Office of Pharmacy Experiential Education Policies and Procedures Manual Updated December 2015 Table of Contents Program Description………………………………………………………………………………………………………4 IPPE Selection & Scheduling Procedure . ..................................................................................................... 4 APPE Selection & Scheduling Procedure ..................................................................................................... 5 Rotation Change Request Policy and Procedure……………………………………………………………….6 Summer Internships Policy ............................................................................................................................... 6 Guidelines Students Must Follow ................................................................................................................... 7 Contacting Preceptors Student Policy…… ……………………………………………………………………...8 Attendance Policy…………………………………………………………………………………9 Adverse Weather Policy………………………………………………………………………………………………..10 Confidentiality Policy ............................................................................................................................................... 10 Dress Code Policy....................................................................................................................................................... 10 Anti-Harrassment Policy ................................................................................................................................. 12 Drugs & Alcohol Policy ..................................................................................................................................... 13 Infection Control (Immunization) Guidelines......................................................................................... 13 Incident Reporting………………………………………………………………...……………..15 CPR Certification………………………………………………………...………………………………………………...17 Required Annual Training: OSHA and HIPPA…………………………………………………………………18 Competency Checklist Completion Policy ................................................................................................ 18 Delayed Graduation Policy ............................................................................................................................. 19 E-Professionalism…………………………………………………………………………………………………………21 Student & Preceptor Evaluation Policy……………………………………………………….....21 Cheating & Plagiarism Policy ......................................................................................................................... 22 2 Housing & Transportation Policy ................................................................................................................ 22 Employment & Other Coursework While Conducting Practice Experiences Policy ................ 23 Criminal Background Check Policy ............................................................................................................. 23 Electronic Portfolio Policy .............................................................................................................................. 24 Technical Standards Policy …………………………………………………………………………………………...25 Accessing Electronic Resources from Off-Campus…………………………………………………………..27 Preceptor and Faculty Awards……………………………………………………….……………………………...28 Advisory Committee…………………………………………………………………………………..…………………28 PRECEPTOR RESOURCES CE Credit for Precepting………………………………………………………..………………………………………29 FERPA……………………………………………………………………………………….……………….………………...29 Preceptor Criteria……………………………………………………………………………………….………………...29 Preceptor Adjunct Faculty Appointment……………………………………………………….……………….31 Practice Site Criteria……………………………………………………………………………………………………..32 Pharmacy Licensure Verification Policy………………………………………………………………………...33 Preceptor Training and Development……………………………………………………………………………33 Sample IPPE Rotation Calendars………………………………………………………….………………………..35 Sample APPE Rotation Calendars………………………………………………………………………………….37 OPEE Contacts……………………………………………………………………………………………………………. 40 3 Program Description The experiential component of the curriculum consists of an Introduction to Pharmacy Practice course, introductory pharmacy practice experiences (IPPEs) conducted in the summers between the first and second academic years, and advanced practice experiences (APPEs) conducted in the fourth professional year. The experiential curriculum is designed to assist in optimally preparing pharmacists for current and future practice. IPPEs aid in student pharmacists professional, skill, and knowledge development in the community and hospital settings. APPEs provide real practice opportunities to expand upon the knowledge and skills acquired during the didactic coursework and the IPPEs. In the summer between the first and second years, most students complete: Required, month long IPPE in a community pharmacy In the summer between the second and third years, most students complete: Required, month long IPPE in hospital pharmacy Fourth year APPEs are conducted over the entire final year of the program. The following are included: Two months of internal medicine One month of ambulatory care One month of advanced community One month of geriatrics One month of advanced hospital One month of an elective rotation One month of a second elective rotation One month of a third elective rotation Introductory Pharmacy Practice Experiences (IPPE) Selection & Scheduling Procedure P1 Students for PHAR505 (Introductory Community Pharmacy) Rotation In the fall semester in the PHAR 315 Introduction to Pharmacy Practice I course, the Office of Pharmacy Experiential Education (OPEE) meets with the P1 class to share general information about how PHAR505 is conducted within the curriculum. During this meeting, students draw a lottery number and are provided with a list of available sites for completing PHAR505 during the summer months (May, June and July) as well as during December (of their P2 year). These rotations are considered “in-system” and will be selected by students via a lottery. Information is also provided regarding the process for conducting an out-of-system rotation (i.e., not on the in-system list and the student 4 arranges their own site/preceptor). Generally, out-of-system contact information must be provided to the Office of Pharmacy Experiential Education by early January prior to conducting the summer rotation. During January or February in the Intro to Pharmacy Practice course, the students, who decide to choose an in-system rotation, will use their lottery number to select their rotation. The OPEE will confirm these selections with the sites and schedule the student in RXpreceptorTM. For out-of-system rotations, the OPEE will use the submitted forms to obtain a contact and set-up the rotation. The student will then be scheduled in RXpreceptorTM. There are times when the legal department cannot reach an agreement with the site and we have to work with the student to identify other options. Typically by mid-March-early April all PHAR505 out-of-system rotations are approved and scheduled. P2 Students for PHAR507 (Introductory Hospital Pharmacy) Rotation In the fall semester, in the PHAR 409 Introduction to Pharmacy Practice III course, the Office of Pharmacy Experiential Education (OPEE) meets with the P2 class to share general information about how PHAR507 is conducted within the curriculum. During this meeting, students draw a lottery number and are provided with a list of available sites for PHAR507 during the summer months (May, June and July) as well as during December (of their P3 year). These rotations are considered “in-system” and will be selected by students via a lottery in November. Information is also provided regarding the process for conducting an out-of-system rotation. Generally, out-of-system contact information must be provided to the OPEE by mid-September. The OPEE will confirm student selections with the sites and schedule the student in RXpreceptorTM. For out-of-system rotations, the OPEE will use the submitted forms to obtain a contact and set-up the rotation. The student will then be scheduled in RXpreceptorTM. There are times when the University’s legal department cannot reach an agreement with the site and we have to work with the student to identify other options. Typically by mid-March-early April all PHAR507 out-of-system rotations are approved and scheduled. Advanced Pharmacy Practice Experiences (APPE) Selection & Scheduling During the summer between the P2 and P3 year, rising P3 students will receive an email from the OPEE announcing the date for an August class meeting and opening the ability to submit geographic region preferences and any “special requests” related to scheduling rotations for the P4 year. Students will enter their top three choices for a geographic region during the P4 year. [Current CPHS APPE Geographic Regions are: WinstonSalem/Greensboro; Raleigh/Durham/Chapel Hill (Triangle); Fayetteville/Lumberton; Greenville/Wilson; and Wilmington.] The OPEE uses a lottery process to assign students to geographic regions. In August of the P3 year, the OPEE will meet with the class to share general information about how APPEs are selected and scheduled and to review the experiential calendar for important dates. During this first meeting, geographic placement will be released. The process and deadline for regional exchange will be reviewed. 