The clinical specialist is a licensed pharmacist who provides care to patients referred to the pharmacist-run anticoagulation clinic at Centra Stroobants Cardiovascular Center. He/she will review, evaluate, recommend, and manage anticoagulant therapy and other high-risk cardiovascular medications (amiodarone, dofetilide, sotolol) to optimize medication therapy. He/she may manage transitions of care for patients on anticoagulant drug therapies.
The outpatient cardiology clinical specialist's primary functions include consultation and management of patients on anticoagulant drug therapy including but not limited to initiating and adjusting warfarin, low molecular weight heparins, and novel oral anticoagulants (dabigitran, apixiban, rivaroxaban). Anticoagulation management will be consistent with evidenced-based practice guidelines, where the clinical pharmacy specialist will initiate, adjust, monitor and recommend or make changes to anticoagulation drug therapy under an institutional protocol.
In addition, the clinical specialist will evaluate the medical literature and provide drug information. He/she will be involved in drug policy information for patients and medical center staff. The specialist will participate in developing and providing educational programs for doctors, nurses, and other healthcare professionals.
The clinical specialist in cardiology primary care will:
Perform patient assessment for medication-related factors
Order laboratory tests needed for monitoring the outcomes of anticoagulants or high risk cardiac medications
Identify, correct, and prevent medication-related problems
Interpret data related to medication safety and effectiveness
Initiate or modify medication therapy care plans based on patient response
Provide information, education, and counseling to patients on lifestyle modifications, disease state management, adverse drug reactions, and medication compliance
Maintain documentation of all patient interactions
Identify barriers to patient adherence, including financial problems and refer for assistance as needed
Participate in multidisciplinary reviews of patients' progress
Consult with physicians and other team members
Provide health promotion and disease prevention
Serve as a drug information resource and clinical expert in the area of anticoagulation
Serve as a preceptor for area pharmacy interns and pharmacy residents
Conduct quality and performance improvement initiatives
Perform drug usage evaluations
Measure anticoagulation practice effectiveness
Other duties as assigned
Graduate from an accredited School of Pharmacy
Required Experience & Skills
Three years clinical pharmacy experience (cardiology/anticoagulation preferred) OR PGY1 Pharmacy Residency
PGY2 Pharmacy Residency with specialization in cardiology or ambulatory care.
Required Certifications and Licensures
Licensed by the Virginia Board of Pharmacy as a pharmacist
Certified in Pharmacotherapy or Ambulatory Care Pharmacy by BPS (Board of Pharmacy Specialties)
Preferred Certifications and Licensures
About Centra Health
Centra is a regional nonprofit healthcare system based in Lynchburg, Virginia. It was created in 1987 through the merger of the Lynchburg General (LGH) and Virginia Baptist (VBH) hospitals. In 2006, Southside Community Hospital (CSCH) in Farmville joined Centra as an affiliate. . In 2014, Bedford Memorial Hospital, in Bedford, joined Centra’s network and became the 4th hospital in the system. With more than 8,500 employees, 400 employed providers and physicians and a medical staff of nearly 800, providing care in 70 locations, Centra serves over 500,000 people throughout central and southern Virginia. Centra provides medical services to patients across a geographic area roughly the size of the state of New Jersey, covering approximately 8,000 square miles, through many facilities and practices.