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*Note
on course proficiencies*
YEAR 4
SEMESTER 1-2-3
General Medicine
PHAR 5690
Course Description:
A structured pharmacy experience in an institutional practice
setting dealing with internal medicine.
Cr. 6. (0-18)
Prerequisite:
Fourth year standing in the College of Pharmacy or consent of
the instructor.
Course Proficiencies:
The student will be able to:
- Obtain a thorough medication history on
a specific patient.
- Prepare a medication profile for a specific
patient.
- Explain the components of a patient’s
medical record.
- Provide written and verbal drug information
to an internal medicine team.
- Provide patient counseling to patients
prior to discharge from the hospital.
- Evaluate a specific patient’s adverse
drug reaction and complete an ADR report.
- Reconcile differences between the physician’s
orders, medication administration record and the nursing medication
administration record.
- Discuss a patient’s admitting diagnosis,
co-morbidities, and drug therapy.
- Prepare a written consult note (i.e., pharmacokinetics,
nutrition, drug information), using the SOAP or FARM format.
- Make a formal clinical case presentation,
using handouts and audiovisual aids, to peers, physicians and
other healthcare professionals, based upon findings from the
patient’s history, physical examination, and hospital course;
and knowledge of the disease state and pharmacotherapy of the
disease.
- Discuss the pathophysiology of diseases
commonly managed by an internal medicine team (i.e. diabetic
ketoacidosis, pyelonephritis, sepsis, etc.).
- Develop mechanisms for documenting your
monitoring, and recommendations.
- Critically evaluate the internal medicine
literature to determine the optimal treatment where a therapeutic
controversy exists.
- Utilizing the latest clinical guidelines
and consensus statements, develop a pharmacotherapy plan for
a specific patient treated by an internal medicine service (e.g.,
a patient with CHF exacerbation, acute MI, arrhythmia, stroke,
etc.)
- Monitor the fasting blood glucose of a
specific patient and recommend appropriate changes in insulin
or oral medications used in the treatment of diabetes mellitus.
- Select the most appropriate antibiotic
regimen for patients with a specific infection (i.e. TB, PCP,
CAP, endocarditis, cellulitus).
- Recommend patient-specific empiric antibiotic
treatment based on a gram stain and/or culture when sensitivities
are pending.
- Provide comprehensive patient education
to patients receiving anticoagulation.
- Prepare a publishable drug therapy review
of the pharmacotherapy of a disease state encountered on an
internal medicine service.
- Select and provide appropriate educational
materials to patients who require special guidance (e.g., elderly,
patients with asthma, poly-pharmacy).
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