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APPE Manual

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APPE requirements and descriptions

The Doctor of Pharmacy (PharmD) degree program graduation requirements related to advanced pharmacy practice experience (APPE) courses are outlined below:

Students in this pathway… must take…
Pharmaceutical Care
  • 4 blocks of required APPEs, and
  • 4 blocks of APPE electives totaling 28 units, of which at least 2 are full time direct patient care (DPC) rotations
   

Required APPEs

All required APPE rotations are 6 weeks and count for 7 units.

  • CP 192 - Hospital Pharmacy Systems and Practice Experience
  • CP 193 - Community Pharmacy Systems and Practice Experience
  • CP 194 - Acute Care Experience
  • CP 195 - Ambulatory Care Experience

Students must achieve the following goals for all required APPE rotations:

  • Become an effective professional in the assigned practice setting
  • Take initiative and be responsible for learning and actively participate in a variety of activities related to patient care and/or operations of the practice site
  • Apply knowledge and skills gained from previous courses to promote safe, effective, and rational therapeutics
  • Enhance their skills in communication, problem solving, and critical analysis

Elective APPEs

All elective APPE rotations are 6 weeks and count for 7 units. Elective APPEs use one of two course numbers based upon whether or not the rotation involves direct patient care.

  • CP 190 - Elective Advanced Pharmacy Practice Experience (non DPC elective)
  • CP 191 - Direct-Patient-Care (DPC) Elective Advanced Pharmacy Practice Experience (DPC elective) The examples below are not an inclusive list and availability may change from year to year.

The examples below are not an inclusive list and availability may change from year to year.

CP 190: Examples of non-Direct Patient Care (non-DPC) electives:

  • Administration
  • Automation/Informational Technology
  • Clinical Informatics
  • Compounding (closed-door pharmacy)
  • Consulting
  • Drug Information
  • Drug Utilization/Medication Use Evaluation
  • Industry
  • Managed Care
  • Nuclear Pharmacy
  • Pharmacy Benefits Management
  • Teratogen Registry
  • Veterinary Medicine

CP 191: Examples of Direct Patient Care (DPC) APPE electives:

  • Burn unit
  • Cardiology
  • Clinical Pharmacokinetics
  • Compounding
  • Community Pharmacy
  • Critical Care
  • Emergency Medicine
  • Geriatrics
  • Hematology/oncology
  • HIV
  • Home Care
  • Hospice care
  • Infectious Diseases
  • Nephrology
  • Neurology
  • Neurosurgery
  • Nutrition
  • OB/GYN
  • Oncology
  • Pediatrics (including PICU/NICU settings)
  • Poison Control
  • Psychiatry
  • Pulmonology
  • Surgery
  • Transitional Care
  • Transplant Trauma

Note

Lists above are to serve as examples only. Different opportunities are program dependent. Pending availability, required APPEs may be taken as an elective APPE.

Students must achieve the following goals for all elective APPE rotations:

  • Become an effective member within the practice setting
  • Take initiative and be responsible for learning and actively participate in a variety of activities within the practice setting
  • Apply knowledge and skills gained from previous courses to the practice setting
  • Enhance their skills in communication, problem solving, and critical analysis

Student and preceptor expectations

Advanced Pharmacy Practice Experiences (APPEs) are experiential courses designed to provide pharmacy students with the opportunity to become a member of the pharmacy healthcare team. Depending on the course, APPEs take place in a variety of settings in order to expose students to both traditional and nontraditional career opportunities within the profession.

This is NOT a shadowing opportunity.

The purpose of an APPE is for students to integrate themselves into the practice setting. Once oriented by their primary preceptor (or in some cases, pharmacy site coordinator) to the facility and pharmacist scope of practice within the setting, students will build on prior knowledge, skills, and experiences to contribute as a future pharmacist to the daily workflow. Student efforts are expected to add value to the experiential partner site. Student pharmacists will develop relationships with site preceptors and team members over the course of their experience(s) within a site. Students will take on roles that optimize and/or improve patient care. Through these roles, they will also learn about the communities that they serve.

What role will the student play?

