Advanced Pharmacy Practice Experiences

In the final year of the curriculum, P-4 students are divided into five geographic areas to complete nine required advanced pharmacy practice experiences (APPE), also called rotations. These regions include:

  • Buies Creek/Fayetteville/Lumberton
  • Greenville/Wilson
  • Triangle
  • Wilmington
  • Winston-Salem/Greensboro

After geographical areas are established, students may enter preferences for clinical rotation sites and/or preceptors for each of the nine month rotations. Once these preferences are entered, the Office of Experiential Education uses an equitable placement process to assign students their APPE sites. Within the nine rotations, seven rotations are required and two are electives. A lottery is held to assist students in selecting their two elective practice experiences.

During experiential training, students are responsible for travel expenses and housing arrangements. In addition, incidental expenses such as parking at hospitals may be incurred. Information regarding expenses associated with each training site may be obtained from the Office of Experiential Education.

A fair and equitable lottery system is used when assigning both IPPE and APPE training sites; therefore, student pharmacists must be prepared to fulfill training requirements wherever they are assigned.

Clinical Rotation Sites

Within the five geographic regions there are numerous affiliated training sites ranging from large tertiary care hospitals, such as Duke University Medical Center and Wake Forest University Baptist Medical Center, to smaller community hospitals, chain and independent community pharmacies, long-term care facilities as well as clinical research companies. 

Clinical rotation sites are established in the following areas of practice: (please note, this may not be an all-inclusive list as sites are subject to change):

Advanced Community Pharmacy* 
Advanced Hospital*
Ambulatory Care*  
Community Management   
Drug Information*  
Emergency Medicine
Hospice Care    
Hospital Management  
Infectious Disease    
Intensive Care  
Internal Medicine I & II*
Medical Missions    
Nuclear Pharmacy    
Parenteral and Enteral Nutrition
Pharmacy Administration   
Public Health
Pulmonary Medicine

*Required rotation