Pharmacy Practice (PHPP) Post-Baccalaureate Courses

Daniel K. Inouye College of Pharmacy (DKICP)

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PHPP 501 Intr Pharm Prac Experiential I (1) (other) First year pharmacy students will spend a semester in either the retail pharmacy setting or hospital pharmacy setting to observe pharmacy practice. Graded: P/NP. (Attributes: ALEX, GCC)

PHPP 502 Int Pharm Prac Experiential II (1) (other) The second course in the IPPE sequence will build on the skills and the knowledge of PHPP 501 to develop pharmaceutical care practice. Graded: P/NP. (Attributes: ALEX)

PHPP 503 Intr Pharm Prac Experien III (1) (other) Second year students will begin to develop their patient interview, chart gathering and case development and presentation skills. Students will spend one semester in community health care clinics and one semester in a long term care facility. Students will present actual patient care cases in a seminar format throughout the semester. Graded: P/NP. (Attributes: ALEX, GCC)

PHPP 504 Intr Pharm Prac Experien IV (1) (other) Second year pharmacy students will begin to develop patient interview, chart gathering and case development and presentation skills. Students will spend the semester either in a community health care clinic or in a long term care facility. Student will present actual patient care cases in a seminar format throughout the semester. Graded P/NP. (Attributes: ALEX)

PHPP 505 Intr Pharm Prac Experiential V (1) This course is the fifth course in a sequential series. Content encompasses exposure to institutional hospital pharmacy. Pre: Acceptance in the UH Hilo CoP (Attributes: ALEX, GCC)

PHPP 506 Int Pharm Prac Exp - Retail (1) (other) This course is third in a sequential series. Content encompasses an introduction to pharmacy practice in a community setting through observational and direct delivery of care to patients. Types of patients encountered- adolescents, adult and geriatic patients in retail/community setting. All students must begin the application process for a valid Hawaiʻi intern license. (Attributes: ALEX)

PHPP 507 Int Pharm Practice Exp - VII (1) (other) This six week rotation focuses on pharmaceutical care in the ambulatory care environment where students will interface with their pharmacist preceptor, physicians, nurses and other health professional to provide services to ambulatory care patients. Some examples of ambulatory care practices will include hypertension clinics, medication therapy management (MTM) services and disease state management.

PHPP 508 Intro to Biostatistics (3) This course serves as the structural framework for a career that relies heavily on the ability to understand, evaluate and communicate medical information. The student will learn basic statistical and epidemiologic skills critical for the evaluation of medical literature and for conceptualizing what constitutes truly evidence-based medicine.

PHPP 509 Intr Pharm Prac Exp - VIII (1) (other) This course is the eighth in a sequential series designed to support active participation in pharmacy practice activities for pharmacy students and provide opportunity to observe and demonstrate entrustable professional activity (EPA) in actual practice.

PHPP 510 Pharmacy Self Care I (2) This course serves as an introduction to patient-focused pharmacy practice through the topic of self-care, including identification and use of appropriate drug information resources and in-depth study of nonprescription medications for a variety of self-treatable conditions. This course also demonstrates the importance of professionalism in the communicative consultation process. In addition, this course introduces the Top 100 prescription medications. Content from this course will continue into the Self-Care II course.

PHPP 511 Pharmacy Self Care II (2) This course continues the in-depth examination of self-care and over-the-counter (OTC) medications, and development of Top 200 prescription drug knowledge, begun in PHPP 510. Additionally, this course provides a foundation for organizing patient-specific information necessary in the management of medical conditions, as well as identifying and interpreting laboratory test values commonly used in the management of medical conditions, in preparation for the Integrated Therapeutics course series. Pre: Admissions to the PharmD program.

PHPP 514 Evidence-Based Medicine (3) This course will allow students to apply their knowledge of clinical research study designs, epidemiology, evidence- based medicine, and biostatistical principles to interpret and evaluate the findings published in the medical literature, and translate evidence to support patient-care decisions. Students are expected to read, interpret, evaluate, and synthesize information published in medical literature. Objective and rational conclusions are drawn from the analysis of information and applied to patient care. Examinations and literature evaluation project assignment are based on materials from didactic lectures and published articles. Evaluation of medical literature is a cornerstone of clinical pharmacy practice and is an important component of integrated therapeutics courses and experiential rotations. Pre: PHPP 508.

