Pharmacy Internship Report (Apprentice, Community Pharmacist, Retail Pharmacist)

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UNIVERSITYMODELPHARMACYJULY-AUGUST
ACKNOWLEDGMENT
To promote civic sense and shoulder the responsibilities
with civil society, the University administration with
special directives from Hon. Vice Chancellor Prof. Dr.
Muhammad Akram Chaudhary, has termed it mandatory
for each Pharm-D student to render community services
to the society. These services aim to facilitate and guide
the patients about the disease and its medication.
Besides the services to the community this internship
program have been designed to fulfill the current needs
with regards to professionalism, marketability,
employability, and entrepreneurship and to practice the
practical aspects of pharmaceutical services at a
community pharmacy. We, the students, are very
thankful to Hon. Vice Chancellor Prof. Dr. Muhammad
Akram Chaudhary for providing us with this valuable
opportunity of internship by the University and within
the University. No doubt, this step will encourage the
professional activities of future Pharmacists.

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UNIVERSITY MODEL PHARMACY
UNIVERSITY OF SARGODHA , UNIVERSITY ROAD , SARGODHA
Pharmacy services in Pakistan have experienced both evolutionary and
revolutionary changes since 1947. The pharmaceutical sector always remained
regulated at different levels. The changes in legislation are also the contributing
factor to uplifting of the pharmacy profession. The misuse and abuse of
medicines remained a big issue at retail/ community level. Sale ofmedicines and
this business remained in the hand of unqualified personnel for a long time.
With time the pharmacists interest increased at community level and now the
quality ofservices are improving but not up to the mark. While in comparison
with the developed countries like U.K and U.S.A, where Community pharmacists
are expanding patient care services and have enhanced their role as
pharmaceutical care providers. The pharmacy profession in Pakistan is
continuously evolving. Number of community pharmacies has been established
in few cities of Pakistan like Care Pharmacy Faisalabad, Fazal Din Pharma plus
Lahore etc. The aim of this review / report is to explore history for evolutionary
and revolutionary changes in community pharmacy practice in Pakistan and to
highlight the current scenario in Pakistan. A brief but comprehensive report has
been provided in this review regarding the working of the visited pharmacy i.e.
UNIVERSITY MODEL PHARMACY providing medicinal services to community on
behalf of the UNIVERSITY OF SARGODHA, SARGODHA. University Model
Pharmacy is one of the four departments of University Medical & Diagnostic
Centre (UMDC) and it contains all available medicines at optimum conditions of
storage. The University has an aim to provide each student of Pharm-D with the
opportunityoftheinternshipatModelPharmacyinordertogetfamiliarwiththe
applicationsofpharmacyatcommunitylevel.

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JULY-AUGUST
8.00 PM to 11.00 PM
Dean Faculty of Pharmacy UOS.
Subject Teacher
Pharmacist
(Pharmacists on training)

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(Session 2010-15)
There are relatively a few studies articulating the situation with
community pharmacy services in Pakistan. The Licensed premises in
Pakistan include the medical stores, the retail pharmacies and also the
Wholesale Distribution Setups. Among the total no. of pharmacists in
Pakistan, 55 % join industrialsector, 15% works atpublic sector, 15% in
sales marketing, 5 % in teaching and research, and 10 % in community
pharmacies. About more than 1000-1500 students are passed out
each year now (Public Sector Only) .The health care services at
community pharmacies must undergo reforms to meet the
international standards. Most of the personnel (dispensers) in
pharmacies have minimum training. Even if the license is displayed in
the pharmacy, the professional is seldom present. The dispensers
working at retail outlets (so-called community pharmacies) are mostly
untrained, non-qualified but haveexperience in years. Retail outlets
indeveloping or low income countries sell Prescription Only
Medicines without a Prescription on patient‘s demand. The doctors
are receptive to the pharmacists expanded roles in Pakistan but their
expectations do not match with their actual experiences. Community
pharmacistisinabestpositiontoperformthesemainactivities:
 Directpatientcare,
 DUR (Drug Utilization Review),
 Extemporaneouspreparations,
 Respondtominorailments.

