South Jordan Clinic I
(PGY1 Rotation - Ambulatory Care)
Eve VanWagoner, PharmD
Kelsee Geurts, PharmD
Pharmacy Primary Care Services/ Clinic/Patient-Care Activity
The South Jordan Health Center Pharmacy is a moderate volume (approximately 350 prescriptions per day) pharmacy that primarily services the patients and employees of the University of Utah Health System.
Learning Experience Description:
The resident will be oriented to the operations of the pharmacy primary care services at the rotation site. The resident will be involved in the provision of medication compliance management as well as patient-centered services via the use of multiple collaborative practice agreements including, but not limited to, diabetes, hypertension, hyperlipidemia, asthma, and smoking cessation. The resident will actively manage chronic disease states and communicate this care with the patient and the other healthcare providers. Throughout this experience, the resident will be in contact with physicians, nurses, medical assistants, care managers, social workers, dieticians, and other clinical pharmacists.
|Goal R1.1||In collaboration with the health care team, provide safe and effective patient care to a diverse range of patients, including those with multiple co-morbidities, high-risk medication regimens, and multiple medications following a consistent patient care process.|
|Goal R1.2||Ensure continuity of care during patient transitions between care settings|
|Goal R3.1||Demonstrate leadership skills|
|Goal R4.1||Provide effective medication and practice-related education to patients, caregivers, health care professionals, students, and the public (individuals and groups)|
|Objective Number (Level of Learning Required) & Description||Methods||Rotation Activities|
|OBJ R1.1.1: (Applying) Interact effectively with health care teams to manage patients’ medication therapy.||Modeling, Coaching, Facilitation||Care management meetings, joint office visits with other providers, communicating plans, offering recommendations|
|OBJ R1.1.2: (Applying) Interact effectively with patients, family members, and caregivers.||Modeling, Coaching, Facilitation||Medication compliance and collaborative practice agreement office visits, coordinating transitions of care, follow-up phones call with patients after initial office visits|
|OBJ R1.1.3: (Analyzing) Collect information on which to base safe and effective medication therapy.||Coaching, Facilitation||Formulating patient care plans, providing physician drug information in-service, patient cases|
|OBJ R1.1.5: (Creating) Design or redesign safe and effective patient-centered therapeutic regimens and monitoring plans (care plans).||Coaching, Facilitation||Patient work ups and follow up plans with regimens and monitoring|
|OBJ R1.1.7: (Applying) Document direct patient care activities appropriately in the medical record or where appropriate.||Coaching, Facilitation||Recording office visits and follow up phone calls in patient EMR with preceptor oversight|
|OBJ R1.2.1 (Applying) Manage transitions of care effectively||Modeling, Coaching, Facilitation||Coordinating transitions of care with centralized pharmacy team, physicians, social workers, and care managers through office visit and/or phone calls|
|OBJ R3.1.2 (Applying) Apply a process of on-going self-evaluation and personal performance improvement||Feedback||Daily/Midpoint/Final wrap-up discussions with precepting pharmacist, PharmAcademic self-evaluations, rotation journal|
|OBJ R4.1.2 (Applying) Use effective presentation and teaching skills to deliver education||Modeling, Coaching, Facilitation||Provider in-service (if scheduled), initial collaborative practice or education office appointments with patient in pharmacy or with providers|
Be familiar with the common disease states found in primary care. These include, but are not limited to, diabetes, hyperlipidemia, hypertension, asthma and smoking cessation.
- 2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults Report From the Panel Members Appointed to the Eighth Joint National Committee (JNC 8). JAMA. 2014; 311(5):507-520. doi:10.1001/jama.2013.284427. . On the web at: jama.jamanetwork.com/article.aspx?articleid=1791497
- National Asthma Education and Prevention Program Expert Panel Report 3: guidelines for the diagnosis and management of asthma. NIH Publication Number 08-5846. October 2007. On the web at: www.nhlbi.nih.gov/guidelines/asthma/asthsumm.htm
- Standards of Medical Care in Diabetes—2016. Diabetes Care. January 2016 38:S1-S93; doi: 10.2337/dc15-S003.On the web at care.diabetesjournals.org/content/suppl/2016/12/23/38
- 2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults. A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. On the web at: circ.ahajournals.org/content/early/2013/11/11/01.cir.0000437738.63853.7a.full.pdf
Typical Daily Activities:
The resident will average 5 days per week in clinical patient-care activities. The resident is expected to work toward developing autonomy in managing this service and will be viewed as a team member from the start of the residency. While in clinic, the resident will be responsible for all of the duties associated with the Pharmacy Primary Care Services including patient identification, patient scheduling, preparing for patient visits, seeing patients, documenting patient encounters and patient follow-ups.
The resident will receive informal face-to-face evaluations on almost a daily basis. This will ensure that progress is made each day in clinic. Formal evaluations will be documented in PharmAcademic™. The resident will complete a mid-point and final self-evaluation as well as evaluations of both the preceptor and the learning experience. The preceptor will also complete a mid-point and final evaluation of the resident.
Updated November 2016