Pharmacist Roles: Clinical Specialties
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Conference PresentationArdath K. Plauche, PharmD, RN, BCPS, BCIDP
Infectious Diseases Clinical Pharmacist
Memorial Hermann Katy
Who am I and why am I talking to you?
What is Clinical Pharmacy?
role?
specialty?* *yes
practice? Key Takeaways
1. Explore professional paths leading to clinical specialty practice 2. Investigate Infectious Diseases as a pharmacy specialty practice area 3. Summarize clinical specialty opportunities for continued personal
learning and development
This session will detail paths to clinical pharmacy practice, resources for education in clinical areas, and an overview of
infectious diseases as a clinical pharmacy specialty.
Who am I and why and I
talking to you? BS in Nursing Southeastern
Louisiana University
Memorial Hermann Katy
• Strategic Planning Committee, Chair • Certificate Program Committee, Chair • Communications Committee, Member • New Practitioner Committee, Member • Annual Seminar Poster Competition, Judge
• Immediate Past President • President, 2019-2020 • New Practitioner Chair
• Antimicrobial Stewardship Committee
What is Clinical Pharmacy? What does Clinical Pharmacy mean to you?
What examples have you seen? Volunteer experiences? Rotations? Variety of work settings?
Do all areas of pharmacy involve clinical practice?
What is Clinical Pharmacy? Specialized advanced
education and training with clinical competency
to practice in team-based, direct patient care
Collaborate with other providers to deliver
comprehensive medication management
plan of care
management of patient populations, and broad range of therapeutic knowledge domains
Work with other health professionals as members of the health care team to provide
high-quality, coordinated, patient centered care
Commitment to act in the best interest of the
patient and patient populations
research and scholarship
researchers, preceptors/mentors,
Specialized education and training
Specialty Training Directories ° ASHP Residency Directory
• https://accreditation.ashp.org/directory/#/program/residency
• Fellowships: academic research, ambulatory care, cardiology, community, drug development, drug information, outcomes research, infectious diseases, toxicology
• Graduate programs: administration, pharmacogenomics, translational research
° Pharmacy Practice
° Community-Based Pharmacy
° Medication Use Safety/Policy* ° Oncology ° Medication Systems &
Operations* ° Palliative/Pain Management* ° Pediatrics ° Pharmacotherapy* ° Pharmacy Informatics* ° Population Health and Data
Analytics ° Psychiatry ° Solid Organ Transplant ° Specialty Pharmacy
Administration*
Geography
Proximity
Climate
Housing
Program Environment
Board Certified Pharmacotherapy Specialist (BCPS) ° Most common pharmacy specialty (currently ~27,600)
° Eligibility requirements: • Graduation from a pharmacy program • Current, active license to practice pharmacy • Demonstration of practice experience
• 3 years of practice experience (after licensure) OR • Completion of a PGY1 residency
° Certification renewal: • Recertification examination OR • Continuing education – 120 hours of CE provided by ACCP or ASHP • Annual recertification fee
BPS. Available at: https://www.bpsweb.org/bps-specialties/pharmacotherapy
Board Certification Pass Rate
Infectious Diseases
Team •Antimicrobial
Antimicrobial Stewardship ° Ensure optimal use of antimicrobials to achieve the best clinical outcomes
• Minimize adverse events • Mitigate factors that lead to resistance • Reduce costs attributable to suboptimal antimicrobial use
° Prudent antibiotic use is the key to delaying the emergence of resistance
http://www.antimicrobialstewardship.com
MHHS Antimicrobial Stewardship PiL.
Four Moments of Antibiotic Decision Making 1. Does my patient have an infection
that requires antibiotics?
2. Have I ordered appropriate cultures before starting antibiotics? What empiric therapy should I initiate?
3. A day or more has passed. Can I stop antibiotics? Can I narrow therapy or change from IV to oral therapy?
4. What duration of antibiotic therapy is needed for my patient's diagnosis?
AHRQ Safety Program for Improving Antibiotic Use. 2018.
Goals of core antimicrobial stewardship activities •Think streamlining and appropriate durationAntibiotic selection/duration
•Trend antimicrobial use over timeAntibiotic utilization analysis
•Ensure optimal dose based on patient characteristicsDose optimization
•Utilize technology (TheraDoc®) Information technology
support
•Empower through educationEducation
MHHS Antimicrobial Stewardship PiL.
