Teaching Manual - Faria
Teaching Manual - Faria
Teaching Manual - Faria
SITE DESCRIPTION :
Saint Joseph Health System (SJHS) is a member of the Trinity Health Network, a not-for--profit Catholic health system. It is one
of the largest multi-institutional Catholic health care delivery systems in the nation. Trinity health mission focuses on serving
together in the spirit of the Gospel as a compassionate and transforming healing presence within the community. Saint Joseph
consists of two acute care hospitals, one rehabilitation institute, independent/assisted/skilled-nursing/rehabilitation centers, and
clinics located throughout North Central Indiana. The Family Medical Center (FMC) and the Family Medicine Faculty
Physicians (FMFP) clinic are located on the fourth floor of the Medical Office Building (MOB), which is connected to Saint
Joseph Regional Medical Center (SJRMC). The Saint Joseph Family Medicine Residency consists of medical residents,
pharmacy residents, podiatry residents, medical directors, and pharmacy directors. These clinics are typically open Monday
through Friday 8 am – 5 pm.
The ambulatory care pharmacists at Saint Joseph Health Systems are responsible for a variety of patient care activities including
This rotation is designed to give learners the opportunity to refine their clinical and patient care skills by working collaboratively
with an interdisciplinary team and in pharmacist-driven clinics.
1. Critique evidence-based guidelines, primary literature and laboratory results to make appropriate therapeutic
recommendations.
2. Appropriately provide written documentation and communication for treatment recommendations, progress and
interventions.
3. Participate and communicate appropriately in an interdisciplinary team to provide patient care.
4. Effectively communicate, interview and counsel patients using motivational interviewing.
5. Demonstrate an understanding of the pathophysiology, treatment, and monitoring of chronic disease states.
6. Illustrate skills finding, evaluating and applying primary literature to assess patient cases, journal clubs, topic
discussion or other projects.
ROTATION EXPECTATIONS
1. General expectations
Prior to arriving on the first day of the rotation:
o Read the rotation manual
o Read the CaoguChek Monitrong Manual and complete associated quiz. Send quiz results to primary
preceptor. (Save file name as : CoaguChek INR_Student Name_Year)
o Register and complete the OutcomesMTM online training
o Sign confidentiality agreement and send to primary preceptor (Save as: Confidentiality
agreement_Student Name_Year)
o Notify the primary preceptor if there are any expected conflicts for the upcoming rotation
o Email the following to the primary preceptor:
Documentation of Current CPR (or BLS) at the time of the student's rotation (Save as:
CPR.BLS_Student Name_Year)
Documentation of a recent 8 panel drug screen (within 12 months from the student's rotation)
(Save as: Drug Screen_Student Name_Year)
Documentation of a criminal background check (Save as: BackgroundCheck_Student
Name_Year)
Documentation of vaccination status including Rubella, Chicken pox, and Hepatitis B (Save
as: Vaccines_Student Name_Year)
Documentation of a recent PPD (within 12 months from the student's rotation) (Save as: PPD
Testing_Student Name_Year)
Documentation of a current season influenza vaccine (Save as: Flu Vaccine_Student
Name_Year)
CoaguChek INR Monitoring Quiz Result (Save as: CoaguChek INR_Student Name_Year)
Confidentiality agreement (Save as: Confidentiality agreement_Student Name_Year)
General expectations
o Participate in rotational activities for a minimum of 40 hours per week
o Arrive to rotation in a timely manner. Clinics typically occur Monday through Friday between 8 AM
and 5 PM, with an hour for lunch.
o May have an additional experience to work in community pharmacy opportunities on one or more
Saturdays between the hours of 8 AM and 1 PM
2. Professionalism
Learner should adhere to professional dress code
Learner should adhere to the policies and procedures of Saint Joseph Health System, including patient
confidentiality
Learner should address any conflicts or request time off within the rotation at least 2 weeks before the first day of
rotation
Learner should display respect and proper mannerism with patients, healthcare team and fellow peers
3. Ambulatory Care Pharmacy Clinic
The student will have the opportunity to work in various ambulatory care pharmacy clinic experiences; however,
the preparation for and role within each clinic should be universal. As such, the student is expected to complete
the following actions before or after attending a clinic:
o Reach out to clinic preceptor 48 hours prior to scheduled clinic to get list of patients to work up and
schedule to discuss and present patients.
o Use appropriate monitoring form to evaluate assigned patients and develop plans.
o Arrive to patient discussions with appropriate materials: patient’s medication list, copy of completed
patient workup form, and assigned laptop.
o During clinic, if the student is not actively leading the interaction, the student should be documenting the
interaction for both subjective and objective information.
o After the clinic, the student should take direction from the clinic preceptor as to which patient
interactions to document. The student should take initiative to set a follow up time with the clinic
preceptor to review the completed documentation.
o At the end of the pharmacy rotation, the student should be able to successfully lead, either partly or
fully, an entire patient interaction.
4. Medical resident clinic
The student will potentially have the opportunity to work alongside the family medicine residents during one-half of
their clinic day.
Complete medication reconciliation using paper printout of the patient's medication list and inform medical
resident and nursing team members of results to update the patient's chart in the electronic health record.
(If applicable), provide medication counseling and education to patients utilizing appropriate patient literature or
demonstration devices
(If applicable), answer drug information questions. Depending on the significance of the question, provide the
answer to the individual who asked AFTER reviewing the answer with the pharmacy preceptor.
Discuss pre-approved (already discussed with pharmacy preceptor) recommendations with medical resident.
Examples of completed presentation and handouts are available on the Google Drive (Student Examples folder)
INITIAL QUESTIONNAIRE
1. What are your future careers plans or area of pharmacy you hope to practice in?
7. What other pertinent information does your preceptor know in order to help you have a successful
rotation?
ORIENTATION CHECKLIST
Introduction of instructor(s), preceptor(s), and other staff members
Facility tour, student work spaces
Collect, review and upload student rotation requirements
o Confidentiality Agreement
o Health Stream online training email confirmation
o Current CPR/BLS documentation
o Documentation of immunizations (rubella, varicella, hepatitis B, influenza)
o Documentation of recent PPD within 12 months from start of rotations
o Criminal background check
o 8 panel drug screen within 12 months from start of rotation
o CoaguChek INR Monitoring Quiz Results
Review student initial questionnaire
Review rotation goals, objectives, and expectations
Discuss dress code and professionalism
Discuss duty hours and time commitment
Discuss process for requesting absences
Review rotation schedule
Review requirements for presentations
o Oral beginning/end of block
o Clinical trial evaluation
o Patient case presentation
o STEPS/formal disease state presentation
Review expectations for experiences
Discuss evaluation process
Discuss computer access and resources
Discuss how to review a chart
Progress note training