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Intermational Rotation PharmD APPE in Ecuador and Costa Rica

PharmD APPE Rotation Abroad: Pharmacy Spanish Immersion

An elective international APPE rotation in Costa Rica and Ecuador, combining pharmacy Spanish, community health work, and shadowing a local pharmacist.
This rotation is an approved elective in PharmD programs across the United States, and it is open to practicing pharmacists who want to build their Spanish as well.

Get All the APPE Details in 20 Minutes

Everything about the rotation, the timing, the placements, and the Spanish, in one quick info video.

Timing and Length

When

Once a year, late June through July and early August. This falls in APPE Block 2 for the universities we work with in Colorado.

Length

The full immersion program runs five weeks. Many APPE rotations are six-week blocks, and most PharmD students rotate for five weeks and use the sixth for travel. If your program needs different dates, contact us and we will look at what we can accommodate.

What You Will Be Doing

Pharmacy Spanish instruction

Roughly 20 hours a week at our partner language school, set to your level, focused on the vocabulary and patient communication you will actually use.

Community health outreach

Tuesday through Thursday, working alongside the rest of the immersion cohort delivering health education in underserved communities. Topics are ones the communities have asked us to cover, and you prepare them during pre-departure preparation.

Shadowing a local pharmacist

Time in a retail pharmacy setting, seeing how pharmacy practice works in a different health system, with different constraints, different medication access, and different patient expectations.

Living with a host family

One student per household, so your Spanish keeps developing after class ends.

Why Pharmacy Students Take This Rotation

Pharmacists are often the most accessible healthcare professional a patient has, and for Spanish-speaking patients that access depends entirely on language. Counseling on adherence, side effects, or a change in regimen requires more Spanish than a phrase list provides.
This rotation puts you in the position of doing that work in Spanish, every day, with support, before you are doing it alone behind a counter.
You also see a pharmacy system that operates under different resource constraints than the one you trained in, which tends to change how people think about medication access when they come home.

No Spanish Prerequisite

There is no Spanish minimum. Instruction is set to your actual level, so this rotation is open to students who have never formally studied Spanish as well as those who are already conversational.

Where You Will Be

Programs run in Santo Domingo de Heredia, Costa Rica, a residential suburb north of San José, and in Cuenca, Ecuador. Some structures include both.

The Interprofessional Cohort

You will be rotating alongside medical, nursing, PA and public health students rather than only other pharmacy students. Working through a community health project with a mixed cohort, in a second language, is the closest most students get to genuine interprofessional practice before they graduate.

APPE Rotation Pricing

Ecuador APPE Rotation

4-week: $4,675
5-week: $5,675
6-week: $6,589

Costa Rica APPE Rotation

4-week: $4,675
5-week: $5,675
6-week: $6,589

What else should you budget for?

Flights & baggage fees: CUE is the Cuenca, Ecuador airport code | SJO is the San José, Costa Rica airport code
Required & recommended immunizations
Souvenirs and day to day personal expenses
Exploring the country on optional weekend excursions (we offer some group excursions, and you can also DIY weekend travel)
Lunches ($7 to $10 on average): breakfast and dinner are provided by your host family
Optional donations for charitable work and gratuities for tour guides & drivers on weekends

Credit and Paperwork

Your institution awards the APPE credit. We complete the documentation your program requires, including course descriptions for submission and any forms your experiential education office needs.
Register with enough lead time for us to complete the formal submission process on your behalf.
If you are a PharmD candidate looking for an international IPPE or APPE experience, download and submit this course description to your program.

Accreditation and Support

Our medical Spanish immersion programs are CME and CE accredited. Every program includes 24 hour leadership, coordination and support from program leaders in country, plus daily on-site mentorship.

For Pharmacy Schools

If you are placing multiple APPE candidates or building a recurring rotation, see our faculty-led global health rotations page or request a proposal.

What Participants Say

“I would definitely recommend this program. You learn so much Spanish and so much about the culture at the same time. There is nothing like immersion!”
Ade — PharmD Student, Kentucky
“I learned a lot! I feel very lucky that I was able to find this program and my school was able to offer it to us. If you’re thinking about an experience that will put you out of your comfort zone, I would highly recommend it.”
Duy — PharmD Student, Kentucky
“I have so many Spanish speaking patients that it made me want to learn Spanish again. What better way is there to learn Spanish and learn about pharmacy customs in another culture than to travel abroad?”
Arti & Yasmine — PharmD Students, Colorado

Frequently Asked Questions

Reserve Your Spot

Reserve your spot, or schedule a call. Related programs: medical, nursing, PA and NP rotations, public health practicum, and all international rotations.

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