Detailed Site Information
Institution
Park Nicollet Methodist Hospital is a 426-bed facility with more than 3,700 employees and 1,000 physicians on its medical staff. The hospital is recognized as an area leader in cancer care, cardiovascular services and neurology medicine.
Institutional Mission Statement and Vision
Everyone caring, every day, creating with the individuals we serve optimal health and greater value. The mission and vision of Park Nicollet Methodist Hospital rest solidly on our values: Excellence, Caring, Stewardship, Joy and Learning.
Pharmacy Services
Methodist Hospital Pharmacy offers a wide range of services for inpatients, outpatients and emergency patients. Decentralized pharmacists, clinical pharmacy specialists and staff pharmacists work directly with patients and various health care professionals to promote patient safety and improve outcomes through effective, efficient, appropriate, safe and cost-effective medication use.
Inpatient pharmacy services employs over 50 staff pharmacists, clinical specialists and managers, as well as 35 support personnel. Throughout our four unique APPE experiences students have the opportunity to interact directly with more than 25 staff members who are dedicated to facilitating unique learning experiences in the fields of nutrition support, anticoagulation services, operating room pharmacy, interventional radiology, cardiology, general medicine, orthopedics, neurology and oncology services.
Professionalism and Assessment
It’s our intention that Methodist Hospital be a good backdrop for educational and professional development. To accomplish this it is vital that students maintain respect for patients, preceptors, Methodist Hospital staff and their fellow colleagues.
A formal performance assessment will occur twice throughout each APPE. Evaluation is necessary to identify the student's strengths, identify performance areas requiring modification, and to identify individual learning needs for the remainder of the experience. All rotation preceptors are involved in the grading process. Prior to the mid and final evaluations, individual critiques will be collected from the group and grading will reflect their input.
Resources
Workspace and computer/internet access are available on site. Students are also encouraged to utilize the computer access equipped medical library located across the hall from the inpatient pharmacy.
A refrigerator and microwave oven are available for student use. Lunch will be taken either during a scheduled conference or in the hospital cafeteria.
Free parking is provided at off site locations a few blocks from the hospital. Shuttle buses run roughly every 5-10 minutes transporting staff, students and patients back and forth between the hospital and designated parking lots.
Acute Care
Primary Preceptor
Anne Marie Schullo-Feulner, Pharm.D., BCPS
Clinical Specialist, Heart & Vascular Center
anne.schullo_feulner@parknicollet.com
952-993-5319
Preceptors
Scott Sash, Pharm.D.
Decentralized Pharmacy Services, General Medicine
Andrew R. Hart, Pharm.D.
Decentralized Pharmacy Services, Cardiac Acute Care
Christiana Otubushin, Pharm.D.
Decentralized Pharmacy Services, Oncology
APPE Structure
This practice experience is optimally designed for two students. Students will spend 4 weeks working on an acute care cardiology unit, 4 weeks on the general medicine unit, 1 week in cardiac interventional radiology and 1 week on the oncology unit.
Approximately 15% of student time will be spent in group learning activities and 20% in one-on-one clinical teaching with preceptors. Approximately 50% of student time will be spent in the self-directed preparation of thorough pharmacotherapeutic assessments and recommendations, and 10% will be project time.
Student Roles and Responsibilities
On a daily basis, students will prepare thorough pharmacotherapeutic assessments and recommendations for assigned patients. Assessments will be developed through chart review (labs, progress notes, etc), direct patient interaction, communication with other health care professionals, and literature review. Assessments and recommendations will be presented to the appropriate preceptor for feedback and approval; once obtained, students will communicate recommendations to the staff and/or patient.
Students will be responsible for preparing and presenting a formal journal club. This exercise (completed and presented by the two acute care students as a group assignment) is designed to help students learn to critically read and evaluate journal articles in the era of evidence based medicine. The presenting students will lead the discussion. Non-presenting students are expected to prepare for discussion by reviewing each article prior to the conference. Participation from the entire group is strongly encouraged.
The student pair will also deliver a formal presentation to the pharmacy staff. This presentation may focus on a clinical topic, disease state or a newly FDA approved medication/indication. The students will present a 40-50 minute power point presentation with 10 minutes allotted for a question/answer session.
Project time will be provided during the APPE schedule for completion of the writing and presenting aspects of the practice experience. Depending on the schedule, each student will have approximately one half-day of project time per 2 week period. Students are expected to be in the library, working with faculty, or working at home on APPE assignments during project time.
Educational Opportunities:
Students will attend and participate in all of the journal clubs and power point presentations facilitated by their peers.
Students will also attend and participate in disease state topic discussions. The discussions are lead approximately weekly by various Methodist Hospital preceptors throughout the APPE period; the format and formality of the discussions are at the discretion of the facilitating preceptor. The topic discussions require students to review articles and/or chapters prior to attendance.
Students are also invited to attend Methodist Hospital’s family medicine conference over the lunch hour when conference topics are relevant to pharmacy practice.
Other Requirements
There are no additional requirements for entrance into this APPE.
Institutional Practice
Primary Preceptor
Jeffery A. Larson, Pharm.D.
Decentralized Pharmacy Services, Neurology
jeffery.larson@parknicollet.com
Rebekah Roemer, Pharm.D.
Centralized Pharmacy Services
rebekah.roemer@parknicollet.com
Preceptors
Susan Johnson, R.Ph.
Centralized Pharmacy Services and Anticoagulation Clinic
Stefanie Larson, Pharm.D.
Decentralized Pharmacy Services, Ortho/Rehabilitation
Anne Marie Schullo-Feulner, Pharm.D., BCPS
Clinical Specialist, Heart & Vascular Center
Galina Shteyman, Pharm.D.
