Numbering Code	U-PHA12 4E354 PJ86	Year/Term	2022 ・ Second semester
Number of Credits	2	Course Type	Practical training
Target Year	4th year students or above	Target Student
Language	Japanese	Day/Period
Instructor name	TAKAKURA YOSHINOBU (Graduate School of Pharmaceutical Sciences Professor) YAMASHITA FUMIYOSHI (Graduate School of Pharmaceutical Sciences Professor) TSUDA MASAHIRO (Graduate School of Pharmaceutical Sciences Senior Lecturer) SO KANAKO (Graduate School of Pharmaceutical Sciences Assistant Professor) Instructors of Graduate School of Pharmaceutical Sciences (Graduate School of Pharmaceutical Sciences) Instructors and pharmacists at Department of Pharmacy, Kyoto University Hospital (Part-time Lecturer) 　 (Graduate School of Pharmaceutical Sciences)
Outline and Purpose of the Course	The practical training conducted in clinical settings in the fifth year is both participatory and hands-on. Students dispense and inject preparations, based on actual prescriptions, while in contact with actual patients and medical staff. This course ensures that students engage in practical training effectively and play an active role as pharmacists in clinical practice after graduation by teaching them basic knowledge and skills related to dispensing, formulation, and medication guidance, as well as relevant techniques and attitudes at the university, before they start practical training.
Course Goals	1. Understand the correct attitude of a pharmacist in clinical practice and the basic flow of pharmaceutical management. 2. Learn basic dispensing operations (prescription audit, counting dispensing, metering dispensing, prescription inquiries, dispensing drug audits). 3. Perform basic aseptic techniques for injectable preparations. 4. Collect patient information needed for drug therapy. 5. Provide medication guidance on representative medicines.
Schedule and Contents	Unit (1) Starting preparatory study (lecture) 　　1. The flow of pharmaceutical work in hospitals and pharmacies and the importance of pharmaceutical management 　　2. Prescription ordering in medical institutions, electronic medical records, and basic issues 　　3. Patient/visitor care, medication guidance, and patient education 　　4. The supply and management of medicines 　　5. The collection and use of drug information 　　6. Basic infection-prevention concepts, methods, and countermeasures Unit (2) Prescriptions and dispensing (lectures, exercises, training) 　　1. Prescriptions, medicine bags, medicine-tag (label) format and necessary data, description methods 　　2. Counting/metering, dispensing and dispensing drug audits related to prescriptions Unit (3) Prescription inquiries and medicine checks (lectures, exercises, training) 　　1. Contraindications, dosage and administration, interactions, and changes to the formulation of typical drugs, which require attention 　　2. Prescription audits, which point out inappropriate prescriptions and conduct inquiries (role play) 　　3. Confirmation of drugs brought in by inpatients Unit (4) Preparation of injectable drugs (lectures, exercises, training) 　　1. Types, methods of administering, and the significance of aseptic operation for injectable drugs and infusions 　　2. Practice of aseptic techniques (washing hands, wearing gloves and gowns, mixing injections using a clean bench) Unit (5) Risk management, medical safety (lectures and exercises) 　　1. Characteristics of and precautions for using high-risk drugs 　　2. Causes and ways to prevent typical medical accidents involving pharmaceutical products 　　3. Healthcare-safety general theory, healthcare staff-to-patient and staff-to-staff communication errors 　　4. Multidisciplinary group discussion using RCA (Root Cause Analysis) in drug misadministration cases 　　Note: 3 and 4 are joint classes with the Faculty of Medicine and the Department of Human Health Science; a mixed group will be formed with students from the Faculty of Medicine for discussion. Unit (6) Medication guidance (lecture, exercises, training) 　　1. How to handle preparations that require instructions for use 　　2. Support for patients who need attention (pregnant women, children, elderly people, and patients with liver or kidney disorders) 　　3. Collection of patient information and medication guidance (role play/inhalation guidance) 　　4. Drug-therapy problems and pharmaceutical-management planning Unit (7) Before practical training (preparatory learning summary) (lecture) 　　1. Clinical attitude (ethical norms, personal-information protection, confidentiality) 　　2. Role of medical-care teams and pharmacists in medical institutions and local communities Unit (8) Clinical experience (lecture, exercises, practice) 　　1. Basic life-support class 　　2. Physical assessment
Evaluation Methods and Policy	Evaluation is based on the following: normal points (attendance and attitude during class ) 50 points; field tests performed during training and exercises 40 points; assigned reports 10 points. Class attitude will be evaluated based on active participation in exercises and practical training and the level of completeness of created products. Field tests will assess dispensing proficiency, aseptic technique, and communication skills. In the assigned reports, the content of the exercise, the degree of task understanding, and the logic and expressiveness of the text are factors that will contribute to the evaluations. Evaluations will also be performed using the rubric presented separately.
Course Requirements	None
Study outside of Class (preparation and review)	Students are expected to review the content related to drug treatment acquired in lectures related to this one, and to use that knowledge for prescription audits, prescription inquiries, and medication guidance. Students are expected to use the printouts and reference books distributed in class to study and retain knowledge.
Textbooks	Textbooks/References	『医療実務事前学習　実習書』, and others, handed out as printouts during the lectures.
References, etc.	日本薬学会　編 『スタンダード薬学シリーズⅡ-1　「薬学総論Ⅰ　薬剤師としての基本事項」, 「薬学総論Ⅱ　薬学と社会」』 (Tokyo Kagaku Doujin), 日本薬学会　編 『スタンダード薬学シリーズⅡ-7　「臨床薬学Ⅰ　臨床薬学の基礎および処方箋に基づく調剤」, 「臨床薬学Ⅱ　薬物療法の実践」, 「臨床薬学Ⅲ　チーム医療および地域の保健・医療・福祉への参画」』 (Tokyo Kagaku Doujin), 『実務実習事前学習のための調剤学』 (Hirokawa Shoten), 『薬学実習生のための病院・薬局実習の手引き』 (Jiho), 『調剤指針』 (Yakuji Nippo), 『治療薬マニュアル』 (Igaku Shoin)
Courses delivered by Instructors with Practical Work Experience	分類： A course with practical content delivered by instructors with practical work experience