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(Estimated in year 2007-08 )

 Hospitals
965
 Dispensaries
4,916
 Basic Health
Units 4,872
 MCH Centers
1,138
 TB Centers 371
 Firs Aid Points:
1,080
Federal Government Expenditure
on Health (2007-08)
Development Expenditure Rs. 14.272 billion
Current Expenditure Rs. 3.791 billion
Health Indicators
Infant Mortality Rate (IMR)
(per 1000 persons)
76.7
Maternal Mortality Rate
(MMR)
350

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(per 100,000 live births)
Under -5mortality rate
(per 1000 persons)
101
Parasite Incidence of Malaria
(per 1000 persons)
0.75
Incidence of TB (per 100,000
persons)
181
Fertility Rate (percentage) 4.1 (source: NIPS)
Contraceptive prévalence rate
%
30 (source: NIPS)
Births attended by skilled
persons %
19
Population growth rate 1.9
Total Population 159.06: million
(source NIPS)
Health Services Delivery (2006-07)
Total Health Facilities 13,937
Hospitals 965
Dispensaries 4,916
Basic Health Units 4,872
Rural Health Centers 595
MCH Centers 1,138
TB Centers 371
First Aid Points: 1,080
Beds in hospitals &
dispensaries
105,005
Population per bed 1,515
Population to health facility
ratio
11,413

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Human Resources (Registered, 2007)
Doctors 107,835
Doctors registered as specialists 19,623
Dentists 7446
Dental specialists 433
Nurses 43,646
Midwives 2,788
Lady Health Visitors 3,864
Lady Health Workers 95,000
Lady Health Supervisors 3,385
Population per doctor 1,475
Population per dentist 21,362
Population per nurse 3,644
(Punjab Province)
Health Department across the province is divided into:
 2,461 Basic Health Units (BHUs)
 293 Rural Health Centers (RHCs)
 88 Tehsil Headquarters Hospitals (THQs)
 34 District Headquarter Hospitals (DHQs)
 23 Teaching/ tertiary Care Hospitals

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PARKING/ CORRIDOOR
HF
G
E
LLL
D C B A
L
M

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UNIVERSITY ROAD
A = Clerk Room
B = Pharmacist Office
C = Store Room
D = Wash Room
E = Stands
F = Racks
G = Fridge
H = Dispensing Table
J = Displays
K = Seats

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L = Entrance Doors
M=Entrance For Staff
University Model Pharmacy
University Of Sargodha, University Road, Sargodha.
Dr. Nasir Haroon
University Model Pharmacy is run and owned by the famous and well
reputed public sector institution of Pakistan i.e. University of Sargodha,

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spread over a vast area of land like an oasis of calm and green at the
midst of the bustling city. The University Road is one of the most
populous roads in the city, providing a linkage to many towns, colonies
as well as cantonment / defense area that’s why the pharmacy deals
and facilitates a large number of patients.
The University authorities established a well equipped Medical and
Diagnostic center in 2010 which have four main departments:
o Model Outdoor
o Model Indoor
o Model Laboratories & Radiology
o University Model Pharmacy
The major aim of all these establishments is to provide quality
health care facilities to the community at reasonable and low
cost and to serve the community both qualitatively and
quantitatively.
University Model Pharmacy ensures the No. 1 quality of the
Products .
It contains all medicines at optimum conditions of storage and
at 05% less price as in Market , having separate section for
intensive care and emergency medicine.