5 Students will have a designated time frame to trade/exchange geographic region assignments. Upon the appointed deadline, the geographic region assignments will be finalized. After geographic regions are finalized, the OPEE will have students enter preferences for the majority of their required rotations: Advanced Community; Ambulatory Care; Geriatrics; and Internal Medicine (2 months). The OPEE will then schedule students for required rotations. Typically, required rotation schedules are released to the students in early October. At this same time the students are provided with a listing of available Advanced Hospital rotation sites and an Elective listing (i.e., in-system Advanced Hospital and Electives) and students draw lottery numbers that will be used to select an Advanced Hospital Rotation and three elective rotations. Students are also provided with information on how to obtain “out-of-system” Advanced Hospital and/or elective rotation(s). [Contact information for “out-of-system” rotations is generally due to the OPEE by early January.] In late October or early November, the lottery will be held for students to choose an Advanced Hospital rotation and three elective rotations. The OPEE will use Nov-January to confirm and lock-in lottery selections and schedule these in RXpreceptorTM. Also, between January and March, the OPEE works to obtain contracts and to secure out-of-system Advanced Hospital and electives for students. Prior to scheduling, students may forward “special requests”, such as a specific month off during the P4 year, to the Director of Experiential Education. These will be reviewed, but there are no guarantees that these requests can be honored. Honoring special requests may result in a delay in graduation. No rotation schedule is 100% locked. At times the OPEE must change students’ schedules to adjust for preceptor and contract changes. Students should be aware that their schedule could change over time. Scheduling inflexible engagements, events and vacations during previously identified “off” months is highly discouraged. Rotation Change Request Once rotation assignments have been made and finalized, student requests for changes will not be accepted, except for extreme circumstances or justifiable cause that would require such consideration. All requests for rotation changes must be made in writing, via email, to the Director of Experiential Education and Vice Chair of Professional Education. Due to the complexity of rotation schedules and assignments, students should not contact individual preceptors regarding a rotation change. Summer Internships Policy Students who are selected for competitive paid internships, such as those offered by national chain pharmacies, pharmaceutical companies and national pharmacy 6 organizations, cannot receive academic credit, based on ACPE standards and guidelines. However, Campbell University CPHS encourages rising P2 and P3 students in good academic standing to apply for such internships, based on their professional interests. Typically rising P2 students conduct their PHAR505 (Introductory to Community Pharmacy) and rising P3 students conduct their PHAR507 (Introductory to Hospital Pharmacy) practices experiences in the summer. If a student applies for and is selected for a competitive, paid internship during the summer, he/she should notify the Director of Experiential Education immediately to reschedule his/her PHAR505 or PHAR507 rotation. Generally, a student’s rotation will be rescheduled for the month of December following the summer internship. P3 student pharmacists should discuss their desire to apply for a national competitive internship with the OPEE prior to applying. The complexity of rotation schedules makes it difficult to change schedules once set. Thus, if a P3 student participates in an internship that requires the cancellation and rescheduling of rotations, timely graduation cannot be guaranteed. Guidelines Students Must Follow The student must: Maintain all required documentation in MagnusTM or failure to do so may result in rotation cancellation and possible graduation delay. Be directly responsible to the preceptor with regard to all facets of the practice experience. Communicate to the best of his/her ability with the preceptor, patients, physicians, pharmacists, and all other health professionals regarding drug therapy issues encountered. Apply the laws and regulations that govern pharmacy practice in the appropriate manner and seek clarification from the preceptor regarding any professional, legal, or ethical issues. Never act without the authority of the preceptor, in regard to the prescription process, advising patients or health professionals, or other professional activities. Master the routine and site-specific procedures of each practice experience in a timely manner in order to allow for a maximum time to gain knowledge, competence and skills specific to that practice experience. Complete the various tasks assigned by the preceptor during each practice experience (i.e., reports, case studies, etc.). Failure to complete any assignment by the due date may result in a "0" for that task. To receive a passing grade in a practice experience, every assignment for that practice experience must be completed by the student. Not accept or receive remuneration, either directly or indirectly, for participation in the professional experience program. 7 Not accept an assignment to a preceptor who is a family member or other individual related in any way, nor choose a preceptor where a prior employee/employer relationship existed. Participate in professional liability insurance program provided by CPHS professional liability policy. (Cost of this policy is included in the professional fee required for academic registration) Report to the site assigned at the time designated. Realize that although it is rare, changes in a student's schedule may be required by the Vice Chairman or Director, and the OPEE reserves the right to change a practice experience schedule for any student at any time. Unforeseen circumstances such as the departure of a preceptor, disaffiliation with a site, closing of a facility, or other unforeseen situations may necessitate such a change. Repeat a failed rotation (other than Advanced Community) with a Campbell faculty member. Students may be required to complete a practice experience schedule different from one that was originally assigned. In consultation with the Vice Chairman, Director, and Department Chair, the OPEE may also require such students to complete practice experiences that will serve to strengthen the student's experiential database in the noted deficient areas. Realize that students may not "withdraw" from any practice experience after the practice experience has begun. Any interruption in the practice experience for illness/emergency must be presented to and reviewed by the Director of Experiential Education and the Vice Chair of Professional Education with input from the student and preceptor. Protect patient-specific information in accordance with laws and practice site regulations. Mishandling patient-specific information may result in failure. Contacting Preceptors: Student Policy Students must contact their preceptor by phone or email no less than two (2) weeks from the start of the rotation. The student should introduce himself/herself and confirm the exact date, time, and location that the student should report on the first day. The student should inquire about any specific readings or assignments that should be completed in preparation for the rotation experience. If a student is unable to reach a preceptor, he/she should immediately contact the OPEE for assistance. Attendance Policy Students must complete the rotation from start date to end date (160 hour minimum obligation) within the time frame of the rotation (as listed in RXpreceptorTM), or make up deficiencies within an acceptable time frame as determined by the preceptor, OPEE, or University Policy. If the student does not complete the required 160 hours within the month rotation because of excused 8 absences , the student will receive an incomplete on his/her transcript until the student completes the required hours. Students are expected to be at the site promptly at the designated start time and stay until dismissed by the preceptor. Failure to do so may result in a reduced grade for professionalism. Students must attend all scheduled and assigned activities (e.g., work rounds, attending rounds, preceptor conferences, etc.) at the prescribed times for a minimum of 8 hours per day, Monday through Friday (unless otherwise directed by the preceptor). Failure to attend all scheduled activities without prior permission from the preceptor may be grounds for failure of the rotation. Some rotations/preceptors may require students to work outside of the typical Monday through Friday schedule. Sites that require a nontraditional schedule on a regular basis will be noted in RXpreceptorTM. Students must notify the preceptor as soon as possible if he/she will be late or unable to be present at the site on a given day. Tardiness or missing days for "personal" reasons is considered unprofessional behavior. Students must use reasonable discretion in absence from a site due to personal illness. Any absence of two days or more will require a written evaluation by a primary care provider. Tardiness, as defined by the preceptor, will result in the following: 1st offense – verbal warning, 2nd offense – written warning, 3rd offense – lowering final score one letter grade, 4th offense – is grounds for dismissal/failure from the rotation. In the case of rotations that last more than one month, warnings issued in the first month apply to the second month. Any unexcused absence from a rotation is considered unprofessional behavior. A student with one (1) unexcused absence will result in lowering the final score one letter grade; two (2) unexcused absences will result in dismissal/failure of that rotation. Students seeking residency or fellowship appointments are allowed up to four (4) excused absences per month for interviewing. Students are responsible for notifying the preceptor and discussing specific dates as soon as possible. (This may occur well in advance of the affected rotation.) Missed days for interviews (or other reasons) may have to be made up at the discretion of the preceptor. While unexpected absences are sometimes necessary, students should not make plans to miss a rotation date without prior approval from the preceptor. Students should utilize a day during one of their open three months for planned vacations and events. Adverse Weather Policy In the event of adverse weather, the student pharmacist should contact his/her preceptor for instructions. If possible, preliminary plans should be discussed ahead of time. If a student pharmacist does not feel it is safe to travel, the preceptor should allow the student to make up the missed time. 9 Confidentiality Policy The student must: Uphold the highest standards of practice including confidentiality of prescription information, patient profile information, site pricing systems or fee structures, drug orders (including narcotics), professional policies, etc. Protect the confidentiality of each patient and should not photocopy or print from any part of the patient's chart or discuss with persons not involved in the patient's care. Students should not identify any patient by name or discuss a patient's medical problems in any public place (such as coffee shops, halls, elevators, etc.). Understand confidentiality breeches may be subject to failure of the rotation as well as immediate dismissal from the practice site. Not include protected health information identifying a specific individual on any electronic or word processing documents (medication list, SOAP notes, case presentations, patient work-ups, etc.). For example, identify patients using initials rather than full names. Dispose of any confidential patient information in the manner designated by the site as soon as the material is no longer needed and dispose of all materials at the end of the rotation. Dress Code Policy Student pharmacists of the Campbell University College of Pharmacy & Health Sciences are representatives of the School and personal appearance reflects how colleagues, patients, and the community views the student, the program, and ultimately the pharmacy profession. Lab coats and professional attire are expected to be clean, neat, and the appropriate size since they represent pharmacy as a professional career. Clothing that is “trendy,” “fashionable,” or “expensive” does not imply that it is professional. More specific or additional dress requirements may be mandated by various institutions and practice sites. In these instances, the rotation site’s dress code overrides the Experiential Education Program dress code below. NOTE: It is the student pharmacist’s responsibility to confirm dress code requirements prior to starting each rotation. 