Teaching Experience Log

Name Institution Program type Funding by academic institution (any %)

Chantel Timmerman Ascension St. Vincent Hospital 1 = PGY1 2 = No
Didactic Teaching

If "College of Pharmacy," If any “other” responses

Type of Teaching (Select the BEST Location (Institution/Setting) Delivery (Select the Would you have completed
Date please list. If "Other," Target audience selected, please explain Time (hours)
fit) Select the BEST fit BEST fit) this if not part of IPTeC?
describe location. here.

11/27/2023 1 = Classroom-based instruction for learners

1 = College of Pharmacy Butler Univeristy 1 = In-person 1 = Students 1 = Yes 1
1/30/2024 2 = Instruction for health professionals
3 = Practice setting (community, clinic, hospital, industry, regulatory,
2 = Online
etc.) synchronous 2 = Healthcare professionals1 = Yes 0.5
2/16/2024 2 = Instruction for health professionals
3 = Practice setting (community, clinic, hospital, industry, regulatory,
1 = In-person
etc.) 3 = Both of the above 1 = Yes 1
4/17/2024 2 = Instruction for health professionals
3 = Practice setting (community, clinic, hospital, industry, regulatory,
1 = In-person
etc.) 2 = Healthcare professionals1 = Yes 1
Total 3.5 2 hours required

Small Group Teaching

If "College of Pharmacy," If any “other” responses

Type of Teaching (Select the BEST Location (Institution/Setting) Delivery (Select the Would you have completed
Date please list. If "Other," Target audience selected, please explain Time (hours)
fit) Select the BEST fit BEST fit) this if not part of IPTeC?
describe location. here.

1/2024 - 4/2024 2 = Discussion-based course (i.e., case

1 =studies
College
course,
of Pharmacy
etc.) Butler University 1 = In-person 1 = Students 2 = No 14

Total 14 3 hours required

Precepting/Co-precepting

Location of precepting If any “other” responses

Type of Teaching (Select the BEST Delivery (Select the Would you have completed
Date (Institution/Setting). Select the Learners precepted selected, please explain Time (hours)
fit) BEST fit) this if not part of IPTeC?
BEST fit here.

10/2023 2 = Co-precepting (contributes to parts

1 =ofCommunity
design, delivery, or assessment of rotation) 1 = In-person 2 = APPE student 1 = Yes 32
1/2023 2 = Co-precepting (contributes to parts
2 =ofInstitutional
design, delivery, or assessment of rotation) 1 = In-person 2 = APPE student 1 = Yes 8
10/2023 - 4/2024 1 = Primary preceptor (lead in design,2 delivery,
= Institutional
AND assessment of a rotation) 1 = In-person 1 = IPPE student 1 = Yes 30

Total 70 6 hours required

Experiential Didactics

If "College of Pharmacy," If any “other” responses

Type of Teaching (Select the BEST Location (Institution/Setting) Delivery (Select the Would you have completed
Date please list. If "Other," Target audience selected, please explain Time (hours)
fit) Select the BEST fit BEST fit) this if not part of IPTeC?
describe location. here.

9/6/2023 1 = Topic discussion facilitation 3 = Practice setting (community, clinic, hospital, industry, regulatory,
1 = In-person
etc.) 2 = APPE student 1 = Yes 1
11/20/2023 4 = Journal club evaluation 3 = Practice setting (community, clinic, hospital, industry, regulatory,
1 = In-person
etc.) 2 = APPE student 1 = Yes 1
1/4/2024 7 = Other 3 = Practice setting (community, clinic, hospital, industry, regulatory,
1 = In-person
etc.) 1 = IPPE student 1 = Yes Primary Literature Search Strategies
1
1/24/2024 1 = Topic discussion facilitation 3 = Practice setting (community, clinic, hospital, industry, regulatory,
1 = In-person
etc.) 2 = APPE student 1 = Yes 1
3/1/2024 4 = Journal club evaluation 3 = Practice setting (community, clinic, hospital, industry, regulatory,
1 = In-person
etc.) 1 = IPPE student 1 = Yes 1
4/15/2024 1 = Topic discussion facilitation 3 = Practice setting (community, clinic, hospital, industry, regulatory,
1 = In-person
etc.) 2 = APPE student 1 = Yes 1

Total 6 6 hours required

Other teaching experiences

If "College of Pharmacy," If any “other” responses
Location (Institution/Setting) Delivery (Select the Would you have completed
Date Type of Teaching please list. If "Other," Target audience selected, please explain Time (hours)
Select the BEST fit BEST fit) this if not part of IPTeC?
describe location. here.

Total 0

Total teaching time 93.5