Learning Experiences
Orientation
Preceptor: Jonathan Hughes, PharmD, BCACP
The Orientation rotation is a required experience at Ascension Saint Thomas. During the month of July, the PGY2 resident will staff the Pharmacotherapy Clinic at the Saint Louise Family Medicine Center to master the fundamental patient care skills necessary to function more autonomously as the year progresses.
The Orientation rotation is a required experience at Ascension Saint Thomas. During the month of July, the PGY2 resident will staff the Pharmacotherapy Clinic at the Saint Louise Family Medicine Center to master the fundamental patient care skills necessary to function more autonomously as the year progresses.
Family Medicine
Preceptor: Jonathan Hughes, PharmD, BCACP
The Family Medicine rotation is a required longitudinal experience at the Saint Louise Family Medicine Center. The clinic is a family practice setting composed of attendings, medical residents, nurse practitioners, nurses, medical assistants, and a social worker. Clinical pharmacy services began in 2015 with expansion to full-time clinical services in 2017. The clinical pharmacy specialist at Saint Louise provides comprehensive medication management (CMM), patient/ caregiver counseling and education, as well as drug information to other members of the healthcare team. The PGY2 Ambulatory Care resident will be responsible for the management of the Pharmacotherapy Clinic once a week longitudinally for 9 months, or three out of four quarters. This will usually entail the care of 15-20 scheduled clinic patients through a mixture of face-to-face and telehealth modalities. While running clinic, the resident will also be responsible for precepting other residents and students on rotation through layered learning.
The Family Medicine rotation is a required longitudinal experience at the Saint Louise Family Medicine Center. The clinic is a family practice setting composed of attendings, medical residents, nurse practitioners, nurses, medical assistants, and a social worker. Clinical pharmacy services began in 2015 with expansion to full-time clinical services in 2017. The clinical pharmacy specialist at Saint Louise provides comprehensive medication management (CMM), patient/ caregiver counseling and education, as well as drug information to other members of the healthcare team. The PGY2 Ambulatory Care resident will be responsible for the management of the Pharmacotherapy Clinic once a week longitudinally for 9 months, or three out of four quarters. This will usually entail the care of 15-20 scheduled clinic patients through a mixture of face-to-face and telehealth modalities. While running clinic, the resident will also be responsible for precepting other residents and students on rotation through layered learning.
Family Medicine II - Focus on Underserved Populations
Preceptor: Kelsea Woolfolk, PharmD, BCACP
The Family Medicine II rotation is a required one-month experience at the Ascension Medical Group McMinnville Family Medicine Clinic and Pharmacotherapy Clinic. The McMinnville Family Medicine Clinic is composed of physicians, nurse practitioners, physician assistants, nurses, medical assistants, and a certified diabetes education/dietician and serves a rural population with limited access to healthcare services. The Pharmacotherapy Clinic is attached to the Ascension Saint Thomas Riverpark Hospital and focuses on specialty medications, chronic disease state management and transitions of care. The PGY2 Ambulatory Care resident will develop and monitor pharmaceutical care plans for patients with chronic conditions referred by other providers via either face-to-face or telehealth modalities. The resident will assess the need for patient education, teaching/reinforcement of appropriate medical devices and techniques, initiate/titrate/taper medications. The resident may also be responsible for precepting students on rotation through layered learning.
The Family Medicine II rotation is a required one-month experience at the Ascension Medical Group McMinnville Family Medicine Clinic and Pharmacotherapy Clinic. The McMinnville Family Medicine Clinic is composed of physicians, nurse practitioners, physician assistants, nurses, medical assistants, and a certified diabetes education/dietician and serves a rural population with limited access to healthcare services. The Pharmacotherapy Clinic is attached to the Ascension Saint Thomas Riverpark Hospital and focuses on specialty medications, chronic disease state management and transitions of care. The PGY2 Ambulatory Care resident will develop and monitor pharmaceutical care plans for patients with chronic conditions referred by other providers via either face-to-face or telehealth modalities. The resident will assess the need for patient education, teaching/reinforcement of appropriate medical devices and techniques, initiate/titrate/taper medications. The resident may also be responsible for precepting students on rotation through layered learning.
