Pharmacy Residency - Rotation Description, Geriatrics
Geriatrics Rotation
Preceptor: Cynthia Feucht, PharmD, BCPS, CGP
Office: 1701 Gull Road, Kalamazoo, 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
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Activity
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Goal
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Accurately gather, organize, and analyze patient specific information
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R2.2
R2.4
R2.10
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Meet with preceptor regarding patient centered care
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R2.4
R2.6
R2.7
R2.8
R2.10
R2.11
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Actively participate in clinic-related patient care activities
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R2.1
R2.4
R2.6
R2.7
R2.8
R2.10
R2.11
E7.4
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Document interventions in a complete and concise manner
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R2.12
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Complete medication histories, provide patient counseling & assist with screening as needed within clinic settings
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R5.1
E7.1
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Actively participate/lead topic discussions
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R5.1
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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.
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What
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Snapshot
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Who
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When
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Formative
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R2.1.1
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Preceptor
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End of week 2
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Formative Self Evaluation
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R2.1.1
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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
|
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Summative Self Evaluation
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|
Resident
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End of week 4
|
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Preceptor Evaluation
|
|
Resident
|
End of week 4
|
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Learning Experience Evaluation
|
|
Resident
|
End of week 4
|
