PGY1: Acts as a pharmacist in training. Develops advanced practice skills by providing comprehensive pharmaceutical care through integrated drug distribution, clinical services and teaching.

KEY RESPONSIBILITIES

1. Provides pharmaceutical care by assisting physicians in various tasks, including, but not limited to, reviewing patient medication

history, educating patients on drug therapy, documenting medication related issues in patient chart, etc.

2. Makes patient care rounds.
3. Monitors drug therapy to evaluate appropriateness of use, dose, dosage form, regimen, route, therapeutic duplication, and drug interactions.
4. Provides pharmacokinetics consultations.
5. Concurrently monitors use of biotechnology drugs for compliance with prescribing criteria.
6. Precepts Pharm.D, clerkship students consistent with the resident’s clinical experience.
7. Participates in the quality improvement activities of the Department by conducting medication usage evaluations. Reports results to the Pharmacy and Therapeutics Committee.
8. Detects, monitors, documents, and reports adverse drug reactions and medication errors.
9. Promotes the use of the formulary by converting non-formulary orders to formulary. Coordinates procurement of non-formulary drugs when necessary.
10. Counsels patients on discharge medications.
11. Facilitates discharge planning and smooth transition to alternate site of care or the outpatient pharmacy. Maintains and updates a patient profile with demographics, diagnosis, allergies, and current medications.
12. Discusses medication order clarifications with the prescriber. Documents any changes in patient and pharmacy records, and informs others of medication order changes.
13. Reviews medication orders for appropriateness and checks doses of IV admixtures and unit dose medications prepared by technicians.
14. Provides presentations, publications, and other informative activities on drug-related topics to the health care community and general public.
15. Identifies and acts upon cost avoidance in drug therapy. Promotes more cost effective regimens, drugs. Documents clinical interventions and cost avoidance as part of the departmental documentation program.
16. Prepares pharmaceutical products, including oral, IV admixtures, chemotherapeutic, and investigational agents.
17. Provides drug information to health care professionals and to patients.
18. Reviews physician orders for possible therapeutic problems, contraindications, interactions, allergies, and formulary status of the drug.
19. Provides computer order entry for medication orders.
20. Ensures compliance with controlled substance distribution and control system.
21. Performs other duties as required or assigned.

MINIMUM QUALIFICATIONS

• Previous health system experience preferred.
• Must be able to work independently with minimal direct supervision, to set priorities, make critical decisions, respond quickly to emergency requests, handle frequent interruptions, and adapt to changes in workload.
• Good written and verbal communication skills are essential.

REQUIRED LICENSE/CERTIFICATIONS/REGISTRATIONS SKILLS (Tracked at the department level)

• Graduate of an ACPE-accredited School Pharmacy with a Bachelor’s of Science in Pharmacy or Pharm.D degree.
• Must be licensed or eligible for licensure as a pharmacist in the state of NH.

PGY2: Acts as a pharmacist in training in a specialty area of pharmacy practice. Develops advanced practice skills by providing comprehensive pharmaceutical care through integrated drug distribution, clinical services and teaching.

KEY RESPONSIBILITIES

1. Provides pharmaceutical care by assisting physicians, medical residents, and mid-level practitioners in various tasks, including, but not limited to, prospective and retrospective medication review, medication reconciliation, patient counseling, documentation of

activities in the medical record, etc.

2. Actively participates in multidisciplinary patient care rounds.
3. Evaluates the appropriateness of indication, dose, dosage form, route of administration, allergy considerations, formulary status, medication interactions, therapeutic duplications, etc.
4. Provides medication recommendations to the team to optimize patients’ medication therapies.
5. Provides pharmacy managed consult services for vancomycin, aminoglycosides, and warfarin.

Provides additional pharmacist driven services including therapeutic interchange, IV to PO conversion, renal dosing adjustment, etc.

6. Detects, monitors, documents, and reports adverse drug reactions and medication errors.
7. Identifies and promotes cost containment strategies throughout the institution.
8. Ensures compliance with controlled substance distribution.
9. Serves as a medication information resource to health care professionals and patients.
10. Precepts Doctor of Pharmacy Advanced Pharmacy Practice students, as well as Post-Graduate Year 1 pharmacy residents in conjunction with the resident’s clinical rotation duties.
11. Participates in the quality improvement activities of the department by conducting a medication usage evaluation and a clinical research project. Results are reported to the Pharmacy and Therapeutics Committee, as well as at local and national conferences as

appropriate.

13. Provides continuing education sessions on medication-related topics to the medical and pharmacy staff at Dartmouth-Hitchcock.
14. Participate in clinical rotations aligned with various sub-specialties in the area of focus of the PGY2 residency program.

15.Performs other duties as required or assigned.

MINIMUM QUALIFICATIONS

• Previous health system experience required.
• Must be able to work independently with minimal direct supervision, to set priorities, make critical decisions, respond quickly to emergency requests, handle frequent interruptions, and adapt to changes in workload.
• Good written and verbal communication skills are essential.

REQUIRED LICENSE/CERTIFICATIONS/REGISTRATIONS SKILLS (Tracked at the department level)

• Graduate of an Accreditation Council for Pharmacy Education (ACPE) accredited degree program (or one in process of pursuing accreditation) or have a Foreign Pharmacy Graduate Equivalency Committee (FPGEC) certificate from the National Association of

Boards of Pharmacy (NABP).

• Must be licensed or eligible for licensure as a pharmacist in the state of NH.
• The applicant must be participating in, or have completed, an ASHP-accredited PGY1 pharmacy residency program or one in the ASHP accreditation process.

About Dartmouth Health

Dartmouth Health, New Hampshire's only academic health system and the state's largest private employer, serves patients across northern New England. Dartmouth Health provides access to more than 2,000 providers in almost every area of medicine, delivering care at its flagship hospital, Dartmouth Hitchcock Medical Center (DHMC) in Lebanon, NH, as well as across its wide network of hospitals, clinics and care facilities. DHMC is consistently named the #1 hospital in New Hampshire by U.S. News & World Report, and recognized for high performance in numerous clinical specialties and procedures. Dartmouth Health includes its Dartmouth Cancer Center, one of only 51 National Cancer Institute-designated Comprehensive Cancer Centers in the nation, and the only such center in northern New England; Dartmouth Health Children’s, including the Children’s Hospital at Dartmouth Hitchcock Medical Center, the state’s only children’s hospital and clinic locations around the region; member hospitals in Lebanon, Keene and New London, NH, and Windsor, VT, and Visiting Nurse and Hospice for Vermont and New Hampshire; and more than 24 clinics that provide ambulatory services across New Hampshire and Vermon...t. Through its historical partnership with Dartmouth and the Geisel School of Medicine, Dartmouth Health trains nearly 400 medical residents and fellows annually, and performs cutting-edge research and clinical trials recognized across the globe with Geisel and the White River Junction VA Medical Center in White River Junction, VT. Dartmouth Health and its more than 13,000 employees are deeply committed to serving the healthcare needs of everyone in our communities, and to providing each of our patients with exceptional, personal care.

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