The Clinical Pharmacy Specialist (CPS) serves in comprehensive medication management (CMM) needs for patients as a Clinical Pharmacist Practitioner (CPP). The CPP functions as the custodian, distributor, and consultant for pharmaceutical agents and adjunct therapy, including their national uses and appropriate administration. Clinical Specialty Practice-Patient Care Skills: Interfaces with physicians in the design of the veteran's treatment regimen. Collaboratively works in the assigned clinic area under a scope of practice designing comprehensive medication management for patients. Serves as an authoritative information source on drugs and their utilization in therapy. Evaluates the drug literature by analysis of experimental design and methodology, to compare therapeutic regimens and roles for new drugs. Designs dosage regimens for current pharmacokinetics principles and specific patient parameters. From a verbal or written patient presentation of signs, symptoms, laboratory tests and diagnoses, recognize and list important medical problems, disease states, symptoms, or abnormal laboratory values, which may necessitate altering the therapeutic regimen. Establish and expand the patient database through interpreting the drug history, medical history, physical examination, and progress notes. Designs a therapeutic regimen or plan, based on patient-specific information, which includes establishing a therapeutic endpoint, selecting an appropriate drug and related therapy and establishing an appropriate dosage regimen. Monitors and assesses therapeutic and adverse effects of drug therapy (including drug interactions)through selection and evaluation of physical and laboratory parameters. Administrative: Receives and completes pharmacy consults timely. Perform administrative duties required for performance measures or improvement activities, compliance with accrediting organizations, or other duties as assigned. Submits return to clinic (RTC) orders as clinically indicated. Works with other services to explore, organize, and implement interdisciplinary programs to enhance patient care. Assists in the training of new pharmacy staff. Performs other duties as assigned.