The Internal Medicine Clinical Pharmacy Specialist (CPS) functions as a member of their assigned medical team, working with a high level of autonomy and independent decision-making within the parameters of their scope of practice. The CPS will provide comprehensive medication management through direct and indirect interactions with patients and providers to help achieve positive patient centric outcomes. Core activities include comprehensive medication review and reconciliation, team rounds, anticoagulation management, pharmacokinetic monitoring, and antimicrobial stewardship. Other duties include formulary reviews, student and resident training, staff education, and committee involvement.
Functions as a mid-level provider to design, implement, adjust and monitor therapeutic drug plans to achieve definite outcomes through direct interactions with patients and providers in assigned areas.
Orders, performs, reviews, and analyzes appropriate laboratory tests and other diagnostic studies necessary to monitor and support the patient's drug therapy.
Orders consults (i.e. Nutrition, Social work, Prosthetics) as needed to maximize positive drug therapy outcomes.
Participates in daily rounds with their assigned medical team and provides drug information, observations on patient response to therapy, and appropriate recommendations regarding treatment alternatives or additional interventions to maximize patient outcomes taking into consideration choice of therapy, safety, efficacy, cost and formulary issues.
Alerts medical team when disease progression or adverse drug events occur that require treatment interventions.
Performs pharmacokinetic monitoring and dose adjustment, renal dose adjustments, anticoagulant therapy management, and antimicrobial stewardship as needed.
Review patient medication regimens for clinical effectiveness, drug selection, dosing, contraindications, side effects, potential drug interactions, and therapeutic outcomes as required. Communicates findings to prescribers and provides appropriate alternatives to current treatment plans as needed.
Serves as an expert on drug usage in assigned area for medical and nursing staff. Uses appropriate references to research drug information.
Performs medication reconciliation upon admission, transfer and discharge, as needed, in collaboration with the transition of care clinical pharmacists and technicians and informs healthcare providers of any discrepancies found.
Assesses the educational needs of patients and caregivers and effectively instructs patients and family members in the appropriate use of medications and medical devices. Can adjust communication and tracking methods based on age and developmental considerations. Can accurately assess and document patient comprehension. Can refer patients to educational programs provided at the medical center.
Serves as preceptor for pharmacy students and/or pharmacy residents and actively participates in student/resident presentations, journal clubs and preceptor development activities.
Actively collaborates with other health care providers in the design and implementation of research protocols, activities, or projects to enhance the quality of patient care provided by the VA Healthcare System.
Work Schedule: Monday - Friday, 7:30 am - 4:00 pm; weekends and holidays as needed for clinical support.
Financial Disclosure Report: Not required.
Conditions of Employment
You must be a U.S. Citizen to apply for this jobDesignated and/or random drug testing may be requiredSelective Service Registration is required for males born after 12/31/1959You may be required to serve a probationary periodSubject to a background/security investigationMust be proficient in written and spoken EnglishSelected applicants will be required to complete an online onboarding process
Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.
United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
Education: (1) Graduate of an Accreditation Council for Pharmacy Education (ACPE) accredited College or School of Pharmacy with a baccalaureate degree in pharmacy (BS Pharmacy) and/or a Doctor of Pharmacy (Pharm.D.) degree. (2) Graduates of foreign pharmacy degree programs meet the educational requirement if the graduate is able to provide proof of achieving the Foreign Pharmacy Graduate Examination Commission (FPGEC) Certification, which includes passing the Foreign Pharmacy Graduate Equivalency Examination (FPGEE) and the Test of English as a Foreign Language Internet-Based Test (TOEFL iBT).
Licensure. Full, current and unrestricted license to practice pharmacy in a State, Territory, Commonwealth of the United States (i.e., Puerto Rico), or the District of Columbia. The pharmacist must maintain current registration if this is a requirement for maintaining full, current, and unrestricted licensure.
English Language Proficiency. Pharmacists must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d).