1. Lab Coat: Student pharmacists must wear an ironed (wrinkle-free), clean, short white lab coat with a Campbell University College of Pharmacy & Health Sciences logo. 2. Name Tag: Student pharmacists should always wear their CPHS name tag so that it is visible on the front upper torso. Site-specific name tags may also be required and worn in accordance to the site’s policy. 3. Attire: Men: Student pharmacists should wear collared shirts tucked in, ties, khaki or dress pants, and socks. 10 Women: Student pharmacists should wear professional dresses or skirts which should not come higher than 2” above the knee when sitting, dress slacks, and blouses. Shoes: Professional-looking dress shoes with non-skid, quiet soles and low to moderate heel are recommended. Shoes must be closed-toed. Inappropriate and Unacceptable Attire: Student pharmacists should never wear denim pants of any color, shorts, sweat pants, overalls, T-shirts, sweatshirts, bare-shouldered garments (i.e., spaghetti straps, tube tops), leather skirts, leather pants, leggings, yoga pants, or sunglasses. Clothing that exposes the midriff, cleavage, immodest attire or attire that reveals undergarments, and clothing with frayed hems are also inappropriate. Hospital scrubs are not permissible unless explicitly allowed by the preceptor in defined areas of the clinical site. Athletic shoes, flip flops, boots that come above the knee, platform shoes, and shoes with excessive heels (> 2.5 inches) are inappropriate. Nails: Student pharmacists should make sure their nails are clean and wellmanicured and of a length that will not interfere with the duties of a pharmacist. Artificial nails, including but not limited to acrylic nails, all overlays, tips, extensions, tapes, inlays, and wraps are permitted only in accordance with the practice site. Nail jewelry is not permitted. If color is worn, it should be conservative in color; chipped polish is not allowed. Hair: Student pharmacists should maintain clean, well-groomed hair that should be worn in such a manner that it presents a professional image. Unusual and unnatural color or tones (other than black, brown, blonde, red or gray) and unusual hairstyles must be avoided. All facial hair must be trimmed and kept clean. Jewelry: Student pharmacists should wear jewelry at a minimum or not at all. Earrings should be worn in a professional manner and are limited to one or two per ear. Gauging, visible body piercings (e.g., tongue piercing, nose piercing, and eyebrow rings/bars, etc.) are not permitted. Tattoos and Body Adornments: Student pharmacists must wear clothing so that tattoos are not visible. Added body adornments (e.g., crystals, rhinestones, etc.) are not permitted. Fragrances: Student pharmacists should use products necessary to avoid body odor and to maintain a neutral fragrance. Student pharmacists should not wear cologne, perfume, after shave, scented lotion, or scented hair products so that it is apparent to others. Hats: Student pharmacists are not permitted to wear any headwear (e.g., hats) other than for religious purposes. 4. 5. 6. 7. 8. 9. If a student pharmacist’s attire fails to meet the standards consistent with professional dress, as determined by the preceptor, the student may be asked to leave and return with suitable attire as defined above or in accordance with the site’s dress code. Time away from the rotation due to inappropriate attire will be considered “unexcused” and the 11 student pharmacist will be subject to disciplinary action as determined by the Office of Experiential Programs. Anti-Harassment Policy Campbell University College of Pharmacy & Health Sciences is committed to providing and maintaining learning and training environments that are free of all forms of harassment and discrimination. CUCPHS will not tolerate harassment within our campus or affiliate training sites whether committed by staff, students, preceptors or faculty. For the purposes of this policy, harassment is defined as any type of behavior, which is based on age, religion, gender, race, color, ethnicity, national origin, disability, sexual orientation, marital status, or pregnancy that interferes with an individual’s work or academic performance or creates an intimidating or hostile work or academic environment. The University does not permit discrimination or harassment in our programs and activities on the basis of race, color, national origin, sex, gender identity, disability, age, religion, status as to veteran, or any other characteristic protected by institutional policy or state or federal law. Sexual harassment is most often defined as any unwelcome conduct of sexual nature and can include unwelcome sexual advances, requests for sexual favors, and other verbal, or physical conduct of a sexual nature, such as assault or acts of sexual violence. Unwelcome verbal or physical conduct of a sexual nature includes deliberate, repeated making of unsolicited gestures or comments or the deliberate repeated display of offensive graphic material which is not necessary for business purposes. Violations of this policy: The College of Pharmacy & Health Sciences is committed to the enforcement of this policy. The OPEE will follow the University Formal Process as outlined in the Institutional Policies. Individuals who have been found to violate this policy will be subject to the full range of sanctions, including termination of his/her affiliation. Students that are found to violate this policy will subject to removal from a rotation site and possible dismissal from the program. Subjects of harassment: Student pharmacists who are subjects of harassment while engaged in introductory or advanced pharmacy practice experiences should: Make the displeasure known to the individual(s). The law requires that the comments be unwelcomed; therefore, it is necessary to voice your objection to the behavior. 12 The harassment should be reported the Director of Experiential Education and Vice Chair of Professional Education. Complaints will be kept confidential within the bounds of legal and contractual obligations for the college to address the harassment. The OPEE will follow University policy to address the harassment. Retaliation: Retaliation against an individual who complains of discriminatory harassment under this policy is strictly prohibited. False Accusations: Intentionally making a false accusation of harassment is also prohibited and subject to full sanctions, including termination of affiliation or program dismissal. Drugs and Alcohol Policy Any student who appears to be under the influence or impaired (i.e., a risk to patient safety), will be dismissed, immediately. The preceptor will notify the OPEE as soon as possible. Students impaired due to the use of illicit substances will receive a failing grade for the rotation. If the impairment is due to a prescribed, authorized substance, then the rotational responsibilities may be re-evaluated or rescheduled. Urine drug screens are now required prior to admission and in the spring semester of the first (P1), second (P2), and third (P3) professional year. These scheduled drug screens are reviewed by the Associate Dean of Student Affairs. Any positive test results are reviewed by committee. Positive urine drug screens may result in the inability to conduct scheduled pharmacy practice experiences, possible delay in graduation and/or other consequences as deemed appropriate by administration. Students during the fourth (P4) professional year may be required to conduct additional urine drug screens as deemed necessary by clinical training sites. Additional testing may be at the expense of the student. Students should upload results of their urine drug screen into their MagnusTM account and should maintain ready access to their results in the event that clinical training sites request a copy prior to or during their practice experience. Immunization Requirements, Infectious Control, and Exposure (Incident Reporting) Policy Immunizations: During CPHS experiential training, students will be involved in direct patient care; therefore, potentially at risk for exposure to infectious materials and patients. Students 13 must provide proof of the following-immunizations/immunity as well as maintain (update in a timely fashion) immunizations as required. Immunization Requirements All titers must be recorded with a numerical value; +/- will not suffice. Tetanus-diphtheria-pertussis: Td booster within the past 10 years: Must have a one-time dose of Tdap or Td booster, unless contraindicated. Polio: Complete IPV or OPV series. MMR: Two doses or laboratory evidence of immunity to each of the three diseases. Hepatitis A: Two-vaccination series required before the end of the first professional year, students must provide documentation of the second dose. Hepatitis B: Students must show documentation of a three-dose series. Students should have all 3 doses prior to being admitted. Varicella (chicken pox): Students must either receive the two-series Varicella vaccination or prove immunity to the Varicella virus by a positive (+) blood titer from the lab. Documentation of “chicken pox” in your medical record is NOT sufficient. Tuberculin (PPD) skin test: Annually (some rotations sites require a 2-step PPD the College of Pharmacy & Health Sciences will let the student know if this applies.) If the TB skin test is positive a chest X-ray is required. Influenza: Annual flu vaccine is required. Personal Illness Students presenting with signs or symptoms of infectious or communicable diseases have a duty not to spread illness to others. Students should consult their preceptor, clinical supervisor or the infection control office at the clinical site about the advisability of working with patients and when it is safe to return to patient care. Standard Precautions The Center for Disease Control (CDC) has developed precautions to prevent accidental spread of infectious diseases to both students and patients. The most recent guidelines can be found at: http://www.cdc.gov/hicpac/pdf/isolation/Isolation2007.pdf. Hand washing, with soap and/or antiseptic gel, is paramount. The use of gloves, masks, and gowns may also provide additional protection. Needle sticks can be avoided. Student pharmacists are reminded of the following: Avoid recapping used needles. Use self- capping safety needles if available. Avoid removing used needles from disposable syringes. 