Pharmacy Practice

Syllabus

 Module 01                                                                                                                       

Hospital and Its Organization

• Definition, Classification of hospital.
• Primary, Secondary and Tertiary hospitals.
• Classification based on clinical and non- clinical basis.
• Organization Structure of a Hospital, and Medical staffs involved in the hospital and their functions.

Hospital Pharmacy and Its Organization

• Definition, functions of hospital pharmacy, Organization structure, Location, Layout and staff requirements, and Responsibilities and functions of hospital pharmacists.

Adverse Drug Reaction

• Classifications –Excessive pharmacological effects, secondary pharmacological effects, idiosyncrasy, allergic drug reactions, genetically determined toxicity, and toxicity following sudden withdrawal of drugs.

Drug Interaction

• Beneficial interactions, adverse interactions, and pharmacokinetic drug interactions.
• Methods for detecting drug interactions.
• Spontaneous case reports and record linkage studies.
• Adverse drug reaction reporting and management.

Community Pharmacy

• Organization and structure of retail and wholesale drug store, types and design.
• Legal requirements for establishment and maintenance of a drug store.
• Dispensing of proprietary products, maintenance of records of retail and wholesale drug store.

Module 02                                                                                                                            10Hours

Drug Distribution System in A Hospital

• Dispensing of drugs to inpatients, types of drug distribution systems, charging policy and labeling, Dispensing of drugs to ambulatory patients, and Dispensing of controlled drugs.

Hospital formulary

• Definition, contents of hospital formulary, Differentiation of hospital formulary and Drug list, preparation and revision, and addition and deletion of drug from hospital formulary.

Therapeutic Drug Monitoring

• Need for Therapeutic Drug Monitoring, Factors to be considered during the Therapeutic Drug Monitoring, and Indian scenario for Therapeutic Drug Monitoring.

Medication Adherence

• Causes of medication non-adherence, pharmacist role in the medication adherence, and monitoring of patient medication adherence.

Patient Medication History Interview

• Need for the patient medication history interview, medication interview forms.

Community Pharmacy Management

• Financial, materials, staff, and infrastructure requirements.

Module 03                                                                                                                           10 Hours

Pharmacy and therapeutic committee

• Organization, functions, Policies of the pharmacy and therapeutic committee in including drugs into formulary, inpatient and outpatient prescription, automatic stop order, and emergency drug list preparation.

Drug information services

• Drug and Poison information centre, Sources of drug information, Computerised services, and storage and retrieval of information.

Patient Counselling

• Definition of patient counselling; steps involved in patient counselling, and Special cases that require the pharmacist.

Education and Training Program in the Hospital

• Role of pharmacist in the education and training program.
• Internal and external training program.
• Services to the nursing homes/clinics.
• Code of ethics for community pharmacy.
• Role of pharmacist in the interdepartmental communication and community health education.

Prescribed Medication Order and Communication Skills

• Prescribed medication order- interpretation and legal requirements.
• Communication skills- communication with prescribers and patients.

Module 04                                                                                                                           08 Hours

Budget Preparation and Implementation

• Budget preparation and implementation

Clinical Pharmacy

• Introduction to Clinical Pharmacy, Concept of clinical pharmacy, functions and responsibilities of clinical pharmacist, Drug therapy monitoring - medication chart review, clinical review, pharmacist intervention, Ward round participation, Medication history and Pharmaceutical care.
• Dosing pattern and drug therapy based on Pharmacokinetic & disease pattern.

Over The Counter (OTC) Sales

• Introduction and sale of over the counter.
• Rational use of common over the counter medications.

Module 05                                                                                                                           07 Hours

Drug Store Management and Inventory Control

• Organisation of drug store, types of materials stocked and storage conditions.
• Purchase and inventory control: principles, purchase procedure, purchase order, procurement and stocking, Economic order quantity, Reorder quantity level.
• Methods used for the analysis of the drug expenditure.

Investigational Use of Drugs

• Description, principles involved, classification, control, identification, role of hospital pharmacist, advisory committee.

Interpretation of Clinical Laboratory Tests

• Blood chemistry, hematology, and urinalysis.