UT College of Pharmacy and Pharmaceutical Sciences News

Posts Tagged ‘UTMC’

PGY2 Critical Care Residency celebrates 20 years

The PGY2 Critical Care residency is celebrating its 20th year. The resident provides patient care services to the most critically ill patients of the University of Toledo Medical Center, while both serving as the senior resident mentoring the 12 PGY1 residents and representing UTMC on the Graduate Medical Education Senior Resident Forum. The Critical Care resident performs over 2,000 interventions annually, almost 10 per day, improving patient care by providing evidence-based recommendations to improve outcomes, educate multi-disciplinary learners, and promote the most cost-effective therapy.

The PGY2 Critical Care resident conducts and presents research, serves on committees and participates in quality improvement and patient care projects, in addition to clinical work that includes on-call coverage at UTMC. Within the College of Pharmacy and Pharmaceutical Sciences, the resident is responsible for didactic teaching in the PharmD program, precepting Introductory Pharmacy Practice Experience (IPPE) and Advanced Pharmacy Practice Experience (APPE) students, and advising students in the PharmD Seminar.

UTMC RxPectations Program

UT and UTMC Team Up to Improve Patient Care

by Dr. Anita Stonehill-Ridner

In an effort to assist in improving patient care and patient satisfaction at The University of Toledo Medical Center (UTMC), the UTMC Pharmacy Department and faculty members within the University of Toledo College of Pharmacy and Pharmaceutical Sciences (CPPS) Pharmacy Practice department have collaborated to develop a patient education program called RxPectations. The purpose of this program is to educate our patients on their new medications. While counseling the patients, we discuss why they are taking their medications (indication for medication), the potential side effects of those medications, and any questions or concerns they might have about their medications.

The information that is provided to patients addresses two of the questions that appear on the patient satisfaction survey. The questions are:

  • Before giving you any new medication, how often did hospital staff tell you what the medicine was for?
  • Before giving you any new medication, how often did hospital staff describe possible side effects in a way you could understand?

RxPectations is primarily delivered by our student pharmacists who are in their final year of the Pharm.D. Program and are completing their experiential Anita Stonehill-Ridner, PharmD ‘98, Clinical Assistant Professor rotations. Pharmacy interns and pharmacy residents help to deliver the education as well. RxPectations is currently overseen by Russ Smith (UTMC Director of Pharmacy) and Anita Stonehill-Ridner (Pharmacy Practice faculty member).

In response to the above questions, a response of “Always” is considered a positive answer. The survey results are utilized to determine our patient CPPS faculty member, and several UT student pharmacists. The student pharmacists were instrumental in assisting with the development of this program during the fall of 2010. The pilot began in January 2011 on the unit with the lowest HCAHPS scores on the medication-related questions. RxPectations has been continued and has expanded to several units throughout the hospital, and we have counseled over satisfaction score or our HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) score. Through this program, we improve patient care and patient satisfaction in other ways by addressing various issues with patients’ medication regimens. For example, students may offer suggestions to patients in regard to adherence to their medication regimens or suggestions to address financial worries about medications. They may also interact with other health care professionals to assist with patients’ concerns to improve their care and experience at UTMC.

RxPectations started with discussions between UTMC inpatient and outpatient pharmacy managers, a 5000 patients. As a result, we have seen improvement in HCAHPS scores relating to the medication questions. There has been a 13% increase in patients responding ‘always’ to the question that addresses indication of medication and a 22% increase for the question addressing medication side effects. This is one way of providing greater patient-centered care in our university-quality health care environment. RxPectations highlights a successful program that has been developed and maintained by the efforts of The University of Toledo faculty and student pharmacists working closely with the UTMC pharmacy department to improve patient care and patient satisfaction at UTMC.

UTMC continues to be an integral training site for our student pharmacists in their final year of the PharmD program. During this final year, students complete eight one-month experiential rotations and one longitudinal rotation. UTMC also offers essential training to other students in the professional division of the PharmD program who are completing introductory experiential experiences.

In addition to this program, the Pharmacy Practice department has several faculty members who provide services to UTMC in conjunction with the various medical teams at UTMC. Not only do our faculty members train pharmacy residents and students in this setting, they also provide a service to patients and other healthcare professionals by offering education to other students and residents on the team and assisting with patient care.

