Detailed Site Information
Institution
SMDC pharmacy services include: 10 ambulatory clinic pharmacies, decentralized inpatient pharmacy services, infusion pharmacy, investigational pharmacy, and medication therapy management services. There are currently 58 pharmacists throughout the SMDC system. Medication Therapy Management (MTM) services first were offered at the Duluth Clinic internal medicine department in August of 2004. These services were expanded to include the Duluth Clinic-Hermantown in May 2005. Further expansion of MTM services to other clinic pharmacies is planned. The primary site for this APPE will be the Duluth Clinic-internal medicine department.
Institutional Mission Statement and Vision
Mission: SMDC Health System brings the soul and science of healing to the people we serve. Vision: SMDC, as a world-class organization, will be the best place to receive care and the best place to work. Values: we regard all persons with dignity and respect.
Pharmacy Services
SMDC pharmacy services include: 10 ambulatory clinic pharmacies, decentralized inpatient pharmacy services, infusion pharmacy, investigational pharmacy, and medication therapy management services. There are currently 58 pharmacists throughout the SMDC system. Medication Therapy Management (MTM) services first were offered at the Duluth Clinic internal medicine department in August of 2004. These services were expanded to include the Duluth Clinic-Hermantown in May 2005. Further expansion of MTM services to other clinic pharmacies is planned. The primary site for this APPE will be the Duluth Clinic-internal medicine department.
Professionalism and Assessment
As stated above, feedback/assessment is a regular occurrence with the final assessment and grading done at the end of the experience.
An informal mid-point evaluation will occur at approximately 2.5 weeks. This is an opportunity for the student and the preceptor to have a conversation about things that are going well, and things that need to be improved. This will include the preceptor’s review of the student’s ability, and the student’s review of the quality of the educational experience.
The preceptor will evaluate the student based upon the rotation’s objectives and learning responsibilities using the UM College of Pharmacy’s approved evaluation form.
Resources
The student will have access to an office, desk, computer, internet, medical library, lunch room, cafeteria. Parking: ramp Some street parking is available
Ambulatory Care Advanced Pharmacy Practice Experience
Primary Preceptor
Mike Swanoski, PharmD
Clinical Specialist
218-786-1047
mswanosk@smdc.org
Preceptors
A pharmacy practice resident may also assist with precepting duties.
APPE Structure
The student will spend most the their time in the Duluth Clinic Internal Medicine department interacting with patients and providers. The student will also attend weekly Hospice care conferences.
Student Roles and Responsibilities
Learning Activities
Student will participate in all patient care activities under the supervision of the preceptor. These include:
a. Providing pharmaceutical care to patients in internal medicine
i. Including chart review, patient interview, identification of drug therapy problems, making recommendations to provider, and documenting the encounter.
ii. Include follow-up when appropriate.
b. Providing recommendations to improve medication therapy in home care hospice patients
Student will respond to drug information questions in a timely manner, with appropriate resources. A minimum of two drug information questions should be written up in a formal manner including: question, summary of available evidence, conclusion, and references.
Student will write “Pharmacy Questions of the Day” to be reviewed by preceptor and then distributed to internal medicine providers on a weekly basis. These will be due for review by the preceptor every Thursday.
Student will present one educational presentation to fellow health care professionals. Exact date, time and topic will be chosen within the first 2 weeks of the rotation.
Student may also complete “mini-rotations” by spending time with physicians, nurse practitioners, hospice nurses, or other providers as requested.
Student will be expected to read and evaluate assigned journal articles.
Educational Opportunities:
Student will attend weekly journal club meetings and monthly P&T committee meetings. Student may attend other pharmacy or medical department meetings and educational programs as they are scheduled/offered.
Other Requirements
Expectations
- Student will complete required SMDC general orientation within the first week of the rotation.
- Student will complete EPIC chart review training within the first week of the rotation.
- Patient confidentiality is of utmost importance without exceptions. All HIPPA rules will be followed and considered with any patient care activity.
- Rotation schedule is 8AM – 4:30 PM, Monday through Friday. Students may be asked to arrive by 7:00 AM in order to attend administrative meetings.
- Proper clinic dress is required
- Students will enter patient care documentation into EPIC under the supervision of the preceptor.
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