ViewAssessment

StudentBeingEvaluated:

Glaze,LindseyD.

Assessment

AdvancedPharmacyPracticeExperience(APPE)FinalEvaluation2015-2016

Evaluator

Le,David

LearningExperience

APPECommunity:Chain

DeliveryDate
DueDate

9/30/201511:59:59PM

SubmittedDate

Note:ThisAssessment/Evaluationhasnotbeensubmitted
Page:1

PROFESSIONALISM

1Unsatisfactory
Performance

2Needs
Improvement

3Progressing
Satisfactorily

4Independent

*1.Arrivesontimeandpreparedforallrotationactivities
*2.Maintainsaprofessionalappearance
*3.Exhibitsprofessionalbehavior(courteous,respectful,positive
attitude)
*4.DemonstratesawarenessandknowledgeofHIPAAorother
appropriateconfidentialityagreement(FERPA)
*5.Displaysculturalsensitivityandtolerance
*6.Demonstratesgoodtime-managementskillsandtheabilityto
prioritizebasedonimportance/urgency
*7.Takesresponsibilityforpatientcare
*8.Takesinitiativeincompletingassignmentsandseeksopportunitiesfor
self-improvement
*9.Acceptsfeedbackandparticipatesintheprocessofself-assessment
*10.Displaysaninterestinlife-longlearning
*11.Demonstratesanunderstandingofleadershipneedsand
opportunitiesinpharmacypractice
12.ProfessionalismComments(Pleaseprovidespecificexamplesforscoresof1or2)
Lindseywasalwaysontime,followeddresscodeguidelinesandcarriedherselfprofessionallythroughouttheentirerotation.Sheshowedmaturityand
understandingofpharmacylaws,includingHIPAAandothers.WheneverLindseycompletedherassignmentsaheadoftime,whichhappenedquiteoften,she
wouldaskifshecouldhelpoutforothertasks.Ondayswhentherewasnospecificassignment,shewouldseekforprojectsherself.Oneoccasion,sherana
reportusingOutcomeswebsitetogetalistofallpatientswhomwehadperformedMTMonthencalledeachoneofthemtomakesuretheirvaccinationneeds
arecompletedfortheyear,especiallyfluvaccine.Inaddition,Lindseywasopentofeedbackandalwaysshowedapositiveattitudetowardslearningtoget
better.
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COMMUNICATION

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1Unsatisfactory
Performance

2Needs
Improvement

3Progressing
Satisfactorily

4Independent

2Needs
Improvement

3Progressing
Satisfactorily

4Independent

NotApplicable

*13.Demonstratesactivelisteningskillsandempathy
*14.Communicatesverballyinalogical,clear,concisemanner
*15.Demonstratesawillingnesstoformopinions,expressobservations,and
askquestionsinaprofessionalmanner
*16.Demonstratestheabilitytodefermakinganimmediaterecommendation
whenunsureofappropriaterecommendation
*17.Demonstratesassertivenessandconfidencewhenmakingappropriate
recommendations
*18.Respondstoquestionsinaclear,conciseandtimelymannerusing
supportingevidence
*19.Retrievesandinterpretsprofessional,lay,andscientificliteratureand
correctlydocumentsreferencesandresources

1Unsatisfactory
Performance

*20.Communicatesinwritinginalogical,clear,concise
mannerappropriateforthesetting
*21.Establisheseffectiverelationshipswithpatientsor
caregivers
*22.Establisheseffectiverelationshipswithotherhealth
careprofessionals
*23.Preparesanddeliverspresentationswithexpected
content,poise,andvisualaids
24.CommunicationComments(Pleaseprovidespecificexamplesforscoresof1or2)
Lindseytransitionedherselfintopatientcounselingonherveryfirstday.Whenobservingandlisteningtohercounselingpatients,IcouldseeLindsey
wasconfidentandusingsupportingevidencetoprovidepatientswithaccurateinformationyetshealsodemonstratedanamazingabilitytoexpressherempathy
towardspatientsortheircaregivers.Ourpatientsleftthepharmacycounterinformed,satisfied,andmovedbyhercaringwordsandgestures.Lindseyalso
provedsheisreadytotakeherpracticetothenextlevelwhensheworkedwithotherhealthcareprofessionals.Shewasconfidentinmakingrecommendations
foralternativeregimenduetodrug-drugordisease-druginteractions.Ifforsomereasonsshewasnotsure,shewouldresearchcarefully,consultwithour
pharmacistsbeforemakingappropriaterecommendations.IbelieveLindseyisnotfarfrombeingreadytodoitall.Withherremainingrotations,shesurelywill
comeoutmorethanready.
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DRUG&DISEASESTATEKNOWLEDGE

