A Reflection from AAPP's APPE Student, Kashika Arora, PharmD Candidate, Class of 2027

Author: Kashika Arora, PharmD Candidate, Class of 2027, Palm Beach Atlantic University Lloyd L. Gregory School of Pharmacy

When I began my Association Management Advanced Pharmacy Practice Experience (APPE) with the American Association of Psychiatric Pharmacists (AAPP), I knew it would be different from a traditional clinical rotation, but I wasn't entirely sure what to expect. Throughout the rotation, I gained a much greater appreciation for the work that happens behind the scenes to support psychiatric pharmacists. More importantly, it changed the way I think about leadership, advocacy, and the role empathy plays in patient care.

One of the most valuable parts of this rotation was working alongside my preceptors, Dr. Andria Church and Dr. Beth DeJongh. They constantly encouraged me to think critically, ask questions, and improve my work. Whether I was writing educational materials or completing association related projects, they took the time to provide meaningful feedback that strengthened both my writing and communication skills. Their mentorship helped me become more confident in presenting ideas and expressing them in a professional and effective way.

This rotation also gave me the opportunity to see how a professional pharmacy organization operates. I was able to attend committee meetings and leadership discussions with AAPP Executive Director Brenda Schimenti, where I learned about strategic planning, continuing education, advocacy, and the many efforts that go into supporting psychiatric pharmacists. It was inspiring to see how much collaboration and dedication happens behind the scenes. These experiences gave me a better understanding of the important role organizations like AAPP play in advancing the profession and supporting both pharmacists and the patients they serve.
One of the most meaningful parts of this rotation was learning about the human side of psychiatric care. Reading Ben Behind His Voices and watching Beautiful Boy and Of Two Minds reminded me that mental illness affects far more than just the individual living with the diagnosis. These stories offered a deeper look into the experiences of patients and their families, highlighting the emotional, social, and personal challenges they face every day. They reinforced that every diagnosis represents a unique person with their own story, strengths, and struggles.

These discussions emphasized something that can sometimes be overlooked in healthcare: the importance of empathy. While pharmacy school focuses heavily on pharmacotherapy and evidence-based medicine, this rotation reminded me that providing the best care also means listening, showing compassion, and taking the time to understand each patient's experience. Clinical knowledge is essential, but so is treating every patient with kindness and respect.

Another highlight of this rotation was completing the Mental Health First Aid training and earning my certification. The training gave me practical tools to recognize and respond to individuals experiencing mental health challenges or crises. It also increased my confidence in having conversations about mental health and reinforced that every healthcare professional can play a role in reducing stigma and supporting those who need help.

Although this rotation was entirely remote, it never felt distant. From the very beginning, the AAPP team created an environment where I felt welcomed, encouraged to participate, and comfortable asking questions. My preceptors were always supportive and genuinely invested in my growth, making the experience both educational and enjoyable.

Looking back, this rotation broadened my perspective on what it means to be a psychiatric pharmacist. It showed me that pharmacists make meaningful contributions not only through direct patient care, but also through education, advocacy, leadership, and professional service. I am incredibly grateful to AAPP, Dr. Andria Church, and Dr. Beth DeJongh for providing such a rewarding learning experience. Their mentorship challenged me to grow both personally and professionally, and I will carry the lessons I learned throughout the rest of my pharmacy education and into my future career.