14 Avoid bending, breaking or manipulating used needles by hand. Place used sharps in puncture-resistant containers. Avoid putting fingers into sharp containers. INCIDENT REPORTING: Body Fluid & Needle Stick Policy & Procedure Incidents involving needle sticks and exposure to body fluids or potential bloodborne pathogens require immediate action to protect a student’s health and safety. If a student sustains a needle stick or is exposed to infectious materials s/he should: 1. Immediately wash exposure site thoroughly with soap and water (or water only for mucous membranes). a. Wash needle stick and cuts with soap and water. b. Flush the nose, mouth or skin with water. c. Irrigate eyes with clean water, saline or sterile irrigants. 2. Notify the preceptor/clinical supervisor at the rotation site for assistance. a. For pharmacy students the preceptor should notify the Office of Pharmacy Experiential Education (800) 760-9697 (Jean White x1709/email: [email protected] or Paige Brown 910-8145611/email: [email protected] or Tina Thornhill 910-8931402/email: [email protected]) as soon as reasonably possible to begin the process of filing an incident report. 3. Seek immediate care for necessary lab work and post-exposure prophylaxis. a. In the event that the rotation site has an existing exposure policy, the student should comply with the site’s policy. b. If the rotation site is not able to assist the student, the student should seek care at the nearest available facility to provide appropriate care (initial lab work for HIV, HBV,HCV and risk assessment to determine the need for chemoprophylaxis, etc.) or students can be seen at Campbell University Student Health Service (910-893-1516). 4. The preceptor or appropriate institutional representative should obtain consent from the source patient for appropriate laboratory testing (i.e. HIV, HBV, and HCV status). a. Students should receive post-exposure prophylaxis within hours of the exposure rather than days, per CDC recommendations, if the status of the source patient is deemed high risk or if there is uncertainty of the source patient’s status. 5. Some clinical sites will provide post-exposure care to students at no charge. When this is not the case, needle sticks, and other exposure are covered under 15 the Campbell University Student Accident Insurance Policy. Accidental infectious exposure MUST be reported as directed in this policy. a. Go to www.studentinsurance.com. In the “Find Your Institution” search box, select your state - North Carolina and then select Campbell University. b. Press Click Here under Account Login and type in your email address and password to log into your account. If an account has never been set up you can select Set up new account, and if you have forgotten your password select Reset Your Password. If you need assistance, call 1-888-722-1668. c. Once in your online account select Claims at the top and Accident Form. d. Complete the accident claim form, click submit at the bottom of the page. 6. The student is required to file any personal insurance as primary coverage; the accident policy covers the co-pay. There should be NO out-of-pocket expense for the student. 7. Although, the preceptor or clinical supervisor may have contacted CPHS as indicated above, the student must also contact the OPEE as soon as reasonably possible but within a minimum of 72 hours of the exposure to finalize the incident report. a. The incident report shall contain: The date and time of exposure Clinical site, location and unit information Details of how the exposure occurred Details of the type and severity of the exposure Details about the source patient (i.e. post-exposure management, previous vaccinations, current HIV, HBV, HCV status) b. The OPEE will provide a copy of the incident report to Student Health Services. This will alert the Student Health office in the event that an accident insurance claim needs to be filed. c. In the event that an incident report was filed at the rotation site, a copy of this must be sent the OPEE to be maintained in the student’s file. 8. In the event of an exposure, The National Clinician’s Post Exposure Prophylaxis Hotline: (888) 448-4911 is available 24 hours per day, 7 days per week to provide guidance in managing exposures. Other Incidents Incidents not involving fingersticks or exposure to body fluids or potential bloodborne pathogens should also be reported. Students should notify the preceptor/clinical supervisor at the rotation site for assistance. Additionally, the preceptor should notify the OPEE at (800) 760-9697 (Jean White x1709/email: [email protected] or Paige Brown 16 910-814-5611/email: [email protected] or Tina Thornhill 910-893-1402/email: [email protected]) as soon as reasonably possible to begin the process of filing an incident report. The student should seek immediate care for necessary medical care. In the event that the rotation site has an existing incident policy, the student should comply with the site’s policy. If the rotation site is not able to assist the student, the student should seek care the nearest available facility to provide appropriate care or students can be seen at Campbell University Student Health Service (910-893-1516). Although, the preceptor or clinical supervisor may have contacted CPHS as indicated above, the student must also contact the OPEE as soon as reasonably possible but within a minimum of 72 hours of the exposure to finalize the incident report. The incident report shall contain: The date and time of the incident Clinical site, location and unit information Details of the incident Details of the type and severity of the incident Details about follow-up medical care The OPEE will provide a copy of the incident report to Student Health Services.In the event that an incident report was filed at the rotation site, a copy of this must be sent the OPEE to be maintained in the student’s file. CPR Certification Cardiopulmonary resuscitation (CPR) is a core competency for healthcare providers. Student pharmacists must provide evidence of healthcare provider CPR training throughout their time at the College of Pharmacy & Health Sciences. Proof of training should be uploaded into the student’s account via the Magnus system. Students who fail to meet this requirement will not be allowed to participate in IPPEs or APPEs. Required Annual Training: OSHA and HIPAA The CPHS requires all students that have contact with patients view the OSHA Bloodborne Pathogens (BBP) training video. Copies of student training records are maintained and proof of training should be uploaded into each student’s Magnus account. 17 Students are also required to complete annual training for patient confidentiality and the Health Insurance Portability and Accountability Act (HIPAA). Proof of training should be uploaded into each student’s Magnus account. Students who fail to meet either requirement will not be allowed to participate in IPPEs or APPEs. Competency Checklist Completion Policy The purpose of the competency checklist is to ensure exposure of select performance competencies by the end of the P-4 year. These competencies are to be achieved in the 4th professional year during the following required rotations: Advanced Community (PHAR604), Ambulatory Care (PHAR605), Geriatrics (PHAR606), and Internal Medicine (PHAR607/08). Specific competencies have been assigned to each of these required rotations. Faculty and preceptors for these rotations have incorporated activities, assignments and experiences to enable the student pharmacist to achieve competency. The competency checklist process will be explained to rising P4 students during P4 Rotation Orientation in the spring semester of the P3 year. The OPEE will periodically send reminders regarding the Competency Checklist Completion Policy to students during their P4 year. However, it is the student’s responsibility to complete the identified competencies for each required rotation. The checklists to rate competency levels can be found in RxOutcomeTM. There is a competency library for each of the required rotations as noted above. Students, faculty and eligible preceptors have access to these competency libraries. Students who do not achieve one or more of the assigned competencies for a specific rotation will receive an incomplete (IC) for the rotation. The student in such situation must continue to communicate with the course preceptor to devise a plan for obtaining competency. Once the student has been deemed competent for all assigned competencies, then the IC will be replaced with the earned grade for the course/rotation in question. Students on schedule for a May Graduation: All students must have an ACHIEVED (ACH) for each competency by April 25th in order to be eligible for May graduation. Failure to do so will result in an incomplete (IC) for the course(s) attached to the specific “unachieved” competencies, making the student ineligible for graduation in May. In the case of an IC grade, upon completion of all competencies by July 25th, the IC will be removed and the student will then be eligible for August graduation. Students on schedule for an August Graduation: All students must have an ACHIEVED (ACH) for each competency by July 25th in order to be eligible for August graduation. Failure to do so will result in an incomplete (IC) for the 18 course(s) attached to the specific “unachieved” competencies, making the student ineligible for graduation. In the case of an IC grade, upon completion of all competencies by November 25th, the IC grade will be removed and the student will then be eligible for December graduation. Students on schedule for a December Graduation: All students must have an ACHIEVED (ACH) for each competency by November 25th in order to be eligible for December graduation. Failure to do so will result in an incomplete (IC) for the course(s) attached to the specific “unachieved” competencies, making the student ineligible for graduation. In the case of an IC grade, upon completion of all competencies by April 25th, the