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Al Ain University of Science and Technology

College of Pharmacy
Introductory Pharmacy Practice Experience III
Course Code: 0201463

Training Manual

Student Name:.
Student I.D.:.

Introductory Pharmacy Practice Experience 3 (0201463)


Crd. hrs: 3 hrs
Contact hrs: 120 hrs
Prerequisite: (0201362)

Introductory Pharmacy Practice Experience 3 (0201463)


The course introductory pharmacy practice experience 3 is designed to be taken during the
summer, following the completion of the introductory pharmacy practice 2 (PHRM 062). This is
the third introductory pharmacy practice experience and is carried out to improve student's
practice skills in interaction with more pharmacists, assistant pharmacist and patients.
Consolidation of confidence, personal responsibilities and dispensing of prescriptions under the
supervision of the pharmacy preceptor (licensed pharmacist).
The trainees should widen their knowledge about the controlled drugs with regard to their
dispensing, storage, and order.
Emphasize will be given to how to check the type of prescription and patient consultation by the
registered pharmacist. Also during this course the student will be able to predict the prescribing
errors and the type of error, so, the student will be able to differentiate between the right
prescription and the one with error.
The training is expected to follow the eighth semester level. The training sites are expected to be
within the Abu Dhabi Emirate in order to facilitate monitoring by the college supervisor.

Selection of Community Pharmacy


Student applying for training must first find a suitable community pharmacy or hospital
pharmacy which accepts him or her for the purpose of training and supervision. Outpatient
pharmacy is accepted as community pharmacy. The college will also retain prepare a list of
recommended pharmacies and preceptors which will help the students securing the appropriate
site. The criteria for selection of community pharmacy are:
1. Complying with the requirements of HAAD and MOH
2.

Managed by a qualified pharmacist

3. Found in a suitable place for the student and for the college supervisor (can be visited by
the college supervisor)

Learning objectives of the


1. Learn about the proprietary names and to which group of controlled drugs is categorize.
2. Read products labeling and leaflets of the controlled drugs available including their
storage conditions and return them back properly (with the consent of the pharmacy
preceptor).

3. Learn about the indications and contraindications of the controlled drug sold.
4. Learn about the strength of the controlled drugs (different strengths and dosage forms).
5. Learn about equivalent substitutes for different controlled drugs.
6. Learn about the pharmacological classes and pharmacological action to which the
controlled drugs belong to.

7. Learn about the signs and symptoms to which the products are prescribed.
8. Learn about administration of the controlled drugs (frequency and method).
9. Learn about drug-drug and drug-food interactions.
10. Learn about patient counseling and reconciliation for the conditions to which the
controlled drugs prescribed and strengthen communication skills.

11. Learn about how to read different prescriptions and predict if there is a prescribing error.
12. Write in the log book the errors in the prescriptions and categorize the types of errors.
13. Strengthen communication skills with the pharmacists and assistant pharmacists.
14. Prepare a standard report of the controlled drugs and the prescribing errors (explained
later).

Supervision of Introductory PPE 3


Introductory PPE 3 is carried out under the supervision of the College PPE 3 Supervisor and a
preceptor who possess the following characteristics.

Preceptor's Characteristics
The Preceptor is a qualified pharmacist should:
1. Take personal responsibility for medication dispensing and counseling.
2. Have minimum of two years of professional experience in community pharmacy.
3. Have the responsibility of training not more than two students at any time.
4. Be competent in the area of practice.
5. Be involved in professional organizations.
6. Demonstrate the ability of having latest scientific knowledge in Pharmaceutical field.
7. Demonstrate a desire and an aptitude for teaching.
8. Demonstrate the ability to assess and document student performance.
9. Practice continuous professional development and collaborate with other healthcare
professionals as a member of a team.
10.

Demonstrate a commitment to his/ her organization, professional society and community.

