Detailed Site Information
Institution
The St. Cloud VA Medical Center is a JCAHO accredited health care institution providing inpatient and outpatient care including medicine, psychiatry, long term care and specialty care. The St. Cloud VA Medical Center is located in Central Minnesota on 218 acres of wooded grounds on the banks of the Sauk River. Sixty-five miles northwest of the Twin Cities of Minneapolis and St. Paul, the City of St. Cloud and immediate suburbs have a population more than 250,000. Construction of the medical center began in 1923. The medical center delivers care to more than 32,000 unique patients in the upper Midwest region. Areas of care include primary medical and mental health care, acute psychiatry services, and extended care services. Specialty outpatient services offered include gastroenterology, audiology, optometry, dental, podiatry, laboratory, and radiology. In addition, the medical center provides a number of special emphasis services including residential and outpatient substance abuse programs, a Post Traumatic Stress Disorder (PTSD) Treatment Program, a Psychosocial Residential Rehabilitation Treatment Program (PRRTP), a Dual Diagnosis Residential Rehabilitation Treatment Program (DRRTP), outpatient programming for serious mental illness, vocational rehabilitation, adult day health care, home based primary care, rehabilitation, and ventilator care.
Institutional Mission Statement and Vision
- Mission: St. Cloud VA Medical Center exists to honor America's Veterans by providing exceptional health care that improves their health and well-being.
- Vision: St. Cloud VA Medical Center will be a patient-centered, integrated health care system for veterans, providing excellent health care research and education, an organization where people choose to work; an active community partner and a backup for national emergencies.
- Key Business Drivers:Our key business drivers are quality, financial integrity, patient satisfaction, and employee satisfaction.
- Values: We value trust, respect, commitment, compassion, and excellence.
Pharmacy Services
The Clinical Pharmacy Program at the St. Cloud VA has gradually evolved to one of the most advanced in the United States. Medication management services with collaborative prescribing are provided by approximately twelve clinical pharmacists to thousands of patients annually. Automation includes provider order entry, completely computerized medical record, bar code medication dispensing and administration, and automated dispensing cabinets.
Professionalism and Assessment
As outlined in the APPE manual and Objectives for each APPE Experience Type. An informal performance assessment is completed at the midpoint of the rotation to allow the student to gauge their progress. Final grading is completed with the input of all preceptors involved in the rotation.
Resources
The worksite is primarily an office in a clinic setting. Adequate support materials are provided including work space, break areas, free parking, library and internet access. Hours are 8:00 AM to 4:30 PM, Monday through Friday. No on-call responsibilities. Parking is free; you may park in the Visitors lot on the first day and will be directed where to park thereafter. Attire should be professional, and include your lab coat. You should bring your VA identification badge; if you don’t have one please bring your U of MN COP identification badge. A locked office will be provided for a small amount of personal belongings. There is a cafeteria and a retail store onsite where you can purchase lunch and snacks; most employees pack a lunch from home and eat in the pharmacy break room. .
Ambulatory Care
Primary Preceptor
J.D. Anderson, Pharm.D., BCPS, BC-ADM, CDE
Clinical Pharmacist, Ambulatory Care
ander569@umn.edu
Jennifer Lamberg, Pharm.D., BCPS
Clinical Pharmacist, Ambulatory Care
jennifer.lamberg@med.va.gov
Preceptors
Aimee Wieland, Pharm.D.
Laura Cunningham, Pharm.D.
Tom Zaske, Pharm.D.
Melissa Lamoureaux, Pharm.D.
Jaclynn Chin, Pharm.D.
APPE Structure
Pharmaceutical care is provided for patients in a family practice/internal medicine clinic. This will include observation and later supervised provision of direct patient care of patients referred for management of anticoagulation, hypertension, hyperlipidemia, diabetes and occasionally other drug related issues. Group clinics will also be included. The care provided is generally in a 1-on-1, traditional office visit setting. Approximately 80% of the work week is devoted to observation or participation of patient care, which includes preparing for daily clinics, documentation of said care, and clinical discussions with the preceptors. The other 20% of the work week is spent on assigned projects and drug information activities.
Student Roles and Responsibilities
On-site activities will include observation, patient interview and assessment, interaction with other members of the health care team, care planning including drug regimen adjustment, laboratory review and ordering, follow-up decisions, and documentation into the medical record (progress notes, encounter forms). Clinic workload is about 10-15 patients daily, and the student will prospectively review each patient chart prior to the clinic visit. The student is expected to participate with all patients in some capacity, and progress to provision of supervised direct care for a minimum of 4 patients daily.
