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

Why did you go to PUA for student exchange?

The chance to visit Africa, and more specific an Arab country with so much history as Egypt has, made the decision very easy. PUA offered the necessities and quality needed for my bachelor thesis to be conducted.

How long was the exchange period?

The exchange lasted 8 weeks in total.

How have you been chosen for the exchange?

Prof. Andrew Martin from KTH scouted for students to participate in a collaboration with PUA and KTH, me and my colleagues applied and were accepted.

What do you think are the differences between studying at PUA and KTH?

The difference is a more direct contact or line of communication in PUA compared to KTH. The relationships between pupils and professors are more personal than in KTH. Moreover, the learning is more of a practical character in PUA than in KTH, where the approach is often more theoretical and is conducted to bring discussion.

Did PUA staff, professors, researcher and others that you met been helpful and easy to communicate, discuss and cooperate

They have been excellent in supporting all causes, the communication line is very clear and everyone, including students, are very generous and show great hospitality. Our Egyptian colleagues, whom we collaborate with, have excellent knowledge in their field and are easy to discuss with.

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Why did you go to (KTH Royal Institute of Technology) for staff exchange?

The main objectives of this mobility are:
- Explore the master program in Electrical Engineering in KTH.
- Investigate the availability of joint undergraduate projects submission.
- Acquire new teaching and learning skills from KTH.
- Reinforcement the cooperation between KTH and PUA.

How long was the exchange period?

A month.

How have you been chosen to this visit?

Through a presentation in front of the vice president and the international relations coordinator of PUA University. The presentation includes my goals to this grant of the Erasmus+ staff mobility program and this is done after the submission of the motivation letter and my CV to them.

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Why did you go to the School of Pharmacy, University of Eastern Finland for staff exchange?

I consider the visit to the School of Pharmacy, UEF, as a lifetime experience that I believe it is a milestone in my career. It is a significant opportunity to discover innovative and different teaching and research techniques as well as to explore new foreign culture that is definitely motivational and very inspirational to my career

How long was the exchange period?

The exchange period was 8 days

How have you been chosen to this visit?

The journey started after my motivation letter was selected by Prof. Dr. Maged ElGhazouly, Dean of the Faculty of Pharmacy and Drug Manufacturing. I was one of 5 lecturers who were chosen to present their motivations to contribute in such exchange program in front of Prof. Dr. Mahmoud Mohey ElDin, President of Pharos University in Alexandria and Prof. Dr. Nourhan Fanaky, Vice President for Education and Students Affairs.

How do studies and researches at School of Pharmacy, University of Eastern Finland differ in comparison to your previous experience?

I think they are different in the time and resources available for their research. In addition, most of them are working as a multidisciplinary team which collaborate together for successful publications

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Why did you go to KTH for staff exchange?

To gain more experience about teaching methods, to get introduced to a new culture, to widen my professional network, to know more about the curriculum of the courses in the KTH and compare it to ours in PUA. My main mission was about the BIM courses to transfer the way of teaching and to know all the courses that are taught in the KTH as PUA is starting to teach this new technology.

How long was the exchange period?

It was one month.

How have you been chosen to this visit?

I have been chosen through a process that started by a call to all the staff members for whoever wants to submit a motivation letter to be chosen. Then there was an interview with the faculty of engineering dean and head of departments. Then there was an interview with the head of international relations and the representatives of university’s president.

How do studies and researches at KTH differ in comparison to your previous experience?

It differs a lot as the number of years for the university education at the KTH are 3 for bachelor degree and most of the students there continue post graduate studies for 2 years to complete their master’s degree. One of the great differences is that all the master or PhD thesis are concerned with the industry to solve problems or to renovate the technology of construction.

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Why did you go to (Royal Institue of Technology KTH) for staff exchange?

My trip was part of a grant of the Erasmus+ Staff Mobility Program. The main purpose of the trip was to adopt new teaching methods, interactive learning methods and assessment methods. In addition, visit the laboratories and workshops. Another personal purpose was to network with people interested in the field of my PhD research and exchange knowledge with them.

How long was the exchange period?

The exchange period was for 10 days.

How have you been chosen to this visit?

I applied for it at the PUA. The application included a motivation letter, my CV and a valid IELTS certificate. Then I have done a presentation on the purpose of my application to this visit. The attendees of the presentation were the Vice President of the PUA and the International Relations Coordinator at the PUA.

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Why did you go to (KTH)for staff exchange?

