P1252109102LVYrG

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Greensboro AHEC PY-4 Rotation CSP Program
Introduction
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Greensboro AHEC Mission Statement

• The Greensboro Area Health Educations Center
  serves health care professionals in Alamance,
  Caswell, Chatham, Guilford, Montgomery, Orange,
  Randolph, and Rockingham counties. The offices
  are located on the campus of the Moses H. Cone
  Memorial Hospital in Greensboro, North Carolina,
  which is in the center of this eight county
  region. This urban to rural area offers a rich
  diversity of experiences for learners.
  Greensboro AHEC enhances these learning
  experiences by providing information resources to
  both students and practicing health care
  professionals in the area. The Greensboro AHEC
  is one of North Carolina's nine AHEC centers and
  is affiliated with the North Carolina Area Health
  Education Centers' Program of The School of
  Medicine, University of North Carolina at Chapel
  Hill. The AHEC Program is supported by federal,
  state, and local funding. The mission of the
  Greensboro AHEC, in accordance with the State
  AHEC Program, is to provide education and
  training to health care professionals in an
  environment that will attract, retain, and enrich
  health care practitioners.

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Greensboro AHEC Housing For Students

• Contact ORPCE Patricia Parrish
• 336-832-8566
• www.gahec.org/orpce

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Greensboro AHEC (GAHEC) 200 East Northwood Street
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Beckie Knight, MBA Executive Director,
GAHEC Peter Gal, Pharm. D., BCPS Director,
Pharmacy Education Department
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Pete Koval, Pharm. D., BCPS Assistant Director,
Pharmacy Education Department
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Dawn Pettus, Pharm. D. Assistant Director,
Pharmacy Education Department
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Jennifer Epperley Pharmacy Education Program
Assistant
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GAHEC Student Seminar

• Twice monthly on Tuesday
• GAHEC Pharmacist Faculty emphasize and require a
  great deal of interactive learning
• Required Presentations (throughout the year)
• 1 New Drug presentation ( www.GAHEC.org/pharmupd
  )
• 2 Patient Case Presentations
• 1 Drug Class Review Presentation
• 1 Therapeutic Controversy

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Graduate Forum

• Twice monthly immediately preceding Student
  Seminar
• GAHEC coordinated pharmacy education programs for
  pharmacists and students
• Fall programs presentatoins by Preceptor
  Clinical Pharmacists from Moses Cone
• Spring programs presentations by Pharmacy
  Residents from Moses Cone

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Moses Cone Mission Statement

• We serve our communities by preventing illness,
  restoring health and providing comfort, through
  exceptional people delivering exceptional care.

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Moses Cone Health System

• Moses Cone Hospital
• Wesley Long Hospital
• Womens Hospital
• Annie Penn Hospital
• Behavioral Health Center
• Regional Cancer Center
• Family Practice Center
• LeBauer HeartCare CVRR Clinic

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MCHS PY4 rotation coordinators
Sabrina Rhyne, Pharm. D. and Alison Grimsley,
Pharm. D.
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Brian Romig, BS Pharmacy, MBA Executive Director
Pharmacy Services Moses Cone Health System

• Moses Cone Pharmacy Scholarship Program
• Funded by the Foundation
• 2-year scholarship
• Targeted to PY3 and PY4 students
• 7,500 given a year to go support education and
  residency

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Moses Cone Hospital 1200 North Elm St.
Greensboro

• Private, Non-Profit
• Community Teaching Hospital
• 529 beds

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• Moses Cone Hospital
• 3 centers of excellence
• Heart Center
• Rehabilitation Center
• Neuroscience Center

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Collaborative Practice

• Cross-trained clinical pharmacists
• Focused clinical interests
• Independently manage therapy
• Interdisciplinary environment
• Rounds and Committees
• PT, Antibiotic subcommittee, Critical Care,
  Stroke service, Trauma service, Geriatrics

Intensive Care Unit Moses Cone Hospital
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Protocol-Driven Services

