Download Clinic Site Descriptions - UIC College of Pharmacy

University of Illinois at Chicago
Ambulatory Care Clinic Site Descriptions
Antithrombosis Clinic
Preceptors
Most Common Disease
States/Problems Seen
General Description of Clinic
Nancy Shapiro, Erika Hellenbart, Ann Kuchta, James Lee, Nina Huynh, Ellen
Uppuluri (Chackunkal), Megan McComb
Major disease states requiring short or long-term anticoagulation therapy with
traditional and direct oral anticoagulants 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 periprocedure bridging therapy are also handled.
Located in the Outpatient Care Center Heart Center. This is a Pharmacist Managed
Service. Patients are enrolled in clinic by referral from MD.
Clinic Days: M – F 8:30am – 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
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)
Preceptors
Most Common Disease
States/Problems Seen
General Description of Clinic
Beatrice Drambarean
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
Michelle Martin
Hepatitis, constipation, diarrhea, inflammatory bowel disease.
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General Description of Clinic
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
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: Friday morning and Monday morning
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 (University Village)
Preceptors
Most Common Disease
States/Problems Seen
General Description of Clinic
Paul Stranges, Katie Kaczmarski, Louise Parent Stevens
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). 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.
Family Medicine (Mile Square Health Center)
Preceptor
Most Common Disease
States/Problems Seen
General Description of Clinic
Daphne Smith Marsh
Diabetes (including health study), Hypertension, Adult and childhood asthma,
Hyperlipidemia, STDs.
Service includes medication management and improving medication adherence.
Assist patients with insurance/patient medication assistance issues.
Federally qualified community health center, with multiple locations. Main location:
1220 S. Wood Street (Roosevelt and Wood Street). Clinic days: Monday,
Wednesday-Friday 9 a.m.-5 p.m. Patients are seen by appointment or as walk-
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in/consult. Patients can be scheduled with the pharmacist alone or may be seen at
request of physician for consultation.
Heart Failure
Preceptor
Most Common Disease
States/Problems Seen
General Description of Clinic
Vicki Groo, Erika Hellenbart
Heart Failure, HTN, CAD, hyperlipidemia, renal insufficiency, diabetes, atrial
fibrillation, anticoagulation
Located at Roosevelt and Paulina, no longer in the OCC. Clinic meets 4 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 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.
Internal Medicine Clinic/Managed Care
Preceptors
Most Common Disease
States/Problems Seen
General Description of Clinic
Christine Rash, Kelly Burke
Diabetes, Hypertension, Asthma, Cardiovascular Disease, Hyperlipidemia, CKD,
Preventative Care
Managed care-related administrative activities
Located in the OCC building Room 3AA. Patients are seen by appointment with the
PharmD Care Coordinator or as a walk-in. 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. The pharmacist plays an active role in the care of
patients in the Primary Care Plus and General Medicine Clinics through direct patient
care and through outreach activities including phone follow-ups and laboratory
monitoring. The role of the PharmD, in particular, is to be the Care Coordinator for
HMO of Illinois and Blue Cross Blue Shield Blue Advantage HMO Patients. This
means that the pharmacist is involved not only in direct patient care, but in
administrative activities such as attending managed care and quality improvement
meetings at UI Health and participating in medication and patient safety initiatives.
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.
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Infectious Disease and HIV (IDOC Telemedicine)
Preceptors
Most Common Disease
States/Problems Seen
General Description of Clinic
Melissa Badowski, Tommy Chiampas
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.
Infectious Disease and HIV (Outreach Clinics)
Preceptors
Most Common Disease
States/Problems Seen
General Description of Clinic
Renata Smith, Rodrigo Burgos, Melissa Badowski, Tommy Chiampas
All infectious diseases, pre and post transplant infections, IV antibiotics, 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 MTM.
