Advanced Practice Advanced Practice Experiences: Birmingham Experiences: Birmingham RegionRegion

Rotation SitesRotation SitesBirminghamBirmingham Baptist Princeton Baptist Princeton

Medical CenterMedical Center Physicians’ Carraway Physicians’ Carraway

Medical CenterMedical Center Carraway Carraway

Community Care Community Care ClinicClinic

Kirklin ClinicKirklin Clinic Shelby Baptist Shelby Baptist

Medical CenterMedical Center UAB UAB

VA Medical CenterVA Medical Center Industry AffiliationsIndustry Affiliations Specialty Specialty

PharmaciesPharmacies Community Community

PharmaciesPharmacies– Independent and Independent and

chain options chain options throughout the throughout the Birmingham Birmingham metropolitan areametropolitan area

Baptist Princeton Baptist Princeton Medical CenterMedical Center Located ~10 Located ~10

minutes from minutes from downtown downtown BirminghamBirmingham

Acute care Acute care (internal medicine, (internal medicine, intensive care, intensive care, dialysis, cardiac, dialysis, cardiac, women’s health, women’s health, etc) to both etc) to both indigent and indigent and insured patientsinsured patients

Large, private Large, private hospital with hospital with teaching teaching componentcomponent

Baptist Princeton Baptist Princeton Medical CenterMedical Center Medicine Rotations (Dr. Jessica Starr)Medicine Rotations (Dr. Jessica Starr) Rotations will involve taking care of Rotations will involve taking care of

the patients admitted to the general the patients admitted to the general medicine house staff team. medicine house staff team. – Team includes an internal medicine Team includes an internal medicine

attending physician and several internal attending physician and several internal medicine residents. medicine residents.

Daily activities:Daily activities:– Rounding with the general medicine teamRounding with the general medicine team– Attending morning report and noon Attending morning report and noon

conferenceconference– Presenting patientsPresenting patients– Leading topic discussionsLeading topic discussions

Baptist PrincetonBaptist Princeton(Medicine Rotations—Dr. Jessica Starr)(Medicine Rotations—Dr. Jessica Starr)

Acute heart failure Acute heart failure decompensationdecompensation

Myocardial Myocardial infarctioninfarction

Sickle cell anemia,Sickle cell anemia, Acute GI bleedAcute GI bleed Asthma and COPD Asthma and COPD

exacerbationexacerbation

Community and Community and hospital acquired hospital acquired pneumoniapneumonia

Acute renal failureAcute renal failure Diabetic emergenciesDiabetic emergencies Venous Venous

thromboembolismthromboembolism Hypertensive urgency Hypertensive urgency

and emergencyand emergency

Common disease states encountered:Common disease states encountered:

Baptist PrincetonBaptist Princeton(Medicine Rotations—Dr. Jessica Starr)(Medicine Rotations—Dr. Jessica Starr)

Objectives for the rotations:Objectives for the rotations:1. To increase the student’s knowledge of 1. To increase the student’s knowledge of

commonly encountered internal medicine disease commonly encountered internal medicine disease states and their appropriate pharmacotherapy.states and their appropriate pharmacotherapy.

2. To develop the clinical skills necessary to 2. To develop the clinical skills necessary to promote optimal and rational drug therapy of promote optimal and rational drug therapy of through a close working relationship with the through a close working relationship with the internal medicine service.internal medicine service.

3. To optimize communication skills to facilitate 3. To optimize communication skills to facilitate

effective dialogue with patients and other health effective dialogue with patients and other health care professionals.care professionals.

