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Co-Curricular ActivitiesUpdated: 02-07-26

Co-Curricular Activities:

Student Interventions, Interactions with Diverse Patient Populations (Updated 2024)

Date:	02/03/2026
Rotation Type:	APPE Hospital/Health System (Institutional)
Comments:	?
Patient Sex:	M
Patient Ethnicity:	Unknown
Patient Age Category:	Geriatric (65 years old +)
During this intervention did you collaborate with a prescriber, student prescriber or a member of the health care team (other than pharmacy)?:	Yes
How many medications were involved in this intervention?:	5 or more
Disease/Disorder:	Psychiatric Disorder (including substance use disorder and smoking cessation)
As part of this encounter, please select the values and skills that have contributed to your growth and development as a future pharmacist::	Problem Solving
Based on the values and skills you selected above, describe (in at least 5 sentences) how this experience made you think and act as future pharmacist.:	The physician contacted the pharmacy about a patient whose confusion and delirium were getting worse even though they were prescribed quetiapine as needed. When I reviewed the patient's medication list and checked drug references like Lexicomp, I noticed a few possible medication interactions that could explain what was happening. The patient was prescribed quetiapine 25mg BID as needed for 1 day for hallucinations, mirtazapine 11.5 mg at bedtime, and fluconazole 200mg daily. Fluconazole, a CYP3A4 inhibitor, can slow down the break down quetiapine, which may increase side effects such as QT prolongation (heart rhythm changes) or excessive sedation. I discussed this concern with my preceptor, who confirmed it had already been communicated to the nursing team. We also reviewed when quetiapine was given and when its effects should appear. Since it usually starts working within about 1-2 hours, some improvement would normally be expected soon after dosing, but the patient continued to experience delirium later in the day. I also noted the patient was taking tramadol 25 mg regularly, which can increase drowsiness and, when combined with mirtazapine and quetiapine may raise the risk of serotonin-related side effects such as agitation, sweating, tremors, or confusion. The following day, the chart showed that mirtazapine had been discontinued and the quetiapine dosing schedule was corrected, suggesting the care team addressed these concerns to improve patient safety.
Type of Intervention:	Drug/Drug Interaction
Outcome of Intervention:	Recommendation Accepted by Provider
My preceptor or pharmacist in charge has reviewed and approved this intervention prior to making any recommendations.:	Yes

Co-Curricular Activities:

Student Interventions, Interactions with Diverse Patient Populations (Updated 2024)

Date:	01/26/2026
Rotation Type:	APPE Elective
Comments:	?
Patient Sex:	F
Patient Ethnicity:	Unknown
Patient Age Category:	Adult (19-64 years old)
During this intervention did you collaborate with a prescriber, student prescriber or a member of the health care team (other than pharmacy)?:	Yes
How many medications were involved in this intervention?:	1
Disease/Disorder:	Neurologic Disorder (including pain management)
As part of this encounter, please select the values and skills that have contributed to your growth and development as a future pharmacist::	Collaboration Advocacy
Based on the values and skills you selected above, describe (in at least 5 sentences) how this experience made you think and act as future pharmacist.:	This experience reinforced the importance of patient safety, clear communication, and professional accountability in my role as a future pharmacist. When I identified a potential duplication of therapy with tramadol prescribed for a patient who had an active buprenorphine patch on file, I immediately contacted the prescriber to clarify the intent of therapy and ensure appropriateness. I also spoke directly with the patient, who explained that although the buprenorphine patch had been picked up, it was never used and had been properly returned to the pharmacy's medication disposal box. After following up with the provider and confirming the patient's statement, the prescriber verified that tramadol therapy was appropriate. This experience made me think critically about medication reconciliation, the importance of verifying real-world medication use rather than relying solely on the medication profile, and the value of open communication with both patients and providers. Acting as a future pharmacist, I learned to balance caution with clinical judgment while advocating for safe, effective, and individualized patient care
Type of Intervention:	Duplication in Therapy
Outcome of Intervention:	Recommendation Rejected by Provider
My preceptor or pharmacist in charge has reviewed and approved this intervention prior to making any recommendations.:	Yes

Co-Curricular Activities:

Student Interventions, Interactions with Diverse Patient Populations (Updated 2024)

