Precepting Pharmacy Students Don Uden, PharmD Professor, U of MN College of Pharmacy Curriculum Director MRHS

Pharmacy Curriculum  Minimum two years of prepharmacy prerequisites –General biology –Microbiology –Anatomy –Calculus –General chemistry –Organic chemistry –Physics –English composition –Economics –Public speaking

Pharmacy Curriculum  4 years  3 years mainly classroom  1 year experiential

Pharmacy Curriculum  Biochem/immunology/physiology 13 credits  Pharmacology and therapeutics 25 credits  Drug design and drug action 25 credits  Pharmacy practice 20 credits  Patient assessment 3 credits  Miscellaneous courses and electives

Pharmacy Curriculum  4 th Year –10 – 5 week clerkships Hospital and community pharmacy Acute care Ambulatory care Pediatrics or geriatrics 3 elective clerkships

Post pharmacy education  Residencies –General –Specialized  Fellowships

Precepting Pharmacy Students  Pharmacy students are educated to provide pharmaceutical care.  Pharmaceutical care is founded in the premise that all patients require drug therapy to be appropriately indicated, effective, safe, and convenient.

What can the pharmacy student do for you??  Complete medication record for patients  Research and present new pharmaceutical product reviews  Research and present formulary reviews  Literature searches on therapies  F/U patients who are placed on new medications  F/U patients who are having difficulty with present medication regimen

Drug Therapy Problems  176 billion dollars are spent annually addressing problems associated with drug therapy.  Pharmacy student responsibility –indication, efficacy, safety and convenience.  They should be able to answer questions regarding indication, efficacy, safety and convenience.

Indication  What is present in review of systems, physical exam, laboratory or diagnostic testing that confirms or refutes an indication for drug therapy?  Does the patient need additional drug therapy or is he/she receiving unnecessary drug therapy?

Efficacy  What is present in review of systems, physical exam, laboratory or diagnostic testing that confirms or refutes that a medication is efficacious?  Is the patient receiving the wrong drug or is the dose too low?

Safety  What is present in review of systems, physical exam, laboratory or diagnostic testing that confirms or refutes that a medication is safe?  Is the patient experiencing an adverse drug reaction or is the dose too high?

Convenience  Is the patient able to follow the recommended schedule?  Is the patient able to afford the medication?

Clinic Activities  3 half days per week  4 patients per day  Access to medical record prior to seeing patient  Perform medication history prior to primary provider seeing patient  If appropriate observe the physical exam  Discuss questions of interest.