Responsibilities of Introductory PPE 3 Supervisors


a) College Supervisor
1. To prepare a list of community pharmacies and approved preceptors who are willing to
cooperate to help the students secure training sites.
2. To prepare a list of students eligible for the professional practice along with their details.
3. To send the students documents for their training approval to the HAAD (Abu Dhabi
Emirate) and then to the ministry of labor after getting the approval from HAAD.
4. To co-ordinate with the Community Pharmacy preceptor for:
o

Monitoring the professional practice program.

Solving any problem hindering proper professional practice.

Receiving students evaluation in sealed envelopes.

5. Meeting with the students to discuss training activities and requirements when necessary.
6. Revision and evaluation of the prepared reports by the trainees.
7. Examining the students following their completion of their training.
8. Registering students total scores.
b) Role of the Preceptor
1. To train the students as per the objectives of introductory PPE 3.
2. To evaluate students for their performance during introductory PPE 2 in developing and
demonstrating the explicit skills mentioned for each introductory PPE 2 objective.
3. To ensure the recording of all data in the logbook.
4. To report to the College supervisor after completion of PPE 3.

Financial Compensation for Preceptors in the Community Pharmacy


In order to encourage the acceptance of the students into different community pharmacy within
the province of Abu Dhabi, the university has decided to compensate preceptors who fulfill the
requirements and characteristics of approved preceptors by paying them Dhs. 450 for each
student completing the training. This money is for the services given by the preceptors in the
community pharmacies; however, it is not accepted for one preceptor to supervise more than two
students at one time in order for the process to be effective and for the student to have sufficient
contact time with the preceptor. The money will be paid after the student has completed his/her
training and the evaluation sheet with other necessary documents have been received by the
college supervisor.

Regulations Governing Students Training Period


1. The intern must exhibit a professional appearance in manner and dress. The intern must
adhere at all times to the standards of dress behavior and code of conduct specified by the
preceptor.
2. She & He must wear the name badge at all time during PPE 2 (if required).

3. He or she must regard all information and activities relating to the pharmacy, the medical
community and customers to be confidential and, under no circumstances will such
knowledge be revealed to anyone.
4. He or she must keep in mind that the primary aim of internship is learning. Learning is not a
passive process, but requires a continuous, active commitment.
5. He or she should recognize that the best learning environment is one that fosters mutual
respect and courtesy between the intern and preceptor.
6. The intern should never question the advice or directions of the preceptor in public,
personnel, but rather accept the as a means of learning.
7. He or she should never be hesitant to admit that something is not known to her and should
seek help whenever needed.
8. He or she should be aware of all laws and rules, which govern her practice and should seek
clarification of any points that are not clear.
9. If the intern is regularly asked to violate laws or has knowledge that the pharmacy where the
training occurs violates such laws, then he or she should immediately report and ask for
change of training site or the preceptor.

Steps for Enrolling into and Completing the Introductory PPE3


1. The student will fill an application form (college form) taken from the college supervisor
for the IPPE3 with his/her information in order to obtain initial approval after assessing
students eligibility for training. This application must be filled two to three months in
advance before the expected training starts.
2. After obtaining initial permission from the college supervisor, the student is required to
contact suitable pharmacies (see selection of community pharmacy) and suggest at least
one community pharmacy of his/her choice with the names and qualifications of the
pharmacists working in the pharmacy. The pharmacist who will be in charge of the training
(see preceptors characteristics) in the selected pharmacy must be named. Details regarding
the establishment number, copy of a valid commercial license and copy of the approved

pharmacy signature must be secured from the pharmacy (for submission to the ministry of
labor).
In order to help the students to gain acceptance into the community pharmacy and to help
improve the training of the students by the preceptor in the community pharmacy, the
college is holding a list of approved preceptor who will be willing to take responsibility for
training. Those preceptors will be compensated for their services.
3. The college supervisor will prepare a list of students along with their choice of pharmacies
and will seek the approval for their training from HAAD (for Abu Dhabi Emirate).
4. After receiving approval from HAAD, the list along with the information and documents
obtained from the pharmacy (see point 2) will be used for an application form (ministry of
labor form) to get the ministry of labor approval for each student. The following are details
regarding the ministry of labor application and the documents required:

