The College has practice experiences at approximately 500 pharmacy and clinical sites, including community pharmacies, hospitals, ambulatory care clinics, research laboratories, managed care facilities, specialty pharmacies, academia, government agencies and the pharmaceutical industry. These experiences not only expand your knowledge of pharmacy, but often lead to opportunities post-graduation.
IPPEs are designed for pharmacy students in their first three professional years of the PharmD program. When you enter your final professional year, you will have gained 320 hours of hands-on practice experience by meeting the IPPE requirements detailed below.
Each pharmacy student is required to complete three rotations, which total eight credits and 320 hours. All IPPE requirements must be met prior to beginning APPEs (see below) and must be completed in the United States or its territories (in accordance with ACPE Standard 13.8).
Introductory PHARMACY PRACTICE EXPERIENCES (ippe)
Community Pharmacy |
Institutional Pharmacy |
Team-Based Care |
|---|---|---|
|
Goal: Expose students to the day-to-day operations of a community pharmacy Duration: 4 weeks (160 hours) Timing: Summer after P1 Activities include: Dispensing, non-sterile compounding, counseling, administering vaccines and promoting self-care, health and wellness |
Goal: Expose students to the day-to-day operations of a hospital pharmacy Duration: 3 weeks (120 hours) Timing: Summer after P2 Activities include: Unit dose dispensing, sterile compounding, medication reconciliation, provider education |
Goal: Expose students to the day-to-day operations of a ambulatory patient care setting Duration: 1 week (40 hours) Timing: Summer after P2 Activities include: Patient interview, medication histories, patient and provider education |
APPEs are hands-on experiences designed to build upon the academic base obtained in the classrooms, laboratories and IPPE portions of the PharmD program. Starting in May at the beginning of the final professional year, students complete seven APPE rotations (five core and two electives), each six weeks in length (42 weeks total). One week of an APPE is equal to one semester hour of academic credit (for a total of 42 credits).
APPEs are scheduled by the College and typically require students to be at the practice site a minimum of eight hours daily.
Advanced Pharmacy Practice Experiences (APPE)
Rotation Type |
Description |
|
|---|---|---|
| Core | Ambulatory Care |
Outpatient, clinic-based, direct patient care |
| Community |
Independent, chain, grocery store |
|
| Inpatient |
Hospitalized patients, focused area of pharmacy, nursing, home patients, direct patient care |
|
| Institutional |
Hospital pharmacy |
|
| Flex Core | Ambulatory Care, Community, or Inpatient |
Allows students to self-select an area of interest |
| Elective | Elective 1 |
Opportunities available in a variety of settings Students may also opt for additional ambulatory care or inpatient experiences Non-pharmacist professionals may serve as preceptors These can be completed internationally |
| Elective 2 | ||
Required Core APPEs
You must complete the following rotations for a total of 30 credits: community pharmacy, ambulatory care, inpatient care, institutional care, and institutional pharmacy. All required core rotations must be completed in the United States (in accordance with ACPE Standard 13.8).
Ambulatory care and inpatient care rotations are direct patient care rotations in settings including but not limited to: anticoagulation, critical care, diabetes/endocrinology, emergency medicine/toxicology, family practice, gastroenterology, geriatrics, hematology/oncology, HIV pharmacotherapy, homecare, infectious diseases, internal medicine, nephrology, neurology, nutrition, pain management, pediatrics, primary care and psychiatry.
Elective APPEs
You must choose two elective rotations to complete the APPE requirements. Each rotation is six weeks in length and six academic credits. Elective APPEs may be completed outside of the United States.
Elective options include: compounding, drug programs management, governmental affairs/regulatory, health information management, home infusion pharmacotherapy, international pharmacy, long-term care, medication safety, military pharmacy, nuclear pharmacy, pharmaceutical industry, pharmacogenomics, pharmacy administration, pharmacy association management, pharmacy education and research.
International Rotations
The College provides you with opportunities to study overseas to earn a portion of their required Elective APPE rotation credits.
International rotations offer you the experience of working alongside practicing professionals while serving communities abroad. In doing so, they not only expand your knowledge and skills but also offer the opportunity to gain a global perspective on health care.
