Clinical Pharmacy Clerkship Training

• Community Pharmacy Practice (Semester 5 & 6) =      150 contact hrs. (One month)
• Hospital Pharmacy Practice (Semester 7&8) = 150 contact hrs. (One month)
• Clinical Pharmacy & Pharmaceutical Care = 150 contact hrs. (One month)

3RD PROFESSIONAL PHARMD (5TH & 6TH SEMESTER)

Community Pharmacy Practice

Objective:

To provide real-world exposure to retail pharmacy operations, patient counseling, OTC products, and prescription handling.

Duration:

Duration of the training will be one month (4 weeks).

Contact Hours:

The training plan entails 150 contact hours.

Settings:

Community Pharmacy (Chain or independent pharmacy) settings.

• Fazal Din’s Pharma Plus,
• Clinix, Lahore, Punjab, Pakistan
• Servaid, Lahore, Punjab, Pakistan
• Bashir Sons Pharmacy, Lahore, Punjab, Pakistan
• Fazal Din & Sons, Lahore, Punjab, Pakistan
• New Mehmood Pharmacy, Lahore.
• Guardian Pharmacy, Lahore, Punjab, Pakistan

Description of Training Program:

Week 1: Orientation and Dispensing Basics

• Introduction to community pharmacy workflow
• Legal & ethical responsibilities of pharmacists
• Prescription handling & interpretation
• Types of dosage forms and storage requirements
• Introduction to drug schedules (e.g., OTC, Schedule G, H, etc.)

Week 2: Patient Counseling and OTC Products

• Communication skills for patient interaction
• Counseling techniques (e.g., for diabetes, hypertension, antibiotics)
• OTC product categorization (analgesics, antacids, vitamins, etc.)
• Handling minor ailments in the community setting

Week 3: Inventory and Record-Keeping

• Drug procurement and inventory control
• Expiry checking and near-expiry management
• Record maintenance for narcotics and psychotropic drugs
• Use of pharmacy management software

Week 4: Health Promotion & Evaluation

• Role of pharmacist in public health campaigns
• Immunization, smoking cessation, weight management advice
• Case discussions and prescription audits
• Internship presentation or portfolio submission

Training Evaluation

• These evaluation methods aim to provide a holistic assessment of the students' knowledge, skills, and abilities acquired during the community pharmacy training.
• The inclusion of external examiner assessments ensures an unbiased and thorough evaluation process.
• Evaluation of final apprenticeship report.
• Evaluation by external examiner will include assessment of community pharmacy practices, viva voce and assessment for the professionalism.
• Written-paper on topics related to community pharmacy practice.

4TH PROFESSIONAL PHARMD (7TH & 8TH SEMESTER)

Hospital Pharmacy Practice

Objective:

To train students in hospital and clinical pharmacy practices, focusing on introduction to the foundational operations and systems within hospital pharmacy settings. Students will be trained to navigate the medication system effectively, including prescription processing, order validation, medication reconciliation, and the use of hospital management and information systems (HMIS). Emphasis will be placed on the preparation and handling of both sterile and non-sterile products, such as IV admixtures, total parenteral nutrition (TPN), and patient-specific formulations, under aseptic conditions. During this phase, students will also gain exposure to drug procurement processes, inventory control, cold chain management, and hospital formulary development, equipping them with a practical understanding of drug distribution and supply systems. By participating in inpatient and outpatient dispensing activities, they become familiar with medication safety principles, high-alert drug handling, and patient counseling. The first month lays a strong foundation in hospital pharmacy operations and prepares students to transition into more advanced clinical roles in the second month.

Duration:

Duration of the training will be one month (4 weeks).

Contact Hours:

The training plan entails 150 contact hours.

Settings:

The list of private hospitals operating in Lahore, Pakistan includes the following hospitals.

