ROTATION

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ROTATION ASSIGNMENT PROCESS
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PURPOSE TO PROVIDE THE PY 3,CLASS OF 2010
STUDENTS AN OVERVIEW OF THE MAY 2009 APRIL
2010 ROTATION ASSIGNMENT PROCESS
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This was my first clinical rotation and I truly
enjoyed it. Throughout pharmacy school I have
been on a constant path toward community
pharmacy, but this rotation has really made me
reevaluate my career plans.
I learned a lot about diabetes. I used to not be
able to list the classes of drugs or how
they worked, but now I can rattle off that info.
I was able to experience dealing with a variety
of disease states. My preceptor was great. I
felt he had my best interests at heart and wanted
me to learn as much as I could.
Great learning experience, especially for those
already experienced in community pharmacy.
This rotation was near perfect for me. I
learned how to be an independent
pharmacist, which is my career objective.
It being my first rotation, I was really
nervous. But my preceptor was very easy to work
with.
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Information applicable to All PY3, Class of 2010
students
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Rotation Year May 2009 to April 2010 May
2009 Monday, May 4 to Friday, May 29,
2009June 2009 .. Monday, June 1 to Tuesday,
June 30, 2009 July 2009 .. Wednesday, July 1
to Friday, July 31, 2009 August 2009 ..Monday,
August 3 to Monday, August 31, 2009 September
2009Tuesday, September 1 to Wednesday, September
30, 2009 October 2009 Thursday, October 1 to
Friday, October 30, 2009 November 2009 Monday,
November 2 to Monday, November 30, 2009 December
2009 Tuesday, December 1 to Thursday, December
31, 2009 January 2010 Monday, January 4 to
Friday, January 29, 2010 February 2010 ..Monday,
February 1 to Friday, February 26, 2010 March
2010.Monday, March 1 to Wednesday, March 31,
2010 April 2010 ..Thursday, April 1 to Friday,
April 30, 2010
You must complete 10 rotations in 12 months
Exact dates subject to change.
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ROTATION ASSIGNMENTS
To graduate you must complete

• 10 Total Rotations
• One each of the five required rotation types
• Five other rotations will be a combination of
  the required types of rotations and elective
  rotations
• Two of your rotations must be a Rural Rotation
  Site assignment
• Students designate a preference for their two
  months off rotation. Months off subject to
  overall program requirements, not guaranteed.

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ROTATION TYPES

• Five Required Rotation types
• ?Community Hospital (CH)
• ?Ambulatory Selective (AS)
• ?Medicine Selective (MS)
• ?Specialty Population (SP)
• ?Community Pharmacy (CP)
• Elective (EL) Rotation
• Community Ambulatory Selective (CS) Rotation
  
• Community Medicine Selective (CM) Rotation

ROTATION SITES

• About 150 different rotation sites
• Some rotation sites are only available certain
  months
• Rotation sites are subject to change before,
  during, and after the assignment process,
  normally due to preceptor availability

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COMMUNITY HOSPITAL (CH) ROTATION

Definition The community hospital (CH)
rotation is designed to provide students an
understanding of the provision of pharmacy
services to patients in a community hospital
setting. Students develop skills in
distributive functions, chart review, drug
utilization review, therapeutic drug monitoring,
and adverse drug reaction reporting.

Typical Goals Objectives Provide a high
level of pharmaceutical care to patients in a
community hospital pharmacy. Develop a strong
working relationship between physicians, other
health care providers and pharmacists in the
hospital setting. Use a clinical practice
model within a hospital pharmacy setting to
develop an understanding of ways to initiate
pharmaceutical care activities. Develop
appropriate and necessary dispensing skills
needed to provide integrated pharmaceutical care
delivery to patients in a hospital pharmacy.
Effectively communicate with health care
professionals and patients.
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AMBULATORY SELECTIVE (AS) ROTATION

Definition The ambulatory selective (AS)
rotation is designed to increase the students
knowledge and provide skills necessary in
providing pharmaceutical care in an ambulatory
care setting. Students will develop skills in
assessment and monitoring of medication regimens,
advising physicians on drug therapy, educating
patients and Improving medication compliance.
Typical
Goals Objectives Integrate drug related,
disease specific, and patient specific
information in order to make knowledgeable and
appropriate recommendations for drug therapy.
Review patient-related information for drug
therapy efficacy, adverse reactions,
contraindications to drug regimen, drug
interactions using laboratory interpretation,
information from medical record and diagnostic
information, and non-compliance issues.
Obtain medication histories from patients and
other pertinent information necessary in
assessing medication issues with the patient.
Effectively communicate with health care
professionals and patients.
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MEDICINE SELECTIVE (MS) ROTATION

Definition A medicine selective (MS) rotation
is designed to give students both an
understanding of disease states and
pharmacotherapy as they relate to adult internal
medicine and the opportunity to develop skills in
providing pharmaceutical care to hospitalized
patients. Throughout the rotation, students
develop skills in obtaining medication histories,
assessing the appropriateness of a medication
regimen, patient counseling and monitoring, and
providing appropriate drug information to both
patients and physicians.