How do I stay current in clinical practice? • Table of Contents Alerts • RSS Feeds: Feedly; Email Alerts: EvidenceAlerts • Apps: Read by QxMD • Podcasts: ACCP, SIDP Breakpoints,, Puscast
Curated Primary Literature
Professional Organizations
• Clinical Decision Support Systems • Apps: RxCalc, Hopkins Guides, CDC Vaccine Schedule • UptoDate • Lexicomp
Electronic Resources
Gandhi AS. Staying Current: Advice for New Practitioners. HOPA News 2020, Volume 17, Issue 3.
Social Media
direct patient care
rewarding!
practice.
Question 1 Available resources for specializing in a clinical pharmacy area include:
A. Residency and fellowship training B. Board certification C. Certificate programs D. All of the above
Question 2 Infectious Diseases Clinical Pharmacy practice includes the following:
A. Antimicrobial resistance B. Antimicrobial stewardship C. Provider, staff, and patient education D. All of the above
Question 3 Antimicrobial stewardship refers to:
A. Efforts to measure and improve how antimicrobials are prescribed by clinicians and used by patients
B. Use of punitive metrics to compare antimicrobial use C. Making a one-size-fits-all approach to optimize antimicrobial use
across all healthcare settings D. All of the above
Question 4 Which organization provides a residency directory listing information such as stipend, bed size, and census?
A. ASHP B. ACCP C. SIDP D. All of the above
Question 5 Infectious disease clinical pharmacy includes opportunity to work in the following settings:
A. Inpatient – academic medical center B. Inpatient – community hospital C. Ambulatory care D. All of the above
Thank You
Twitter @ardathplauche
Email [email protected]
Who am I and why and I talking to you?
A little more about me…
What is Clinical Pharmacy?
What is Clinical Pharmacy?
Specialty Training Directories
Board Certification
Board Certification Pass Rate
How do I stay current in clinical practice?
Social Media
Key Takeaways
Question 1
Question 2
Question 3
Question 4
Question 5
Thank You
Memorial Hermann Katy
Who am I and why am I talking to you?
What is Clinical Pharmacy?
role?
specialty?* *yes
practice? Key Takeaways
1. Explore professional paths leading to clinical specialty practice 2. Investigate Infectious Diseases as a pharmacy specialty practice area 3. Summarize clinical specialty opportunities for continued personal
learning and development
This session will detail paths to clinical pharmacy practice, resources for education in clinical areas, and an overview of
infectious diseases as a clinical pharmacy specialty.
Who am I and why and I
talking to you? BS in Nursing Southeastern
Louisiana University
Memorial Hermann Katy
• Strategic Planning Committee, Chair • Certificate Program Committee, Chair • Communications Committee, Member • New Practitioner Committee, Member • Annual Seminar Poster Competition, Judge
• Immediate Past President • President, 2019-2020 • New Practitioner Chair
• Antimicrobial Stewardship Committee
What is Clinical Pharmacy? What does Clinical Pharmacy mean to you?
What examples have you seen? Volunteer experiences? Rotations? Variety of work settings?
Do all areas of pharmacy involve clinical practice?
