PHR 511 – Clinical Pharmacy

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

• 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

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.

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.

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

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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