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: 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.

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: 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.

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: 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.

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 Adv Pharm Pract Exp: Medicine (5) (other) 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.

PHPP 510 Fnd Int Therapeut/OTC Drugs (2) This course is the introduction to the integrated therapeutics sequence which is the core of the pharmacy curriculum, combining therapeutic knowledge with the application of pharmaceutical care. This course is an in-depth review of over-th-counter medications, development of Top 200 prescription drug knowledge and provides a foundation for understanding and interpreting laboratory test values. Pre: Admissions to PharmD Program.

PHPP 511 Culture & Inter-Prof Hlth Care (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) In this course, students will learn about research methods and biostatistics necessary for the critical evaluation of medical literature. Students will be exposed to descriptive statistics, inferential statistics, probability, Type I and Type II errors, bias and confounding, sample size and statistical power, absolute and relative risk, intention-to-treat analyses, number needed to treat and confidence intervals. Students will learn how to critically evaluate medical literature and recognize errors in study design or statistical methodology and determine the internal and external validity of published research trials. Pre: PHPP 508 (Biostatistics).

PHPP 515 Integrated Therapeutics I (7) (lecture/other) This is the first course in a sequence of four courses. Pathophysiology, medicinal chemistry, pharmacology and therapeutics will be integrated into one discipline in this course that will examine pharmacotherapy based on organ systems of the body. Students will learn to blend their factual knowledge of basic sciences and apply this knowledge to drug treatment of specific disorders in disparate patients. Beginning in this course the pharmacotherapy of all major diseases states covered by organ system.

PHPP 516 Integrated Therapeutics II (7) (lecture/other) Continuation of the medicinal chemistry, pharmacology, pathophysiology and therapeutic use of drugs which was started in Integrated Therapeutics I. An integrated approach to the following topics will be covered: gastrointestinal, genitourinary, endocrine, renal, and pulmonary diseases.

PHPP 517 Integrated Therapeutics III (7) Continuation of pharmacotherapy of disease states by organ systems which was started in PHPP 515, Integrated Therapeutics I, and continues in PHPP 516, Integrated Therapeutics II. An integrated approach to the following topics will be covered: disease states associated with the endocrine and central nervous systems.

PHPP 518 Integrated Therapeutics IV (7) This course is a continuation of PHPP 515, 516, and 517. It will cover the topics of infectious disease and oncology in an integrated fashion.

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. Pre: second year standing in CoP.

PHPP 520 Pharmacy Law and Ethics (3) The evolution of the practice of pharmacy has led to pharmacists facing an overwhelming number of legal issues. In addition to the standard coverage of the FD&C Act, the Controlled Substances Act and regulations of the Federal Trade Commission, this course will help student understand legal issues such as HIPAA privacy issues in the pharmacy, electronic prescribing, medication error reporting, professional liability insurance and Medicaid/Medicare issues. Current and past cases in the law will be used as practical examples of these concepts. In addition, students will participate in discussions and debates of ethical issues facing pharmacists in today's health care environment.

PHPP 521 Applied Pharmaceutical Care (3) This course will consist of workshop and case presentations to incorporate physical assessment skills and multi-disease state cases. Students will work in large and small sized groups to review patient cases and present in the SOAP format. This course will be the capstone course for the Pharmacy Practice curriculum before the Advanced Pharmacy Experiential rotations and will emphasize critical thinking and evaluation for multi-disease state patient cases as well as patient education.

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 (3) This course introduces pharmacy students to the basic concepts, terminology, and applications of pharmacoeconomics and its usefulness in making informed decision in health care. Students will learn types of outcome evaluation and outcome measures, the appropriate uses and applicability of cost-of-illness, cost-minimization, cost-effectiveness, cost-benefits, cost-utility, and decision analyses. Evaluation of the humanistic outcomes associated with drug therapy and the provision of pharmaceutical care on quality of life including the utilization of sensitivity analyses, decision analysis models, and discounting will also be reviewed. Emphasis is placed upon the reading, interpretation, and critical evaluation of different types of published pharmacoeconomic studies in the medical literature. The goal of this course is to nurture the student an appreciation for the role of pharmacoeconomics 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) Pharmaceutical care requires pharmacists to become the primary source of drug knowledge. Effective drug information and searching, interpreting, synthesizing and disseminating skills are a vital part of routine pharmacy practice. In preparation for practice and life-long learning, it is critical that all pharmacy students receive adequate training in drug information and drug literature/ resource evaluation as a fundamental core upon which to build their clinical skills. Pre: Admission to the PharmD

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 pharmaceutical care. During the first portion of the course, video presentations, vignettes, readings and classroom activities will be used to highlight aspects of cultural awareness and sensitivity important to successful contemporary pharmacy practice. Pre: Admission to the Pharm D.

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.

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.

PHPP 542 Adv Parm 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.

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.

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.

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.

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. Disease State/conditions student may encounter: see PHPP 540, 541, 542, 543 syllabi. Pre: fourth year standing.

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 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 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.