Introductory Pharmacy Practice Experience
(IPPE)
Preceptor Manual
2015-2016
OFFICE OF EXPERIENTIAL LEARNING
Orig: 09/2012; Rev 4.14.2015 Page 1 of 18
T A B L E O F C O N T E N T S
Page
I. CONTACT INFORMATION 3
II. SCHOOL’s MISSION AND VISION STATEMENT 4
III. OFFICE OF EXPERIENTIAL LEARNING MISSION STATEMENT 4
IV. GENERAL DESCRIPTION AND INFORMATION 5
V. SYLLABI 5
VI. PURPOSE OF EXPERIENTIAL LEARNING 6
VII. THE TIMING OF IPPE ROTATIONS 7
VIII. PROFESSIONAL CONDUCT / MUSOP P&P 8
IX. HIPAA 10
X. FERPA 11
XI. ATTENDANCE AND TARDINESS POLICY 12
XII. CHARACTERISTICS OF EXEMPLARY PRECEPTORS 13
XIII. CHARACTERISTICS OF EXEMPLARY SITES 14
XIV. STUDENT EVALUATIONS / ASSESSMENTS 15
XV. PROFESSIONAL PRACTICE BENEFITS OF BEING A PRECEPTOR 17
XVI. REFERENCES 18
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I. CONTACT INFORMATION
Please use the following mailing address for all correspondence:
Marshall University School of Pharmacy
Coon Education Building
One John Marshall Drive
Huntington, WV 25755
Program Website: www.marshall.edu/pharmacy
*Located on the campus of the VA Medical Center at 1542 Spring Valley Drive,
Huntington, WV 25755
Office of Experiential Learning
Office Phone: 304-696-7353
Office Fax: 304-696-7309
Robert B. Stanton, MBA, Pharm.D., BCP
Associate Professor of Pharmacy Practice
Assistant Dean of Experiential Learning
Phone: 304.696.7350
Office: CEB 138
Email: [email protected]
Craig Kimble, Pharm.D., M.B.A., M.S., BCACP
Director of Experiential Learning
Manager of Clinical Support Services
Assistant Professor of Pharmacy Practice
Phone: 304.696.6014
Office: CEB 137
Email: craig[email protected]
Rhonda Gail Rice
IPPE Coordinator
Phone: 304.696.7353
Office: CEB 139
Email: ricerh@marshall.edu
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II. MARSHALL UNIVERSITY SCHOOL OF PHAMACY MISSION AND VISION
STATEMENT
Mission Statement
The mission of the Marshall University School of Pharmacy (MUSOP) is to advance direct
pharmacy patient care by developing innovative practitioners, researchers, and educators.
MUSOP conducts research and provides services directed toward the goal of improving the
health and well-being of West Virginians, veterans, and residents of the tri-state region and the
nation.
Vision Statement
We are…Marshall!
We are…leaders in innovation, education, practice, and research!
We are…the future of Pharmacy!
III. OFFICE OF EXPERIENTIAL LEARNING MISSION AND VISION STATEMENT
Mission Statement
Our mission of the Office of Experiential Learning is to provide student-centered real-world
pharmacy practice experience that results in a superior pharmacist who delivers exceptional
patient-centered care, advances the profession through scholarship and mentoring, and service to
the community that results in improved well-being of West Virginians, veterans, residents of the
tri-state region, and the nation.
Vision Statement
Our vision of the Office of Experiential Learning is to develop pharmacists who are caring,
empathetic practitioners that provide a level of care to patients that distinguishes themselves, the
profession, and the Marshall University School of Pharmacy. Our graduates will enrich the lives
in the communities that they live and serve, providing leadership for worthy causes at the
community, state, and national level while maintaining high standards of ethical and moral
conduct.
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IV. GENERAL DESCRIPTION AND INFORMATION
Notice: All material contained in this manual is for the restricted use of the Marshall
University School of Pharmacy and may not be duplicated without the written consent of
the Director, Office of Experiential Learning.
Purpose of the Manual. This Manual discusses the general philosophy and goals of the
introductory pharmacy practice experience (IPPE) and role of the preceptor. For specific
rotation objectives please review the preceptor manual for the specific IPPE rotation.
Introductory Experiential Program. The early experiential program consists of a series of
IPPEs throughout the first three professional years. Each IPPE educational rotation will
consist of 40 hours. The student will spend 4 hours at the rotation site twice a week for 5
weeks. The first two years of experiential learning will occur in community and
institutional pharmacy practice sites only.