Family Medicine II - Focus on Underserved Populations
Preceptor: Kelsea Woolfolk, PharmD, BCACP
The Family Medicine II rotation is a required one-month experience at the Ascension Medical Group McMinnville Family Medicine Clinic and Pharmacotherapy Clinic. The McMinnville Family Medicine Clinic is composed of physicians, nurse practitioners, physician assistants, nurses, medical assistants, and a certified diabetes education/dietician and serves a rural population with limited access to healthcare services. The Pharmacotherapy Clinic is attached to the Ascension Saint Thomas Riverpark Hospital and focuses on specialty medications, chronic disease state management and transitions of care. The PGY2 Ambulatory Care resident will develop and monitor pharmaceutical care plans for patients with chronic conditions referred by other providers via either face-to-face or telehealth modalities. The resident will assess the need for patient education, teaching/reinforcement of appropriate medical devices and techniques, initiate/titrate/taper medications. The resident may also be responsible for precepting students on rotation through layered learning.
The Family Medicine II rotation is a required one-month experience at the Ascension Medical Group McMinnville Family Medicine Clinic and Pharmacotherapy Clinic. The McMinnville Family Medicine Clinic is composed of physicians, nurse practitioners, physician assistants, nurses, medical assistants, and a certified diabetes education/dietician and serves a rural population with limited access to healthcare services. The Pharmacotherapy Clinic is attached to the Ascension Saint Thomas Riverpark Hospital and focuses on specialty medications, chronic disease state management and transitions of care. The PGY2 Ambulatory Care resident will develop and monitor pharmaceutical care plans for patients with chronic conditions referred by other providers via either face-to-face or telehealth modalities. The resident will assess the need for patient education, teaching/reinforcement of appropriate medical devices and techniques, initiate/titrate/taper medications. The resident may also be responsible for precepting students on rotation through layered learning.
Outpatient Internal Medicine
Preceptor: Rebecca Hopper, BSPharm, PharmD, BCACP, BCADM, CDE
The Internal Medicine rotation is a required month-long experience at Ascension Medical Group Nashville . The clinic is an internal medicine practice setting composed of physicians, nurse practitioners, nurses, medical assistants, and a social worker. Clinical pharmacy services began in 2016. The PGY2 Ambulatory Care resident will develop and monitor pharmaceutical care plans to patients with chronic conditions referred by physicians via either face-to-face or telehealth modalities. The resident will assess the need for patient education, teaching and reinforcement of appropriate medical devices and techniques, and initiate, titrate and taper medications. The resident may also be responsible for precepting students on rotation through layered learning.
The Internal Medicine rotation is a required month-long experience at Ascension Medical Group Nashville . The clinic is an internal medicine practice setting composed of physicians, nurse practitioners, nurses, medical assistants, and a social worker. Clinical pharmacy services began in 2016. The PGY2 Ambulatory Care resident will develop and monitor pharmaceutical care plans to patients with chronic conditions referred by physicians via either face-to-face or telehealth modalities. The resident will assess the need for patient education, teaching and reinforcement of appropriate medical devices and techniques, and initiate, titrate and taper medications. The resident may also be responsible for precepting students on rotation through layered learning.
Anticoagulation
Preceptor: Kelley Baxter, PharmD; Chris Larkin, PharmD; Michelle Wilcox, PharmD
The Anticoagulation rotation is an elective experience at the Anticoagulation Monitoring Clinic (AMC) at Ascension Saint Thomas Hospital West. The clinic was established in 2001 and is operated by three core clinical pharmacists who are specialized in anticoagulation. The clinic is a referral-based monitoring program for any Ascension-affiliated provider. The pharmacists have a collaborative practice agreement with a medical director who oversees the operations of the clinic and evaluates all patient visits. The pharmacists provide 15-30 minute appointments for patients on warfarin that include the following: INR testing via POC machine, obtaining vitals, interviewing the patient, and adjusting the warfarin dose when appropriate, and scheduling appropriate follow-up. If a patient is new to the clinic, the pharmacists will complete a comprehensive education counseling session at the first visit. The pharmacists also provide detailed enoxaparin or fondaparinux bridging plans for high risk patients with subtherapeutic INRs or who require warfarin to be held for procedures and have a high thromboembolic risk. In the case of periprocedural bridges, the pharmacists communicate with other healthcare providers (surgeons, referring physicians, etc.) to coordinate care plans as well as obtain the appropriate labs required for safely dosing the parenteral anticoagulants (i.e. SCr, PLT).
