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1 PHA 5783 Pharmacotherapy III 5 Semester Credit Hours Course Purpose: The purpose of this course is to provide didactic framework for the therapeutic management of a number of common diseases. The goals of the course are that, coupled with other courses in pathophysiology, pharmacology, pharmacokinetics, and others, the student will be able to develop rational drug therapy plans for patients with common diseases, develop plans for monitoring pharmacotherapy in patients, and identify conditions associated with these common diseases which require referral. Course Faculty and Office Hours Course Coordinator: Katherine Vogel Anderson, PharmD, BCACP Email: [email protected] Office: HPNP 3313 Phone: 352-273-6240 Co-Coordinator: Lisa Clayville Martin, PharmD, CDE Email: [email protected] Office: Lake Nona 424 Phone: 407-313-7006 Teaching Assistant: Eric Egelund, PharmD Email: [email protected] Office Hours By appointment Please refer to Appendix A for the listing and contact information of campus facilitators. Place and Time of Class Sessions Gainesville: Pharmacotherapy III is scheduled for Monday-Friday 7:25-8:15 AM in HPNP 1404. The class is divided into two different sections (Section 1195 and Section 0892). All case discussions will take place on Fridays (see schedule for case discussion dates); section 1195 will have case discussions in room G101 during first period on Friday, while section 0892 will have case discussions in room G101 during second period on Friday. Most lectures will be pre-recorded; however some faculty will deliver a live lecture during our regularly scheduled class time at 0725, for students from both sections to attend. These lectures are specified on the course schedule, and we will post an announcement on Sakai reminding you about these opportunities. Attendance to these live lectures is strongly encouraged.

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Page 1: PHA 5783 Pharmacotherapy III - University of Floridafile.cop.ufl.edu/studaff/syllabi/PHA 5783 Syllabus.pdf · 1 PHA 5783 Pharmacotherapy III 5 Semester Credit Hours Course Purpose:

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PHA 5783 Pharmacotherapy III 5 Semester Credit Hours

Course Purpose: The purpose of this course is to provide didactic framework for the therapeutic management of a

number of common diseases. The goals of the course are that, coupled with other courses in

pathophysiology, pharmacology, pharmacokinetics, and others, the student will be able to develop

rational drug therapy plans for patients with common diseases, develop plans for monitoring

pharmacotherapy in patients, and identify conditions associated with these common diseases which

require referral.

Course Faculty and Office Hours Course Coordinator: Katherine Vogel Anderson, PharmD, BCACP Email: [email protected] Office: HPNP 3313 Phone: 352-273-6240 Co-Coordinator: Lisa Clayville Martin, PharmD, CDE

Email: [email protected] Office: Lake Nona 424

Phone: 407-313-7006

Teaching Assistant:

Eric Egelund, PharmD

Email: [email protected]

Office Hours By appointment

Please refer to Appendix A for the listing and contact information of campus facilitators.

Place and Time of Class Sessions Gainesville: Pharmacotherapy III is scheduled for Monday-Friday 7:25-8:15 AM in HPNP 1404. The class is divided into two different sections (Section 1195 and Section 0892). All case discussions will take place on Fridays (see schedule for case discussion dates); section 1195 will have case discussions in room G101 during first period on Friday, while section 0892 will have case discussions in room G101 during second period on Friday. Most lectures will be pre-recorded; however some faculty will deliver a live lecture during our regularly scheduled class time at 0725, for students from both sections to attend. These lectures are specified on the course schedule, and we will post an announcement on Sakai reminding you about these opportunities. Attendance to these live lectures is strongly encouraged.

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Distance Campuses: Please refer to your campus-specific calendar for your case discussion dates and times. All lectures will be available on Sakai. All campuses: Pre-recorded lectures will be released for viewing on the Saturday prior to when they appear on the schedule. For example: If the epilepsy lecture is on the schedule for Thursday, 1/17, the video will be released to you on Saturday, 1/12.