Date:	01/26/2026
Rotation Type:	APPE Elective
Comments:	?
Patient Sex:	F
Patient Ethnicity:	Unknown
Patient Age Category:	Adult (19-64 years old)
During this intervention did you collaborate with a prescriber, student prescriber or a member of the health care team (other than pharmacy)?:	Yes
How many medications were involved in this intervention?:	1
Disease/Disorder:	Neurologic Disorder (including pain management)
As part of this encounter, please select the values and skills that have contributed to your growth and development as a future pharmacist::	Collaboration Advocacy
Based on the values and skills you selected above, describe (in at least 5 sentences) how this experience made you think and act as future pharmacist.:	This experience reinforced the importance of patient safety, clear communication, and professional accountability in my role as a future pharmacist. When I identified a potential duplication of therapy with tramadol prescribed for a patient who had an active buprenorphine patch on file, I immediately contacted the prescriber to clarify the intent of therapy and ensure appropriateness. I also spoke directly with the patient, who explained that although the buprenorphine patch had been picked up, it was never used and had been properly returned to the pharmacy's medication disposal box. After following up with the provider and confirming the patient's statement, the prescriber verified that tramadol therapy was appropriate. This experience made me think critically about medication reconciliation, the importance of verifying real-world medication use rather than relying solely on the medication profile, and the value of open communication with both patients and providers. Acting as a future pharmacist, I learned to balance caution with clinical judgment while advocating for safe, effective, and individualized patient care
Type of Intervention:	Duplication in Therapy
Outcome of Intervention:	Recommendation Rejected by Provider
My preceptor or pharmacist in charge has reviewed and approved this intervention prior to making any recommendations.:	Yes

Co-Curricular Activities:

Digital Health Application

Date:	01/27/2026
Rotation Type:	APPE Elective
Comments:	?
During this rotation, choose the digital health technologies you interacted with and/or utilized. Select all that apply.:	Electronic Health Records (EHRs): Centralized digital systems for storing and managing patient health information to facilitate care coordination. Medication Safety Analytics Tools: Platforms for analyzing medication errors and improving safety and compliance in pharmacy practice.
In 2-3 sentences, describe how using digital health on this rotation facilitated your workflow as a pharmacy learner/future pharmacist. If digital health was not available and/or utilized on your rotation, please write "Not Applicable" in the text box.:	Through Intercom Plus (IC+), I accessed patient medication profiles to review medical history, identify potential drug-drug interactions, ensure appropriate refills for controlled medications, and support adherence. I also utilized patient portal tools for immunization outreach (influenza, COVID-19, pneumococcal, and RSV vaccines) and medication refill reminders, reinforcing how digital health enhances medication safety, preventive care, and patient engagement in community pharmacy practice. In addition, I also used IC+ was for prescription processing and pill counting, ensuring data entry accuracy and correct NDC selection from inventory.

Co-Curricular Activities:

Career Development APPE (For WOR/MAN Students ONLY)

Date:	12/10/2025
Rotation Type:	APPE Elective
Comments:	?
Reflect on your APPE rotation experiences over the last 6 weeks as they relate to your career goals. Consider how your career goals changed or were reaffirmed after this experience. In 150 - 200 words, describe at least two events or experiences which reaffirmed your previous goals or made you reconsider them and state why.:	When reflecting on this rotation block, particularly the Career Development APPE, one of the most meaningful experiences was attending the 2025 ASHP Midyear Clinical Meeting during the first week of the rotation. This experience was both rewarding and inspiring, as it allowed me to engage in sessions that highlighted the evolving role of pharmacists as medication experts and their impact on both individual patient outcomes and the healthcare system as a whole. I attended the Pharmacy Student Poster sessions and several educational expositions, including a product theater by Moderna, where I learned more about their new COVID-19 mRNA vaccine, mNEXSPIKE. I also attended a Pfizer-sponsored presentation and learned about the use of RFID technology in sterile injectables and how this innovation can improve safety, efficiency, and workflow in hospital pharmacy practice. These sessions deepened my appreciation for how technology and industry collaboration continue to advance patient care. Additionally, I attended the MCPHS alumni reception, where I had the opportunity to speak with alumni about their career paths and current practice settings. Networking with alumni and connecting with pharmacy students from programs nationwide broadened my perspective and strengthened my professional network. Hearing about others' goals after graduation reaffirmed my own aspiration to become a clinical pharmacist with advanced community pharmacy practice skills who makes a meaningful and lasting difference in patients' lives.