The Anticoagulation rotation is an elective experience at the Anticoagulation Monitoring Clinic (AMC) at Ascension Saint Thomas Hospital West. The clinic was established in 2001 and is operated by three core clinical pharmacists who are specialized in anticoagulation. The clinic is a referral-based monitoring program for any Ascension-affiliated provider. The pharmacists have a collaborative practice agreement with a medical director who oversees the operations of the clinic and evaluates all patient visits. The pharmacists provide 15-30 minute appointments for patients on warfarin that include the following: INR testing via POC machine, obtaining vitals, interviewing the patient, and adjusting the warfarin dose when appropriate, and scheduling appropriate follow-up. If a patient is new to the clinic, the pharmacists will complete a comprehensive education counseling session at the first visit. The pharmacists also provide detailed enoxaparin or fondaparinux bridging plans for high risk patients with subtherapeutic INRs or who require warfarin to be held for procedures and have a high thromboembolic risk. In the case of periprocedural bridges, the pharmacists communicate with other healthcare providers (surgeons, referring physicians, etc.) to coordinate care plans as well as obtain the appropriate labs required for safely dosing the parenteral anticoagulants (i.e. SCr, PLT).
Resident-Managed Clinic
Preceptor: Jonathan Hughes, PharmD, BCACP
The Resident-Managed Clinic rotation is a required 9-month experience within Ascension Medical Group Tennessee. This experience will equip the resident with the skills needed to develop and manage their own independent ambulatory care pharmacy practice. In pursuing the dual goal of both expanding clinical pharmacy services within Ascension Medical Group Tennessee, as well as providing ambulatory care residents real-life experience in developing their own practice, the PGY2 resident will be responsible developing a new clinical pharmacy service at their assigned practice site. This will include:
The Resident-Managed Clinic rotation is a required 9-month experience within Ascension Medical Group Tennessee. This experience will equip the resident with the skills needed to develop and manage their own independent ambulatory care pharmacy practice. In pursuing the dual goal of both expanding clinical pharmacy services within Ascension Medical Group Tennessee, as well as providing ambulatory care residents real-life experience in developing their own practice, the PGY2 resident will be responsible developing a new clinical pharmacy service at their assigned practice site. This will include:
- Development of relationship with a supervising physician and collaborating providers.
- Construction of a patient panel through referrals from practice clinicians and direct recruitment.
- Provision of comprehensive medication management services to referred patients.
- Support of the practice in quality initiatives and other population health activities.
- Service to practice clinicians as a drug information expert.
Outpatient Antimicrobial Stewardship
Preceptor: Ben Turner, PharmD, BCPS, BCIDP
The Outpatient Antimicrobial Stewardship rotation is a required longitudinal experience at Ascension Saint Thomas Rutherford Hospital. The PGY2 Ambulatory Care resident will be responsible for identifying opportunities to improve antimicrobial prescribing within Ascension Medical Group Tennessee and collecting data necessary to demonstrate the opportunity. Based on the findings, the resident will design and implement a targeted process to improve antimicrobial prescribing at the practice site. The resident will also provide antimicrobial stewardship (AMS) education to patients and providers. Additionally, the resident will work with the Ascension Medical Group (AMG) quality team on AMS related projects and initiatives.
The Outpatient Antimicrobial Stewardship rotation is a required longitudinal experience at Ascension Saint Thomas Rutherford Hospital. The PGY2 Ambulatory Care resident will be responsible for identifying opportunities to improve antimicrobial prescribing within Ascension Medical Group Tennessee and collecting data necessary to demonstrate the opportunity. Based on the findings, the resident will design and implement a targeted process to improve antimicrobial prescribing at the practice site. The resident will also provide antimicrobial stewardship (AMS) education to patients and providers. Additionally, the resident will work with the Ascension Medical Group (AMG) quality team on AMS related projects and initiatives.
Scholarship and Teaching
Preceptor: Tavajay Campbell, PharmD, BCACP
The Scholarship and Teaching rotation is a required learning experience in coordination with Belmont University College of Pharmacy. The PGY2 Ambulatory Care resident will be responsible for writing a review article, leading family medicine journal club, providing an inservice during Family Medicine didactics, and presenting a continuing education session.
The Scholarship and Teaching rotation is a required learning experience in coordination with Belmont University College of Pharmacy. The PGY2 Ambulatory Care resident will be responsible for writing a review article, leading family medicine journal club, providing an inservice during Family Medicine didactics, and presenting a continuing education session.
