Greensboro AHEC

PY-4 Rotation & Clinical Scholars Track Introduction

http://www.gahec.org http://www.gahec.org/pharmupd

Greensboro AHEC
Advanced Pharmacy Practice Experiences

Greensboro AHEC (GAHEC) 200 East Northwood Street

The AHEC region with the most experienced faculty is?

A. B. C. D. E. F. G. Charlotte AHEC Duke AHEC Eastern AHEC Greensboro AHEC Mountain AHEC SR AHEC Wake AHEC

Peter Gal, Pharm. D., BCPS Director, Graduate Pharmacy Education Greensboro AHEC

Pete Koval, Pharm. D., BCPS, CPP Assistant Director, Graduate Pharmacy Education

Greensboro AHEC
Areas of Clinical Strength
Primary Care Acute Care Critical Care (NICU)

GAHEC Student Seminar

Tuesday 1:00-4:30 ~ Three times monthly GAHEC Pharmacist Faculty emphasize and require a great deal of interactive learning Required Presentations (throughout the year)
1 New Drug presentation ( www.GAHEC.org/pharmupd ) 1 Clinical Pearls 2 Patient Case Presentations

Graduate Forum
One -Three times monthly 12:00-1:00 immediately preceding Student Seminar GAHEC coordinated pharmacy education programs for pharmacists and students Fall programs: presentations by Preceptor Clinical Pharmacists from Cone Health Spring programs: presentations by Pharmacy Residents from Cone Health

Cone Health
Moses Cone Hospital Wesley Long Hospital Womens Hospital Annie Penn Hospital Behavioral Health Center Regional Cancer Center Family Medicine Center LeBauer HeartCare CVRR Clinic Alamance Regional Medical Center

Moses Cone Hospital PY4 rotation coordinators

Anh Pham, PharmD, BCPS Jessica Carney, PharmD, BCPS

Brian Romig, BS Pharmacy, MBA Vice President Supply Services and

Supply Chain Cone Health

Cone Health Pharmacy Scholarship Program

Funded by the Cone Health Foundation

2-year scholarship
Targeted to rising PY3 and PY4 students $10,000/year given to go support education and residency

Moses Cone Hospital

1200 North Elm St. Greensboro

Private, Non-Profit Community Teaching Hospital ~530 beds

Moses Cone Pharmacy Director

Deanne Brooks, PharmD
Pharmacy Director Moses Cone Hospital

Collaborative Practice
Cross-trained clinical pharmacists
Focused clinical interests Independently manage therapy

Interdisciplinary environment
Rounds and Committees P&T, Antibiotic subcommittee, Critical Care, Stroke service, Trauma service, Geriatrics

Intensive Care Unit Moses Cone Hospital

Protocol-Driven Services
Anticoagulation LMWH, UFH, Coumadin, Integrilin, Argatroban, Refludan, Arixtra Antibiotic Management Vancomycin, Aminoglycosides, Zosyn, Primaxin, Fluconazole, Metronidazole Miscellaneous TNA, Phenytoin, Digoxin, Aranesp Drug interactions, Renal adjustments

Which is older Dr. Koval or the Cone Pharmacy Residency?

A. Dr. Koval
(man he looks old)

B. Cone Pharmacy Residency

(Just being kind)

Cone Health Pharmacists Committed to Education

Residency program since 1968 One director since 1985

Residency Trained Staff (>80%)

BPS Certified Staff (>60%)

Student Education

Post-Graduate Programs
Since 2007 Cone Health offers 10 positions
- 6 pharmacy practice - acute care emphasis

- 2 pharmacy practice - amb care emphasis

- 1 specialty PGY-2 residency in oncology

- 1 fellowship in neonatology
- PY2 in local ACO???

Moses Cone Hospital Critical Care Unit Pharmacist Jackie Roh, BCPS (left) Pharmacy Residency Diretor & Senior Clinical Coordinator

Unique Learning Environment

Community-Teaching model
Multidisciplinary rounding

Unit-based Pharmacy Services

Pharmacist rounding Protocol-driven services Clinical Expert PDA-based Patient Info

Rotations at Moses Cone Hospital include:

Acute Care Medicine Critical Care ICU Infectious Disease

Advanced Hospital Renal Cardiology PICU/Peds Nutrition Administration

Medication Safety

Moses Cone Hospital PY4 rotation

Julie Cooper, PharmD, BCPS

Student activities include: Learning to interact with Community Physicians and Teaching Service Physicians Significant role in Anticoagulation & Antibiotic Management Patient management with extensive protocol driven services

Advanced Hospital: Moses Cone Hospital

Michelle Bell, Pharm.D.

Moses Cone Pharmacist

Student activities include: Involvement in daily patient care drug monitoring i.e. vancomycin, heparin, LMWH, aminoglycosides, and renal dose adjustments Exposure to IV admixing and aseptic technique Gaining experience in administration including staff meetings

Infectious Disease: Moses Cone Hospital

Jeremy Frens, Pharm. D. (left)

ID BUS team

Student activities include: Active participation on ID team and in direct patient care The ID consult service is a hands-on experience including visits to the microbiology lab and patient rounds Improving knowledge about antibiotics and microbiology

Medication Safety: Cone Health

Jim Hasspacher, Pharm. D.