The IPPE is a structured and supervised environment that serves to transition the student-
pharmacist into a competent professional interacting effectively with patients and other
members of the healthcare team to provide optimal direct patient care. Experiential
learning promotes becoming a self-directed, life-long learner.
IV. SYLLABI (COMPETENCY AND OBJECTIVES)
Syllabi for each rotation (PHAR 811, PHAR 812, PHAR 813, PHAR 814, PHAR 815, PHAR
816, PHAR 817, and PHAR 818) are reviewed and updated annually as required. Copies of
rotation specific syllabi and rotation assessment rubrics may be found in the following 2 places:
1. Go to the Marshall University School of Pharmacy website
(www.marshall.edu/pharmacy) -> faculty and staff -> preceptor information section of
the Marshall University School of Pharmacy website.
http://www.marshall.edu/pharmacy/faculty_staff/preceptor-information/
2. Copies may also be found under the Marshall University School of Pharmacy precepting
section of Pharmacist Letter / Preceptors Letter.
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V. PURPOSE OF EXPERIENTIAL LEARNING
In 1990, GE Miller introduced a method for assessing healthcare students, this
assessment model is commonly referred to as Miller’s Pyramid.
1
In experiential learning
the student is more actively involved in the learning process than in the classroom setting
and real-world experiences vary from the classroom setting. The experiential learning
process allows the student to attain competency in a structured, supervised environment.
The Introductory
Pharmacy Practice
Experiential (IPPE)
goals are to assess
that the learning that
has occurred in the
didactic and
simulation
environment can be
applied by the student
in real-world
pharmacy settings.
The experiential
environment is a
structured
environment where
students can
comfortably ask
questions, relate
concepts to patients, and be immersed into the culture of pharmacy. Other objectives of
experiential learning include professional socialization, critical reflection, and
learning/observing of the pharmacist-patient relationship. Demonstration of professional
behaviors and attitudes are refined in this setting as well.
This model emphasizes that competency in an area is not realized until the learner can
demonstrate that he/she is capable of successfully completing a task or ability in a real-
world situation.
In this model of education the preceptor plays an important role as the practitioner who
decides whether the student-pharmacist has achieved a level of competency to perform
specific abilities needed to become a practicing pharmacist. At the peak of the pyramid the
preceptor assesses whether or not the student is able to complete the ‘Does’. In the event that
a student does not perform adequately, the student will receive additional instruction,
simulation, and other educational assistance to ensure the student-pharmacist can perform the
expected ability.
Does
Shows
How
Knows How
Knows
Preceptor
Assessment
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VI. THE TIMING OF IPPE ROTATIONS
The philosophy of MUSOP is to introduce the student-pharmacist early into real-
world practice environments. Subsequently, the IPPE rotations have been established
early in the curriculum to facilitate learning and immerse the student-pharmacist into
the culture of pharmacy, to reinforce and to assess the learning that has occurred in
the classroom, and desirably to demonstrate the relevancy of the classroom
instruction into pharmacy practice. Each year progressive assessment of the learning
that has been taught in the classroom and reinforced with simulation is evaluated in
the real-world setting.
In the first and second professional years, the student will be immersed in experiential
learning opportunities in both a community pharmacy (PHAR 811) and an
institutional setting (PHAR 812). Progressively, during the second year, the student
will demonstrate additional skills and knowledge that they have learned from the
didactic and simulation environment in community (PHAR 813) and institutional
(PHAR 814) experiential settings.
Beginning in the 3
rd
year the student-pharmacist will have an opportunity to
demonstrate competency in practice management (PHAR 817), education and
mentoring (PHAR 818), ambulatory care skills (PHAR 815), and inpatient skills
(PHAR 816). Mastery of professional behavior and attitude, and other skills must be
achieved prior to the start of the advanced pharmacy practice experiences (APPEs) in
the fourth professional year.
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VII. PROFESSIONAL CONDUCT / MUSOP P&P
Professionalism is a commitment to uphold the values of the profession, exhibit
respect for others, and follow legal and ethical standards. Below are some of the
professional conduct requirements that MUSOP necessitates of all its students:
a. Respect for the preceptor. In no circumstances will disrespectful behavior be
tolerated towards MUSOP preceptors. This includes verbal and non-verbal
actions.
b. Respect for the patient. In no circumstances will disrespectful behavior be
tolerated towards any patient for any reason. An important aspect of professional
conduct is learning how to handle difficult patient issues.
c.
