Serves as Clinical Pharmacy Specialist and supports the Psychiatry department as a Clinical Specialist. Acts as a mid-level provider with prescriptive authority granted through an applicable Scope of Practice. Oversees and coordinates the training of American Society of Health-System Pharmacists (ASHP) pharmacy residents and ensuring continual compliance with Residency Program accreditation standards, coordinating pharmacy graduate and undergraduate students, and pharmacy technician students. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Education: (1) Graduate of an Accreditation Council for Pharmacy Education (ACPE) accredited College or School of Pharmacy with a baccalaureate degree in pharmacy (BS Pharmacy) and/or a Doctor of Pharmacy (Pharm.D.) degree. Verification of approved degree programs may be obtained from the Accreditation Council for Pharmacy Education, 20 North Clark Street, Suite 2500, Chicago, Illinois 60602-5109; phone: (312) 664-3575, or through their Web site at: http://www.acpe-accredit.org/. (NOTE: Prior to 2005 ACPE accredited both baccalaureate and Doctor of Pharmacy terminal degree program. Today the sole degree is Doctor of Pharmacy.) (2) Graduates of foreign pharmacy degree programs meet the educational requirement if the graduate is able to provide proof of achieving the Foreign Pharmacy Graduate Examination Commission (FPGEC) Certification, which includes passing the Foreign Pharmacy Graduate Equivalency Examination(FPGEE) and the Test of English as a Foreign Language Internet-Based Test (TOEFL iBT). Licensure: Full, current and unrestricted license to practice pharmacy in a State, Territory, Commonwealth of the United States (i.e., Puerto Rico), or the District of Columbia. The pharmacist must maintain current registration if this is a requirement for maintaining full, current, and unrestricted licensure. The pharmacist must maintain current registration if this is a requirement for maintaining full, current, and unrestricted licensure. A pharmacist who has, or has ever had, any license(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status may be appointed only in accordance with the provisions in VA Handbook 5005, Part II, Chapter 3, section B, paragraph 16. Physical Requirements. See VA Directive and Handbook 5019 English Language Proficiency. Pharmacists must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). Preferred Experience: PGY-2 Mental Health Residency. (a) A minimum of three years of practice experience, or equivalent experience in the advanced practice area (i.e., five years of practice experience in the advanced area with demonstrated mastery of the knowledge, skills, attitudes, and abilities expected of one who has completed a PGY2 residency); (b.) board certification in the specialty when certification is offered in that specific advanced area of practice (BCPP) Comprehensive knowledge of a specialized area of clinical pharmacy practice or specialty area of pharmacy such as quality assurance/utilization review, informatics systems, drug information, etc. This level of knowledge is usually characterized by at least 1 year of experience in a specialized clinical area or advanced training/certification or residency. Comprehensive knowledge of pharmaceutics, pharmacokinetics, pharmacodynamics, pharmacoeconomics, and pharmacotherapeutics. This level of knowledge is characterized by at least 1 year of experience in a specialized clinical area or advanced training/certification or residency. Ability to design specific treatment regimens based on specific disease states for mental health patients to establish appropriate therapeutic outcomes. Extensive skill in monitoring and assessing the outcome of drug therapies including physical assessment and interpretation of laboratory and other diagnostic parameters Grade Determinations: GS-13: In addition to the GS-12 requirements, must have 1 year of experience equivalent to the next lower grade level. Assignments. Candidates at this grade level are to be in one of the assignments listed below. For all assignments above the full performance level, the higher level duties must consist of significant scope, administrative independence, complexity (difficulty) and range of variety as described in this standard at the specified grade level and be performed by the incumbent at least 25% of the time. Clinical Pharmacy Specialist. The clinical pharmacy specialist (CPS) functions at the highest level of clinical practice, works independently under their scope of practice as defined by the individual medical center to directly care for patients. A CPS plays a defined role in budgetary execution and serves as a mid-level provider who functions to initiate, modify or discontinue medication therapy and as a consultant for intensive medication therapy management services. This includes, but is not limited to, the following: designing, implementing, assessing, monitoring and documenting therapeutic plans utilizing the most effective, least toxic and most economical medication treatments; helping achieve positive patient centric outcomes through direct and indirect interactions with patients, providers, and interdisciplinary teams in assigned areas; performing physical assessments; and ordering laboratory and other tests to help determine efficacy and toxicity of medication therapy. Pharmacists assigned to this position must demonstrate the following KSAs: a. Ability to communicate orally and in writing to persuade and influence clinical and management decisions. b. Expert understanding of regulatory and quality standards for their program area. c. Ability to solve problems, coordinate and organize responsibilities to maximize outcomes in their program area or area of clinical expertise. d. Expert knowledge of a specialized area of clinical pharmacy practice or specialty area of pharmacy. e. Advanced skill in monitoring and assessing the outcome of drug therapies, including physical assessment and interpretation of laboratory and other diagnostic parameters. Knowledge of Professional Pharmacy Practices: To be creditable, the experience must have demonstrated the use of knowledge, skills, and abilities associated with