This paper describes the implementation and evaluation of a new pediatric p
harmacotherapy elective course. Unique aspects of this course included a si
gnificant service-learning component (minimum of 20 hours at a child-focuse
d site), active-learning strategies, and absence of formal written examinat
ions. Primary goals of the course were to limit traditional lectures and fo
cus on student-centered discussion. Weekly preparatory assignments, journal
writing, journal club, and student presentations were included. The course
was highly rated by students, particularly in learning processes used and
course format (mean scores >4/5). Students indicated they were encouraged t
oward active participation and challenged to think critically. Implementati
on of an elective pediatric pharmacotherapy course with significant active-
and service-based learning components fosters student learning and civic r
esponsibility and provides positive benefits to the community.