St. Cloud VA
Host Site: St. Cloud VA Health Care System
NMS Match Code: 111227
Program Length: 1 year
No. of Positions: 1 per year
Site Coordinator: J.D. Anderson, PharmD,BCPS,CDE
Additional Preceptors: Michelle Anderson, PharmD, CACP; Stephanie Cone, PharmD, BCPS; Carrie Engdahl, PharmD, BCACP; Karen Gallus, PharmD, BCPS; Jennifer Lamberg, PharmD, BCPS; Jessica Trompeter, PharmD, MBA, BCPS, Jana Zeiher, PharmD, BCPS, CDE
Resident: Meet the current resident
The St. Cloud VA Health Care System is a Joint Commission-accredited health care institution providing outpatient care in the areas of internal medicine, psychiatry, cardiology, pulmonology, rheumatology, neurology, nephrology, urology, home care, hematology/oncology, podiatry, ENT, orthopedics, and urgent care. Inpatient care is provided in long-term care, hospice, acute psychiatry, and residential rehabilitation.
Pharmacy Services: Medication Therapy Management and collaborative prescribing are provided by over 20 Clinical Pharmacy Specialists for both outpatients and inpatients via referrals for management of anticoagulation, hypertension, diabetes, pain and palliative care, and other chronic conditions for thousands of patients annually. Automation includes provider order entry, completely computerized medical record, bar code medication dispensing and administration, and automated dispensing cabinets.
Each resident gains exposure to many areas of direct patient care in a team-based setting by providing care via 30-50 patient encounters per week. Our pharmacists have a scope of practice which allows for medications to be started, stopped and adjusted by the pharmacist through provider consults. The resident will work collaboratively with the interprofessional health care team at this site including: physicians, nurse practitioners, physician assistants, psychologists, nurses, dieticians, social workers, front desk staff and pharmacy technicians. Residents will complete concentrated learning experience rotations in the areas of primary care, cardiology, long-term and rehab care, and management.
In our primary care area, the resident will serve as the pharmacist on the Patient Aligned Care Team (PACT). As the PACT pharmacist, the resident will be responsible for meeting with veterans for face-to-face visits, conducting telephone encounters, completing medication consults, responding to drug information questions, and participating in team meetings. Typical disease states encountered include anticoagulation, diabetes, dyslipidemia and hypertension, hypothyroidism, heart failure, and other chronic disease states. In PACT, each appointment is 15-30 minutes in length, during which the resident reviews and reconciles the patient's medications, assesses vital signs, evaluates laboratory results, and formulates a treatment plan. A progress note is entered into the electronic chart for each visit. The resident is also responsible for scheduling appointments, ordering labs, ordering medications and conferring with a provider when questions arise.
Our Community Living Center (CLC) provides a nursing home level of care and a variety of rehabilitation programs. The resident will be exposed to a variety of patients admitted to CLC, including rehab, long-term stay and hospice patients, through interviewing of patients, chart review and consultations from providers. In this area, the pharmacy team is responsible for medication reconciliation on admission, discharge counseling, monthly nursing home chart reviews, pharmacy consult completion, fall reviews, drug information questions, and disease-state management. CLC chart review functions encompass comprehensive MTM reviews of our veterans on a monthly basis. Through chart reviews, the pharmacy resident will gain experience evaluating a variety of geriatric disease states including dementia, Parkinson’s, osteoporosis, BPH and others, as well as learn the management of other chronic disease states in a geriatric population. The resident will be responsible for disease state monitoring in the area of anticoagulation, diabetes, hypertension and vancomycin monitoring. The resident will assist with managing transitions of care between settings through admission medication reconciliation, plus discharge education and outpatient appointment scheduling.
For our practice management experience, the resident will be exposed committee involvement, policy/protocol review and development, medication safety projects, quality improvement projects, population pharmacotherapy, leadership development, organizational learning, and introduction to pharmacy management roles. The resident will be involved in the medication error committee and the P& T Committee. The resident will complete a performance improvement project and medication use evaluation.
Education and teaching experiences are provided through regular presentations of journal club, topic review, and case presentation opportunities to our pharmacy staff. During the second half of the residency, each resident will provide preceptorship for APPE students. A longitudinal residency project will be completed throughout the residency year.
Traditional pharmacy staffing duties will be expected approximately one day of every 2 weeks, in many of our care areas, depending on the rotation and the learning needs of the resident. The resident will also have 2 days of residency time each block to work on projects, drug information questions, presentations and other assignments.
