COURSE TITLE: CARDIOLOGY ROTATION COURSE NUMBER: PHA 569 SEMESTER HOURS: FIVE CREDIT HOURS REQUIRED: NO PREREQUISITES: SUCCESSFUL COMPLETION OF ALL DIDACTIC COURSES WITHIN THE PHARM.D. CURRICULUM BULLETIN DESCRIPTION The Cardiology Rotation is an elective clinical experience that will develop the student’s ability to make rational decisions concerning cardiovascular medications in the patient care setting. The student will acquire specialized knowledge concerning major cardiovascular disease states, invasive and noninvasive cardiovascular diagnostic techniques and the pharmacology, pharmacokinetics, and clinical use of cardiac drugs. This rotation setting is most often inpatient, but in some cases may be in an ambulatory clinic. JUSTIFICATION: Cardiovascular disease remains the number one cause of death in this country. The pharmacy practitioner must be proficient in the use of medications that affect the cardiovascular system. The student must be able to make practical recommendations concerning the appropriate acquisition, handling, administration, and monitoring of such medications. COURSE OBJECTIVES: Upon completion of this rotation, the student shall be able to: Course Objective Pharmaceutical Care Bloom’s Taxonomy Level Abilities (Ability Based Outcome) 1. Describe the etiology, pathophysiology, clinical presentation, 4, 8 II and prevention of common cardiovascular disease states (i.e., ischemic heart disease, hypertension, cardiac arrhythmias, heart failure, dyslipidemia, peripheral vascular disease) 2. Independently gather, monitor, and assess pertinent patient 1, 3, 4, 8 II, IV, VI information and recommend changes if necessary to insure safe, effective, and economical drug therapy. 3. Obtain and/or utilize medication histories, physical findings, 1, 2, 3, 4, 7, 8, 9, 10, 11, 12 V, VI laboratory tests, and pharmacokinetic data to select and recommend optimal drug therapy for individual patients as necessary. 4. Present complete and accurate patient information in a case 1, 2 I, II, III presentation format, including appropriate components and sequence. 5. Develop an appropriate patient specific medication therapy 2, 3, 4 V management plan. 6. Retrieve and evaluate current drug therapy information from 2, 4, 7, 8, 9, 10, 11, 12 VI the literature and make recommendations utilizing evidence- based medicine to health care professionals. 7. Identify, prevent, and resolve potential drug-related problems 1, 2, 3, 4, 8 VI through the monitoring of basic pharmacokinetic and pharmacodynamic parameters. 8. Counsel and educate patients and/or caregivers on the 7, 9, 10, 12 III appropriate use of their medications utilizing the medication therapy management principles when possible. INSTRUCTIONAL METHODS: Demonstrations, individual patient management and discussion, independent problem-solving of pharmaceutical care dilemmas, oral presentations, reading assignments. ACTIVE LEARNING METHODS: Group discussions, demonstrations, individual patient management and discussion, independent problem-solving of pharmaceutical care dilemmas, oral presentations. REQUIRED ACTIVITIES: Clinical monitoring of cardiovascular patients Pharmacokinetic monitoring of patients Patient case presentation and discussion ADDITIONAL ACTIVITIES AS DIRECTED BY THE PRECEPTOR: Patient counseling and education Inservice(s)/Presentation(s) Exams/Quizzes Projects GRADING: Grading for this rotation will be established by the preceptor based on the following: Attendance, attitude, and professional attire Professionalism, ethics and responsibility Communication and interpersonal skills Presentation of patient information Demonstration of pharmacotherapeutic skills (including patient assessment and monitoring, therapeutic decision-making, and intervention), and integration of basic biomedical, pharmaceutical and clinical science knowledge to optimize patient care outcomes. Demonstration of critical thinking skills Documentation of interventions Daily activities Case presentation(s) Written/oral presentation(s) Quizzes/Examination(s) Project(s) A failure on any dimension or assignment is grounds for failure of the rotation. Specific evaluation criteria will be presented to the student within 48 hours from initiation of the rotation. A final grade is assigned according to the following grading scale: A = 90-100% B+ = 85-89% B = 80-84% C+ = 75-79% C = 70-74% F = < 70% Unprofessional and/or unethical behavior will not be tolerated, and will be grounds for immediate failure of the rotation, and/or dismissal from the program. An unexcused absence, including excessive tardiness, is grounds for failure of the rotation. INSTRUCTOR: Director, Office of Experiential Education Assistant Director, Office of Experiential Education Katie Packard, Pharm.D. Dan Hilleman, Pharm.D. TEXT(S): None unless otherwise specified by the individual preceptor. The latest policies, including those regarding students with disabilities and misconduct can be found on the School's web site at http://spahp.creighton.edu/Acad_SAffairs/policies.asp. Each student is responsible for becoming familiar with all of the latest policies. “Faculty reserve the right to make changes in a course as necessary and those changes must be submitted to the Curriculum Committee within 30 days.” If revised, the syllabus needs to be reviewed and approved by the Curriculum Committee. Ability-Based Educational Outcomes for Graduates See http://pharmacy.creighton.edu/programs/goals_obj.asp for more detailed explanations of outcomes. Pharmaceutical Care Abilities 1. Patient Assessment - The student shall contribute to the database of information about the patient. 2. Pharmaceutical Care Plan Development - The student shall develop pharmaceutical care plans. 3. Drug Therapy Evaluation - The student shall assess and monitor the patient’s drug therapy 4. Pharmacotherapy Decision-Making - The student shall make pharmacotherapy decisions and support those decisions. 5. Medication Preparation, Distribution, and Administration –The student shall compound and/or dispense drug products consistent with patient needs and in harmony with the law. 6. Systems Management - The student shall use and evaluate acquisition, inventory control and distribution systems. General Education Abilities 7. Communication Skills - The student shall read, write, speak, listen and use multimedia to communicate effectively. 8. Critical Thinking - The student shall acquire, comprehend, apply, analyze, synthesize, and evaluate information. 9. Professional Ethics and Responsibility - The student shall represent the profession in an ethical manner. The student shall identify, analyze, and resolve ethical problems. 10. Social Interaction, Citizenship, Leadership, Professionalism - The student shall demonstrate appropriate interpersonal behaviors. 11. Life-long Learning - The student shall continuously strive to expand his or her knowledge to maintain professional competence. 12. Information Management – The student shall apply technology to pharmacy practice and science.
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