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PHAR 691 Direct Patient Care IPPE Preceptor Guide
PHAR 691: Direct Patient Care IPPE 1
Experiential Coordinator: Deeb Eid, PharmD
[email protected] | 419-508-1669
PHAR 691 Direct Patient Care IPPE Preceptor Guide
Course Summary:
Purpose: The Direct Patient Care IPPE Course is a new course within the newly launched 2018
curriculum at Ferris State College of Pharmacy. The experiential course will officially start in the Fall
of 2019. The overall goals of the experiences are:
DIPPE Objectives (Condensed)
Detailed listing of Ability Based Outcomes can be found in Appendix A
1. Patient Centered Care (Caregiver)
a. Collect, interpret, and prioritize subjective and objective patient information
b. Develop and discuss patient care plans
c. Document patient care activities
d. Triage or refer patient based on needs
2. Education (Educator)
a. Educate patients, answer questions, and build appropriate communication skillsets
3. Interprofessional Collaboration (Collaborator)
a. Communicate with other healthcare professionals
b. Exposure to other healthcare professionals, roles, and responsibilities
4. Cultural Sensitivity (Includer)
a. Work and communicates with patients of various cultures, beliefs, and expectations
b. Recognizing cultural differences, biases, and stereotyping
Attendance | Hour Requirements:
• Students to be at sites for a minimum of 16 hours total (4 hours per week) for 4 weeks. If
students are required to attend orientation or have trainings to be completed, you may work with
them to schedule additional hours.
• Placement occurs in 3 blocks for both Fall 2019 and Spring 2020. Sites may take up to 3
students per preceptor per day.
• Below you will find a general graphic of which days of the week and timeslots are allotted for
student experiences.
Monday Tuesday Wednesday Thursday Friday
N/A (4 hours blocks) Suggested times 12-4pm 1-5pm 2-6pm
N/A (4 hours blocks) Suggested times 12-4pm 1-5pm 2-6pm
(4 hours blocks) Suggested times 12-4pm 1-5pm 2-6pm
Exposure to interacting with other healthcare professionals and various patient populations.
Educate and engage students in growing and building communication skills.
Enable student pharmacists to participate in direct patient care activities.
PHAR 691 Direct Patient Care IPPE Preceptor Guide
Attendance | Hour Requirements (cont.):
• Students who do not report to sites during expected hours or have unexcused absences without
communication to preceptor are subject to failure or remediation.
• Students who fail to meet the direct patient care hour threshold throughout the semester/year
will be required to make up these hours. Here is our remediation policy for reference.
What might students be involved in at the sites?
• We have had pilot sites experiment with various activities, but it will depend on your site’s
available opportunities. Since the course is new, we encourage experimenting with various
activities and having the students help to build with the allocated time.
• These experiences are meant to differ from the traditional community and health system IPPE.
• Involvement in direct patient care is the ultimate goal, but here are some suggested activities
to help further the student’s learning:
• Taking medication histories
• Medicine reconciliation
• Medication Therapy Management (MTM)
• Adherence or medication synchronization
• Disease state evaluations/questionnaires
• Patient care plans
• SOAP notes
• Health care screening events (Blood pressure, immunizations, OTCs…etc.)
• Immunization events (some may have immunization training completed)
• Patient case presentations
• Motivational interviewing techniques
• Education of medications, disease states, or other topics directly with patients
• Phone call follow ups or monitoring activities
• Disease state educational classes (leading or participation)
• Patient centered presentations (to patients)
• Journal club presentations
• Topic discussions
• OTC presentations/discussions
• OTC counseling
• Active participation in rounding on a healthcare team
• Making recommendations to healthcare professionals or observing
• Patient health literacy evaluations
• Discharge counseling
• Chronic care management (CCM)
• Working with or interacting other healthcare professionals (physicians, nurses, PA, OT, RT…etc.)
At what level of supervision should the students be able to perform/participate?
• This will depend on the student, their comfort, abilities, as well as the actions or activities they
are partaking in.
• The ultimate goal for any of the direct patient care activities is direct supervision, but for some
activities, it may require observation prior to students participating directly.
Direct Supervision-student performs
activities with preceptor present
and able to help/answer
questions or guide as needed.
