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Standards for Physical and Practice Facilities - UW-Madison School


									G. Standards for Physical and Practice Facilities
Physical Facilities
In October of 1998, construction began on a new building for the School of Pharmacy on the University of Wisconsin-Madison campus. We expect to begin operations in our new campus home in the Fall semester of 2000 (possibly the following Spring semester). More details of the new Pharmacy building appear later in this section. On the day that we move to the new Rennebohm Hall (for that will be its name), the amenities of Chamberlin Hall cease to be of concern to us. However, until that day, Chamberlin Hall is the venue for most of our students’ activities, so we begin with a description, not greatly different from that in the 1995 Self-Study report, on our present facilities. The School of Pharmacy is located in T.C. Chamberlin Hall, with a small allocation of space at University Hospital and Clinics (UWHC), also referred to as the Clinical Science Center. Chamberlin Hall is located in the central campus area at the northeast corner of University Avenue and Charter Street in Madison. UWHC is located on the western end of campus, approximately 1.5 miles from Chamberlin Hall. Most of the teaching and research activities of the School are conducted in these assigned spaces, with some of the classroom, clinical, and professional instruction carried out in other locations. UWHC is used for clinical practice, clinical instruction, and clinical research by members of the Pharmacy Practice Division. Several members of the Pharmacy Practice Division who maintain a practice at UWHC also share office space there. Chamberlin Hall, named after an early president of the University of Wisconsin, was formerly known as the Physics-Pharmacy-Astronomy Building, before that as Old Chemistry (when the Chemistry Department moved to a new building), and, when Chemistry and Pharmacy shared the location, either as Chemistry-Pharmacy or the Chemistry Building. This building has been constructed (not according to a "master plan") in six major stages over a period of about 90 years; first was the central part (about 1895), then the east wing (1920s), the west wing (1938), the Pharmacy addition (1955), the center section (1973, replacing the original structure), and the Pharmacy auditorium (1978). Nearly continual internal renovation and repair has taken place, much of it in response to altered space needs of the changing programs housed in the building. The School of Pharmacy's location in the heart of the University campus places our students within easy walking distance of dozens of superior academic departments, with their classroom and laboratory facilities, their faculty, and their students. Chamberlin Hall, our present location, houses the Pharmacy and Physics branch libraries, is within 200 meters of the Chemistry and Medical Libraries, and within an easy walk of the Agricultural (Biochemistry), Physical Sciences (Engineering), and Memorial Libraries. Most of the University student services are located within a few blocks, as are many commercial services, such as bookstores. Chamberlin Hall is divided into three sections: the west wing, the east wing and the center section. There are seven levels in the structure, with Pharmacy occupying most of the west and east wings plus a small portion of the first floor and fifth floor center sections. The assignable space devoted to pharmacy programs is shown in the following table:


Chamberlin Hall Assignable Space for Pharmacy Program Area (sq. ft) Level B1 1 2 3 4 5 6 TOTAL West Wing 1,892 6,681 8,174 8,082 8,535 8,258 1,622 43,244 Center Section N/A 713 650 -0-04,377 370 6,110 East Wing N/A 6,371 11,260 7,329 7,366 7,585 N/A 39,911 Total 1,892 13,765 20,084 15,411 15,901 20,220 1,992 89,265

In addition to the areas assigned to Pharmacy, classroom space controlled by the campus Space Management Office is scheduled for pharmacy classes. These classrooms (5) are located on the second, third and fourth floors of the east wing.

Space Renovations
The strengths of the School's physical facilities lie mainly in the renovated areas. A major remodeling project during the late 1980s addressed the library and animal care facilities. Previously cited as weaknesses in the 1986 Self-Study Report, these areas are now viewed as strengths. Also included as part of this project was a Chamberlin Hall east wing total performance upgrade addressing heating, air flow and utility needs. Initiated in the fall of 1986, the project area involved the first, second and third floors of the east wing. The phasing of the project called for the remodeling of the second and third floors into library facilities, the move of the library from the first floor east wing into its new facility, and the remodeling of the first floor vacated area into the animal facility. The total performance improvements on the third, fourth, and fifth floor were addressed throughout the project. The library facility, occupied in early 1988, provides additional space for general library operations, the Kremers Reference Library, and a computer laboratory facility. The space allocations and increases over previous space are shown in the table which follows. Additional Space Allocations Assignable Square Feet New Library 2 6,885 Old 4,941 Additional 1,944