Each student will have 2 written/presentation responsibilities for the 5-week rotation. In week 3, they will present a brief, informal topic presentation to the pharmacy staff on any subject related to modern health care. Length of the presentation is 10-15 minutes and there are no formal requirements to satisfy this objective, other than obtaining approval for the chosen topic from the primary preceptor. In week 5, they will present a more formal case presentation in the Pharmaceutical Care Case Presentation format. This should be approximately 20-25 minutes in length and be presented via PowerPoint. Again, approval of the subject matter by the primary preceptor needs to be obtained.
Educational Opportunities:
Students may have several group learning opportunities during their rotation block. A student networking session and lunch and learn are typically scheduled for all pharmacy students in the region once per block. The St. Cloud hospital often hosts a Grand Rounds noon conference to which the student will be invited. On-site at the St. Cloud VA, the pharmacy department has a weekly Pharmacy Forum on Wednesdays to serve as an informal means to share knowledge or facilitate discussion of pharmacy topics. Topic discussions with the preceptors will be held weekly in the core subject areas listed above. Committee meetings, diabetes education, and professional organization meetings can also be attended as negotiated.
Other Requirements
Please email the primary preceptor about one week prior to your start date. You will then be prompted to send the Learner Background Form and CV (if available) prior to your start date.
Patient Care - Ambulatory Care Elective
Primary Preceptor
J.D. Anderson, Pharm.D., BCPS, BC-ADM, CDE
Clinical Pharmacist, Ambulatory Care
ander569@umn.edu
Jennifer Lamberg, Pharm.D., BCPS
Clinical Pharmacist, Ambulatory Care
jennifer.lamberg@med.va.gov
Preceptors
Aimee Wieland, Pharm.D.
Laura Cunningham, Pharm.D.
Tom Zaske, Pharm.D.
Melissa Lamoureaux, Pharm.D.
Jaclynn Chin, Pharm.D.
APPE Structure
Pharmaceutical care is provided for patients in a family practice/internal medicine clinic. This will include observation and later supervised provision of direct patient care of patients referred for management of anticoagulation, hypertension, hyperlipidemia, diabetes and occasionally other drug related issues. Group clinics will also be included. The care provided is generally in a 1-on-1, traditional office visit setting. Approximately 80% of the work week is devoted to observation or participation of patient care, which includes preparing for daily clinics, documentation of said care, and clinical discussions with the preceptors. The other 20% of the work week is spent on assigned projects and drug information activities.
Student Roles and Responsibilities
On-site activities will include observation, patient interview and assessment, interaction with other members of the health care team, care planning including drug regimen adjustment, laboratory review and ordering, follow-up decisions, and documentation into the medical record (progress notes, encounter forms). Clinic workload is about 10-15 patients daily, and the student will prospectively review each patient chart prior to the clinic visit. The student is expected to participate with all patients in some capacity, and progress to provision of supervised direct care for a minimum of 4 patients daily.
Each student will have 2 written/presentation responsibilities for the 5-week rotation. In week 3, they will present a brief, informal topic presentation to the pharmacy staff on any subject related to modern health care. Length of the presentation is 10-15 minutes and there are no formal requirements to satisfy this objective, other than obtaining approval for the chosen topic from the primary preceptor. In week 5, they will present a more formal case presentation in the Pharmaceutical Care Case Presentation format. This should be approximately 20-25 minutes in length and be presented via PowerPoint. Again, approval of the subject matter by the primary preceptor needs to be obtained.
Educational Opportunities:
Students may have several group learning opportunities during their rotation block. A student networking session and lunch and learn are typically scheduled for all pharmacy students in the region once per block. The St. Cloud hospital often hosts a Grand Rounds noon conference to which the student will be invited. On-site at the St. Cloud VA, the pharmacy department has a weekly Pharmacy Forum on Wednesdays to serve as an informal means to share knowledge or facilitate discussion of pharmacy topics. Topic discussions with the preceptors will be held weekly in the core subject areas listed above. Committee meetings, diabetes education, and professional organization meetings can also be attended as negotiated.
Other Requirements
Please email the primary preceptor about one week prior to your start date. You will then be prompted to send the Learner Background Form and CV (if available) prior to your start date.
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