CINXE.COM

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class="element-invisible">You are here</div><div class="breadcrumb"><a href="/">Home</a> <span>→</span> <a href="/curriculum">Curriculum</a> <span>→</span></div></div> </div> </div> <div id="main" class="clearfix" role="main"> <div id="content"> <div id="content-inner" class="inner column center"> <div id="content-header"> <h1 class="title">Practice Rotations</h1> </div>  <div id="content-area" class="clearfix"> <div class="region region-content"> <div id="block-system-main" class="block block-system"> <div class="content"> <div class="panel-display brenham-flipped clearfix " > <div class="brenham-flipped-container brenham-flipped-header clearfix panel-panel"> <div class="brenham-flipped-container-inner brenham-flipped-header-inner panel-panel-inner"> </div> </div> <div class="brenham-flipped-container brenham-flipped-column-content clearfix"> <div class="brenham-flipped-column-content-region brenham-flipped-content panel-panel"> <div class="brenham-flipped-column-content-region-inner brenham-flipped-content-inner panel-panel-inner"> <div class="panel-pane pane-node-content" > <div class="pane-content"> <div id="node-19526" class="node node-panopoly-page clearfix" about="/curriculum/practice-rotations" typeof="sioc:Item foaf:Document"> <span property="dc:title" content="" class="rdf-meta element-hidden"></span> <div class="content"> <div class="field field-name-body field-type-text-with-summary field-label-hidden"><div class="field-items"><div class="field-item even" property="content:encoded"><p></p><div class="media media-element-container media-third ucsf-images-wrapping-right"><picture class="media-element file-third">  <source srcset="/sites/pharmd.ucsf.edu/files/styles/pharmacy_third/public/6a-UCSF_20171014_Mabuhay%20Health%20Center_046_1.jpg?itok=3GOzGZKn&timestamp=1548794966 1x, /sites/pharmd.ucsf.edu/files/styles/pharmacy_three_quarters/public/6a-UCSF_20171014_Mabuhay%20Health%20Center_046_1.jpg?itok=jFk_kBEl&timestamp=1548794966 2x, /sites/pharmd.ucsf.edu/files/styles/pharmacy_full/public/6a-UCSF_20171014_Mabuhay%20Health%20Center_046_1.jpg?itok=olkdRC4s&timestamp=1548794966 3x" media="(min-width: 1025px)"></source> <source srcset="/sites/pharmd.ucsf.edu/files/styles/pharmacy_half/public/6a-UCSF_20171014_Mabuhay%20Health%20Center_046_1.jpg?itok=7bd3SKWg&timestamp=1548794966 1x, /sites/pharmd.ucsf.edu/files/styles/pharmacy_three_quarters/public/6a-UCSF_20171014_Mabuhay%20Health%20Center_046_1.jpg?itok=jFk_kBEl&timestamp=1548794966 2x, /sites/pharmd.ucsf.edu/files/styles/pharmacy_1_5x/public/6a-UCSF_20171014_Mabuhay%20Health%20Center_046_1.jpg?itok=cpX50ILi&timestamp=1548794966 3x" media="(min-width: 656px) and (max-width: 1024px)"></source> <source srcset="/sites/pharmd.ucsf.edu/files/styles/pharmacy_quarter/public/6a-UCSF_20171014_Mabuhay%20Health%20Center_046_1.jpg?itok=OJN_WiHG&timestamp=1548794966 1x, /sites/pharmd.ucsf.edu/files/styles/pharmacy_half/public/6a-UCSF_20171014_Mabuhay%20Health%20Center_046_1.jpg?itok=7bd3SKWg&timestamp=1548794966 2x, /sites/pharmd.ucsf.edu/files/styles/pharmacy_three_quarters/public/6a-UCSF_20171014_Mabuhay%20Health%20Center_046_1.jpg?itok=jFk_kBEl&timestamp=1548794966 3x" media="(min-width: 481px) and (max-width: 655px)"></source> <source srcset="/sites/pharmd.ucsf.edu/files/styles/pharmacy_half/public/6a-UCSF_20171014_Mabuhay%20Health%20Center_046_1.jpg?itok=7bd3SKWg&timestamp=1548794966 1x, /sites/pharmd.ucsf.edu/files/styles/pharmacy_three_quarters/public/6a-UCSF_20171014_Mabuhay%20Health%20Center_046_1.jpg?itok=jFk_kBEl&timestamp=1548794966 2x, /sites/pharmd.ucsf.edu/files/styles/pharmacy_1_5x/public/6a-UCSF_20171014_Mabuhay%20Health%20Center_046_1.jpg?itok=cpX50ILi&timestamp=1548794966 3x" media="(min-width: 431px) and (max-width: 480px)"></source> <source srcset="/sites/pharmd.ucsf.edu/files/styles/pharmacy_third/public/6a-UCSF_20171014_Mabuhay%20Health%20Center_046_1.jpg?itok=3GOzGZKn&timestamp=1548794966 