I went there as a part of ICM program among the agreement between KTH and PUA

How long was the exchange period?

10 days

How do studies and researches at (KTH) differ in comparison to your previous experience?

There educaltional system consists of 3-years program BSc and 2 years Msc. The computer and electrical engineering are merged in one schoo;

Did (KTH) staff, professors, researcher and others that you met been helpful and easy to communicate, discuss and cooperate

Yes,

Could you describe a regular day as a student or teacher at (KTH)?

Student : attend lectures and lab sessions Teacher : give lectures, participate in meetings related to research projects

What was the best part of your experience at (KTH)?

Meeting with master programs directors and advanced abs

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What made you chose PUA to study?

Being best authentic private university in Alexandria with highly qualified cooperative Teaching staff from professors to demonstrators is reason enough for anyone to join your University.

Why did you go to (University of Eastern Finland) for student exchange?

In my opinion, the university announced for scholarship was a great opportunity to discover their teaching methods and facilities whilst still student in PUA, as well as experience first-hand the European scandanavian culture.

How long was the exchange period?

About four months since 3rd/sept/2018 to 20th/dec/2018

How have you been chosen for the exchange?

By assessing applicant English proficiency, recommendation letter from my professors, motivation letter and interviews was also done to assess student social and academic background as well as their overall character.

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What made you chose PUA to study?

I choose Pharos University because it is one of the top 10 universities in the Republic of Egypt and its close relationship between other international universities, especially the Royal Institute of Technology (KTH)

Why did you go to (KTH) for student exchange?

To gain experience of travel without parents and self-reliance and to see the cultures of other countries

How long was the exchange period?

It was 3 months

How have you been chosen for the exchange?

I think because I worked hard to study architecture and got the highest grades and excelled at the University of Pharos

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What made you chose PUA to study?

Because of the excellent educational level offered by pharos university.

Why did you go to (KTH) for student exchange?

To gain a new experience and knew the difference between education in Egypt and abroad.

How long was the exchange period?

3 months

How have you been chosen for the exchange?

I was nominated by my department then I have passed the language test and an interview with university administration.

What do you think are the differences between studying at PUA and (KTH)?

The biggest difference is that students there depend on themselves a lot in the education.

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What made you chose PUA to study?

I choose Pharos University to study because I knew about the agreement dual bachelor degree from both KTH and PUA which gives international exposure. Also its one of the best University for the education perspectives.

Why did you go to KTH for student exchange?

To gain experience, knowledge. Also to explore different cultures and know the least technology and trend in architecture.

How long was the exchange period?

3 months

How have you been chosen for the exchange?

First I have been writing my CV and motivation letter. Second I have been through 2 interviews and English test.

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What made you chose PUA to study? 

 I choose Pharos University to study because it is one of the universities that help on producing good generations.

 Why did you go to (KTH) for student exchange?

To gain experience and knowledge from other countries that could help me in my future sake concerning the Architecture Engineering. 

How long was the exchange period? 

3 months 

How have you been chosen for the exchange? 

 By owning high grades, good communication skills and language.

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Why did you go to PUA for student exchange? 

  I heard about the transportation project from my teacher at KTH. I chose PUA for exhange to write my bachelor thesis.

How long was the exchange period?  

3 months. 

 How have you been chosen for the exchange?

By my teacher at KTH. 

What do you think are the differences between studying at PUA and (KTH)? 

  I have nit participated in any courses but otherwise, there are differences such as school rules, computer lab.

Did PUA staff, professors, researcher and others that you met been helpful and easy to communicate, discuss and cooperate.  

Yes, they have been helpful all the period and it was easy to communicate with them.  

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What made you chose PUA to study?

Because it is one of best universities in Alexandria.

Why did you go to KTH Royal Institute of Technology in Stockholm for student exchange?

It was a good chance to gain experience.

How long was the exchange period?

Three months.

How have you been chosen for the exchange?

I have been chosen by my professors.

What do you think are the differences between studying at PUA and KTH Royal Institute of Technology in Stockholm?

The students at KTH is more independent.

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What made you chose PUA to study?

As Pharos is one from the best universities in Egypt, it was recommended for me.

Why did you go to (KTH) for student exchange?

It was the best chance ever to learn a lot about everything, their way of studying, their work during their lectures and tutorial.

How long was the exchange period?

It was for 3 months.

How have you been chosen for the exchange?

I was able to get the highest grades so that I could get my professors' nomination and I worked hard on it

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