Pharm.D./Physician Collaborations

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10+ Year Member
Mar 31, 2007
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Hello all:

I am a graduating pharmacy student in NC. I'm interested in getting some feedback from practicing professionals, or graduating students/residents. So our pharmacy curriculum has vastly changed and a focus on patient care is not at the forefront. Many of the new schools of pharmacy's have didactic and rotations based on the medical model. I think we learn the same things (probably not as in depth) but we learn it from a drug treatment aspect, and so we have a different thought approach to solving problems.

I'm currently on an oncology rotation and previously a surgical rotation. As last year students we are taught to extend medical practice by thinking outside the box and making interventions. For instance, just the other day our clinical pharmacist specialist was asked to pre-counsel a patient undergoing chemotherapy. So after looking over the regimen, verifying dosages and calculations and recommending the addition of more or more appropriate anti-emetic drugs (based on the emetogenicity of the regimen) or pre-medication to prevent certain infusion related complications. The hospital encourages the pharmacist to identify any discrepancies and to work them out beforehand with the physician.

It seems to be a good model, it offers great patient care and it extends the practice. Our doc's here seem to love us. But as a graduating student I want to go into ambulatory care and manage diabetic and HIV patients. Does anyone know of or are currently in a practice that employs pharmacists to provide these services? Are they helpful? and what do you perceive are the benefits of having a drug expert on staff? I'm wondering how to approach existing practices and sell myself so to speak, so I'm trying to figure out how desirable is this model. Any helpful comments? :idea:


10+ Year Member
15+ Year Member
Feb 21, 2004
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You may get more info in the pharmacy forum from PharmDs that have completed ambulatory care residencies. The medical model is a great way to provide cost effective measures, esp. to clinicans that lack a good understanding of cost-benefit analysis. In terms of approching perspective offices about your qualifications and what you have to offer, it will be necessary to do a residency. That is def. where I would start. GL