Teaching
Name Institution
Kate Oetting IU Health
Didactic Teaching
Type of Teaching (Select the BEST Location (Institution/Setting) Select
Date
fit) the BEST fit
2 = Instruction for health professional3 = Practice setting (community, clinic, hospital, industry, regulat
2 = Instruction for health professional3 = Practice setting (community, clinic, hospital, industry, regulat
2 = Instruction for health professional4 = Professional conference (Great Lakes, IPA, ASHP, national eve
2 = Instruction for health professional3 = Practice setting (community, clinic, hospital, industry, regulat
Tot
Small Group Teaching
Type of Teaching (Select the BEST Location (Institution/Setting) Select
Date
fit) the BEST fit
Jan-April 2024 2 = Discussion-based course (i.e., case studies course, etc.)
Tot
Precepting/Co-precepting
Location of precepting
Type of Teaching (Select the BEST
Date (Institution/Setting). Select the
fit)
BEST fit
2 = Co-precepting (contributes to part2 = Institutional
2 = Co-precepting (contributes to part2 = Institutional
Tot
Experiential Didactics
Type of Teaching (Select the BEST Location (Institution/Setting) Select
Date
fit) the BEST fit
6 = Patient case presentation evaluat 3 = Practice setting (community, clinic, hospital, industry, regulat
6 = Patient case presentation evaluat 1 = College of Pharmacy
1 = Topic discussion facilitation 2 = Other health professions school (outside of pharmacy)
3 = Journal club facilitation 2 = Other health professions school (outside of pharmacy)
1 = Topic discussion facilitation 2 = Other health professions school (outside of pharmacy)
4 = Journal club evaluation 1 = College of Pharmacy
4 = Journal club evaluation 1 = College of Pharmacy
4 = Journal club evaluation 1 = College of Pharmacy
Tot
Other te
Location (Institution/Setting) Select
Date Type of Teaching
the BEST fit
Tot
1 = Classroom-based 1 = Topic discussion facilitation
2 = Instruction for 2 = Topic discussion evaluation
3 = Other 3 = Journal club facilitation
4 = Journal club evaluation
5 = Patient case presentation lead
6 = Patient case presentation evaluation
7 = Other
1 = Primary precept1 = Skills-based course (i.e., laboratory, simulation, etc)
2 = Co-precepting (c2 = Discussion-based course (i.e., case studies course, etc.)
3 = Other
Teaching Experience Log
Institution Program type
IU Health 1 = PGY1
If "College of Pharmacy,"
Delivery (Select the BEST
please list. If "Other," Target audience
fit)
describe location.
munity, clinic, hospital, industry, regulator1 = In-person 2 = Healthcare professionals
munity, clinic, hospital, industry, regulator1 = In-person 2 = Healthcare professionals
nce (Great Lakes, IPA, ASHP, national event1 = In-person 2 = Healthcare professionals
munity, clinic, hospital, industry, regulator1 = In-person 2 = Healthcare professionals
Total
If "College of Pharmacy,"
Delivery (Select the BEST
please list. If "Other," Target audience
fit)
describe location.
Butler University 1 = In-person 1 = Students
Total
Delivery (Select the BEST
Learners precepted
fit)
1 = In-person 2 = APPE student
1 = In-person 2 = APPE student
Total
If "College of Pharmacy,"
Delivery (Select the BEST
please list. If "Other," Target audience
fit)
describe location.
munity, clinic, hospital, industry, regulator1 = In-person 2 = APPE student
Butler University 1 = In-person 2 = APPE student
ons school (outside of pharmacy) 1 = In-person 2 = APPE student
ons school (outside of pharmacy) 1 = In-person 2 = APPE student
ons school (outside of pharmacy) 1 = In-person 2 = APPE student
Purdue University 2 = Online synchronous 1 = IPPE student
Purdue University 2 = Online synchronous 1 = IPPE student
Purdue University 2 = Online synchronous 1 = IPPE student
Total
Other teaching experiences
If "College of Pharmacy,"
Delivery (Select the BEST
please list. If "Other," Target audience
fit)
describe location.
Total
1 = College of Pharmacy 1 = In-person
2 = Other health professions 2 = Online synchronous
3 = Practice setting (community, 3 = Online asynchronous
4 = Professional conference (G
5 = Other
1 = Students
1 = Community 2 = Healthcare professionals
2 = Institutional 3 = Both of the above
3 = Industry 4 = Other
4 = Other
1 = PGY1 1 = IPPE student
2 = PGY2 2 = APPE student
3 = Other 3 = PGY1
4 = More than one of the above
m type Funding by academic institution (any %)
PGY1 1 = Yes
Would you have completed this If any “other” responses
Time (hours)
if not part of IPTeC? selected, please explain here.
1 = Yes 0.5
1 = Yes 1
1 = Yes 0.5
1 = Yes 0.5
2.5 2 hours required
Would you have completed this If any “other” responses
Time (hours)
if not part of IPTeC? selected, please explain here.
2 = No 36
36 3 hours required
Would you have completed this If any “other” responses
Time (hours)
if not part of IPTeC? selected, please explain here.
1 = Yes 160
1 = Yes 160
320 6 hours required
Would you have completed this If any “other” responses
Time (hours)
if not part of IPTeC? selected, please explain here.
1 = Yes 1
2 = No 2
1 = Yes 1
1 = Yes 1
1 = Yes 1
2 = No 0.5
2 = No 0.5
2 = No 0.5
7.5 6 hours required
Would you have completed this If any “other” responses
Time (hours)
if not part of IPTeC? selected, please explain here.