Student activities include: Gaining invaluable knowledge in the area of med. safety Review of on-line incident reports, and participation in review processes/meetings with Med Safety Teams Participation in three weekly medication safety discussions during the month

Acute Care Medicine: Family Medicine

Pete Koval, PharmD, BCPS, CPP
AHEC Faculty Instructor of the Year 2011

Student activities include: Family Medicine Inpatient Service Resident Teaching Team 15-20 average daily census Daily patient care multidisciplinary rounds

How many preceptors/faculty of the year were from GAHEC since 2004? A. B. C. D. E. 2 3 4 5 6

Inpatient Clinical Scholars Track

3 positions

Moses Cone Hospital

Acute Care Clinical Scholars Track

Rotation Requirements
Advanced Hospital Advanced Community Acute Care Medicine Ambulatory Care Clinical Specialty (2of next 3) Infectious Disease Cardiology Neonatal ICU 3 months patient focused electives

Wesley Long Hospital

501 N. Elam Ave. Greensboro

Rotations at Wesley Long include:

Advanced Hospital
Acute Care Medicine Oncology

Acute Care Medicine: Wesley Long Hospital

Randy Absher, PharmD, BCPS

Student activities include: Participation in pharmacotherapy dosing consults led by physicians Participation in multidisciplinary rounds twice weekly Gaining exposure to the contemporary practice of adult-acute care pharmacotherapy in a community hospital

Randy Absher
UNC Preceptor of the Year 2006

Regional Cancer Center 501 North Elam Avenue Greensboro (attached to Wesley Long Hospital)

Hematology/Oncology: Cone Health Regional Cancer Center

Lew Iacovelli, PharmD, BCOP

 Rotation provides outpatient and some inpatient hematology-oncology exposure Students will participate in clinical oncology research with various drugs

Students will attend interdisciplinary meetings and rounds Students will be introduced to radiation oncology and its role in treating certain malignancies

Womens Hospital

801 Green Valley Road Greensboro

Rotations at Womens Hospital include:

Advanced Hospital
Obstetrics/Gynecology Neonatal Intensive Care Unit

Advance Hospital / OB-GYN: Womens Hospital

Womens Hospital Pharmacy Staff

Student activities include: Exposure to womens health with an emphasis on obstetrics and gynecology Participation in OB/GYN teaching service rounds OR surgical experience, if desired

Neonatal ICU: Womens Hospital

Peter Gal, Pharm. D., BCPS

Student activities include: Working with interdisciplinary teams Independent patient monitoring Gaining knowledge in pharmacokinetic dosing of drugs Improve ability to critique literature

Behavioral Health Center 700 Walter Reed Drive Greensboro

Behavioral Health: Moses Cone Behavioral Health

Elena Payne, Pharm. D.

Student activities include:

Reviewing and completing questions on four behavioral health disease states Attending medication group (3 times per week) Daily medication distribution activities

Outpatient Clinical Scholars Track

3 positions

Greensboro AHEC

Outpatient Clinical Scholars Track

Rotation Requirements
Advanced Hospital
Advanced Community Acute Care Medicine

Clinical Specialty
3 months Ambulatory Care 2 months Patient Focused Electives

Family Medicine Center

1125 North Church St. Greensboro

Family Medicine Outpatient Clinic Residency Training Program 100 Patient Visits Daily

Ambulatory Care: Family Practice Center

Pete Koval, PharmD, BCPS, CPP

AHEC Faculty Instructor of the Year 2011

Student activities include: Clinical Pharmacy Consults: Asthma, Diabetes, Dyslipidemia, Peripheral Arterial Disease, Spirometry, Smoking Cessation Collaborative care of patients in a Family Practice physician residency training environment

Cardiology / Ambulatory Care: LeBauer HeartCare

LeBauer Healthcare Cardiology Services North Church Street

Cardiology / Ambulatory Care: LeBauer HeartCare

Students demonstrate INR monitor (pictured at left)
Sally Putt, Pharm. D. Director, LeBauer Cardiology Services Student activities include: CVD Risk Reduction Clinic Pharmacy Consults: Anticoagulation, CHF and Dyslipidemia Experiencing multiple aspect of the collaborative care model in a Cardiology Specialty Practice

Ambulatory Care: Medication Management LLC

Bryan Bray, Pharm. D. (left) Cathey Miller, PharmD, CDE Student activities include: Gaining experience in a collaborative practice in a Clinical Pharmacist Practitioner model in a physicians office Anticoagulation, diabetes, lipid, hypertension and osteoporosis management as well as polypharmacy/pharmacotherapy consults Patient care interventions - initiating, modifying pharmacotherapy, ordering labs and counseling

Ambulatory Care: Western Rockingham Family Medicine

Tammy Eckard, PharmD Student activities include:

Michelle Bozovich, Pharm. D., CPP

Treating patients for a variety of disease states: diabetes lipids, hypertension, anticoagulation, osteoporosis, pain management, polypharmacy, etc. Hands-on physical assessments Involvement with large patient volume

Advanced Community: Southcourt Drugs Graham N.C.

Student activities include:

Gaining experience in community pharmacy practice Assisting with 15-20 rxs per hour Counseling/patient assistance in blood pressure checks, blood glucose checks, glucose monitoring, peak flow meter training, flutter valve and nebulizer training, as well as diabetes and asthma
Kent Tapscott, PharmD, CPP UNC Preceptor of the Year 2004

The AHEC region with >50% of students entering post-graduate training for each of the last 4 years?
A. B. C. D. E. F. G. Charlotte AHEC Duke AHEC Eastern AHEC Greensboro AHEC Mountain AHEC SR AHEC Wake AHEC

Comments from Past Students

I was challenged to do my best work in an environment that was not intimidating and provided a great learning experience. GAHEC provides a support network of both peers and faculty to give encouragement, direction, and education. Faculty encourages students to explore topics of interest as well as those that might be a challenge. The staff did a great job of making the seminar challenging and I really learned so much from them this year.

Greensboro AHEC
Areas of Clinical Strength
Primary Care Acute Care Critical Care (NICU)

Greensboro AHEC

We hope to see you next year!

Please visit our website at www.gahec.org for more information on the pharmacy education department