Co-Curricular Activities:

Assessment and Recommendation Field Encounter (Wor/Man Students ONLY)

Date:	11/28/2025
Rotation Type:	APPE Inpatient Adult Patient Care (Internal Medicine)
Comments:	?
Describe a scenario where you contributed to the assessment and diagnosis of a patient's condition based on symptoms, objective/diagnostic findings, medication history, and/or other clinical information. What were the differential diagnoses you considered (if any)? What diagnosis did you arrive at? Please specify if additional triage or diagnostic testing was required.:	I assisted in evaluating a 72-year-old female presenting with bilateral shoulder and hip pain, prolonged morning stiffness, and functional decline. Her ESR and CRP were significantly elevated, and she had no history of statin use or symptoms suggesting rheumatoid arthritis, hypothyroidism, or polymyositis. After reviewing her symptoms, medication history, and laboratory findings, PMR was identified as the most likely diagnosis. I recommended initiating prednisone 12.5-25 mg/day per guideline-directed therapy. The team decided to proceed with biopsy first ton rule out any other potential condition. When that was completed, the team started prednisone 15 mg daily, and the patient experienced rapid symptom improvement within 48 hours, confirming the diagnosis.
For the same scenario, assume you have pharmacist prescribing privileges (independent, collaborative, or protocol-based). Please describe how you could have contributed to the development and implementation of this patient care plan. Specifically, what medication(s) would you have initiated, modified, or discontinued based on your assessment/diagnosis?:	If I had prescribing privileges, I could have taken a more active role in this patient's care by directly initiating treatment for suspected polymyalgia rheumatica. Based on her symptoms and elevated inflammatory markers, I would have started prednisone at an appropriate dose (15 mg/day) and outlined a tapering plan as her condition improved. I also would have reviewed her current medications, discontinued unnecessary pain therapies. In addition, I would have set up a clear monitoring plan to track her pain, mobility, and lab markers while watching for corticosteroid-related adverse effects. This approach would have allowed me to not only recommend, but also implement, an evidence-based treatment plan to improve her quality of life.

Co-Curricular Activities:

APPE Community IPE (Updated 2025)