The main goal for the APPE student is to contribute authentically to work flow and patient care while achieving the learning goals and objectives outlined for APPEs in this document.

What is expected of students?

Students should be integrated into the daily work flow for service and direct patient care within the practice setting. They should approach their role with a high level of professionalism, commitment, and patient advocacy. Students should become competent in performing their assigned duties and interacting directly with patients and team members without direct supervision from the preceptor(s).

Since each APPE is different, students will rely on you and your team to explicitly state your specific expectations and objectives for the experience. If you give the student an activity beyond his/her scope of training to date, please be prepared to provide that student with the necessary additional support and additional training.

What is expected of preceptors?

Preceptors' main role is to act as a resource, coach, and mentor for the student throughout the experience. Preceptors are expected to:

  • Set clear expectations within the first 2 days of the APPE for the student
  • Orient the student to the workplace and team members
  • Treat the student like a member of your team and workplace
  • Integrate the student into your daily work flow
  • Meet with the student often to check-in on goals, expectations, and progress
  • Provide opportunities for the student to reflect upon and debrief with you over experiences
  • Provide the student with enough guidance, support, and on-going real time performance based feedback to be successful in his/her role
  • Evaluate the student’s performance per the course requirements

How do preceptors evaluate student performance?

A mid-point formative evaluation and a final summative evaluation will be completed for each student. The student will initiate the midpoint self-assessment evaluation, using the tool provided in E*Value. Additional details regarding the performance evaluation form are available in section IX. Students should reflect on the experience and their performance. The midpoint evaluation should be discussed with the preceptor at the practice site at the midpoint of the experience. If a student is not meeting expectations or is not progressing at any point prior to the midpoint formative evaluation, the preceptor should notify their local Experiential Program Director.

The preceptor will complete a final summative evaluation via E*Value, utilizing the same tool that was used and discussed during the midpoint evaluation. Preceptors can log into E*Value directly to complete the final summative evaluation or can utilize the link that will be emailed at the end of the experience.

How do students evaluate preceptor performance?

Students will complete both preceptor and site evaluation forms at the completion of each APPE. Once all evaluation forms have been received and grades have been submitted by the Experiential Program Director, preceptors will be able to view their precepting evaluations in E*Value. Site evaluation forms are available either directly from your Experiential Program Director or, for those who serve as site coordinators, within E*Value.

Alexa Tan

PDF iconPharmD Student Feedback Channels.pdf

APPE program descriptions

There are five locations throughout California at which our student pharmacists participate in Advanced Practice Pharmacy Experiences (APPEs).

Greater Sacramento

Program Director: Tiffany Pon, PharmD

Number of Students: 22-25

Major APPE Sites:

  • UC Davis Medical Center
  • Mercy Medical Group

The Greater Sacramento Program, established in 1985, is based at the University of California, Davis Medical Center (UCDMC) in Sacramento. As with the other off-campus programs, students complete all requirements for graduation locally. Over 150 practitioner-faculty-members located throughout the Sacramento metropolitan area serve as preceptors, role models, and mentors for student pharmacists assigned to the program. Faculty are employed in both teaching and community sites, providing student pharmacists with an opportunity to evaluate career opportunities in a variety of traditional and non-traditional practice settings.

The primary sites for required and many elective APPEs are UCDMC; the County of Sacramento; Kaiser Permanente (Folsom, Morse Avenue, Point West, Rancho Cordova, and Roseville); and the Veterans Affairs (Mather Field). Other elective APPEs are available at Chartwell; MedClinic; California Poison Control System, Sacramento; and the University of California, Davis Veterinary Medical Teaching Hospital. Graduating student pharmacists consistently rate the Greater Sacramento program highly for its rich learning environment, exposure to diverse patient populations, professional and nurturing faculty, rotation assignment flexibility, and the networking opportunities it provides.

