General Core Rotation Objectives
At the conclusion of each rotation, when presented with a patient and his/her diagnoses, physical findings, laboratory results, medication list, and other pertinent information, the student will be able to demonstrate:
KNOWLEDGE OF DRUG THERAPY
For each medication given to the patient:
- Describe the mechanism of action
- Identify the indication for use and place in therapy
- List routes of administration
- Define onset and duration of action
- Identify significant drug interactions and drug‐lab interactions
- Describe the pharmacokinetic features and the impact of the patient's factors on the medication's pharmacokinetic features
- List adverse effects and estimate the relative risk of occurrence
- List monitoring parameters for determination of efficacy and toxicity
KNOWLEDGE OF DISEASE STATES
Describe the symptomatology, physical findings, pathophysiology, diagnostic procedures, laboratory tests, primary and alternative pharmacotherapies, and non‐pharmacological treatments for medical illnesses pertinent to the rotation specialty.
KNOWLEDGE OF OTHER TREATMENT CONSIDERATIONS
Describe other diagnostic, therapeutic, and procedural issues not specially addressed above.
PROBLEM SOLVING SKILLS
Utilize problem‐solving skills to perform the following:
a) Integrate patient information and didactic information to:
- Identify appropriate patient monitoring parameters
- Construct a systemic approach to data collection and interpretation
- Delineate therapeutic goals and time frame for achievement
- Defend proposed treatment plans with information drawn from the current literature
b)Methodically identify and anticipate patient problems using a major "body systems" approach to:
- List possible alterations in a specific patient's course within a specific time interval
- Identify patient factors that may alter pharmacokinetic parameters of drugs
- Delineate specific modifications in the therapeutic regimen to adequately cope with the proposed alterations
c)Identify potential problems encountered with drug preparation and administration
a)Effectively communicate with patients and health professionals, as deemed appropriate by the preceptor, by the following:
- Performing discharge counseling and thorough medication histories in applicable patients
- Performing brief dissertations on selected pharmacotherapeutic topics to physician and other health professionals
- Ensuring dissemination of therapeutic plans to physicians, nurses, pharmacists, and other appropriate health professionals
- Documenting clinical pharmacy input into the therapeutic approach by placing concise entries into the patient record
b)Retrieve, summarize, and disseminate relevant literature for use in the clinical decision making process.
- Express the highest degree of professional ethics when dealing with patients and health care professionals.
- Express an appreciation for the personal and moral dilemmas confronting the family and patient with acute medical illnesses.
During a rotation, a student who fails to demonstrate the achievement of and/or a progression in achieving all general core rotation objectives will be made aware of the deficiencies in writing at the time the deficiencies are noted so that the student may take steps to correct the said deficiencies. All future APPE preceptors of the student will be made aware of the said deficiencies so that the said deficiencies may be resolved prior to the student's graduation and to circumvent the case that the said deficiencies are only temporarily improved. Performance evaluation on general objectives is contingent upon past or anticipated future performance. All general core rotation objectives must be satisfactorily achieved with respect to the student's experience for successful completion of the rotation sequence.