5. After obtaining the approval from the ministry of labor, each student will be given the
ministry of labor approved application with a copy of the list of students approved by
HAAD.
6. The student who got approved should register the training course in the university
registration system.
7. The college supervisor will set a date for all registered students who got approval for
training to explain to them the objectives of the training, their responsibilities and will be
given the necessary forms and documents.
8. Each student receives a letter signed by the Dean for the preceptor who has the starting date
and completion date of IPPE 3. This letter may be issued initially after college supervisor
gives initial consent to the training to help the student find a suitable community pharmacy
training site.
9. After completion of the introductory PPE 3 the college supervisor receives preceptor's
reports and evaluation sheets. The student must submit a training report.
10. The college supervisor will set a date to examine all the students together after the
completion of the training. Only students who have their documents complete (training
certificate for the 120 hrs, preceptors reports and evaluation and student report will be
allowed to set for the exam. Written exam will be given once and no repetition will be
allowed.

Evaluation of Introductory PPE3


At the end of the practice experience, the community pharmacy preceptor will send the
assessment results to the college supervisor confidentially. The college supervisor will assess the
results of the students in general as obtained from the different training sites for homogeneity.
The college supervisor will, after ensuring that the student undergone proper training, evaluate
students reports and set a date for a general written examination. The distribution of marks out
of 100 will be as the following:

No.

Supervisor

Assessment

College Supervisor Community Pharmacy Preceptor

Attendance
Adherence to

professional

Maximum
Score
10

Achieved Score

10

attitudes

Skills acquired
during training

Report
Assessment
General Written
Examination
Total

10

40

30
100

Training Report
Training report should be prepared professionally using Microsoft Word and submitted on time
as a hard copy along with a CD containing the same contents of the report. The report should
include the monographs of controlled drugs sold (see later). Each monograph should contain:
1. The product name and generic name as the title.
2. Manufacturing company and the distributor (agency).
3. Table containing the range of products marketed with the same trade name for the
same company (containing the same active ingredient(s)), their strengths, product
sizes and prices, dosage forms, routes of administration, medication type, their
corresponding pharmaceutical equivalents (up to 3), prices, manufacturing
companies, and distributers (agencies).
4. Therapeutic class and subclass and pharmacological action.
5. Indications, signs and symptoms to which the drug is indicated, cautions, contraindications and side-effects.

6. Dose and dosing for different age groups of different conditions and severity,
including the mode and method of administration.
7. Drug-drug and drug-food interactions and the severity of these interactions.
8. Product storage conditions.
9. Patient counseling points.
The report must have a title page containing the title of the report, student name, student I.D.,
college training advisor name, the month and year in which the report was prepared. The report
should include copies of the training certificate, attendance record completed by the preceptor
and students general report on the training. Original copies (or approved copies) of the previous
certificates are submitted to the college training supervisor. Table of contents should be included
in the report and any reference used in the report should be listed adequately on the last page of
the report.
The following is a table which contains the five groups of the schedules of controlled substances.
( but should submit the report on the second table containing selected commonly sold 25
products.)

SCHEDULES OF CONTROLLED SUBSTANCES


Certain drugs have a potential for abuse that lead to physical or psychological dependence. As a
result, the U.S. Federal government has placed these drugs into schedules & referees to them as
controlled substances
1. SCHEDULE I (CI; C-I)
Drug may not kept in pharmacy nor dispensed pursuant to a prescription (except for properly
registered facilities for investigative or research purposes). Ex: heroin.
a. The drug has high potential for abuse.
b. The drug has no currently accepted medical use.
c. There is a lack of accepted safety.
2. SCHEDULE II (CII; C-II)
Ex: morphine, amphetamines, barbiturates.
a. The drug has a high potential for abuse.
b. The drug has a currently accepted medical use.
c. Abuse of the drug may lead to severe psychological or physical dependence.
3. SCHEDULE III (CIII; C-III)

a. The drug has a potential for abuse less than I, II.


b. The drug has currently accepted medical use.
c. Abuse may lead to moderate or low physical or psychological dependence.

