Pharm.D./Physician Collaborations

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themorphinerule

Full Member
15+ Year Member
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:
 
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:


I'm just a rising 4th year med student but I would have to say that I've never seen this arrangement in any of the private outpatient clinics that I've rotated through, of course this doesnt mean it doesnt exist elsewhere. My best advice would be to seek out a mentor at your school doing something as similar as possible to what you want to do and try to seek their advice. Also, I know that pharmacy residencies are gaining popularity- this might be a good route to go in order to make yourself more marketable to a clinic.
 
I'm just a rising 4th year med student but I would have to say that I've never seen this arrangement in any of the private outpatient clinics that I've rotated through, of course this doesnt mean it doesnt exist elsewhere. My best advice would be to seek out a mentor at your school doing something as similar as possible to what you want to do and try to seek their advice. Also, I know that pharmacy residencies are gaining popularity- this might be a good route to go in order to make yourself more marketable to a clinic.

That's a great point, thanks! Actually, my third year of pharmacy school is what got me interested in ambulatory care. One of my faculty members at a free clinic was their certified diabetes educator (CDE). She was a great role model, and a valued asset at the clinic. I will probably work with her more once I graduate. How is your rising 4th year going? I hang out at the Wake Forest Medical School library here because its open til midnight. 4th year seems to be a stressful year from what I hear.