title: Sequential advanced pharmacy practice experiences at one institution for students from three pharmacy schools.
abstract: OBJECTIVE
  The structure and implementation of an advanced pharmacy practice experience (APPE) that was sequential in nature are described.
  
  
  CONCLUSIONS
  In early 2008, the pharmacy department of the Cleveland Clinic began conversations with three partner pharmacy schools in the surrounding area to accommodate rotations for advanced practice experiences pharmacy students. The resulting sequential APPE (SAE) program is offered at each school for four or five months and incorporates a longitudinal student project component to be completed over the SAE's duration. Program coordination and scheduling are unique to this program, where rotations are set up outside of the typical rotation selection. Since 2009, 23 students have completed the program, and 10 are currently enrolled. The SAE program was implemented in 2009 and continues to provide a depth of experience for pharmacy students. Preceptors have reported that SAE students are more motivated, have goals that fit with the institution, and offer decreased orientation burden compared with traditional APPE students. Students report a maximum of 19 hours gained per month in decreased orientation time to the computer system and site, allowing them to focus more time on patient care. Over a five-month period, a student could gain 76 hours in clinical experience over the traditional APPE student due to the decreased orientation burden.
  
  
  CONCLUSIONS
  SAEs at one institution have proven advantageous to preceptors, students, and the site. SAEs have provided enriching student rotations while increasing site efficiencies, allowing longitudinal projects, and enhancing the site's exposure to students as potential residency candidates.
authors.affiliation: Rebecca A. Taylor, Pharm.D., M.B.A., BCPS, is Pharmacy Manager, Cleveland Clinic Marymount Hospital, Garfield Heights, OH; at the time of writing she was Education Manager, Department of Pharmacy, Cleveland Clinic, Cleveland, OH. S. Scott Wisneski, Pharm.D., M.B.A., is Director of Experiential Education, Assistant Professor of Pharmacy Practice, Northeast Ohio Medical University. Megan A. Kaun, Pharm.D., BCPS, is Director of Advanced Pharmacy Practice Experiences, College of Pharmacy, University of Toledo, Toledo, OH. Patricia Parteleno, Pharm.D., is Director of Experiential Education and Associate Professor, Raabe College of Pharmacy, Ohio Northern University, Ada. Jonathan Williams, Pharm.D., M.S., is Assistant Director, Pharmacy Operations, Cleveland Clinic. Morton P. Goldman, Pharm.D., FCCP, BCPS, is Consultant, American Pharmacotherapy, Cleveland; at the time of writing he was System Director, Academic Affairs and International Business Development, Department of Pharmacy, Cleveland Clinic.
authors.forename: Rebecca A
authors.initials: RA
authors.lastname: Taylor
authors.forename: S Scott
authors.initials: SS
authors.lastname: Wisneski
authors.forename: Megan A
authors.initials: MA
authors.lastname: Kaun
authors.forename: Patricia
authors.initials: P
authors.lastname: Parteleno
authors.forename: Jonathan
authors.initials: J
authors.lastname: Williams
authors.forename: Morton P
authors.initials: MP
authors.lastname: Goldman
mesh_terms: D004512:Education, Pharmacy / Q000458:organization & administration*; D010595:Pharmacists; D011231:Preceptorship; D011364:Professional Practice; D012570:School Admission Criteria; D012580:Schools, Pharmacy / Q000458:organization & administration*; D013339:Students, Pharmacy