Date:	08/12/2025
Rotation Type:	APPE Community
Comments:	?
1. During this APPE rotation, which of the following health care professionals did you interact with? Select all that apply:	Physician (MD or DO) Medical Assistant - Practitioner Nurse
2. Values and ethics (VE) are core competencies for interprofessional education and collaboration. During this APPE rotation, which of the following competencies related to values and ethics were you able to demonstrate? Select all that apply:	Promote the values and interests of persons and populations in health care delivery, One Health, and population health initiatives. (VE1) Collaborate with honesty and integrity while striving for health equity and improvements in health outcomes. (VE6) Maintain competence in one's own profession in order to contribute to interprofessional care. (VE9)
3. Thinking back to the checklist in question 1, describe (in 3-5 sentences), an interprofessional encounter where you demonstrated competency in working with team members (outside of the pharmacy) to maintain a climate of shared values, ethical conduct, and mutual respect.:	During an IPE encounter with a patient PCP at my site, I worked closely with provider after the insurance denied coverage for the prescribed Ciprofloxacin and Dexamethasone otic suspension. With guidance from the pharmacist in charge, I helped discuss alternative therapies and we agreed on Neomycin, Polymyxin B sulfate, and Hydrocortisone otic suspension, which was both effective and covered by insurance. This experience reminded me how important collaboration, open communication, and respect are in ensuring patients still get the care they need, even when barriers like insurance limitations arise.
4. Roles and responsibilities (RR) are core competencies for interprofessional education and collaboration. During this APPE rotation, which of the following competencies related to roles and responsibilities were you able to demonstrate? Select all that apply:	Differentiate each team member's role, scope of practice, and responsibility in promoting health outcomes. (RR4)
5. Thinking back to the checklist in question 1, describe (in 3-5 sentences), an interprofessional encounter where you demonstrated competency in using your knowledge of your own role and team members' (outside of the pharmacy) expertise to address individual and population health outcomes.:	During my APPE rotation I demonstrated roles and responsibilities by recognizing each team member's scope. Physicians diagnose and prescribe, nurses monitor and support adherence, and I, as a student pharmacist, evaluated medications for safety, efficacy, and appropriateness. Under my preceptor's supervision I clarified drug interactions and counseled patients, recommended the appopriate OTC medication, supporting therapy optimization while respecting that physicians initiate treatment and nurses manage administration with the aim of ultimately deliver the best care possible that benefits patient overall healht outcome.
6. Communication (C) is a core competency for interprofessional education and collaboration. During this APPE rotation, which of the following competencies related to communication were you able to demonstrate? Select all that apply:	Communicate one's roles and responsibilities clearly. (C1) Use communication tools, techniques, and technologies to enhance team function, well-being, and health outcomes. (C2) Communicate clearly with authenticity and cultural humility, avoiding discipline-specific terminology. (C3) Use constructive feedback to connect, align, and accomplish team goals. (C6)
7. Thinking back to the checklist in question 1, describe (in 3-5 sentences), an interprofessional encounter where you competently communicated in a responsive, responsible, respectful, and compassionate manner with team members (outside of the pharmacy).:	During my community APPE rotation, I recognized the distinct roles of pharmacists, pharmacy technicians, doctors, and nurses, and the importance of open communication in supporting patient care. Although direct collaboration was limited in the community setting, I engaged with prescribers by taking phone orders and clarifying prescriptions when needed. By asking clear, professional, and patient-centered questions, I communicated respectfully and responsibly. These interactions not only ensured safe medication use but also strengthened trust between the pharmacy team and other healthcare providers.
8. Teams and teamwork (TT) are core competencies for interprofessional education and collaboration. During this APPE rotation, which of the following competencies related to teams and teamwork were you able to demonstrate? Select all that apply:	Appreciate team members' diverse experiences, expertise, cultures, positions, power, and roles towards improving team function. (TT2) Practice team reasoning, problem solving, and decision making. (TT3) Use shared leadership practices to support team effectiveness. (TT4)
9. Thinking back to the checklist in question 1, describe (in 3-5 sentences), an interprofessional encounter where you demonstrated competency in applying teamwork and adapted your role in a team setting (outside of the pharmacy).:	During my community APPE rotation, I encountered a situation where a patient's medication claim was rejected because their insurance plans required a specific order of billing. I worked closely with a one of the experienced certified pharmacy technician to sort through the issue, and after mutiple phone discussions with the prescriber, the insurance and the certified pharmacist technician we were able to switch the secondary insurance so the claim could go through. This collaboration not only saved the patient from an unnecessary charge but also showed me how important teamwork and clear communication are in making sure patients get the care they need without added stress.

Co-Curricular Activities:

Institutionl rotation reflection

Co-Curricular Activities:

Institutional rotation midterm reflection

During my rotation at St. Joseph Hospital, I have had the invaluable opportunity to shadow the pharmacy technicians. I observed their essential role in maintaining medication inventory, filling orders, compounding medications, and delivering them to inpatient units. These dedicated professionals work both in the hospital and the Cancer Center, ensuring that all patient medications are accurately prepared for pharmacist review.

What struck me most was the difference in the medication dispensing process between the hospital and community pharmacy settings. A particularly memorable moment occurred while I was in the IV room, where I shadowed the IV pharmacist. I was genuinely impressed by their diligence and attention to detail in ensuring that medications are prepared safely and free from contamination.

This experience has profoundly reinforced my understanding of the vital role pharmacists play in healthcare. Being directly involved in patient care within a hospital setting allowed me to witness firsthand the crucial contributions of pharmacists and pharmacy technicians in delivering the right medication at the right time and dosage. This has truly been a positive and enlightening experience for me.

Co-Curricular Activities:

Student Interventions, Interactions with Diverse Patient Populations (Updated 2024)

