Advanced Pharmacy Practice Experience

The Advanced Pharmacy Practice Experience Program (APPE) is a structured experiential course designed to educate students to think and act independently as pharmacy practitioners during the fourth professional year.

The program consists of 42 weeks of APPE rotations. Each rotation is 6-weeks in duration beginning in late June and continuing through May of the following year. Each student is required to complete the following:

1- Community Pharmacy Practice Rotation
1-Institutional Pharmacy Practice Rotation
1-Ambulatory Care Pharmacy Practice Rotation
1-Acute Care Pharmacy Practice Rotation
3-Elective Specialty Pharmacy Practice Rotations

The College of Pharmacy currently has over 500 preceptors and facility sites combined in clinical pharmacy, community pharmacy, institutional pharmacy and specialty pharmacy practice to facilitate the APPE experiences.


The objective of the APPE program is to provide the student with an opportunity to acquire the practice skills that are needed to enter into the profession of pharmacy.  The underlying principle for the APPE program is that pharmacy practitioners are responsible for the outcomes of drug therapy in patients.  Under the appropriate supervision the students will take responsibility for outcomes of drug therapy in various practice settings.  Emphasis will be placed on ensuring the safe, effective, and economical use of medications in the prevention and treatment of human diseases.


The APPE program consists of seven (7) six (6) week pharmacy practice rotations which include community, institutional, internal medicine, ambulatory care and three (3) electives.  The competencies for each rotation have been adapted from the American Association of Colleges of Pharmacy (AACP) Center for the Advancement of Pharmaceutical Education (CAPE) Educational Outcomes.  The following are the basic goals for each experience:

  1. Community Pharmacy Practice Rotation - The goal of this rotation is to ensure that the student gains the technical skills and familiarity with professional decision-making that are prerequisites to beginning the traditional practice of pharmacy in a community-based environment. The rotation is also designed to provide experience in the delivery of patient-centered care in a community practice setting.

    Under the direct supervision of a licensed pharmacist, the student will be exposed to the ethical, legal, professional and managerial functions required of a competent pharmacist in a community-based practice site.  Specific activities include receiving, dispensing and compounding prescriptions; and advising patients on the proper use of prescription and non-prescription medications and devices.

  2. Institutional Pharmacy Practice Rotation - The goal of this rotation is to combine the student’s academic knowledge with the practice of pharmacy in the hospital or institutional setting.  The rotation is also structured to provide experience in the delivery of patient-centered care in an institutional pharmacy setting.

    Under the direct supervision of a licensed pharmacist, the students will actively participate in drug distribution, intravenous admixture services and institutional practice management.  Students will also learn how these activities are interrelated and coordinated with other healthcare providers throughout the institution.

  3. Clinical Pharmacy Practice Rotations - The overall goal of clinical rotations is to expose the student to an actual patient care environment so that the student may integrate academic knowledge with applied therapeutics.  Through Internal Medicine and Ambulatory Care Clinical Pharmacy Practice Rotations, students are an integral part of direct patient care by monitoring patient’s medications for appropriateness of therapy. Additional clinical activities include patient medication counseling and dissemination of drug information to patients and healthcare team participants in order to improve the patient’s therapeutic outcome.

  4. Elective Pharmacy Practice RotationsThe goal of elective rotations is to offer a variety of specialty pharmacy settings that complement the required experiences while allowing students to explore areas of personal interest.  Examples of elective rotations include, but are not limited to infectious disease, diabetes education, health systems management, compounding, critical care, professional teaching, nuclear medicine and oncology.
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