Carraway Community Carraway Community Care ClinicCare Clinic

Carraway Community Carraway Community Care ClinicCare Clinic Primary Care I, II, III (Dr. Kristi Kelley)Primary Care I, II, III (Dr. Kristi Kelley) Located just north of downtown B’hamLocated just north of downtown B’ham Internal Medicine Resident ClinicInternal Medicine Resident Clinic Pharmacy Services/Collaborative PracticePharmacy Services/Collaborative Practice

– Anticoagulation ClinicAnticoagulation Clinic– Diabetes Education ClassesDiabetes Education Classes– Medication History/Patient CounselingMedication History/Patient Counseling– Socioeconomic review of medication Socioeconomic review of medication

list/medication assistance programslist/medication assistance programs– General pharmacotherapy servicesGeneral pharmacotherapy services

Carraway Community Carraway Community Care ClinicCare Clinic

What to ExpectWhat to Expect(Primary Care —Dr. Kristi Kelley)(Primary Care —Dr. Kristi Kelley)

Daily interactions with patients and Daily interactions with patients and healthcare providershealthcare providers– Private internal medicine practicePrivate internal medicine practice– Internal medicine residents/attendingsInternal medicine residents/attendings

At leastAt least two topic discussionstwo topic discussions a weeka week Students are expected to keep track of their Students are expected to keep track of their

own patient interventionsown patient interventions OneOne in-service (nurses/staff)in-service (nurses/staff) OneOne patient presentation or journal clubpatient presentation or journal club Teach diabetes education classTeach diabetes education class Write and edit clinic newsletterWrite and edit clinic newsletter

The Kirklin Clinic – Chronic Kidney Disease (CKD) Clinic Primary Care I, II, and III (Dr. Anne Marie Liles) Located in the Medical Center District of

downtown B’ham Member of the UAB Health System The Kirklin Clinic is a center for outpatient care

– 700 physicians with 35 specialties CKD Clinic is part of the Division of Nephrology

within the Department of Medicine at UAB Division of Nephrology was ranked 17th in the

nation in the 2006 US News & World Report “Best Hospitals” issue

The Kirklin Clinic – Chronic Kidney Disease (CKD) Clinic Pharmacy Services

– Chronic disease state management– Patient education

Patients include those in Stage 3 CKD and below

Students will work with nephrologists, nephrology fellows, and nurse practitioners

UAB Dept of Psychiatry UAB Dept of Psychiatry and Behavior and Behavior Neurobiology Neurobiology Primary Care I, II, III (Dr. Cherry Primary Care I, II, III (Dr. Cherry

Jackson)Jackson) Community Care Clinic-located Community Care Clinic-located

downtown Birmingham on the downtown Birmingham on the campus of UABcampus of UAB

Primary Care PsychiatryPrimary Care Psychiatry

UAB Dept of Psychiatry UAB Dept of Psychiatry and Behavior and Behavior NeurobiologyNeurobiologyPharmacy ServicesPharmacy Services Outpatient psychiatry clinic/Day Outpatient psychiatry clinic/Day

treatment programtreatment program Medication counselingMedication counseling Medication historiesMedication histories Consent for treatmentConsent for treatment AIMS testingAIMS testing

UAB Dept of Psychiatry UAB Dept of Psychiatry and Behavior and Behavior NeurobiologyNeurobiologyPharmacy Services (cont’d)Pharmacy Services (cont’d) Socioeconomic review of Socioeconomic review of

medications/Patient assistance medications/Patient assistance programprogram

-Pharmacotherapy evaluation-Pharmacotherapy evaluation -Medication education groups-Medication education groups -Various projects and assignments -Various projects and assignments

as prescribed by preceptoras prescribed by preceptor

Other Required Other Required Rotations in Rotations in Birmingham (Medicine)Birmingham (Medicine) Physicians’ CarrawayPhysicians’ Carraway

– Teaching hospital Teaching hospital located ~ 5 minutes located ~ 5 minutes north of downtown north of downtown BirminghamBirmingham

Shelby Baptist Shelby Baptist Medical CenterMedical Center– Community hospital Community hospital

located ~20-30 located ~20-30 minutes south of minutes south of downtown downtown BirminghamBirmingham

UABUAB– One of the state-One of the state-

supported teaching supported teaching hospitals located in hospitals located in downtown downtown BirminghamBirmingham

Note: Any of these Note: Any of these sites may also be sites may also be utilized for other utilized for other types of rotations.types of rotations.