• Anticoagulation
• LMWH, UFH, Coumadin, Integrilin, Argatroban,
  Refludan, Arixtra
• Antibiotic Management
• Vancomycin, Aminoglycosides, Zosyn, Primaxin,
  Fluconazole, Metronidazole
• Miscellaneous
• TNA, Phenytoin, Digoxin, Aranesp, Xigris
• Drug interactions, Renal adjustments

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Moses Cone Pharmacists Committed to Education

• Residency program since 1968
• One director since 1985
• Residency Trained Staff (75)
• Student Education
• UNC
• Campbell

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Post-Graduate Programs

• In 2006 Moses Cone offered 10 positions
• - 6 pharmacy practice - acute care
• - 2 pharmacy practice - primary care emphasis
• - 1 specialty residency in oncology
• - 1 fellowship in neonatology

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Moses Cone Critical Care Unit Pharmacist Jackie
Roh, BCPS (left) Pharmacy Residency Coordinator
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Unique Learning Environment

• Community-Teaching model
• Multidisciplinary rounding
• Pharmacist rounding
• Protocol-driven services
• Mercury MD (Mdata) Patient Information
• Hand held - Palm-Based/ Pocket PC

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Rotations at Moses Cone include Inpatient
Medicine Critical Care ICU
Infectious Disease Advanced Hospital
Cardiology Nutrition Drug
Information PICU/Peds
Administration
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MCHS PY4 rotation
Julie Cooper, Pharm. D.

• Student activities include
• Learning to interact with Community Physicians
  and
• Teaching Service Physicians
• Significant role in Anticoagulation
  Antibiotic Management
• Patient management with extensive protocol
  driven services

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Advanced Hospital Moses Cone Hospital
Mike Hayes, Pharm.D. Moses Cone Pharmacist

• Student activities include
• Involvement in daily patient care drug
  monitoring
• i.e. vancomycin, heparin, LMWH,
  aminoglycosides, and
• renal dose adjustments
• Exposure to IV admixing and aseptic technique
• Gaining experience in administration including
  staff meetings

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Infectious Disease Moses Cone Hospital
Jeremy Frens, Pharm. D. (right)

• Student activities include
• Active participation on ID team and in direct
  patient care
• The ID consult service is a hands-on experience
  
• including visits to the microbiology lab and
  patient rounds
• Improving knowledge about antibiotics and
  microbiology

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Inpatient Medicine Family Practice
Pete Koval, Pharm. D., BCPS

• Student activities include
• Family Medicine Inpatient Service
• Resident Teaching Team
• 15-20 average daily census
• Daily patient care multidisciplinary rounds

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InpatientClinical Scholars Program
3 positions Moses Cone Health System
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InpatientClinical Scholars Program
Rotation Requirements

• Advanced Hosp. / Community
• Inpatient Medicine
• Ambulatory Care
• Drug Information

• Infectious Disease
• Cardiology
• Neonatal ICU
• Patient-Focused Elective

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Wesley Long Hospital 501 N. Elam Ave. Greensboro

• Rotations at Wesley Long include
• Advanced Hospital
• Inpatient Medicine
• Oncology

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Inpatient Medicine Wesley Long Hospital
Randy Absher, Pharm. D.

• Student activities include
• Participation in pharmacotherapy dosing
  consults led
• by physicians
• Participation in multidisciplinary rounds
  twice weekly
• Gaining exposure to the contemporary practice
  of
• adult-acute care pharmacotherapy in a
  community hospital

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Randy Absher UNC Preceptor of the Year 2006
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Wesley Long Pharmacy
Barbara Smutney, Pharm. D.
Tom Pickering, Pharm. D.
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Regional Cancer Center 501 North Elam
Avenue Greensboro (attached to Wesley Long
Hospital)
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Hematology/Oncology Moses
Cone Regional Cancer Center
Lew Iacovelli, Pharm. D.
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• Rotation provides outpatient
• and some inpatient
• hematology-oncology exposure
• Students will participate in
• clinical oncology research with
• various drugs

