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Advanced Practice Experiences: Birmingham Region. Baptist Princeton Medical Center Physicians’ Carraway Medical Center Carraway Community Care Clinic Kirklin Clinic Shelby Baptist Medical Center UAB . VA Medical Center Industry Affiliations Specialty Pharmacies Community Pharmacies
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Baptist Princeton Medical Center Physicians’ Carraway Medical Center Carraway Community Care Clinic Kirklin Clinic Shelby Baptist Medical Center UAB VA Medical Center Industry Affiliations Specialty Pharmacies Community Pharmacies Independent and chain options throughout the Birmingham metropolitan area Rotation SitesBirmingham
Located ~10 minutes from downtown Birmingham Acute care (internal medicine, intensive care, dialysis, cardiac, women’s health, etc) to both indigent and insured patients Large, private hospital with teaching component Baptist Princeton Medical Center
Baptist Princeton Medical Center • Medicine Rotations (Dr. Jessica Starr) • Rotations will involve taking care of the patients admitted to the general medicine house staff team. • Team includes an internal medicine attending physician and several internal medicine residents. • Daily activities: • Rounding with the general medicine team • Attending morning report and noon conference • Presenting patients • Leading topic discussions
Acute heart failure decompensation Myocardial infarction Sickle cell anemia, Acute GI bleed Asthma and COPD exacerbation Community and hospital acquired pneumonia Acute renal failure Diabetic emergencies Venous thromboembolism Hypertensive urgency and emergency Baptist Princeton(Medicine Rotations—Dr. Jessica Starr) Common disease states encountered:
Baptist Princeton(Medicine Rotations—Dr. Jessica Starr) Objectives for the rotations: 1. To increase the student’s knowledge of commonly encountered internal medicine disease states and their appropriate pharmacotherapy. 2. To develop the clinical skills necessary to promote optimal and rational drug therapy of through a close working relationship with the internal medicine service. 3. To optimize communication skills to facilitate effective dialogue with patients and other health care professionals.
Carraway Community Care Clinic • Primary Care I, II, III (Dr. Kristi Kelley) • Located just north of downtown B’ham • Internal Medicine Resident Clinic • Pharmacy Services/Collaborative Practice • Anticoagulation Clinic • Diabetes Education Classes • Medication History/Patient Counseling • Socioeconomic review of medication list/medication assistance programs • General pharmacotherapy services
What to Expect(Primary Care —Dr. Kristi Kelley) • Daily interactions with patients and healthcare providers • Private internal medicine practice • Internal medicine residents/attendings • At leasttwo topic discussionsa week • Students are expected to keep track of their own patient interventions • Onein-service (nurses/staff) • Onepatient presentation or journal club • Teach diabetes education class • Write and edit clinic newsletter
The Kirklin Clinic – Chronic Kidney Disease (CKD) Clinic • Primary Care I, II, and III (Dr. Anne Marie Liles) • Located in the Medical Center District of downtown B’ham • Member of the UAB Health System • The Kirklin Clinic is a center for outpatient care • 700 physicians with 35 specialties • CKD Clinic is part of the Division of Nephrology within the Department of Medicine at UAB • Division of Nephrology was ranked 17th in the nation in the 2006 US News & WorldReport “Best Hospitals” issue
The Kirklin Clinic – Chronic Kidney Disease (CKD) Clinic • Pharmacy Services • Chronic disease state management • Patient education • Patients include those in Stage 3 CKD and below • Students will work with nephrologists, nephrology fellows, and nurse practitioners
UAB Dept of Psychiatry and Behavior Neurobiology • Primary Care I, II, III (Dr. Cherry Jackson) • Community Care Clinic-located downtown Birmingham on the campus of UAB • Primary Care Psychiatry
UAB Dept of Psychiatry and Behavior Neurobiology Pharmacy Services • Outpatient psychiatry clinic/Day treatment program • Medication counseling • Medication histories • Consent for treatment • AIMS testing
UAB Dept of Psychiatry and Behavior Neurobiology Pharmacy Services (cont’d) • Socioeconomic review of medications/Patient assistance program • -Pharmacotherapy evaluation • -Medication education groups • -Various projects and assignments as prescribed by preceptor
Physicians’ Carraway Teaching hospital located ~ 5 minutes north of downtown Birmingham Shelby Baptist Medical Center Community hospital located ~20-30 minutes south of downtown Birmingham UAB One of the state-supported teaching hospitals located in downtown Birmingham Note: Any of these sites may also be utilized for other types of rotations. Other Required Rotations in Birmingham (Medicine)
Primary Care Birmingham VA Medical Center Located in downtown Birmingham Drug Information Baptist Princeton (hospital-based) Proctor and Gamble (industry-based) Note: There may also be additional options for both PC and DI. Other Required Rotations in Birmingham
Independent Bessemer—Hinkle Pharmacy ~15 minutes from downtown Birmingham Centerville—J&S Drugs ~45-60 minutes from Birmingham Homewood—Southern Pharmaceutical Services ~10 minutes from downtown Birmingham Retail Chains CVS Walgreens Rite-Aid Bruno’s Locations throughout the Birmingham metropolitan area Community Pharmacy Rotations
Management/ Independent Pharmacy American Pharmacy Cooperative, Inc. (APCI) Management/Chain Pharmacy Rite Aid CVS Management/ Institutional Physicans’ Carraway Baptist Princeton Electives
Industry/sales Eli Lilly Nuclear Pharmacy Cardinal Health Services Academic/Teaching Kelley Pharmacotherapy Consultant Services (RxCS), LLC and MedfusionRx – Specialized pharmacy services for chronic disease states--Hemophilia, Immune Deficiencies, TPN therapy, Hepatitis C, RA, MS, oral oncology, anticoagulant therapy with LMWH, etc Electives
Gadsden ~60 minutes from Birmingham Gadsden Regional Medical Center Elective Corporate Pharmacy Services—retail, mail order, PBM Community Goodyear Medical Clinic Community Anniston – Golden Springs Pharmacy ~60 minutes from Birmingham Heflin – Wright Drug Company ~90 minutes from Birmingham Rotations in Gadsden/Anniston Area
Gadsden Regional Medical Center • 346 beds • Hospital features state-of-the-art technology • Medical staff of over 230 physicians
Electives • Remember ANY required rotation can be taught as an elective • IF you are interested in focusing on other areas that are not listed as electives, you can contact the regional coordinators or OEL to try to find the experience you are looking for.
Regional Coordinator • Dr. Kristi Kelley, PharmD, BCPS, CDE watsokm@auburn.edu