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07.00 AM to 11.00 PM daily
University Model Pharmacy has total 10 employees. These
employees work in two different shifts i.e. morning and
evening shifts. Each shift is supervised by a Pharmacist. The
Pharmacist is qualified and efficient in his job.
Sr. No Designation Count
1 Director UMDC 01
2 Pharmacist 01
3 Dealing Staff 04 (2+2)
4 Clerk 01
5
6
Sweepers
Guards
02
02

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o Director :
Prof. Dr. Zahoor ul Hassan Dogar
M.B.B.S , M.Phil , PhD , Post Doc(Med. Biochemistry)
o Pharmacist/Manager :
Dr. Nasir Haroon
Pharm- D (Doc. Of Pharmacy)
o Dealing Staff :
Waqas Zafar(Dispensing course)
Hafiz Tayyab (Matric+Experience)
Akmal Shehzad (Clinical Assistant Course)
Kamran Aziz (Experience)
1. Fully Air Conditioned for optimum temperature control
2. 03 Refrigerators
3. Centrally controlled IT system

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4. Medical Insruments like Stethoscope / Sphygmomano meter
/ Glucometer etc.
The purchasing is made either direct from pharmaceutical
company or by distriburtors. Most of the purchasing is made
from authntic and licensed distributors and is supervised by
Manager or Pharmacist.
The distributors which supply drugs to University Model
Pharmacy are :
 Al-Aziz Distributors
 Health Linkers Co.
 Naeeli Shifa
 UDL
 IDL
 Sameel Suleman Distributors.
Racks of Pharmacy are made up of glass. Medicines in these
racks are arranged company wise.
Some of the medicines require specific conditions for storage
i.e required to be stored at cool place / low temperature.

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Universitu Model Pharmacy ensures the proper storage of such
medicines . For intance, specific injectibles , inhalers , insulines
as well as the daily routine items like juices etc. have been
placed in refrigerators for adequate storage and maintenance
of quality.
University Model Pharmacy and UMDC are providing a lot of
services to patients / customers to facilitate them properly.
Under the supervision of qualified Pharmacist Dr. Nasir , the
staff members as well as the aprentice pharmacists (internee)
are providing all medicinal and general services at their best.
With special consideration by Hon. Vice Chancellor Prof. Dr.
Muhammad Akram Chaudhary , it has been made mondatory
for all Pharm-D students of UOS to get benefitted by the
oppertunity of an unpaid internship / duty / experience at
Model Pharmacy and facilitate the patients with their
knowledge. This internship is unique in the sense that it has
been provided by the University within the University .

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The aprentice pharmacists under the insructions of subject
teacher Dr. Akhtar Rasul and Dr. Nasir Haroon (Pharmacist )
guide the patients about their medication and disease.
While at pharmacy ,we used to chek the prescription , had a
critical analysis of prescribed medicines , looked for any
possible drug-drug or food drug interaction and guided the
patints about proper usage , time of administration , storage
and possible side effects of the prescribed drugs.
The response from all the patients was encouraging one.The
patients were satisfied to a greater extent and they
appreciated this step of University administration to aid the
patient in medicine usage.
Hon. Vice Chancellor Prof. Dr. Muhammad Akram Chaudhary
held a special meeting with apprentice pharmacists on 04
August 2013.Hon.Dean Prof. Dr. Sajid Bashir and Sir Alamgeer
were also present in the meeting. He aadvised us to be honest
and loyal to our profession and motivated us to give special
consideration to practical aspects of Pharmacy. Meanwhile, he
disclosed that UMDC is going to take a radical step very soon
i.e. E-prescription.
No doubt it will facilitate and improve the patient care and will
be adavantageous to the chain of 3 Ps; The Physician , The
Pharmacist and the Patient.

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University Model Pharmacy also provides necessary baby care
products like baby shampoes , Lactogen , Cerelac , BF 101 ,Celia
etc.
It also has separate displays/racks for dental care products like
tooth brushes , mouth washes , gargles and tooth pastes .
A wide range of Dermal products like sun block creams , sun
trap , skin care lotions or creams as well as ointments are
available at Pharmacy.