PHPP 515 Integrated Therapeutics I (7) This is the first in a sequence of four courses. Pathophysiology, medicinal chemistry, pharmacology and therapeutics will be integrated into the teaching of pharmacotherapy based on organ systems and disease states. Students will learn to apply knowledge of the basic sciences to drug treatment of specific disorders. Topics covered in this course include autonomic, renal and cardiovascular systems.

PHPP 516 Integrated Therapeutics II (7) (lecture/other) This is the second course in the four-part integrated therapeutics series. It will cover the integrated pathophysiology, pharmacology, medicinal chemistry, and therapeutics of disease states including endocrine and metabolic disorders, pulmonary diseases, and infectious diseases. Pre: PHPP 515

PHPP 517 Integrated Therapeutics III (7) This is the third course in the four-part integrated therapeutics series. An integrated approach to the following topics will be covered: disease states associated with the genitourinary, gastrointestinal, reproductive, and hematologic systems, pain management, and oncology. Pre: PHPP 516

PHPP 518 Integrated Therapeutics IV (7) This is the fourth and final course in the integrated therapeutics series. An integrated-discipline approach to the following topics will be covered: the central nervous system, pediatrics and geriatrics, neurological disorders, anesthetics, and critical care medicine. Pre: PHPP 517

PHPP 519 Health Care Systems (2) This course is designed to give students a history and overview of the American health care system. Roles of the major drivers in health care including government, employer groups, HMO's, hospitals, providers, and payors will be examined. Market components of prescription drug utilization will be discussed in detail. Additionally, the European health care model will be compared to the American system.

PHPP 520 Pharmacy Law and Ethics (3) This course provides the student with a working knowledge of the legal and ethical responsibilities of pharmacists. Content includes: Federal and State Statutes; the legislative and regulatory process that produce statutes, rules and regulations; and discussion of the nature and influence of moral and ethical dimensions on decisions and actions taken in the delivery of patient-centered health care.

PHPP 521 Applied Pharmaceutical Care (3) This course will be the capstone course for the Pharmacy Practice curriculum before the Advanced Pharmacy Practice Experiential rotations and will emphasize critical thinking and evaluation for multi-disease state patient cases as well as patient education. This course will consist of workshops and case presentations to incorporate previously taught material in order to prepare students for experiences across all patient-care settings, including acute care, ambulatory care, and community pharmacy. Students will work individually and in various sized groups to review patient cases and present in the structured SOAP format.

PHPP 522 Pharm Practice Mgmt & Mktng (2) The first part of the course, marketing of pharmacy services, programs or products, is intended to use the marketing skills learned, to effectively collaborate in groups to develop a two market plan for innovative pharmacy services, programs or products. In developing these market plans, topics covered in lecture including consideration of economic, environmental, marketing and financial factors are stressed along with the use of appropriate outcome measures to determine success of the plans. Group interaction and activities will further help build upon principles learned in the course and ultimately culminate in the completion of a formal business proposal which will be presented to an executive committee. The second part of this course deals with practice manage- ment and is designed to introduce concepts and encourage further development of essential managerial skills, specific areas of focus includes personnel management, dealing with conflict in the work place, and continuous quality improve- ment. Communicating, understanding, and collaborating with fellow employees or colleagues are vital to any practice and are demonstrated through activities over the duration of the course. This section also includes certain standard practice that is carried out as managerial responsibilities in the health care setting. Pre: Admission to PharmD.

PHPP 523 Wellness & Disease Prevention (2) This course provides students with an overview of what constitutes a healthy lifestyle and how it contributes to the prevention of chronic disease. Pharmacists are key providers in helping to educate patients about wellness and disease prevention. Disease State Management (DSM) is an organized, coordinated process to manage specific disease states over the entire course of the disease to improve clinical and economic outcomes for the patient. Students will be exposed to important DSM models such as the Asheville Project in North Carolina and utilize this information in creating a disease management program.

PHPP 524 Pharmacoeconomics (2) This course introduces pharmacy students to the basic concepts, terminology, and applications of pharmacoeconomics and its usefulness in making informed decisions in health care.