IC grade will be removed and the student will then be eligible for May graduation. Self-Assessment of Competencies Each P4 student is required to complete a self-assessment of his/her competency level in RxOutcomeTM at baseline, mid-point and endpoint. During orientation in the spring semester of the P3 year, students will be instructed on how to complete their baseline assessment. During the fall of the P4 year, students will receive an email message from the OPEE requesting their mid-point, self-assessment of competencies. A final email will be sent to the P4 students in late April requesting an end-point, self-assessment of competencies. Students not in compliance with these self-rating requests are subject to a delayed rotation start or withdrawal from a current rotation. Delayed Graduation Policy If a student pharmacist is required to re-take courses in the curriculum as a result of specific course failure or a deficiency in overall academic performance, then a delay in scheduling Advanced Pharmacy Practice Experiences (APPEs) will occur and the student’s graduation will be delayed. Voluntary course withdrawals or temporary leaves of absence will also cause a delay in scheduling APPEs and a delay in graduation. Any alteration in the normal curriculum progression may affect a student’s financial aid status or qualification for education-based financial aid. Specific counseling and advice should be sought from the College’s Office of Student Affairs and the University’s Office of Financial Aid for a particular situation. FOR EXAMPLE: a) If a student is forced to withdraw from any or all courses in the fall semester, then he or she usually will return to a delayed schedule in fall of the next year (delaying graduation by one year). To prevent entering financial aid repayment, or “grace period”, a student may be able to register for six credits (half-time) of elective or required courses in the spring semester. Specific approval of this modified course 19 plan must be obtained from the College’s Office of Academic Affairs and the University’s Office of Financial Aid. b) A single course in each semester of the P2 year may be repeated simultaneously with full-time registration as a P3 student or a student may receive remediation during the summer term. Approval must be obtained from the College’s Office of Academic Affairs and/or the Academic Performance and Standards Committee (APSC). A need to repeat two or more courses in either semester of the P2 year will prevent enrollment in any P3 courses simultaneously. Progression to the P3 year will be delayed and graduation will be delayed by one year. Counseling with respect to financial aid considerations must be obtained. c) If a student earns less than a C-grade in any single P3 course in the fall semester, he/she may be permitted to continue enrollment in P3 courses in the spring semester (subject to successful completion of required pre-requisites). However, no student can complete any P4 APPE until he/she has successfully completed all P1, P2, and P3 courses, including Introductory Pharmacy Practice Experiences (IPPEs), and the Top 300 Examination (PHAR 508). Assuming that all courses are passed successfully in the P3 spring semester, a student may receive remediation during the summer term (at the recommendation of the APSC), and be eligible to begin APPEs in August, possibly qualifying for graduation in May, depending on available APPE sites. However, graduation may be delayed until August or December, depending on the availability of APPE sites and preceptors. d) If a student fails any P3 course(s) in the spring semester, he/she will be prevented from starting his/her APPEs until he/she has successfully repeated the course(s) in summer remediation or the following spring. After the student has successfully completed the required course(s), he/she may begin his/her APPEs no earlier than August (for summer remediation) or immediately upon completion of a full course repeat during the spring semester. APPE start dates are subject to preceptor and site availability. If a student begins these Experiences in March, he/she may be able to graduate in December. If the student begins these Experiences in May, he/she cannot graduate until the following May (one year later). If a student fails any P3 course, any APPE schedule in place at that time will be entirely cancelled and rescheduling of all APPEs will be necessary (without exception). e) If a student fails one or more courses or Pharmacy Practice Experiences (IPPE or APPE), it may be necessary to delay his/her graduation due to limited course offerings or unavailability of appropriate training sites. It currently is not possible for a student to complete a pharmacy practice experience during the months of May, August, or December and also graduate during that month due to University graduation certification requirements. 20 E-Professionalism As healthcare professionals, student pharmacists have an obligation to be aware of perceptions and use of social media. Violations of legal statuses (HIPAA, etc.) and Campbell University, CPHS, or site policies (Professionalism, Harassment, etc.) may result in referral to the Student Conduct and Professionalism Committee. The CPHS or OPEE does not actively monitor student on-line activity; however, unprofessional conduct/issues can be and have been reported via multiple mechanisms. Student & Preceptor Evaluation Policy Student Evaluation Preceptors are encouraged to provide feedback regarding a student’s performance throughout the duration of a rotation. Preceptors must provide a mid-point evaluation (written and submitted via RXpreceptorTM) and review their assessment of the student’s performance with the student. For students who exhibit significant deficits and may be in jeopardy of not successfully completing the rotation, the preceptor should notify the Director of Experiential Education as soon as possible. Preceptors must complete a written evaluation of the student’s performance at the end of the rotation. The final evaluation must be completed and submitted via RXpreceptorTM. The final evaluation should be reviewed and discussed directly with the student on the last day of the rotation. In the event that the final evaluation cannot be submitted electronically on the last day of the rotation, final evaluations must be submitted within three (3) business days following completion of the rotation. Preceptor/Site Evaluation Students must complete a preceptor and site evaluation for each of their rotations. Students must complete the evaluation within 3 business days of completing their rotation. Failure to complete an evaluation will result in an “Incomplete” grade submitted to the registrar’s office. The preceptor/site evaluation must be completed online and submitted via RXpreceptorTM. Preceptor Viewing of Preceptor/Site Evaluations Students are encouraged to provide constructive and detailed feedback for their preceptor/site evaluations. Preceptors must not ask for students to complete the preceptor/site evaluation prior to going over the student’s final evaluation. Preceptors must not ask the student to see the preceptor/site evaluation. The only reference that preceptors may make regarding the preceptor/site evaluation is at the very end of the rotation, as the student is leaving the site; the preceptor may remind the student to complete their evaluation within three (3) business days. RXpreceptorTM has an administrative feature that enables the college to block viewing of preceptor/site evaluations by the preceptor. The college will periodically enable this viewing and will message preceptors to indicate when they may view their evaluations. This viewing will be enabled in a manner that helps maintain the purpose and integrity of the evaluation process. The OPEE reviews preceptor evaluations monthly and may use this tool to discuss various aspects of a rotation with the preceptor. 21 Cheating and Plagiarism Policy While it is often necessary to obtain information from other sources in clinical practice situations, the willful or inadvertent use of information from another source without acknowledging it (including all types of commercial term paper preparation services, internet sources for term papers, journal clubs, or case presentations, faculty lecture slides, and other students’ work) is considered plagiarism. Plagiarism is a violation of Campbell’s Student Code of Honor. Ignorance is NOT an excuse. The Student Handbook defines plagiarism as “…using the words or ideas of another source directly without proper acknowledgement of that source.” Examples of plagiarism include, but are not limited to, the following: When using wording verbatim from another source, use of a whole sentence or more from a source without noting it as a quote (i.e., placing it in quotations and providing the source) will be considered plagiarism. The use of original ideas or information from another source without acknowledging where the idea(s) came from (e.g. referencing or footnoting) will be considered plagiarism. Submitting a written assignment (paper, journal club, clinical case, or any other assignment) that has been copied, in part or entirety, from another source/student without prior expressed permission from the instructor to submit joint work will be considered plagiarism. On rotations, students are expected to generate original work that is timely and accurate. Re-submitting work previously produced for other rotation sites/preceptors without expressed prior permission from the instructor will be considered plagiarism. Plagiarism also includes the unattributed use of any portion of a computer program, web page, or data file. The student bears the responsibility to learn from the individual instructor the procedure for acknowledging sources as required for each assignment. Any student caught plagiarizing work will at a minimum receive a grade of “0” for that assignment, plus he/she is subject to receiving a failing grade for the rotation (which may or may not delay graduation) and will be referred to the Student Conduct and Professionalism Committee for consideration of additional appropriate actions. Housing and Transportation Policy Housing during rotations is not provided by the CPHS. Students should plan well in advance where they will live during these off-campus experiences. Students assigned to conduct “out-of-zone” rotations in Wilson and Greenville, NC may request assistance in locating shared-housing with the North Carolina network of Area Health Education Centers (AHEC). Often, housing at reduced cost (and possibly no cost) is available. However, this is not guaranteed since the housing is also used by other health