Pharmacy PY4
Internal Medicine Clerkship

Goals

Objectives

Requirements

Preceptor

Contact

Goals

1. To help students develop an appreciation of the approach to undifferentiated acute and chronic health problems commonly presented by patients and families in the inpatient setting.
   
   
2. To familiarize students with the basic principles of internal medicine, including the provision of continuous and comprehensive care regardless of age, sex or symptoms and the understanding of the family’s effect on and response to health and disease.
   
   
3. To promote the importance of the clinical pharmacist’s role and responsibilities in disease prevention, health enhancement strategies and patient education.
   
   
4. To equip students with critical-thinking abilities which include the problem-oriented approach to patient care, medical decision making and self-directed learning.
   
   
5. To foster sensitivity to the biomedical, psychosocial, cultural, ethical, and economic issues that affect patients, their families and their environment.
   
   
6. To help students appreciate the full professional role of a clinical pharmacist practitioner in the inpatient setting, including the management of consultation and referrals and the use of specific community resources.

Objectives

1. By the end of the clerkship in Internal Medicine, students will be able to:
2. Provide comprehensive pharmacotherapy assessments for common acute, chronic and undifferentiated presentations seen on the Internal Medicine inpatient service.
3. Perform interviews when appropriate, utilizing enhanced communication skills.
4. Provide focused case presentations and clear/informative medical record documentation.
5. Demonstrate proficiency in counseling techniques to promote behavioral change.
6. Research and integrate evidence-based information in preventive care and disease management.
7. Integrate factors related to family, culture, economics, and ethics into management strategies.
8. Demonstrate proficiency in SOAP note documentation.
9. Review specific topic discussions and case presentations with preceptor.
10. Anticoagulation, anemia, diabetes mellitus, hypertension, hyperlipidemia, heart failure, pancreatitis, acute coronary syndrome, hormone replacement therapy, asthma, COPD, community-acquired pneumonia, stroke, acid-base disorders, acute/chronic renal failure.
11. Assist the physician in the selection and utilization of the most appropriate drug therapy by designing and implementing a therapeutic plan, based on patient specific information.
12. Provide drug information to prescribers and other health care practitioners.

Requirements

• Discuss 8 patient cases with preceptor, distributed throughout the clerkship
• Accomplish a project assigned by preceptor
• Attend morning report and daily rounds
• Attend Medicine Noon conference and Grand Rounds when available
• Choose at least 4 topics from above list or your choice to discuss with preceptor
• Provide one major case presentation, presented to pharmacy staff at clinical conference
• Keep daily journal and discuss with preceptor

Preceptor

Amy M. Lugo, PharmD, BCPS, CDM
Clinical Coordinator
Clinical Pharmacy Specialist, Internal Medicine
Director, Pharmacy Practice Residency

Contact

Pharmacy Clerkship
Pharmacy Department
8901 Wisconsin Avenue
Bethesda, MD 20889
Office: (301) 319-4436
Fax: (301) 295-4662
Email: GME Pharmacy Programs

Directions to WRNMMC Pharmacy:

WRNMMC is directly across from the National Institutes of Health at 8901 Rockville Pike in Bethesda, Maryland.

See “Get Here and Park” for directions.

Enter WRNMMC at the Main (South) Gate across from NIH’s main entrance and the METRO (subway) stop. Turn right onto Palmer Road South. Turn left at the 3-way stop sign onto Brown Rd. Turn right into the first parking garage (Visitors’ Garage). Tell the guard you are visiting the pharmacy. After parking, proceed to the 2nd level and to the Skyway, the enclosed walkway to the Outpatient Center, Bldg 9. The Outpatient Pharmacy will be the first area on the right. Facing the pharmacy windows, come to the door to the right of the windows and press the buzzer.

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