Advanced Pharmacy Practice Experiences (APPEs)

P4 StudentsStudents accumulate the majority of the internship hours required for Texas licensure through Advanced Pharmacy Practice Experiences (APPE) which occur during the last year of the curriculum (P4). Additional hours are gained in problem-based, interactive experience courses during the P1-P3 years.

Responding to the requirements of a “health care team” concept of patient care services, the College of Pharmacy offers pharmacy practices experiences at The University of Texas Health Science Center in San Antonio, The University of Texas Medical Branch in Galveston, The University of Texas Southwestern Medical School in Dallas, The University of Texas at El Paso (through May 2019), The University of Texas Rio Grande Valley, and at affiliated pharmacies and institutions in Austin, Temple, Waco, Dallas, Fort Worth, El Paso (through May 2019), Galveston, Houston, San Antonio, and the Rio Grande Valley.

APPEs during the P4 year provide students with intensive involvement in ongoing professional pharmacy services; interaction with fellow students in nursing, medicine, and other disciplines; opportunities to measure one’s true capacity for professional achievement in a variety of innovative patient care environments; and opportunities to pursue special interests.

A description of some, but not all, of the APPEs offered in each of the regions can be found at https://utdirect.utexas.edu/phirst/rotation_list.WBX (UT EID required).


Adv. Pharmacy Practice Experience (APPE) P4 Senior Experiential Program

P4 Students begin APPEs in early July, and complete the Pharm.D. program the following May. This program is a full-time practical experience (seven six-week full-time rotations) during which the student spends the entire length of the P4 year away from campus.

Progression to the P4 APPE courses may take place only if the student has successfully completed all required didactic and laboratory coursework prior to the P4 courses. If, for some reason, the student’s academic progression changes, it is the student’s responsibility to contact an adviser in the Office of Student Affairs to make necessary adjustments. Students failing any courses subsequent to the region assignment process but prior to the P3 year will be delayed and may be assigned to a different experiential region depending on availability. Questions regarding progression or region assignments should be directed to the Office of Student Affairs.


Pharm.D. students will participate in seven required APPE rotations:

1-Inpatient General Medicine
1- Ambulatory Care
1- Advanced Community
1- Advanced Hospital
1- Selective (patient-focused experience)
2- Electives

Rotations are supervised by college faculty or preceptor-faculty as approved by the Texas State Board of Pharmacy (TSBP). Experiential hours gained are applied to the TSBP requirement for licensure. All TSBP internship requirements for licensure are fulfilled as a part of the College of Pharmacy curriculum.

APPEs ensure that students gain the best possible professional practice experience. Student activities, assignments, and projects are designed to develop contemporary clinical practitioners able to meet the increasingly complex health care and drug therapy needs of patients.

During the APPEs, a student’s schedule may vary with each rotation. A minimum time commitment of 45-50 hours per week is common to all rotations. Thus, it is not recommended that a student have outside employment while in the experiential program. Financial assistance needed during the P4 year (APPEs) should be sought early in the curriculum. Loans and scholarships are available through the UT Office of Student Financial Services as well as through the College of Pharmacy.

Students should plan for extended hours during APPE rotations. The rotation day may begin as early as 6 a.m. and may last until late evening hours.  Some APPEs may require overnight or weekend call. Adequate child and dependent care must be obtained prior to the start of rotations to ensure that interns can be at the rotation site during the hours required.


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Texas Pharmacy: The University of Texas at Austin College of Pharmacy