Kremers Reference Library Lenor Zeeh Computer Laboratory TOTAL

1,256 621 8,762

1,225 --6,166

31 621 2,596

The library provides additional space for reading areas, computer search facilities, circulation desk, librarian offices, copy center, and stacks. The Kremers Reference Library houses a unique collection of pharmacy materials, and the facility provides the environmental controls (temperature and humidity) that are critical to maintaining the physical quality of the materials. Although the surface area of the facility is not significantly greater than the old, the use of vertical files six to seven file drawers high provides a more efficient use of space and greater area for expansion. The computer facility provided by this project is located on the third floor, with access through the main library. The Rennebohm Foundation provided a $100,000 gift to the School in the name of Lenor Zeeh to equip a state-of-the-art computer facility. The facility is furnished with twelve IBM-compatible computers, two dot matrix printers and one laser printer, and the basic desk/chair stations to provide an excellent computer facility. The computer laboratory is described in more detail in the Library and Learning Resources section of this report. The new animal care facility was occupied in early 1989 and provides a consolidated, state-of-the-art facility for animal care activities. Located on the first floor east wing, the facility consists of 5,052 asf, which is environmentally controlled and is accessible only to authorized personnel. The specific details on the area are shown in the following table. Animal Care Facility Use (Number of Rooms) Animal Holding Rooms (15) Animal Holding Rooms - P2 facility (4) Fish Rooms - P2 facility Surgery, Preparation & Scrub facility (3 room suite) Isotope (2) Treatment (1) Cold Room (1) Cage Wash Room (1) Diet Mix Room (1) Storage (4) Shower (1) 3 Assignable Square Feet 2,050 446 259 344 234 135 85 483 167 759 30

Office (1) TOTAL

60 5,052

This facility is available for instructional and research activities. All the holding rooms are equipped with sink/water facilities, and three of these rooms are equipped with floor drains to accommodate larger animals. The P2 facility is a separate, restricted area utilized for activities involving the use of dioxin and toxic materials. The facility meets all of the air quality and environmental control requirements mandated by animal care accrediting agencies. Between 1992 and 1995, the School addressed two important concerns regarding facilities: The Contemporary Pharmacy Practice Laboratory (3340 Chamberlin Hall) and a student services facility (new office suite). Contemporary Pharmacy Practice Laboratory: As part of the university’s Laboratory Modernization Program, there was substantial renovation of the Contemporary Pharmacy Practice Laboratory. The upper level of the six laboratory benches, with four workstations on each bench, were redesigned and remodeled to accommodate one computer station and printer for every two workstations, and also to accommodate more efficiently the other materials required at each bench. An area was also remodeled to provide two consultation rooms in the southeast corner of the Contemporary Pharmacy Practice Laboratory. A workbench was remodeled to accommodate a dishwasher for laboratory materials. Also, another project was recently completed to address the plumbing deficiencies in the laboratory.


Student Services Suite: The south entryway (University Avenue) to Chamberlin Hall has been remodeled to provide a suite of offices for the School’s student services operations. The area provides five offices (four student services personnel plus a secretary), and a small storage area. This area of 650 asf provides a consolidated student services area which better serves the needs of our students. Other remodeling projects completed prior to 1996 include: 1. Laboratory 3310 - installation of new fume hood 2. Laboratory 3322 - installation of new fume hood 3. Laboratory 2314 - installation of two new fume hoods 4. Laboratory 5128 - installation of new fume hood 5. Laboratory 5312 - installation of new ceiling, floor and lighting 6. Laboratory 5316 - installation of new ceiling, floor and lighting 7. Conference room 4314 - installation of new ceiling and lighting 8. Laboratory 4323 - supplemental air conditioning 9. Laboratory 5330 - supplemental air conditioning 10. Chamberlin Hall - installation of eye and face spray stations The extent of the remodeling projects over the past several years is an indication of the antiquated facilities in Chamberlin Hall. We may note, however, that the University installed an entirely new fire alarm system in Chamberlin Hall in 1997. In 1998, Room 5134, which previously had been used as a seminar room and classroom, was dedicated to pharmacotherapy laboratory instruction. Minor remodeling was carried out, and computers were installed. The room is used for Pharmacotherapy Laboratory I-IV, courses 728-555, -556, -655, and -656.