1x, /sites/pharmd.ucsf.edu/files/styles/pharmacy_three_quarters/public/6a-UCSF_20171014_Mabuhay%20Health%20Center_046_1.jpg?itok=jFk_kBEl&timestamp=1548794966 2x, /sites/pharmd.ucsf.edu/files/styles/pharmacy_full/public/6a-UCSF_20171014_Mabuhay%20Health%20Center_046_1.jpg?itok=olkdRC4s&timestamp=1548794966 3x" media="(min-width: 0px) and (max-width: 430px)"></source>  <img class="media-element file-third" src="/sites/pharmd.ucsf.edu/files/styles/pharmacy_third/public/6a-UCSF_20171014_Mabuhay%20Health%20Center_046_1.jpg?itok=3GOzGZKn&timestamp=1548794966" alt="Woman in medical clinic talking with two health professions students" title="" /> </picture> <div class="field field-name-field-image-credit-term field-type-taxonomy-term-reference field-label-hidden"> <div class="field-items"> <div class="field-item even">Susan Merrell, UCSF</div> </div> </div> </div> <p>Your Pharmacy Practice Experiences, commonly known as rotations, will be in clinical settings where you’ll participate in activities that reflect the situations and challenges you’ll face as a practicing pharmacist.</p> <p>Your experiences will gradually increase in complexity over time, from introductory to advanced. They’re planned to complement your other coursework in real time, and to add value to patient care at your practice sites.</p> <p>Throughout these experiences, you’ll learn under the guidance of seasoned pharmacist preceptors and by serving richly diverse patient populations. You’ll continually hone your scientific thinking, communication, and clinical skills.</p> <h2>Practice experience overview</h2> <table class="c2-25pc"> <tbody> <tr> <td> </td> <td> <p><strong>Setting</strong></p> </td> <td> <p><strong>Assignment locations</strong></p> </td> <td> <p><strong>Time</strong></p> </td> </tr> <tr> <td> <p><strong>Year 1 IPPEs</strong></p> </td> <td> <p>Community pharmacies</p> </td> <td> <p>San Francisco Bay Area</p> </td> <td> <p>1 day/ week, 8 hours/day (approx.) through year 1</p> </td> </tr> <tr> <td> <p><strong>Year 2 Concentrated IPPEs</strong></p> </td> <td> <p>Health systems</p> </td> <td> <p>San Francisco Bay Area and locations throughout California</p> </td> <td> <p>5 days/week, 8 hours/day (approx.) for 2 weeks during summer between years 1 and 2</p> </td> </tr> <tr> <td> <p><strong>Year 2 Longitudinal IPPEs</strong></p> </td> <td> <p>Health systems</p> </td> <td> <p>San Francisco</p> </td> <td> <p>1 day/week, 8 hours/day (approx.) through an 8 week block</p> </td> </tr> <tr> <td> <p><strong>Year 3 APPEs</strong></p> </td> <td> <ul> <li>Community pharmacies</li> <li>Medical centers and hospitals</li> <li>Ambulatory care clinics</li> <li>Managed care</li> <li>Industry</li> </ul> </td> <td> <p>Locations through one of five APPE programs:</p> <ul> <li>San Francisco Bay Area</li> <li>North Bay</li> <li>Greater Sacramento</li> <li>Fresno</li> <li>Southern California</li> </ul> </td> <td> <p>Full-time immersion: 6 weeks/rotation in late year 2 and through year 3</p> <ul> <li>Some experiences fall outside the 8:00 a.m. to 5:00 p.m. workday.</li> <li>Some responsibilities to patients may occur on weekends or evenings.</li> </ul> </td> </tr> </tbody> </table> <h2>Introductory Pharmacy Practice Experiences: a closer look</h2> <p>Introductory Pharmacy Practice Experiences (IPPEs) run throughout the first year and most of the second year of the curriculum, exposing you to contemporary pharmacy practice in community pharmacies in year one, and in health systems in year two.</p> <h3>Year-one IPPEs</h3> <p>All year-one IPPEs are in San Francisco Bay Area community pharmacy sites, where you’ll assume specific roles that support or improve patient care. Year-one IPPE site partners include:</p> <ul> <li>CVS</li> <li>Kaiser Permanente</li> <li>Safeway</li> <li>San Francisco Department of Public Health</li> <li>Walgreens</li> </ul> <h3>Year-two IPPEs</h3> <p>Your year-two IPPEs are designed to give you experience, over an extended period of time, in specific pharmacy service pathways that relate to general pharmacy activities, clinical activities, and/or quality improvement projects in health systems.