Patient Care Programs
Generation Rx
SECTION I: CONTACT INFORMATION
School or College of Pharmacy Name:
APhA-ASP Chapter President Name:
APhA-ASP Chapter President E-Mail Address:
APhA-ASP Chapter Advisor Name:
APhA-ASP Chapter Advisor E-Mail Address:
Generation Rx Student Coordinator:
Generation Rx Student Coordinator E-Mail Address:
By signing this agreement, I attest that the following hold true to the best of my knowledge:
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I understand the laws of my state and am confident that participation in Generation Rx is within the
guidelines of the law and has not violated any laws of my state (if applicable).
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I have ensured that all students participating in Generation Rx are properly trained with the knowledge of
prescription drug abuse and misuse required for community outreach and education.
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I have followed the guidelines of Generation Rx and will submit all necessary documentation when
needed. I understand that data submitted may be included for publication in aggregate with data collected
from other APhA-ASP Chapters’ projects as well.
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I hereby state that the following materials are the work of our Chapter’s members and the activities
represented in this report are an accurate portrayal of the work our Chapter has completed.
Signature of Student Coordinator:
Date:
DEADLINE: Entries must be submitted electronically via the APhA-ASP FTP site no later than 11:59pm PST on
January 5, 2013.
Generation Rx APhA-ASP Reporting Guidelines Page 6 of 10
APhA Academy of Student Pharmacists Patient Care Programs
Generation Rx
SECTION II: ESSAY
Please describe the planning, implementation, and outcomes of your chapter’s Generation Rx activities,
specifically highlighting the significance of your accomplishments and how they affected your chapter members,
community, and/or the profession of pharmacy. Please do not list dates of events, activities, and programming, as
this is already addressed by the chronological list.
Information provided in the essay may include, but is not limited to:
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Planning
o Committee structure indicating chair, vice chair
o Chapter member recruitment and participant training
o Details of Generation Rx planning sessions
o Your Chapter’s Goals and Objectives for Generation Rx
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Implementation
o Promotion of the activities, including media coverage and materials unique to your Generation Rx
program
o Education and information provided to the public (e.g. teens, parents, educators, local
community groups, elementary school children, etc.)
o Collaboration with the community and other professional health care organizations for your
Generation Rx program
o How your activities met the goals and objectives of Generation Rx
o Innovative or unique aspects of your Generation Rx program
o Explanation of your project sites and settings
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Outcomes
o Describe the impact your Generation Rx program had on student pharmacists, the profession of
pharmacy, and most importantly the public you served
o Describe how your chapter achieved its goals and any possible improvements that could be made
for next year
Report Essays may not exceed 2000 words. If your essay exceeds 2000 words, only the first 2000 will be submitted
to the Awards Selection Committee.
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A final word count is required at the end of the report essay.
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The footer of each page must contain Page X of Y.
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Files must be labeled as “Chapter Name Generation Rx Report.doc or .pdf”.
Generation Rx APhA-ASP Reporting Guidelines Page 7 of 10
APhA Academy of Student Pharmacists Patient Care Programs
Generation Rx
SECTION III: CHRONOLOGICAL LIST
Please include a chronological list of all Generation Rx activities that occurred during the January 1, 2012 –
December 31, 2012 reporting cycle. The list should not be lengthy, but a brief record of all chapter projects,
community programs, meetings, and activities related to Generation Rx. Activities may include, but are not limited
to, health fairs, community centers, school districts, education programs, chapter meetings, committee meetings,
executive committee meetings, legislative or policy events, community service projects, professionalism
programming, American Pharmacists Month programming, social events, etc.
There is no word limit (except for the brief synopsis – less than 50 words) or page limit for the Chronological List.
The following template must be used for the Chronological List:
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Presentation/Activity/Event/Meeting/Project(s):
Date(s):
Location(s):
Co‐Sponsored Event With:
Target Audience:
Promotional Materials:
Faculty Present:
Additional Pharmacists (non-faculty) Present:
Chapter Members Present:
Individuals Reached Through Public Relations:
Adults Attended Presentation(s)/Event(s):
Adults Reached Through Education/Presentation(s):
Teens Attended Presentation(s)/Event(s):
Teens Reached Through Education/Presentation(s):
Children Attended Presentation(s)/Event(s):
Children Reached Through Education/Presentation(s):
College Students Attended Presentation(s)/Event(s):
College Students Reached Through Education/Presentation(s):
Synopsis (less than 50 words for each activity listed):
Please see APhA-ASP Chapter Achievement Awards guidelines (Appendix A) for additional information/examples on
creating the chronological list. The guidelines provide examples of how to list an individual event, month long
program, and reoccurring events. The guidelines can be found online in the APhA-ASP Awards & Scholarships
section of www.pharmacist.com/apha-asp.
Generation Rx APhA-ASP Reporting Guidelines Page 8 of 10
APhA Academy of Student Pharmacists Patient Care Programs
Generation Rx
SECTION IV: EXECUTIVE SUMMARY
The APhA-ASP Generation Rx Awards Selection Committee and APhA Staff request that you complete both the
form below and our online data form to submit your Chapter’s Generation Rx Executive Summary. The online data
form will assist our staff to aggregate the results from all APhA-ASP Chapters in an expedited manner.
To complete the online form, please visit: https://fs8.formsite.com/APhA-ASP/form74/secure_index.html
School or College of Pharmacy Name:
a.
__________ Total number of Generation Rx presentations conducted.
b.
__________ Total number of non-presentations (activities/events/projects) conducted.
i. __________ Total number of medication take-back events conducted.
c.
__________ Total number of individuals that attended presentation(s)/event(s).
d.
__________ Total number of individuals reached through public relations initiatives.
e.
__________ Total number of individuals reached through education.
i. __________ Total number of adults educated.
ii. __________ Total number of teens educated.
iii. __________ Total number of children educated.
iv. __________ Total number of college students educated.
f.
__________ Total number of student pharmacists involved in all projects.
g.
__________ Total number of faculty and staff involved in all projects.
h.
__________ Total number of pharmacists (non-faculty) involved in all projects.
Generation Rx APhA-ASP Reporting Guidelines Page 9 of 10
APhA Academy of Student Pharmacists Patient Care Programs
Generation Rx
SECTION V: REPORT SUBMISSION AND ADVISOR SIGNATURE
Place an “X” next to the documents and the number (if applicable) next to the photographs, supporting materials,
and videos your chapter has submitted. Once completed, this form should be sent via email to [email protected], with the subject line “Chapter Name – Generation Rx Report”, notifying the APhA-ASP
Generation Rx Awards Selection Committee and APhA Staff that you have uploaded your report, forms,
photographs and supporting materials to your Chapter’s Dropbox folder. In addition, please upload this document
to the Dropbox folder.
___Generation Rx Chapter Report (contact information / essay / chronological list / executive summary)
___ Photographs (Number: ___)
___ Supporting Materials (Number: ___)
___ Videos (Number: ___)
Video Title:
URL:
Synopsis (less than 35 words):
Video Title:
URL:
Synopsis (less than 35 words):
CHAPTER ADVISOR SIGNATURE
“As the Chapter Advisor, I hereby state that the following materials are the work of our Chapter’s Members and the
activities represented in this entry are an accurate portrayal of the work our Chapter has completed.”
APhA-ASP Chapter:
(print name)
Signature of Chapter Advisor:
Date:
DEADLINE: Entries must be submitted no later than 11:59pm PST on January 5, 2013.
Generation Rx APhA-ASP Reporting Guidelines Page 10 of 10