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Non-Prescription Experience

OTC Case Presentation Evaluation

 Student_________________________                      Date_____________________

 Preceptor _______________________                     Site _____________________

 I.                    Preparation

1.      Patient Presentation                                                                 15% ______

n                   Soap Note, results clearly presented                              

n                   All Rx and OTC medications listed

n                   All data needed for necessary points

n                   Appropriate triage questions (i.e., pregnancy status,

age, other disease states)

 II.                  Knowledge                                                             

1.          Drug therapy                                                                             30%______

n                   Understands patient’s drug therapy. Links problems with drug

therapy ( including appropriateness)

n                   Discusses alternate OTC choices available and rationalizes choice of product

n                   Understands mechanisms of drugs’ action

n                   Anticipates common or serious drug interactions and ADRs

n                   Pertinent pharmacokinetics/dosing considered

n                   Cost of therapy justified

2.          Monitoring                                                                                 15%______

n                   Appropriate parameters to assess efficacy and toxicity presented

n                   Defines endpoints of therapy (what to monitor, how often, when to seek emergent help or see physician) 

3.          Follow-up                                                                                 10%______

n                   When to f/u, what to f/u (must discuss)

n                   F/U was completed, or attempt documented 

4.          Patient information/counseling                                              10%______

n                   How to explain purpose(s) of drug therapy

n                   Important instructions for drug use

n                   Side effects/precautions that should be communicated

n                   Use of devices, equipment, etc. for delivery of medication

n                   Other (eg, blood glucose testing, PEFR)

III.           Style of presentation/delivery/organization                            10%______

        --          Well organized                            --    Pertinent information

        --          Diction                                      --    Voice projection

        --          Personal appearance                    --    Distracting mannerisms

        --          Reliance on notes             

IV.        Response to questions                                                                   10%_______

n                   Responses appropriate and straightforward

Total (100% possible)   _________                                     6 points possible________