Facility Limitations
The limitations of our physical plant can be categorized into two areas: clinical education facilities, and Chamberlin Hall facilities. Clinical Education Facilities: The clinical faculty who practice at UWHC have office space at this facility to meet with students. While this space is limited at the presented time, the proximity of UWHC to Rennebohm Hall, the new pharmacy building, will greatly alleviate this concern. Even with the new building, however, there will continue to be a need for on-site office space for faculty at UWHC. Chamberlin Hall Facilities: The School faces severe space deficiencies both in terms of the quantity of space presently assigned and the quality of space now occupied. Currently, the School occupies 89,265 asf in Chamberlin Hall. This amount of space is inadequate for current programs and does not allow for any programmatic expansion. In addition, the character of the present space is such that neither health and safety requirements, nor the programmatic needs are met. These limitations constitute the basis upon which the School of Pharmacy successfully sought permission at the campus, system, and state levels for the design and construction of a new building devoted solely to the programs of the School of Pharmacy. This is an appropriate place to comment on the facilities available for student life, such as student organization activities and a commons area. Chamberlin Hall offers little flexibility in providing such areas; indeed, the closest we come to the concept of a “student commons” is the foyer of our lecture hall (the Rennebohm Auditorium, Room 2101), which receives very full use by our students as a lounge and study area. 5

Instructional Facilities and Equipment
The School continues to receive support from the University Instructional Laboratory Modernization Program for remodeling and equipment related to our undergraduate teaching laboratories. In 1993-94 and 1994-95, we received funds for equipment and remodeling of the Contemporary Pharmacy Practice Laboratory (3340 Chamberlin Hall) and the pharmaceutics laboratory (3110 Chamberlin Hall). A list of the equipment provided through this program is detailed below: Equipment Purchases on Instructional Laboratory Modernization Program 1993-94 (Contemporary Pharmacy Practice Laboratory) No. 18 16 1 3 26 Item Personal computers Dot matrix printers Computer network server Laser jet printers Ohaus digital balances No. 2 4 4 1 14 Item VHS camcorders VCRs Televisions Dishwasher Label dispensers

1994-95 (Pharmaceutics Laboratory) No. 8 16 Item Analytical balances Spectrophotometers in visible region No. 4 4 Item Spectrophotometers in ultraviolet region pH meters

During 1996-1997, these additions to the biochemistry laboratory were made in order to expand our experimental instructional capabilities in the molecular biology area: 2 Electrophoresis power supplies 6 Elctrophoresis tanks 1 UV Transilluminator for DNA detection 1 Polaroid camera and hood for gel photography 1 Face shield for protection of users of transilluminator 10 Danville 20 ml pipettors 10 Danville 200 mil pipettors 1 Danville 1000 mol pipettor 2 Microcentrifuges 1 Microwave oven for melting agar and agarose With funding made available through the university’s program, the current instructional equipment needs will be met. However, with the ever-changing needs, programs must continually upgrade instructional 6


Space Administration
Requests by the School for space are forwarded annually to the campus Space Management Office. Space in the central campus area and UWHC is limited, however, Space Management attempts to accommodate requests whenever possible. For example, a request was recently made for a room to house the communications laboratory for the course, Pharmacist Communications: Educational and Behavioral Interventions, which will be taught for the first time in Spring 2000. An agreement was made to convert a general assignment classroom in the pharmacy building into dedicated space for this lab until the move to the new pharmacy building occurs. Anther method of meeting space needs is to deal directly with other schools/departments (i.e., the Pharmacy/Physics/Astronomy agreement) and with the deans of Nursing and Medicine. The assignment of space on a school-wide basis is the responsibility of the dean. At the present time, requests for expansion space cannot be satisfied, but specific needs may be met by a reallocation of space within areas as programs dictate. These reallocations are considered and approved by the appropriate division. Virtually all faculty members have private offices, and in most cases, the offices exceed 200 asf, which is generous by current guidelines. These large offices exist because of the configuration of Chamberlin Hall and the inability to remodel the existing structure to meet guidelines. The exception to private offices occurs in the Pharmacy Practice Division, where two offices in Chamberlin Hall have shared occupancy. This is the result of limited space for offices in the fifth floor center section.

