The Advanced Practice Ambulatory Medicine Experience
At the conclusion of the ambulatory medicine experience the student should be able to:
- Demonstrate an understanding of the pathophysiology and treatment of chronic diseases encountered during the experience and/or assigned by the instructor.
- Monitor the patient profile, the medical record and other available patient data to assist in drug-related problem identification and resolution.
- Contribute to the patient data base by taking medication histories, detecting and reporting adverse drug reactions, and encouraging the use of appropriate drug monitoring parameters.
- Develop, implement, and monitor a pharmacotherapeutic patient care plan for each patient assigned identifying: a) the pertinent therapeutic drug-related problems; b) the priority ranking of those problems within the patient; c) the plan for the drug-related treatment of those problems and the intervention strategies; and, d) the indices necessary to monitor the progress of the problem resolution.
- Individualize patient dosage regimens using appropriate monitoring parameters and pharmacokinetics when serum drug levels are available.
- Demonstrate effective patient communication techniques through direct communication, group learning sessions, and/or newsletters.
- Assess patient medication compliance and strategies for improving compliance.
- Evaluate patient's drug response using physical assessment skills, when indicated.
- Consult with other health professionals regarding drug selection, alternative therapies, cost-effective therapy, and drug information.
- Actively participate in medication counseling and patient education.
- Actively participate in drug utilization reviews and clinical drug investigations, where available.
- Assist in the labeling and delivery of medications where appropriate.
- Describe effective means to delivery clinical pharmacy services to the ambulatory patient.
Required Ambulatory Medicine Clerkship Forms
Those to return to the office
- End-of-Rotation Assessment - preceptor completes online
- Mid Rotation Self Assessment
- Personal Reflection - one copy goes to the preceptor, one copy goes to Purdue
- Clerkship Site/Instructor Evaluation Form (online)
- Affidavit of Experience- original goes to Purdue, copy goes in the student's portfolio
- Request for Absence Form (if applicable)
Those to place in student portfolioRequired
- Mid Rotation Self-Assessment
- End-of-Rotation Assessment
- Oral Presentation Evaluation Form(s)
- Skill-based Competency Sign Off sheets (place these in the front of the manual)
- All cases, handouts, and bibliographies from presentations
- End of Block Evaluation Form
- Articles and reports prepared by the student during rotations
- Other documents prepared during clerkship rotations evidencing relevant experiences and abilities
Potential Activities for the Ambulatory Medicine Rotation
- Counsel patients on new prescription medication, refill prescription medication, and over-the-counter medication.
- Detect drug-related problems in assigned patients (e.g. interactions, dosing, adverse reactions) and develop rational solutions to these problems.
- Research and answer any drug information questions from the assigned health care practitioner.
- Provide pharmacokinetic and nutritional consultations for assigned patients, as appropriate.
- Attend and participate in various committee meetings of the health care setting as available.
- Design and implement a brown bag service for the rotation site's patient population, where applicable.
- Design and implement a free blood pressure or blood glucose screening, where applicable.
- Design and deliver an inservice for the pharmacy staff or other ambulatory staff.
- Design and deliver a community health presentation to be given at a local retirement home, nursing home, pharmacy, or other community center.
- Design and implement a service to aid in the pharmacy or ambulatory site's dispensing routine.
- Develop educational brochures on disease state awareness, treatment, or other pertinent patient-related topics.
- Design a health awareness or informational newsletter for the patient population to aid in education and awareness of health issues, medication, and other pertinent patient-related topics.
- Develop marketing strategies and services to aid in community awareness of services provided.
- Develop programs to improve continuity of care for diabetes, tuberculosis, asthma, smoking cessation, etc.