Faculty of Pharmacy University of Veterinary and Pharmaceutical Sciences Brno Department of Applied Pharmacy Logbook of Internship II - 24 Weeks Name and surname of the student: The Pharmacy Practice (Internship II – 24 Weeks) of the students of the Master Degree of Pharmacy of the Faculty of Pharmacy at the University of Veterinary and Pharmaceutical Sciences Brno The duration of the internship (pharmacy practice) is six months of in-service training in a pharmacy open to public or in a hospital. In the beginning of the internship, students will get acquainted with pharmacy personnel, division of labour in pharmacy, work safety regulations, pharmacy operating rules, pharmacy sanitary regimen and concerning legal regulations. Also adequate knowledge of legal and other requirements associated with the pharmacy practice (the preparation and dispensing medicinal products) is necessary. Before starting practice in a pharmacy, „The Paper of Acceptation“ is necessary to fill in (agreement, that the student of the Faculty of Pharmacy of the University of Veterinary and Pharmaceutical Sciences Brno will perform (part of) his/her pharmacy practice in the pharmacy in the agreed term). Duration of pharmacy practice: 24 weeks  It is possible to count in 2 accomplished weeks of pharmacy practice: – a course: FARP1 Internship I – 2 Weeks (selective course) In the case of accomplishment of above-mentioned pharmacy practice course (2 weeks), the duratin of pharmacy practice in the 5th year of study is only 22 weeks.  1 week = 5 working days, 8 hours a day  Public holidays are considered as working days  A student is asked to bring working clothes and shoes with him/her Place of performing pharmacy practice:  Pharmacy - hospital pharmacy, public pharmacy  Maximum 3 various pharmacies  Minimum 2 weeks of practice in a Czech pharmacy Possible start of pharmacy practice:  after obtaining 200 credits (the same number of credits as required for enrolment to the 5th year of study) Contact person: PharmDr. Bc. Dana Mazankova, Ph.D. Guarantor of Internship II – 24 Weeks Department of Applied Pharmacy Faculty of Pharmacy University of Veterinary and Pharmaceutical Sciences Brno Palackeho trida 1946/1, 612 42 Brno Czech Republic Tel.: +420 541 562 815 Fax.: +420 541 562 811 email: mazankovad@vfu.cz ● www.vfu.cz Internship II – 24 Weeks A compulsory subject for students of the 5th year of study. Working practice from: …………………………… to: ……........................................... Number of practice's weeks: ……………………… Name of the pharmacy: ………………………………………………………………………. ⃝ public pharmacy ⃝ hospital pharmacy Address of the pharmacy (street, city): Country: …………………………………………………………… .........…………………….... Telephone: ……………………………………… Fax: ……………………………………... E-mail: …………………………………………………………………………………………. Owner of the pharmacy (name, address): …………………………………………………………………………………………………... Pharmacy's employee (advisor) in charge of the student's practice: …………………………………………………………………………………………………... Evaluation by the student`s advisor: 1. Drug dispensing 2. Drug preparation 3. Supply of medicinal products 4. Control of drugs 5. Other activities (administration in pharmacy, consultation and health-educatory activity, clinical pharmacy, ward pharmacy, preparation of the special dosage forms, participation at the clinical studies) Date: Signature of the advisor Official stamp of pharmacy Internship II – 24 Weeks A compulsory subject for students of the 5th year of study. Working practice from: …………………………… to: ……........................................... Number of practice's weeks: ……………………… Name of the pharmacy: ………………………………………………………………………. ⃝ public pharmacy ⃝ hospital pharmacy Address of the pharmacy (street, city): Country: …………………………………………………………… .........…………………….... Telephone: ……………………………………… Fax: ……………………………………... E-mail: …………………………………………………………………………………………. Owner of the pharmacy (name, address): …………………………………………………………………………………………………... Pharmacy's employee (advisor) in charge of the student's practice: …………………………………………………………………………………………………... Evaluation by the student`s advisor: 1. Drug dispensing 2. Drug preparation 3. Supply of medicinal products 4. Control of drugs 5. Other activities (administration in pharmacy, consultation and health-educatory activity, clinical pharmacy, ward pharmacy, preparation of the special dosage forms, participation at the clinical studies) Date: Signature of the advisor Official stamp of pharmacy Internship II – 24 Weeks A compulsory subject for students of the 5th year of study. Working practice from: …………………………… to: ……........................................... Number of practice's weeks: ……………………… Name of the pharmacy: ………………………………………………………………………. ⃝ public pharmacy ⃝ hospital pharmacy Address of the pharmacy (street, city): Country: …………………………………………………………… .........…………………….... Telephone: ……………………………………… Fax: ……………………………………... E-mail: …………………………………………………………………………………………. Owner of the pharmacy (name, address): …………………………………………………………………………………………………... Pharmacy's employee (advisor) in charge of the student's practice: …………………………………………………………………………………………………... Evaluation by the student`s advisor: 1. Drug dispensing 2. Drug preparation 3. Supply of medicinal products 4. Control of drugs 5. Other activities (administration in pharmacy, consultation and health-educatory activity, clinical pharmacy, ward pharmacy, preparation of the special dosage forms, participation at the clinical studies) Date: Signature of the advisor Official stamp of pharmacy