4. SCHEDULE IV (CIV; C-IV)


a. The drug has low potential for abuse relative to III.
b. The drug has currently accepted medical use.
c. Abuse of the drug may lead to a limited physical & psychological dependence relative
to III.
5. SCHEDULE V (CV; C-V)
a. The drug has low potential of abuse relative to IV.
b. The drug has currently accepted medical use.
c. Abuse of the drug may lead to limited physical or psychological dependence relative to
IV.
The potency of abuse of controlled drugs should be I>II>III>IV>V. schedule I should be
considered the highest potential for abuse and schedule V the lowest potential for abuse.

Controlled I drugs:
It is not for dispensing upon prescription, it is for research and
investigation.

Controlled II drugs:
Active ingredient
Trade Name
Methylphenidate
Dextroamphetamione
Amphetamine +
Dextroamphetamine
Morphine sulfate
Oxycodone
Oxycodone + APAP
Meperidine
Hydromorphone
Methadone
Fentanyl
Oxycodone + Aspirin

Controlled III drugs:


Active ingredient

Trade name

Hydrocodone +
Aspirine
Acetaminophen +
Codeine
Butalbital + APAP +
Caffeine + Codiene
hydrocodone

Controlled IV drugs:
Active ingredient
Pentazocine
Pentazocine +
Naloxone
Pentazocine + APAP
Pentazocine +
Aspirine
Propoxyphene
Propoxyphene +
Aspirine
Propoxyphene +
APAP
Meprobamate
Chlordiazepoxide
Diazepam
Oxazepam
Clorazepate
Flurazepam
Clonazepam
Lorazepam
Estazolam
Temazepam
Triazolam
Alprazolam
Zolpidem
Pemoline

Trade name

Controlled V drugs:
Active ingredient
Buprenorphine
Diphenoxylate

Trade name

Table 2. Selected pharmaceutical products available in the UAE in the year 2010

No.

Proprietary Name

Xanax

Valium 10 mg

Example of Product Packaging

Klonopin

Clonazepam

Alprazolin XR

Chlordiazepoxide HCl
Clidinium Bromide

Atarax

Zoloft

10

Prozac

11

Imipramine HCl

12

Tofranil 25

13

Strattera 60 mg

14

Depo-testosterone

15

16
17
18
19
20
21
22
23
24
25

Deca-Durabolin

The following resources may be used to help you in your report:


1. B.N.F. (Number: 59; March, 2010).

2. Goodman & Gilman's The Pharmacological Basis of Therapeutics, 11th edition, by: Laurence
Brunton, John Lazo, Keith Parker. The McGraw-Hill Companies, Inc., 2005.

3. Handbook of Clinical
Daniel M. Riche,
Companies, Inc., 2010.

Drug Data, 11th edition, by: Kelly Smith,


Nicole Henyan. The McGraw-Hill

4. Pharmacotherapy: A Pathophysiologic Approach, 7th edition, by: Joseph T. DiPiro, Robert L.


Talbert, Gary C. Yee, Gary R. Matzke, Barbara G. Wells, L. Michael Posey. The McGraw-Hill
Companies, Inc., 2008

The following format can be utilized to make up the training report (the student may add or
delete as necessary):

Product Title (Generic Name(s))


Manufacturing Company:
Distributing Agency:

Product Range Details and Equivalent Products (you can add and delete rows as necessary):
Trade

Active

name

ingredien
t

Dosage

Route of

Streng

Pack Price Medication

Equivalent Pack Price Manufacturin

Distributing

Form

Administ

th

Size

Products

Agency

ration

Group
(Controlled
Drug)