PHPP 525 Complementary Medicine (3) This course is designed as an overview of complementary medicine. Students will be presented a balanced unbiased view of the theory and practice of some of the more popular complementary therapies such as acupuncture, traditional Chinese medicine, homeopathy, herbal medicine, and other dietary supplements. (Attributes: HPP)

PHPP 527 Drug Information (2) This course will introduce the students to different types of drug literature and drug information resources; primary, secondary and tertiary resources; evidence-based medicine resources; adverse drug reactions and medication error reporting systems; formulary management; investigational drugs; and tools to keep pharmacists knowledgeable of current advancements. In addition, student pharmacists will gain skills to evaluate drug information resources, systematically approach drug information requests, communicate health information and create a drug monograph.

PHPP 528 Pharmacy Comm & Culture (3) This course serves as an introduction to pharmacy practice. The multi-cultural State of Hawaiʻi will serve as a practical laboratory for students to begin practicing the skills necessary to provide and communicate pharmaceutical care. This course is designed to introduce student pharmacists to the skills needed to communicate effectively with patients and the interprofessional skills needed to communicate with other healthcare providers and professionals. The course is also designed to enhance student confidence in public speaking. The culture component of the course is designed to introduce student pharmacists to the skills needed to communicate effectively with patients and other healthcare providers, and understanding the impact of cultural diversity. In-class exercises will facilitate cultural self-awareness, disparities in healthcare, exploration of cultural diversity, and methods to apply communication skills in practice.

PHPP 530 Basic Research Methods (1) This course is designed to give students an introduction to basic research methods, including measurement and designs as well as research ethics and writing skills for research. This course is required for pharmacy students in the Certificate Program in Health Science Research.

PHPP 531 Survey, Epidem, Qual Methods (1) This course is designed to give students an introduction to survey, epidemiology, and qualitative research methods. This course is required for students enrolled in the Health Science Research certificate program.

PHPP 532 Pharmacy Research (1) This course is designed to give students an introduction to research methodology in pharmacy practice, including program evaluation and big data designs. This course is required for students enrolled in the Health Sciences Research certificate program.

PHPP 533 Pharmacogenomics (2) Pharmacogenomics is the study of genetics variations that may influcence an individual's response to drug therapy. Knowing whether a patient carries any of these genetic variations can help prescribers and pharmacists individualize drug therapy, decrease the chance for adverse drug events, and increase therapy effectiveness.

PHPP 535 Healthcare Leadership (1) This course will provide a focused review of the research on effective leadership and application of this research to healthcare settings, anchoring students in the science of leadership with an opportunity to assess their own strengths and weaknesses. Based on this foundation, students will lead and participate in discussions of actual leadership cases. Pre: PHPP 557 and PHPP 558

PHPP 536 Strategic Management (1) This course will provide a focused review and application of evidence-based approaches to strategic management, including strategy formulation and implementation. Starting with an evaluation of the research and current theories on strategic management, this course will anchor students in the science of organizational effectiveness. Based on this foundation, students will then apply this knowledge to real- world strategic issues, taking on the role of Chief Strategy Officer or strategic consultant. Pre: PHPP 557 and PHPP 558

PHPP 540 Adv Pharm Prac Exp: Ambulatory (6) This six week rotation focuses on pharmaceutical care in the ambulatory care environment where students will interface with their pharmacist preceptor, physicians, nurses and other health professional to provide services to ambulatory care patients. Some examples of ambulatory care practices will include hypertension clinics, anticoagulation clinics, hyperlipidemia clinic, medication therapy management (MTM) services and disease state management. (R) Rural Placement. Pre: Successful completion of all introductory Pharmacy Practice Experience (IPPE) courses PHPP 501-509 and successful completion of all didactic components of the DKICP PharmD Program. (Attributes: ALEX)

PHPP 540R Adv Pharm Prac Exp: Ambulatory (6) This six week rotation focuses on pharmaceutical care in the ambulatory care environment where students will interface with their pharmacist preceptor, physicians, nurses and other health professional to provide services to ambulatory care patients. Some examples of ambulatory care practices will include hypertension clinics, anticoagulation clinics, hyperlipidemia clinic, medication therapy management (MTM) services and disease state management. (R) Rural Placement. Pre: Successful completion of all introductory Pharmacy Practice Experience (IPPE) courses PHPP 501-509 and successful completion of all didactic components of the DKICP PharmD Program.