• Students will attend
• interdisciplinary meetings and
• rounds
• Students will be introduced to
• radiation oncology and its role
• in treating certain malignancies

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Womens Hospital 801 Green Valley Road Greensboro

• Rotations at Womens Hospital include
• Advanced Hospital
• Obstetrics/Gynecology
• Neonatal Intensive Care Unit

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Advance Hospital / OB-GYN Womens Hospital
Womens Hospital Pharmacists (left to right)
Kristi Foulks, Kim Dunaway, and Laurie McElhone

• Student activities include
• Exposure to womens health with an emphasis
• on obstetrics and gynecology
• Participation in OB/GYN teaching service
  rounds
• OR surgical experience, if desired

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ICU Neonatal Womens Hospital
Chris McPherson, Pharm. D., Neonatal Intensive
Care Fellow
Peter Gal, Pharm. D., BCPS

• Student activities include
• Working with interdisciplinary teams
• Independent patient monitoring
• Gaining knowledge in pharmacokinetic dosing of
  drugs
• Improve ability to critique literature

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Medication Safety
Jim Hasspacher, Pharm. D.

• Student activities include
• Gaining invaluable knowledge in the area of
  med. safety
• Review of on-line incident reports, and
  participation in
• review processes/meetings with Med Safety
  Teams
• Participation in three weekly medication safety
• discussions during the month

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Behavioral Health Center 700 Walter Reed Drive
Greensboro
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Behavioral Health
Moses Cone Behavioral Health
Elena Payne, Pharm. D.

• Student activities include
• Reviewing and completing questions on four
  behavioral
• health disease states
• Attending medication group (3 times per week)
• Daily medication distribution activities

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Advanced Hospital Annie Penn Hospital
618 South Main St. Reidsville

• Student activities include
• Gaining valuable hands-on experience in a
  community hospital
• Learning aseptic technique and proper IV
  admixing
• Involvement in daily patient care drug
  monitoring,
• i.e. vancomycin, heparin, LMWH,
  aminoglycosides, and
• renal dose adjustments
• Oncology rounding and surgery observation

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High Point Regional Hospital

• 384 private beds
• Non-profit
• Offers a variety of
• inpatient and
• outpatient care

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Advanced Hospital / Inpatient Medicine High
Point Regional Hospital

• Student activities include
• IRB interaction
• PT interaction
• Daily, informal kinetics service
• (PHT, vanc, AGs)
• Weekly rounds in ICU and
• inpatient rehabilitation unit

John Belanger, Pharm. D.
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Outpatient Clinical Scholars Program
3 positions Greensboro AHEC
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OutpatientClinical Scholars Program
Rotation Requirements

• Advanced Hosp. / Community
• Inpatient Medicine
• Ambulatory Care
• 3 months

• Drug Information
• Patient-Focused Electives
• 2 months

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Family Practice Center 1125 North Church St.
Greensboro

• Family Medicine Outpatient Clinic
• Residency Training Program
• 100 Patient Visits Daily

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Ambulatory Care Family Practice Center
Pete Koval, PharmD, BCPS Dawn Pettus, PharmD

• Student activities include
• Clinical Pharmacy Consults Asthma, Diabetes,
  Dyslipidemia, Osteoporosis, Peripheral Arterial
  Disease, Smoking Cessation
• Collaborative care of patients in a primary
  care residency training environment

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Cardiology / Ambulatory Care LeBauer HeartCare
LeBauer Healthcare Cardiology Services North
Church Street
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Mary Parker, Pharm. D., BCPS Director, LeBauer
Cardiology Services UNC Preceptor of the Year 2005

• Student activities include
• CVD Risk Reduction Clinic Pharmacy
• Consults Anticoagulation, CHF and
• Dyslipidemia
• Experiencing multiple aspect of the
• collaborative care model in a Cardiology
• Specialty Practice

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Advanced Community / Ambulatory Care Healthserve
Leann Poindexter, Pharm.D. Francisco Paco
Valls, Pharm.D.

