22 Tex. Admin. Code § 283.4 - Internship Requirements
(a) Goals and
competency objectives of internship.
(1) The
goal of internship is for the pharmacist-intern to attain the knowledge,
skills, and abilities to safely, efficiently, and effectively provide
pharmacist-delivered patient care to a diverse patient population and practice
pharmacy under the laws and regulations of the State of Texas.
(2) The following competency objectives are
necessary to accomplish the goal of internship in paragraph (1) of this
subsection:
(A) Provides drug products. The
pharmacist-intern shall demonstrate competence in determining the
appropriateness of prescription drug orders and medication orders; evaluating
and selecting products; and assuring the accuracy of the product/prescription
dispensing process.
(B)
Communicates with patients and patients' agents about prescription drugs. The
pharmacist-intern shall demonstrate competence in interviewing and counseling
patients and patients' agents on drug usage, dosage, packaging, routes of
administration, intended drug use, and storage; discussing drug cautions,
adverse effects, and patient conditions; explaining policies on fees and
services; relating to patients in a professional manner; and interacting to
confirm patient understanding.
(C)
Communicates with patients and patients' agents about nonprescription products,
devices, dietary supplements, diet, nutrition, traditional nondrug therapies,
complementary and alternative therapies, and diagnostic aids. The
pharmacist-intern shall demonstrate competence in interviewing and counseling
patients and patients' agents on conditions, intended drug use, and adverse
effects; assisting in and recommending drug selection; triaging and assessing
the need for treatment or referral, including referral for a patient seeking
pharmacist-guided self-care; providing information on medical/surgical devices
and home diagnostic products; and providing poison control treatment
information and referral.
(D)
Communicates with healthcare professionals, patients, and patients' agents. The
pharmacist-intern shall demonstrate competence in obtaining and providing
accurate and concise information in a professional manner and using appropriate
oral, written, and nonverbal language.
(E) Practices as a member of the patient's
interdisciplinary healthcare team. The pharmacist-intern shall demonstrate
competence in collaborating with physicians, other healthcare professionals,
patients, and patients' agents to formulate a therapeutic plan. The
pharmacist-intern shall demonstrate competence in establishing and interpreting
databases, identifying drug-related problems and recommending appropriate
pharmacotherapy specific to patient needs, monitoring and evaluating patient
outcomes, and devising follow-up plans.
(F) Maintains professional-ethical standards.
The pharmacist-intern is required to comply with laws and regulations
pertaining to pharmacy practice; to apply professional judgment; to exhibit
reliability and credibility in dealing with others; to deal professionally and
ethically with colleagues and patients; to demonstrate sensitivity and empathy
for patients/care givers; and to maintain confidentiality.
(G) Compounds. The pharmacist-intern shall
demonstrate competence in using acceptable professional procedures; selecting
appropriate equipment and containers; appropriately preparing compounded
non-sterile and sterile preparations; and documenting calculations and
procedures. Pharmacist-interns engaged in compounding non-sterile preparations
shall meet the training requirements for pharmacists specified in §
291.131 of this title (relating to
Pharmacies Compounding Non-Sterile Preparations). Pharmacist-interns engaged in
compounding sterile preparations shall meet the training requirements for
pharmacists specified in §
291.133 of this title (relating to
Pharmacies Compounding Sterile Preparations).
(H) Retrieves and evaluates drug information.
The pharmacist-intern shall demonstrate competence in retrieving, evaluating,
managing, and using the best available clinical and scientific publications for
answering a drug-related request in a timely fashion and assessing, evaluating,
and applying evidence based information to promote optimal health care. The
pharmacist-intern shall perform investigations on relevant topics in order to
promote inquiry and problem-solving with dissemination of findings to the
healthcare community and the public.
(I) Manages general pharmacy operations. The
pharmacist-intern shall develop a general understanding of planning, personnel
and fiscal management, leadership skills, and policy development. The
pharmacist-intern shall have an understanding of drug security, storage and
control procedures and the regulatory requirements associated with these
procedures, and maintaining quality assurance and performance improvement. The
pharmacist-intern shall observe and document discrepancies and irregularities,
keep accurate records, and document actions. The pharmacist-intern shall attend
meetings requiring pharmacy representation.
(J) Participates in public health, community
service, or professional activities. The pharmacist-intern shall develop basic
knowledge and skills needed to become an effective healthcare educator and a
responsible participant in civic and professional organizations.
(K) Demonstrates scientific inquiry. The
pharmacist-intern shall develop skills to expand and refine knowledge in the
areas of pharmaceutical and medical sciences or pharmaceutical services. This
may include data analysis of scientific, clinical, sociological, or economic
impacts of pharmaceuticals (including investigational drugs), pharmaceutical
care, and patient behaviors, with dissemination of findings to the scientific
community and the public.
(b) Hours requirement.
(1) The board requires the number of hours of
internship required by ACPE for licensure. These hours may be obtained through
one or more of the following methods:
(A) in a
board-approved student internship program, as specified in subsection (c) of
this section;
(B) in a
board-approved extended-internship program, as specified in subsection (d) of
this section;
(C) graduation from a
college/school of pharmacy. Persons graduating from such programs shall be
credited the number of hours obtained and reported by the college; or
(D) internship hours approved and certified
to the board by another state board of pharmacy.
(2) Pharmacist-interns participating in an
internship may be credited no more than 50 hours per week of internship
experience.
(3) Internship hours
may be used for the purpose of licensure for no longer than three years from
the date the internship is completed.
(c) College-/School-Based Internship
Programs.
(1) Internship experience acquired
by student-interns.
