The University of Iowa College of Pharmacy has five core regularly-occurring international rotations in Belize, Dominica, two locations in Japan, and Romania. Each rotation fulfills one of the five-week practice experiences—called Advanced Pharmacy Practice Experiences (APPEs)—that fourth-year students complete in various pharmacy settings. The application process typically opens in September of students' third year of pharmacy school.

Clinic felt like one big team-building exercise, as all professions drew upon each other’s expertise to come up with the best plan of care possible for each patient based on the resources we had to offer. ~ Alumna Hilary Holt

Belize - Hillside Clinic

The Belize rotation is five-weeks long. It is one of the Advanced Pharmacy Practice Experience (APPE) options. Students spend four weeks working at Hillside Healthcare International Clinic in Punta Gorda, Belize; and living at the Hillside Clinic Dormitory. Hillside is a faith-inspired, nonprofit free clinic serving the people of Southern Belize.

While in Belize, students provide medication consultation and engage in various public health-related services including health screenings. They also participate in interdisciplinary care delivery at a local clinical and rural outpost clinics. Students offer residents consultations, medications, cardiac monitoring, home health care, and rehabilitation services. Each student is also responsible for initiating a small project to be used by clinic professionals. During the fifth week of the experience, students return to the UI College of Pharmacy to reflect upon what they learned.

Site Coordinator:  Susan Vos, Associate Dean


This five-week Advanced Pharmacy Practice Experience (APPE) rotation consists of two weeks of pre-travel training, two weeks on site experience in and around Jungle Bay, Dominica, and one week of reflection at the UI College of Pharmacy.

Student pharmacists are exposed to natural medicine, medical disabilities, rural and international medicine, community and global public health services, and cultural competence. Students will compare health care in the United States and the West Indies.

Accommodations in Dominica are through arrangements with local collaborators. Post-travel projects include patient case discussions, presentation of herbal expertise, daily reflections, resource development and a presentation.

Site Coordinator:  Jeanine Abrons, Clinical Associate Professor


The pharmacy rotation in the Eastern European country of Romania is five weeks long. It is a UI College of Pharmacy Advanced Pharmacy Practice Experience (APPE). The rotation consists of four weeks on-site in Romania: Both in the city of Cluj-Napoca at the Cluj School of Public Health, and also in rural areas outside of the city. While in Romania, students take part in research, education and service projects through the Cluj School of Public Health. Student pharmacists will:

  • Learn the basic workings of the Romanian healthcare system
  • Gain an understanding of how community pharmacy operates in the country
  • Work on a research project with academic partners in Romania
  • Experience a clinical pharmacy setting
I was able to collaborate with pharmacists and students and utilize various public health and pharmacy skills. I was challenged to think and work differently and adapt to the practices of Romania. ~Jasmine Mangrum, '17 PharmD

Contact Jeanine Abrons, Clinical Associate Professor


Keio University

This five-week Advanced Pharmacy Practice Experience (APPE) rotation consists of four weeks on-site at Keio University in Tokyo, Japan. In Japan, students participate in laboratory research, present to Keio University faculty and students, and spend time observing practice in Japanese community and hospital pharmacies.

Kitasato University

This five-week APPE rotation consists of four weeks on-site at Kitasato University Faculty of Pharmacy in Minato-ku, Tokyo, Japan. The experience is a mixture of visits and practice observation in patient care clinics, hospitals and community pharmacies, along with classroom sessions on better understanding the Japanese health care system and pharmacy education in Japan. Students also learn about traditional Japanese medicines (Kampo) and have time to explore Japan’s culture, cuisine and sites.

Site coordinator:  Jay Currie, Clinical Professor