Jeremy Hodges, RPH, BCPS, BCCCP, CPP
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, BCPS, BCCP, 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 unit, the Epilepsy Monitoring Unit, and the Outpatient Stroke Bridge Clinic.
- The Joint Commission
- VTE Technical Advisory Panel Member
- 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, BCPS, CPP
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, BCPS, CPP
Clinical Specialty: Cardiothoracic & Vascular Surgery
Brief Rotation Description: Residents will provide coverage for the cardiovascular surgery intensive care unit and related step-down unit. Strong focus will be placed on advanced understanding of invasive hemodynamic monitoring techniques and various mechanical support options. Responsibilities include, but are not limited to: optimizing medication therapy, pharmacokinetic monitoring, providing drug information and education to healthcare team, and assistance with order set and policy development within the service lines. Throughout the rotation, the preceptor will directly mentor the resident, and continue to facilitate learning as the resident develops autonomy.
Projects: Blood conservation strategies, multidisciplinary approach to development/implementation of an ECMO/durable VAD program, mechanical support for postcardiotomy shock, expanding patient education/pharmacist involvement in the open heart clinic
Sarah Green, PharmD, BCPS
Clinical Specialty: Infectious Diseases, Antimicrobial Stewardship
Brief Rotation Description: Residents will focus on expanding both their infectious diseases knowledge base and application of antimicrobial stewardship skills across multiple patient populations. Infectious diseases management opportunities exist in the areas of critical care, oncology, cardiology, general medicine and surgical populations and can be tailored to the resident’s interests. Projects will include team member education, clinical guideline development, and antimicrobial formulary management as needed.
Projects: Ongoing education for providers, pharmacists and learners, microbiology laboratory stewardship, development of PGY2 ID residency at Novant Health Forsyth Medical Center.
School of Pharmacy: University of North Carolina Eshelman School of Pharmacy
PGY1 Pharmacy Practice Residency at WakeMed Health & Hospitals, Raleigh, NC
PGY2 Infectious Diseases Residency at Carilion Clinic, Roanoke, VA
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.
Schools of Pharmacy: University of North Carolina-Chapel Hill, Oregon State University
Amanda Teachey, PharmD
Brief Rotation Description:
The emergency medicine rotation consists of 4-6 weeks in the 84 bed emergency department at Forsyth Medical Center. During the rotation, residents will work with a multidisciplinary provider team, and will have the opportunity to respond to all medical emergencies including, but not limited to: strokes, STEMIs, cardiac arrests, and rapid sequence intubations. Residents will perform chart reviews in order to optimize medication therapy, assist with ED culture review, provide education to ED staff including nurses and providers, and answer drug information questions as needed. The preceptor will directly mentor the resident initially, and the resident will progressively gain the responsibilities of the preceptor throughout the rotation. By the end of the learning experience, the goal is for the resident to independently perform the duties of the clinical specialist.
Antidote Stocking Policy, ED Culture Review, Mass Casualty Preparation