PHPP 541 Adv Pharm Prac Exp: Community (6) This six week rotation focuses on pharmaceutical care in the community pharmacy setting where students will work with pharmacy preceptors to learn about dispensing techniques, pharmacy databases, community pharmacy management, patient counseling, over the counter (OTC) medications, medication therapy management (MTM), and disease state management. (R) Rural Placement. Pre: Successful completion of all Introductory Pharmacy Practice Experience (IPPE) courses PHPP 501-509 and successful completion of all didactic components of the DKICP PharmD program. (Attributes: ALEX)

PHPP 541R Adv Pharm Prac Exp: Community (6) This six week rotation focuses on pharmaceutical care in the community pharmacy setting where students will work with pharmacy preceptors to learn about dispensing techniques, pharmacy databases, community pharmacy management, patient counseling, over the counter (OTC) medications, medication therapy management (MTM), and disease state management. (R) Rural Placement. Pre: Successful completion of all Introductory Pharmacy Practice Experience (IPPE) courses PHPP 501-509 and successful completion of all didactic components of the DKICP PharmD Program.

PHPP 542 Adv Pharm Prac Exp: Medicine (6) This six week rotation will place students in a hospital or other acute care facility to learn about pharmaceutical care in an inpatient environment. Students will work closely with physicians and clinical pharmacists to provide services to acutely ill patients and provide clinical pharmacy services. Students may round with medical teams or be partnered with other physicians to learn more about the interface between medicine and pharmacy. (R) Rural Placement. Pre: Successful completion of all Introductory Pharmacy Practice Experience (IPPE) Courses PHPP 501-509 and successful completion of all didactic components of the DKICP PharmD Program. (Attributes: ALEX)

PHPP 542R Adv Pharm Prac Exp: Medicine (6) This six week rotation will place students in a hospital or other acute care facility to learn about pharmaceutical care in an inpatient environment. Students will work closely with physicians and clinical pharmacists to provide services to acutely ill patients and provide clinical pharmacy services. Students may round with medical teams or be partnered with other physicians to learn more about the interface between medicine and pharmacy. (R) Rural Placement. Pre: Successful completion of all Introductory Pharmacy Practice Experience (IPPE) Courses PHPP 501-509 and successful completion of all didactic components of the DKICP PharmD Program.

PHPP 543 Adv Pharm Pract Exp: Hospital (6) (other) Six week rotation will place students in a hospital pharmacy where they will learn about unit dose systems, automated dispensing units, parenteral drugs, intravenous mixture systems, sterile produce preparation, hospital pharmacy computer systems, physician order entry, crash cart systems and DRG/ICD-9 systems used in tracking patient diagnoses and reimbursement for services. (R) Rural Placement. Successful completion of all Introductory Pramacy Practice Experience (IPPE) courses PHPP 501-509 and successful completion of all didactic components of the DKICP PharmD Program. (Attributes: ALEX)

PHPP 543R Adv Pharm Pract Exp: Hospital (6) (other) Six week rotation will place students in a hospital pharmacy where they will learn about unit dose systems, automated dispensing units, parenteral drugs, intravenous mixture systems, sterile produce preparation, hospital pharmacy computer systems, physician order entry, crash cart systems and DRG/ICD-9 systems used in tracking patient diagnoses and reimbursement for services. (R) Rural Placement. Pre: Successful completion of all Introductory Pharmacy Practice Experience (IPPE) courses PHPP 501-509 and successful completion of all didactic components of the DKICP PharmD Program.

PHPP 544 Adv Pharm Pract Exp: Elect I (6) (other) Six-week rotation will place students in the many different areas of pharmacy practice including: adult medicine, pediatrics, geriatrics, infectious disease, critical care, oncology, cardiology, psychiatry, ambulatory care, community practice, drug information, pharmacy compounding, home health care, clinical or basic sciences, research and pharmacy administration. (R) Rural Placement. Pre: Successful completion of all Introductory Pharmacy Practice Experience (IPPE) courses PHPP 501-509 and successful completion of all didactic components of the DKICP PharmD Program. (Attributes: ALEX)

PHPP 544R Adv Pharm Pract Exp: Elect I (6) (other) Six-week rotation will place students in the many different areas of pharmacy practice including: adult medicine, pediatrics, geriatrics, infectious disease, critical care, oncology, cardiology, psychiatry, ambulatory care, community practice, drug information, pharmacy compounding, home health care, clinical or basic sciences, research and pharmacy administration. (R) Rural Placement. Pre: Successful completion of all Introductory Pharmacy Practice Experience (IPPE) courses PHPP 501-509 and successful completion of all didactic components of the DKICP PharmD Program.