Safety/Emergency Procedures
The university provides services campus-wide for safety, health emergencies, security, handicapped access and housekeeping. The evaluation of safety considerations is handled by the university's Safety Department, which addresses radiation safety, hazardous waste handling, asbestos removal and any other safety concerns. The campus also has a Biological Safety Office, and the School of Pharmacy has a Safety Committee to address faculty, staff, and student concerns, and to respond to campus inquiries as needed. Inspections of Chamberlin Hall are performed on a regular basis. The city's fire department and the university's safety department jointly inspect the facility for hazardous situations and safety violations on an annual basis. Items requiring corrective action are noted, and a list is provided to the School. Fire drills are held twice a year and evacuation of the facility is evaluated by these departments. The building fire extinguishers are also checked regularly. The safety department and biological safety department annually certify all hoods to insure proper air flow. Emergency situations are handled through contact with the university Police and Security Department or utilization of the building's fire alarm system. Police and Security will contact the necessary service to address the specific emergency. Reports are filed with the university's Risk Management office for any accident, theft, or emergency situation.


Assessment (from the 1995 Self-Study Report):
“Over the past few years, the School has been able to address some deficiencies in the physical facilities noted in previous self-study reports. Animal facilities, library, instructional laboratory and computer facilities have been improved. However, there are still areas of inadequacy. Funding from the instructional laboratory modernization program was provided for the Contemporary Pharmacy Practice laboratory. This has enabled substantial remodeling to the laboratory and the purchase of computer equipment and balances to better meet the needs of students. However, because of limited space for this laboratory, the facility is still inadequate to meet our needs. We have been able to meet some of the concerns expressed in the 1992 accreditation report. Our ability to meet all of the concerns has been limited by lack of available space in Chamberlin Hall. In nearly all of our programmatic areas, we consider our current space to be unacceptable. The long-range plans to address our space deficiencies are in the form of a major building proposal for a single structure on the west campus to house all pharmacy programs. These new facilities are essential if the School is to meet its educational, research and service missions, and every effort is being made to ensure the success of this proposal. Without new facilities, the School will be unable to maintain its academic and research excellence into the 21st century.” The great change to note here is our success in achieving the goal described in the preceding paragraph. Our new School of Pharmacy building is described on the following pages.

The New School of Pharmacy Building
The Program Statement For more than five years, the faculty and staff of the school have participated in planning for the new building. The first substantial phase consisted of writing the Program Statement. This is not a building design; rather it is a set of specifications of the kinds of activities that will be carried out in the building. The faculty and staff provided the essential information at this stage. The initial program statement (labelled 1995-1997, but dated June 1994) was prepared by the UW Department of Planning and Construction with consultants from Engberg Anderson Architects (Milwaukee) and McLellan & Copenhagen (Seattle). The total project cost estimated in this Program Statement was $52,340,000. Details from the 1994 Program Statement will not be presented, because a revised Program Statement, dated March 1996, reduced the scope of the program to a total cost of $45,000,000. The driving force for this reduction came from the State level, and was accompanied by the expectation that the School of Pharmacy, with the assistance of the University of Wisconsin Foundation, would raise one-third of the total cost, or $15,000,000, from private sources, the remainder being provided by the State of Wisconsin. This, in fact, is how the building has been financed. (It should, incidentally, be realized that reducing the expectations of the faculty was not entirely a painless procedure).


Upon acceptance of the 1996 revised Program Statement, an architectural firm was appointed (in a competition) by the State. The lead firm for our project is Potter Lawson, Inc. of Madison. Other major components of the design team, assembled by Potter Lawson, are Perkins & Will (architects) of Chicago, and GPR Planners Collaborative, Inc., laboratory designers (of New York). The first stage of the design team was to re-examine the revised Program Statement, and on November 6, 1996, a Programming/Concept Report was issued. This somewhat modified the earlier statement, and elaborated laboratory planning concepts. The area assigned to various program units, in asf (assignable square feet) are listed here: Program Unit Pharmaceutics Pharmacology/toxicology Medicinal chemistry/biochemistry Pharmacy Practice Division Social and Administrative Sciences American Institute of the History of Pharmacy Sonderegger Research Center Extension Services Instruction Pharmaceutical Experiment Station Student Facilities Animal Facility Library Analytical Instrumentation Center Administration Building Services Shared Spaces Total asf 10,775 11,475 13,525 8,961 5,780 1,450 3,020 2,120 20,864 2,961 2,300 6,445 12,589 4,830 5,185 3,390 3,810 119,480