care professional schools in 22 the state. Limited, free housing is also available for students assigned to advanced rotations with Southeastern Regional Medical Center in Lumberton, NC. To inquire about these housing opportunities, contact Ms. Jean White in the OPEE (910-893-1709 or [email protected]) on campus. Transportation to practice experience sites is the responsibility of the student. Whenever possible, attempts are made to assign students to rotations within a specific geographic zone. However, this is not always possible. Please understand that traveling an hour (and sometimes longer) one-way is considered "commutable distance" for rotations. Some sites, especially larger teaching hospitals, have limited parking available for students. Students should inquire with their preceptor on parking availability and policies. Keep in mind some sites may require the student to pay for parking. Transportation costs, including parking, are the student’s responsibility. Students should comply with all parking rules at their assigned rotation sites. Employment and Other Coursework While Conducting Practice Experiences Policy Students may not accept or receive remuneration, either directly or indirectly, for participation in the professional experience program. Preceptors should not attempt to compensate students for time spent on rotations. Students should also understand that rotations are a full-time commitment. This means that a full eight-hour day (often times longer), five days per week is expected. In most cases, students should expect that often they will have to complete work (such as working on special assignments, looking up information, preparing for patient case presentations, etc.) after they get home from the rotation site in the evening. Students are discouraged from taking other coursework during rotations. Leaving a rotation site for class or for other work (such as evening or weekend employment) is not an excused absence. Additionally, some rotation sites may require hours outside of the traditional working hours. Sites that have regular nontraditional hours will be identified in RXpreceptorTM. Criminal Background Check Policy Campbell University College of Pharmacy & Health Sciences requires and will contract for the performance of criminal background checks of all students enrolled in the Doctor of Pharmacy program, as well as those students enrolled in the Clinical Research program and the Pharmaceutical Sciences program who will be participating in activities at various sites or organizations. This policy was developed in response to requirements in the professional practice environment stating that facilities providing care to patients must minimize the risk to patients that may be presented by persons with prior criminal activity. 23 A copy of the student’s criminal background check may be provided to a CPHS rotation site that is participating in the academic training of that student pharmacist. The health care facility or internship site will make a determination whether the student may participate in that setting. The site has the right to refuse to allow the student to complete a rotation at the respective site. Certain offenses may result in the student not being able to be placed at practice sites. In such cases, the student may not be able to meet the requirements for graduation. Applicants to the Doctor of Pharmacy program and the Master’s programs will be notified of the background check requirement as part of the application process. A copy of the Policy will be sent to them if they are offered an interview for acceptance into the Program. The policy will also be available upon request and published in the Campbell University, College of Pharmacy & Health Sciences Bulletin. A background check will be performed on each student entering the doctor of pharmacy program and during the spring semester of the first (P1), second (P2) and third (P3) professional years. Additional background checks may be required and conducted at additional time points throughout the students APPE year, as needed. This background check will be reviewed by the admissions or student affairs office. Any non-disclosure of events reported in the background report could be grounds to rescind admission to the CPHS program. Student fees will cover the cost of the background check. Students who are not willing to allow the release of the required personal information may not be able to be placed at an affiliated pharmacy site, and thus cannot meet the requirements for graduation. An outside vendor will perform background checks based on information provided by each student. Students should maintain ready access to their background check in the event that a site asks to see proof of clearance for training. Electronic Portfolio Policy All students are required to create and maintain an electronic portfolio. RxPortfolioTM accounts are made available to students in their P1 year. An orientation is held to assist P1 students in creating their portfolio and in learning how to navigate the various sections of the portfolio. P2, P3 and P4 students are required to update their portfolios and maintain current information. Students are instructed to place reminders in their calendars to update their portfolios at least quarterly. Preceptors and faculty who are scheduled to conduct rotations for individual students have access to view their assigned students’ portfolios. The Office of Pharmacy Experiential Education periodically conducts quality assurance checks on student portfolios. Students found to not be in compliance with this policy are subject to not being able to participate in lottery selections for rotations, withheld from conducting rotations, or dismissed from a current rotation. 24 Technical Standards Policy Technical Standards for Admission & Matriculation in the Campbell University College of Pharmacy & Health Sciences (CPHS) Doctor of Pharmacy Program American Council on Pharmaceutical Education (ACPE) is the accrediting body for colleges and schools of pharmacy. ACPE requires that Doctor of Pharmacy curricula meet standards and guidelines which emphasize a strong scientific foundation and practice-based competency. The pharmacy curriculum is designed to develop caring and competent pharmacists, practitioners who assume responsibility for safe and effective medication use in patients. The pharmacy curriculum is also designed to produce pharmacists who are collaborative partners in the care of patients within an interdisciplinary health care system. Technical Standards refer to nonacademic admissions and matriculation criteria that are essential to participation in the Doctor of Pharmacy program. All students must possess the intellectual, ethical, physical, and emotional capabilities required to undertake the full curriculum and to achieve the levels of competence required by the faculty. The technical standards described below are essential functions and therefore prerequisites for entrance, continuation, promotion, and graduation from the Doctor of Pharmacy program. Candidates for admission to and graduation from the Campbell University College of Pharmacy & Health Sciences Doctor of Pharmacy Program must possess the following abilities: 1. Observation The candidate/student-pharmacist must be able to observe required lectures, demonstrations and experiments, including but not limited to microscopic studies, pharmaceutical lab instruction (technical quality of prepared and compounded materials), and patient care demonstrations (physical observation and physical assessment). A candidate/student-pharmacist must be able to observe a patient accurately at a distance and close at hand, noting non-verbal and verbal signals. Observation necessitates functional use of vision, hearing and somatic senses. The candidate/student-pharmacist must be capable of remaining alert and attentive at all times in the clinical setting. 2. Communication A candidate/student-pharmacist must be able to effectively speak, read and write in English. Visual and auditory senses must be intact to detect verbal and nonverbal communication signals. A candidate/student-pharmacist must be able to elicit information from and communicate effectively and sensitively with patients. The candidate must be able to communicate effectively and efficiently in oral and written form with all members of the health care team. 25 3. Motor Abilities A candidate/student-pharmacist must have sufficient motor function to carry out the basic laboratory experiments and physical assessment. The candidate/studentpharmacist must be able to carry out duties within the classroom, laboratory, pharmacy and clinic settings. Motor function must be sufficient to perform fundamental patient care, such as required for disease prevention, drug therapy monitoring and basic physical assessment (eg. blood pressure assessment, palpation for edema, injection of vaccines, etc.). Motor function must also be sufficient to perform drug distribution duties in both a community and hospital pharmacy setting. The ability to stand and/or maneuver in small spaces as well as multi-level (steps) environments must be intact. Candidates/student-pharmacists must have the ability to maintain aseptic technique in the preparation of sterile materials. This will require the ability to work under a laminar flow hood and in sterile rooms. A candidate/student pharmacist must be able to safely and effectively operate various types of laboratory and patient care equipment such as weights and balance, a glucose meter, stethoscope and sphygmomanometer. The candidate/studentpharmacist must be able to execute motor movements reasonably required to provide general care and emergency treatment to patients (eg. student-pharmacists are required to be certified in cardiopulmonary resuscitation). These motor actions require coordination of both gross and fine muscular movements, equilibrium and functional use of the senses of touch, vision, and hearing. 4. Intellectual, Conceptual, Integrative, and Quantitative Problem solving, the critical skill demanded of pharmacists, requires that a candidate/student-pharmacist be able to learn, retrieve, analyze, sequence, organize, synthesize and integrate information efficiently, and reason effectively. In addition a candidate/student-pharmacist should possess the ability to measure and calculate accurately, to perceive three-dimensional relationships and to understand the spatial relationships of structures. 