UNIVERSITY OF KENTUCKY
COLLEGE OF PHARMACY
PPS 991- ADVANCED COMMUNITY PRACTICE COURSE SYLLABUS
Anne Policastri, PharmD, MBA Trish R. Freeman, RPh, PhD
Assistant Director Experiential Education Director, Professional Practice Programs
114 College of Pharmacy Building 292J College of Pharmacy Building
This course is an advanced pharmacy practice experience (APPE) focused on the prevention,
diagnosis, treatment and management of diseases in patients receiving care in the community
setting. Emphasis is placed on choosing rational drug therapy, providing contemporary patient
care services and functioning as a member of an interdisciplinary health care team. Experiences
may include on call and evening/weekend responsibilities. Credit hours: 6. May be repeated to a
maximum of 24 credits. Clinical: 40 or more hours per week. Prereq: admission to the fourth
year, College of Pharmacy; and permission of instructor.
The Advanced Community Practice rotation is designed to provide students opportunities to provide a
high level of patient care, including medication therapy management, to patients in a community
pharmacy; develop a strong working relationship with physicians, other health care providers
and pharmacists in the community setting; use a clinical practice model within a community
pharmacy setting to develop an understanding of ways to initiate patient care activities; develop
appropriate and necessary dispensing skills needed to provide integrated care to patients; and
apply basic concepts of human resource management, financial management, marketing, and
operations management in a community pharmacy.
Each rotation site will have an addendum that lists the preceptor information, site description,
site specific goals and objectives, required activities, and grading criteria.
This course is a 6-week long practice experience within a community pharmacy. Students are
assigned to a preceptor and practice site selected by the Office of Experiential Education and will
participate in activities at the site no less than 40 hours per week for the 6-week long rotation
(240 hours total).
Students enrolled in the course will:
1. Utilize knowledge of pathophysiology of disease states in accordance with the
pharmacology/therapeutics of agents used in their treatment.
2. Monitor and recommend appropriate adjustments in dosing regimens based on the
pharmacokinetic/pharmacodynamic principles of drugs.
3. Identify and learn how to access drug information data-base systems available to assist pharmacists in
providing drug information in a community pharmacy setting.
4. Identify other health care resources available in the community to meet patient needs and assist the
pharmacist in triaging the patient.
5. Effectively communicate (verbally and written) with all health care professionals and patients.
6. Monitor patients charts/medication profiles for drug related problems including:
-Inappropriate use of drugs
-Adverse drug effects
-Drug interactions (drug-drug, drug-lab, drug-food, drug-disease)
-Drug duplications/unnecessary use of drugs
7. Advise physicians and other clinicians on drug therapy.
8. Obtain and record appropriate information from patients including demographics, medication
histories and other medical histories.
9. Provide continuous care to a selected patient population as identified at the site, including when able
medication therapy management (MTM), disease state management, collaborative care agreements.
10. Develop physical assessment and triage skills as they pertain to assessing patients in a community
11. Identify intended outcomes of patient drug therapy and incorporate as appropriate into the patient care
12. Recommend appropriate non-prescription therapy (including drug, health food items, non-drug
therapy) for particular disorders and counsel patients on when it is appropriate to seek further medical
13. Document interventions of patient care provided in a community pharmacy.
14. Dispense prescriptions in an integrated system to patients within the community pharmacy setting.
15. Understand financial issues associated with community pharmacy practice including purchasing,
overhead, and profit mark-up, and if available, reimbursement for cognitive skills/patient
16. Understand management issues associated with community pharmacy practice.
17. Develop and/or implement proposals or projects associated with the community pharmacy when the
student is assigned.
18. Prepare and present a 15-30 minute verbal presentation regarding some aspect of drug therapy.
19. Understand the present and future trends that will have an impact upon health care and the practice of
20. Appreciate the prescribing patterns of community physicians and the role of other health care
21. Participate in related health promotion and disease prevention in the community pharmacy practice.
These activities provide students with opportunities to achieve progress in meeting the following
curricular outcomes as described in detail in the student handbook:
-General Abilities Outcomes
Foundation Knowledge 1.1
Critical Thinking Skills 2.1
Information Management 3.1, 3.2, 3.3, 3.4
Social Interaction, Citizenship, and Leadership 6.1, 6.2, 6.3, 6.4
Lifelong Learning 7.1
-Patient Care Outcomes
Human Resources and Operations Management 1.1, 1.2
Medication Distribution 2.1, 2.2, 2.3
Patient Care 3.1
-Medication Distribution Outcomes
5.1, 5.2, 5.3
- Teaching 1.1, 1.2, 1.3, 1.4
- Public Health 1.2
APPE program manual available on-line serves as the required text for this course. Additional
texts are recommended as outlined in the APPE program manual.
Grades for each rotation are determined on the following percentage basis:
90 - 100 A
80 - 89 B
70 – 79 C
≤ 69 E
The course policies relative to professionalism, absences, dress code, patient confidentiality, etc.
are outlined in the APPE manual which serves as the required text for the course.