1Unsatisfactory 2Needs
Performance
Improvement

3Progressing
Satisfactorily

4Independent

NotApplicable

*25.Demonstratesknowledgeofdiseasestatesappropriateforthis
setting
*26.Describesagivendrugsmechanismofaction,expected
therapeuticresponse,adverseeffects,andmonitoringparameters
*27.Appliesphysicalassessmentskillstoevaluateapatientandhis
orherdrugtherapy
*28.Demonstratesknowledgeofevidence-basedmedicineandclinical
practiceguidelines
*29.Demonstratesknowledgeofappropriatecounselingtopatients
witheachmedication
30.Drug&DiseaseStateKnowledgeComments(Pleaseprovidespecificexamplesforscoresof1or2).
Besidescounselingpatientsonprescriptiondrugsaswellasoverthecounterdrugs,anotherareathatLindseyshowedoffheroutstandingdruganddisease
stateknowledgeisMTMsession.Lindseywasabletoutilizeherdiseasestatesknowledge,hermasteredunderstandingofdrug'smechanismofaction,expected
therapeuticresponse,adverseeffects,andmonitoringparameterstohelppatientsimprovetheirdrugregimenbymakingappropriaterecommendationsto
eliminatedesiredsideeffects,improvepatient'squalityoflife,andenhanceadherence.
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APPLICATION:ProblemAssessment

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david.le@meijer.com

1Unsatisfactory 2Needs
Performance
Improvement

3Progressing
Satisfactorily

4Independent

NotApplicable

*31.Utilizesasystematicproblem-solvingapproachtopatient
care
*32.Obtainsandassessesinformationfromthemedicalchart,
computersystemorpatientinterview
*33.Criticallyevaluatesandappliescurrentpracticeguidelines
andevidence-basedliteraturetopatientcare
*34.Identifiesandprioritizesallmedication-relatedproblems

APPLICATION:PlanDevelopment
1Unsatisfactory
Performance

2Needs
Improvement

3Progressing
Satisfactorily

4Independent

NotApplicable

*35.Designsandevaluatesdrugregimensforoptimal
outcomes
*36.Adjustsdrugregimensbasedonpatientsresponseto
therapyandpharmacokineticparameters
*37.Usespatientmonitoringformsappropriateforthe
setting

APPLICATION:MonitoringParameters

1Unsatisfactory
Performance

2Needs
Improvement

3Progressing
Satisfactorily

4Independent

NotApplicable

*38.Createsandimplementsdrugtherapy
monitoringplans
*39.Identifiesandassessesadverseevents,
toxicitiesanddrug-relatedproblems
*40.Assessespatientadherencetomedications
41.Applicationcomments(Pleaseprovidespecificexamplesforscoresof1or2).
Again,thisistheareawhereLindseyshined.Shewasatherbestitcomestoproblemassessment,plandevelopment,andfollowingup.Allofhercompleted
MTM'swerecheckedbyourpharmaciststoensurenothingwasoverlookedandamazingly,Lindseywasabletoidentifyallpossibleproblemsandleftnostones
unturned.Inaddition,shewassuccessfulinmakingnotonlyappropriatebutthebestrecommendationstoourpatientsand/ortheirphysicians.Weweregladto
haveLindseyinchargeofourMTMprogramduringthetimeshewashere.Keepitup,Lindsey,youwillflyfar!
Page:5

MEDICATIONDISTRIBUTION&DISPENSING

1
Unsatisfactory 2Needs
Performance Improvement

3Progressing
Satisfactorily 4Independent NotApplicable

*42.Processesprescriptionormedicationordersinaccordancewithregulatory
requirementsandcurrentprocedures
*43.Selectsandpreparescorrectproductsforprescriptionsormedication
orders
*44.Displaysasystematicapproachforfinalverificationtoensurethefive
principlesofdrugdelivery:rightdrug,rightpatient,rightdose,righttime,right
route
*45.Compoundsproductsapplyingconceptsofpharmaceuticsandbest
practiceguidelines
46.MedicationDistribution&DispensingComments(Pleaseprovidespecificexamplesforscoresof1or2)
IttookLindseynotimetolearnourcomputersystemanditwasjustlikeshehadbeenwithusforalongtime.Shecanruntheentirepharmacyfromchecking
patientsin,processingprescriptionsthroughcorrectinsurance,takingdoctorordersin,countingdrugs,performingperpetualC2andothercontrolledinventory
andfinallygettingtheentireprescriptionordersreadyforfinalpharmacistverification.Lindseyalsoperformedfinalverificationunderpharmacistsupervisionand
recheckbydisplayasystemicapproachusingrightdrug,rightpatient,rightdose,righttime,andrightroute.
Page:6

