Clinic Site Descriptions - College of Pharmacy | University of Illinois

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University of Illinois at Chicago
Ambulatory Care Clinic Site Descriptions
Antithrombosis Clinic
Preceptors
Most Common Disease
States/Problems Seen
General Description of Clinic
Edith Nutescu, Aimee Chevalier, Nancy Shapiro, Ann Kuchta, Beatrice Drambarean,
Erika Hellenbart, James Lee
Major disease states requiring short or long-term anticoagulation therapy including
patients s/p major orthopedic surgery, venous thrombosis, ischemic stroke,
peripheral vascular disease, atrial fibrillation, various hypercoagulable states. The
clinic also sees high risk pregnant patients and pediatric patients in need of
anticoagulant therapy. Consults for peri-procedure bridging therapy are also handled.
Located in the Outpatient Care Center. This is a Pharmacist Managed Service.
Patients are enrolled in clinic by referral from MD.
Clinic Days: M – F 9am – 12pm and M – F 1pm – 5pm.
Clinic Structure: Patients are seen by appointment only. An average of 35-45
patients are seen in any given full clinic day. Patients are seen in-person in clinic by
the pharmacist. The referring MD is consulted in complex cases and in emergent
situations. Point of care testing is performed by a full time pharmacy technician.
Limited phone follow-up is also done in some cases (< 5% of our patient volume).
Diabetes/Endocrinology Clinic
Preceptor
Most Common Disease
States/Problems Seen
General Description of Clinic
Daphne Smith Marsh, Shiyun Kim
Diabetes
Located in the OCC (Outpatient Care Center)
Service is provided within the Diabetes Wellness Education Program/Endocrinology
Clinic
Clinic day: Friday, 9:00 a.m.-4:30 p.m.
Clinic structure: The pharmacist provides diabetes education through classes and
individual appointments. Pharmacist is involved in the co-management of diabetes
with endocrinologists through the initiation and titration of medications. Educational
service is part of an American Diabetes Association (ADA) recognized program.
Dialysis (Hemodialysis, Peritoneal Dialysis and Renal Hypertension Clinic)
Preceptors
Most Common Disease
States/Problems Seen
General Description of Clinic
Cheryl Gilmartin
The focus of care is on hypertension, diabetes, anemia and hyperparathyroidism.
Located next door to the OCC. Pharmaceutical care is provided as part of a
multidisciplinary team rounding for three different shifts of patients on a daily basis.
The services include both a MTMS program and medication assistance program for
patients with chronic kidney disease. Therapeutic drug monitoring is also provided for
antibiotics, warfarin, digoxin, and levothyroxine. Continuity of care is provided
between dialysis unit, the pharmacy, various UIC clinics and the hospital.
Digestive Diseases and Liver Clinic
Preceptors
Most Common Disease
States/Problems Seen
General Description of Clinic
Michelle Martin
Hepatitis, constipation, diarrhea, inflammatory bowel disease.
Located in the Outpatient Care Center. Patients are seen by appointment. Patients
are seen by pharmacist alone and then presented to the provider. Also respond to
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frequent phone calls from patients and pharmacies. Obtain pre-authorization for
GI/Liver medications.
Electrophysiology Clinic
Preceptor
Most Common Disease
States/Problems Seen
General Description of Clinic
Jessica Tilton
A.Fib, A.Flutter, AT, VT, VT, HTN, Heart Failure, anticoagulation issues.
Location: Outpatient Care Center
Clinic Days: Wednesday afternoon, Friday afternoon
Clinic Structure: EP clinic is a physician run clinic that works as a multi-disciplinary
team with a MD, ANP, RN and pharmacist. Patients are seen by the pharmacist
based on need identified by the physician, nurse and pharmacist. It is a busy clinic,
where the pharmacist practices with a lot of autonomy to create a therapeutic plan
that is presented to the attending.
Emergency Department
Preceptor
Most Common Disease
States/Problems Seen
General Description of Clinic
Renee Petzel Gimbar
Multiple
This rotation is designed to expose residents to the various roles of a clinical
pharmacist in an ED setting. The ED sees approximately 55,000 adult and pediatric
patients annually. The healthcare team in the ED is comprised of medical students
and residents, nurses, nurse practitioners, social workers, attending physicians and
clinical pharmacists. This rotation setting is very unique due to direct involvement
with medical decision making, drug evaluation and administration to ED patients.