Total teaching time 366
1 = Yes
2 = No
e of the above
Teaching
Name Institution
Claire Paciga Memorial Hospital of South Bend
Didactic Teaching
Type of Teaching (Select the BEST Location (Institution/Setting) Select
Date
fit) the BEST fit
8/8/2023 2 = Instruction for health profession3 = Practice setting (community, clinic, hospital, industry, regulat
1/31/2024 2 = Instruction for health profession4 = Professional conference (Great Lakes, IPA, ASHP, national ev
Total
Small Group Teaching
Type of Teaching (Select the BEST Location (Institution/Setting) Select
Date
fit) the BEST fit
11/28/2023 1 = Skills-based course (i.e., laborat1 = College of Pharmacy
Total
Precepting/Co-precepting
Location of precepting
Type of Teaching (Select the BEST
Date (Institution/Setting). Select the BEST
fit)
fit
12/1/2023 1 = Primary preceptor (lead in desi 2 = Institutional
1/1/2024 2 = Co-precepting (contributes to pa2 = Institutional
Total
Experiential Didactics
Type of Teaching (Select the BEST Location (Institution/Setting) Select
Date
fit) the BEST fit
9/22/2023 1 = Topic discussion facilitation 3 = Practice setting (community, clinic, hospital, industry, regulat
9/29/2023 1 = Topic discussion facilitation 3 = Practice setting (community, clinic, hospital, industry, regulat
10/4/2023 3 = Journal club facilitation 3 = Practice setting (community, clinic, hospital, industry, regulat
11/30/2023 5 = Patient case presentation lead 3 = Practice setting (community, clinic, hospital, industry, regulat
12/27/2023 1 = Topic discussion facilitation 3 = Practice setting (community, clinic, hospital, industry, regulat
1/3/2024 2 = Topic discussion evaluation 3 = Practice setting (community, clinic, hospital, industry, regulat
Total
Other tea
Type of Teaching (Select the BEST Location (Institution/Setting) Select
Date
fit) the BEST fit
Total
1 = Classroom-base1 = Topic discussion facilitation
2 = Instruction for 2 = Topic discussion evaluation
3 = Other 3 = Journal club facilitation
4 = Journal club evaluation
5 = Patient case presentation lead
6 = Patient case presentation evaluation
7 = Other
1 = Primary precep1 = Skills-based course (i.e., laboratory, simulation, etc)
2 = Co-precepting 2( = Discussion-based course (i.e., case studies course, etc.)
3 = Other
Teaching Experience Log
Institution Program type
Hospital of South Bend 1 = PGY1
If "College of Pharmacy," Would you have
Delivery (Select the
please list. If "Other," Target audience completed this if not part
BEST fit)
describe location. of IPTeC?
unity, clinic, hospital, industry, regulatory, 1 = In-person 2 = Healthcare profession1 = Yes
e (Great Lakes, IPA, ASHP, national event, e2 = Online synchronou 2 = Healthcare profession1 = Yes
Total
If "College of Pharmacy," Would you have
Delivery (Select the
please list. If "Other," Target audience completed this if not part
BEST fit)
describe location. of IPTeC?
Butler University 1 = In-person 1 = Students 2 = No
Total
Would you have
Delivery (Select the
Learners precepted completed this if not part
BEST fit)
of IPTeC?
1 = In-person 1 = IPPE student 1 = Yes
1 = In-person 2 = APPE student 1 = Yes
Total
If "College of Pharmacy," Would you have
Delivery (Select the
please list. If "Other," Target audience completed this if not part
BEST fit)
describe location. of IPTeC?
unity, clinic, hospital, industry, regulatory, 1 = In-person 2 = APPE student 1 = Yes
unity, clinic, hospital, industry, regulatory, 1 = In-person 2 = APPE student 1 = Yes
unity, clinic, hospital, industry, regulatory, 1 = In-person 2 = APPE student 1 = Yes
unity, clinic, hospital, industry, regulatory, 1 = In-person 2 = APPE student 1 = Yes
unity, clinic, hospital, industry, regulatory, 1 = In-person 1 = IPPE student 2 = No
unity, clinic, hospital, industry, regulatory, 1 = In-person 1 = IPPE student 2 = No
Total
Other teaching experiences
If "College of Pharmacy," Would you have
Delivery (Select the
please list. If "Other," Target audience completed this if not part
BEST fit)
describe location. of IPTeC?
Total
1 = College of Pharmacy 1 = In-person
2 = Other health professions 2 = Online synchronous
3 = Practice setting (community, 3 = Online asynchronous
4 = Professional conference (G
5 = Other
1 = Students
1 = Community 2 = Healthcare professionals
2 = Institutional 3 = Both of the above
3 = Industry 4 = Other
4 = Other
1 = PGY1 1 = IPPE student
2 = PGY2 2 = APPE student
3 = Other 3 = PGY1
4 = More than one of the above
Funding by academic institution (any %)
2 = No
If any “other” responses
Time (hours)
selected, please explain here.
1
1
2 2 hours required
If any “other” responses
Time (hours)
selected, please explain here.
1.5
1.5 3 hours required
If any “other” responses
Time (hours)
selected, please explain here.
15
10
25 6 hours required
If any “other” responses
Time (hours)
selected, please explain here.
1
1
1
1
1
1
6 6 hours required
If any “other” responses
Time (hours)
selected, please explain here.
Total teaching time 34.5
1 = Yes
2 = No