Some very slight changes to these figures, forced by physical layout considerations, have occurred, but the above figures are substantially accurate. The Design Process An unusual feature of the design process was that all members of the design team (architects, lab planners, HVAC, plumbing and fire protection, electrical, and structural consultants, and representatives 9

from the School of Pharmacy, University, State of Wisconsin) were present at all meetings, so that possible conflicts of needs could be identified and addressed at the moment they arose. Most meetings were held at the School of Pharmacy in Chamberlin Hall. In the Programming/Concept Report of November 1996, a project schedule outlined schematic design and design development leading to a design report submission in June of 1997; the actual date was June 2, 1997. This phase is considered to represent 35% completion of design, and it is followed by detailed review and approval processes at many levels: the users (School of Pharmacy and University of Wisconsin), owner (State of Wisconsin), and various interested agencies (Madison Urban Design Committee, Madison Planning Commission, Village of Shorewood Hills, Madison Fire Department, State Building Commission). Substantial changes were proposed and accepted and construction documents were subsequently prepared. Throughout the design process all applicable building codes and ADA requirements were met throughout the building. Review of the construction documents was followed by preparation and review of bid documents, and on September 15, 1998, bids by general contractors were opened at the State of Wisconsin Department of Administration. Kramer Brothers of Plain, Wisconsin was the successful low bidder, and construction began about October 15, 1998 (immediately following some road re-routing necessitated by, and incorporated into, this project). The Building The building site is on the west campus, close to UWHC. The aerial photograph and map on the following pages show the location, which is flanked on the west by a small pond and on the east by the McClimon track. To the northeast lie Lake Mendota and Picnic Point. The address of the building will be on Highland Avenue. (Current campus planning calls for the construction of a Health Sciences Learning Center immediately across Highland Avenue from the Pharmacy Building, the two to be connected by an enclosed overpass.) The building has been named Rennebohm Hall in honor of Oscar Rennebohm, who was a pharmacist graduate of this school and who served as governor of the State of Wisconsin and as a regent of the University of Wisconsin. The building will consist of a large two-level structure housing all administrative, library, instructional, and many service functions; from within this area will rise a five-level laboratory tower. Architectural considerations such as access by automobile, bicycle, bus, or on foot, as well as views from within the building and the aspect from various points on the ground, do much to account for the appearance of the building masses and the layout on the site. Although not shown on the site plan, a cul-de-sac opening onto Highland Avenue will provide access to the main entrance, which is at the southwest portion of the site. Marsh Terrace has been closed. Appendix G-1 includes 11" x 17" drawings of all seven levels of the building. (Larger-scale drawings are available but are not conveniently included as part of the report; these bid documents show some very minor differences from the drawings in this report, but no programmatic changes). These 11" x 17" drawings are large enough to reveal how the various programs and services are located in the building, and further details can be most effectively provided during the ACPE accreditation team visit, at which time a tour of the construction site will be schedule.


Practice Facilities
The School of Pharmacy has expended considerable effort to develop a network of experiential learning practice sites in a variety of environments, including community, ambulatory, home health care, and a range of sites within hospital/institutional settings. Table 1 on the following page lists the types of practice facilities used to support the introductory and advanced practice experiences. A complete list of practice sites and preceptors can be found in Appendix G-2. The network of over 180 practice sites and more than 300 pharmacists and other health professionals who serve as preceptors is currently sufficient to accommodate students in the post-baccalaureate Pharm.D. program, as well as entry-level Pharm.D. students involved in Introduction to Pharmaceutical Care Clerkship I-VI (the first three years of the curriculum). At this time, most of the clerkship sites and preceptors are in the area surrounding Madison and Milwaukee, however, a network of experiential education sites is being developed throughout Wisconsin. The expansion of the program to encompass a broader scope of pharmacy practice sites will enhance the entry-level Pharm. D. curriculum. Student-to-preceptor ratio at all sites is one-to-one. Student management at each site is the responsibility of a designated site contact, one preceptor at each site. Each student is assigned to his/her site by Experiential Learning Program staff, who also provide the name of the site contact. The student is required to make initial contact with the site contact.

