Development of an international advanced pharmacy practice experience (APPE) and lessons learned after implementation

The development of international advanced pharmacy practice experience (APPE) rotations can add a unique feature to the experiential programs of U.S. schools and colleges of pharmacy. In 2008, the West Virginia University School of Pharmacy (WVUSOP) developed an international APPE rotation through a collaborative agreement with Nelson Mandela Metropolitan University (NMMU) in Port Elizabeth, South Africa. The goals of the rotation were to broaden the students’ educational and life experiences, promote the development of communication and patient-care skills, and enhance cultural competence.This article reviews the first three years of the experience with the program and describes five guiding principles for developing a successful international rotation. Reflections from NMMU faculty, WVU students, pharmacy practice residents, and WVUSOP faculty are included. With appropriate planning and ongoing oversight, an elective international APPE can provide a unique and valuable dimension to the professional Doctor of Pharmacy curriculum. Additionally, students who completed the APPE believed that the experience improved both direct patient-care skills and cultural competence.