How This Course Relates to the Learning Outcomes You Will Achieve in the

Pharm.D. Program: This course prepares the Pharm.D. student to accomplish the following abilities and the related Student

Learning Outcomes (SLOs) upon graduation:

1. Analyze, synthesize, and communicate a pharmacotherapy plan for an individual patient (1.1, 6.1, 8.1, 8.3)

2. Assess, design, and communicate a monitoring scheme for the patient-individualized pharmacotherapy plan (1.2, 6.1, 8.1, 8.3)

Course Objectives Upon completion of this course, the student will:

List signs and symptoms of selected diseases

Describe appropriate pharmacologic and non-pharmacologic therapies of selected diseases

Discuss the relationship between rational therapy of selected diseases to the pathophysiology of these diseases and the mechanism(s) of action of drugs used to treat these diseases

Describe the desired outcomes of therapy of selected diseases

Distinguish between rational and irrational therapy of selected diseases

Provide a plan for monitoring drug efficacy, adverse effects, compliance, and drug interactions

Recognize and anticipate drug related problems in patients with selected diseases

Discuss rational, reasonable, and practical solutions to drug related problems in patients with selected diseases

Assess, based on signs and symptoms of selected diseases whether a patient should be referred to a physician and the urgency of the referral

Pre-Requisite Knowledge and Skills This course provides a thorough overview of drug therapy of a number of common disease states. Students will be responsible for understanding pathophysiology and pharmacology for disease states discussed PRIOR to class and for reading assigned readings PRIOR to class. (Note: Because of the concurrent nature of pharmacology and this course, certain drugs will be covered in this course prior to being taught in pharmacology – in these situations, self-study of the pharmacology of the pertinent drugs will be necessary.) Lectures are intended to supplement assigned readings; success in this course is dependent upon mastery of both lecture and reading content. Students will receive information on current pharmacotherapeutic measures to treat specified diseases as well as principles of monitoring drug therapy outcomes in patients. This course will emphasize critical thinking and problem solving skills through case presentations, group discussions, and exams.

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Course Structure & Outline Course Structure.

1. Lectures - Most topics covered in this course will be presented by faculty in a recorded

presentation posted on the course website. Some topics will be presented during regularly

scheduled classes, but these will also be recorded and posted on the course website.

2. Case Discussion/Verbal Defense – After some topics, additional time is provided for reflection in

the form of a case presentation discussion. All cases will be provided in advance.

Course Outline/Activities. (Refer to Appendix B).

Textbooks

1. Pharmacotherapy: A Pathophysiological Approach, 8th ed., McGraw-Hill. Available in Access Pharmacy (www.accesspharmacy.com) courtesy of the College of Pharmacy.

2. Sanford Guide to Antimicrobial Therapy 2012, 42nd ed. 3. Class materials and additional readings assigned by the lecturer will be posted on the course

website unless otherwise announced.

Active Learning Requirements During case discussions, students will be randomly called on to answer questions or make recommendations (verbal or in writing). Student responses will be assessed using the criteria listed in the next section. Percent grades within each letter grade are determined by the facilitator. Your verbal defense grades will be averaged and will represent 20% of your final grade. Students who miss a case discussion due to illness, family emergency, death in the family, or any other unforeseen event should personally report this to Dr. Vogel Anderson (for the Gainesville campus) or the campus facilitator (Jacksonville, Orlando, St. Petersburg) PRIOR to presentation of the case. Please note that this information may be transmitted ONLY by the affected student. Any such communication from anyone other than the affected student will be unacceptable. Appropriate and verifiable documentation of the need to miss the case presentation will be required. An unexcused absence will result in a zero for that day if you are called on. If you are absent but not called on, your final course grade will be reduced by 1%.

Student Evaluation & Grading Evaluation Methods

Verbal Defense Scoring A (90, 95, or 100): Students enhance the class. They

Are well prepared for class

Answer questions correctly

Contribute readily to the discussion but does NOT dominate it

Makes thoughtful contributions that advance the discussion

Show interest in and respect for others’ views

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B (80 or 85): Students contribute to the class. They

Are somewhat prepared for class

Show interest in and respect for others’ views

May be active participants whose contributions are less cogent than those of other students,

but still advance the conversation

C (70 or 75): Students neither add to nor detract from the class. They

Are sometimes prepared

Bluff their way when not prepared

Participate in the discussion, but NOT in a way that advances the conversation

Exhibit NO interest in increasing their participation in class

D (60 or 65): Students have a negative effect on the class. They

Give minimal responses or they interrupt the discussion and otherwise impede discussions

Are NOT prepared for class

Are late with assignments, absent, or tardy without excuse

E (55): Students disturb the class. They

Are rude

Are NOT responsive to expressions of annoyance from the instructor or fellow students

