Under limited supervision, provides a high level of direct patient care pharmacy services for an assigned, specialized patient population to assure adequate patient care according to professional standards and practices. Advises/consults with patients and their families and the medical and nursing staff. Participates in research and drug use and outcome management programs within specialty area; responsible for publishing data or giving presentations at local, regional or national meetings; instructs and trains pharmacy residents and students; assists in overseeing and directing the clinical services provided by pharmacists. Acts as a mentor to clinical pharmacists.
II - Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
Clinical Pharmacy Services
-Participates in direct patient care with an oncology medical team.
-Assists with therapeutic decisions such as drug product selection, drug dosing and therapeutic drug monitoring.
-Reviews all chemotherapy orders, and provides checks with the pharmacy satellite
-Develops patient care plans in concert with the medical team.
-Recommends therapy or alternative approaches based on interpretation of relevant medical literature and clinical experience.
-Makes verbal or written recommendations in a clear, succinct and appropriate manner.
-Considers age, weight and organ function (e.g. renal, hepatic) when evaluating patients and patient’s therapies when making recommendations.
-Interviews patients and conducts physical assessments to determine medical history, previous medication condition and response to therapy.
-Interprets laboratory and other patient-specific data to develop treatment plans and to monitor response to therapy.
-Applies pharmacokinetic principles in order to achieve efficacious, safe and economical pharmacotherapeutic regimens.
-Responds to therapeutic queries posed by physicians and other healthcare providers.
-Identifies and corrects drug-related problems such as complications resulting from drug therapy (ineffective therapy, allergic reactions and adverse drug reactions).
-Establishes procedures for detecting significant drug-drug, drug-laboratory and drug-food interactions. Makes recommendations to avoid such interactions.
-Performs basic cardiac life support and participates in drug therapy management during medical emergencies.
-Ensures a continuum of care by cooperating with other health professionals and outside health organizations.
-Counsels patients and/or caregiver as to the proper administration, potential adverse reactions, storage of medications, etc.
Drug Use, Outcome and Formulary Management
-Ensures and enforces compliance with established clinical protocols and guidelines with the multidisciplinary care providers.
-Works with the Coordinator of Drug Use and Outcome Management in identifying and establishing programs that improve drug therapy outcomes (efficacy, safety, cost-effectiveness) and overall quality of patient care.
-Works with the Coordinator of Drug Use and Outcome Management and Formulary Management in implementing and monitoring drug use management programs.
-Participates in the Medication Use Evaluation Program by designing drug use criteria, collecting patient information, providing accurate analysis and reporting data.
-Participates with the Coordinator of Drug Use and Outcome Management in clinical pathway development and other related managed care initiatives such as disease management programs.
-Participates in the formulary management process including development of drug monographs, treatment protocols, drug use policy, algorithms and guidelines for use with the Coordinator of Drug Use and Outcome Management and Formulary Management and within the purview of the P&T Committee.
-Documents pharmaceutical care interventions conscientiously as part of the departmental documentation program.
Staff Development, Education and Training
-Provides education to physicians, nurses and other healthcare providers.
-Expected to obtain clinical faculty appointment at the School of Pharmacy or School of Medicine.
-Serves as a preceptor for PharmD students, residents and staff. May service as Program Director of a Residency Program.
-Attends hospital, medical and pharmacy department conferences and meetings.
-Actively participates as a presenter in departmental staff development programs.
-Orients and trains new personnel in assigned areas.
Reads the literature and attends continuing education sessions to stay current, expand knowledge and maintain clinical acumen.
Formulates and conducts departmental projects aimed at addressing Medical Center and departmental advancements in clinical and operational practice. Participates in process redesign.
Disseminates original research through publication in peer review literature and/or presentation of written or delivered reviews on current topics at local, regional or national meetings.
Conducts and/or participates in research. Ability to identify research issues, opportunities or problems for investigation.
-Provides front-line management of service areas such as unit-based practice models, pharmacy satellites or ambulatory pharmacy settings.
-Oversees, directs and participates in order entry, preparation, dispensing and distribution of medication in compliance with the operational policies and procedures.
-Oversees and directs the pharmaceutical care activities of pharmacy technicians where applicable.
-Displays conduct and behaviors that model the mission, vision and values of the pharmacy department.
-Maintains and complies with established department, state, federal and local laws, regulations, policies, procedures and generally accepted pharmacy practice.
-Participates in Medical Center committees as directed.
-Models sound organizational and teamwork skills to accomplish departmental and Medical Center goals and objectives.
Enhances Customer Relations
-Interacts with internal and external customers of the Medical Center in a respectful, courteous and tactful manner to foster the delivery of quality patient and employee services.
-Evaluates customer’s needs and thereby develops systems and services to improve relations and satisfaction.
-Performs other duties as assigned.
III - Working Conditions
Weekend, shift work, holiday, on-call, and overtime may be required.
Work is performed in a normal, office environment as well as a clinical setting.
IV - Patient Safety
-Ensures patient safety in the performance of job functions and through participation in hospital, department or unit patient safety initiatives.
-Takes action to correct observed risks to patient safety.
-Reports adverse events and near misses to appropriate management authority.
-Implements policies, procedure, and standards consistently in the performance of assigned duties.
-Develops effective working relationships and maintains good communication with other team members.
-Identifies possible risks in processes, procedures, devices and communicates the same to those in charge.
-A Bachelor of Pharmacy from a college or university accredited by the American Association of Colleges of Pharmacy is required. Master of Science, PhD or Doctor of Pharmacy from a college or university accredited by the American Association of Colleges of Pharmacy is preferred. A minimum of 5 years of clinical pharmacy experience required with Bachelor’s degree.
-Licensure by the Maryland State Board of Pharmacy is required.
-Completion of a Pharmacy Practice Residency or a minimum of three (3) years of clinical pharmacy experience is required. Completion of an Oncology Specialty Residency is required or the five (5) years of substituted clinical pharmacy experience noted in #1 would be in addition to the three (3) years experience noted here.
-Certification from the Board of Pharmaceutical Specialties (BCOP) is preferred.
-Knowledge of personal computer operation and applications (EPIC/BEACON), such as spreadsheet database manager and word processing.
-Demonstrated ability to affect pharmaceutical care outcomes.
-Demonstrated ability to plan, organize, complete and evaluate assignments and projects of their own and others where delegation is required.
-Ability to stand for extended periods of time while performing pharmacy service duties. Occasional lifting of supplies and equipment may be required.
-Highly effective written and verbal communication skills are necessary to work with clinical, upper management, administrative and other personnel from multiple Medical Center Departments.
About University of Maryland
University of Maryland is the employer of several residency and fellowship programs that are offered through both the School of Pharmacy and Medical Center.