Research
Preceptor: Joel Marrs, Pharm.D., M.P.H., BCACP, BCCP, BCPS
The Research rotation is a required longitudinal learning experience at Ascension Saint Thomas. The resident will identify a scholarly question related to clinical practice, education, or healthcare useful to the health system, related to ambulatory care, and can be completed within the PGY2 year. The resident will be assigned a research mentor, who will work with the resident to design a research project and analyze findings. The resident will have opportunities to present their research at a national pharmacy conference (either ACCP or ASHP), the MidSouth Regional Pharmacy Resident Conference, and the Ascension Virtual Pharmacy Resident Research Conference. Finally, the project will be summarized in a manuscript suitable for submission to a peer-reviewed journal.
The Research rotation is a required longitudinal learning experience at Ascension Saint Thomas. The resident will identify a scholarly question related to clinical practice, education, or healthcare useful to the health system, related to ambulatory care, and can be completed within the PGY2 year. The resident will be assigned a research mentor, who will work with the resident to design a research project and analyze findings. The resident will have opportunities to present their research at a national pharmacy conference (either ACCP or ASHP), the MidSouth Regional Pharmacy Resident Conference, and the Ascension Virtual Pharmacy Resident Research Conference. Finally, the project will be summarized in a manuscript suitable for submission to a peer-reviewed journal.
Specialty Pharmacy Clinic
Preceptor: Lindsey Russell, PharmD, BCACP
The Specialty Pharmacy Clinic rotation is an elective one-month experience at the Ascension Medical Group Nashville location. Gastroenterology and Rheumatology are specialized services offered within the Ascension Medical Group practice by physicians, nurse practitioners and a clinical specialty pharmacist. Patients are referred for gastroenterology and rheumatology services by providers from both within and outside of the Ascension network. Patient load varies by provider. Specialty services provided by the clinical pharmacist average between 10 to 15 referrals per day with an average of five new patient referrals per day. The PGY2 Ambulatory Care resident will develop and monitor pharmaceutical care plans for patients with gastrointestinal and rheumatological conditions requiring the use of a specialty medication referred by other providers. The resident will assess the need for patient education, teaching/reinforcement of appropriate medical devices and techniques, initiate/titrate/taper medications. The resident may also be responsible for precepting students on rotation through layered learning. The resident will be required to attend the monthly Inflammatory sub-group meeting and will be asked to participate in a topic discussion covering one specific disease within each of the following disease states: Gastroenterology, Endocrinology, and Rheumatology.
The Specialty Pharmacy Clinic rotation is an elective one-month experience at the Ascension Medical Group Nashville location. Gastroenterology and Rheumatology are specialized services offered within the Ascension Medical Group practice by physicians, nurse practitioners and a clinical specialty pharmacist. Patients are referred for gastroenterology and rheumatology services by providers from both within and outside of the Ascension network. Patient load varies by provider. Specialty services provided by the clinical pharmacist average between 10 to 15 referrals per day with an average of five new patient referrals per day. The PGY2 Ambulatory Care resident will develop and monitor pharmaceutical care plans for patients with gastrointestinal and rheumatological conditions requiring the use of a specialty medication referred by other providers. The resident will assess the need for patient education, teaching/reinforcement of appropriate medical devices and techniques, initiate/titrate/taper medications. The resident may also be responsible for precepting students on rotation through layered learning. The resident will be required to attend the monthly Inflammatory sub-group meeting and will be asked to participate in a topic discussion covering one specific disease within each of the following disease states: Gastroenterology, Endocrinology, and Rheumatology.
Heart Failure
Preceptor: Jonathan Hughes, PharmD, BCACP; Desiree Tabor, FNP-BC
The Heart Failure rotation is an elective learning experience at Ascension Saint Thomas Heart Clinic located in Murfreesboro, Tennessee. This rotation will equip the Ambulatory Care resident with the foundational clinical skills required to manage patients with heart failure in a primary care setting by providing a focused learning experience in the care of such patients. Further, the experience will provide the resident familiarity with advanced modalities and therapeutics available to the patients with refractory disease.
The Heart Failure rotation is an elective learning experience at Ascension Saint Thomas Heart Clinic located in Murfreesboro, Tennessee. This rotation will equip the Ambulatory Care resident with the foundational clinical skills required to manage patients with heart failure in a primary care setting by providing a focused learning experience in the care of such patients. Further, the experience will provide the resident familiarity with advanced modalities and therapeutics available to the patients with refractory disease.
Academia
Preceptor: Joel Marrs, Pharm.D., M.P.H., BCACP, BCCP, BCPS
The Academia rotation is an elective experience with a faculty member affiliated with Ascension Medical Group. The PGY2 Ambulatory Care resident will be responsible for participation in the faculty member's service commitments, assisting the faculty member with one of the courses they direct, facilitating Introductory and Advanced Pharmacy Practice Experiences weekly, conducting topic discussion for APPE rotation students, and provide one presentation/ lecture. Additionally, the resident will participate in clinical activities with the preceptor as directed.