What is Clinical Pharmacy? Specialized advanced
education and training with clinical competency
to practice in team-based, direct patient care
Collaborate with other providers to deliver
comprehensive medication management
plan of care
management of patient populations, and broad range of therapeutic knowledge domains
Work with other health professionals as members of the health care team to provide
high-quality, coordinated, patient centered care
Commitment to act in the best interest of the
patient and patient populations
research and scholarship
researchers, preceptors/mentors,
Specialized education and training
Specialty Training Directories ° ASHP Residency Directory
• https://accreditation.ashp.org/directory/#/program/residency
• Fellowships: academic research, ambulatory care, cardiology, community, drug development, drug information, outcomes research, infectious diseases, toxicology
• Graduate programs: administration, pharmacogenomics, translational research
° Pharmacy Practice
° Community-Based Pharmacy
° Medication Use Safety/Policy* ° Oncology ° Medication Systems &
Operations* ° Palliative/Pain Management* ° Pediatrics ° Pharmacotherapy* ° Pharmacy Informatics* ° Population Health and Data
Analytics ° Psychiatry ° Solid Organ Transplant ° Specialty Pharmacy
Administration*
Geography
Proximity
Climate
Housing
Program Environment
Board Certified Pharmacotherapy Specialist (BCPS) ° Most common pharmacy specialty (currently ~27,600)
° Eligibility requirements: • Graduation from a pharmacy program • Current, active license to practice pharmacy • Demonstration of practice experience
• 3 years of practice experience (after licensure) OR • Completion of a PGY1 residency
° Certification renewal: • Recertification examination OR • Continuing education – 120 hours of CE provided by ACCP or ASHP • Annual recertification fee
BPS. Available at: https://www.bpsweb.org/bps-specialties/pharmacotherapy
Board Certification Pass Rate
Infectious Diseases
Team •Antimicrobial
Antimicrobial Stewardship ° Ensure optimal use of antimicrobials to achieve the best clinical outcomes
• Minimize adverse events • Mitigate factors that lead to resistance • Reduce costs attributable to suboptimal antimicrobial use
° Prudent antibiotic use is the key to delaying the emergence of resistance
http://www.antimicrobialstewardship.com
MHHS Antimicrobial Stewardship PiL.
Four Moments of Antibiotic Decision Making 1. Does my patient have an infection
that requires antibiotics?
2. Have I ordered appropriate cultures before starting antibiotics? What empiric therapy should I initiate?
3. A day or more has passed. Can I stop antibiotics? Can I narrow therapy or change from IV to oral therapy?
4. What duration of antibiotic therapy is needed for my patient's diagnosis?
AHRQ Safety Program for Improving Antibiotic Use. 2018.
Goals of core antimicrobial stewardship activities •Think streamlining and appropriate durationAntibiotic selection/duration
•Trend antimicrobial use over timeAntibiotic utilization analysis
•Ensure optimal dose based on patient characteristicsDose optimization
•Utilize technology (TheraDoc®) Information technology
support
•Empower through educationEducation
MHHS Antimicrobial Stewardship PiL.
How do I stay current in clinical practice? • Table of Contents Alerts • RSS Feeds: Feedly; Email Alerts: EvidenceAlerts • Apps: Read by QxMD • Podcasts: ACCP, SIDP Breakpoints,, Puscast
Curated Primary Literature
Professional Organizations
• Clinical Decision Support Systems • Apps: RxCalc, Hopkins Guides, CDC Vaccine Schedule • UptoDate • Lexicomp
Electronic Resources
Gandhi AS. Staying Current: Advice for New Practitioners. HOPA News 2020, Volume 17, Issue 3.
Social Media
direct patient care
rewarding!
practice.
Question 1 Available resources for specializing in a clinical pharmacy area include:
A. Residency and fellowship training B. Board certification C. Certificate programs D. All of the above
Question 2 Infectious Diseases Clinical Pharmacy practice includes the following:
A. Antimicrobial resistance B. Antimicrobial stewardship C. Provider, staff, and patient education D. All of the above
Question 3 Antimicrobial stewardship refers to:
A. Efforts to measure and improve how antimicrobials are prescribed by clinicians and used by patients
B. Use of punitive metrics to compare antimicrobial use C. Making a one-size-fits-all approach to optimize antimicrobial use
across all healthcare settings D. All of the above
Question 4 Which organization provides a residency directory listing information such as stipend, bed size, and census?
A. ASHP B. ACCP C. SIDP D. All of the above
Question 5 Infectious disease clinical pharmacy includes opportunity to work in the following settings:
A. Inpatient – academic medical center B. Inpatient – community hospital C. Ambulatory care D. All of the above
Thank You
Twitter @ardathplauche
Email [email protected]
Who am I and why and I talking to you?
A little more about me…
What is Clinical Pharmacy?
What is Clinical Pharmacy?
Specialty Training Directories
Board Certification
Board Certification Pass Rate
How do I stay current in clinical practice?
Social Media
Key Takeaways
Question 1
Question 2
Question 3
Question 4
Question 5
Thank You