</p> <p>Examples of pharmacy service pathways include:</p> <div class="columns-2"> <ul> <li>Antimicrobial stewardship</li> </ul> <ul> <li>Cardiology</li> <li>48-hour discharge</li> <li>General surgery</li> <li>HIV Primary care</li> <li>Intensive care</li> <li>Neuro-spinal</li> <li>Neurosurgery</li> <li>Organ transplant</li> <li>Oral medicine clinic</li> <li>Orthopedic pre-op clinic</li> <li>Orthopedic surgery</li> <li>Pediatrics</li> <li>Quality improvement</li> <li>Transition of care</li> </ul> </div> <h4>Concentrated experience</h4> <p>Between your first and second year, you’ll complete a concentrated immersion IPPE at one of several health system sites in California. These concentrated experiences may occur in medical centers or hospitals, including:</p> <div class="columns-2"> <ul> <li>Cedars-Sinai Medical Center, Los Angeles</li> <li>Children’s Hospital, Oakland</li> <li>El Camino Hospital, Sunnyvale</li> <li>Kaiser Permanente Medical Center, San Francisco</li> <li>Kaweah Health, Visalia</li> <li>Kaiser Permanente Medical Center, Fresno</li> <li>Petaluma Valley Hospital, Petaluma</li> <li>Lucile Packard Children’s Hospital Stanford, Palo Alto</li> <li>San Francisco Veterans Affairs Medical Center, San Francisco</li> <li>UC Davis Medical Center, Davis</li> <li>UCSF Medical Center, San Francisco</li> <li>UC Irvine Medical Center, Irvine</li> </ul> </div> <h4>Longitudinal experience</h4> <p>You’ll continue your year-two IPPE (in a different service pathway) at one of several health system sites, including:</p> <ul> <li>Kaiser Permanente Medical Center, San Francisco</li> <li>San Francisco Veterans Affairs Medical Center, San Francisco</li> <li>UCSF Medical Center, San Francisco</li> <li>Zuckerberg San Francisco General Hospital and Trauma Center</li> </ul> <h2>Advanced Pharmacy Practice Experiences: a closer look</h2> <p>Advanced Pharmacy Practice Experiences (APPEs) begin during late spring of your second year and continue through your third year in medical centers and hospitals, outpatient facilities, and community clinics at one of five APPE programs located throughout California:</p> <ul> <li><div class="media media-element-container media-third ucsf-images-wrapping-right"><picture class="media-element file-third">  <source srcset="/sites/pharmd.ucsf.edu/files/2018.0807%20experiential%20site%20locations%20california%20map.svg?itok=Z_SJbq8N&timestamp=1548792621 1x, /sites/pharmd.ucsf.edu/files/2018.0807%20experiential%20site%20locations%20california%20map.svg?itok=ktL6IYBF&timestamp=1548792621 2x, /sites/pharmd.ucsf.edu/files/2018.0807%20experiential%20site%20locations%20california%20map.svg?itok=fe46iUHB&timestamp=1548792621 3x" media="(min-width: 1025px)"></source> <source srcset="/sites/pharmd.ucsf.edu/files/2018.0807%20experiential%20site%20locations%20california%20map.svg?itok=W6ecTwmE&timestamp=1548792621 1x, /sites/pharmd.ucsf.edu/files/2018.0807%20experiential%20site%20locations%20california%20map.svg?itok=ktL6IYBF&timestamp=1548792621 2x, /sites/pharmd.ucsf.edu/files/2018.0807%20experiential%20site%20locations%20california%20map.svg?itok=TO-aWByg&timestamp=1548792621 3x" media="(min-width: 656px) and (max-width: 1024px)"></source> <source srcset="/sites/pharmd.ucsf.edu/files/2018.0807%20experiential%20site%20locations%20california%20map.svg?itok=-HhrnvuC&timestamp=1548792621 1x, /sites/pharmd.ucsf.edu/files/2018.0807%20experiential%20site%20locations%20california%20map.svg?itok=W6ecTwmE&timestamp=1548792621 2x, /sites/pharmd.ucsf.edu/files/2018.0807%20experiential%20site%20locations%20california%20map.svg?itok=ktL6IYBF&timestamp=1548792621 3x" media="(min-width: 481px) and (max-width: 655px)"></source> <source