PHR 511 – Clinical Pharmacy

Course lecturer :

  • Dr/ Noha Alaa El Dine, PharmD, PhD
  • Dr / Shaimaa Khamiss, PharmD, PhD

Course assistant :

  • T.A. Amani Ramadan, PharmD
  • T.A. Dalia Yehia, PharmD
  • T.A. Mona Abd El Rafee, PharmD
  • Demonstrator/ Mona Gamal
  • Demonstrator/ Soha El Kaary
  • Demonstrator/ Passent Mohamed

Course objectives :

The aim of the course was to develop professional knowledge, terminology and skills needed to enable the student to be a competent clinical pharmacist and provide pharmaceutical care to patients with any encountered disease and be confident in assuming his clinical and professional role as part of the multidisciplinary healthcare team.

Course description :

The course is divided into two parts: Part I: Standards of practice of clinical pharmacists This part introduces the clinical pharmacy terminology & qualification of the clinical pharmacist. It also assesses the patient by identifying the elements of the patient medication record (PMR) and by taking medical and social history and medication reconciliation. It also explains case assessment using SOAP note, disease management, Laboratory data interpretation, and Medication Therapy Management (MTM) It enables students also to design an appropriate care plan for the patient & educate patient on the proper use of drugs and how to manage their diseases. It introduces Clinical Pharmacokinetics aspects and drug interactions. Also, it establishes plan for monitoring drug therapy and follow-up and the proper documentation of the patient case and pharmacists’ interventions. Part II: Therapeutic Drug Monitoring (TDM) This part discusses management of drug therapy, definition of therapeutic drug monitoring (TDM) and characteristics of drugs that require monitoring and how to design dosage regimen. It also explains TDM in special populations, with liver disease, kidney disease., geriatrics, pediatrics, pregnant women, and HIV patients New approaches in TDM; transplantation, biotechnologic drugs and Gene transfer TDM are also discussed as well as pharmacoeconomics of TDM and TDM in Hemodialysis.

Course assessment :

Midterm written exam 60 marks Lectures activities 10 marks Hospital dairy 10 marks Tutorial activities 15 marks Peer Teaching 10 marks Practical participation 20 marks Practical exam 20 marks Final written exam 150 marks

Recommended text books :

Terry L. Schwinghammer, Julia M. Koehler, ed. Pharmacotherapy Casebook. A Patient-Focused Approach. 7th edition, McGraw-Hill, New York; 2008. Roger Walker and Catebwhittlesa. Clinical pharmacy and therapeutics.4th edition,Churchill Levingstone Elsevier.UK; 2007 Shargel L, Yu B, ed. Applied Biopharmaceutics & Pharmacokinetics, 7th Edition, Mc Graw Hill Education, Singapore ; 2016. Bauer L. Applied Clinical Pharmacokinetics, 2nd edition, McGraw-Hill Medical, New York ; 2008. Marie Anne Koda-Kimble, Lloyd Yee Young, ed. Applied Therapeutics: The Clinical Use of Drugs, 9th edition, Lippincott Williams & Wilkins, Baltimore; 2009. Lilian M Azzopardi, ed. Lecture Notes in Pharmacy Practice. Pharmaceutical Press, London; 2010. M. Burton, L. Shaw, J. Schentag, W. Evans. Applied Pharmacokinetics & Pharmacodynamics, Principles of Therapeutic Drug Monitoring.4th edition, Lippincott Williams &Wilkins, USA; 2006.

Recommended refrences :

Karen J. Tietze, Clinical Skills For Pharmacists. A Patient-Focused Approach, 3rd edition, ElSevier, St. Louis; 2012. Marie Anne Koda-Kimble, Lloyd Yee Young, ed. Applied Therapeutics: The Clinical Use of Drugs, 9th edition, Lippincott Williams & Wilkins, Baltimore; 2009. Cate Whittlesea, Karen Hodson. Clinical pharmacy and therapeutics.6th edition, Elsevier. London; 2019

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