Radiate negative energy through hostile or bored body language

Have a negative effect on the participation of others

Disrupt classroom proceedings

Grading Scale

Exam I 15%

Exam II 15%

Exam III 15%

Exam IV 15%

Final 20%

Verbal Defense 20%

TOTAL 100%

A final percentage grade will be calculated and letter grades assigned as follows:

≥ 90% A

85-89% B+

80-84% B

75-79% C+

70-74% C

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65-69% D+

60-64% D

< 60% E

Class Attendance Policy All Case Discussions/Verbal Defenses are mandatory. If a faculty member is giving a live lecture,

attendance is strongly encouraged.

Quiz/Exam Policy There will be five examinations administered during this course (4 semester exams and a final). Each

semester exam will contribute 15% to the student’s final course grade for a total of 80%; the final exam

will contribute 20% to the student’s final course grade. The exam schedule is as follows:

Exam I: Tuesday, January 29, 2013

Exam II: Monday, February 18, 2013

Exam III: Monday, March 18, 2013

Exam IV: Monday, April 8, 2013

Final: Tuesday, April 30, 2013

New material covered on each exam

Exam I: Pain Management through IBS

Exam II: Adult Medicine through Endocarditis

Exam III: LRTI through HIV

Exam IV: HIV OI through Critical Care

Final: Pulmonary Hypertension through BCP

Each examination will cover material presented in class (lecture and verbal defense) AND from required

reading assignments. Information about topics in this course is delivered through lectures by faculty,

and included in handouts, and within assigned readings (or optional readings); resources and

information outside of these materials will NOT be considered pertinent to this course and its

examinations. ALL exams are cumulative with 70% new material and 30% old. Questions for each exam

will be prepared by lecturers and the course coordinators, and will come exclusively from the goals and

objectives which accompany each lecture topic. The format for these exam questions will mostly be

case-based multiple choice. The validity of each exam question will be determined by the course

coordinators. An exam key will be posted 24 hours following completion of the exam. Once the key

has been posted, students will have 24 hours to submit rebuttals to exam questions. Rebuttals need

to be EVIDENCE-BASED (ie. NOT “that is what you said in lecture”), NO MORE THAN ONE PAGE IN

LENGTH, professional in nature, and emailed to BOTH Dr. Vogel Anderson and Dr. Clayville Martin.

The course coordinators will review the rebuttals and contact the lecturer if deemed appropriate. You

are NOT to contact the lecturer personally. After the rebuttals have been analyzed, a final

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announcement will be posted to the course website stating any changes that will occur in the exam

grading process.

Calculators

Non-programmable calculators may be used during exams. Use of a single calculator by more than one

student during an examination is NOT allowed.

Questions during exams

Per College of Pharmacy policy, NO questions will be answered during an examination.

Lateness for an exam

Students arriving late for an examination may take the exam if NO other student has completed the

examination and left the examination room. Once a student has completed the examination and has

left the room, NO late arriving student may take the examination.

Make-up Quiz/Exam Policy Missing an exam

Students who miss a scheduled exam due to unforeseeable circumstances, such as illness, family

emergency, or death in the family should personally report this to Dr. Vogel Anderson or Dr. Clayville

Martin PRIOR to administration of the exam. This information may NOT be transmitted to any course

coordinator by anyone other than the student him/herself. Any such communication from anyone other

than the affected student will be unacceptable. Appropriate and verifiable documentation of the need

to miss the exam will be required. Please note that circumstances other than these will be evaluated on

an individual basis but notification PRIOR to the exam is still required. A make-up exam (essay format)

will be scheduled for the student at a reasonable time, as established by the course coordinator. Only in

extreme circumstances will the make-up exam be administered more than two weeks after the

scheduled exam. Failure to notify Dr. Vogel Anderson or Dr. Clayville Martin of an absence PRIOR to an

exam and/or provide appropriate documentation will result in the student receiving a zero for that

exam. Of note: exams will only be given on the dates scheduled; in other words, exams will not be

given early to allow students to be absent on scheduled exam dates.

Policy on Old Quizzes and Assignments Old exams and cases will not be made available.