• Student activities include
• Gaining skills in patient counseling, disease
  state
• management and coordination of indigent
  programs to
• obtain free medicines
• Working hand and hand with on-site providers
  and
• addressing issues face to face

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Healthserve Greensboro
Priscilla Grady Pharmacy Tech
Francisco Paco Valls with a student
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Ambulatory Care Medication Management LLC
Bryan Bray, Pharm. D. (left)

• Student activities include
• Gaining experience in a collaborative practice
  in a Clinical
• Pharmacist Practitioner model in a physicians
  office
• Anticoagulation, diabetes, lipid, hypertension
  and
• osteoporosis management as well as
• polypharmacy/pharmacotherapy consults
• Patient care interventions - initiating,
  modifying
• pharmacotherapy, ordering labs and counseling

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Ambulatory Care Western Rockingham Family
Medicine
Tammy Eckard, Pharm. D

• Student activities include
• Treating patients for a variety of disease
  states diabetes
• lipids, hypertension, anticoagulation, pain
  management,
• polypharmacy, etc.
• Hands-on physical assessments
• Involvement with large patient volume

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Eagle Cardiology
Sara Barnes, Pharm. D.

• Student activities include
• Taking vital signs, physical exams, taking a
  patient history,
• working with cardiologists
• Learning how to use the coagucheck system,
  managing lipids,
• hypertension, warfarin

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Eagle Cardiology

• Michelle Bozovich, Pharm. D., CPP

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Advanced Community Bennetts Pharmacy
Phillip Bozovich, Pharm. D.

• Student activities include
• Extensive compounding experience
• In-depth patient counseling
• Blood pressure checks
• Answering physicians questions

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Phillip Bozovich in consultation with a pharmacy
student
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Advanced Community / Ambulatory Care Rockingham
County Health Department / Reidsville Free Clinic
Hazel Post BS Pharm Jennifer Bayes, Pharm.D.

• Student activities include
• Opportunities to round with the FNP on staff at
  the
• Health Dept, seeing patients within the
  assistance program
• Talking at a senior nutrition site (required)
• Opportunities to go to the Council on Aging
  Senior Assistance
• Program

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Peter Gal, Pharm.D., BCPS Asthma
Clinic Rockingham County Health Department
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Advanced Community Southcourt Drugs Graham
N.C.

• Student activities include
• Gaining experience in community
• pharmacy practice
• Assisting with 15-20 rxs per hour
• Counseling/patient assistance in blood
• pressure checks, blood glucose checks,
• glucose monitoring, peak flow meter
• training, flutter valve and nebulizer
• training, as well as diabetes and asthma

Kent Tapscott, Pharm. D. UNC Preceptor of the
Year 2004
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Advanced CommunitySummerfield Pharmacy
Lee Brodgen, Pharm. D.
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• Students participate in patient
• counseling which includes
• gathering patient medical
• information, assessing patient
• condition, and making appropriate
• OTC recommendations
• Students learn and understand how
• to manage the financial aspects
• of community pharmacy

• Students improve skill level in the
• preparation of compounded
• prescriptions
• Students participate in flu clinics
• during the months of September,
• October, and November

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Ambulatory Care / Geriatrics Alamance Regional
Medical Center Staff AlaMAP Program
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AlaMAP
Michelle Fritsch, Pharm.D.

• Services provided
• Pharmacist-Driven Medication Regimen Review
• Resource referral/coordination
• Patient Assistance Programs

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Comments from Students2004-2005

• I was challenged to do my best work in an
  environment that was not intimidating and
  provided a great learning experience.
• GAHEC provides a support network of both peers
  and faculty to give encouragement, direction, and
  education.
• Faculty encourages students to explore topics of
  interest as well as those that might be a
  challenge.
• The staff did a great job of making the seminar
  challenging and I really learned so much from
  them this year.

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We hope to see you next year!
Please visit our website at www.gahec.org for
more information on the pharmacy education
department
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