question 1

Co-Curricular Program PCOM Georgia School of Pharmacy

Post Activity Form – Interview with a Community Pharmacist

Please note FULL completion of this document is REQUIRED.

Student’s Full Name:

Graduating Class:

Date of Event:

Start Time of Event:

Total Hours Spent at Event (Minimum of 1 Hour Required):

Please describe the co-curricular activity that you participated to provide context for the faculty advisor reviewing your reflections (what, when, where, how).

For this activity, please answer the questions related to the completed Co-Curricular Activity and mark the Leadership and Communication Educational Outcomes in the table. Reflective writing on what you learned from the experience will build your foundation knowledge in essential skills while adding to your commitment to being a lifelong learner.

For this activity, what did you want to learn from the experience PRIOR to participating? Please address one of the two learning outcomes for this event.

Educational Outcome/Key Elements	Yes	No	Explain WHAT you learned.	Explain HOW you learned it.	How has this activity help you prepare for your future as a pharmacist?
Leadership: Objectives: •Student will develop and communicate a personal philosophy of leadership. •Student will identify personal leadership strengths and weaknesses, and continually work develop leadership strengths. •Student will develop and strengthen abilities to work collaboratively within a team. •Student will effective oral and written communication skills to build consensus and collaboration. •Student will describe a personal and professional commitment for patient and legislative advocacy. •Student will describe how leadership differs from management. •Student will identify how pharmacist are leaders in the community setting. •Student will explain how to develop their leadership skills in preparation for practice.
Communication: Objectives •Student will communicate effectively with patients, peers, co-workers and professionals in the healthcare team. •Student will communicate assertively, persuasively, confidently, and clearly. •Student will demonstrate empathy when interacting with others. •Student will promote health literacy, cultural competency, and psychosocial awareness in patient centered care. •Student will interview a community pharmacist to learn their roles and responsibilities, daily challenges in practice and preparation for community pharmacy practice.

After completion of this activity, did you gain what you had hoped based on objectives for Leadership and Communication? If not, what steps will you take for the next event you participate to ensure this occurs (100 – 200 word count)?

Student Acknowledgement Statement: By submitting this Co-Curricular Activity information, I attest that this a truthful representation of what I learned and the time spent completing the activity.

Selection	Option
	Agree
	Disagree

Faculty Academic Advisor Acknowledgement Statement: I attest that I have reviewed the student responses for this completed Co-Curricular Activity and provided feedback on the students’ effort toward the educational outcomes indicated above.

Selection	Option
	Agree
	Disagree