IPTeC INDIANA PHARMACY TEACHING CERTIFICATE PROGRAM

Teaching Experience Log

Participants are required to perform:

1. At least two hours of lectures either as a didactic lecture or part of a CE program
2. Additional experience of at least 15 hours of other teaching activities such as (all 15
hours cannot be from a single area
▪ 6 hrs precepting or co-precepting students
▪ 6 hrs leading topic discussions/journal clubs
▪ 3 hrs recitation/lab facilitation

Date Description of experience,
topic
1/20/22 Pharmacy Grand Rounds:
The Role of Naloxone in an
Opioid Epidemic
4/28/22 Pharmacy Grand Rounds:
Let’s Get PrEPPed
Location (eg, site or Setting (eg, course, Time
pharmacy program) program, audience) (hours)
Lecture and/or CE
Total: – 2 hrs
Ascension St. Vincent Primary 21 pharmacists 1 hr
Care Center Pharmacists
Ascension St. Vincent Primary 12 pharmacists 1 hr
Care Center Pharmacists

Precepting/Co-precepting experiences
Total: 135 hrs
9/25/21 Site co-precepting Near West Outreach Clinic 1 P2 student 4.5 hr

10/23/21 Site co-precepting Near West Outreach Clinic 1 P3 student 4.5 hr

2/18/22 BP Screening event Ascension St. Vincent 2 APPE students 2.5 hr

2/26/22 Site co-precepting Near West Outreach Clinic 1 P2 student 4.5 hr

3/4/22 Outpatient Pharmacy Ascension St. Vincent 1 APPE student 8 hr

precepting
3/7/22 Anticoagulation clinic Ascension St. Vincent 1 APPE student 5 hr
precepting
3/14/22 Anticoagulation clinic Ascension St. Vincent 1 APPE student 5 hr
precepting
3/18/22 Outpatient Pharmacy Ascension St. Vincent 1 APPE student 4 hr
precepting
3/18/22 Vaccine Screening event Ascension St. Vincent 2 APPE students 3.5 hr

3/21/22 Anticoagulation clinic Ascension St. Vincent 1 APPE student 5 hr

precepting
3/25/22 Outpatient Pharmacy Ascension St.Vincent 1 APPE student 7.5 hr
precepting
3/26/22 Site co-precepting Near West Outreach Clinic 1 P2 student 4.5 hr

INDIANA PHARMACY TEACHING CERTIFICATE PROGRAM

Updated 5/2019
 IPTeC INDIANA PHARMACY TEACHING CERTIFICATE PROGRAM

3/28/22 Anticoagulation clinic Ascension St. Vincent 1 APPE student 5 hr

precepting
4/1/22 Outpatient Pharmacy Ascension St. Vincent 1 APPE student 8 hr
precepting
4/4/22 Anticoagulation clinic Ascension St. Vincent 1 APPE student 5 hr
precepting
4/11/22 Anticoagulation clinic Ascension St. Vincent 1 APPE student 5 hr
precepting
4/15/22 Outpatient Pharmacy Ascension St. Vincent 1 APPE student 8 hr
precepting
4/18/22 Anticoagulation clinic Ascension St. Vincent 1 APPE student 5 hr
precepting

Topic discussions/Journal clubs

Total: 17.6 hrs
8/2/21 Device Topic Discussion Ascension St. Vincent 2 APPE students <1 hr
(50 min)
8/4/21 Medication Safety CVS 1 medical resident 1.5 hr
Scavenger Hunt
8/6/21 Anticoagulation Topic Ascension St. Vincent 2 APPE students <1 hr
Discussion (50 min)
9/3/21 Anticoagulation Topic Ascension St. Vincent 4 APPE students <1 hr
Discussion (50 min)
9/29/21 Medication Safety CVS 1 pharmacy resident 1.5 hr
Scavenger Hunt
10/1/21 Anticoagulation Topic Ascension St. Vincent 3 APPE students <1 hr
Discussion (50 min)
10/29/21 Anticoagulation Topic Ascension St. Vincent 4 APPE students <1 hr
Discussion (50 min)
11/22/21 Geriatric Case-Based Topic Ascension St. Vincent Preceptor, 1 1 hr
Discussion pharmacy resident
11/24/21 Medication Safety CVS 1 pharmacy resident 1.5 hr
Scavenger Hunt
1/3/22 Device Topic Discussion Ascension St. Vincent 2 APPE students < 1 hr
(50 min)
1/31/22 Device Topic Discussion Ascension St. Vincent 2 APPE students < 1 hr
(50 min)
2/24/22 Opioid Dosing Topic Ascension St. Vincent 2 APPE students <1 hr
Discussion (50 min)
2/28/22 Device Topic Discussion Ascension St. Vincent 2 APPE students <1 hr
(50 min)

INDIANA PHARMACY TEACHING CERTIFICATE PROGRAM

Updated 5/2019
 IPTeC INDIANA PHARMACY TEACHING CERTIFICATE PROGRAM

3/2/22 Medication Safety CVS 1 medical resident, 1 1.5 hr

Scavenger Hunt pharmacy resident
3/29/22 Device Topic Discussion Ascension St. Vincent 1 APPE student <1 hr
(50 min)
4/14/22 Opioid Dosing Topic Ascension St. Vincent 3 APPE students <1 hr
Discussion (50 min)
5/11/22 Medication Safety Escape Ascension St. Vincent ~20 internal medicine 3 hrs
Room residents
Laboratory/Recitation/Case facilitation
Total: – 20 hrs
1/10/22 Self-Care Boot Camp Butler University College of 1.8 hr
Pharmacy (110 min)
1/24/22 Blood Pressure (BP) Butler University College of 21 P2 students 1.8 hr
Assessment, Constipation Pharmacy (110 min)
Cases
1/31/22 Musculoskeletal Injuries, Butler University College of 21 P2 students 1.8 hr
Pain & Headache Pharmacy (110 min)
2/7/22 Pediatric Case - Fever, Self Butler University College of 21 P2 students 1.8 hr
Care of CVD, Home BP Pharmacy (110 min)
monitoring
2/14/22 BP Practice and Counseling Butler University College of 21 P2 students 1.8 hr
Pharmacy (110 min)
2/28/22 BP and Patient Counseling Butler University College of 21 P2 students 1.8 hr
Assessment Pharmacy (110 min)
3/14/22 Diabetes Self-Care Butler University College of 21 P2 students 1.8 hr
Management (CGM) Pharmacy (110 min)
3/21/22 Tobacco Cessation/PIP Butler University College of 21 P2 students 1.8 hr
presentations Pharmacy (110 min)
3/28/22 Pediculosis/Sub Q injection Butler University College of 21 P2 students 1.8 hr
practice/Review for lab final Pharmacy (110 min)
4/11/22 Lab final Butler University College of 21 P2 students 1.8
Pharmacy (110 min)
4/18/22 DME/geriatrics lab Butler University College of 21 P2 students 1.8 hr
Pharmacy (110 min)
Additional teaching experiences
Total: 1 hr
12/16/21 Emergency Device Training Ascension St. Vincent Primary ~4 medical assistants 1 hr
and Check-Offs Care Center and/or nursing staff

INDIANA PHARMACY TEACHING CERTIFICATE PROGRAM

Updated 5/2019