Professional Attire. Professional attire is required for all experiential learning.
Please consult the student handbook for MUSOP definition of professional attire.
d. Professional Behavior. Professional behavior includes respect for others, absence
of offensive language, courtesy towards preceptor, patients, and staff.
e. Identification. Students must wear identification badges at all times when at an
experiential site. This is often a requirement of the site and is a requirement of
MUSOP.
f. Attendance. Except in unusual circumstances, attendance is always required as
assigned. No changes are permitted without Office of Experiential Learning
approval that are initiated by the student. Please consult student handbook for
consequences of absences.
g.
Patient confidentiality. Patient confidentiality is protected by federal law. Breach
of patient confidentiality may result in expulsion from MUSOP. The most
common places identified for breaches of patient confidentiality are the elevator
and the lunch and/or break room. More on patient confidentiality can be found in
this manual in the heading titled, “Health Insurance Portability and Accountability
Act (HIPAA)”
h.
Experiential Site Policies. The student-pharmacist must follow the policies of the
experiential site. Many of the sites require a signed document that the student
will follow the site’s policies and conduct.
i. Students are required to have a current health insurance policy.
j. It is strongly encouraged that students hold a current professional liability
insurance policy (minimum limits of $1,000,000/$3,000,000). The MUSOP
provides liability insurance for students while on rotation.
k. The student may not receive monetary compensation from any Preceptor or
Experiential Site.
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l. Laws. Adherence to federal, state, and local laws is required. Failure to adhere to
practice laws will result in failure of the rotation and may result in expulsion from
MUSOP. This includes maintaining valid intern licenses in the states assigned to
for rotations.
m. The use of possession of any illicit drug by any student while on University
property or a University affiliated assignment will not be tolerated as described by
the Marshall University student handbook. Any MUSOP student who illegally
uses, gives, sells or in any way transfers a controlled substance to another person,
or manufactures a controlled substance while involved in the Experiential
program rotation will be subject to immediate dismissal from the rotation and may
also result in additional disciplinary action as deemed necessary by the Marshall
University School of Pharmacy. In some cases, rotation sites may require
random, mandatory drug screening. Students should anticipate that requests for
participation in site specific screening may be made, and student son rotation at
those sites will be expected to comply.
n. Students must complete prior to the start of any rotation a background check and
drug screen. Instructions for this check are provided by the MUSOP School of
Pharmacy during student orientation.
o. The student must have a current TB skin test on file with Certified Background
Check verified by the MUSOP Student Affairs Office. They must also adhere to
the MUSOP monitoring policy and procedures.
p. Students must also keep their immunizations and associated documentation up to
date with Certified Background. The following vaccinations, history of illness,
and/or titers are required for enrollment: tetanus-diphtheria-pertussis (Tdap),
Measles-Mumps-rubella (MMR), Hepatitis B, and Varicella. The student also be
required to provide proof of physical examination and current immunization
records depending on the experiential site.
q. Preceptors may complete a professional evaluation form (PEF) for excellent
demonstration of professionalism or poor demonstration of professional behavior.
This form is found under “Faculty and Staff Policies” on the main MUSOP
website at: http://www.marshall.edu/pharmacy/files/2012/11/MUSOP_PEF.pdf
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VIII. HEALTH INSURANCE PORTAILITY AND ACCOUNTABILITY ACT
(HIPAA)
Prior to any experiential learning, the student-pharmacist must satisfactorily complete
an educational learning module on HIPAA regulations and related policies and
procedures. Students at MUSOP are required to complete an online module with a
post-test on the regulations and related policies. An annual update of HIPAA training
is also required. Various experiential sites are also encouraged to have the student-
pharmacist understand and receive training to their confidentiality requirements as
well.
Some key aspects of HIPAA that are emphasized during the School’s training:
a. Within the HIPAA regulations is the “Privacy Rule” which sets forth rules for
protecting patients’ health privacy.
b. The Privacy Rule protects “all individually identifiable health information”. This
includes address, birthdate, Social Security number or any patient identification
number.
c. Exemptions apply for information exchanges among health care professionals
who are directly involved in the care of that patient.
d. Criminal Penalty. A person who knowingly obtains or discloses individually
identifiable health information may face a penalty of up to $50,000 and 1 year in
prison.
e. Email and text messages are very public communication and are never to be used
to transmit confidential information.
f. In no instance should any information about a patient, preceptor, or site be posted
for any reason on social media due to confidentiality concerns.