Typical Goals Objectives Develop a
systemic and logical method for following
patients clinical course, disease management,
and outcome measures. Demonstrate an
understanding of the principles and application
of therapeutics, pharmaceutical care,
pathophysiology of disease processes and clinical
pharmacologyin the management of patients in
that particular rotation site medicine
inpatient, surgery, critical care, etc.
Develop skills for effective communication with
healthcare professionals and patients.
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SPECIALITY POPULATION (SP) ROTATION

DefinitionA specialty population (SP)
rotation is designed to provide students a basic
understanding of disease states and conditions
commonly seen in specific patient populations,
e.g. pediatric, neonatal, geriatric and
psychiatry. Emphasis is placed on the
therapeutic management and the unique
pharmacological/ pharmaceutical requirements of
those patients. The role of the clinical
pharmacist in the selection and monitoring of
drug use in the patients is stressed.
Typical
Goals Objectives Develop a systematic and
logical method for following patients clinical
course, disease management, and outcome
measures. Demonstrate an understanding of the
principles and application of drug therapy as it
relates to pharmacokinetics, nutrition,
individual dosing and special considerations for
that particular rotation site pediatrics,
geriatrics, etc. Develop the skills for
effective communication with multidisciplinary
healthcare professionals and patients.
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COMMUNITY PHARMACY (CP) ROTATION

Definition A community pharmacy (CP) rotation is
designed to increase the student's knowledge of
the practice of pharmacy in a retail, chain or
independent setting. Students develop skills
needed in obtaining medical histories from
patients, evaluating patient profiles, checking
for accurate doses and instructions on
prescriptions, monitoring for drug/drug and
drug/disease interactions, processing
prescriptions, counseling patients, providing
drug information to patients and medical
professionals, and the business management of a
pharmacy.
Typical Goals
Objectives
Provide a
high level of pharmaceutical care to patients in
a community pharmacy. Develop a strong
working relationship between 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
pharmaceutical care activities. Develop
appropriate and necessary dispensing skills
needed to provide integrated pharmaceutical care
delivery to patients in a community pharmacy.
Effectively communicate with health care
professionals and patients.
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ELECTIVE (EL) ROTATION

• An elective (EL) rotation is a rotation that
  does not fit one of the 5 previous
• types of rotations. EL rotations may be a direct
  patient care rotation
• or a non patient contact, administrative type
  rotation.
• Examples - Patient Contact Infectious
  Disease/UK Nutrition/UK. Non patient
  Contact Louisville Pharmacy Compounding/Louisvil
  le.

COMMUNITY AMBULATORY SELECTIVE (CS)
A rotation site that has the capability to
provide either a community pharmacy (CP) or an
ambulatory selective (AS) rotation experience.
COMMUNITY MEDICINE SELECTIVE (CM)
A rotation site that has the capability to
provide either a community hospital (CH) or a
medicine selective (MS) rotation experience.
For both CS and CM assignments
Students request assignment to the rotation site
for one of the two types of rotations. Students
are then assigned to that specific rotation site
for a specific type of rotation and obtain the
majority of their experiences in that rotation
type.
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Rotation Regions/Kentucky AHEC Regions
For AHEC support,population designated, not
geographically
Each student must complete 2 rotations at a Rural
Rotation Site. The following counties are not
included as a Rural Rotation SiteNC AHEC
Fayette Jessamine Bourbon Woodford Scott
Franklin Anderson Boone Kenton Campbell.NE
AHEC Clark. NW AHEC Jefferson, Oldham.
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The Clinical Education Center Model ? Increased
enrollment translates into more students on
rotation during 4th year and increased need for
rotation site and preceptor development ?
CEC model designed to facilitate the coordination
and delivery of clinical rotations in key
areas of the state ? UK COP faculty member
serves as the clinical training
coordinator (CTC) at the CEC ?CTC assists
students and preceptors within the defined
CEC area ?CEC students meet with CTC and
preceptors bi- monthly for networking and
educational activities ?CTC available in
immediate area to address problems should they
arise
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University of Kentucky, College of
Pharmacy,Student Handbook, 2008-2009Paragraph
C. XII (page 24). The College of Pharmacy is
establishing Clinical Education Centers (CEC)
across the Commonwealth. These centers will
serve as the home base for students on APPE
rotations during their 4th year. Students
admitted to the College may be assigned to a CEC
to complete their entire 4th year of APPE, or
students may be assigned to APPEs statewide.
Every attempt will be made to secure financial
assistance during these rotations through the
statewide Area Health Education Center (AHEC)
system. However, students should be prepared to
incur additional expenses and inconvenience
during the time he/she is assigned to sites
outside the greater Lexington area, or at sites
within one of the CECs. Assignments are normally
made as early as possible, giving students time
to work with local AHEC coordinators to secure
housing and make plans for off-campus experiences.
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ROTATION ASSIGNMENTS

