APPE Experience Types
Patient Care (Pediatrics & Neonatology)

Address
345 N. Smith Ave
St. Paul, MN 55102

Phone
651 220-6962

Main contact
Paul Jensen, PharmD    
Clinical Coordinator-Surgical Services

Main Preceptor

Paul Jensen, PharmD    

Clinical Coordinator-Surgical Services

Email

Phone
651 220-6809 

Teaching Philosophy

Students are taught in a decentral clinical pharmacist model.  Teaching is both by example, 1:1 instruction and through rounds and presentations.

 The student will be responsible for all aspects of pharmaceutical care of assigned patients.  The student will act under the supervision of decentral pharmacists and the preceptor and should discuss therapy recommendations with the decentral pharmacist before offering the recommendations.

 The student shall be responsible for attending all pre-arranged one-on-one rounds and discussions with the preceptor concerning the pharmaceutical care of critically ill children.

Attendance at pharmacy educational lectures, discussions, journal club, and pharmaceutical care rounds, and hospital grand rounds is required.  The student shall also attend at least two educational conferences per week through the Medical Education department. The student will also be required to give two presentations: one formal case with disease review (PowerPoint), and one article for journal club.  The target audiences for these presentations will be other students, preceptors, and staff pharmacists.

Detailed Site Information

Institution
Children's Hospitals and Clinics of Minnesota champions the special needs of children and their families in the Twin Cities, greater Minnesota, and the region.  Children from premature newborns to adolescents receive family-centered medical and surgical care ranging from pediatric specialty services for critical care to community clinics.

Children’s Hospitals and Clinics of Minnesota is the sixth-largest children’s health care organization in the U.S., with 326-staffed beds at its two hospital campuses in St. Paul and Minneapolis. An independent, not-for-profit health care system, Children’s of Minnesota provides care through over 13,000 inpatient visits and more than 200,000 emergency room and other outpatient visits each year.

Children’s of Minnesota offers a full range of pediatric specialty services, critical care, and clinics serving premature infants through older teens. While of Children’s of Minnesota serves thousands of the Midwest region’s sick children each year, the organization also strives to keep children well and to prevent illness and injury.  Children’s of Minnesota also includes Children’s of Minnesota – West, an outpatient surgery, diagnostic, and rehabilitation center in Minnetonka; Children’s of Minnesota – Roseville, an outpatient rehabilitation center in Roseville; and Children’s of Minnesota – Woodwinds, pediatric specialty clinics at the Woodwinds Health Campus in Woodbury. Children’s Hospitals and Clinics of Minnesota can be found online at www.childrensmn.org.

Children’s of Minnesota – Minneapolis is a 133-bed pediatric specialty hospital in Minneapolis, Minnesota.  Children from throughout the region receive specialized pediatric care here, including services in cancer treatment, critical care, neonatal intensive care, respiratory care, pediatric surgery, and many other specialties.  Helicopter transport is available for intensive care patients from throughout the region.  Outpatient services here include the general medicine clinic, emergency department, rehabilitation services, and many specialty clinics.

Institutional Mission Statement and Vision

Our Mission
We champion the special health needs of children and their families. We are committed to improving children's health by providing high-quality, family centered pediatric services. We advance these efforts through research and education.

Our vision is to become one of the nation's best pediatric providers, accessible to all children.

Pharmacy Services
The pharmacy department at Children's of Minnesota – St. Paul employs an enthusiastic and motivated staff of approximately 25 pharmacists (including staff, clinical leaders, and managers) and 20 support personnel. The department emphasizes a decentralized approach to providing clinical services.

Clinical services include participation in daily multidisciplinary patient care rounds, responding to medical emergencies, pharmacokinetic dosing, opiate weans, drug information and providing pharmaceutical care.  A comprehensive centralized distribution system supports clinical services.  It offers unit dose and IV admixture services.  Computers support all aspects of clinical, distribution, and management services.

Professionalism and Assessment
Students are expected to operate with the highest degree of professionalism, integrity, and patient confidentiality. 

The student will be provided ongoing feedback as needed or requested.  A final evaluation and grade will be provided at the end of the clerkship.  The grade will be based, in part, on subjective assessment of the student's clinical performance, professionalism, drug knowledge, autonomy, lecture performance, impact on pharmaceutical care, diligence, and expected level of performance.

Resources
Students are provided a work area with desk space, computers, and access to patient data.  Free parking is available in employee parking lots.  A refrigerator, freezer, and microwave are available for food storage and preparation.  A cafeteria is available for eating.  Students also have access to the Children’s biomedical library and the United Hospital biomedical library.

Patient Care - Neonatalogy

APPE Structure
Students will spend nearly all of their time in the neonatal intensive care unit.  Some time will be spent researching and reading to increase the student’s knowledge base and to prepare for presentations.

Goals and Objectives

1. To become familiar with common neonatal diagnoses and appropriate drug therapy for these patients.
2.  To become familiar with supportive care used in the neonate.
3. To review specific drug-related problems in critically ill neonates.
4. To participate in drug-related clinical decisions.
5. To participate in multidisciplinary patient care rounds.
6. To assist providers, nurses, patients/families, and other health care personnel by providing pharmaceutical care for this patient population.

Student Roles and Responsibilities
The student will be responsible for all aspects of pharmaceutical care of assigned patients (e.g., chart review; interaction with other health care providers and, occasionally, parents of patients).  The student will act under the supervision of decentralized pharmacists and the preceptor and should discuss therapy recommendations with the decentralized pharmacist before offering the recommendations.  The student will also be responsible for presenting one journal club review and a formal patient case and disease review.

Educational Opportunities
Attendance at pharmacy educational lectures, discussions, journal club, and pharmaceutical care rounds, and hospital grand rounds is required.  The student shall also attend at least two educational conferences per week through the Medical Education department. The student will also be required to give two presentations: one formal case with disease review (PowerPoint), and one article for journal club.  The target audiences for these presentations will be other students, preceptors, and staff pharmacists.

Other Requirements
A telephone interview is required before registering for this rotation. Please contact Amy Knipple, PharmD via email:  amy.knipple@childrensmn.org

Patient Care - Pediatrics

Preceptors
Amy Sporer, PharmD

Information same as above for Neonatalogy.

Other Requirements
None