PHPP 545 Adv Pharm Prac Exp: Elect II (6) This six week rotation will place students where they may spend time in the many different areas of pharmacy practice including: adult medicine, pediatrics, geriatrics, infectious disease, critical care, oncology, psychiatry, ambulatory care, community practice, drug information, pharmacy compounding, home health care, clinical or basic sciences research, and pharmacy administration. (R) Rural Placement. Pre: Successful completion of all Introductory Pharmacy Practice Experience (IPPE) courses PHPP 501-509 and successful completion of all didactic components of the DKICP PharmD Program. (Attributes: ALEX)

PHPP 545R Adv Pharm Prac Exp: Elect II (6) This six week rotation will place students where they may spend time in the many different areas of pharmacy practice including: adult medicine, pediatrics, geriatrics, infectious disease, critical care, oncology, psychiatry, ambulatory care, community practice, drug information, pharmacy compounding, home health care, clinical or basic sciences research, and pharmacy administration. (R) Rural Placement. Pre: Successful completion of all Introductory Pharmacy Practice Experience (IPPE) courses PHPP 501-509 and successful completion of all didactic components of the DKICP PharmD Program.

PHPP 546 Adv Pharm Practice Experience (6) (other) This course is an advanced pharmacy practice experiential elective that directly involves patient care activities. Types of patients encountered-patients of all ages in the acute, ambulatory and community setting. Level of student responsibility - all students must have a current Hawaii Pharmacy Intern License, successfully completed the APhA immunization delivery course and accept all accountability for patient care. (R) Rural Placement. Pre: Successful completion of all Introductory Pharmacy Practice Experience (IPPE) Courses PHPP 501-509 AND successful completion of all didactic components of the DKICP PharmD Program.

PHPP 546R Adv Pharm Practice Experience (6) (other) This course is an advanced pharmacy practice experiential elective that directly involves patient care activities. Types of patients encountered-patients of all ages in the acute, ambulatory and community setting. Level of student responsibility - all students must have a current Hawaii Pharmacy Intern License, successfully completed the APhA immunization delivery course and accept all accountability for patient care. (R) Rural Placement. Pre: Successful completion of all Introductory Pharmacy Practice Experience (IPPE) Courses PHPP 501-509 AND successful completion of all didactic components of the DKICP PharmD Program.

PHPP 547 APPE - NAPLEX/MPJE Preparation (1) This course will introduce students to the North American Pharmacist Licensure Examination (NAPLEX) and the Multistate Pharmacy Jurisprudence Examination (MPJE) used by the National Association of Boards of Pharmacy (NABP) as part of the assessment of a pharmacy graduate’s competence to practice as a pharmacist. In order to prepare students for their licensure examinations, this course reviews content taught in the didactic curriculum and offers guidance on creating a study plan to cover content assessed in the NAPLEX. The MPJE will also be addressed through supplemental material pertaining to both federal and Hawaii state pharmacy laws. Pre: Acceptance and fourth year standing in the Daniel K. Inouye College of Pharmacy

PHPP 550 History of Pharmacy (2) This elective is of value to appreciate the origin of pharmacy and the manner in which ancestors of the field practiced their art. These historical aspects will be discussed as well as techniques, tools, symbols, and art in pharmacy.

PHPP 553 Current Topics in Healthcare (1) Healthcare is no longer defined as a patient seeking the service of a provider. Healthcare inflation is exacerbated by the cost of government programs such as Medicare, unemployment, fraud, defensive medicine and changing technology in healthcare. Pending healthcare reform promises to change some of the healthcare delivery system as we know it today. This course will focus on the healthcare issues facing providers of healthcare with a focus on pharmacy, payers of healthcare, and users of the healthcare delivery system. Current events will be the basis of topics for discussion. Pre: PHPP 519.