General College of Pharmacy Course Policies The College of Pharmacy has a website that lists course policies that are common to all courses. This website covers the following:

1. University Grading Policies 2. Academic Integrity Policy 3. How to request learning accommodations

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4. Faculty and course evaluations 5. Student expectations in class 6. Discussion board policy 7. Email communications 8. Religious holidays 9. Counseling & student health 10. How to access services for student success

Please see the following URL for this information:

http://www.cop.ufl.edu/wp-content/uploads/dept/studaff/policies/General%20COP%20Course%20Policies.pdf

Complaints Should you have any complaints with your experience in this course please visit:

http://www.distancelearning.ufl.edu/student-complaints to submit a complaint.

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Appendix A: Directions for Contacting Faculty & Course Faculty List Directions for Contacting Course Faculty

Course Website

The PHA5783 course website will be maintained through Sakai (https://lss.at.ufl.edu). You will be able

to access course announcements, course information, supplement documents (ex. Case answers, etc),

and grades through this website. Students are expected to check the course website regularly (daily) for

updated information. Whenever possible, course coordinators will post announcements when

significant information is added to the website.

Course Communication

All course communication, except for that of a private nature, will occur during class sessions, through

guided group discussion boards on the course website, in class on Verbal Defense days, and by

announcement postings. Discussion threads will be organized topically and will be created for general

course issues and specific topics. If you have a question, please post it to the appropriate discussion

board. The course coordinators will check the discussion boards and respond to the question as

promptly as possible. Please keep in mind the following guidelines regarding discussion board postings:

1. Please keep all communication and requests professional. Avoid sarcastic, negative, or insulting

postings, or judging questions of others.

2. Please check recent discussion board posts and announcements before posting your message to

ensure that someone else has not already asked the same question, or that it has not been

addressed in an announcement.

3. Anonymous postings are not allowed.

4. Avoid unnecessary posts such as, “thank you“ or “me too.”

5. Responses may come from course coordinators or lecturers. Please keep this in mind so that

you are able to recognize a response from an instructor.

If you have a question of a private nature, please email the course coordinators directly. Email

messages regarding course-related issues will NOT be answered but referred instead to the website.

Course Coordinators Katherine Vogel Anderson, PharmD, BCACP Clinical Assistant Professor Office: HPNP 3313 Telephone: 352-273-6240 Skype: katieJimmie Email: [email protected] Office Hours: By appointment

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Lisa Clayville Martin, PharmD, CDE Clinical Assistant Professor Office: Lake Nona Rm 424 Telephone: 407-313-7006 Email: [email protected] Office Hours: By appointment

Instructors Jacksonville Lisa Inge, PharmD, BCPS, BCACP, AAHIVE Email: [email protected] Orlando Lisa Vandervoort, PharmD Email: [email protected] St. Petersburg Jamie Kisgen, PharmD, BCPS Email: [email protected]

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Appendix B. Schedule of Course Activities/Topics

Date Topic Instructor

PRIOR to January 7th Course Introduction Katie Vogel Anderson

WEEK 1

Monday 1/7/13 Pain Management Robin Moorman Li

Tuesday 1/8/13 Pain Management Robin Moorman Li

Wednesday 1/9/13 Inpatient Pain Management Nicole Maltese Dietrich

Thursday 1/10/13 Palliative Care Shelley Stevens Spradley (LIVE LECTURE)

Friday 1/11/13 Addiction Paul Doering

WEEK 2

Monday 1/14/13 Osteoarthritis Karen Sando

Tuesday 1/15/13 Rheumatoid Arthritis Karen Sando

Wednesday 1/16/13 Epliepsy Karrie Jones

Thursday 1/17/13 Parkinson’s Disease John Markowitz

Friday 1/18/13 Pain Case

WEEK 3

Monday 1/21/13 MLK – NO Class

Tuesday 1/22/13 Toxicology Sven Normann (LIVE LECTURE)

Wednesday 1/23/13 GERD Karen Whalen (LIVE LECTURE)

Thursday 1/24/13 PUD Karen Whalen (LIVE LECTURE)