5. Behavioral and Social Attributes A candidate must possess the emotional health required for full utilization of his/her intellectual abilities, the exercise of good judgment, the prompt completion of all responsibilities attendant to the diagnosis and care of patients, and the development of mature, sensitive and effective relationships with patients and their family members, staff, and colleagues. Each candidate must be able to work effectively as a member of a health-care team. Candidates must be able to tolerate physically taxing workloads and to function effectively under stress. They must be able to adapt to changing environments, to display flexibility and to learn to function in the face of uncertainties inherent in the clinical problems of many patients. Compassion, integrity, concern for others, interpersonal skills, collegiality, interest, 26 and motivation are all personal qualities that are assessed during the admission and education processes. If you feel you are unable to meet these technical standards, you are encouraged prior to applying to discuss your disability with the Associate Dean of Admissions in order to determine whether or not reasonable accommodations can be made. Candidates pursuing the academic program who lack the ability to appropriately comply with these standards and who do not seek accommodations may place themselves in academic jeopardy. Campbell University is committed to enabling its students by any reasonable means or accommodations to complete the course of study leading to the Doctor of Pharmacy degree. The use of an intermediary, a person trained to perform essential skills on behalf of the student, is not permitted. Accepted students with a disability who believe they may require special accommodations should contact the Director of Student Support Services immediately upon accepting the offer of admissions. Before matriculation, accepted students must attest in writing that they are able to meet the program's technical standards. The above technical standards mirror our current CU PA program technical standards and were modified based on language incorporated from the Technical Standards documents of University of Mississippi, University of Iowa and Kentucky University schools of pharmacy. Accessing Electronic Resources from Off-Campus Students may access electronic resources via the Campbell University library website (http://www.lib.campbell.edu/). Students must use their WebAccess login and password to access the specific databases and journals. Many of the resources available while on campus are available via this website. Examples of available resources include the following: Micromedex, Facts and Comparisons, Lexi-Comp, Clinical Pharmacology, AccessPharmacy, AccessMedicine, PubMed, UpToDate, Natural Standard, and the AMA Manual of Style. Students will also have access to many online journals. Students and preceptors can submit an electronic request form to the Campbell University Drug Information Center via the following website: http://www.campbell.edu/cphs/centers-and-programs/drug-information-center/. Preceptors may contact the Drug Information Center at 1-800-327-5467 in NC or 1-800760-9697 Ext 2701 nationwide, or via http://www.campbell.edu/cphs/centers-andprograms/drug-information-center/ 27 Preceptor and Faculty Awards Fourth year students completing APPEs nominate preceptors each year for Preceptor of the Year Awards. Students have the opportunity to vote for faculty preceptors and non-faculty preceptors. A Preceptor of the Year Award is presented to a non-faculty preceptor for both Community and Hospital Pharmacy. This award is presented annually at the North Carolina Association of Pharmacists annual meeting. A Preceptor of the Year Award is presented to two faculty members each May prior to graduation. Students vote anonymously at the conclusion of all APPE rotations for one preceptor in the East Region and one preceptor in the West Region. Advisory Committee The Experiential Programs Advisory Committee (EPAC) was formed in 2007 to ensure that the College of Pharmacy’s experiential programs continually satisfy or surpass ACPE standards and guidelines, CAPE outcomes, and the CPHS’s strategic plan. EPAC members represent a broad spectrum of pharmacy practitioners from within the College of Pharmacy as well as the state of North Carolina. Committee appointment comes from the Dean’s office with input from the Department Chairperson and OPEE. The committee meets quarterly to discuss issues of importance to the OPEE, including faculty appointments of preceptors and quality assurance measures for experiential learning. 28 PRECEPTOR RESOURCES CE Credit for Precepting Preceptors are eligible to receive continuing education (CE) credit for precepting students. This credit is not ACPE approved, but is approved by the NC Board of Pharmacy. The NC Board of Pharmacy allows a preceptor to claim 5 contact hours of CE to a preceptor who instructs a student for at least 160 hours (1 month). To receive this credit, the preceptor must be the primary preceptor of record and have significant input and interaction with the student. A maximum of 5 hours of CE may be awarded per year. FERPA FERPA (Family Educational Rights and Privacy Act) is the equivalent of HIPAA for students. Student privacy is important, as is student development. Preceptors should not share student performance information with future or past preceptors. If a preceptor would like to discuss a previous, current, or future student, each preceptor should contact the OPEE. If necessary, the Director of Experiential Education or Vice Chair of Professional Education may then share specific information with a future preceptor. Only information that is necessary for continuous development and growth of a student will be shared. Preceptor Criteria Campbell University is grateful for and indebted to the many caring and talented pharmacists who precept our students in the workplace. Preceptors, both faculty and nonfaculty, play an integral and critical role in the training and preparation of our professionready graduates. New preceptor paperwork is available through the OPEE. We utilize CORE/ELMS RxPreceptor for the management of our experiential student training and to assist with scheduling and assessment. Benefits to being a CPHS Pharmacy Preceptor include: Five hours of contact continuing education credits each year from the NC Board of Pharmacy Access to the Pharmacist’s Letter’s Preceptor Training & Resource Network Access to the College of Pharmacy’s Drug Information Service Preceptor development training Reduced registration fee to select Campbell University CE programs 29 It is our goal to acquire and maintain positive relationships with student preceptors. We value their commitment, their time, and expertise in the training our student pharmacists. Requirements Preceptors provide practical experience and training for students within their specific practice environment. Anyone interested in applying to become a preceptor should contact the Director of Experiential Education or Vice Chairman of Professional Education. Individual professionals are approved as preceptors by the Director of Experiential Education and/or Vice Chairman of Professional Education. Individuals seeking to become a preceptor or who currently serve as a preceptor for the Department of Pharmacy Practice must meet the following criteria: Licensed and in good standing with their state licensure board. The individual's record should be free of violations resulting in state board sanctions. Where subject to state board licensure, the facility in which the individual practices should also be in good standing with the licensure board. Agrees to utilize clinical and scientific publications in clinical care decision making and evidence-based practice, where appropriate. Agrees to serve as a professional resource and a positive, ethical role model. Agrees to have an aptitude to facilitate learning of student pharmacists. Agrees to offer rotation experience in accordance with the outlined goals and objectives as specified by CU’s College of Pharmacy & Health Sciences. Agrees to focus rotation experiences to help meet students’ needs and interests. Agrees to provide a complete and timely evaluation for students. Agrees to complete and maintain preceptor training requirements as recommended by CPHS. Adjunct Faculty Appointment Preceptors are encouraged to apply for adjunct faculty appointment through the CPHS. The level of appointments can be either Adjunct Assistant Professor, Adjunct Associate Professor, or Adjunct Professor. The following information serves to establish standardized criteria for designating and maintaining academic appointments for nonsalaried adjunct faculty. Application and Promotion Process Preceptors interested in applying for an academic appointment must submit a letter of intent specifying their interest and requested rank along with an updated copy of their curriculum vitae to Dr. Paige Brown at [email protected] or Dr. Tina Thornhill at [email protected]. The letter of intent and curriculum vitae may be submitted electronically. 30 NOTE: Preceptors seeking appointment to Adjunct Professor will also need to provide a letter of support by a current Department of Pharmacy Practice faculty member in addition to the letter of intent and curriculum vitae. Applications are reviewed and voted on by the Experiential Programs Advisory Committee (EPAC). Recommendation for appointment or promotion will be forwarded to the Chairman of the Department of Pharmacy Practice who will review the recommendation and forward it to the Dean’s office for final consideration. Criteria for Faculty Appointment Adjunct Clinical Assistant Professor Has served as a preceptor for at least 2 years (may include up to 1 year of experience during residency or fellowship training) Agrees to provide annual availability for student rotations Precepts, on average, a minimum of 3 students annually. (Note that if student load falls below an average of 3 students annually, the individual may still maintain his/her appointment, as long as availability for a minimum of 3 students annually was provided.) Exception to student load will be considered if the candidate provides > 2 hours of didactic teaching within the curriculum or coordinates an elective course. Demonstrates evidence of effective teaching and student interaction Demonstrates commitment to the profession by holding membership in at least one national professional organization and their state association Adjunct Clinical Associate Professor Has provided experiential training for students for at least 5 years (may include up to 1 year of experience during residency or fellowship training) Demonstrates leadership and contributes to the professional practice and teaching beyond his/her practice site, with recognition by peers at the local or state level Demonstrates further