professional pharmacy practice. Professional practice means paid/non-paid employment as a professional or unlicensed graduate pharmacist as defined by the appropriate licensing board. Residency and Fellowship Training: Residency and fellowship training programs in a specialized area of clinical pharmacy practice may be substituted for creditable experience on a year-for-year basis. The pharmacy residency program must be accredited by the American Society of Health- System Pharmacists (ASHP). A fellowship program that is not accredited by the American College of Clinical Pharmacy (ACCP) will need to have comparable standards for experience to be creditable (Professional Standards Board refers to the Deputy Chief Consultant for Professional Practice for the determination). Quality of Experience: Qualifying experience must be at a level comparable to pharmacy experience at the next lower level. Experience as a Graduate Pharmacist is creditable provided the candidate was used as a professional pharmacist (under supervision) and subsequently passed the appropriate licensure examination. References: VA Handbook 5005/55 Part II Appendix G15 dated June 7, 2012 The full performance level of this vacancy is GS-13. Physical Requirements: Light lifting/carrying (under 15 pounds); straight pulling/pushing (1 hour); reaching above shoulder; use of fingers; both hands required; walking/standing (2 hours); repeated bending (2 hours); both legs required; ability for rapid mental and muscular coordination simultaneously; near vision correctable at 13" to 16" to Jaeger 1 to 4; far vision correctable in one eye to 20/20 and to 20/40 in the other; depth perception; hearing (aid may be permitted). ["Clinical Specialty Practice-Patient Care Skills: Interfaces with Psychiatric care physicians in the design of the veteran's treatment regimen. Independently works in the assigned clinic area as a mid-level provider designing medication therapy management for Mental Health patients. Serves as an authoritative information source on drugs and their utilization in therapy. Designs dosage regimens for current pharmacokinetics principles and specific patient parameters. From a verbal or written patient presentation of signs, symptoms, laboratory tests and diagnoses, recognize and list important medical problems, disease states, symptoms or abnormal laboratory values, which may necessitate altering the therapeutic regimen. Establish and expand the patient database through interpreting the drug history, medical history, physical examination and progress notes. Designs a therapeutic regimen or plan, based on patient-specific information, which includes establishing a therapeutic endpoint, selecting an appropriate drug and related therapy and establishing an appropriate dosage regimen. Monitors and assesses therapeutic and adverse effects of drug therapy (including drug interactions) through selection and evaluation of physical and laboratory parameters. Assumes prescribing functions under appropriate Scope of Practice and accepted clinical practice guidelines. Orders appropriate laboratory and other tests to effectively monitor patients' medication therapy. Provides the psychiatric physicians and nurse practitioners a focal resource for discussion of behavioral health and other therapeutic problems requiring intervention. Physically assesses patients to determine if current medication therapy is appropriate. (i.e.: takes blood pressure readings to determine if MTM therapy is appropriate) Provides patient consultation concerning individual drug therapy and related problems and needs. Organizes, develops, and oversees innovative psychiatric care programs with an emphasis in total pharmaceutical care. Provides patient care utilizing an advanced in-depth knowledge of psychiatry specialized areas of pharmacy practice. Provide patient medication counseling by verifying patient understanding of the medication, proper medication use, expected outcomes and how to obtain refills. Participates in reporting actual and/or potential medication errors or adverse events and participates in quality improvement initiatives to promote patient safety. Actively participates in the Adverse Drug Reaction (ADR) reporting program. Works with the Clinic CMO and providers to ensure clinic staff adhere to formulary process so that patients receive the most efficacious and cost-effective drug treatment. Evaluation of non-formulary consults in accordance with VA criteria for use of non-formulary medications. Monitors use of non-formulary medications and offers alternatives to medical staff. Represents Pharmacy services in a professional manner that focuses on the needs of the Psychiatry Care programs and not on personal or competing agendas. Performs other duties as assigned to facilitate patient care. Dispensing: Interprets and evaluates physician orders for both accuracy and appropriateness. Verifies physician medication orders in VISTA/CPRS and processes prescriptions for filling by the outpatient pharmacy. Evaluates and administratively completes non-formulary drug requests from providers in a timely manner, i.e. within the 96-hour requirement designated by Central Office. Prepares and dispenses medications in accordance with dosage form requirements, including routine outpatient prescriptions, compounded preparations and sterile products (including Rx admixtures). Education and Training Functions: Assists in the training of new pharmacy staff. Participates in in-service training programs for house staff. Serves as a preceptor to students of Affiliated Schools of Pharmacy. Maintains licensure in good standing. Obtains and maintains Basic Cardiac Life Support Certification. Completes continuing professional education required to maintain licensure and keep current with state-of-the-art professional knowledge. Completes the number of mandatory employee education hours necessary to comply with organizational standards. Work Schedule: Monday through Friday, 8am - 4:30pm\nTelework: Not Available\nVirtual: This is not a virtual position.\nFunctional Statement #: 000000\nRelocation/Recruitment Incentives: Not Authorized\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.