PHPP 554 Zoonotic Diseases (1) This course is designed to introduce students to the definition, history, origin and transmission of zoonoses; commonly encountered zoonotic diseases as well as those commonly encountered in Hawaii. Covered are bacterial, tick-borne bacterial, fungal, parasitic, viral and prion zoonoses. Emphasis will be made on those that are life-threatening to humans, for example, leptospirosis, rabies, transmissible spongiform encephalopathies, etc. Pre: acceptance and second year standing in the College of Pharmacy.

PHPP 555 Intro to Veterinary Medicine (1–2) This course is designed to introduce students to the profession of veterinary medicine and how it is dependent on pharmacology. Lectures include veterinary medical education; and practicing small animal medicine, large animal medicine (equine and food animal), and exotic animal medicine, inclusive of the daily challenges encountered in practicing medicine. Introductions to diseases, whether infectious or non-infectious, of various etiologies will be made. The realms of veterinary medicine, for example, diagnostic tools (physical examination, imaging, clinical pathology, etc.), treatment options (medicinal, surgical, physical therapy, conservative, etc.) and career opportunities will be emphasized. Pre: Acceptance and second year standing in College of Pharmacy.

PHPP 556 Adv Topics in Hypertension (1) High blood pressure affects over 70 million people in the United States today. This disease carries significant morbidity and mortality which will only increase with our aging population. The treatment of hypertension is highly complex and frequently changes based on new clinical evidence. Students will discuss in depth the diagnosis and various treatments (both pharmacologic and non-pharmacologic) of hypertension. Pre: PHPP 515.

PHPP 557 Personal Finance (1) This course will provide an introduction to the basic principles and skills of personal financial management, including saving, borrowing, insurance, investment, and budgeting. Special emphasis will be given to the issues most relevant to new pharmacists, such as student loan repayment, financial implications of career mobility, and retirement options based on type of healthcare employer.

PHPP 558 Business Admin Overview (1) This course will provide an overview of the basic concepts and functions involved in managing a business, including accounting, human resource management, production and operations management, organizational behavior and culture, and project management.

PHPP 559 Spanish for Healthcare Profess (1) This course provides a unique opportunity in developing culturally aware clinical language skills for the Spanish speaking patient population, optimizing all aspects of medication therapy management for this patient population. Pre: Second year standing in College of Pharmacy

PHPP 560 Pharmacy Leadership (1) Leadership skills is one of the determining factors in the success of many new pharmacy graduates. This course will incorporate current literature, management theory and viewpoints of academic and practice community leaders to understand leadership at different levels in pharmacy practice environment. This course will focus on raising awareness of leadership and exercising core leadership skills in pharmacy students. Pre: admission to PharmD.

PHPP 561 Pharmacy and Therapeutics Comp (1) This course is designed to inform pharmacy students about the importance and functions of Pharmacy and Therapeutics Committees. All hospitals and managed care organizations use P and T committees to make therapeutically appropriate pharmacoeconomic decisions about their formularies. This course will serve to navigate the mechanics of a P and T. All students will present a drug to the committee with a rationale for it's inclusion or exclusion from a formulary. A competition will be held at the end of the course. Pre: Admission to the Pharm D.

PHPP 564 Advanced Managed Health Care (1) This course will provide an introduction to the basic principles and alphabet soup of managed healthcare, to include MCO's, PBM's, PPO's, HMO's, CDH, VA, and DoD. We will present and discuss topics of particular interest to the future of Pharmacy management including Pay-for Performance, Medicare, and Medicaid along with a discussion on the Obama Health Care Reform. Special emphasis will be given to providing students a better understanding of the financial drivers of healthcare management within each segment. A discussion of taxonomy and functional differences between managed health care segments provide the framework for the operational differences. Pre: Acceptance in the College of Pharmacy and second or third year standing.

PHPP 567 Rural Health Science Intro (2) Introduction to basic concepts in rural health science, including measurement, methods, and testing solutions to rural health problems.

PHPP 568 Rural Health Science Advanced (2) (lab) In-depth consideration and analysis of special topics in rural health science to adance student thinking and application of the topics covered in the introductory course.


PHPP x94 Special Topics in Subject Matter (Arr.) Special topics chosen by the instructor. Course content will vary. May be repeated for credit, provided that a different topic is studied. Additional requirements may apply depending on subject and topic.

PHPP x99 Directed Studies (Arr.) Statement of planned reading or research required. Pre: instructor’s consent.