Other Required Other Required Rotations in Rotations in BirminghamBirmingham Primary CarePrimary Care

– Birmingham VA Birmingham VA Medical CenterMedical Center

Located in Located in downtown downtown BirminghamBirmingham

Drug InformationDrug Information– Baptist Princeton Baptist Princeton

(hospital-based) (hospital-based) – Proctor and Proctor and

Gamble (industry-Gamble (industry-based)based)

Note: There may Note: There may also be additional also be additional options for both options for both PC and DI.PC and DI.

Community Pharmacy Community Pharmacy RotationsRotations IndependentIndependent

– BessemerBessemer—Hinkle —Hinkle PharmacyPharmacy

~15 minutes from ~15 minutes from downtown downtown BirminghamBirmingham

– CentervilleCenterville—J&S —J&S Drugs Drugs

~45-60 minutes ~45-60 minutes from Birminghamfrom Birmingham

– HomewoodHomewood—Southern —Southern Pharmaceutical Services Pharmaceutical Services

~10 minutes from ~10 minutes from downtown downtown BirminghamBirmingham

Retail ChainsRetail Chains– CVSCVS– Walgreens Walgreens – Rite-Aid Rite-Aid – Bruno’s Bruno’s – Locations Locations

throughout the throughout the Birmingham Birmingham metropolitan areametropolitan area

ElectivesElectives

Management/ Management/ Independent Independent Pharmacy Pharmacy – American American

Pharmacy Pharmacy Cooperative, Inc. Cooperative, Inc. (APCI)(APCI)

Management/Management/Chain PharmacyChain Pharmacy– Rite AidRite Aid– CVSCVS

Management/ Management/ InstitutionalInstitutional– Physicans’ Physicans’

Carraway Carraway – Baptist PrincetonBaptist Princeton

Electives Electives

Industry/salesIndustry/sales– Eli LillyEli Lilly

Nuclear PharmacyNuclear Pharmacy– Cardinal Health Cardinal Health

ServicesServices

Academic/Teaching Academic/Teaching – KelleyKelley

Pharmacotherapy Pharmacotherapy Consultant Services Consultant Services (RxCS), LLC and (RxCS), LLC and MedfusionRx MedfusionRx – – – Specialized pharmacy Specialized pharmacy

services for chronic services for chronic disease states--disease states--Hemophilia, Immune Hemophilia, Immune Deficiencies, TPN Deficiencies, TPN therapy, Hepatitis C, therapy, Hepatitis C, RA, MS, oral oncology, RA, MS, oral oncology, anticoagulant therapy anticoagulant therapy with LMWH, etcwith LMWH, etc

Rotations in Rotations in Gadsden/Anniston Gadsden/Anniston AreaArea GadsdenGadsden

– ~60 minutes from ~60 minutes from BirminghamBirmingham

Gadsden Regional Gadsden Regional Medical CenterMedical Center

ElectiveElective– Corporate Pharmacy Corporate Pharmacy

Services—retail, mail Services—retail, mail order, PBMorder, PBM

Community Community – Goodyear Medical Goodyear Medical

ClinicClinic

CommunityCommunity– AnnistonAnniston – Golden – Golden

Springs PharmacySprings Pharmacy ~60 minutes from ~60 minutes from

BirminghamBirmingham

– HeflinHeflin – Wright Drug – Wright Drug CompanyCompany

~90 minutes from ~90 minutes from BirminghamBirmingham

Gadsden Regional Gadsden Regional Medical CenterMedical Center

346 beds 346 beds

Hospital features state-of-the-art technologyHospital features state-of-the-art technology

Medical staff of over 230 physiciansMedical staff of over 230 physicians

ElectivesElectives

Remember ANY required rotation Remember ANY required rotation can be taught as an electivecan be taught as an elective

IF you are interested in focusing IF you are interested in focusing on other areas that are not listed on other areas that are not listed as electives, you can contact the as electives, you can contact the regional coordinators or OEL to regional coordinators or OEL to try to find the experience you are try to find the experience you are looking for.looking for.

Regional CoordinatorRegional Coordinator

Dr. Kristi Kelley, PharmD, BCPS, Dr. Kristi Kelley, PharmD, BCPS, CDECDEwatsokm@auburn.eduwatsokm@auburn.edu