• The Children's Hospital & The Institute of Child Health, Lahore.
• Services Institute of Medical Sciences.
• Shaikh Zayed Hospital Lahore.
• Data Darbar Hospital Lahore.
• Government Kot Khawaja Saeed Teaching Hospital, Lahore.
• Govt. teaching Hospital Shahdara, Lahore City, Lahore.
• Govt. TB (Tuberculosis) Hospital, Bilal Gunj, Lahore.
• Govt. Mozang Teaching Hospital, Lahore City, Lahore.
• Jinnah Hospital Lahore.
• Lady Aitchison Hospital.
• Lady Willingdon Hospital.
• Lahore General Hospital.
• Mayo Hospital Lahore.
• Govt Mian Munshi Teaching Hospital, Lahore.
• Nawaz Sharif Social Security Hospital, Multan Road.
• Nawaz Sharif Hospital Kot Khawja Saeed Lahore.
• Pakistan Kidney and Liver Institute and Research Center, Lahore, Pakistan.
• Punjab Institute of Cardiology.
• Punjab Social Security Hospital.
• Said Mitha Hospital, Lahore City, Lahore.
• Services Hospital Lahore.
• Social Security Hospital, Kotlakhpat, Ferozpur Road, Lahore.
• Punjab Institute of Mental Health.
• Sir Ganga Ram Hospital.
• Wapda Hospital Lahore.
• Bahria International Hospital
• City Hospital Lahore
• Doctors Hospital Lahore
• Farooq Hospital Lahore
• Fatima Memorial Hospital
• Ittefaq Hospital Lahore.
• Mid City Hospital, Lahore
• Shalamar Hospital (Institute of Health Sciences), Lahore.
• Shaukat Khanum Memorial Cancer Hospital & Research Centre
• Ghurki Trust Teaching Hospital, Lahore
• Surgimed Hospital, Lahore.
• University Teaching Hospital - University of Lahore
• Railway Hospital - Rawalpindi
• Military hospitals (all over Pakistan)
• Combined Military Hospital Lahore.
• All District & Tehsil Headquarter Hospitals (DHQs & THQs) in Punjab.

Description of Training Program:

Week 1: Orientation & General Hospital Pharmacy Operations

• Introduction to hospital pharmacy structure and workflow.
• Medication distribution systems: unit-dose, floor stock, centralized vs decentralized systems.
• Storage and inventory control (cold chain, narcotics, cytotoxics)
• Medication labeling and packaging.
• Introduction to pharmacy software (if applicable).

Week 2: Inpatient and Outpatient Dispensing

• Inpatient medication order processing
• Outpatient prescription handling and counseling
• Drug-drug and drug-food interaction checking
• Handling of emergency/“stat” orders. Composition of emergency tray.
• Counseling on high-alert medications (e.g., insulin, warfarin, opioids)

Week 3: Sterile and Non-sterile Compounding

• Aseptic techniques in IV preparation (TPN, chemotherapeutics).
• Calculation of TPN and compounding of IV admixtures.
• Extemporaneous compounding.
• Inspection of ward with respect of drug storage, reconstitution, administration and disposal.
• Documentation and labeling of compounded products.

Week 4: Drug Supply Management & Hospital Formularies

• Drug procurement procedures.
• Stock management and expiry date checking.
• Handling shortages and substitution.
• Understanding hospital formulary development and pharmacy & therapeutic committee (P&TC) roles.

Clinical Training Evaluation

• These evaluation methods aim to provide a holistic assessment of the students' knowledge, skills, and abilities acquired during the pharmacy clinical training.
• The inclusion of external examiner assessments ensures an unbiased and thorough evaluation process.
• Evaluation of internship report / clinical cases collected during training.
• Evaluation by external examiner will include clinical assessment of cases, viva voce and assessment for the professionalism.
• Written-paper on topics related to Hospital pharmacy & clinical pharmacy practice.

5th Professional PharmD (7th & 8th Semester)

Clinical Pharmacy & Pharmaceutical Care

Objective:

The second month of the apprenticeship emphasizes the development of clinical pharmacy and pharmaceutical care competencies. Students actively engage in ward-based clinical rounds with physicians and healthcare teams, where they assess patient cases, monitor pharmacotherapy, and contribute to therapeutic decision-making. They are trained to identify and resolve drug-related problems (DRPs), perform dose adjustments in renal and hepatic impairments, and monitor drug-drug and drug-disease interactions. Rotations through specialized hospital units—such as cardiology, pulmonology, pediatrics, dermatology, psychiatry, and gynecology—allow students to apply pharmacological knowledge to real-world patient care. A strong focus is placed on pharmaceutical care planning, including patient assessment, follow-up, and adherence strategies. Students are also encouraged to participate in clinical case presentations and mini research projects to strengthen their critical thinking, data analysis, and evidence-based practice skills. Throughout the second month, interpersonal and communication skills are further refined through direct patient counseling and collaboration with multidisciplinary healthcare teams. Ethical and legal aspects of patient care are integrated into daily practice, reinforcing the professional responsibilities of future clinical pharmacists..

