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

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

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

4. 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

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

6. Post pharmacy education  Residencies –General –Specialized  Fellowships

7. 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.

8. 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

9. 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.

10. 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?

11. 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?

12. 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?

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

14. 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.