(A) An individual may be
designated a student-intern provided he/she:
(i) submits an application to the board that
includes the following information:
(I)
name;
(II) addresses, phone
numbers, date of birth, and social security number;
(III) college of pharmacy and expected
graduation date; and
(IV) any other
information requested on the application;
(ii) is enrolled in the professional sequence
of a college/school of pharmacy; and
(iii) has met all requirements necessary for
the board to access the criminal history records information, including
submitting fingerprint information and being responsible for all associated
costs.
(B) The terms of
the student internship shall be as follows.
(i) The student internship shall be gained
concurrent with college attendance, which may include:
(I) partial semester breaks such as spring
breaks;
(II) between semester
breaks; and
(III) whole semester
breaks, provided the student-intern attended the college/school in the
immediately preceding semester and is scheduled with the college/school to
attend in the immediate subsequent semester.
(ii) The student internship shall be obtained
in pharmacies licensed by the board, federal government pharmacies, or in a
board-approved program.
(iii) The
student internship shall be in the presence of and under the supervision of a
healthcare professional preceptor or a pharmacist preceptor.
(C) None of the internship hours
acquired outside of a school-based program may be substituted for any of the
hours required in a college/school of pharmacy internship program.
(2) Expiration date for
student-intern designation.
(A) The
student-internship expires if:
(i) the
student-intern voluntarily or involuntarily ceases enrollment, including
suspension, in a college/school of pharmacy;
(ii) the student-intern fails more than once
either the NAPLEX or Texas Pharmacy Jurisprudence Examination specified in this
section; or
(iii) the
student-intern fails to take either the NAPLEX or Texas Pharmacy Jurisprudence
Examination or both within six calendar months after graduation.
(B) The executive director of the
board, in his/her discretion, may extend the term of the student internship if
administration of the NAPLEX or Texas Pharmacy Jurisprudence Examination is
suspended or delayed.
(3)
Texas colleges/schools of pharmacy internship programs.
(A) Student-interns completing a
board-approved Texas college/school-based structured internship shall be
credited the number of hours actually obtained and reported by the college. No
credit shall be awarded for didactic experience.
(B) No more than 600 hours of the required
number of hours may be obtained under a healthcare professional preceptor
except when a pharmacist-intern is working in a federal government
pharmacy.
(d)
Extended-internship program.
(1) A person may
be designated an extended-intern provided he/she has met one of the following
requirements:
(A) passed the NAPLEX and Texas
Pharmacy Jurisprudence Examination but lacks the required number of internship
hours for licensure;
(B) applied to
the board to take the NAPLEX and Texas Pharmacy Jurisprudence Examination
within six calendar months after graduation and has:
(i) graduated and received a professional
degree from a college/school of pharmacy; or
(ii) completed all of the requirements for
graduation and receipt of a professional degree from a college/school of
pharmacy.
(C) applied to
the board to take the NAPLEX and Texas Pharmacy Jurisprudence Examination
within six calendar months after obtaining full certification from the Foreign
Pharmacy Graduate Equivalency Commission;
(D) applied to the board for re-issuance of a
pharmacist license which has expired for more than two years but less than ten
years and has successfully passed the Texas Pharmacy Jurisprudence Examination,
but lacks the required number of hours of internship or continuing education
required for licensure;
(E) is a
resident in a residency program in the state of Texas and has not previously
failed more than once either the NAPLEX or Texas Pharmacy Jurisprudence
Examination; or
(F) been ordered by
the Board to complete an internship.
(2) In addition to meeting one of the
requirements in paragraph (1) of this subsection, an applicant for an
extended-internship must:
(A) submit an
application to the board that includes the following information:
(i) name;
(ii) addresses, phone numbers, date of birth,
and social security number; and
(iii) any other information requested on the
application; and
(B) meet
all requirements necessary for the board to access the criminal history records
information, including submitting fingerprint information and being responsible
for all associated costs.
(3) The terms of the extended-internship
shall be as follows.
(A) The
extended-internship shall be board-approved and gained in a pharmacy licensed
by the board, or a federal government pharmacy participating in a
board-approved internship program.
(B) The extended-internship shall be in the
presence of and under the direct supervision of a pharmacist
preceptor.
(4) The
extended internship remains in effect for two years. However, the internship
expires immediately upon:
(A) the failure of
the extended-intern to take the NAPLEX and Texas Pharmacy Jurisprudence
Examination within six calendar months after graduation or FPGEC
certification;
(B) the
extended-intern failing more than once either the NAPLEX or Texas Pharmacy
Jurisprudence Examination specified in this section;
(C) termination of the residency program;
or
(D) obtaining a Texas pharmacist
license.
(5) The
executive director of the board, in his/her discretion, may extend the term of
the extended internship if administration of the NAPLEX or Texas Pharmacy
Jurisprudence Examination is suspended or delayed.
(6) An applicant for licensure who has
completed less than 500 hours of internship at the time of application shall
complete the remainder of the required number of hours of internship and have
the preceptor certify that the applicant has met the objectives listed in
subsection (a) of this section.
(e) Pharmacist-intern identification.
(1) Pharmacist-interns shall keep
documentation of designation as a pharmacist-intern with them at all times they
are serving as a pharmacist-intern and make it available for inspection by
board agents.
(2) All
pharmacist-interns shall wear an identification tag or badge which bears the
person's name and identifies him or her as a pharmacist-intern.
(f) Change of address or name.
(1) Change of address. A pharmacist-intern
shall notify the board electronically or in writing within 10 days of a change
of address, giving the old and new address.
(2) Change of name. A pharmacist-intern shall
notify the board in writing within 10 days of a change of name by sending a
copy of the official document reflecting the name change (e.g., marriage
certificate, divorce decree).
Notes
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