Greensboro AHECPY-4 Rotation & Clinical Scholars Track Introductionhttp://www.gahec.org

http://www.gahec.org/pharmupd

Greensboro AHECAdvanced Pharmacy Practice Experiences

Greensboro AHEC (GAHEC)200 East Northwood Street

The AHEC region with the most experienced faculty is?Charlotte AHECDuke AHECEastern AHECGreensboro AHECMountain AHECSR AHEC Wake AHEC

Peter Gal, Pharm. D., BCPS Director, Graduate Pharmacy EducationGreensboro AHEC

Pete Koval, Pharm. D., BCPS, CPPAssistant Director, Graduate Pharmacy Education

Greensboro AHECAreas of Clinical StrengthPrimary CareAcute Care Critical Care (NICU)

GAHEC Student SeminarTuesday 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 ForumOne -Three times monthly 12:00-1:00 immediately preceding Student SeminarGAHEC coordinated pharmacy education programs for pharmacists and studentsFall programs: presentations by Preceptor Clinical Pharmacists from Cone HealthSpring programs: presentations by Pharmacy Residents from Cone Health

Cone HealthMoses Cone HospitalWesley Long HospitalWomens HospitalAnnie Penn HospitalBehavioral Health CenterRegional Cancer CenterFamily Medicine CenterLeBauer HeartCare CVRR ClinicAlamance Regional Medical Center

Anh Pham, PharmD, BCPSJessica Carney, PharmD, BCPS

Moses Cone Hospital PY4 rotation coordinators

Brian Romig, BS Pharmacy, MBAVice President Supply Services and Supply Chain Cone HealthCone 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 DirectorDeanne Brooks, PharmDPharmacy Director Moses Cone Hospital

Collaborative PracticeIntensive Care Unit Moses Cone HospitalCross-trained clinical pharmacistsFocused clinical interestsIndependently manage therapyInterdisciplinary environmentRounds and CommitteesP&T, Antibiotic subcommittee, Critical Care, Stroke service, Trauma service, Geriatrics

Protocol-Driven ServicesAnticoagulationLMWH, UFH, Coumadin, Integrilin, Argatroban, Refludan, ArixtraAntibiotic ManagementVancomycin, Aminoglycosides, Zosyn, Primaxin, Fluconazole, MetronidazoleMiscellaneousTNA, Phenytoin, Digoxin, AranespDrug interactions, Renal adjustments

Which is older Dr. Koval or the Cone Pharmacy Residency?Dr. Koval (man he looks old)Cone Pharmacy Residency (Just being kind)

Cone Health Pharmacists Committed to Education Residency program since 1968One director since 1985 Residency Trained Staff (>80%) BPS Certified Staff (>60%) Student Education

Post-Graduate ProgramsSince 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 roundingUnit-based Pharmacy Services Pharmacist roundingProtocol-driven services Clinical Expert PDA-based Patient Info

Rotations at Moses Cone Hospital include: Acute Care Medicine Critical Care ICU Infectious Disease Advanced Hospital Cardiology Nutrition Renal PICU/Peds Administration Medication Safety

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 servicesMoses Cone Hospital PY4 rotationJulie Cooper, PharmD, BCPS

Michelle Bell, Pharm.D.Moses Cone Pharmacist Advanced Hospital: Moses Cone HospitalStudent 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

Jeremy Frens, Pharm. D. (left)ID BUS teamStudent 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 microbiologyInfectious Disease: Moses Cone Hospital

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 Medication Safety: Cone Health

Pete Koval, PharmD, BCPS, CPPAHEC 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 Acute Care Medicine: Family Medicine

How many preceptors/faculty of the year were from GAHEC since 2004?23456

Inpatient Clinical Scholars Track3 positions Moses Cone Hospital

Acute Care Clinical Scholars Track Advanced HospitalAdvanced Community Acute Care Medicine Ambulatory CareClinical Specialty (2of next 3) Infectious Disease Cardiology Neonatal ICU 3 months patient focused electivesRotation Requirements

Wesley Long Hospital 501 N. Elam Ave. GreensboroRotations at Wesley Long include: Advanced Hospital Acute Care Medicine Oncology

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

Acute Care Medicine: Wesley Long Hospital

Randy Absher UNC Preceptor of the Year 2006

Regional Cancer Center501 North Elam AvenueGreensboro(attached to Wesley Long Hospital)

Lew Iacovelli, PharmD, BCOP Hematology/Oncology: Cone Health Regional Cancer Center

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 GreensboroRotations at Womens Hospital include: Advanced Hospital Obstetrics/Gynecology Neonatal Intensive Care Unit

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 desiredAdvance Hospital / OB-GYN: Womens Hospital

Student activities include:

Working with interdisciplinary teams Independent patient monitoring Gaining knowledge in pharmacokinetic dosing of drugs Improve ability to critique literatureNeonatal ICU: Womens HospitalPeter Gal, Pharm. D., BCPS

Behavioral Health Center 700 Walter Reed Drive Greensboro

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 activitiesBehavioral Health: Moses Cone Behavioral Health

Outpatient Clinical Scholars Track3 positionsGreensboro AHEC

Outpatient Clinical Scholars Track Advanced Hospital Advanced Community Acute Care Medicine Clinical Specialty 3 months Ambulatory Care 2 months Patient Focused ElectivesRotation Requirements

Family Medicine Center 1125 North Church St. Greensboro Family Medicine Outpatient Clinic Residency Training Program 100 Patient Visits Daily

Pete Koval, PharmD, BCPS, CPPAHEC 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 environmentAmbulatory Care: Family Practice Center

LeBauer Healthcare Cardiology ServicesNorth Church StreetCardiology / Ambulatory Care: LeBauer HeartCare

Students demonstrate INR monitor(pictured at left)

Sally Putt, Pharm. D.Director, LeBauer Cardiology ServicesStudent activities include: CVD Risk Reduction Clinic Pharmacy Consults: Anticoagulation, CHF and Dyslipidemia Experiencing multiple aspect of the collaborative care model in a Cardiology Specialty PracticeCardiology / Ambulatory Care: LeBauer HeartCare

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 counselingAmbulatory Care: Medication Management LLC

Tammy Eckard, PharmDAmbulatory Care: Western Rockingham Family MedicineStudent activities include:

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 volumeMichelle Bozovich, Pharm. D., CPP

Kent Tapscott, PharmD, CPP UNC Preceptor of the Year 2004 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

The AHEC region with >50% of students entering post-graduate training for each of the last 4 years?Charlotte AHECDuke AHECEastern AHECGreensboro AHECMountain AHECSR AHEC Wake AHEC

Comments from Past StudentsI 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 AHECAreas of Clinical StrengthPrimary CareAcute Care Critical Care (NICU)

We hope to see you next year!Please visit our website at www.gahec.org for more information on the pharmacy education department

Greensboro AHEC

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