Pharmacy Residency - Rotation Description, Geriatrics - Bronson Healthcare

Pharmacy Residency - Rotation Description, Geriatrics

Geriatrics Rotation

Preceptor:        Cynthia Feucht, PharmD, BCPS, CGP

Office:              1701 Gull Road, Kalmazoo, MI  49048

Hours:               Varied

Phone:             (269) 226-5610 (office)   (269)384-9309 (cell)

Email:               Cynthia.feucht@gmail.com

General Description:

Geriatrics is an elective 4 week learning experience at a variety of locations.  The resident will be assigned to the Geriatric Assessment Center three-four days per week and one additional site for the remainder (i.e. CentraCare).  The clinic team will be composed of an attending physician, nurse practitioner, medical assistant, and a social worker.  Other disciplines may work at additional sites including an occupational therapist, physical therapist, physician residents, etc.

The resident is responsible for identifying and resolving medication therapy issues for patients.  The resident will be responsible for medication history reviews, conducting screening assessments, providing patient counseling, & developing patient care plans for each patient within the geriatric assessment clinic.  The resident is responsible for documenting all clinic patient-related interventions via pharmaceutical care notes.  The resident is expected to work collaboratively with the healthcare team, utilizing good communication and interpersonal skills, to improve patient care.  Residents will also be expected to participate in topic discussions and provide an in-service relevant to the clinic.  Additional activities may include drug information provision and assisting with patient assistance programs.

All interventions will be documented in a timely manner by the resident and the preceptor.

Disease States:

Common disease states in which the resident will be expected to gain proficiency through literature review, topic discussion, and/or direct patient care experience may include, but not limited to:

  • Cardiovascular:  heart failure, stroke, hypertension, hyperlipidemia, and anticoagulation
  • Pulmonary:  asthma, COPD, and smoking cessation
  • Infectious Diseases:  bronchitis/sinusitis, pneumonia, urinary tract infections, and immunizations
  • Gastrointestinal:  peptic ulcer disease, GERD
  • Metabolic:  diabetes, thyroid disorders, osteoporosis, vitamin D deficiency
  • Women’s Health:  hormone replacement, urinary incontinence
  • Men’s Health:  benign prostatic hypertrophy, urinary incontinence
  • Neurology:  dementia, Parkinson’s disease, neuropathy
  • Psychiatric:  depression, anxiety disorders, behavioral disorder related to dementia
  • Other:  osteoarthritis, rheumatoid arthritis, insomnia

Goals Selected:

R2.1    As appropriate, establish collaborative professional relationships with members of the health care team

R2.2    Place practice priority on the delivery of patient-centered care

R2.4    Collect and analyze patient information

R2.6    Design evidence-based therapeutic regimens

R2.7    Design evidence-based monitoring plans

R2.8    Recommend or communicate regimens and monitoring plans

R2.10  Evaluate patients’ progress and redesign regimens and monitoring plans

R2.11  Communicate ongoing patient information

R2.12  Document direct patient care activities appropriately

R5.1    Provide effective medication and practice-related education, training, or counseling to patients, caregivers, health care professionals, and the public.

E7.1     Use approaches in all communications that display sensitivity to the cultural and personal characteristics of patients, caregivers & health care colleagues

E7.4     Manage time effectively to fulfill practice responsibilities

Activities

Activity

Goal

Accurately gather, organize, and analyze patient specific information

R2.2

R2.4

R2.10

Meet with preceptor regarding patient centered care

R2.4

R2.6

R2.7

R2.8

R2.10

R2.11

Actively participate in clinic-related patient care activities

R2.1

R2.4

R2.6

R2.7

R2.8

R2.10

R2.11

E7.4

Document interventions in a complete and concise manner

R2.12

Complete medication histories, provide patient counseling & assist with screening as needed within clinic settings

R5.1

E7.1

Actively participate/lead topic discussions

R5.1

 

Preceptor Interaction

Monday-Tuesday (AM):                      Topic discussions/prepare for clinic

Monday-Tuesday (PM):                      Geriatric Assessment Center clinic

Wednesday (AM & PM):                     Geriatric Assessment Center clinic

Thursday (AM & PM):                         Site to be determined

Friday (AM & PM):                              Geriatric Assessment Center or outside site

 

 

 

Day 1              0930                Preceptor to review learning activities, schedules, and                                                 expectations

 Week 1                                    

Resident to participate in clinic activities including medication histories, patient counseling & development of pharmacy care notes.  Resident to observe provision of screening tools within clinic setting.
Week 2                                    
Resident to participate in clinic activities as noted above with less assistance by preceptor (coaching the resident to take on more responsibility as a pharmacist on the team).  Resident to assist with provision of screening tools within the clinic setting.
Week 3-4                                 
Resident to participate in clinic activities as noted above.  Preceptor may attend and observe the resident’s participation in clinic activities, and/or may expect a summary report from the resident regarding clinic activities and recommendations made by the resident.  Preceptor will be available for questions and will follow patients independently to monitor resident skill development in all aspects of the learning experience (facilitating the resident as the pharmacist on the team).

[The length of time the preceptor spends in each of the phases of learning will depend BOTH on the resident’s progressions in the current rotation and where the rotation occurs in the residency program]

 

Evaluation Strategy

ResiTrak will be used for documentation of formal evaluations.  For formative evaluations, the resident will perform the activity appropriate to the snapshot with the preceptor.  Resident and preceptor will then independently complete the snapshot.  After both have signed the evaluation, the resident and preceptor will compare and discuss the evaluations.  This discussion will provide feedback on both their performance of the activity and the accuracy of the self-assessment.

 

What

Snapshot

Who

When

Formative

R2.1.1

Preceptor

End of week 2

Formative Self Evaluation

R2.1.1

Resident

End of week 2

Formative

R2.6.2

Preceptor

End of week 3

Formative Self Evaluation

R2.6.2

Resident

End of week 3

Summative

 

Preceptor

End of week 4

Summative Self Evaluation

 

Resident

End of week 4

Preceptor Evaluation

 

Resident

End of week 4

Learning Experience Evaluation

 

Resident

End of week 4

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