The Academia rotation is an elective experience with a faculty member affiliated with Ascension Medical Group. The PGY2 Ambulatory Care resident will be responsible for participation in the faculty member's service commitments, assisting the faculty member with one of the courses they direct, facilitating Introductory and Advanced Pharmacy Practice Experiences weekly, conducting topic discussion for APPE rotation students, and provide one presentation/ lecture. Additionally, the resident will participate in clinical activities with the preceptor as directed.
Outpatient Mental Health
Preceptor: Kym Kuhns, APN
The Outpatient Mental Health rotation is an elective experience at AMG Family Health Center West and AMG Bellevue. The elective opportunity affords the resident to observe and when appropriate provide under supervision mental health clinical services in an integrated primary care environment.
The Outpatient Mental Health rotation is an elective experience at AMG Family Health Center West and AMG Bellevue. The elective opportunity affords the resident to observe and when appropriate provide under supervision mental health clinical services in an integrated primary care environment.
Pain Management
Preceptor: Claire Brandt, PharmD, BCPS
The Pain Management rotation is an elective experience at the VA Tennessee Valley Healthcare System. The Regional referral Pain Clinic at VA Tennessee Valley Healthcare System provides specialty pain management services for more than 80,000 veterans enrolled in middle Tennessee. Veterans are referred from their primary care providers (PCP) to provide expert evaluation and treatment options for veteran’s struggling with persistent pain. The resident will participate in two distinct types of clinical care during this learning experience. Our interdisciplinary comprehensive pain clinic is a secondary referral clinic for our most complex cases where veterans are seen jointly by a pain physician, pain pharmacist, and pain psychologist and this clinic sees a few scheduled patients once per week. The pain pharmacotherapy clinic is a high-risk clinic and a secondary referral clinic utilized by our pain providers when veterans require more frequent clinic visits and monitoring. Both clinics will be supported by the resident and provide unique experience in the complex care of high-risk patients. The resident will participate in the care of pain patients in the outpatient clinic along with pharmacists, physicians, nurses, nurse practitioners, and psychologists specialized in pain management.
Specialty Pharmacy Clinic
Preceptor: Lindsey Russell, PharmD, BCACP
The Specialty Pharmacy Clinic rotation is an elective one-month experience at the Ascension Medical Group Nashville location. Gastroenterology and Rheumatology are specialized services offered within the Ascension Medical Group practice by physicians, nurse practitioners and a clinical specialty pharmacist. Patients are referred for gastroenterology and rheumatology services by providers from both within and outside of the Ascension network. Patient load varies by provider. Specialty services provided by the clinical pharmacist average between 10 to 15 referrals per day with an average of five new patient referrals per day. The PGY2 Ambulatory Care resident will develop and monitor pharmaceutical care plans for patients with gastrointestinal and rheumatological conditions requiring the use of a specialty medication referred by other providers. The resident will assess the need for patient education, teaching/reinforcement of appropriate medical devices and techniques, initiate/titrate/taper medications. The resident may also be responsible for precepting students on rotation through layered learning. The resident will be required to attend the monthly Inflammatory sub-group meeting and will be asked to participate in a topic discussion covering one specific disease within each of the following disease states: Gastroenterology, Endocrinology, and Rheumatology.
The Specialty Pharmacy Clinic rotation is an elective one-month experience at the Ascension Medical Group Nashville location. Gastroenterology and Rheumatology are specialized services offered within the Ascension Medical Group practice by physicians, nurse practitioners and a clinical specialty pharmacist. Patients are referred for gastroenterology and rheumatology services by providers from both within and outside of the Ascension network. Patient load varies by provider. Specialty services provided by the clinical pharmacist average between 10 to 15 referrals per day with an average of five new patient referrals per day. The PGY2 Ambulatory Care resident will develop and monitor pharmaceutical care plans for patients with gastrointestinal and rheumatological conditions requiring the use of a specialty medication referred by other providers. The resident will assess the need for patient education, teaching/reinforcement of appropriate medical devices and techniques, initiate/titrate/taper medications. The resident may also be responsible for precepting students on rotation through layered learning. The resident will be required to attend the monthly Inflammatory sub-group meeting and will be asked to participate in a topic discussion covering one specific disease within each of the following disease states: Gastroenterology, Endocrinology, and Rheumatology.