The rotation can be very challenging due to the dynamic ED setting and the need to
manage multiple problems simultaneously, often making clinical decisions in a very
rapid fashion. The degree to which a resident participates as a member of the health
care team dictates the type of experience they will have.
Family Medicine Center
Preceptors
Most Common Disease
States/Problems Seen
General Description of Clinic
Louise Parent-Stevens, Marlowe Djuric Kahlic, Rebecca Stone
Asthma, HTN, Diabetes, Hyperlipidemia, Hormone management
(OCPs/PlanB/Postmenopausal Tx), Anticoagulation management, Smoking
cessation, Traveler’s Health, Medication management, Latent TB management, and
Assisting patients with insurance/patient medication assistance issues
Located in University Village (722 W. Maxwell Street) and OCC. Patients are seen by
appointment or as drops-ins/consults. Patients may be scheduled with the pharmacist
alone or may be seen at request of MD for consultation. Also respond to frequent
phone calls from patients and pharmacies.
Heart Failure
Preceptor
Most Common Disease
States/Problems Seen
General Description of Clinic
Vicki Groo
Heart Failure, HTN, CAD, hyperlipidemia, renal insufficiency, diabetes, atrial
fibrillation, anticoagulation
Located in the OCC. Clinic meets 2 days per week from 7:30 a.m. until 1 or 2 pm.
Resident will work side-by side with preceptor, fellow, and attending. Pharmacist
sees patient first and presents history and assessment to MD with goal of
contributing to the treatment plan. Will be involved in taking medication history,
symptom assessment, self care assessment, patient education, development of
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treatment and monitoring plan.
Residents who choose to do a concentrated month of cardiology will also have the
opportunity to do phone follow-ups, laboratory monitoring and participate in a
pharmacist run medication titration clinic.
Infectious Disease and HIV (Family Center for Infectious Disease)
Preceptors
Most Common Disease
States/Problems Seen
General Description of Clinic
Renata Smith, Rodrigo Burgos, Melissa Badowski
HIV/AIDS and its complications, other co-morbidities in the setting of HIV:
hypertension, DM, asthma, dyslipidemias, pregnancy, STDs, and co-infection with
hepatitis and HIV.
Located in the OCC building Room 3. Patients are seen by appointment or as walkin. The clinic has a multidisciplinary approach to patient care and pharmacists will
interact with various healthcare professionals as part of the day to day activities.
Patients may be seen just by the pharmacist or as part of their routine care visit.
Pharmacists play an active role in patient care activities including: obtaining
medication history, medication education and adherence monitoring, review of
antiretroviral resistance testing, selection of antiretroviral therapy, comorbid disease
state evaluation, management of adverse drug reactions and drug-drug interactions,
prescription refills and the coordination of Illinois ADAP clients medications. In
addition, a subset of patients will have pre-determined visits for pillbox fillings.
Infectious Disease and HIV (IDOC Telemedicine)
Preceptors
Most Common Disease
States/Problems Seen
General Description of Clinic
Melissa Badowski
HIV/AIDS and its complications, other co-morbidities in the setting of HIV:
hypertension, DM, asthma, dyslipidemias, pregnancy, STDs, and co-infection with
hepatitis and HIV.
Located in the Benjamin Goldberg Research Center at the University of Illinois at
Chicago campus. The telemedicine program implements a multidisciplinary approach
to provide HIV care while a prisoner is incarcerated. An infectious disease physician,
an infectious disease clinical pharmacist, and case manager provide HIV care to 26
prisons within the state of Illinois. An entire clinic visit is performed through
telecommunications without leaving the UIC campus. With the use of a computer
and video-equipment, we are able to see each patient and conduct an entire clinic
visit. Pharmacists play an active role in patient care activities including: medication
education and adherence counseling, review of antiretroviral resistance testing,
selection of antiretroviral therapy, comorbid disease state evaluation, management of
adverse drug reactions and drug-drug interactions, and prescription order entry.