Observation-student observes the
activities being performed by the
preceptor or other team member and is able to ask question or learn about how
and why to perform.
PHAR 691 Direct Patient Care IPPE Preceptor Guide
Grading | Assessments | Feedback:
● The experiences are pass/fail and preceptors will determine this for each student on the final
evaluation form.
● Both Preceptors and Students will be asked to fill out final evaluations (towards the end of the
block) to help improve future experiences and provide feedback.
● CORE ELMS Rx Preceptor will be used as the platform for evaluations, documents, and other
communications.
● Assessment tools such as rubrics, reflections, self-assessments, quizzes, or any other
knowledge/skills-based tools may be piloted or used. These tools are ultimately used for
providing feedback and helping students to grow their knowledge and skillsets.
● Preceptors can also develop or assign projects or assignments as they deem fit depending on
the site experience.
Site Placement and Scheduling:
• Preceptors or sites will need to submit their availability to the course experiential coordinator
prior to having their placements and schedule over Summer.
• Students and preceptors will receive their scheduled placements via email during the Summer
of 2019.
• These schedules will be available via the CORE ELMS RxPreceptor platform.
• Some students will also be commuting longer distances (45-60 minutes) based on placements,
so please keep this in mind when discussing expectations and schedule.
• If any changes need to be made prior to the start of your blocks, please contact the experiential
coordinator as soon as possible.
• In Appendix A below will find the block calendar for Fall 2019 and Spring 2020.
Interprofessional Education (IPE):
Students will also be required to complete Interprofessional Educational events throughout both
semesters. There will be approximately 6 hours spent during the entirety of the P2 year at IPE
simulation events. These events may require travel to/from specific sites and transportation will be
From a preceptor’s perspective, passing grade may constitute:
○Meeting a minimum of 16 site hours○Demonstration of appropriate efforts and
growth within DIPPE learning objectives○Maintain good standing with compliance
for site requirements (training, immunization history, intern license…etc.)
○Professional attitude, communication, and dress
○Successful completion of any assignments from the preceptor (optional)
○Others to be determined by site (optional)
Failing grade may constitute:
○Failure to meet any of the requirements for a passing grade such as:○Unprofessional conduct,
communication, or violating site requirements
○Failure of effort or growth within DIPPE learning objectives (>2 "Unacceptable" on final evaluation)
○Violation of site policies and procedures○Unexcused absences○Others to be determined by site
(optional)
PHAR 691 Direct Patient Care IPPE Preceptor Guide
provided by the College of Pharmacy as needed. Students typically will not be required to miss
any scheduled rotation time in order to facilitate these IPE experiences, unless you receive
notice from the student that there is a direct conflict. In the instance a direct conflict occurs, you
may work with the student(s) to schedule a make-up experience during their block if possible.
Disabilities or Accommodations
• If the site has any questions about providing reasonable accommodations to a student, feel free
to either contact the experiential coordinator, or the office of disability services
Inclement Weather Policy:
• Students completing experiential requirements do not follow the school closure policy of the Big
Rapids campus. Both students and preceptors will be expected to use their own judgement to
determine the ability to attend the rotation.
• Students will be required to make up any time missed due to inclement weather or catastrophe.
Students are expected to communicate and work out the requirements to make up hours with
the preceptor.
• Examples of make-up activities include:
o Early arrival/late departure
o Extra projects
o Weekend/holiday break hours
Preceptor Resources or Additional Information
For additional information, preceptor development resources, other policies or forms, and other general
information, please check out our website: www.fsupreceptor.com or contact the experiential
coordinator for this course. The following link has specific how-to documents and other instructional for
our platform CORE RxPreceptor. We also have a student policy handbook that contains additional
information that may be helpful. Lastly, much of our detail information and policies can be found either
on the website or within our full Pharmacy Experiential Manual which is also located on the website.
