St. Cloud VA Medical Center
Vital Site Stats
Host Site: St. Cloud VA Medical Center |
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Organization:
The St. Cloud VA Medical Center is an accredited health care institution providing inpatient and outpatient care including medicine, psychiatry, long term care and specialty care. Primary providers include board certified internists, psychiatrists, a rheumatologist, family practitioners, a urologist, an oncologist, and nurse practitioners. Pharmaceutical care and collaborative prescribing is provided for patients in the center's clinic via referrals for drug therapy management of anticoagulation, hypertension, dyslipidemia, diabetes, schizophrenia, and other chronic conditions.
Pharmacy Services:
The Pharmacy 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.
Resident’s Educational Experience:
On Monday and Tuesday mornings, the resident sees approximately 6 patients. Each appointment is 20 minutes in which to review and reconcile the patient's medications, assess vital signs, evaluate laboratory results, and formulate a treatment plan. A progress note is entered into the electronic chart for each visit. The resident is also responsible for scheduling appointments, renewing medications, and conferring with providers regarding new prescriptions. Time outside of clinic is devoted to projects such as the research project, preparing for clinic the next day, researching drug information questions, etc. The resident attends a diabetes group clinic on Wednesday mornings. The group is designed to informally discuss diet, exercise, and medications related to diabetes. It consists of 4-6 patients with diabetes, a dietitian, a case manager, and a clinical pharmacist. On Wednesday afternoons, the resident works on the residency project, presentations, case presentations, etc. The resident is in clinic all day Thursdays and Fridays seeing 10-16 patients per day. The resident attends various meetings such as the Medical Executive Board (MEB) meetings, Pharmacist's meetings, VA conference calls, etc. The resident helps precept pharmacy students in the latter part of the residency year.
Site Coordinator:
Richard L. Stambaugh, PharmD, M.S., BCPS serves as Clinical Pharmacy Coordinator at the Saint Cloud VA Medical Center, and Regional Education Coordinator for the University of Minnesota. He is a graduate of the University of Minnesota (B.S. and PharmD), University of Iowa (M.S.), and Iowa City VA Medical Center residency. Stambaugh provides patient care in clinics and extended care beds. He facilitates the education of pharmacists, residents, and students. Stambaugh has held varied clinical and management positions. One of his most rewarding jobs to date was as a volunteer with VA mobile unit teams after Hurricane Katrina in September, 2005, providing assessments, interim medications, and collaborative medication management.
Additional Preceptors:
Jennifer Lamberg, PharmD, BCPS is a Clinical Pharmacist at the Saint Cloud VA Medical Center. She is a graduate of the University of Minnesota College of Pharmacy and completed a residency in Paynesville, MN through the University of Minnesota Pharmaceutical Care Residency Program. Dr. Lamberg provides patient care in an ambulatory care setting and serves as a primary preceptor for pharmacy students and residents.
J.D. Anderson, PharmD, BC-ADM, BCPS, CDE is a Clinical Pharmacist at the Saint Cloud VA Medical Center. He is a graduate of the University of Minnesota College of Pharmacy and completed a residency in Paynesville, MN through the University of Minnesota Pharmaceutical Care Residency Program. Dr. Anderson provides patient care in an ambulatory care setting and serves as a primary preceptor for pharmacy students and residents.