Medication Therapy Management (MTM) Clinic
Preceptors
Most Common Disease
States/Problems Seen
General Description of Clinic
Jessica Tilton, Shiyun Kim, Anna Markel Vaysman, Daphne Smith Marsh, Lori
Wilken, Tiffany Scott Horton, Mansi Shah
Most common disease states are HTN, hyperlipidemia, DM, stroke, asthma/COPD,
heart failure. Health care issues include medication related problems involving nonadherence, decreased continuity of care, medication reconciliation, adverse drug
events and low health literacy.
Located in the OCC (Outpatient care center).
A referral based pharmacy managed clinic.
Clinic days: Monday-Friday, 9:00 a.m.-4:30 p.m.
Clinic structure: Patients are seen primarily by appointment. The clinic can average
10-24 patient visits per day. Services provided include disease state management,
assistance in medication access and adherence, continuity of care, monitoring for
drug efficacy, drug related problems and education.
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Neurology Clinic
Preceptor
Most Common Disease
States/Problems Seen
General Description of Clinic
Mitra Habibi
Adult epilepsy and Pediatric general neurology.
Located in the OCC. Patients are seen by appointment. The resident will become
part of the outpatient Neurology team which consists of an attending, 1-2 neurology
residents/fellow and a PharmD. Patients are seen by pharmacist independently and
then presented to the attending; they will be involved in the final assessment and
plan. If bloodwork and specifically AED levels are ordered for a patient during their
clinic visit, the results are followed-up, discussed with the attending and dose
adjustments are made if necessary.
Oncology Clinic
Preceptors
Most Common Disease
States/Problems Seen
General Description of Clinic
Sandy Cuellar Puri, Scott Wirth
Solid Tumors, Hematological Malignancies, Chemotherapy-Related Toxicities,
Nausea/ Vomiting Management, Electrolyte Replacement, Pain Management, Drug
Information Consultation
Located in the Outpatient Care Center. Patients are seen daily for outpatient
chemotherapy. Patients are also seen for follow-up with their hematologist/
oncologist. Clinical Pharmacists are consulted for supportive care management and
general oncology/ hematology drug consultation.
Pain
Preceptor
Most Common Disease
States/Problems Seen
General Description of Clinic
Julie Golembiewski
Low back pain, diabetic neuropathy, fibromyalgia, radiculopathy, and other
types of chronic non-cancer pain
Located in the Outpatient Care Center. Patients are seen by appointment or
as consults. Patients are seen by the pharmacist with a pain fellow or
anesthesia resident and then presented to the attending. Pharmacist is
specifically asked to see patients returning to the clinic for medication refills,
not patients who are at the clinic for evaluation of their pain or for a
procedure to relieve their pain.
Pediatrics (Children & Adolescent Center and Family Center for Infectious Disease)
Preceptor
Most Common Disease
States/Problems Seen
General Description of Clinic
Leslie Briars, Kirsten Ohler, Lauren Dandeles, Donna Kraus
Most of the patients are followed for well child care (e.g., immunizations) or chronic
disorders (e.g., asthma, attention deficit disorder, atopic dermatitis, oral contraceptive
use) & some are for acute care (e.g., R/O sepsis, lead poisoning, STDs, otitis media,
pharyngitis, asthma exacerbation). Some of the specialty clinics that pharmacy
provides services for include nephrology & HIV.
Located in the Outpatient Care Center. Pharmacy services in all of the areas include:
medication histories, assisting with choosing appropriate therapeutic regimens,
suggesting monitoring parameters to follow & medication education. The majority of
the pharmacist’s interventions include education to the family, patient and practitioner
seeing the patient. Other services provided include: drug information, conferences
to residents/interns & provision of continuity of care. Patients are seen along with the
physician/practitioner and multidisciplinary rounds are attended as scheduled for
nephrology and HIV.
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Psychosis Clinic
Preceptors
General Description of Clinic
Shiyun Kim, PharmD., CDE & Jeff Bishop, PharmD., BCPP
The resident will participate in a collaborative practice in outpatient psychiatrypsychosis clinic.
