What dose Ambulatory care rotation really mean?

[tania88]

---

Members don't see this ad.

Is ambulatory care only limited to anti-coagulation or is there any others related settings ?

 

[Biochemistry2014]

Outpatient services

 

[tania88]

Outpatient services

would u pls be more specific?

 

[bacillus1]

The most common is anticoag, but there are some rotations in MD offices where you help manage diabetes, HTN, even psych meds. Also you could have ambulatory ID (HIV or hep C clinics), as well as pain management. There are many avenues of pharmacy practice in the ambulatory setting. Sadly, these are mostly limited to faculty who are paid by the school or government and other nonprofits.

 

[Silvermist]

Within the government (VA, DoD) ambulatory care is pretty synonymous with primary care. We have a scope of practice under primary care where we independently manage patients with HTN, HLD, DM, and other secondary diseases like Vitamin D/B12 deficiency and smoking cessation, and we also consult on an array of speciality disease states (Hep C, pain, dementia, psych, etc).

 

[PumpkinSmasher]

Usually it will be anticoag and sometimes infusion.

I take a few students per year at my ambcare rotation. As a poster mentioned above, we operate under a scope of practice in the primary care clinic. Work with about 20 providers. I am referred chf, htn, dm, copd, gout and asthma patients. Also see pts for medication reviews, transition of care visits if coming from snf or hospital. Then also answer daily drug info questions along with warm handouts from providers for in the moment interventions.

Students will see pts, answer drug info, present at provider meetings and pharmacy staff meeting, paticipate in group dm visits, attend p&t meetings, work on patient handouts and consult with nurses for anticoag questions/although i do no anticoag directly and hope to keep it that way😉

 

[anofuyu]

My ambulatory care rotation was diabetes specific. My preceptor manages most of the DM patients who aren't well-controlled for the medical group, including pump patients as managing pumps can be more time consuming and takes experience. She saw patients by herself (no physicians) for 30 minutes - 1 hour and adjusted all their DM meds on her own. She got referrals from PCPs but sometimes even endocrinologists. After 1 - 1.5 weeks working up patients and presenting plans to her, when I was comfortable, I was able to titrate insulin dosing and sometimes oral meds for patients independently (overseen by my preceptor of course). In the end, my preceptor let me conduct patient visits by myself (with her there) for the easier patients.

I was very fortunate to have this kind of experience as it made me comfortable managing DM patients right out of school, but it's not a common thing to see a pharmacist so specialized as my preceptor. She essentially created that role for herself after completing her PGY-1 at the same site. I was very interested in amb care after her rotation, but it seems like there aren't too many jobs like that out there.

 

[Kloud]

Outpatient services. Disease state management: diabetes, hypertension, anticoagulation, MTM, etc. It varies from facility to facility. If you're wondering about specifics, you should contact specific programs.

 

[blawndesrntdum]

Agree with all of the above and will add that I did my ambulatory care rotation in a bone marrow transplant clinic managing patients' immunosuppression post-transplant, there are a ton of different settings for am care