Clinical Pharmacy Specialist: Primary Care - Internal Medicine and LGBTQ Clinic Pharmacist, IRL

University of Iowa•Iowa City, IA

4d•Onsite

About The Position

This outpatient pharmacy specialist works in the Internal Medicine and LGBTQ clinics based at the Iowa River Landing (IRL) medical campus. The specialist works collaboratively with the multidisciplinary healthcare team to provide care for patients in the Internal Medicine and LGBTQ clinic. In addition, they follow patients in a pharmacist-run clinic under a Collaborative Practice, including but not limited to, Anticoagulation, Type 2 Diabetes, Hypertension, and HIV pre-exposure prophylaxis (PrEP). The specialist will serve as the primary pharmacy specialist for the Tuesday evening LGBTQ clinic. The specialist will be a role-model/practitioner-educator for Doctor of Pharmacy students and pharmacy residents and carry out clinical practice responsibilities for the Department of Pharmaceutical Care.

Requirements

A Bachelor of Science degree in Pharmacy or Doctor of Pharmacy degree is required
Eligibility for or current license by the Iowa Board of Pharmacy Examiners is required
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 welcome and appreciated; or demonstrated the ability to do so.

Nice To Haves

Satisfactory completion of an ASHP-accredited PGY2 residency in Ambulatory Care is highly desirable
Outpatient clinic experience working with Primary Care and LGBTQ patient populations is highly desirable
Active board certification in Ambulatory Care or Pharmacotherapy is highly desirable
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

Responsibilities

Participate in the provision of pharmaceutical care in select clinics
Be present in clinics when patients are scheduled to see the clinical pharmacist and when clinical pharmacy services are required
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
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
Provide in-depth patient medication assessment and education
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)
Identify, evaluate, and prevent adverse drug events through appropriate interventions
Communicate therapeutic recommendations to the health care provider
Provide follow-up of therapeutic recommendations through telephone calls, virtual visits, and return clinic appointments as appropriate
Complete patient follow-up to address side-effects/adherence
Document relevant clinical information in the 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
Provide drug information and education to health care professionals
Serve as liaison for ambulatory pharmacy staff regarding patient medication therapy
Develop goals and objectives for pharmacy residency programs and Doctor of Pharmacy advanced pharmacy practice and introductory pharmacy practice experiences
Prepare and administer pharmacy student and / or resident rotation evaluations
Participate in the formal experiential training and didactic teaching required to conduct the pharmacy residency programs and Doctor of Pharmacy advanced pharmacy practice and introductory pharmacy practice experiences
Participate in recruiting activities for pharmacy residency programs
Provide daily communication and follow-up to other clinical pharmacists, pharmacy areas, and other health care professionals as needed
Provide in-service education to pharmacists as needed
Provide in-service education to members of the health care team as needed
Assist physicians, nurses, health care team members, and patients with medication questions, medication access and continuity of care issues
Documentation of patient care activities: Clinical services and patient care activities in the electronic medical record, Patient assessment and therapeutic plan recommendations, Medication errors into standard reporting system, Adverse drug reactions into standard reporting system, Patient allergies and height/weight information as needed, Medication counseling provided to patients, Interventions with prescribers and other health care providers, Clinic and follow-up telephone encounters, Others as required
Develop and provide new department clinical service initiatives, which may require any or all of the following: Participate in the rotation, shared by Ambulatory Pharmacy Specialists, of 24-hour, 7-day/week on-call coverage to ambulatory care patients for drug therapy issue problem solving, 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, Develop or contribute to the development of drug information resources such as pocket cards and practice guidelines that are distributed hospital wide to foster cost effective, rational prescribing, Design, implement, and coordinate development of the clinical components of the pharmacy or hospital-wide information systems
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
Identify and resolve significant/highly unusual patient drug therapy problems
Develop and coordinate completion of clinically oriented departmental goals
Develop policies, procedures, and clinical reference documents relevant to the clinical applications of new therapies
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)
Provide a leadership role in university committees involved with drug therapy
Develop and conduct measurement activities that demonstrate Pharmacy Service value, including adherence and outcome measures
Prepare and administer evaluations assessing the clinical skills of professional staff
Perform quality assurance monitoring of services provided by the Department of Pharmaceutical Care
Develop educational programs to certify the clinical competence of pharmacists and improve the technician understanding of medical conditions being treated
Conduct research in area of expertise and present/publish results at professional meetings or in professional journals
Consistently demonstrate the WECARE Values and Service Excellence culture of UI Health Care
Complete and maintain compliance with all competencies and educational requirements.