Development of a critical care pharmacist career coaching and professional development program at an academic medical center

Gerlach, Anthony T.; Elefritz, Jessica; Arnold, Joshua D.; Phelps, Megan; Smetana, Keaton S.; Murphy, Claire V.

doi:10.1002/jac5.1713

Cited by 6 publications

(7 citation statements)

References 15 publications

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“…5 Programs to mentor and develop CC pharmacists in skills such as research methods and journal reviewing is feasible and may increase expertise in specific areas. 28 Administrative opportunities have expanded with CC pharmacists now directing teams of pharmacists and technicians or working in new environments. Leadership and project management skills are needed to maximize opportunities for programmatic expansion T A B L E 1 Selected Landmark Publications in the Evolution of Critical Care Pharmacy.…”

Section: Critical Care Pharmacists and Expanding Rolesmentioning

confidence: 99%

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Critical care pharmacists have a rich history and evolving roles

Jacobi¹,

Kane‐Gill

Boucher

2023

J Am Coll Clin Pharm

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Critical care (CC) pharmacists have been contributing to patient outcomes, team effectiveness, education, research and quality improvement for approximately 50 years. Current CC specialists are evolving the practice, science and scholarship into new and exciting areas as described in the series of articles collected for a special series in this journal. To summarize past accomplishments and contemplate how next level achievements may develop, brainstorming by experienced CC specialists, researchers, educators, and scholars was done to establish a foundation for this paper and three of that group summarized it into an overview of the challenges of the past and opportunities that are shaping the future. A small group of CC pharmacists identified need and opportunity to improve patient care in a limited number of settings but subsequent CC pharmacists have expanded into numerous specialties and subspecialties. Comprehensive medication management of CC patients and survivors of their critical illness is now a standard, but delivery may be influenced by new technology and equipment. Improved quality of care and outcome measures are being developed and measured. The imperative to move practice forward and adopt new practices while maintaining a core set of guideline‐based practices may be facilitated by technology such as wearable devices, personalized medicine, machine learning or artificial intelligence. However, these new tools may create new obstacles. Similar changes in education and expansion into administrative roles afford new opportunities and challenges. CC pharmacists have created a solid foundation, but continued growth in number and expansion of roles requires the next generation to continue to push ahead and continue to demonstrate value in key areas.

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Section: Critical Care Pharmacists and Expanding Rolesmentioning

confidence: 99%

“…While the number of CC residencies has expanded, many more are likely needed to ensure that students are equipped for sophisticated roles 5 . Programs to mentor and develop CC pharmacists in skills such as research methods and journal reviewing is feasible and may increase expertise in specific areas 28 …”

Section: Introductionmentioning

confidence: 99%

Critical care pharmacists have a rich history and evolving roles

Jacobi¹,

Kane‐Gill

Boucher

2023

J Am Coll Clin Pharm

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“…The Department of Pharmacy employs over 250 pharmacists who provide direct patient care including 17 critical care specialists across two hospitals. The critical care pharmacy team participates in a broad range of clinical, educational, research, and administrative activities including development of institutional policies and clinical practice guidelines 28 . Since 2013, pharmacists have been credentialed and privileged for specific tasks including “ordering and adjusting laboratory tests related to monitoring medication therapy as necessary,” and “monitoring and adjusting medications based on renal parameters.” 29 …”

Section: Settingmentioning

confidence: 99%

“…This paper describes how an 8-h urine collection process was developed to measure CrCl and how an ARC dosing guideline was implemented. 28 Since 2013, pharmacists have been credentialed and privileged for specific tasks including "ordering and adjusting laboratory tests related to monitoring medication therapy as necessary," and "monitoring and adjusting medications based on renal parameters." 29 The critical care pharmacy team has engaged in formalized strategic planning since 2015.…”

mentioning

confidence: 99%

Development of 8‐h urine collections and an augmented renal clearance dosing program at an academic medical center

Gerlach

Hoyte²,

Cotten

et al. 2023

J Am Coll Clin Pharm

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Ensuring appropriate dosing of medications is an essential practice of clinical pharmacists. Dose adjustments in the setting of decreased renal function are common but may also be warranted for patients with supraphysiologic or augmented renal clearance (ARC). Conventional estimates of creatinine clearance using only serum creatinine may not be accurate in the setting of ARC, thus a measured creatinine clearance using serum and urine creatinine measurements are preferred. We describe the development of an 8‐h urine collection and ARC dosing program at a large academic medical center initiated by critical care and infectious disease pharmacists. Using a Plan–Do–Study–Act approach, we implemented and updated the 8‐h collection program with the guidance of our clinical laboratories. Eight‐hour urine collections are useful for patients with suspected ARC and for other scenarios where accurate dose adjustments are needed to minimize toxicity in the absence of therapeutic drug monitoring.

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“…In many ICUs, the pharmacists act as a direct patient care provider under collaborative practice agreements to fully manage medications in an ever‐changing clinical status. Interpreting complicated pharmacokinetics/pharmacodynamics using advanced therapeutic drug monitoring, 5 evaluation of patient clinical status and organ function, 6 or the ordering and utilization of procedures or laboratory assays to provide optimal pharmacotherapy are now common practice for most critical care pharmacists 7,8…”

Section: Critical Care Pharmacy Practicementioning

confidence: 99%