Experiential Learning Program Management
Staffing The Experiential Learning Program (ELP) office provides the technical support needed to deliver the experiential courses. The ELP office currently has two part-time staff members: Mara Kieser, R.Ph., ad Pamela Palmer, R.Ph., who assists in the coordination of the first-year service learning course and is also an academic advisor in the Student Services Office. Plans are underway to hire a staff member to replace Ms. Palmer in the ELP office. This will provide an increase in staff hours dedicated to the ELP office. ELP staff are responsible for a number of tasks related to the experiential learning program, including the development of a network of experiential education sites and the development of a quality assurance program. The Experiential Learning Program Committee coordinates student and program management. The ELP Committee consists of the PPD chair, the Director of Pharmacy Internship, experiential faculty course coordinators, the experiential education coordinators, and the nontraditional Pharm. D. program coordinator. The ELP Committee meets on a bi-weekly basis and is accountable for the day-to-day operations of the clerkships. Administrative Agreement and Support In most cases, the administrative agreement between the School of Pharmacy and a practice site is a verbal agreement whereby the site agrees to take students in exchange for services provided by the School of Pharmacy. Unless they are required by the practice site, written site agreements are discouraged by the University of Wisconsin Office of Legal Services. However, the School of Pharmacy does have written agreements with all of its preceptors. Sample practice and preceptor agreements can be found in Appendix G-3. 11

Table 1. Experiential Learning Practice Facilities
Introductory I/II Introductory III/IV Service Learning Community Practice Acute Care Introductory V/VI Community Practice Acute Care Advanced Required Community Practice Acute Care Advanced Elective Community Practice Ambulatory/Primary Care Clinic Managed Care Chain Pharmacy Acute Care Emergency Medicine Drug Information Pharmacy Administration Long Term Care Home Health Care Public Health Service Hospice Care Pediatrics Hematology/Oncology Critical Care Surgery/Operating Room/Nutrition Psychology/Neurology Drug Utilization Evaluation Investigational Drug Services Veterinary Pharmacy Nuclear Pharmacy 1

Type of Site

22 20 2 20 2 8 3 17 9 16 12 12 2 2 7 3 3 4 1 4 4 4 4 1 3 1 1 1


20 25 20 25 21 12 17 14 16 12 21 2 2 8 3 3 4 1 8 4 4 6 1 3 1 1 1

Denotes physical structures in which practice sites are located. 2 Denotes practice site locations within the physical structure. A hospital, for example, may have multiple sites within its facility.


While the School of Pharmacy does not been provide technological equipment for the sites, a number of drug information and learning resources (Medline, other Health Care Citations (International Pharmaceutical Abstracts), Micromedix, and Stat!Ref) are provided via the Internet or other distance education technology. These resources are available to students on campus, and to students and preceptors at the sites via a proxy server. Expansion of Experiential Learning Sites Practice sites are selected based on the ability of the site to provide a trained preceptor to work with a student and meet the objectives of a given course. As noted in the Standards for Curriculum section of this report, in order to implement a more efficient and effective experiential education program for the students, the School has begun to expand the number of experiential learning sites through regionalization. Regionalization places students in a “region” during the final year of the Pharm.D. curriculum, and is driven by the necessity of having to place large numbers of students in clerkships simultaneously. Students assigned to a region will find housing, jobs, and maintain family ties for a oneyear period. The School will provide support in each region to facilitate the development of sites and coordinate the clerkship activities. Madison area clerkship sites will continue to be coordinated by staff on campus. The School plans to develop three regions: the Southern Region, which consists of Madison and the surrounding areas; the Eastern Region which consists of Milwaukee and the surrounding areas; and the Northern Region, which consists of all communities in the north central area of the state, including Wausau, Marshfield, Green Bay, Appleton, La Crosse, and Eau Claire. Five hub cities will be designated within the three regions. We have begun to develop new sites in preparation for the first group of entrylevel students beginning clerkships in 2000. All practice sites must be within sixty miles of the hub city for that region. The actual number of students assigned to each region will depend upon student needs and site availability. The Southern Region sites will be developed first, followed by sites in the Eastern and Northern Regions. Quality Control The ELP staff also shares responsibility with the PPD for ensuring the quality of the School of Pharmacy’s experiential program. Quality control procedures include student, preceptor, and clinical instructor evaluations, which include evaluation of clerkship competencies and student progress toward completing the competencies during the final year of the curriculum. The competencies were developed by the faculty with feedback from preceptors and the Experiential Learning Committee. ELP staff members also conduct site visits every one to two years. The visits occur more frequently if there are changes to the course or if the course coordinator or students placed at the site have identified problems. (See Appendix G-4 for site visit evaluation forms.) The Experiential Learning Committee, a subcommittee of the Pharmacy Practice Division, currently oversees the quality control procedures of the clerkship program. The committee is made up of faculty members, Experiential Learning Office staff, pharmacy administrators, and practitioners from acute care, community, and managed care sites. The current membership of the committee follows:


Practitioners: Steven Ebert, Holly Jones, Pamela Ploetz, Alfred Bennin, Jamie Statz, Gary Lipowski Faculty and Staff: Michael Pitterle (Chair), Mara Kieser, Connie Kraus, Denise Pigarelli, Robert Breslow, Joseph Wiederholt, Timothy Hoon, Pharmacy Internship Board: Paul Rosowski The committee is currently assisting with the development and modification of clerkship courses in the entry-level program. New quality control procedures are being developed for the entry-level Pharm. D. program. .

As noted previously in this report, our preceptor network consists of a group of well-qualified and highly motivated pharmacists who are eager to participate in the program and are challenged professionally by the students. These preceptors are practicing at an advanced level, which stimulates the students’ interest in completing residencies and encourages them to use these models in their own practices in the future. The quality of the experiential learning program, the preceptors, and the practice sites is evidenced by the following: 1) Our students rank significantly higher than the national average on standardized tests such as the NAPLEX; 2) Our students have high passing rates on the state licensure examination; 3) Our graduates are highly sought after in the job market; many have advanced to high-level positions in industry and professional organizations such as APhA, AACP, ASHP, and NACDS. Measure of progress: Adequate

Plan for Improvement
1. 1. The time line for site expansion, including regionalization, is described in Appendix G-5. The Pharmacy Internship Board (PIB) will be phased in, over the next several years, as the review council for quality assurance. The membership of the PIB includes two School of Pharmacy faculty, two Pharmacy Examing Board members, two pharmacy practitioners, and a public member. In addition, the Director of the Pharmacy Internship Board will be involved in the overall review of the clerkship program. Table 2 on the following page includes items that will be evaluated as part of the quality assurance program in the fourth year of the entry-level Pharm. D. program, beginning in the academic year 2000-2001. 2. Because the number of students in post-baccalaureate Pharm.D. program is small, we currently have preceptors that may have a student only once every few years. In the entry-level Pharm D program, preceptors are expected to have students at least four of the eight-week rotations. This will allow for better consistency between rotations.


Table 2. Items to be Reviewed as Part of the Quality Assurance Program Beginning in 2000-2001 Licensure North American Pharmacy Licensure Examination - NAPLEX Multi-State Jurisprudence Exam - MSJE State Jurisprudence Exam State Compounding Exam State Patient Consultation Exam School of Pharmacy Course Grades for Experiential Learning Student Evaluation of Experiential Learning Preceptor Performance Feedback of Students - Objective and Subjective Observed Structured Clinical Examinations - OSCEs Student Portfolio Evaluation Pharmacy School GPA and Individual Course Grades (Pharmacotherapy) Pharmacy School Exit Interviews Post-graduate Job Success Employer Evaluations of Post-graduate Students


The School of Pharmacy will be implementing Advanced Pharmaceutical Care clerkship rotations in three main regions beginning May 2000. Clerkship availability must be completed by December 1999, prior to student preregistration. The following is a schedule for developing regional clerkships to meet this deadline. A number of other issues must also be addressed. See list below. DEADLINE: DECEMBER 1, 1999 FOR EACH REGION: 1. Determine number of students to be assigned. 2. Determine number of 740 sites needed/available 3. Determine number of 741 sites needed/available 4. Determine number of 760 sites needed/available 5. Site visit to arrange details of clerkship and site needs 6. Discuss contract, if necessary 7. Discuss housing issues, if necessary 8. Discuss Care Giver Law issues, if necessary 9. Appoint preceptors as clinical instructors 10. Train preceptors for specific clerkship they will be precepting and provide PIB training, if necessary 11. Appoint a regional coordinator REGION I - MADISON 1. # of students - 60 2. #740 sites - 10 - 15 available, 4 - 6 rotations 3. #741 sites - 10 - 15 available, 4 - 6 rotations 4. #760 sites - 60 available, 4 rotations 5. Meriter Hospital arrangements must be updated as they will have more 740 students UWHC arrangements must be updated from previous BS clerkships. St Mary's Hospital arrangements will not vary from current situation for the next 2 years. VA Hospital/Clinic arrangements ??? Community Pharmacy arrangements must be updated. 6. Dean HMO and Physicians Plus have discussed contract issues. Nothing has been finalized. 7. Not applicable 8. Will need to discuss with institutions. See letter from St. Mary's 9. In the process of appointing new preceptors. 10. Clerkship training date?? PIB Training done by video conference. 11. Regional coordinator - M Kieser REGION II - MILWAUKEE 1. # of students - 30 - 40 2. #740 sites - 5-8 available, 4-6 rotations (St Luke’s Hospital) 3. #741 sites - 5-8 available, 4-6 rotations (St Luke’s, Milwaukee VA) 4. #760 sites - 30-40 available, 4 rotations 5. VA has agreed to take 3 students for 741 St. Luke’s will take 3 students for 741 St. Luke’s will take ?? students for 740 6. Currently we have contracts with Children's Hospital and the Milwaukee VA 7. St. Luke’s currently provides housing at no cost VA provides housing at about $10 per day