J.D. Anderson, PharmD, BC-ADM, BCPS, CDE is the Chief of Pharmacy at the Saint Cloud VA Health Care System, a role in which he’s served since 2016. From 2004-2011, he was a Clinical Pharmacy Specialist in the facility’s outpatient clinics, and he served as Associate Chief of Pharmacy from 2011-2016. He is a graduate of the University of Minnesota College of Pharmacy in 2000 and completed a residency in Paynesville, MN through the University of Minnesota Ambulatory Care Residency Program in 2001. Dr. Anderson manages a department of 70 full-time equivalents and oversees pharmacy services across the facility, in the areas of primary care, extended care, mental health, and surgery. He is a past recipient of the University of Minnesota College of Pharmacy’s Student Preceptor of the Year and Minnesota Pharmacists Association (MPhA) Innovative Pharmacy Practice Awards.
Jennifer Lamberg, Pharm.D., BCPS is a Clinical Pharmacy Specialist at the Saint Cloud VA Health Care System. She is a graduate of the University of Minnesota College of Pharmacy in 2002 and completed a residency in Paynesville, MN through the University of Minnesota Ambulatory Care Residency Program in 2003. Dr. Lamberg provides patient care in a Patient Centered Medical Home setting and serves as a primary preceptor for pharmacy students and residents.
Stephanie Cone, Pharm.D., BCPS is a Clinical Pharmacy Specialist at the St. Cloud VA Health Care System, and was our first residency graduate in 2006. She is a graduate of South Dakota State University College of Pharmacy. Dr. Cone provides patient care in a Patient Centered Medical Home setting and serves as a preceptor for pharmacy students and residents.
Jana Zeiher, Pharm.D., BCPS, CDE is a Clinical Pharmacy Specialist at the Saint Cloud VA Health Care System. She is a graduate of the South Dakota State University College of Pharmacy and completed a residency in Paynesville, MN through the University of Minnesota Pharmaceutical Care Residency Program. Dr. Zeiher provides patient care in a Patient Centered Medical Home setting and assists with treating patients with Hepatitis C. She serves as a preceptor for pharmacy students and residents.
Karen Gallus, Pharm.D., BCPS is a Clinical Pharmacy Specialist at the Saint Cloud VA Health Care System. She is a graduate of the University of Minnesota College of Pharmacy and completed the Pharmaceutical Care Leadership Residency at the University of Minnesota. After her residency, she worked at Midwestern University in Glendale, Arizona as an assistant professor in the pharmacy practice department. Karen has worked at the St. Cloud VA since 2010 and provides patient care in the Extended Care and Rehab service at the St. Cloud VA. She also precepts a geriatric elective APPE for pharmacy students.
Jessica Trompeter, Pharm.D., MBA, BCPS, is Associate Chief of Pharmacy at the Saint Cloud VA Health Care System. She is a graduate of the Bernard J. Dunn School of Pharmacy at Shenandoah University. She completed a PGY1 Pharmacy Practice residency at Valley Health Care System and completed a PGY2 residency in Primary Care at Amherst Family Practice in Winchester, VA. After residency completion, she was an Assistant Professor at Shenandoah University in the Pharmacy Practice department and Division of Physician Assistant Studies. Jessica has worked at the St. Cloud VA since 2012 and previously provided patient care in the Extended Care and Rehab service at the St. Cloud VA. She oversees the Educational experience in the residency program and assists with direct precepting on an as needed basis.
Michelle Anderson, Pharm D, BCACP is the Anticoagulation Program Manager at the Saint Cloud VA Health Care System. She is a graduate of South Dakota State University College of Pharmacy. She completed a PGY1 Pharmacy Practice residency at the Sioux Falls VA Health Care System. She also obtained a teaching certificate through South Dakota State University and served as an Adjunct Clinical Instructor for the College of Pharmacy. Michelle has worked at the St. Cloud VA since 2014 and provides patient care in a variety of areas within the pharmacy department. Dr. Anderson serves as a preceptor for residents and pharmacy students.
Carrie Engdahl, Pharm.D., BCACP is a Clinical Pharmacy Specialist at the Saint Cloud VA Health Care System. She graduated from South Dakota State University College of Pharmacy in 2012 and completed a PGY-1 residency at Black Hills VA Health Care System in 2013. After residency, she worked as a Clinical Pharmacy Specialist at the Sioux Falls VA Health Care System. Carrie has been working at the St. Cloud VA since 2015 and provides patient care in the Cardiology service.