PHAR 691 Direct Patient Care IPPE Preceptor Guide
Appendix A
Image 1: IPPE Curricular MAP 2018c
IPPE Curriculum
300 Hours Total
P1
Summer after P1
Community Medication Use Process (CIPPE)
120 Hours (3 weeks)
P2
Summer after P2
Health System Medication Use
Process (HIPPE)120 Hours (3 weeks)
Direct Patient Care (DIPPE 1)
16 hours (4 weeks)
P3
Fall OR Spring
Direct Patient Care (DIPPE 2)
24 hours (6 weeks)
Simulation
P1 | P2 | P3
Interprofessional Events (IPE)
20 Hours
PHAR 691 Direct Patient Care IPPE Preceptor Guide
PHAR 691 D-IPPE 2019-2020 Block Calendar Fall 2019
September S M T W Th F S
1 2 3 4 5 6 7
8 9 10 11 12 13 14
15 16 17 18 19 20 21
22 23 24 25 26 27 28
29 30
October S M T W Th F S
1 2 3 4 5
6 7 8 9 10 11 12
13 14 15 16 17 18 19
20 21 22 23 24 25 26
27 28 29 30 31
November S M T W Th F S
1 2
3 4 5 6 7 8 9
10 11 12 13 14 15 16
17 18 19 20 21 22 23
24 25 26 27 28 29 30
December S M T W Th F S
1 2 3 4 5 6
7 8 9 10 11 12 13
14 15 16 17 18 19 20
21 22 23 24 25 26 27
28 29 30
Block A Block B Block C
Tu: 9/3-9/24 Tu: 10/1-10/22 Tu: 10/29-11/19
Thu: 9/5-9/26 Thu: 10/3-10/24 Thu: 10/31-11/21
Fri: 9/6-9/27 Fri: 10/4-10/25 Fri: 11/1-11/22
Holidays: 9/2-
Labor Day
Holidays: 11/28 to 29
Thanksgiving Break
Suggested Time Slots (4 hours)
Tuesday, Thursday,
Friday
12-4PM
1-5PM
2-6PM
PHAR 691 Direct Patient Care IPPE Preceptor Guide
Spring 2020
January
S M T W Th F S
1 2 3 4
5 6 7 8 9 10 11
12 13 14 15 16 17 18
19 20 21 22 23 24 25
26 27 28 29 30 31
February S M T W Th F S
1
2 3 4 5 6 7 8
9 10 11 12 13 14 15
16 17 18 19 20 21 22
23 24 25 26 27 28 29
March S M T W Th F S
1 2 3 4 5 6 7
8 9 10 11 12 13 14
15 16 17 18 19 20 21
22 23 24 25 26 27 28
29 30 31
April S M T W Th F S
1 2 3 4
5 6 7 8 9 10 11
12 13 14 15 16 17 18
19 20 21 22 23 24 25
26 27 28 29 30
Block D Block E Block F
Tu: 1/21-2/11 Tu: 2/18-3/17 Tu: 3/24-4-21
Thu: 1/23-2/13 Thu: 2/20-3/19 Thu: 3/26-4/23
Fri: 1/24-2/14 Fri: 2/21-3/20 Fri: 3/27-4/24
Holidays: 1/20
MLK
Holidays: 3/9-3/13
Spring Break
Holidays: 4/9-4/10
Mid-Semester Recess
Suggested Time Slots (4 hours)
Tuesday, Thursday,
Friday
12-4PM
1-5PM
2-6PM
PHAR 691 Direct Patient Care IPPE Preceptor Guide Table 1: Full D-IPPE Ability Based Outcomes (ABO)/Entrustable Professional Activities (EPA)
Ability Based Outcomes (ABOs) Example Activities Assessment Options
Patient-Centered Care (Caregiver)
2.1.1 Collect subjective and objective evidence (including socioeconomic, cultural) related to patient, medications, allergies/adverse reactions, and disease.
-Medication history -Medication reconciliation -MTM -Disease state evaluations/questionnaires -Patient care plans -SOAP notes -Health care screening -Immunization screening
Final Evaluations, Rubrics, Self-Reflections, Verbal Discussions, Assignments, Projects
2.1.2 Interpret relevant medical evidence and patient data.
-Patient case presentation (one on one or group) -SOAP notes -Health screening -Immunization screening -Medication history -MTM
2.1.3 Prioritize patient needs.
-MTM -Patient case presentation (one on one or groups) -Motivational Interviewing techniques -Health Screening -Conversations with patients -Chronic care management
2.1.4 Formulate evidence-based care plans, and care transitions with consideration of the unique needs of the patient while emphasizing the need for patients to take responsibility for the control of their health.