• For the May 2009-April 2010 rotation year
  students will be assigned to one of three
  geographical areas ? Louisville
  Clinical Education Center (CEC)
  Louisville, KY area. ? Owensboro CEC
  Owensboro, KY area. ? State-wide
  (which could include some assignments to the
  Louisville and/or Owensboro
  area)

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I Want YOU for CEC Assignments
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Why YOU should volunteer for CEC assignments
? Enhance communication/presentation skills
(patient cases, journal clubs, seminars) ?
Learn about and prepare for CEC rotations through
rotation briefings ? Learn about unique areas
of pharmacy practice ? Clinical seminars from
preceptor/pharmacist experts in their field ?
Networking with other students and preceptors
enhance job opportunities ? CEC activities
benefit portfolio documentation ? Learn about
CEC area residency programs ? CEC provides
updated clinical references and a study area
resource ? Complete all rotations in one
geographical area no need to move around ?
Integrate with the local community
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Information applicable to Louisville CEC Students
Dr. Chris Miller,LouisvilleCEC Coordinator
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Louisville CEC Rotation Assignments
? Louisville CEC Rotation Assignments will be
completed by Nov. 26, 2008. ? 20-25 students
will be assigned to the Louisville CEC. o
Volunteers now being accepted. o
Students will complete all their rotations in the
Louisville, KY/Northwest AHEC area.
? Students designated as Louisville CEC
students may request and be assigned to any
rotation site in theLouisville, KY/Northwest
AHEC area. ? Separate rotation request and
assignment information will be provided to
Louisville CEC students.
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Information applicable to Owensboro CEC Students
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Owensboro CEC Rotation Assignments
? Owensboro CEC Rotation Assignments will be
completed by Nov. 26, 2008. ? 6-8 students will
be assigned to the Owensboro CEC. o
Volunteers now being accepted. o
Students will complete all their rotations in the
Owensboro, KY area. ? Students
designated as Owensboro CEC students may request
and be assigned to any rotation site in the
Owensboro, KY/West KY AHEC area. ? Separate
rotation request and assignment information will
be provided to Owensboro CEC students.
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Information applicable to PY3, Class of
2010 Students requesting State-wide rotation
assignments
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State-wide Rotation Assignments
? State-wide rotation assignments will be
completed by Jan. 30, 2009. ? Students
designated as State-wide may request and be
assigned to any rotation site in the rotation
program, to include rotations in the Louisville
and Owensboro areas. ? Separate rotation request
and assignment information will be provided to
State-wide rotation students.
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Out-of-State Rotations
Out-of-state rotation requests will only be
considered for the following o A
rotation site that offers substantially unique
and different, in addition to advanced and
progressive, experiences than those from current
UK CoP rotation site offerings. o Examples of
such rotation sites would be the Indian Health
Service (IHS) and pharmaceutical, research and
regulatory organizations. o For other
out-of-state rotation requirements, see the EEP
web site.
Contact Mike Richardson for specific request and
approval information.
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• For More Information
• Rotation Sites Info
• Experiential Education Program Web Site, Point
  and Click Map
• www.uky.edu/Pharmacy/clerkships
• Contact Exp Ed Team Faculty and/or Mike
  Richardson
• Consult other Faculty and/or current PY 4
  Students

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For More Information Rotation Request
Assignment Info/General Questions Mike
Richardson, Program CoordinatorUK Federal Credit
Union Bldg, 1080 Export St., Room 103 Phone
859-323-3633 Email mrich2_at_email.uky.eduPh
armacy Related Rotation Info/General Questions
Trish Freeman, Director, Professional Practice
Programs Phone [phone] Email
trfree1_at_email.uky.edu Anne Policastri, Assistant
Director of Experiential EducationPhone
859-323-0893 Email apoli2_at_email.uky.edu Lo
uisville CEC Information Chris Miller, Clinical
Training CoordinatorPhone 502-629-6838
Email cmmill1_at_email.uky.eduOwensboro CEC
InformationMike Berger, Clinical Training
Coordinator Phone [phone] Email
mcberg0_at_email.uky.edu
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• Next Meeting
• Friday, Sep. 26th - 100 pm
• If required Lottery to finalize Louisville
  and Owensboro CEC Student requirements
• AHEC Information
• Tuition/registration information
• EEP Database Access

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Questions ??