Advanced Practice Pharmacy Clerkships: Ambulatory Care 741
Location: UW Carbone Cancer Center.
- Patient population: Students interact with patients being seen at the Carbone Cancer Center. Students will be exposed to lung, head and neck, breast, gynecologic, gastrointestinal, genitourinary, skin, hematologic cancers and bone marrow transplant.
- Student role: Students have multiple responsibilities within the oncology clinic. For one, students are responsible for seeing patients in the infusion center and ensuring appropriate supportive care medications are available and refilled prior to the patient discharging. On average, students will manage at least 30 infusion center patients daily. While on rotation, students will interact with oncology clinic pharmacists, residents, nursing and providers. Students will work with clinic pharmacists to appropriately manage and follow-up on patient treatment regimens, supportive care therapies, immunization screening and administration, and service the daily needs of oncology clinics. Additionally, students will participate in disease-state presentations, grand rounds and topic discussions.
- Unique student opportunities: As mentioned above, students are responsible for seeing patients in the infusion area to ensure appropriate supportive care therapies are available to the patient at discharge. Students also interact closely with clinic providers; clinical trials; gain exposure to hospice care patients; and build great relationships with faculty, residents and nursing staff.
- Typical hours: 7:30am-4pm, Monday to Friday
- Weekend flexibility: No
Primary Care Clinic (also includes Northeast and 1102 S. Park)
- Location: Variable (see below for details).
- Patient population: Adult primary care patients throughout UW Health. Pharmacists provide telephonic post-discharge, follow-up care for high-risk patients, provide appropriate care management of hypertension and lipids cases in cardiovascular risk patients and complete face-to-face encounters when patients are referred to them by members of the care team.
- Student role:
- The student will be expected to participate in the same activities as the primary care pharmacist during the course of this rotation. Students will spend time at approximately 2-4 clinics acting directly as the provider, under a delegation protocol, to adjust medications as needed through pharmacy-run hypertension office visits. Furthermore, students will participate in comprehensive medication reviews, adherence visits, statin screenings and post-discharge medication reconciliation for complex patients.
- Opportunities for interprofessional work are vast on-site and through the electronic health record by creating evidence-based recommendations and answering drug information questions from physicians and advanced practice providers. Lastly, students will participate in weekly topic discussions and guideline reviews on a variety of pharmacotherapy topics with other students and site preceptors. Students choosing this rotation should expect to improve on written and verbal communication skills.
- Students are assigned to one of the listed primary care pharmacists for the duration of the block and will follow the preceptor's schedule across the assigned clinic locations. Students should expect to travel to at least two different locations per week and are responsible for providing their own transportation. Therefore, it is highly recommended that students choosing this APPE have their own vehicle. Parking is available at most clinics. UW Health Clinic locations where students may rotate include, but are not limited to the following: Verona, West Towne, Fitchburg, Oregon, University Station, Union Corners, Odana, East, Northeast, Yahara, West and 1102 S. Park. Students should also expect to spend time at the UW Health Pharmacy Services Building in Middleton.
- Expected Outcomes:
- Know and understand potential medication therapy problems that are examined upon chart review of a patient
- Know and understand current guidelines for the management of diabetes, hypertension, hyperlipidemia, asthma, geriatric syndromes and immunizations
- Perform medication therapy chart reviews on patients, present findings and develop patient-centered medication recommendations
- Know and understand how to accurately and concisely document both for provider and internal follow-up
- Know and understand appropriate follow-up of prior recommendations, including sending prescriptions, ordering labs, communicating changes with patient and contacting prescriber
- Typical hours: 8 hours per day to be completed between 8am-5pm, Monday to Friday
- Weekend flexibility: No