Date:	09/19/2024
Rotation Type:	Wor/Man IPPE Community
Comments:
Patient Sex:	M
Patient Ethnicity:	White
Patient Age Category:	Adult (19-64 years old)
During this intervention did you collaborate with a prescriber, student prescriber or a member of the health care team (other than pharmacy)?:	No
How many medications were involved in this intervention?:	1
Disease/Disorder:	Other
As part of this encounter, please select the values and skills that have contributed to your growth and development as a future pharmacist::	Problem Solving Professionalism
Based on the values and skills you selected above, describe (in at least 5 sentences) how this experience made you think and act as future pharmacist.:	I participated in recommending Sudafed 12 Hours to assist a patient with sinus congestion. After gathering all relevant information from the patient and with the guidance of the supervising pharmacist, I recommended Sudafed 12 Hours at a dosage of one tablet every 12 hours, with a maximum of two tablets per day. I also counseled the patient on potential side effects, including increased blood pressure and heart rate, CNS stimulation,axiety, insomnia, shakiness, and the risks associated with overdosing. Through this patient care intervention, I learned to analyze clinical data, consider the patient's history, and evaluate the efficacy and safety of treatment options. This experience enhanced my clinical reasoning and decision-making skills, both of which are essential for effective pharmacist practice. Moreover, actively engaging in patient care helped me develop my professional identity as a future pharmacist. Ultimately, this hands-on learning experience has reinforced my commitment to becoming a pharmacist and has helped me envision myself as a healthcare provider who plays a crucial role in improving patient outcomes through medication management.
Type of Intervention:	Dose Recommendation
Outcome of Intervention:	Patient Education
My preceptor or pharmacist in charge has reviewed and approved this intervention prior to making any recommendations.:	Yes

Co-Curricular Activities:

IPPE Community Rotation Reflection Part 2

Date:	08/30/2024
Rotation Type:	Wor/Man IPPE Community
Comments:
Write Reflection Here::	As I conclude my rotation at Rite Aid Pharmacy, I reflect on the significant personal and professional growth I have experienced over the past four weeks. At first, I was pretty nervous because I didn't have a lot of hands-on experience beyond what I learned in school and my part-time job. But working in the busy environment of a retail pharmacy really helped me connect my classroom lessons to real-life situations. I learned how to follow New Hampshire pharmacy laws and handle insurance issues while focusing on patient care. I have also learnt how to collaborate in out patient setting with interprofessional team member. On my first day, I felt overwhelmed by the number of prescriptions and how well the team worked together to make sure everything was done accurately. Fortunately, my preceptor and the other pharmacists were incredibly supportive, helping me gain confidence and understand the complexities of patient treatment. For example, I discovered that while loperamide is often suggested for treating traveler's diarrhea, it might not work if the cause is a stomach bug. This taught me that real-world healthcare can be more complicated than what we learn in textbooks. By the end of my rotation, I felt proud of what I accomplished, applying skills like giving vaccines, counseling patients, and checking medication safety and working with nurses and doctors to fix prescrition issues. Working with such a dedicated team made this experience truly rewarding and strengthened my commitment to becoming a pharmacist.

Co-Curricular Activities:

IPPE Community Rotation Reflection Part 1

Date:	08/18/2024
Rotation Type:	Wor/Man IPPE Community
Comments:
Write Reflection Here::	I. Description - Describe the event. One event where I felt the most engaged and puzzled was during my interaction with a member of the interprofessional team. During my community pharmacy rotation, I had the opportunity to interact with a nurse as interprofessional team members. I needed to contact the doctor's office to clarify a prescription for Protonix. The prescription was for Protonix 40 mg granules, but no additional information was provided for a patient who, based on his history, didn't seem to have any swallowing issues. Under the supervision of my pharmacist preceptor, I contacted the doctor's office to voice my concerns regarding the inappropriate dosage, dosage form, and frequency. The nurse informed me that they would follow up with me after consulting their clinical team. However, they did not call the pharmacy back, despite my providing all the necessary information, including the pharmacy's phone and fax numbers. II. Feelings - Describe the feeling you experienced during this event. I anticipated a callback as promised by the nurse, so I was puzzled when no one reached out to the pharmacy. Instead, a few hours later, a new prescription for the same condition arrived, but with a different strength and frequency. III. Evaluation - What is your evaluation (positive or negative) of your experience? This was an interesting real life experiment for me. Overall, I was satisfy that I participated in the better outcome of a patient who would have without the intervention of the pharmacist received an inappropriate pharmaceutical therapy. IV. Analysis - Why do you feel this way? I feel this way because my experience taught me that while pharmacists are expected to interact effectively with other professionals, this is not always an easy task, particularly in outpatient care. V. Conclusion/Action - What actions do you plan to take Based on what you learned from this experience? I also learned that, some time I will call and not receive follow up from doctor's office or nurses, or any healthcare providers, which shouldn't impede on professional pratice to take the necessary measure to ensure medication safety and overall positive outcomes of patients.