srcset="/sites/pharmd.ucsf.edu/files/2018.0807%20experiential%20site%20locations%20california%20map.svg?itok=W6ecTwmE&timestamp=1548792621 1x, /sites/pharmd.ucsf.edu/files/2018.0807%20experiential%20site%20locations%20california%20map.svg?itok=ktL6IYBF&timestamp=1548792621 2x, /sites/pharmd.ucsf.edu/files/2018.0807%20experiential%20site%20locations%20california%20map.svg?itok=TO-aWByg&timestamp=1548792621 3x" media="(min-width: 431px) and (max-width: 480px)"></source> <source srcset="/sites/pharmd.ucsf.edu/files/2018.0807%20experiential%20site%20locations%20california%20map.svg?itok=Z_SJbq8N&timestamp=1548792621 1x, /sites/pharmd.ucsf.edu/files/2018.0807%20experiential%20site%20locations%20california%20map.svg?itok=ktL6IYBF&timestamp=1548792621 2x, /sites/pharmd.ucsf.edu/files/2018.0807%20experiential%20site%20locations%20california%20map.svg?itok=fe46iUHB&timestamp=1548792621 3x" media="(min-width: 0px) and (max-width: 430px)"></source>  <img class="media-element file-third" src="/sites/pharmd.ucsf.edu/files/2018.0807%20experiential%20site%20locations%20california%20map.svg?itok=Z_SJbq8N&timestamp=1548792621" alt="map of practice locations" title="" /> </picture><div class="field field-name-field-image-caption field-type-text-long field-label-hidden"><div class="field-items"><div class="field-item even"><div>Year 3 APPE locations: 1) San Francisco Bay Area; 2) North Bay; 3) Sacramento; 4) Fresno; 5) Los Angeles and Orange County</div></div></div></div></div>San Francisco Bay Area (San Francisco and areas immediately south and east)</li> <li>North Bay (areas north of San Francisco Bay)</li> <li>Greater Sacramento (northern portion of the California Central Valley)</li> <li>Fresno (southern portion of the California Central Valley)</li> <li>Southern California (Los Angeles and Orange Counties)</li> </ul> <h3>APPE Rotations</h3> <p>An APPE rotation is a six-week, full-time clinical experience at a medical center, hospital, or clinic setting that provides real-world pharmacy experience. You’ll have eight six-week, full-time APPE experiences in the UCSF PharmD program.</p> <p>All students will take four core APPEs.</p> <p>The remaining APPEs are elective opportunities, two of which must be in direct patient care settings. Two elective APPEs may be taken in non-direct patient care settings.</p> <h4>Four core APPE rotations</h4> <ul> <li>Hospital pharmacy systems and practice experience</li> <li>Community pharmacy systems and practice experience</li> <li>Acute care experience</li> <li>Ambulatory care experience</li> </ul> <h4>Elective APPE rotations</h4> <p>Direct patient care APPE elective examples:</p> <div class="columns-2"> <ul> <li>Cardiology</li> <li>Clinical pharmacokinetics</li> <li>Compounding</li> <li>Community pharmacy</li> <li>Critical care</li> <li>Emergency medicine</li> <li>Geriatrics</li> <li>Hematology/oncology</li> <li>HIV Primary care</li> <li>Home care</li> <li>Hospice care</li> <li>Infectious diseases</li> <li>Nephrology</li> <li>Neurology</li> <li>Neurosurgery</li> <li>Nutrition</li> <li>Oncology</li> <li>Pediatrics (including PICU/NICU settings)</li> <li>Poison control</li> <li>Psychiatry</li> <li>Pulmonology</li> <li>Surgery</li> <li>Transitional care</li> <li>Transplant</li> </ul> </div> <p>Non-direct patient care APPE elective examples:</p> <div class="columns-2"> <ul> <li>Administration</li> <li>Automation/informational technology</li> <li>Clinical informatics</li> <li>Compounding</li> <li>Consulting</li> <li>Drug information</li> <li>Industry</li> <li>Managed care</li> <li>Nuclear pharmacy</li> <li>Veterinary medicine</li> </ul> </div> <h3>Program directors and preceptors</h3> <p>Each of the five APPE programs is managed by a School faculty member who serves as program director. At each APPE rotation, you’ll be under the direct supervision of a preceptor who provides patient-oriented pharmaceutical services at the site, research activities in the pharmaceutical industry, or pharmacy expertise within the organization.