Fresno

Program Director: Mitra Assemi, PharmD

Number of Students: 16-18

Major APPE Sites:

  • Community Medical Centers
  • Kaweah Delta Health Care District
  • Valley Children’s Hospital (including Walgreens)

The Fresno pharmacy education program formally began in 2001, although the School has offered elective rotations in the area since the early 1990s. In addition to the School of Pharmacy, the School of Medicine has had both undergraduate and graduate programs (residencies, including primary care and several specialties, and fellowships) based in Fresno for over 35 years. The Fresno program has grown to include six different health care systems and a variety of independent sites offering APPEs in diverse practice settings throughout the central San Joaquin Valley (Fresno/Clovis, Madera, Kingsburg and Visalia).

There is a full-time UCSF faculty member and a part-time administrative assistant currently assigned to the program. In addition, student pharmacists benefit from their interactions with almost 100 preceptors, many of whom are UCSF alums and/or hold volunteer faculty appointments in the School of Pharmacy. Most preceptors also precept students from other schools of pharmacy within and outside of California. Student pharmacists have opportunities to interact with students from the other pharmacy schools as well as with UCSF medical students and residents.

Los Angeles / Orange County

Program Director: Robin Corelli, PharmD

Number of Students: 15-17

Major APPE Sites:

  • Cedars-Sinai Medical Center
  • UC Irvine Medical Center
  • Long Beach Memorial Medical Center
  • Ralphs

The Los Angeles / Orange County program began in 1980 with University of California, Irvine Medical Center and Long Beach Memorial Medical Center as the primary clerkship sites. Over the years, it has developed into a large program with about 40 different institutions, offering Advanced Pharmacy Practice Experiences (APPEs) in a wide variety of practice settings (about 120) throughout the Los Angeles/Orange County area.

One full-time UCSF faculty member leads the program with about 200 excellent preceptors who practice in these settings and who have volunteer faculty appointments with the School of Pharmacy. Many of these preceptors also teach students from University of Southern California (USC), University of the Pacific (UOP), Western University, and Loma Linda University. UCSF students frequently interact with the students from the other schools.

There are several institutions in the Inland Empire (Colton, Fontana, Ontario, Riverside) that may accommodate one student for the entire year (six to eight clerkships).

North Bay

Program Director: Kirsten Balano, PharmD

Number of Students: 14-16

Major APPE Sites:

  • Sutter Santa Rosa Regional Medical Center
  • Santa Rosa Community Health Centers
  • Santa Rosa Memorial Hospital
  • Marin General Hospital
  • North Bay Health Care Fairfield

The North Bay program graduated its first class of students in 2010 with 3 student pharmacists. Since this time, the program has been growing. The growth of the program is directly related to the impact that student pharmacists have had in the clinical environments where they work—clinics and sites would like to work with UCSF student pharmacists more consistently, so have been willing to take on more students.

The connection with a family medicine residency program and the development of the role of pharmacists within the patient-centered medical home are unique aspects of the North Bay program. There are no tertiary care centers in the North Bay, so primary care is the focus, with opportunities to participate in primary care provided in a variety of health care systems: Safety-Net Clinics, Kaiser Permanente, family medicine residency, private hospital systems, and rural hospitals.

San Francisco Bay Area

Program Director: Tram Cat, PharmD

Number of Students: 55-60

Major APPE Sites:

  • UCSF Medical Center
  • Zuckerberg San Francisco General
  • Stanford Health
  • Lucile Packard
  • Walgreens

Our largest APPE program offers approximately 70 unique rotations at 30 different healthcare sites, including USCF Medical Center (at Parnassus, Mission Bay, and Mt. Zion), Sutter Health, Kaiser Permanente, Laguna Honda Hospital and Rehabilitation Center, United States Coast Guard, Zuckerberg San Francisco General Hospital, and Epocrates. With the School’s close working relationship with the UCSF Medical Center Department of Pharmaceutical Services, rotations are available in pediatrics, renal transplant, pain management, cardiology, critical care, medication safety, and oncology. Elective rotations are available in: clinical toxicology, infectious diseases, telepharmacy, drug information, nuclear pharmacy, and pharmacy administration.

The San Francisco Bay Area program provides student pharmacists with interprofessional training, working with UCSF students in medicine, nursing, physical therapy, and dentistry on a variety of rotations and projects.

APPE region map and program overview

 

Interested in becoming an APPE preceptor?

See WOS Faculty Appointment FAQs.