***Student failure to comply with these policies can result in
dismissal from the MUSOP program***
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IX. FAMILY EDUCATIONAL RIGHTS AND PRIVACY ACT (FERPA)
a. A Federal law that protects the privacy of student education records.
b. Ensure that students’ personal information is properly safeguarded and is used
only for legitimate purposes.
c. Students have the right to inspect and review the student’s educational records
maintained by the school.
d. Written permission required from the student to release information from the
student’s education record.
e. Information about students on rotations should not be posted on social media.
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X. ATTENDANCE AND TARDINESS POLICY
We expect our student-pharmacists to arrive on time to the site and be ready to learn.
Below is our attendance and tardy policy, however, the experiential site may impose
their own attendance and tardiness policy and that will be the criteria on which the
student will be assessed. The preceptor should make available to the Office of
Experiential Learning their attendance and tardiness policy.
All students are expected to adhere to the rotation attendance policy and are required
to spend a minimum of 8 hours per week at the site.
Tardiness is defined as greater than 10 minutes after expected time of arrival. If
greater than one tardy then this will be classified as an unexcused absence. On time
is defined at work and in place to start tasks.
Absences with Advanced Notice: A student may make a request to be excused from
rotation for a qualifying school sponsored or other educational event (e.g. career day).
The Office of Experiential Learning will contact the preceptor and a mutual decision
will be reached as to whether the student-pharmacist may be excused from the
rotation. Professional leave is covered under SOP policy 200.010.007. Forms to
request professional leave can be found in the Office of Experiential Learning.
Absences for Illness/Emergency: In the event that the student may be unexpectedly
absent from rotation (e.g. illness, emergency), the student must immediately notify
BOTH the preceptor (by phone) and the Office of Experiential Education (304-
696-7350). Please treat your preceptor as you would an employer and provide notice
as early as possible. In the event that the student must leave a message, (s)he should
provide a contact phone number where (s)he may be reached and follow up with an e-
mail (if possible) to ensure that the message was received. Each failure to notify the
preceptor AND the school properly will result in (5%) deduction from the
rotation grade.
Unexcused absences are prohibited and may result in failure of course. Each
unexcused absence will result in a minimum reduction of 5 percentage points per
occurrence; two unexcused absences will result in automatic failure of the course.
For excused absences refer to the student handbook.
All missed time (for any reason, with the exception of an approved holiday) must
be made up. In the event a student misses more than three (3) days of time during an
IPPE rotation, they will automatically fail the rotation unless the missed time is made
up.
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XI. CHARACTERISTICS OF EXEMPLARY PRECEPTORS
□ Preceptor is familiar with the School’s mission, goals, and values
□ Preceptor demonstrates ethical and moral behavior
□ Preceptor has compassion and empathy for patients
□ Preceptor demonstrates effective leadership and management
□ Preceptor participates in community outreach activities, such as, health fairs
□ Preceptor utilizes clinical publications and drug information to provide evidence-based
decision making
□ Preceptor monitors the quality of professional practice and teaching activities
□ Preceptor treats all patients equally regardless of education or resources
□ Preceptor is active in local, state, or national professional organizations
□ Preceptor serves as an interviewer, on advisory groups, and is involved in curriculum
development of the school of pharmacy
□ Preceptor provides patient-centered care
□ Preceptor has a desire to teach
□ Preceptor encourages self-directed learning of the student with constructive feedback
□ Preceptor treats students as colleagues-in-training
□ Preceptor demonstrates effective interprofessional communication skills
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XII. CHARACTERISTICS OF EXEMPLARY SITES
□ Must provide patient-centered care and that this care is the primary practice focus
□ Quality improvement efforts at the site include the use of automation and barcode
scanning verification in distribution
□ Patient number and variety sufficient to care for diverse populations
□ Is legally compliant with local, state, and federal laws
□ Has access to learning and information resources
□ HIPPA Compliant
□ Applies quality assurance or quality improvement principles
□ Utilizes informatics
□ Has a commitment to the education of pharmacy students
□ Has management that is supportive of professional staff involvement in the
education of pharmacy students
□ Has a practice environment that nurtures and supports pharmacist and student
interactions with patients
□ Provides daily contact with the preceptor or a qualified designee to ensure that
students receive feedback and have opportunities to ask questions
□ Is adequately equipped with technology needed to support student training and to
reflect contemporary practice
□ Provides educational workshops for patients and other health care providers
□ Has collaborative professional and/or training relationships with other health care
providers
□ Serves as an accredited site for training of pharmacy residents
□ Offers Medication-Therapy-Management services
□ Demonstrates a strong commitment to health promotion and illness prevention as
reflected by the services provides and/or products sold
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XIII. STUDENT EVALUATIONS / ASSESSMENTS
PharmAcademic™ is designed to track pharmacy practice experiences for the school of
pharmacy, for students and for preceptors. Through the use of a computer or mobile device with
an Internet connection, students can view scheduled IPPEs, complete assessments, and add
reflections and artifacts of learning to PharmPortfolio. Preceptors can view information
pertaining to their assigned students, including a link to each student’s PharmPortfolio, and can
complete required assessments about students. Preceptors may also update their own
information, including license and CV uploads, and may view announcements and resources
posted by the college.
