Detailed Site Information
Institution
Over the past 9 years, Fairview Pharmacy Services has provided medication therapy management to over 7000 patients and has resolved more than 26,000 drug therapy problems. We currently have 10 practitioners and 13 practice sites.
Fairview Health Services is a not-for-profit, integrated healthcare network serving Minneapolis-St. Paul, as well as communities throughout greater Minnesota and the Upper Midwest. Our continuum of services brings continuity of care through our academic teaching hospital—which includes the region’s most comprehensive children’s hospital—six community hospitals, 36 primary care and 55 specialty clinics, home care and hospice services, rehabilitation services, as well as inpatient and retail pharmacies.
Institutional Mission Statement and Vision
Fairview's mission is to improve the health of the communities we serve. We commit our skills and resources to the benefit of the whole person by providing the finest in health care while addressing the physical, emotional and spiritual needs of individuals and their families. We further pledge to support the research and education efforts of our partner, the University of Minnesota, and its tradition of excellence.
Pharmacy Services
Fairview Pharmacy Services provides inpatient care in seven hospital settings, and ambulatory care in clinic-based retail sites, compounding pharmacy, oncology pharmacy, neighborhood pharmacies, home infusion pharmacy, medication therapy management, wholesale pharmacy and specialty pharmacy.
Fairview Pharmacy Services also provides prescription benefit management solutions through their PBM, Clearscript.
Professionalism and Assessment
Due to the high amount of interaction with preceptors, performance feedback is given constantly. Due to the highly interactive nature of these rotations, professional appearance, an enthusiastic demeanor and punctuality are mandatory. Absenteeism and tardiness may result in increased assignments and will affect the final grade. Students are expected to call if they are absent on a given day.
A formal performance assessment will occur twice throughout each 10-week APPE. All direct preceptors will be involved in the grading process.
Resources
Workspace and computer/internet access are available on site. Each site is equipped with a refridgerator and microwave.
There are no on-call, evening or weekend responsibilities. The student is responsible for his or her own transportation. Fairview Clinics offer free on-site parking, with the exception of the U of MN Primary Care Center. Daily, there is seldom travel required between clinics.
Computer training is required for students participating in these rotations. Training is held at the Kasota location the first Monday of the rotation. A pharmaceutical care clerkship manual, developed in conjunction with the Peters Institute of Pharmaceutical Care, is available to students on the College of Pharmacy website. The clerkship manual is designed to serve as a resource for students to use throughout their clerkship experience, and includes the Case Presentation Format, the Glossary of Terms, and the PWDT, among other resources.
Ambulatory Care/Patient Care
Primary Preceptor
Molly Ekstrand, R.Ph.
Medication Therapy Management Provider
Specialty: Pharmaceutical Care
612-580-5785
Fairvew Crosstown Clinic
6545 France Ave S Suite 150, Edina, 55435
Fairview Northeast Clinic
2849 Johnson Street NE, Minneapolis, 55418
APPE Structure
Students will spend two days per week at Fairview Northeast Clinic and two days per week at Fairview Crosstown Clinic. One day per week will be independent learning time either in or out of the clinic. We see patients in our office or an exam room.
Student Roles and Responsibilities
Students will become more familiar with the pharmaceutical care practice model and practically apply skills learned in the classroom. Students will become comfortable documenting patient encounters and writing summary evaluation notes in the patient’s medical record. Students will research and apply drug and disease state knowledge to real life situations. Students will become comfortable interacting with patients and colleagues.
Learning Activities & Responsibilities:
1. Provide pharmaceutical care to Fairview patients.
a. Observe and conduct patient assessments and follow-up evaluations.
- Research appropriate drug and disease state topics
- Document appropriately using the Assurance software program and EPIC/Allscripts.
- Take blood pressures on patients during clinic visits.
2. Recruitment of patients
- Become familiar with the health plans that Fairview MTM service has contracts with.
- Actively review upcoming provider appointments to see if any eligible patients are coming into clinic and could be also seen by the MTM pharmacist that day.
- If needed, send letter/flyers to eligible patients educating them on the MTM service.
- Communicate to other providers/nurses the opportunity of MTM for eligible patients.
3. Case Presentations/ Topic Reviews.
a. Present four different case presentations using the Pharmaceutical Care - Case Presentation Format (attached).
b. Select 4 topics encountered during the rotation and give a 15-minute presentation on each topic.
4. 5th Day Projects.
- Complete one project each week unless you are preparing for a “Clinical Pearl” presentation. (see blue binder)
- Preceptor may assign a project designed to take up to 8 hours to complete if a day is not required in clinic.
5. Clinical Pearl Presentation
The purpose of the clinical pearl is to bring a disease and/or medication type presentation, a case study, and journal article review for discussion to our pharmaceutical care group. Each group will ideally consist of 4-5 students whom will work together to present the topic. Total presentation time should be approximately one hour. (see attached guideline).
6. Become familiar with evidence-based clinical practice guidelines and apply them to the identification, resolution and prevention of drug therapy problems in the course of caring for patients.
Topics that may be assigned for discussion include:
-Hypertension--JNC VII guidelines (http://www.nhlbi.nih.gov)
-Hyperlipidemia--NCEP III guidelines (http://www.nhlbi.nih.gov)
-Arthritis
-GERD/PUD
-Osteoporosis
-Myocardial Infarction
-Menopause
-Allergic rhinitis
-Depression
-Diabetes (American Diabetic Association)
-Asthma--NIH guidelines (http://www.nhlbi.gov)
7. Additional Responsibilities may include:
- Pre-entering in all new patients into Assurance
- Print and mail out medication lists for patients, include a cover letter and survey for new patients seen.
- Send out follow-up letters to patients who are overdue as seen in Assurance Calendar
- Inactivate patients who have not responded to a follow-up letter
- Work on the unresolved DTP list; documenting the resolution in Assurance.
Educational Opportunities:
Students will attend monthly practitioner meetings that fall within the rotation block. All MTM students will work together to create a clinical pearl to present at a practitioner meeting. Other educational opportunities will vary based upon the site and schedule.
Other Requirements
Pharmacy students who wish to enroll in a Fairview Pharmaceutical Care Advanced Practice Experience in the 2008-2009 academic year will need to meet one of five criterion listed below:
1. Students who have taken Phar 6217 and/or Phar 6230 – Brian Isetts’ “Pharmaceutical Care Clinic” classes, or,
2. Students who have taken Phar 6219 – Amanda Brummel’s “Building a Pharmaceutical Care Practice” class, or,
3. Students who have participated in the Phillips Neighborhood Clinic (PNC) for 6 months or more, or,
4. Students who have evidence of documenting patient care from another educational experience using the Assurance software program, or,
5. An interview with Amanda Brummel or a designated Fairview practitioner for prior approval.
The purpose of these criteria are to ensure that students desiring to participate in this advanced practice experience have a demonstrated interest in pharmaceutical care and come prepared with adequate knowledge of documentation, processes, and information required in such a practice.
|
Return to: College of Pharmacy : Academic Health Center : myU : U of M Home
