Unit I : a) Hospital and it’s organization Definition, Classification of hospital - Primary, Secondary and Tertiary hospitals, Classification based on clinical and non- clinical basis, Organization Structure of a Hospital, and Medical staffs involved in the hospital and their functions. b) Hospital pharmacy and its organization Definition, functions of hospital pharmacy, Organization structure, Location, Layout and staff requirements, and Responsibilities and functions of hospital pharmacists. c) Adverse drug reaction Classifications - Excessive pharmacological effects, secondary pharmacological effects, idiosyncrasy, allergic drug reactions, genetically determined toxicity, toxicity following sudden withdrawal of drugs, Drug interaction- beneficial interactions, adverse interactions, and pharmacokinetic drug interactions, Methods for detecting drug interactions, spontaneous case reports and record linkage studies, and Adverse drug reaction reporting and management. d) Community Pharmacy Organization and structure of retail and wholesale drug store, types and design, Legal requirements for establishment and maintenance of a drug store, Dispensing of proprietary products, maintenance of records of retail and wholesale drug store. (Chapter - 1) Unit II : a) Drug distribution system in a hospital Dispensing of drugs to inpatients, types of drug distribution systems, charging policy and labelling, Dispensing of drugs to ambulatory patients, and Dispensing of controlled drugs. b) Hospital formulary Definition, contents of hospital formulary, Differentiation of hospital formulary and Drug list, preparation and revision, and addition and deletion of drug from hospital formulary. c) Therapeutic drug monitoring Need for Therapeutic Drug Monitoring, Factors to be considered during the Therapeutic DrugMonitoring, and Indian scenario for Therapeutic Drug Monitoring. d) Medication adherence Causes of medication non-adherence, pharmacist role in the medication adherence, and monitoring of patient medication adherence. e) Patient medication history interview Need for the patient medication history interview, medication interview forms. f) Community pharmacy management Financial, materials, staff, and infrastructure requirements. (Chapter - 2) Unit III : a) Pharmacy and therapeutic committee Organization, functions, Policies of the pharmacy and therapeutic committee in including drugs into formulary, inpatient and outpatient prescription, automatic stop order, and emergency drug list preparation. b) Drug information services Drug and Poison information centre, Sources of drug information, Computerised services, and storage and retrieval of information. c) Patient counseling Definition of patient counseling; steps involved in patient counseling, and Special cases that require the pharmacist d) Education and training program in the hospital Role of pharmacist in the education and training program, Internal and external training program, Services to the nursing homes/clinics, Code of ethics for community pharmacy, and Role of pharmacist in the interdepartmental communication and community health education. e) Prescribed medication order and communication skills Prescribed medication order- interpretation and legal requirements, and Communication skills- communication with prescribers and patients. (Chapter - 3) Unit IV a) Budget preparation and implementation Budget preparation and implementation b) Clinical Pharmacy Introduction to Clinical Pharmacy, Concept of clinical pharmacy, functions and responsibilities of clinical pharmacist, Drug therapy monitoring - medication chart review, clinical review, pharmacist intervention, Ward round participation, Medication history and Pharmaceutical care. Dosing pattern and drug therapy based on Pharmacokinetic and disease pattern. c) Over the counter (OTC) sales Introduction and sale of over the counter, and Rational use of common over the counter medications. (Chapter - 4) Unit V a) Drug store management and inventory control Organisation of drug store, types of materials stocked and storage conditions, Purchase and inventory control: principles, purchase procedure, purchase order, procurement and stocking, Economic order quantity, Reorder quantity level, and Methods used for the analysis of the drug expenditure b) Investigational use of drugs Description, principles involved, classification, control, identification, role of hospital pharmacist, advisory committee. c) Interpretation of Clinical Laboratory Tests Blood chemistry, hematology, and urinalysis (Chapter - 5)
