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Development and Evaluation of Physician-Precepted Advanced Pharmacy Practice Experiences (APPEs) Within an Accountable Care Organization (ACO)



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Currents in Pharmacy Teaching and Learning

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Background and purpose: The American Council of Pharmaceutical Education (ACPE) standards emphasize that pharmacy graduates should be “practice- and team-ready,” and the American Society for Health-System Pharmacists (ASHP) Task Force on accountable care organizations (ACOs) states that curricula at pharmacy schools should be evaluated and reworked to prepare students to practice effectively as members of the health care team within ACOs. The objective of this study was to describe the development of an ACO-based advanced pharmacy practice experience (APPE) rotation block, clinical activities and interventions completed by students during the experience, and perceptions of students, patients, and physician preceptors regarding the experience.

Educational activity and setting: The rotation block was within outpatient ACO offices and consisted of a four-week rotation with one pharmacy faculty, immediately followed by a four-week elective experience in a different office with a physician serving as primary preceptor.

Findings: Eight students completed the rotation block between August 2017 and April 2018. Students documented a total of 1299 clinical activities and 65 interventions. Medication reconciliation and recommendations to initiate a medication were the most commonly completed activities and interventions documented. The experience was positively perceived among surveyed students, patients, and physician preceptors.

Summary: The rotation block was successfully implemented with a positive response from students, patients, and physician preceptors. As a result, the program has expanded in accordance with ACPE Standards to create “practice- and team-readiness” among graduates and expose students to interdisciplinary care within ACOs and other settings.


Medicine and Health Sciences | Pharmacy and Pharmaceutical Sciences


accountable care organizations, Advanced Pharmacy Practice Experiences (APPEs), experiential education, interprofessional education, pharmacy education

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