</p></div></div></div> </div> </div> </div> </div> </div> </div> <div class="brenham-flipped-column-content-region brenham-flipped-sidebar panel-panel"> <div class="brenham-flipped-column-content-region-inner brenham-flipped-sidebar-inner panel-panel-inner"> <div class="panel-pane pane-block pane-menu-block-2" > <h2 class="pane-title">Curriculum</h2> <div class="pane-content"> <div class="menu-block-wrapper menu-block-2 menu-name-main-menu parent-mlid-0 menu-level-2"> <ul class="menu"><li class="first leaf menu-mlid-28926"><a href="/curriculum/program-timeline" tabindex="0">Program Timeline</a></li> <li class="leaf menu-mlid-40331"><a href="/curriculum/foundations" tabindex="0">Component 1—Foundations</a></li> <li class="leaf menu-mlid-40336"><a href="/curriculum/themes" tabindex="0">Component 2—Integrated Themes</a></li> <li class="leaf menu-mlid-40341"><a href="/curriculum/patient-care" tabindex="0">Component 3—Patient Care Skills</a></li> <li class="leaf active-trail active menu-mlid-40346"><a href="/curriculum/practice-rotations" class="active-trail active" tabindex="0">Component 4—Practice Rotations</a></li> <li class="leaf menu-mlid-40351"><a href="/curriculum/discovery" tabindex="0">Component 5—Discovery Project</a></li> <li class="leaf menu-mlid-40356"><a href="/curriculum/progress" tabindex="0">Progress and Feedback</a></li> <li class="last leaf menu-mlid-30756"><a href="/curriculum/outcomes" tabindex="0">Curriculum Outcomes</a></li> </ul></div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div>  </div>  </div>  </div>  </div>  <div role="complementary" class="footer-make-a-gift-and-quote"> <div class="footer-make-a-gift"> <a href="https://makeagift.ucsf.edu/site/SPageServer?pagename=A1_API_GeneralGivingForm&Primary=Pharmacy">Make a gift</a> </div> <div class="footer-quote"> Science is the foundation of the School of Pharmacy’s pioneering research, individualized patient care, and unparalleled PharmD and PhD education programs. </div> </div> <div class="footer-wrapper-outer" role="contentinfo"> <div class="footer-wrapper-inner"> <div class="footer-site-names-and-disclaimer"> </div> <div class="footer menu"> <ul id="footer-menu" class="links clearfix footer-menu"><li class="0 first"><a href="https://pharmacy.ucsf.edu/suggestions" title="">Suggestions</a></li> <li class="1"><a href="https://pharmacy.ucsf.edu/support?reporturl=https%3A//pharmd.ucsf.edu/curriculum/practice-rotations" title="">Report a problem</a></li> <li class="menu-62826"><a href="/contact" title="">Contact us</a></li> <li class="menu-62811"><a href="https://websites.ucsf.edu/digital-accessibility" title="">Accessibility</a></li> <li class="menu-753"><a href="https://www.ucsf.edu/website-privacy-policy" title="">Privacy policy</a></li> <li class="menu-62816"><a href="https://websites.ucsf.edu/website-terms-use" title="">Terms of use</a></li> <li class="menu-62821"><a href="https://websites.ucsf.edu/azlist" title="">A-Z website list</a></li> <li class="menu-3081 last"><a href="/saml_login?destination=curriculum/practice-rotations" title="" rel="nofollow">Log in</a></li> </ul> </div> <div class="footer-social"> <div class="item-list"><ul><li class="first"><a href="https://www.facebook.com/ucsfpharmacy" class="facebook">Facebook</a></li> <li><a href="https://www.youtube.com/user/ucsfpharmacy" class="youtube">YouTube</a></li> <li><a href="https://www.linkedin.com/showcase/ucsf-school-of-pharmacy" class="linkedin">LinkedIn</a></li> <li><a href="https://twitter.com/ucsfpharmacy" class="twitter">X</a></li> <li class="last"><a href="https://www.instagram.com/ucsfpharmd" class="instagram">Instagram</a></li> </ul></div> </div> <div class="copyright"> © 2002–2024 The Regents of the University of California </div> </div> </div> <script type="text/javascript"> /* <![CDATA[ */ var google_conversion_id = 1025823284; 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