commitment to the College's teaching mission by engaging in one or more of the following: 1. Serves on a College of Pharmacy & Health Sciences committee or task force 2. Participates in student recruitment and/or admissions interviews 3. Publishes articles, performs formal research, or participates in other scholarly endeavors 4. Precepts, on average, 5 or more students annually Adjunct Clinical Professor Meets all Adjunct Associate Professor criteria PLUS Demonstrates leadership and contributions to the profession recognizable at the state and/or national level, including contributions to peer-reviewed literature 31 Duration of Appointments All adjunct faculty appointments are awarded for a 3-year term. Re-Appointments Adjunct faculty appointments will be tracked by the Office of Pharmacy Experiential Education. Individual appointees will be notified approximately three months prior to the expiration date of their appointment. These individuals will be required to submit a notice stating they are interested in continuing their appointment and attach a copy of their current curriculum vitae. The EPAC will review the appointee's status based on the criteria. The Director of Experiential Education will send notice to the Department of Pharmacy Practice Chair and Dean that reappointment should be granted for another three years. If the EPAC finds the appointee's status no longer meets the criteria for their current appointment, the Experiential Education Office will notify the appointee and discuss areas that need to be addressed and determine a target date for addressing such items prior to reconsideration for re-appointment. Termination of Appointment Termination of appointment may be initiated by request of the adjunct faculty member or by the CPHS. Potential reasons for termination include: Failure to submit notice and curriculum vitae upon request for re-appointment Failure to adhere to appointment criteria An adjudicated violation of the rules and regulations set forth by the state licensure board A substantiated grievance lodged against the appointee by a student, colleague, or patient which jeopardizes the appointee's suitability to serve as adjunct faculty. The termination process will be reviewed by the Department Chair and final approval of termination noted by the Dean. Notification of termination will be provided to the individual by letter from the Department of Pharmacy Practice. Individuals whose appointment is terminated due to either the first or second item above may still serve as preceptors for CPHS. Practice Site Criteria Upon reviewing a potential site for either IPPE or APPE rotations, the site must meet the following criteria: All practices must meet appropriate standards set by government agencies. The site shall not be under review or have non-corrected violations of state or federal laws. 32 Practice sites must be clean, organized and reflect a safe and professional environment. Student practice areas must be smoke-free. Sufficient access to reference resources must be available. Administration for the site must be supportive of student-learning. Student pharmacists must have access to patient information for applicable experiences. Sites must maintain adequate staffing to enable the student to have a meaningful educational experience. Sites must maintain adequate staffing to allow the preceptor or assigned designee to have daily contact with the student pharmacist. Student pharmacists must be permitted to perform pharmacist duties under supervision. Patient care practice sites should serve a diverse patient population, where appropriate. Pharmacy Licensure Verification Policy Pharmacist preceptors should include their pharmacy license information in the original preceptor paperwork. Alternatively, preceptors may enter this information directly into RXpreceptorTM. Preceptors are required to be in good standing with a state board of pharmacy. For NC preceptors, the information will be verified by the OPEE via the NC Board of Pharmacy website. The OPEE staff will also monitor the NC Board of Pharmacy newsletters. The OPEE will determine an appropriate course of action on a case by case basis. License information will also be entered and reviewed for preceptors outside of NC. Preceptor Training and Development Preceptor Training All NC preceptors are required to complete a minimum of 2 hours of preceptor training every 2 years; this may or may not be ACPE accredited. Campbell University CPHS provides this opportunity via multiple venues – including training available free of charge through the Pharmacist’s Letter. Pharmacist's Letter Campbell University College of Pharmacy & Health Sciences has made special arrangements to provide you with Preceptor Training & Resource Network from Pharmacist's Letter. Access to Preceptor Training & Resource Network includes: 1. Access to Campbell University College of Pharmacy & Health Sciences' preceptor requirements, preceptor application forms, school-specific training modules, etc. 2. Preceptor CE (home-study courses and live webinars) 3. Sample student syllabi, activities, assignments, and schedules 4. Orientation, grading, and evaluation tools 5. Targeted professionalism, patient safety, and practice-based teaching resources 6. Pharmacist Letter Journal Club (APPE teaching tools) 33 7. Pharmacy 101 (IPPE teaching tools) 8. End-of-rotation exams 9. Preceptors Interact preceptor discussion board How to set up your access: If you already have access to Pharmacist's Letter, it's important that you follow the link below to login. This will ensure that you get Preceptor Training CE and other tools included in Preceptor Training & Resource Network added to your subscription. If you don't have access to Pharmacist's Letter, you need to set up a Campbell University College of Pharmacy & Health Sciences Preceptor CE ID #. Your CE ID # will be automatically created and you'll be able to use it from any Internet-connected computer to access Preceptor Training & Resource Network. Contact Darcy Meade, Pharmacist's Letter (209) 472-2240 [email protected] 34 Sample IPPE Rotation Calendar Introduction to Community Pharmacy MONDAY TUESDAY WEDNESDAY Orientation Technician Shadow THURSDAY Cold/Allergy OTC review Prescription Filling Prescription Filling Technician shadow 1 FRIDAY 2 3 Review competencies Filling Prescriptions 4 GI OTC review Prescription input 3rd party review Prescription input 3rd party review Inventory control 7 Herbal OTC review Inventory control 8 OTC Pain medication review 9 Pain, woundcare, burns OTC review MIDPOINT EVALUATION Filling Prescriptions Filling Prescriptions 14 15 16 Controlled Medication Inventory Review Brand/Generic Review Filling Prescriptions 21 Patient Counseling Review Filling Prescriptions Filling Prescriptions 22 23 Conduct patient interview Review competencies Filling completed Prescriptions Filling Prescriptions 28 29 Filling Prescriptions 10 Vitamin Supplement Review Review completed competencies Filling Prescriptions 11 Filling Prescriptions 17 Review competencies completed Filling Prescriptions 18 Budget Considerations Filling Prescriptions 24 Review competencies completed Filling Prescriptions 25 FINAL EVALUATION 30 35 Introduction to Hospital Pharmacy MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY 1 2 3 4 5 Orientation Dispensing Dispensing Dispensing Dispensing 8 9 10 11 12 Dispensing Pyxis/narcotics Barcoding Dispensing IVR Competency Review Journal Club 11a: discuss MUE 15 16 17 18 19 IVR ORS ORS ORS IVR Inservice MIDPOINT EVALUATION Competency Review Code Carts/797 info 22 23 24 25 26 Gen Med Gen Med Surg Surg Neonates Newsletter Article Due Med Rec Med Rec Formulary Review Due Competency Review 27 28 29 30 Cardiology NSS/63 NSS/63 FINAL EVALUATION MUE due Competency Review 36 Sample APPE Rotation Calendar Example APPE Calendar: Internal Medicine Month 1(Inpatient) Mon 3 8 - Orientation Patient Assignment Tue Wed 4 5 8 - MD Rounds 8 - MD Rounds 1- Pharmacy Rounds 1 – Topic Talk 10 8 – MD Rounds 11 8 – MD Rounds 1 - Abx Review 1 - Cases #1-AC, AD Thu Fri 6 8 – MD Rounds 7 8 – MD Rounds 3:00-JC-IM Resident 11 – Pharmacy Rounds 12 8 – MD Rounds 13 8 – MD Rounds 14 8 – MD Rounds Dr. P at CU Dr. P at CU 20 8 – MD Rounds 12-4: ED Forum 1 - Case #1-KW 17 8 – MD Rounds 18 8 – MD Rounds 19 8 – MD Rounds 2 - EBM-HF 1- JC-KW, AC Dr. P at CU-in am Midpoint Evals 24 8 – MD Rounds 25 8 – MD Rounds 3 - JC-AD 26 8 – MD Rounds 27 8 – MD Rounds 28 8 – MD Rounds 1 - Case #2-AD 1 - Case #2-KW 1 - Case #2-AC Dr.P-mtg 1-2:30 2- Evals-IM-I Change teams 21 8 – MD Rounds 1 - PP#1 3 - PP#2 37 Example APPE Calendar: Internal Medicine Month 2(Inpatient) Mon 3 Tue Wed Thu Fri 4 5 6 7 Monographs-AC, AD Dr.P mtg-2-3 Monograph-KW SQ#3 PP#3 10 11 12 13 14 EBM-CVA Case #2-KW, AC Dr. P at CU Case #2-AD PP#4 Change teams 17 18 19 20 21 EBM-DM Dr.P at CU JC-AD, AC Ed Forum-12-4 JC-KW Comp-IVtoPO 24 25 26 27 28 Final Case-AC Final Case-AD Final Case-KW Dr. P-mtg-1-2 Final Exam2-5 Last Day! Evals! Out to Lunch! 31 Dr. P at CU 38 Example APPE Calendar: Ambulatory Care Mon Tue Wed Thu Fri 1 4 9AM-PGY2 interview 11AM-ORIENTATION PM-Work-up Tuesday patients 5 AM-Anticoag clinic (Whiteheart) Meet with CVH @12pm in 016D 6 9AM-meet with Telcare rep AM-Work-up/discuss Pharm patients PM-Pharm clinic 7 AM-Work-up Pharm patients 8 AM-Pharm clinic PM-Journal club/QI project PM-Discuss Pharm patients PM-Pharm clinic (Woodis) 11 AM-Work-up patients JA and CS gone 12 AM-Anticoag clinic Meet with CVH @12pm in 016D PM-Discuss patients 13 AM-Work-up/discuss Pharm patients/QI project 14 AM-Work-up Pharm patients PM-Discuss Pharm patients PM-Pharm clinic PM-Discuss patient 15 AM-Pharm clinic PM-Journal club/QI project PM-Midpoint evals Case/topic presentation PM-Pharm clinic 18 AM-Work-up patients JA gone PM-Discuss patients 19 AM-Anticoag clinic Meet with CVH @12pm in 016D PM-Pharm clinic 25 AM-Work-up patients 26 AM-Anticoag clinic Case/topic presentation PM-Discuss patients PM-Pharm clinic 20 AM-Work-up/discuss Pharm patients; PM-Pharm clinic Present at noon conference re: QI project on heart failure 21 AM-Work-up Pharm patients 22 AM-Pharm clinic Case/topic presentation PM-Discuss Pharm patients PM-Journal club 27 AM-Work-up/discuss Pharm patients PM-Pharm clinic PM-Final evals for JA and CS 28 AM-Work-up Pharm patients PM-Discuss Pharm patients JA and CS gone Final eval for JK 39 OPEE Contacts Paige Brown, PharmD Director, Experiential Education [email protected] 910-814-5611 Jean White Program Manager, Experiential Education [email protected] 910-893-1709 Tina Thornhill, PharmD, FASCP, CGP Vice Chair of Professional Education [email protected] 910-893-1402 40
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