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 Location (eg, site or Setting (eg, course, Time

experience, topic pharmacy program) program, audience) (hours)

Lecture and/or CE
Total: 2 hours
5/3/2022 What’s the Squeeze: The Ascension St. Vincent Grand Rounds to 1
Role of Vasopressin in Pharmacists and
Shock Residents within
Indianapolis
3/21/2022 Overview of the Butler University Pharmacy students 0.5
Treatment of Urinary
Tract Infections and
Pyelonephritis
12/31/2021 What’s the Squeeze: The Online Purdue CE program 1
Role of Vasopressin in
Shock
Precepting/Co-precepting experiences
Total: 320 hours
3/2022- Emergency Medicine: Co- Franciscan Health- Inpatient 40 hours
4/2022 Preceptor Indianapolis (total for
4-week
rotation)

10/2021- Infectious Diseases: Co- Franciscan Health- Inpatient 80 hours

11/2021 preceptor Indianapolis (total for
4-week
rotation)

9/2021- Critical Care: Co- Franciscan Health- Inpatient 80 hours

10/2021 Preceptor Indianapolis (total for
4-week
rotation)
8/2021- Family Medicine: Co- Franciscan Health- Inpatient 120 hours
9/2021 Preceptor Indianapolis (total for
4-week
rotation)

INDIANA PHARMACY TEACHING CERTIFICATE PROGRAM

Updated 5/2019
 IPTeC INDIANA PHARMACY TEACHING CERTIFICATE PROGRAM

Topic discussions/Journal clubs

Total: 7 hours
4/2022 Infective Endocarditis Franciscan Health-Indianapolis Presentation with 0.5
four students, three hour
preceptors, and two
residents
12/2021 Treatment of Chemo- Franciscan Health-Indianapolis Oncology Pharmacist 1 hour
Induced Nausea and meeting
Vomiting
11/2021 Skin and Soft Tissue Franciscan Health-Indianapolis Topic Discussion with 1 hour
Infections two students
10/2021 Urinary Tract Infections Franciscan Health-Indianapolis Topic discussion with 1 hour
two students

10/2021 Syndrome of Inappropriate Franciscan Health-Indianapolis Topic discussion with 1 hour

Anti-Diuretic Hormone one student
10/2021 Cerebrovascular Accident Franciscan Health-Indianapolis Topic discussion with 1 hour
one student and
preceptor
9/2021 HEP-COVID Trial Franciscan Health-Indianapolis Journal club 0.5
presented to critical hour
care committee

9/2021 Management of Diabetic Franciscan Health-Indianapolis Topic discussion with 0.5

Foot Infections six students, two hour
residents, and two
preceptors
8/2021 Treatment of Neonatal Franciscan Health-Indianapolis Topic discussion with 0.5
Seizures six students, three hour
residents, and three
preceptors
Laboratory/Recitation/Case facilitation
Total: 31 hours
3/4/2022 Provider Call: Respiratory Purdue University College of PHRM 861 Lab 1 hour
Tract Infections Lab #2 Pharmacy Activity

9/2021- Therapeutics and Case Butler University College of Case Conference 30

12/2021 Studies Pharmacy hours
(total)
Additional teaching experiences
Total: 1.5 hours
11/2021 Post-Graduate Elective Butler University College of Evaluator 1.5
Pharmacy hours

INDIANA PHARMACY TEACHING CERTIFICATE PROGRAM

Updated 5/2019