Responsibilities include but are not limited to the following:
1. Conduct an interview for compliance, and side-effect assessment
2. Assess patient chief complaints/signs/symptoms and possible etiologies
(psychiatric/neurological/medical)
3. Monitor patients on Clozapine and coordinate the care with the psychosis team
4. Administer Long-Acting Injection Antipsychotic agent as prescribed by the
psychosis team and monitor patients for efficacy, side-effects and compliance
5. Review and discuss major psychiatric diagnosis and treatments options with the
psychosis team
6. Participate in teaching rounds at the end of each clinic day
7. Participate Clozapine Support Group
Psychosis Clinic location:
NPI (Neuropsychiatric Institute), 5th floor, 912 S. Wood Street
Pulmonary Clinic
Preceptor
Most Common Disease
States/Problems Seen
Lori Wilken
COPD, Tobacco dependence, Moderate and severe persistent asthma, Pulmonary
hypertension, Allergic rhinitis, Allergic bronchopulmonary aspergillosis, Sarcoidosis,
Interstitial lung disease, Pulmonary embolism, Obstructive sleep apnea
Located in the Outpatient Care Center 3C. Patients are seen before or after being
seen by the pulmonary fellow. Medication reconciliation, asthma and COPD action
plans, asthma and COPD control tests, tobacco dependence consults, inhaler
education, drug adjustment recommendations are provided on appropriate patients.
General Description of Clinic
Tobacco Dependence Center
Preceptor
Most Common Disease
States/Problems Seen
Lori Wilken
Tobacco dependence. Usually cigarette smokers; rarely cigar and spit tobacco.
Special populations with cardiovascular, psych, other addictions, pregnancy, and
HIV. Spirometry and carbon monoxide assessments completed at baseline.
Located in the Outpatient Care Center 3C. Patients are seen individually by
appointment. Patients are seen by pharmacist alone and then presented to the
attending, if needed.
General Description of Clinic
Solid Organ Transplant (Adult)
Preceptors
Most Common Disease
States/Problems Seen
General Description of Clinic
Maya Campara, Jamie Benken, Beth Hetterman
Renal transplant, liver transplant, pancreas transplant, immunosuppression-related
toxicities, chronic kidney disease, chronic liver disease, hypertension, diabetes,
anemias, hyperlipidemia, infections in immunocompromised host, secondary
hyperparathyroidism, electrolyte replacement, pain management, medication
adherence.
Located in the Eye and Ear Infirmary (Transplant Center). Patients are seen by
appointment. Patients are seen by pharmacist alone and then presented to the
physician.
Telemedicine Hepatitis Clinic
Preceptor
Juliana Chan
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Most Common Disease
States/Problems Seen
Viral hepatitis C, liver transplantation, co-infected patients with HIV/HCV, Hepatitis
B, cirrhosis,
Objectives of the rotation
The resident will participate in a collaborative practice in outpatient Telemedicine
clinic. Responsibilities include but are not limited to the following:
1) To learn how to evaluate a hepatitis C patient for HCV treatment
2) To participate in scholarship activities and/or research projects aimed at treating
Liver diseases.
3) To gain exposure to Specialty Pharmacy Services by seeing and treating patients
with HCV in the Telemedicine clinic.
4) Provide pharmaceutical are by educating (ie, administration, injection technique)
patients with HCV in the Hepatitis C Clinic.
5) To write an article or newsletter for publication
General Description of Clinic
Located in the Benjamin Goldberg Research Center at the University of Illinois at
Chicago campus. Pharmaceutical care is provided as a part of a multidisciplinary
team which includes a team of hepatologist and clinical pharmacist. The goals of this
rotation are listed above in the ‘objectives of the rotation’.
Women’s Health (Center for Women’s Health)
Preceptors
Most Common Disease
States/Problems Seen
General Description of Clinic
Rebecca Stone
High risk OB, Contraception/emergency contraception, STDs and other vaginal
infections, urinary tract infections, medication use in pregnancy and lactation,
gestational diabetes, smoking cessation and asthma in pregnancy, menopause
Located in the Outpatient Care Center. Patients are seen as drops-ins/consults.
High risk OB patients are screened by the pharmacist independently for
medication/vaccine issues and then presented to the provider and administer
vaccines, if needed. The PharmD also provides patient education including
gestational diabetes new patient education, insulin teaching, asthma action plans,
LMWH teaching, etc. Additional responsibilities include refill/prior authorization
requests, and drug information questions from both providers and patients.
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