Within the College of Pharmacy and Pharmaceutical Sciences, there are currently 13 faculty members engaged in direct patient care at UTMC and our outpatient clinics. Our college is just one example of the successful relationships between The University of Toledo and UTMC that not only serve to improve care for our patients, but also provide a vital training site and learning environment for our students and residents.

Interprofessional Education in UTMC’s Emergency Department

By Dr. Michael Peeters

Interprofessional practice involves harnessing differences in perspectives and expertise among professions in order to work toward a higher level of patient care; teamwork is central to this process. Teamwork within the University of Toledo Medical Center’s emergency department (ED) has been facilitated by learners from multiple professions. Under the ED’s medical director, Kristopher Brickman, MD, a number of professional students and residents from multiple programs including emergency medicine, internal medicine, pharmacy, nursing, physician assistants, and nurse practitioners, are focused on a team-based model for patient care. Michael Peeters, PharmD, MEd, BCPS, clinical assistant professor in the
Department of Pharmacy Practice, is involved with precepting and facilitating the education of PharmD students and pharmacy practice residents.

Learners are involved in the emergency department’s patient care and classroom based activities. Additionally, students are exposed to simulation lab experiences that provide opportunities for learners from multiple programs to appreciate and learn from each others’ different perspectives and expertise.

As a recent example, critical care specialty resident Katherine Johnson, PharmD, BCPS was involved with reviewing and restructuring UTMC’s intravenous drip medications within the computerized prescriber order entry (CPOE) system and re-organizing the emergency department’s Pyxis medication cabinets. Adding to her role as a pharmacist in the interprofessional practice model, Dr. Johnson actively participated in UT’s simulation lab with interprofessional teams practicing, teaching, and learning within various emergency medicine-related simulation scenarios. She was also involved in classroom based teaching about  pneumonia and appropriate antimicrobial selection with emergency medicine residents. These opportunities helped to foster an understanding of her role as a pharmacist in the emergency department among learners from other professions.

Pharmacy students have also participated in interprofessional classroom and simulation experiences as well as direct patient care activities, including obtaining best-possible medication histories. Along with other involved educators, Dr. Peeters is continuing to work with Dr. Brickman and the rest of the emergency department staff to integrate pharmacy learners into the UT Medical Center emergency department’s engaging interprofessional environment.

Read the College of Pharmacy and Pharmaceutical Sciences Annual Report

The College of Pharmacy and Pharmaceutical Sciences has published an annual report for alumni and friends of the college. The report highlights the college’s goals and accomplishments, including reaccreditation of the Doctor of Pharmacy program, faculty publications and financial data. The report can be read online.


Community Pharmacy Residency Program Reaccreditation

The American Society of Health-system Pharmacists (ASHP) notified the college’s PGY1 Community Pharmacy Residency program of its continued accreditation.  The Community Pharmacy Residency program, a collaboration between the college and Kroger Company, is committed to developing well-rounded clinicians who are able to provide advanced practice services in a variety of clinical settings. Eight residents have completed the residency program to date and gone on to success in their careers.  The program equips residents to provide services to diverse patient populations, collaborate as part of an integrated team, teach pharmacy students, develop and provide innovative services in the community setting and take an active role in advancing the practice of community pharmacy.

UT Residency Programs Meet Their Match

This year’s Pharmacy Residency Match Day was a great success for the College of Pharmacy and Pharmaceutical Sciences, once again promising the addition of new talent to the residency program. UT’s pharmacy residency program consists of three separate types of 12-month residencies, each accredited by the American Society of Health-System Pharmacists.

The PGY1 Pharmacy Residency provides extensive training opportunities and helps residents develop the skills they need to practice independently and excel in patient care and teaching. Residents train in different settings: acute care, ambulatory care, drug information and administration. They also gain teaching experience in didactic, laboratory, small group instruction and experiential teaching in the College of Pharmacy and Pharmaceutical Sciences. This summer, the PGY1 Pharmacy Residency program welcomes three new residents, Dr. Matt Hoover, a UT graduate, Dr. Jamie Drees from Ohio Northern University, and Dr. David Jacobs from the University of Buffalo.