In conjunction with the clinical or research aspects of the experience, you are given opportunities to broaden your understanding of a given region by learning about traditional approaches to medicine and exploring historical and cultural sites.
Limited international APPE opportunities have recently included Italy, Japan, China, South Korea and Canada. More information is shared with you during the APPE orientation course offered during the P3 year.
Non-Academic Requirements
PharmD candidates will need to complete the following documentation annually prior to starting rotations. The dates must be adhered to in order to ensure the documentation remains in effect through the duration of the ensuing rotation year (TB screening and physical exam information must be current within one [1] calendar year of the rotation end date.)
Rotation sites hosting experiential rotations may deny a student’s participation in the program because of the inability to produce an appropriate health clearance, which could result in delayed graduation or in the inability to graduate from the program.
PHYSICAL EXAM: An annual physical exam, valid for a 12 month period, is required.
TUBERCULOSIS (TB) INFECTION SCREENING (TUBERCULIN SKIN TEST [TST]/MANTOUX or QUANTIFERON BLOOD TEST/IGRA):
- If your TB screening result is positive, you must receive a chest x-ray and provide the College with documentation of both the screening results and the x-ray report, as well as any follow-up treatment you receive.
- If you have had a positive TB screening in the past, you need to provide a copy of those results, along with a copy of a negative chest x-ray report, and any follow-up treatment you received.
- Those excluded from TB screening due to prior positive reaction or past disease must be evaluated during their annual physical exam for active signs of the disease. A Quantiferon blood test is recommended for those PPD+.
SEASONAL INFLUENZA VACCINATION:
A seasonal flu vaccination is required annually in the Fall (vaccinations are typically available starting in August each season).
HIPAA, BLOODBORNE PATHOGENS and INFO SECURITY TRAININGS
Students participating in experiential education leading to a career as a pharmacist must complete a Health Privacy (HIPAA), an OSHA Bloodborne Pathogens and an Info Security training during their P1 year, and annually thereafter. Students will complete the online trainings through The Collaborative Institutional Training Initiative (CITI Program), and is provided free of charge to students. If a student does not complete one of the above requirements initially, they will not receive their assignments for IPPE rotations; in successive years, if the trainings are not completed by the deadline set, students will not be allowed to start their rotations.
CPR or BASIC LIFE SUPPORT CERTIFICATION
All pharmacy students are required to obtain CPR (Cardiopulmonary Resuscitation) or BLS (Basic Life Support) certification before starting clinical rotations. Students must have valid CPR or BLS certification before they begin their IPPE rotations and will be required to keep their certification valid throughout the duration of their APPE rotations. All certifications MUST include a hands-on skills portion (training cannot be completed online only.)
ADDITIONAL ROTATION REQUIREMENTS
Some rotation sites have additional requirements that must be completed prior to starting that specific rotation (e.g. antibody titer as opposed to proof of vaccination; drug screen; background check). These additional requirements are communicated to the student in advance of the rotation by Experiential Education staff.
It is the student’s responsibility to ensure the requirements are met prior to commencement of the rotation. If they are not met prior to start of their experience, the student will not be allowed to begin the rotation until they have been fulfilled. Failure to provide sufficient documentation prior to rotations puts a student at risk for being removed from rotation. If a student is removed for this reason, he/she may be rescheduled for a later rotation and placed at any available rotation site (not necessarily the choice of the student).
Prior to any rotation, students must register as a pharmacy intern in the state where the rotation will be performed, if applicable.
Prior to APPEs, students must have successfully completed their IPPE requirements.
Notice Of Background Check
Individuals who have been convicted of a felony or misdemeanor may be denied certification or licensure as a health professional. Information regarding eligibility for licensing in a particular jurisdiction may be obtained from the appropriate credentialing body of that jurisdiction.
Rotation sites may deny a student's participation in the experiential program because of a felony or misdemeanor conviction, failure of a required drug test, or inability to produce an appropriate health clearance, which would result in delayed graduation or in the inability to graduate from the program.
Because institutions hosting experiential education may require a criminal background check to permit students to their facility, the College will conduct background checks on all students entering experiential programs, using the Health and Human Services/Office of Inspector General (HHS OIG) database.