Friday 1/25/13 IBS Ann Snyder

WEEK 4

Monday 1/28/13 Adult Medicine Larry Lopez

Tuesday 1/29/13 EXAM 1: Pain Management through IBS

Wednesday 1/30/13 Intro to ID Lisa Vandervoort

Thursday 1/31/13 Intro to ID Lisa Vandervoort

Friday 2/1/13 Intro to ID Lisa Vandervoort

WEEK 5

Monday 2/4/13 UTI Lisa Vandervoort

Tuesday 2/5/13 SSTI Eric Dietrich

Wednesday 2/6/13 SSTI Eric Dietrich

Thursday 2/7/13 URTI Eric Dietrich

Friday 2/8/13 UTI Case

WEEK 6

Monday 2/11/13 Meningitis Jamie Kisgen

Tuesday 2/12/13 Endocarditis Ken Klinker

Wednesday 2/13/13 LRTI Eric Dietrich

Thursday 2/14/13 LRTI Eric Dietrich

Friday 2/15/13 SSTI Case

WEEK 7

Monday 2/18/13 Exam 2: Adult Medicine through

Endocarditis PLUS cumulative

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material

Tuesday 2/19/13 GI Infections Jamie Kisgen

Wednesday 2/20/13 Hepatitis Lisa Inge

Thursday 2/21/13 Hepatitis Lisa Inge

Friday 2/22/13 LRTI Case

WEEK 8

Monday 2/25/13 TB Chuck Peloquin

Tuesday 2/26/13 TB Chuck Peloquin

Wednesday 2/27/13 STD Lisa Inge

Thursday 2/28/13 STD Lisa Inge

Friday 3/1/13 Hepatitis Case

WEEK 9

Monday 3/4/13 SPRING BREAK

Tuesday 3/5/13 SPRING BREAK

Wednesday 3/6/13 SPRING BREAK

Thursday 3/7/13 SPRING BREAK

Friday 3/8/13 SPRING BREAK

WEEK 10

Monday 3/11/13 HIV Lisa Inge

Tuesday 3/12/13 HIV Lisa Inge

Wednesday 3/13/13 HIV Lisa Inge

Thursday 3/14/13 HIV - OI Jamie Kisgen

Friday 3/15/13 HIV Case

WEEK 11

Monday 3/18/13 EXAM 3: LRTI through HIV PLUS Cumulative Material

Tuesday 3/19/13 Fungal Infections Jamie Kisgen

Wednesday 3/20/13 Intro to Heme-Onc Kourtney LaPlant

Thursday 3/21/13 Intro to Heme-Onc Kourtney LaPlant

Friday 3/22/13 Breast Cancer Missy Butler

WEEK 12

Monday 3/25/13 Lung Cancer Paige Louzon

Tuesday 3/26/13 Prostate Cancer Kourtney LaPlant

Wednesday 3/27/13 CINV Paige Louzon

Thursday 3/28/13 Oncologic Emergencies Paige Louzon

Friday 3/29/13 Oncology Case

WEEK 13

Monday 4/1/13 Critical Care Carinda Feild

Tuesday 4/2/13 Critical Care Carinda Feild

Wednesday 4/3/13 Critical Care Carinda Feild

Thursday 4/4/13 Pulmonary Hypertension Patricia Louzon

Friday 4/5/13 Transplant Toni O’Boyle

WEEK 14

Monday 4/8/13 EXAM 4: HIV-OI through Critical

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Care PLUS Cumulative Material

Tuesday 4/9/13 Pediatrics Jennifer Williams

Wednesday 4/10/13 Geriatrics Katie Vogel Anderson (LIVE LECTURE)

Thursday 4/11/13 Urology Katie Vogel Anderson (LIVE LECTURE)

Friday 4/12/13 Menopause Erin St. Onge

WEEK 15

Monday 4/15/13 Osteoporosis Ben Epstein

Tuesday 4/16/13 Nutrition Aaron Emmel

Wednesday 4/17/13 Anemia Aaron Emmel

Thursday 4/18/13 Vaccinations Lisa Clayville Martin

Friday 4/19/13 Menopause Case

WEEK 16

Monday 4/22/13 Vaccinations Lisa Clayville Martin

Tuesday 4/23/13 BCPs John Gums (LIVE LECTURE)

Wednesday 4/24/13 BCPs John Gums(LIVE LECTURE)

Thursday 4/25/13 Reading Day – NO Class

Friday 4/26/13 Reading Day – NO Class

WEEK 17

Monday 4/29/13 Finals Week – NO Class

Tuesday 4/30/13 FINAL EXAM: Pulmonary Hypertension through BCPs PLUS Cumulative Material