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Primary Ambulatory Care


Clinical Practice

 

The Primary Ambulatory Care faculty seeks to educate students and conduct research that improves the quality of people’s lives.  On the VCU campus, Drs. Laura Morgan, Sallie Mayer, Brigitte Sicat, and Evan Sisson provide pharmacist care to patients at the Pharmacy Services Clinic of Primary Care Associates in VCU Health System/MCV Hospitals & Physicians. In the Primary Care clinic, an interdisciplinary team consisting of faculty physicians, medical residents, nurse practitioners, registered nurses, social workers, dietitians and faculty pharmacists and pharmacy residents, provides services during approximately 80,000 patient visits per year. The Pharmacy Services Clinic pharmacists care for patients referred by primary care physicians for drug therapy assessment and management, and patients requesting pharmacist assistance to resolve drug therapy problems between physician visits.

Pharmacist services target optimal drug response with the least adverse consequences. Pharmacists use medication history, physical examination and laboratory data to titrate drug doses, determine pharmacokinetic characteristics, and initiate or discontinue drug regimens. During scheduled patient visits, pharmacists provide triage services; evaluate potential drug strategies to address medication nonadherence, design patient teaching plans and review attainment of previously determined goals of therapy. In addition to the Primary Care clinics, direct care and consultation are also provided to patients and providers in the Endocrinology and Chronic Pain Clinics.

Teaching

The primary ambulatory care faculty members provide extensive didactic and experiential teaching. Didactic teaching includes activities in the core curriculum: Pharmacy Communications, Pharmacotherapy, Applied Pharmacokinetics, Integrated Therapeutics, Physical Assessment, Self Medication Awareness and Community Health, Drug Literature Evaluation and the Women’s Health and Diabetes elective courses. The group is also involved in teaching the Nontraditional Pharm.D. Program. Annually, the group precepts approximately 60 Doctor of Pharmacy students. Pharmacy residents receive longitudinal primary care experiences at both the VCU and VA locations.

Scholarship

Research and scholarly activities provided by the group are widespread. Please refer to individual faculty web sites for more information regarding specific research and scholarly activities. Research conducted by the primary ambulatory care faculty focuses on the following areas:

  • Clinical outcomes from drug therapy
  • Patient outcomes of pharmacist’s interventions
  • Adverse drug events in ambulatory care
  • Health literacy