Size

g Company

Therapeutic Class:
Therapeutic Sub-Class:
Pharmacological Action:
Indications:
Signs and Symptoms for the Main Indication:
Contra-Indications:
Cautions:
Side-Effects:
Dosage Regimens and Administration Method:
Drug-Drug and Drug-Food Interactions:
Product Storage Conditions:
Patient Counseling:

Forms for IPPE3:


The following forms will be used for the introductory PPE3 training purpose:
1- Student Request Form for IPPE3:
This application will be used by the students and submitted to the college supervisor in order to
gain initial permission to start searching for a suitable community pharmacy. Alternatively, the
college supervisor may allocate a training site and a preceptor for the student based on
availability.
The student should confirm that all training pre-requisites have been completed or will be
completed before the training starts. This application must be submitted at least two to three
months before the expected commencement of the training period.
2- Training Request Application from the Ministry of Labor:
After gaining acceptance from the HAAD, the student is required to fill an application form
requesting permission to training from the ministry of labor. All necessary documents must be
furnished along with the filled application as was shown and explained under Steps for
Enrolling into and completing the Introductory PPE3. The student must be approved for training
before starting his/her training.
3- Attendance Record Form Completed by the Preceptor.
This form will be used to verify that the students have completed their training period. The
attendance record should be signed by the preceptor who witnessed the students attendance.
This form is filled on daily basis during training.
4- Trainee Evaluation Record Completed by the Preceptor.
This report will be used to mark the students in accordance with the evaluation of students
section by the introductory PPE 3 preceptor. The form also leaves space for additional
comments. This section will be used to monitor the satisfaction of the preceptor site with the
students training and to study their recommendations in order to improve the training process.

Although the students may have a copy of the evaluation, the conveyance of the evaluation
results for each student must be done securely and directly to the college training advisor. This
may be handed directly, in a securely sealed envelops by the student, by postal services or by email (for verified e-mails only).
5- Students General Report Form.
This report will be used to monitor students opinion about the training and the training site to
help improving the training process.
The Forms are given in the following pages:

Al Ain University of Science and Technology


College of Pharmacy
Introductory Pharmacy Practice Experience 3 (0201463)
Student Request Form for IPPE 3
Student Name:
Student I.D.:
Gender:
Male

Female

Major:
GPA:
Expected Credit Hours Earned after
Completing Current Semester (before Training):
Expected Graduation Semester/Year:
Which of the following Pre-requisites
Has/have NOT been Completed Successfully?

Human Anatomy and Histology


Physiology
Pharmacology 1

Which of the Pre-requisites is Currently being Studied (in this Semester, before the Training)?
Home Tel: ------------------------------------------------------------------------------------------------------Mobile: ---------------------------------------------------------------------------------------------------------E-mail Address:
Where in UAE You would Prefer to have Your Training?
Once given the permission, you will be responsible for arranging a suitable community pharmacy in accordance
with the characteristics set by the college training manual for the community pharmacy. The pharmacy preceptor
must agree to actively involved in the training. A letter may be issued by the dean for you to use it for arranging
suitable training site. The college, based on the availability, may arrange the training site for you.
Preferred Training Period for the Completion of the 120 hrs ( 15 Working Days): -----------------------------------------------------------------------------------------------------------------------------------------------------------------------Signature and Date of Filling the Application: ------------------------------------------------------------This Section is to be Used by the College Training Advisor:
College Advisor Name:
Approval:
Approved
Not Approved; Reason:
Comments:
Date and Signature:

This form must be filled and submitted by the student to the college training advisor at least two to three
months prior to the desired training period.

Al Ain University of Science and Technology


College of Pharmacy
Introductory Pharmacy Practice Experience 3 (0201463)
Attendance Record Completed by the Preceptor
Preceptor Details
Preceptor Name: Pharmacy Name:......
Preceptor Qualification: . Phone/Mobile Number:
Preceptor Position in the Pharmacy: E-mail address:...
Students Details:
Students Name: ..
Students I.D.: .
Date

Day

AM
In

PM
Out

In

Out

Total
Hrs

Comments and Signature

S
Su
M
T
W
Th
S
Su
M
T
W
Th
S
Su
M
T
W
Th
Total Hrs

This form should be completed and signed by the preceptor at the training site. The student will collect
the form at the end of the training period and should include a copy of it in the training report, while the
original is handed to the college training supervisor.