NON-PATIENTCAREACTIVITIES

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1
Unsatisfactory
Performance

2Needs
Improvement

3Progressing
Satisfactorily

4Independent

NotApplicable

*47.Demonstratesanunderstandingofmanagementprinciples(e.g.,
planning,organizing,directing)
*48.Demonstratesanunderstandingofresourcemanagement(e.g.,
timebudgeting,staff,finances,technology,medicalinformatics)
*49.Demonstratesanunderstandingofqualityassuranceandpatient
safetyactivities
*50.Reviewsandappliessite-relatedpoliciesandprocedures
*51.Demonstratesanunderstandingofpopulation-basedcare(e.g.,
diseasemanagementprograms,protocols,medication-usecriteria)
*52.Promotestheprovisionofpublichealthservices(e.g.,wellness,
diseaseprevention,healthpolicy)
*53.Seeksmethodstoenhancepharmacyservices
54.Non-patientCareComments(Pleaseprovidespecificexamplesforscoresof1or2)
Lindseyparticipatedinatotalof5fluclinicduringthetimeshewashereandgivingoutoverhundredsoffluandnon-fluvaccines.Herparticipationhelped
promotepublichealthanddiseaseprevention.HerinvolvementinMTMprogramalsohelpedpromoteandimprovepatient'swellness.Lindseyalsodemonstrated
adesiretolearnaboutmanagementprinciplessuchasscheduling,planning,laborandbudget,inventory,interviewingskills,andmanyothers.
Page:7

FINALEVALUATION
Thispagecontainsthelastrequiredquestions.Youmaysubmittheevaluationwhencomplete.Ifyouneedtorevisittheassessmentbeforesubmitting,press
theHomebutton,andallanswerswillbesaved.
IfyouintendtonominatethisstudentforHonorsLevelPerformance,pleaseindicatethisonthelastpageandincludeyourrationaleasdirected.
*55.ThepreceptorandstudentreviewedthestudentsProfessionalPortfolioduringtherotation.
Yes
No
*56.OverallComments:(required)
Lindseyisanepitomeofacaringandknowledgeablefuturepharmacist.Sheshoweduptoworkwithsuchjoyandexcitementasifshewasabouttodiscover
something.Herenergylevelisunmatched.Wewillmissherdearly.
*57.AreasinNeedofImprovementforSubsequentRotations:(required)
Lindseydoeshavetheskillsandabilitytobecomeapharmacymanager.Donotholdyourselfbackandgoforit!
*58.AreasofStrength:(required)
Knowledgeable,caring,trulyenjoyinghercareeraresomeofthemanywonderfulstrengthLindseypossesses.Asherrotationsgoon,Iamsureshewillbe
betterandbetterandtheskyisthelimitforLindsey.
59.Presentations,JournalClubs,Projects,Research,etc..(Optional:Youmaylistactivitiesthestudentcompletedduringtherotationhere.Evaluation
formsareprovidedintheAPPEProfessionalPortfolioCourseSyllabusandthePreceptorManualtoevaluatetheseactivities.)

*60.TotalHoursCompleted(enternumericvalueonlyandthisnumberMUSTmatchthenumberofhoursrecordedandsignedforontheAcademic
ExperienceAffidavit):
168
*61.AverageScoreforFinalAssessment
4.00
*62.Selectlettergradebasedonaveragescore
A(3.50-4.00)
B(3.00-3.49)
C(2.50-2.99)
E(2.49orbelow)

HonorsLevelPerformance
Ifyoufeelthisstudenthasconsistentlydemonstratedprogressexceedingexpectationsofanentry-levelpharmacist,youmaynominatehim/herforHonorsLevel
Performance.Thishonorisreservedforstudentswhoconsistentlyshowexceptionalclinicalskills,judgmentandprofessionalsocialization.Thestudentspassionand
dedicationtothefutureoftheprofessionofpharmacyshouldcarrythroughtoeveryaspectoftheirinteractionswithpatientsandotherprofessionals.Inyouropinion,this
studentisatruethoughtleaderandwillcontributegreatlytotheprofession.Thestudentwillreceivespecialrecognitiononhis/hertranscript.
Ifyoufeelthisstudentisdeservingofsuchanhonor,pleasewriteabriefdescription,includingspecificexamples,aboutthestudent'sperformanceinthecommentbox
below.ThismustbesubmittedbyApril30thforanAprilrotationinorderforittobeprocessedintimeforgraduation.
63.HonorsLevelPerformanceDescription,includingspecificexamples(requiredforstudenttoreceivetherecognitionontranscript):

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9/30/201512:32:47AM

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