8. 9. 10. 11.

Has not been discussed yet. In the process of appointing new preceptors Clerkship training date?? 741 for St Luke’s was done 1/6/99 PIB training done by video conference Regional coordinator ??? To be hired by Ron Ossenfort at the Milwaukee VA.

REGION III - GREEN BAY/APPLETON 1. # of students - 15 2. # 740 sites - 3 available, 5 rotations 3. # 741 sites - 3 available, 5 rotations 4. #760 sites - 15 available, 4 rotations 5. No site visits have been made 6. No contracts are currently in effect 7. Housing will need to be discussed 8. TBD 9. TBD 10. Training 11. Regional coordinator?? REGION III - WAUSAU/MARSHFIELD 1. # of students 5 2. #740 sites - 1 available, 5 rotations 3. #741 sites - 1 available, 5 rotations 4. #760 sites - 5 available, 4 rotations 5. TBD 6. TBD 7. TBD 8. TBD 9. TBD 10. Training 11. Regional coordinator?? REGION III - LACROSSE 1. # of students 10 2. #740 sites - 2 available, 5 rotations 3. #741 sites - 2 available, 5 rotations 4. #760 sites - 10 available, 4 rotations 5. A site visit was made to LaCrosse Gundersen-Lutheran Hospital 8/98. Positive response to take students. They could offer 740 and 760 sites. 6. TBD 7. TBD 8. TBD 9. TBD 10. Training? 11. Regional coordinator?

OTHER ISSUES: -Student selection process -Operation of clerkship coordinators -SOP appointment process -Database -Student background checks -Contracts -Training program for preceptors -Grading -Evaluation, feedback to sites -Honoraria, preceptor perks

TIME LINE: December 1998 14 - review Madison sites January 1999 11 -review Milwaukee sites 25 - review Green Bay / Appleton sites February 1999 1 - review Wausau / Marshfield sites 8 - review LaCrosse sites March 1999 - Madison arrangements updated and finalized. This would include site availability, contracts, housing, preceptor appointments, and background checks. April 1999 - Mail out forms to update current site and pharmacist information. - Site visits to Milwaukee to finalize availabiliy, contracts, housing, preceptor appointments, and background checks. June 1999 - Enter updated site and preceptor information into computer - Site visits to Green Bay/ Appleton to finalize availability, contracts, housing, preceptor appointments, and background checks. July 1999 - Site visits to Wausau / Marshfield to finalize availability, contracts, housing, preceptor appointments, and background checks. August 1999 - Site visits to LaCrosse to finalize availability, contracts, housing , preceptor appointments, and background checks. - Finalize forms to be used in APC rotations. September 1999 - Preceptor Dinner in Madison with preceptor training during the day. - Preceptor training for Milwaukee region. October 1999 - Mail out survey for preceptor elective clerkship availability for academic year 2000 - 20001 November 1999 - Pre-registration meeting with entry level and NTPD students. December 1999 - Enter preceptor availability for elective clerkships in computer. - Students select region for clerkships. - Prepare information on web for students to view (availability, site description) January 2000 - Pre-registration meeting with entry level and NTPD students.

February 2000 - Students select elective and required clerkships. March 2000 - Preceptor training for Green Bay/ Appleton region - Preceptor training for Wausau/ Marshfield region April 2000 - Preceptor training for LaCrosse region - Letters of notification to preceptors announcing students for the next academic year. - Preceptor Dinner in Madison with training information. May 2000 1 -Complete and duplicate manuals for entry level clerkship courses (740, 741, 760). 5 -Mail out clerkship manuals to all preceptors.

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