Al Ain University of Science and Technology

College of Pharmacy
Introductory Pharmacy Practice Experience 3 (0201463)
Trainee Evaluation Record Completed by the Preceptor
Preceptor Details
Preceptor Name: Pharmacy Name:......
Preceptor Qualification: . Phone/Mobile Number:
Preceptor Position in the Pharmacy: E-mail address:...
Date: .
Students Details:
Students Name: ..
Students I.D.: ..
Criteria

Description

Total
Marks
Allotted

Attendance

The student is expected to complete


the training of 120 hrs. The student
should adhere to the predetermined
training program timetable
-Confidentiality
-Professional awareness
- Accuracy
-Attention to details
-Welcoming responsibilities
-Working in a team and interaction
at work
- Tidiness
-Ability to organize medications
into the proper shelves
- Ability to read prescriptions
- Ability to use retailer software
-Ability to resolve problems
-Communication skills (with staff
and patients)
-Writing skills
Total

10

Adherence to
professional
attitudes

Skills acquired
during training

Marks
Achieved

Signature of the
Preceptor

10

10

30

Additional Comments (about the student or to improve training process):


-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

This sheet should be sent by the preceptor to the college training advisor directly as soon as the student
training is over. The sheet can be handed directly, by postal services or by e-mail attachment of scanned
copy. It may also be handed by the students using securely sealed envelop.

Al Ain University of Science and Technology

College of Pharmacy
Introductory Pharmacy Practice Experience 3 (0201463)
Students General Report Form
Students Name: ---------------------------------------------Students I.D.: -----------------------------------------------Period of Training: ------------------------------------------Training Site Name and Address: ------------------------1) What are the outcomes achieved from your training?
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------2) What is the extent of relationship between theory learned in your Pharmacy College and practice in the
training site?
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------3) To what extent you believe you have gained skills and experience from your training?
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------4) To what extent were the site of training and the preceptor helpful in achieving the training goals?
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------5) How does this training help you in your future after graduation?
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------6) What are your suggestions to improve the training process?
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------7) Would you like to make any comment?
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

This form must be completed by the trainee student. A copy of this form must be included in the
training report, while the original is handed to the college training supervisor.

Table 1: different conditions treated with controlled drugs (Bran and Generic name).
Disease state

Drug name

Brand B or Dosage
Generic G

Strength

comments

form

Table 1:(continue) different conditions treated with controlled drugs (Bran and Generic name).
Disease state

Drug name

Brand B or Dosage

Strength

comments

Generic G

form

Table 1:(continue) different conditions treated with controlled drugs (Bran and Generic name).
Disease state

Drug name

Brand B or Dosage
Generic G

form

Strength

comments

Table 1: (continue) different conditions treated with controlled drugs (Bran and Generic name).
Disease state

Drug name

Brand B or Dosage
Generic G

form

Strength

comments

Table 2: (continue) list the prescriptions with errors of any type


Disease state

Drug name

Brand B

Dosage

Stren

or

form

gth

Generic
G

Type of error and comment

Table 2: (continue) list the prescriptions with errors of any type


Disease state

Drug name

Brand B

Dosage

Stren

or

form

gth

Generic
G

Type of error and comment

Table 2: (continue)list the prescriptions with errors of any type


Disease state

Drug name

Brand B

Dosage

Stren

or

form

gth

Generic
G

Type of error and comment

Table 2: (continue) list the prescriptions with errors of any type


Disease state

Drug name

Brand B

Dosage

Stren

or

form

gth

Generic
G

Type of error and comment

Table 2: (continue) list the prescriptions with errors of any type


Disease state

Drug name

Brand B

Dosage

Stren

or

form

gth

Generic
G

Type of error and comment