Clinical Pharmacy Specialist: Primary Care - Internal Medicine Clinic Pharmacist - IRL

This outpatient pharmacy specialist works in the Internal Medicine clinic based at the Iowa River Landing (IRL) medical campus. The specialist works collaboratively with the multidisciplinary healthcare team to provide care for patients in the Internal Medicine clinic. They also follow patients in a pharmacist-run clinic under a Collaborative Practice including but not limited to, Anticoagulation, Type 2 Diabetes, Hypertension, Hormone Replacement Therapy, and HIV pre-exposure prophylaxis (PrEP). The specialist also serves as a role-model/practitioner-educator for Doctor of Pharmacy students and pharmacy residents and carries out clinical practice responsibilities for the Department of Pharmaceutical Care.

Position Responsibilities

Patient Care – Participate in the provision of pharmaceutical care in select clinics

• Be present in clinics when patients are scheduled to see the clinical pharmacist and when clinical pharmacy services are required
• Work with physicians, nurses, pharmacists, and other health care providers as a member of the multi-disciplinary team
• Provide disease state management and medication therapy management services through the use of collaborative practice agreements and protocols
• Complete a comprehensive patient assessment including medication history, pertinent physical assessment, and assessment of relevant laboratory values, patient interview, and an evaluation of past medical history for appropriate patients
• Provide in-depth patient medication assessment and education
• Evaluate patient-specific medication regimens to ensure the appropriateness of the following:
  • Indication
  • Correct dose
  • Route of administration
  • Drug-drug, drug-food, drug-lab, or drug-disease state interactions
  • Efficacy of therapy
  • Adherence to therapy
  • Dose adjustments for organ dysfunction
  • Adverse drug reactions
  • Potential drug misuse or abuse
  • Use of the most cost-effective therapy
  • Availability of medications on the UI Health Care Formulary (if applicable)
• Identify, evaluate, and prevent adverse drug events through appropriate interventions
• Communicate therapeutic recommendations to the health care provider
• Provide follow-up of therapeutic recommendations through telephone calls, virtual visits, and return clinic appointments as appropriate
• Complete patient follow-up to address side-effects/adherence
• Document relevant clinical information in the electronic medical record
• Coordinate medication-planning activities including facilitation of prescription writing, patient education, coordination with family members or home health care providers, etc.
• Collaboratively address financial issues to ensure receipt of needed medications
• Provide drug information and education to health care professionals
• Serve as liaison for ambulatory pharmacy staff regarding patient medication therapy

Residency Training and Student Teaching Programs

• Develop goals and objectives for pharmacy residency programs and Doctor of Pharmacy advanced pharmacy practice and introductory pharmacy practice experiences
• Prepare and administer pharmacy student and / or resident rotation evaluations
• Participate in the formal experiential training and didactic teaching required to conduct the pharmacy residency programs and Doctor of Pharmacy advanced pharmac