University of Iowa-posted 3 months ago
Iowa City, IA
5,001-10,000 employees

This ambulatory pharmacist will work with other pharmacists in the Pediatric Specialty Clinics (Dermatology, Gastroenterology (GI), Rheumatology, Allergy & Immunology, Neurology, Endocrinology, and Pulmonary), Pediatric Hematology/Oncology clinic, and other Pediatric Specialties to provide pharmacy services to patients. Common disease states this pharmacist could help manage include infantile hemangiomas, Inflammatory Bowel Disease, Juvenile Idiopathic Arthritis, severe asthma, cystic fibrosis, epilepsy, growth hormone deficiency, bone marrow transplant, and leukemia. The pharmacist works collaboratively with the multidisciplinary healthcare team to provide care for patients. They will answer clinical questions about medications, provide education on new therapies and medication devices, coordinate dispensing, as well as medication monitoring and management for patients receiving specialty medications through UI Health Care Specialty Pharmacy Services. Additionally, they may provide clinical guidance on treatment protocols, assist with verifying clinic orders, manage adverse effects of therapy regimens, and assist with clinical management of medications in clinical trials. The pharmacist also serves as a role-model/practitioner-educator for Doctor of Pharmacy students and pharmacy residents and carries out clinical practice responsibilities for the Department of Pharmaceutical Care.

  • Participate in the provision of pharmaceutical care in select clinics
  • Be present in clinics when patients are scheduled to see the pharmacist and when clinical pharmacy services are required
  • Complete a comprehensive patient assessment including medication history, pertinent physical assessment, and assessment of relevant laboratory values, patient interview, and an evaluation of past medical history for appropriate patients
  • Work with physicians, nurses, pharmacists, and other health care providers as a member of the multi-disciplinary team
  • Provide disease state management and medication therapy management services through the use of collaborative practice agreements and protocols
  • Provide in-depth patient medication assessment and education
  • Provide follow-up of therapeutic recommendations through telephone calls and return clinic appointments as appropriate
  • Identify, evaluate, and prevent adverse drug events through appropriate interventions
  • Communicate therapeutic recommendations to the health care provider
  • Document relevant clinical information in electronic medical record
  • Coordinate medication-planning activities including facilitation of prescription writing, patient education, coordination with family members or home health care providers, etc.
  • Collaboratively address financial issues to ensure receipt of needed medications
  • Serve as liaison for ambulatory pharmacy staff regarding patient medication therapy
  • Coordinate therapeutic decision-making when there is a paucity of literature or experience for reference
  • Serve as the primary reference source on new drug therapy advances in the specialized area of practice
  • Provide staffing support to Specialty Pharmacy Services when needed
  • Complete patient follow-up calls to address side-effects/adherence
  • Evaluate patient-specific medication regimens to ensure the appropriateness of the following: indication, correct dose, route of administration, drug-drug, drug-food, drug-lab, or drug-disease state interactions, efficacy of therapy, adherence to therapy, dose adjustments for organ dysfunction, adverse drug reactions, potential drug misuse or abuse, use of the most cost-effective therapy, availability of medications on the UI Health Care Formulary (if applicable)
  • Document all patient care activities performed
  • Follow-up on any medication system problems, such as unclear or inappropriate prescription orders, drug therapy which is not most cost effective, prescription order for non-formulary products, missing or untimely medication doses
  • Carry out, as appropriate, Medication Use Evaluation Program initiatives through active prescriber intervention and education
  • Develop or contribute to the development of protocols related to appropriate prescribing, dispensing and monitoring of medications
  • Provide a leadership role in department or interdisciplinary hospital committees involved with drug therapy issues
  • Complete clinically oriented departmental goals
  • Manage and analyze events related to medication errors – including participation in informal multi-disciplinary sentinel event review teams
  • Interview and evaluate prospective professional pharmacy practitioners
  • Adhere to all department policies and procedures
  • Contribute to the department budgetary process by reviewing, designing, implementing, and monitoring budget initiatives that address hospital wide or unit specific issues
  • Participate with the implementation and monitoring of new programs developed either by the Department or through another means (e.g., P&T Committee)
  • Participate in the rotation with other specialists to support 24-hour, 7-day/week on-call coverage to ambulatory care patients for drug therapy issue problem solving
  • Provide a leadership role in university committees involved with drug therapy
  • Develop and conduct measurement activities that demonstrate Specialty Pharmacy Service value, including adherence and outcome measures
  • Perform quality assurance monitoring of services provided by the UI Health Care Specialty Pharmacy Services
  • Develop educational programs to certify the clinical competence of pharmacists and improve the technician understanding of medical conditions being treated
  • Bachelor of Science degree in Pharmacy or Doctor of Pharmacy Degree
  • Eligibility for or current license by the Iowa Board of Pharmacy Examiners is required prior to start
  • Completion of an ASHP-accredited PGY1 pharmacy practice residency OR 2 years’ experience in a complex multi-disciplinary healthcare environment
  • Excellent written and verbal communication skills are required
  • Job-related experience with and/or commitment to service excellence is required
  • Professional job-related experience fostering or promoting a welcoming and respectful work/academic environment where people of all backgrounds and perspectives feel welcomed and appreciated
  • Willingness and ability to adapt to emerging practices and clinical guidelines in a dynamic healthcare environment
  • Satisfactory completion of an ASHP-accredited PGY2 residency in Ambulatory Care or Pediatrics
  • Employment in an outpatient clinic working with the commonly seen disease states
  • Active board certification in Ambulatory Care or Pediatrics
  • Able to work independently, prioritize multiple stakeholders and tasks, manage details and deliver results in an environment with competing demands
  • Strong interpersonal skills and demonstrated ability to work with others
  • Demonstrated proficiency in medication therapy management, evidence-based practice guidelines, and collaborative practice with healthcare teams
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