Co-Curricular Activities:

IPPE Community IPE (Updated 2024)

Date:	08/18/2024
Rotation Type:	Wor/Man IPPE Community
Comments:
1. During this IPPE rotation, which of the following health care professionals did you interact with? Select all that apply:	Nurse
2. Values and Ethics (VE) are core competencies for interprofessional education and collaboration. During this IPPE rotation, which of the following competencies related to values and ethics were you involved directly with? Select all that apply:	Promote the values and interests of persons and populations in health care delivery, One Health, and population health initiatives. (VE1) Apply high standards of ethical conduct and quality in contributions to team-based care. (VE8)
3. In 3-5 sentences, describe an encounter where you were involved with team members working together to maintain a climate of shared values, ethical conduct, and mutual respect.:	Shared value refers to the concept that business can generate economic value while simultaneously addressing social and environmental challenges. Ethical conduct refers to behavior that is aligned with established moral principle,standard and values. Mutual respect envolves trating individuals with dignity, valuing their opinions and acknowledging their contribution regardless of different backgrounds, beliefs, or positions. Based on the submention definitions, these concepts allow the promotion of collaboration and sustainable pharmacy practice. Pharmacy team members implement these practices daily to ensure compliance with safety protocols, policies, and regulations from the moment a prescription is dropped off to the point of drug dispensing. We collaborate closely to guarantee that we provide the correct medication, in the appropriate dosage, to the right patient.
4. Roles and Responsibilities (RR) are core competencies for interprofessional education and collaboration. During this IPPE rotation, which of the following competencies related to communication, were you involved directly with? Select all that apply:	Differentiate each team member's role, scope of practice, and responsibility in promoting health outcomes. (RR4)
5. In 3-5 sentences, describe an encounter where you observed or were directly involved with team members using knowledge of your role as well as the team members expertise to address individual and population health outcomes.:	During my community pharmacy rotation, I had the opportunity to interact with a nurse as interprofessional team members. I needed to contact the doctor's office to clarify a prescription for Protonix. The prescription was for Protonix 40 mg granules, but no additional information was provided for a patient who, based on his history, didn't seem to have any swallowing issues. Under the supervision of my pharmacist preceptor, I contacted the doctor's office to voice my concerns regarding the inappropriate dosage, dosage form, and frequency. The nurse informed me that they would follow up with me after consulting their clinical team. However, they did not call the pharmacy back, despite my providing all the necessary information, including the pharmacy's phone and fax numbers. I was puzzled to see that a few hours later, a new prescription for the same condition was sent in with a different strength and frequency. Overall, I was satisfy that I participated in the better outcome of a patient who would have without the intervention of the pharmacist received an inappropriate pharmaceutical therapy.
6. Communication (C) is a core competency for interprofessional education and collaboration. During this IPPE rotation, which of the following competencies related to communication, were you involved with? Select all that apply:	Use communication tools, techniques, and technologies to enhance team function, well-being, and health outcomes. (C2)
7. In 3-5 sentences, describe an encounter where you were directly involved with communicating in a responsive, responsible, respectful, and compassionate manner with team members.:	In my daily interactions with my preceptor, I typically experience a strong sense of respect, responsiveness, responsibility and compassion. I often have numerous questions about how to implement effective pharmaceutical interventions for patients, recommend appropriate pharmaceutical over the counter products, and provide patient counseling. I greatly appreciate the patience my preceptor and other pharmacists demonstrate when answering my questions and guiding me to resources that can help. I recognize that I am in the learning process and value the constructive feedback they provide, which is instrumental in helping me improve.
8. Teams and Teamwork (TT) are core competencies for interprofessional education and collaboration. During this IPPE rotation, which of the following competencies related to teams and teamwork, were you involved with? Select all that apply:	Reflect on self and team performance to inform and improve team effectiveness (TT6)
9. In 3-5 sentences, describe an encounter where you were directly involved in teamwork and adapted your role in a team setting.:	I had the opportunity to design an immunization quiz under the supervision of my pharmacist preceptor to assess our pharmacy technicians' understanding of the immunization schedule. For me, creating this quiz was a chance to complete a project successfully and acquire new skills. For the team, it provided an opportunity to enhance their knowledge and skills, promoting a culture of continuous improvement. After grading the immunization quiz, I provided valuable feedback to some team members. The team's performance in general was impressive. Overall, the immunization quiz served as an effective tool for strengthening team dynamics, facilitating knowledge sharing, and clarifying areas that were still unclear.