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The University of Kansas Medical Center is a 484 bed teaching hospital located in Kansas City, Kansas. ********************************************************************** Students, please note: Evaluation Parameters - KUMC Inpatient Rotations The student should view the rotation experience as a hands-on opportunity to apply knowledge obtained from school. The student will be expected to demonstrate the ability to apply knowledge to patient care, and to take initiative in doing so. The student will also be expected to respect carefully patient confidentiality at all times, within and outside the institution. The grading scale for these rotations is: 10 = Exceptional The student is expected to enter the rotation at an average (7) performance level. Criteria that will be used to measure exceptional or poor performance include: A. Patient Monitoring (10%) Exceptional: Monitoring forms are consistently complete and up-to-date. The reason for use of any drug therapy is identified. Parameters chosen for monitoring are tailored to each individual drug therapy and disease state, and include all necessary physical as well as laboratory data. Monitoring data are consistently correlated well with the patient's drug therapy and clinical progress. The patient's status, daily progress, and medical team assessment is always known. Problems are readily identified and related to each other and to the patient. Day-to-day progress of the patient is followed very diligently and carefully. Poor: Monitoring sheets are incomplete and disorganized. Data is merely copied, and is not related to drug therapy or patient progress. Student has poor knowledge of what is happening with the patient and why. Day-to-day changes in the patient's course are not followed. Student has difficulty in identifying risks, problems, drug interactions, and ADRs and how to address them. Student shows little or no interest in actively pursuing pharmacokinetics or other monitoring in a timely manner. B. Drug Therapy Management (15%) Exceptional: Student has an excellent pharmaceutical and therapeutic knowledge base, and can apply this very well to patient care. Each patient's therapy is evaluated carefully and appropriately. Risks of each drug therapy are anticipated and monitored, and action is taken to avoid such risks. Specific drug-related problems that may arise are consistently identified and addressed in a prompt manner. Adverse drug reaction reports are generated regularly. The clinical importance of drug-drug, drug-food, and drug-disease interactions are assessed proactively on each patient. Student completes pharmacokinetic evaluations accurately and makes appropriate recommendations in a timely manner. Optimal therapeutic plans (and alternatives) are recommended for each patient. Response to therapy, therapeutic endpoints, and outcome measures are assessed for each patient. Poor: The student's pharmaceutical and therapeutic knowledge base is limited. Student is unable to apply drug therapy knowledge to therapy management. Unable to evaluate the patient's drug therapy and appropriate use of the drug regimen. Unable to identify risks of therapy, and drug related problems. Unable to recognize drug-drug, drug-food and drug-disease interactions. Pharmacokinetic evaluations and recommendations are inaccurate, incomplete, not timely for needed recommendations / interventions, and not performed where appropriate. Unable to develop therapeutic plans, or to identify alternatives, response to therapy, therapeutic endpoints, and outcome measures for the patients. Shows little interest in patient management. C. Performance in the Clinical Setting (20%) Exceptional: Student consistently demonstrates professional behavior, ethics, manner, respect, and appearance. Student carefully respects patient confidentiality at all times within and outside the institution. Student establishes excellent working relationships with physicians, nurses, pharmacists and other healthcare professionals. Student demonstrates excellent judgement in the clinical setting, organizational and time management skills, and ability to prioritize the urgency of clinical activities. Student is highly motivated, demonstrates solid leadership and confidence, regularly takes initiative to address problems, and takes responsibility for decisions. Student generates a significant number of interventions. Student is consistently well prepared in advance for rounds. Student actively partipates in rounds and discussions as a member of the health care team. Poor: Student demonstrates poor communication skills and inappropriate behavior to patients and health care professionals, and irresponsible behavior toward patient care. Student demonstrates disrespect for patient confidentiality, within or outside the institution. Student avoids interaction with the healthcare team. Displays poor judgement and inability to organize and complete clinical tasks in a timely manner. Provides incorrect information to the healthcare team. Student demonstrates lact of interest, motivation, initiative, respect, or commitment. Student is not an active participant on rounds, but merely observes or displays distracting behavior (inattention, side conversations, etc.) D. Attendance / Extra Activities (10%) Special Note: Unexcused absence from rounds is grounds for a full letter grade reduction in the rotation final grade. Exceptional: Student arrives to the patient care area at the assigned time daily, and spends the entire day working on appropriate clinical and patient care activities. Student is available to the clinical pharmacy team throughout the day. Student attends entire rounds daily (including extensions such as radiology, etc.) Student regularly seeks out and participates in extra activities (i.e., grand rounds, procedures, etc.) Any needed time-off is requested appropriately and made up as described in the Practice Experience Manual. Poor: Student consistently arrives late to the nursing unit area or to other assigned activities, or leaves early. Student regularly unavailable to the clinical pharmacy team. Student shows no interest or initiative in participating in extra activities. Student has unexcused absences from the day or from rounds. Any needed time-off is not requested appropriately in advance or made up as described in the Practice Experience Manual. E. Discussions / Specific Assignments (15%) Exceptional: Student demonstrates excellent ability to communicate and to present information clearly and concisely. Student is alway organized and well prepared to present and discuss patients and their drug therapy, and to present and discuss any assigned topic. Student is actively involved in the discussion. Student seeks out and provides extra information (new articles, etc.) that enhances the content of the discussion. All assigned deadlines are met. Poor: Unable to communicate clearly and concisely. Ill prepared to discuss patients and assigned topics. Shows little interest or initiative, and contributes little to discussions. F. Drug Information / Written Communication (10%) Exceptional: Student consistently uses drug information sources appropriate to the nature of the question. Student demonstrates excellent understanding of the strengths and weaknesses of the various sources available. Consistently provides a well developed, timely, patient-specific answer with references, including recommended actions where appropriate. Student consistently provides solid information, clearing answers with the clinical pharmacy team, and never answering to the healthcare team with a guess or with incorrect information. Student demonstrates initiative in seeking out opportunities to provide information to the healthcare team. Poor: Student uses drug information sources inappropriate to the nature of the question and demonstrates little understanding fo the strengths and weaknesses of the various sources available. Unable to identify patient specific variables that affect drug therapy decisions. Unable to provide a well developed patient specific answer in a timely manner. Student answers to the healthcare team with a guess or with incorrect information. Student avoids, or shows little interest or initiative in providing correct drug information. G. Patient Presentation (20%) See Presentation Evaluation in Practice Experience Manual. *********************************************************************** To visit the homepage of the University of Kansas Medical Center School of Pharmacy, please go to http://www2.kumc.edu/pharmacy. Directions to Site To get a map of the KUMC building complex, please go to http://www.kumc.edu/Pulse/map.html. The inpatient pharmacy and faculty offices are located in the basement of The University of Kansas Hospital. |