Liver Transplant Clinic
Preceptors
Most Common Disease
States/Problems Seen
General Description of Clinic
Kelly Galen
Liver transplant, hepatitis C, immunosuppression-related toxicities, chronic kidney
disease, infection in immunocompromised host, medication adherence
Located in the Outpatient Care Center. Transplant patients are seen by appointment
on Tuesday and Thursday mornings. Patients are seen by pharmacists alone and
then presented to the physician. Will work with team of transplant hepatologist, nurse
practitioner and nurse.
Medication Therapy Management (MTM) Clinic
Preceptors
Most Common Disease
States/Problems Seen
Jessica Tilton, Tiffany Scott Horton, Lori Wilken, Amanda Eades, Pearl Stier, Julie
Jun
Most common disease states are HTN, hyperlipidemia, DM, stroke, asthma/COPD,
heart failure. Health care issues include medication related problems involving non-
Last saved by Garcia, Araceli
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General Description of Clinic
adherence, 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.
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; peripherally; more of an independent experience in 2nd
half of year
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 (Child and Youth Center)
Preceptor
Most Common Disease
States/Problems Seen
Leslie Briars, Kirsten Ohler, Lauren Dandeles
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, GI and
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General Description of Clinic
rheumatology. 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,
rheumatology, & 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.
Psychosis Clinic
Preceptors
General Description of Clinic
Shiyun Kim, PharmD., CDE
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
General Description of Clinic
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.
Pulmonary Hypertension Clinic
Preceptors
Rebekah L Hanson
Most Common Disease
This clinic is dedicated to patients with pulmonary. This includes all WHO groups of
States/Problems Seen
pulmonary hypertension as well as patients at high risk of developing or with
suspected pulmonary hypertension (i.e. MCTD, SCD, CHD and other pulmonary and
cardiovascular disorders).
General Description of Clinic
Located in the Outpatient Care Center 3C. Patients are seen by the clinical
pharmacist in conjunction with the attending physician. The pharmacist is
responsible for medication reconciliation, medication referral coordination, safety
monitoring, as well as patient education and training on targeted therapies for
PAH.
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Rheumatology Clinic
Preceptor
Most Common Disease
States/Problems Seen
General Description of Clinic
Aimee Chevalier
Arthritis, Lupus, connective tissue disorders
Located in the Outpatient Care Center. Patients are seen with the physicians or with
a separate scheduled visits for the pharmacist. The pharmacist works closely with
specialty pharmacy to ensure appropriate access for the patient to the needed
medications, securing prior approvals, verifying appropriate lab monitoring.
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
Sickle Cell Clinic
Preceptor
Most Common Disease
States/Problems Seen
General Description of Clinic
Jin Han
Sickle cell disease, chronic pain
Located in the UIC hospital 5E. Patients are seen by clinical pharmacist alone then
presented to the attending physicians or together with the physicians. Pharmacist is
responsible for medication reconciliation, pain management, drug adjustment
recommendations, and managing other complication associated with sickle cell
disease.
Solid Organ Transplant (Adult)
Preceptors
Most Common Disease
States/Problems Seen
General Description of Clinic
Maya Campara (primary), Jamie Benken, Shree Patel, Jim Thielke
Renal 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/Academic Rotation
Preceptor
Juliana Chan
Most Common Disease
States/Problems Seen
Viral hepatitis C, liver transplantation, co-infected patients with HIV/HCV, Hepatitis
B, cirrhosis
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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 patient with liver disease.
2) To participate in scholarship activities and/or research projects aimed at treating
Liver diseases.
3) Provide pharmaceutical are by educating (ie, administration, injection technique)
patients with HCV in the Hepatitis C Clinic.
4) To participate as an academic faculty member for the Telemedicine Course,
Honor’s Course and P1 Leadership Course.
5) To have an opportunity 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.
Women’s Health (Center for Women’s Health)
Preceptors
Most Common Disease
States/Problems Seen
General Description of Clinic
Katie Kaczmarski
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 dropsins/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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