Centralized & Decentralized Pharmacy Services
Becky Stark, Pharm.D.
Centralized Pharmacy Services and Anticoagulation Clinic
APPE Structure
This rotation is optimally designed for two students. Students will spend time in the following practice areas: centralized pharmacy services – distribution (IV room, floor stock and pyxis), verification and cognitive services, and operating room services; decentralized services – neurology unit, ortho/rehabilitation unit, the cardiac interventional radiology center, and the anticoagulation clinic.
Approximately 10% of student time will be spent in group learning activities. 15% will be spent on the understanding and ability to perform distributive services. 20% of time will be spent practicing cognitive services in the central pharmacy, and 35% of time will be spent on decentralized services. Decentralized service time will be split between self-directed pharmacotherapeutic recommendation preparation, and one-on-one time with preceptors. Approximately 10% of student time will involve observing medical procedures, attending committee meetings, etc and 10% will be project time.
Student Roles and Responsibilities
When working on verification and cognitive services in the centralized pharmacy, preceptors will identify problematic medication orders and assign them to the students. Students will go to their computer space and “work-up” the issue or concern; e.g. is the drug, dose, frequency, etc. appropriate? Assessments will be generated through electronic chart and literature review. Students will then return to the preceptor with a recommendation for proceeding with medication verification.
When working with decentralized services, students will prepare thorough pharmacotherapeutic assessments and recommendations for assigned patients. Assessments will be generated through chart review (labs, progress notes, etc), direct patient interaction and communication with other health care professionals. Assessments and recommendations will be presented to the appropriate preceptor for feedback and approval; once obtained, students will communicate recommendations to the staff and/or patient.
Students will be responsible for preparing and presenting a formal journal club. This exercise (completed and presented by the two institutional practice students as a group assignment) is designed to help students learn to critically read and evaluate journal articles in the era of evidence based medicine. The presenting students will lead the discussion. Non-presenting students are expected to prepare for discussion by reviewing each article prior to the conference. Participation from the entire group is strongly encouraged.
The student pair will also deliver a formal presentation to the pharmacy staff. This presentation may focus on a clinical topic, disease state or a newly FDA approved medication/indication. The students will present a 40-50 minute power point presentation with 10 minutes allotted for a question/answer session.
Project time will be provided during the APPE schedule for completion of the writing and presenting aspects of the practice experience. Depending on the schedule, each student will have approximately one half-day of project time per 1.5 week period. Students are expected to be in the library, working with faculty, or working at home on APPE assignments during project time.
Educational Opportunities
Students will attend and participate in all of the journal clubs and power point presentations facilitated by their peers.
Students will also attend and participate in disease state topic discussions. The discussions are lead approximately weekly by various Methodist Hospital preceptors throughout the APPE period; the format and formality of the discussions are at the discretion of the facilitating preceptor. The topic discussions require students to review articles and/or chapters prior to attendance.
Students are also invited to attend Methodist Hospital’s family medicine conference over the lunch hour when conference topics are relevant to pharmacy practice.
Other Requirements
There are no additional requirements for entrance into this APPE.
Patient Care – Nutrition Support
Primary Preceptor
Jacqueline R. Barber, Pharm.D., FASHP, BCNSP
Clinical Specialist, Nutrition Support
jacqueline.barber@parknicollet.com
952-993-5449
APPE Structure
This rotation is optimally designed for two students. Students will spend the 5-week practice experience working with the nutrition support program at Methodist Hospital. The program is a hospital-wide consult service and will expose students to many different patient care areas. Students will have the opportunity to interact with physicians, dietitians, pharmacy and nursing staff, and IV therapy nurses.
Approximately 10% of student time will be spent in group learning activities and 40% in one-on-one clinical teaching with preceptors. Approximately 50% of student time will be spent performing patient assessments, preparing total parenteral nutrition (TPN) recommendations and providing follow-up care with preceptor.
Student Roles and Responsibilities
On a daily basis, students will prepare thorough TPN assessments and recommendations for assigned patients. Assessments will be generated through chart review (labs, progress notes, etc), direct patient interaction when appropriate, communication with other health care professionals, and literature review. Assessments and recommendations will be presented to Dr. Barber for feedback and approval; once obtained, students will initiate the appropriate documentation and communicate recommendations to the staff as directed.
Students will round on patients daily with Dr. Barber to review TPN orders, make recommendations and/or write orders, and initiate consults on new patients as requested by staff physicians, or as they are started on specialized parenteral nutrition support. The students will be directly involved in these activities to provide consults, recommendations, and follow-up management for the in-house TPN and possibly home infusion patients. Our in-patient load is manageable at 8-15 TPN patients on the average. Home infusion census varies.
Educational Opportunities
As the schedule permits, nutrition support students will attend and participate in journal clubs and/or power point presentations facilitated by their peers. If attending a journal club, nutrition support students are expected to prepare for discussion by reviewing the article prior to the conference. Participation from the entire group is strongly encouraged.
Students may also attend and participate in disease state topic discussions. Discussions are lead by various Methodist Hospital pharmacy preceptors throughout the APPE period; the format and formality of the discussions are at the discretion of the facilitating preceptor. The topic discussions require students to review articles and/or chapters prior to attendance.
Attendance at group learning conferences will be at the discretion of Dr. Barber. Students should verify their availability to attend several days in advance of the group learning conference, as they will be responsible for the material/s presented.
Other Requirements
Satisfactory completion of Phar 6157 – Human Nutrition and Drug Therapy.
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