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Basic literature about different commercial medicinal products
is provided if available and can be had on demand.
A comfortable sitting area is also provided to
customers.
Hopefully it will be available soon at the pharmacy.
It’s a quality product of University Of Sargodha available
at the pharmacy. It is registered from PSQCA and its
quality check is maintained by senior quality control
personnel. It is available at affordable price that’s why

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its demand is increasing day by day.Its present
production is about 1 lac bottles per day.
W
While at pharmacy, the major task of an apprentice is to
handle and deal with the prescriptions and after taking a
brief history of patient , asking about any past therapy,
family background ,socio-economic status and finally
discussing the prescribed medication in a way to guide the
patient properly regarding the use, intake/administration
,storage, frequency and time of medication. We also used to
analyze the prescriptions critically in order to sort out any
possible drug-drug or drug-food interaction under the
supervision of Pharmacist Dr. Nasir Haroon. Most of the
times, Dr. Nasir used to ask the questions about drug use
and abuse especially he gave special consideration to
antibiotics (class/generations/therapeutic uses) because
these are the most prescribed drugs . Also he gave special
attention to analgesics and CVS drugs.

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The Dealing Staff co-operated their best by providing all the basic
information regarding dealing with patient and customer, receipt
generation, billing and receiving cash. They provided us with the
Information leaflets of different medicine .They also motivated the
patients to take guidance from Pharmacists.
Hon. Dean Faculty of Pharmacy Dr. Sajid Bashir paid special
and frequent visits to the pharmacy to ensure the presence
of students and also gave special advices/suggestions about
the practice at pharmacy.
Subject Teacher Dr. Akhtar Rasul kept a continuous eye on
all activities of apprentices and guided us on regular basis
and also used to check our duty registers/records and
attendances.
Hon. Vice Chancellor Prof. Dr. Muhammad Akram
Chaudhary paid sudden visits, checked the status of services
and also gave special instructions in this regard. He
motivated us to take special interests in the latest
applications as well as inventions in Pharmaceutical sciences
and services. In short the experience at University Model
Pharmacy was inspiring one, and made us able to

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understand the practical aspects of Pharmacy in an efficient
way.
Conclusion and Recommendations
InPakistan,thepharmacyeducationas wellasthepharmacy
professionisintransitionalstage.Thoughtherehadbeenevolutionary
andrevolutionarychangesinthisfieldbutstilltheareaof pharmacy
practicehasmanyloopholes.Oneofthemajorloopholesisinthe
legislationofthesystem.Strictlegislativereformsandinspections
shouldbeensuredtoprovidequalityservicesthroughpharmacies.
Reimbursementsystemmustbedevelopedtopaytothepharmacists
fortheprovisionofdirectpatientcareservices.Curriculumof
Pharmacycoursebeupgradedagainandtrainingofthestudentsmust
bemadecompulsory.Besidesthis,thereshouldbetheadditional
trainingofthepharmaciststodevelopskills.Pharmacypracticecanbe
bestdoneatcommunitypharmaciesasmostlythepatientsinminor
ailmentsfirstgotothepharmacies.Andifthepatientconsultsadoctor
thenagainthelasthealthcareproviderthatapatientseesisthe
pharmacistatthecommunitypharmacy.Sothepharmacists areinan

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idealpositiontoprovidecognitiveservicestothepatientsat
communitylevel.
Thehealthcareservicesincommunitypharmacies,currently
insignificant,mustundergoreformstomeetthechangingneeds
ofmodernmedicinesusers.Althoughpharmacists'contributionsto
healthcarearenotrecognizedyet,thereiseveryreasontobe
optimistictowardmakingpatientcareincommunitypharmacysetting
asuccess.Forthis,legislationmustbereformedtogiveidentitytothe
pharmacistandeducationalsystemforpharmacistshastobeadapted.

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Pharmacy Internship Report (Apprentice, Community Pharmacist, Retail Pharmacist)

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