ObjectiveTo determine the frequency that preceptors perform skills in their practice setting and the degree of competency that preceptors expect of students to perform those skills upon starting their advanced pharmacy practice experiences (APPEs). MethodsA survey assessing skills utilization and expected pre-APPE student competency level upon entry to APPEs was developed by pharmacy practice faculty and distributed to preceptors. Preceptors were asked to rank their utilization of skills and expected pre-APPE student competency of each skill. Investigators assigned each skill a categorical ranking of high, moderate, or low priority. ResultsThe survey was completed by 448 pharmacy preceptors. Skills related to communication, patient education, documentation, collecting medication histories, and drug therapy review/reconciliation were most utilized. Skills related to physical assessment and point-of-care testing were the least utilized and the expected student competency level was also low. Skills identified as highest priority included those related to patient counseling/education, problem solving/critical thinking, and information gathering and management. ConclusionResults of this survey suggest the frequency with which preceptors perform specific skills in practice and their corresponding competency expectations for APPE students vary and are skill dependent, allowing for prioritization. Stratifying individual skills based on how commonly they are encountered in practice and the competency level to which preceptors expect APPE students to perform specific skills in practice, can assist institutions in prioritizing skills-based laboratory content and assessment and assist with curricular bloat and hoarding.