The Community Pharmacy Residency program is committed to developing clinicians who provide advanced practice services in a variety of clinical settings.  Residents are equipped to serve diverse patient populations, collaborate with other healthcare providers, teach and mentor pharmacy students, and take an active role in advancing the practice of community pharmacy. Initiatives for Community Pharmacy residents are focused on medication therapy management, collaborative drug therapy, immunization, and health screenings. Dr. Michelle Mangan, who earned her PharmD from Ohio Northern University, is the newest resident in this program.

Critical Care residents practice at The University of Toledo Medical Center and study in surgical, medical, cardiac, cardiothoracic, neuro/neurosurgical, trauma intensive care, transplant, infectious disease, clinical microbiology, infection control and epidemiology, and emergency medicine areas.

Residents actively participate in multidisciplinary rounds, providing drug therapy management and drug information to members of the health care team, patients and patients’ family members.  The new Critical Care resident is Dr. Shelley Klochan, who earned her PharmD degree from Butler University and completed a PGY1 residency at Missouri Baptist Medical Center in St. Louis.

In addition to the new class of residents coming to UT, more than 13% of this year’s graduating PharmD class will enter Pharmacy Practice and Ambulatory Care residency programs. Many of these residents will remain local in institutions like The Toledo Hospital, Henry Ford Hospital, William Beaumont Hospital, and W.W. Knight. Other will venture across the state to Akron General Hospital, MetroHealth Medical Center in Cleveland, and Louis Stokes VA Hospital in Cleveland. Still more graduates will complete their residencies in well-known facilities across the country, including Virginia Commonwealth University Medical Center, the William Jennings Bryan Dorn VA Medical Center in South Carolina, the North Florida/South Georgia Veterans Health System in Gainesville, and New Hanover Regional Medical Center in Wilmington, North Carolina.

Learn more about Pharmacy residencies at UT

Great Rxpectations

The Rxpectations pilot program at UTMC is allowing pharmacists and pharmacy students to contribute to patient satisfaction. The program, currently operating on the Neurology unit, focuses on educating hospitalized patients about their new medications. This may include medications such as antibiotics, blood-thinners, pain medication, or many other medications that patients are newly starting and may continue at home.

The Rxpectations program was developed by UTMC pharmacists in collaboration with a UT Pharmacy Practice faculty member and Advanced Pharmacy Practice Experience (APPE) students to address patient education needs and to increase patient satisfaction within the medical center. P4 pharmacy students completing their APPE rotations, under the supervision of the decentralized pharmacist and College of Pharmacy and Pharmaceutical Sciences faculty, counsel patients about the purpose and proper use of their medications, as well as side effects they should be aware of.

In addition to increasing patient satisfaction, the program allows patients to ask questions and get involved in their own health care.

“It works two ways,” said Kate Cochran, a P4 APPE student. “We as students learn how to talk to patients and how to explain things to them, and patients learn about their medications.”

Students gain valuable experience in counseling patients while enhancing the patient experience at UTMC. They clarify the instructions given by doctors and nurses to optimize care and ensure that patients understand what medications they are taking and how to take them. Patients also benefit from having someone listen to their needs and experiences.

“Many patients are not happy about being sick and in the hospital, but when I leave the room, they’re smiling,” says Bryan Greenwood, a P4 APPE student.

While interacting with UTMC patients, students may encounter patient concerns or problems regarding their medications. This can include compliance issues or problems with taking medications as instructed, financial concerns that limit a patient’s ability to purchase medications, and potential drug interactions. Students are often able to contribute to unanticipated positive outcomes just by identifying potential problems and providing suggestions to the patients or interacting with other health care professionals including nurses, social workers, pharmacists, faculty, and doctors in order to assist in resolving a variety of issues that improve the patient’s experience. For instance, pharmacy students were able to help a patient with significant financial concerns to save on medication costs by suggesting a less expensive alternative to the patient’s physician.

Rxpectations is showing positive gains in patient satisfaction, and the hope is to expand the program throughout UTMC. The result of this program’s implementation is greater patient-centered care in our university-quality health care environment.