The goal of the HHS OIG background check website is to identify individuals and businesses excluded from federally funded health care programs. This includes individuals convicted of fraud related to federal programs, patient abuse, licensing board actions and default on health education assistance loans.
If a student is identified via the use of this database, the matter is referred to a committee appointed by the Department of Pharmacy Practice for action.
Get Started as a Preceptor
ACPHS uses CORE ELMS as its online rotation management system for pharmacy practice experiences.
New Preceptors
If you would like to become a preceptor, please create a preceptor profile in CORE ELMS and use code: ACPHSPRECEPTOR.
Existing Preceptors
If you're currently serving, thank you for helping educate the next generation of pharmacists. To reach CORE ELMS, please go to CORE ELMS login. If you have forgotten your password or need assistance with basic CORE ELMS functions, please review the four minute CORE ELMS How-To Video or contact the Experiential Education team.
Photo taken at Aviano Air Force Base in Italy
Hear from our students
"The diversity of experience in rotating through the different areas of pharmacy (compounding, counseling, rounds, etc.) was a fantastic way of applying all the knowledge we have acquired thus far. The opportunity to directly impact patient care by assisting in researching and implementing treatment regimens was extremely rewarding. This was by far the best rotation I have participated in thus far....This rotation demonstrated that it is essential for me to seek out experiences in other work settings so that I can find the niche in pharmacy that I would fit with best.” – IPPE student, summer following P2 year, regional medical center
“For any student desiring real-world experience in leadership and exposure to daily activities of senior management positions in pharmacy, while still gaining the benefit of clinical experience, there is no substitute for this rotation. The blend of experiences in executive, clinical and community pharmacy into a single rotation was invaluable ... this gives the student the freedom to develop their own solutions to legitimate issues in the world of pharmacy, under the guidance of a preceptor who is an expert manager.” – APPE student in P4 year, College Hometown Pharmacy
“An absolutely immersive rotation that will provide you the opportunity to apply clinical knowledge on a daily basis. This is done all while learning at the same time from very accomplished physicians and pharmacists. It thus emphasized to me that as a pharmacist I must truly understand and accept the great responsibility that accompanies properly counseling patients on their medications. It is not simply a check in the box. Lack of counseling properly can cause trips to the ER, hospital stays, worsening health and, in the worst cases, disability or death.” – APPE student in P4 year, internal medicine at suburban health care system
“This was a challenging but very rewarding rotation. One of the most impactful learning experiences during this rotation was immersing myself with the antimicrobial stewardship team, especially during the pandemic. I would brush up on the most up-to-date guidelines for various disease states, which I would discuss with my preceptor and the team. With the information from the guidelines, I was able to give recommendations on how to treat patients and the duration of treatment expected for patients.” – APPE student in P4 year, suburban medical center
“In this rotation, I experienced a unique and interesting field of the pharmaceutical industry, which was regulatory affairs. I was working in global labeling. They are dealing with a lot of the legal framework to support the drug approval process. This was meaningful to me since I was able to communicate my findings to not only my team but across countries as well which will impact future products being released on to foreign markets.” – APPE student in P4 year, pharmaceutical industry
Dr. Riddle is among 468 preceptors who guide ACPHS pharmacy students through rotations at 370 sites. Preceptors model professional conduct and decision-making as well as evaluate students in their practice settings.
“Precepting students – they often teach me more than I teach them,” she said when accepting the award. “They keep me young. It also keeps me motivated, and it gives me hope for our future as pharmacists.”
Learn more about the Preceptor of the Year Award.
Meet Our Team
Jennifer Cerulli, PharmD, RPh
Director
518-694-7363
jennifer.cerulli@worldcuptouzhu.com
Emilee Bonnier, PharmD
Assistant Director
518-694-7XXX
emilee.bonnier@worldcuptouzhu.com
Megan Veselov, PharmD, MBA
Coordinator, Associate Professor
518-694-7892
megan.veselov@worldcuptouzhu.com
Diana Foster
Affiliation and Compliance Specialist
518-694-7277
diana.foster@worldcuptouzhu.com
Debbie Reutter
Office Coordinator
518-694-7220
debbie.reutter@worldcuptouzhu.com
Questions?
Experiential Education Team
Albany College of Pharmacy and Health Sciences
106 New Scotland Avenue
Albany, NY 12208