-MTM -Patient care plan -Discharge counseling -Chronic care management -MTM -Motivational Interviewing techniques
2.1.7 Document patient care related activities.
-Health screening -MTM -Patient interview/consults or education -Chronic care management -Patient care plan -Medication discharge plan
PHAR 691 Direct Patient Care IPPE Preceptor Guide
Ability Based Outcomes (ABOs) Example Activities Assessment Options
Educator 3.2.4 Ensure instructional content contains the most current information relevant for the intended audience.
-Counseling or education of patients -Diabetes educational class -Patient centered presentation -Patient case presentation -Journal club presentation -Topic discussion -OTC presentation -Device demonstration
Final Evaluations, Rubrics, Self-Reflections, Verbal Discussions, Assignments, Projects
3.2.5 Adapt instruction and deliver to the intended audience.
Same as above
Ability Based Outcomes (ABOs) Example Activities Assessment Options Inter-Professional Collaboration (Collaborator)
3.3.3 Communicate in a manner that values team-based decision making and shows respect for contributions from other areas of expertise.
- IPE simulation event participation -Communication with other healthcare members -Active participation in rounding -Making recommendations to healthcare professionals -Referrals
Final Evaluations, Rubrics, Self-Reflections, Verbal Discussions, Assignments, Projects
PHAR 691 Direct Patient Care IPPE Preceptor Guide
Ability Based Outcomes (ABOs) Example Activities Assessment Options Cultural Sensitivity (Includer)
3.4.1 Recognize the collective identity and norms of different cultures without overgeneralizing (i.e. recognize and avoid biases and stereotyping)
-Medication reconciliation -MTM -Disease state evaluations/questionnaires -Patient care plans -SOAP notes -Health care screening -Patient counseling
3.4.2 Demonstrate an attitude that is respectful of different cultures.
-Medication history -Medication reconciliation -MTM -Disease state evaluations/questionnaires -Patient care plans -SOAP notes -Health care screening -Immunization screening
3.4.3 Assess a patient’s health literacy and modify communication strategies to meet the patient’s needs.
-Medication history -Medication reconciliation -MTM -Disease state evaluations/questionnaires -Health literacy evaluation/tool kit use -Motivational Interviewing techniques -Patient care plans -SOAP notes -Health care screening -Immunization screening
3.4.4 Consider cultural issues in all aspects of practice to reduce health disparities.
-Patient care plan -Discharge counseling -Chronic care management -MTM -Motivational Interviewing techniques
PHAR 691 Direct Patient Care IPPE Preceptor Guide
P2 Didactic Coursework for Integrated Pharmacotherapy (IP) Courses:
The IP course in the new curriculum is integrated to include all aspects from medicinal chemistry,
pathophysiology, pharmacotherapeutics, pharmacology, biochemistry, etc...
Tentative Fall Topics: Tentative Spring Topics:
Course # Topic Covered General Dates
619
Hypertension
(exams 1-3)
Late Aug. to Early Sept.
619 Lipids Mid Sept.
619
Practice Skills
Labs Weeks 1-5
(Integrated Week
Content)
Late Aug. to Late Sept.
620 ACS/Stroke Late Sept. to Early Oct.
620 CHF Early Oct.
620 DVT/PE/AFib Early Oct. to Mid Oct.
620/621 Pulmonary Mid Oct. to Late Oct.
620
Practice Skills
Labs Weeks 6-10
(Integrated Week
Content)
Late Sept. to Early Nov.
621 Diabetes Early Nov. to Late Nov.
621
Thyroid,
Dermatology
Early Dec.
621 PSL Weeks 11-15 Early Nov. to Early Dec.
Course # Topic Covered General Dates
622/623 ID Mid Jan. to Mid-March
622 PSL Weeks 1-5 Mid Jan. to Mid-March
623 PSL Weeks 6-10 Mid Jan. to Mid-March
624
GERD, SUP, PUD,
N/V, IBD, IBS
Late March to Early April
624
Pancreatitis,
cirrhosis, anemia
Early April
624
Electrolytes,
acid/base, AKI,
CKD, RRT,
nutrition
Mid-April to Late April
624 Otics/ophthalmics Mid-April to Late April
624 PSL Weeks 11-15 Early April to Late April