Follow the instructions listed below to access your rotation information:
• Access PharmAcademic at www.pharmacademic.com.
• User ID/PharmAcademic Email: Your email address
• Password: If you do not know your password, click the "Forgot Password" link and a new
password will be emailed to you
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Rotation information, scheduled students, entry of preceptor availability and assessments
awaiting completion are all located on the home screen after login.
PharmAcademic will send email notifications prior to each scheduled evaluation (mid-rotation
and end of rotation) from [email protected]. Please verify that you are able to
receive email from this email address, and that it is not being redirected to a spam/junk folder.
Print versions of these assessment rubrics can be found under the MUSOP Preceptor Information
section of the website or under the Preceptor section of Pharmacist’s Letter.
Sample assessment notification email (***Note from mccreadiegroup***):
John Preceptor, PharmD,
You have been assigned the following assessment. Please click on the link(s) below to complete the
assessment. The assessment is also listed on your home screen when you log into PharmAcademic.
Site: Marshall University School of Pharmacy
2013-2014 P2 Match | Community | Block 1
Assessment: End of Rotation Assessment Form
Type: Student
Due Date: 10/31/2013 23:59 (GMT-05:00) Eastern Time (US & Canada)
Subject: Jennifer Student <https://www.pharmacademic.com/>
Questions? Please contact ricerh@marshall.edu for assistance.
If you don't know your password, please go to http://www.pharmacademic.com/login.aspx and click the
"Forgot Password" link. Enter the e-mail address that this message was sent to and PharmAcademic will
reset your password and send you a new one.
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XIV. PROFESSIONAL PRACTICE BENEFITS OF BEING A PRECEPTOR
• Faculty Recognition – preceptors can be formally recognized for their
contributions to pharmacy experiential education through adjunct faculty
appointments at Marshall University.
• Program Materials – information for the professional program at Marshall is
available at the MUSOP website at www.marshall.edu/pharmacy. Preceptors
receive information including the preceptor’s manual annually.
• Pharmacist’s Letter Preceptor’s Training & Resource Network- preceptors
may receive a complimentary subscription to Preceptors Training and Resource
Network by Pharmacist’s Letter. Access to this resource includes:
o Access to MUSOP forms, syllabi, training documents, etc.
o Preceptor CE (home-based courses and live webinars)
o Sample student syllabi, activities, assignments, and schedules
o Orientation, grading, and evaluation tools
o Targeted professionalism, patient safety, and practice-based teaching
resources
o PL Journal Club (APPE teaching tools)
o Pharmacy 101 (IPPE teaching tools)
o End-of-rotation exams
o Preceptor discussion board
Participants will need to complete an individual profile if a new subscriber or link
their profile to the Marshall University system if an existing subscriber.
Subscription information may be obtained from the Office of Experiential
Learning.
• Continuing Education- MUSOP is pleased to support efforts of its volunteer
preceptors who see to enhance their practice skills through continuing pharmacist
education (CPE). MUSOP will offer programs at discounted rates for MUSOP
preceptors periodically.
• MUSOP Library Access- There are many drug information resources including
access to the Marshall University libraries that are available to preceptors. These
resources may be found under the experiential learning secure website known as
ELVIS which can be accessed from the following website (secure access).
http://www.marshall.edu/pharmacy/faculty_staff/preceptor-information/
To obtain access and utilize these resources, preceptors will need to complete an
application for access, provide a copy of a photo ID, and have a current CV or
resume on file with the Office of Experiential Learning.
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XV. REFERENCES
1. Miller GE. The assessment of clinical skills/competence/performance. Acad Med
1990;65:S63–7.
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