IPTeC INDIANA PHARMACY TEACHING CERTIFICATE PROGRAM

Teaching Experience Log

Participants are required to perform:

1. At least two hours of lectures either as a didactic lecture or part of a CE program
2. Additional experience of at least 15 hours of other teaching activities such as (all 15
hours cannot be from a single area
 6 hrs precepting or co-precepting students
 6 hrs leading topic discussions/journal clubs
 3 hrs recitation/lab facilitation

Date Description of experience, Location (eg, site or Setting (eg, course, Time
topic pharmacy program) program, audience) (hours)
Lecture and/or CE
Hours: ~2
scheduled Didactic Lecture “Care of Site (SJHS) Medicine Resident Didactics, 2 hours
for the Surgical Patient; Focus Physicians, Pharmacists
5/25/22 on Antibiotics”
Recitation/Additional Teaching Experiences
Hours: ~2.5
9/22/21 Clinical Learning Session: Site (SJHS) Clinical Pharmacists, 1 hour
Acute Coronary Syndrome APPE/IPPE students, Co-
Pharmacy Residents
9/20/21 Acute Coronary Syndrome Site (SJHS) Medical Residents 0.5 hrs

2/23/22 Clinical Learning Session: Site (SJHS) Clinical Pharmacists, 1 hour

Infection Mash-Up APPE/IPPE students, Co-
Pharmacy Residents
Small Group Facilitation/Topic Discussions/Journal Clubs
Hours: ~13.5

10/13/21 Practice Management: How Site (SJHS) Clinical Pharmacists, 1 hour

Full is your bucket
12/29/21 Teach Me Something:
What’s New With
Ketamine?
3/23/22 Practice Management: The
5 Dysfunctions of a Team
APPE/IPPE students, Co-
Pharmacy Residents
Site (SJHS) Clinical Pharmacists, Co- 1 hour
Pharmacy Residents
Site (SJHS) Clinical Pharmacists, Co- 1 hour
Pharmacy Residents

1/10/22 Topic Discussion: Burns Site (SJHS) 1 APPE Student 0.5 hrs

1/13/22 Topic Discussion: Alcohol Site (SJHS) 1 APPE Student 0.5 hrs
Withdrawal

INDIANA PHARMACY TEACHING CERTIFICATE PROGRAM

Updated 5/2019
 IPTeC INDIANA PHARMACY TEACHING CERTIFICATE PROGRAM

Date Description of experience, Location (eg, site or Setting (eg, course, Time
topic pharmacy program) program, audience) (hours)
1/5/22, Topic Discussion: Site (SJHS) 2 APPE Students 1 hour
3/20/22 Pharmacokinetic Service (x2)

1/12/22, Topic Discussion: Site (SJHS) 2 APPE Students 1 hour

3/31/22 Nutritional (x2)
Support/Electrolyte
Abnormalities
10/19/21 Topic Discussion- Diabetic Site (SJHS) Clinical pharmacist 0.5 hrs
Ketoacidosis
10/25/21 Topic Discussion- Site (SJHS) Clinical pharmacist 0.5 hrs
Pneumonias
11/3/21 Topic Discussion- Skin and Site (SJHS) Clinical pharmacist 0.5 hrs
Soft Tissue Infections
11/6/21 Topic Discussion- Antibiotic Site (SJHS) Clinical pharmacist 0.5 hrs
Coverage
11/16/21 Topic Discussion: Steroid Site (SJHS) Medical Residents 0.5 hrs
Tapering
1/21/22, Topic Discussion: Status Site (SJHS) 2 APPE Students 0.5 hrs
2/17/22 Epilepticus (x2)
1/19/22, Topic Discussion: Site (SJHS) 2 APPE Students 0.5 hrs
2/15/22 Hemorrhagic Stroke (x2)
1/17/22, Topic Discussion: Site (SJHS) 2 APPE Students 0.5 hrs
2/22/22 Decompensated Heart (x2)
Failure
Precepting/Co-precepting experiences
Hours: ~48

1/3/22 - Primary Preceptor for APPE Site (SJHS) Program-1 Student from 24
1/28/22 Student-Adult Medicine Manchester University College hours
Acute Care Experience of Pharmacy

3/28/22 - Primary Preceptor for APPE Site (SJHS) Program-1 Student from 24
4/22/22 Student-Adult Medicine Purdue University College of hours
Acute Care Experience Pharmacy

INDIANA PHARMACY TEACHING CERTIFICATE PROGRAM

Updated 5/2019