Duration:

Duration of the training will be one month (4 weeks).

Contact Hours:

The training plan entails 150 contact hours.

Settings:

The list of private hospitals operating in Lahore, Pakistan includes the following hospitals.

• The Children's Hospital & The Institute of Child Health, Lahore.
• Services Institute of Medical Sciences.
• Shaikh Zayed Hospital Lahore.
• Data Darbar Hospital Lahore.
• Government Kot Khawaja Saeed Teaching Hospital, Lahore.
• Govt. teaching Hospital Shahdara, Lahore City, Lahore.
• Govt. TB (Tuberculosis) Hospital, Bilal Gunj, Lahore.
• Govt. Mozang Teaching Hospital, Lahore City, Lahore.
• Jinnah Hospital Lahore.
• Lady Aitchison Hospital.
• Lady Willingdon Hospital.
• Lahore General Hospital.
• Mayo Hospital Lahore.
• Govt Mian Munshi Teaching Hospital, Lahore.
• Nawaz Sharif Social Security Hospital, Multan Road.
• Nawaz Sharif Hospital Kot Khawja Saeed Lahore.
• Pakistan Kidney and Liver Institute and Research Center, Lahore, Pakistan.
• Punjab Institute of Cardiology.
• Punjab Social Security Hospital.
• Said Mitha Hospital, Lahore City, Lahore.
• Services Hospital Lahore.
• Social Security Hospital, Kotlakhpat, Ferozpur Road, Lahore.
• Punjab Institute of Mental Health.
• Sir Ganga Ram Hospital.
• Wapda Hospital Lahore.
• Bahria International Hospital
• City Hospital Lahore
• Doctors Hospital Lahore
• Farooq Hospital Lahore
• Fatima Memorial Hospital
• Ittefaq Hospital Lahore.
• Mid City Hospital, Lahore
• Shalamar Hospital (Institute of Health Sciences), Lahore.
• Shaukat Khanum Memorial Cancer Hospital & Research Centre
• Ghurki Trust Teaching Hospital, Lahore
• Surgimed Hospital, Lahore.
• University Teaching Hospital - University of Lahore
• Railway Hospital - Rawalpindi
• Military hospitals (all over Pakistan)
• Combined Military Hospital Lahore.
• All District & Tehsil Headquarter Hospitals (DHQs & THQs) in Punjab.

Description of Training Program:

Week 1: Introduction to Clinical Pharmacy Practice

• Role of clinical pharmacists in patient care.
• Clinical documentation and SOAP notes.
• Therapeutic Drug Monitoring: Basic pharmacokinetics and pharmacodynamics in patient care.
• Medication error reporting and adverse drug reaction (ADR) monitoring

Week 2: Ward-Based Clinical Pharmacy Rounds

• Participation in daily medical rounds with physicians.
• Review of patient medication charts.
• Identification and resolution of drug-related problems (DRPs).
• Monitoring of therapeutic outcomes (e.g., INR, renal function, electrolytes).

Week 3: Patient Counseling and Pharmaceutical Care Plans

• Comprehensive medication counseling (new diagnosis, discharge).
• Patient education (e.g., asthma inhaler techniques, insulin injection).
• Designing pharmaceutical care plans using SOAP frameworks.
• Assessing medication adherence.

Week 4: Drug Information & Clinical Case Presentation

• Responding to drug information queries
• Using clinical databases (UpToDate, Micromedex, Lexicomp, etc)
• Evaluation of treatment guidelines and evidence-based practice.
• Case presentation (individual patient case with care plan).

Clinical Training Evaluation

• These evaluation methods aim to provide a holistic assessment of the students' knowledge, skills, and abilities acquired during the pharmacy clinical training.
• The inclusion of external examiner assessments ensures an unbiased and thorough evaluation process.
• Evaluation of internship report / clinical cases collected during training.
• Evaluation by external examiner will include clinical assessment of cases, viva voce and assessment for the professionalism.
• Written-paper on topics related to Hospital pharmacy & clinical pharmacy practice.