The effect on patient outcomes of including pharmacists as members of a multidisciplinary team in a hospital setting is well established.1,–4 Pharmacists and pharmacy students have demonstrated positive effects on patient care outcomes, including preventing adverse drug reactions (ADRs) and medication errors, improving patient satisfaction and quality of life, and improving economic outcomes.1,–8 We undertook a project to determine the number of interventions by pharmacy students and the acceptance of recommendations during their acute critical care rotation at the Ralph H. Johnson Veterans Affairs (VA) Medical Center in Charleston, South Carolina. This project was originally implemented as part of the students’ evaluations and then turned into a monthly quality assurance presentation to pharmacy staff and administrators. The institutional review board approved the presentation of this project. Pharmacy students rounded with a team of physicians in the medical intensive care unit (ICU) during their four-week clinical clerkship. All activities performed by the students were part of routine patient care activities. All patients followed by the students were assessed for venous thromboembolism (VTE) and stress ulcer prophylaxis. Patients were assigned to the students by the preceptor on the basis of the patient’s diagnosis, acuity, number of potential medication issues identified, and student interest. Each medication in the patient profile was reviewed for its appropriate indication and dosage. Laboratory data were reviewed for all patients, and appropriate monitoring parameters were recommended for each prescribed medication. In addition, all able and willing patients were interviewed regarding nonprescription, herbal, alternative, and non-VA-prescribed and self-prescribed medication use. Students also monitored warfarin effect, performed pharmaco-kinetic calculations, and participated in the reporting of medication errors and ADRs. Some interventions were identified with the help of the preceptor. The preceptor was not able to attend rounds but was available to answer questions. All recommendations were reviewed with the preceptor before they were discussed with team members. Each intervention was documented in the patient chart, reviewed, and cosigned by the preceptor. Recommendations were also discussed orally with team members when feasible. The fundamental scope of practice and activities performed were based on published guidelines.9,–11 Data were collected from four separate pharmacy students from July 1, 2004, to October 30, 2004.