Advanced Pharmacy Practice Experiences Curriculum  (APPE)

Advanced Pharmacy Practice Experiential Rotations

The advanced practice experiential program consists of a minimum of 1,600 clock hours completed during the fourth (4th) year of the professional program. Students complete rotations in the summer, fall and spring semesters.

  • 1 acute care
  • 1 ambulatory care
  • 1 acute or ambulatory care
  • 1 advanced practice community
  • 1 advanced practice institutional
  • 2 direct/supportive patient electives, 1 general elective

An acute care rotation is an inpatient experience in a hospital or health system setting in which the student spends at least 50% of his/her time performing pharmaceutical care in patient care units with multidisciplinary interaction. Examples of acute care rotations include internal medicine, family medicine, or a specialty such as oncology or infectious disease.

An ambulatory care rotation is an outpatient experience in which the student performs comprehensive patient counseling, takes patient histories, performs disease state management and education, and reviews medication regimens for problems and appropriateness. Written care plans or recommendations are communicated with treating providers, and interventions are documented in a permanent record. Examples include but are not limited to diabetes education, anticoagulation, asthma education, lipid management, and hypertension management.

An institutional pharmacy rotation provides the student with advanced practice experience in the integrated delivery of clinical pharmaceutical care in a hospital or health system setting.

A community pharmacy rotation provides the student advanced practice experience in the integrated delivery of pharmaceutical care services in a community or clinic pharmacy setting. Community pharmacy experiences may be in an independent pharmacy, a retail chain, mass merchant, or grocery store chain.

Elective rotations allow students the opportunity to gain practical experience in a variety of pharmacy practice settings, spending greater than 50% of their time in non-dispensing functions.

Two electives must be direct or supportive care experiences. These include: acute, ambulatory, community, hospital, poison center, drug information, home health, long term care, IV infusion, public health service, emergency medicine, rehabilitation medicine, palliative care.

The remaining elective may be chosen from any rotation on the site list. Other examples of electives include but are not limited to community pharmacy administration, compounding, government (e.g. FDA), industry, pharmacy benefits management, research, association management (e.g. ASHP), and practice management.

Please Note:

*The total number of Advanced Practice Community and Hospital rotations cannot exceed 3 of the 8 rotations. Of the three rotations; one community and one hospital is required. Either a community or institutional rotation may be chosen as an elective experience. Please note that a community/hospital administrative elective would count as a second community/hospital experience.

*All faculty and faculty-equivalent rotations must be filled prior to all other rotations. Students will be provided with a list of these rotations.