Jeremy Hodges, RPh, BCPS
PGY 2 Critical Care Residency Director
Clinical Specialty: Medical/Surgical intensive care
Brief Rotation Description: As a member of our advanced pharmacy practice model, residents will provide pharmacy consult services to physicians and patients in our 30 bed ICU, including pharmacokinetic dosing, renal dosing, and documentation of interdisciplinary recommendations in the medical record. The goal for the resident is to independently perform the duties of the clinical specialist by the end of the learning experience.
Projects: Opportunities include projects related to sepsis, sedation, pain, vasoactive agents, respiratory, and acid-base therapies.
Amy Holmes, PharmD, BCPPS
Clinical Specialty: Neonatal intensive care
Brief Rotation Description: On my rotation residents spend their morning rounding with the multidisciplinary team in our 56 bed level IIIb NICU. With pediatric residents, medical and NNP students, and neonatology fellows, it is an environment very conducive to learning. Afternoons are often spent doing topic discussions, attending meetings, or working on special projects. Topic discussion include but are not limited to neonatal abstinence syndrome, medications in lactation, apnea or prematurity, respiratory distress syndrome, chronic lung disease, and TORCH infections.
Projects: Antimicrobial stewardship in the NICU (focus on late onset sepsis in 2017); developing a writing program for the residency program; evaluating effects of long-acting progesterone only contraception on lactation in pump-dependent women; system-wide effort to reduce cost of cervical ripening.
Christina Roels, PharmD, BCPS, CPP
Clinical Specialty: Neurology
Brief Rotation Description: Neurology/Neurocritical care is an elective, 4-6 week learning experience at NHFMC. NHFMC is a Joint Commission Comprehensive Stroke Center. The service is a rounding team service with the pharmacists playing an integral role in optimizing medication therapies. The rounding service includes the Neuro-ICU, Intermediate Neuro-critical care unit, the Neurosciences floor, the Epilepsy Monitoring Unit, and the Outpatient Stroke Bridge Clinic.
- The Joint Commission
- VTE Technical Advisory Panel Member
- External research
- Sub-investigator: CREST-II, ARAMIS
- Primary investigator: MARISS trial
- Internal research
- Clinical Outcomes of Thrombophilia Testing in Ischemic Stroke Patients: an Economic Analysis (project with PGY1 resident), Cross-sectional Study of Vitamin D Deficiency and Insufficiency in NHFMC Neurosciences, Statin Prescribing Practices after Intracerebral Hemorrhage (collaborative multi-site project), Assessment of Four Factor Prothrombin Complex Concentrates (KCentra) Dosing Practices within Neurocritical Care (collaborative multi-site project)
- Optimizing internal anticoagulation reversal time for intracranial hemorrhage
Ryan Kammer, PharmD, BCPS
Clinical Specialty: Cardiology
Brief Rotation Description: The Acute Care Cardiology rotation consists of 4-6 weeks in the 24-bed cardiac ICU and step-down units. The clinical pharmacy specialist (CPS) is responsible for optimizing medication therapy and providing drug information to healthcare providers and patients. The CPS is the lead pharmacist on the cardiac team, consisting of clinical staff pharmacists and technicians. The CPS attends multiple service line meetings, leads the cardiac subcommittee of P&T, and assists with order set and policy development. Throughout the rotation, the resident will progressively take on the responsibilities of the preceptor (CPS). The preceptor will directly mentor the resident initially, and continue to facilitate learning as the resident progresses during the rotation.
Evan Tatum, PharmD, BCPS
Clinical Specialty: Cardiothoracic Surgery
Brief Rotation Description: The cardiovascular surgery rotation involves coverage of the cardiovascular surgery intensive care unit and related step-down unit. Strong focus will be placed on advanced understanding of invasive hemodynamic monitoring techniques. Responsbilities include, but are not limited to: optimizing medication therapy and providing drug information to healthcare assistance with order set and policy development within the cardiothoracic service line. Throughout the preceptor will directly mentor the resident initially, and continue to facilitate learning as the resident progresses during the rotation.
Hannah Dills, PharmD
Clinical Specialty: Emergency Medicine
Brief Rotation Description: During this 4-6 week emergency medicine rotation, residents will collaborate with a multidisciplinary team of providers in the 80 bed emergency department at NHFMC. They will respond to all medical emergencies, including cardiac arrests, strokes, STEMIs, and intubations. Additionally, residents will review patient profiles to optimize medication therapy, complete ED culture reviews, answer drug information questions, and make available education for ED providers. Initially, the preceptor will mentor the resident at bedside, with the goal of the resident independently performing all clinical specialist duties by the end of the learning experience.
Projects: ED Culture Review, ED Opioid Stewardship, ED Pyxis Standardization
UNC Eshelman School of Pharmacy
PGY1 Pharmacy Practice Residency
PGY2 Emergency Medicine Residency at Grady Memorial Hospital in Atlanta, GA
Sarah Green, PharmD, BCPS
Clinical Specialty: Clinical pharmacy specialist, ID
Brief Rotation Description: My rotation provides the opportunity for residents to participate in antimicrobial stewardship activities across multiple acute care centers in the Novant Health system. This unique practice will provide the resident direct experience in management of multiple facilities simultaneously, each with their own patient populations, resistance profiles, and education oppotunities. Collaboration with the Infectious Diseases MD/PA team, Microbiology Laboratory, and Infection Control at each site as available will be an ongoing component of this community-focused rotation.
Projects: Ongoing stewardship education for providers and pharmacists across sites, resident project precepting, Clostridium difficile infection prevention.
Michael Gooch, Pharm. MS
Clinical Specialty: Infectious Diseases, Antimicrobial Stewardship, Pharmacy Health System Administration
Brief Rotation Description: My rotation is tailored to the learner’s educational background in infectious diseases/antimicrobial stewardship. I support Intensive Care Units at a large community hospital (900 beds) as well as two nearby community hospitals and work closely with Infectious Disease service. The resident will be involved in the development of clinical guidelines, protocols, education efforts for physicians and pharmacy services, chart reviews for antimicrobial stewardship, and infection prevention. There is a strong focus on communication skills and critical thinking. Teaching will be based around Infectious Disease Society of America guidelines and current literature.
Ongoing Projects: Vancomycin dosing protocols, admission avoidance, effects of stewardship interventions.
University of North Carolina-Chapel Hill, Oregon State University