ADVANCE infectious diseases pharmacy and LEAD antimicrobial stewardship in order
to OPTIMIZE the care of patients

Clinical Pharmacist Specialist, Outpatient Infectious Diseases

10 Jun 2021 9:04 AM | Anonymous

Clinical Pharmacist Specialist – Outpatient Infectious Diseases/HIV

  • The Miriam Hospital Infectious Disease & Immunology Center

     Providence, RI 

     

    Position Summary:

    The Department of Pharmacy is seeking a pharmacist specialist whose primary role will be providing infectious disease (ID) focused pharmacotherapy services to patients in the ambulatory care setting. This position will build upon current pharmacy services dedicated to optimizing outpatient antimicrobial therapy and the prevention and treatment of HIV. 

    Position activities include: 

  •  Expand pharmacy services dedicated to the outpatient parenteral antimicrobial therapy program alongside our physician assistant, ID providers, and nursing staff
  • Expand pharmacy services dedicated to the prevention of HIV (PEP and PrEP)
  • Co-management of patients with hepatitis C through a collaborative practice agreement alongside ID providers and nurse specialists
  • Co-management of patients with HIV through a collaborative practice agreement, alongside ID providers including but not limited to:
  • Assistance with pharmacy-driven rapid initiation of ART in individuals newly diagnosed with HIV
  • Assistance with the management of polypharmacy and complex drug-drug interactions and medication adjustments 
  • Medication adherence counseling
  • Management of patients with multi-drug resistant HIV and opportunistic infections
  • Management of primary care for patients with HIV
  • Attend Monday morning Immunology (HIV) Signout Rounds on admitted patients, act as a resource to the inpatient attending regarding drug-drug interactions or management questions, and round with inpatient HIV service on a rotational basis
  • Assistance with outpatient antimicrobial stewardship initiatives and developing new outpatient pharmacy initiatives to advance patient care
  • Serving as a liaison between the inpatient and ambulatory settings, and between the providers and the outpatient Lifespan pharmacy
  • Education-related activities include: 
  • Serve as a preceptor to PGY1 pharmacy residents, PGY2 ambulatory care residents, APPE pharmacy students, and infectious diseases physician fellows 
  • Provide didactic lectures to local pharmacy, nursing, and physician assistant schools 
  • Provide in-services to pharmacists, providers, nurses, and other healthcare staff 
  •  

    Qualifications

  • Doctor of Pharmacy degree 
  • Eligible for pharmacist licensure in Rhode Island 
  • Completed an ASHP-Accredited PGY1 pharmacy residency and an ASHP-Accredited PGY2 in infectious diseases or applicable residency or equivalent experience
  • ID Clinical Pharmacy Team at Lifespan:

    We currently have four Clinical Pharmacist Specialists in Infectious Diseases across the Lifespan System: two Antimicrobial Stewardship/Inpatient ID pharmacists (one specialist at The Miriam Hospital and one at Rhode Island Hospital) and two ID/HIV pharmacists at The Miriam Hospital ID & Immunology Clinic. The ID pharmacists work closely as a team and collaborate with one another to ensure optimal transitions of care between the inpatient and ambulatory settings. Additionally, the team works together on projects, guidelines, protocols, and implementation of system-wide initiatives. The ID pharmacists are members of the Antimicrobial Stewardship Subcommittee and attend Infection Control meetings regularly.

    The Miriam Hospital Infectious Diseases and Immunology Center

    The Miriam Hospital Infectious Diseases and Immunology Center serves as the outpatient infectious diseases clinic for the Lifespan System. The Center has a number of different components, including: 

  • HIV Specialist and Primary care 
  • Hepatitis C and Hepatitis C/HIV co-infection specialty care
  • Hepatitis B and Hepatitis B/HIV co-infection specialty care
  • General Infectious Diseases consultation 
  • Outpatient parenteral antimicrobial therapy (OPAT) 
  • Rhode Island’s only Sexually Transmitted Infection (STI) clinic 
  • Rhode Island’s tuberculosis treatment clinic (the RISE Clinic) 

The Infectious Diseases and Immunology Center is the largest provider of HIV care services between New York and Boston and serves over 1,800 people living with HIV/AIDS (PLWHA) annually (about 80% of the HIV-positive population of Rhode Island). It is a Ryan White funded clinic and has a large Ryan White staff, including two ID pharmacists, three ID pharmacy liaisons, two nurse case managers, three social workers, a psychologist and five psychology residents/fellows, a part-time psychiatrist, two outreach workers, a physician assistant who specializes in medication assisted therapy (buprenorphine) for substance use disorder, and a physician assistant who oversees the OPAT program. About 30% of the approximately 1,000 visits per month are non-HIV related and consist of OPAT, hepatitis C, and general infectious diseases. The STI clinic sees an additional 250 patients per month that present for routine screening and subsequent treatment if applicable. The RISE/TB Clinic sees an additional 450 patients per month that are managed for both latent and active TB infections. 

The Brown Infectious Diseases division has 34 active faculty within the Lifespan system, of whom 21 actively see outpatients in the ID & Immunology Center. HIV-related outcomes at the Center are overall very impressive: 93% of the Center’s patients were virologically suppressed in 2020, and 99% are prescribed antiretroviral therapy. The key to success of the Center has been the integration of clinical care services with intensive medical case management services, nonmedical case management services, mental health, peer education, outreach, and pharmacy, which have supported the engagement and retention of patients with challenging social circumstances and complex comorbid illnesses. These integrated services have historically been possible because of the vital support of Ryan White funding. Additionally, The Miriam Hospital has the only inpatient HIV service in Rhode Island (called the Immunology Service). The service generally has between two and eight patients admitted and is a teaching service for the house staff from the Brown Internal Medicine residency program. An attending physician from the clinic serves as the admitting attending for this service.

Interested candidates should send an email with a letter of interest/CV to: 

Contact:                      Amy Brotherton, PharmD, AAHIVP, BCIDP 

Contact Title:              Clinical Pharmacist Specialist, Infectious Diseases 

Contact Address:        The Miriam Hospital Infectious Diseases and Immunology Clinic

180 Corliss Street

Providence, RI, 02904 

Contact Email:            amy.brotherton@lifespan.org

 

To apply for this position (Job ID: 21116), please go to:

 

Apply Here

 


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