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Ambulatory Care Residency Program

May 2010

Annual Newsletter

Our Residents Pictured seated, left to right: Kassandra Bartelme, Jennifer Nickell, Jessica Bruns, and Marissa McCluskey; Middle row: Allison Close, Jenna Buskohl, Daniel Aistrope, Heather Maracle, Kajua Betsy Lor, Sarah Schweiss, Adele Reichel, and Katharine Scheidt; back row: Sean Stewart, Magdi Award, Drew Klinkebiel, Andrew Bzowyckyj, and Amy Edge (see bios on page 5-7)

A Note From the Director

Look Inside Welcome and Farewell

2

Site Profile: PAHCS

3-4

Meet Our Residents

5-7

Future Residents

8

A decade. 10 years. One quarter of the length of the average person’s professional career. It seems like a long time, and in some sense it is. But thinking back to when the College’s Ambulatory Care Residency Program was formalized and I became the program director, it doesn’t “feel” like a long span of time. I do have another frame of reference for this—my oldest daughter also turned 10 years old recently. What does it say when it feels like I’ve been a parent longer than I’ve been the Residency Director even though the length of time is the same? I think it means that managing a program filled with committed, high performing individuals is a lot easier than raising kids. But residents don’t usually give me gifts of personal art with cute notes attached, so there is a trade off. Ten years is a milestone, the kind of timeframe that makes one pause for a moment to consider what has transpired over that time. That sort of reflection on the program’s history always first brings to mind pictures of all of the individuals who have graduated from the program, or have served as teachers and mentors for our residents. The number of these pictures that float (continued on page 3)


2 Welcome Meghann, Farewell Andy! by Todd Sorensen, Residency Program Director Back when the residency program got started, administration of the program was pretty much a one-person show. I was the program’s recruiter, webmaster, accountant, travel agent, historian and overall master of odd projects. As the program has grown in size, so too have its administrative needs, which has resulted in adding support to the program’s administrative team. This year, the program has gotten a HUGE boost by adding Meghann Schmidt as our Program Coordinator. Prior to Meghann, the staffing commitment to this role was about one-third of an FTE and with her hiring we’ve been able to increase that to 75%. Meghann joined us at possibly the wildest time of the year—she started in January, one day prior to our program application deadline. She immediately found herself buried in a pile of applications (well, a “virtual” pile since we use an electronic application process), but made it through managing the interview process in January and February unscathed. She has been an outstanding addition to the program. In particular, I appreciate her ability to take cryptic requests from me and make things turn out perfectly. Her ability to anticipate things that need to be done even though she’s only been with us for 4 months has also been remarkable. We are so grateful to have her working with us! But with one great gain, we also will experience a great loss this summer when Andy Traynor leaves the College and his role as the Assistant Residency Director. He will be joining the faculty at Concordia University in Milwaukee—one of his new roles will be serving as the school’s director of residency programs. Pictured above: Meghann

Many people have joked over the years that Andy and I are clones, often Schmidt and Andy Traynor referring to Andy as “Mini-Me”—a reference that I must say he has taken remarkably well over the years! I believe this perception is largely based on the fact that we share several professional interests; yet, what has allowed us to work so well together is that we have several skills that are unique and complement each other. When we work on an area of common interest, we are frequently tackling it from different angles and that has certainly been true of Andy’s work as the Assistant Director of the residency program. Possibly Andy’s most significant contribution to the program has been in re-inventing and managing our Residency Learning System, including facilitating our transition to the ResiTrak online evaluation system. This work relied heavily on his focus and analytical strengths—work that would have probably been a terrible mess had it been my responsibility. He has also served as a wonderful advocate for the program at our Duluth campus and a key administrative liaison to several of our sites. We know his role will be challenging to fill—a clear sign that he has made unique, and important contributions to the program. Thanks Andy—we wish you all the best!


3 Site Profile: PAHCS From the Director, continued. through my mind grows each year and we will soon have over 75 names on our program alumni list. A desire to stay connected to this group that is growing not only in size, but also in its geographic distribution across the US is the impetus for this annual newsletter. We hope that it becomes something that you look forward to receiving each year—a small reminder of an important part of your professional development and of an affiliation you have with the College of Pharmacy that is a source of pride. With 10 years under its belt, the residency program is now almost a teenager—that’s a thought that really makes me pause. But I’m hoping that managing the program during its next decade will be just a little bit easier than parenting a teenage girl. At least I’m not expecting that the residency program is going to start dating or get its driver’s license anytime soon. All the best, Todd D. Sorensen, Pharm.D. Associate Professor and Associate Head Department of Pharmaceutical Care and Health Systems College of Pharmacy University of Minnesota soren042@umn.edu

Through this newsletter, we’d like to highlight and recognize contributions of our affiliated practice sites. For this first edition, we have chosen to focus on the partner with whom we’ve held the longest relationship – Paynesville Area Health Care System (PAHCS). PAHCS represents the “roots” of the Ambulatory Care Residency Program. We mark 1999-2000 as the first year of the program because that’s when its structure was formalized, however, the impetus for the program came from a novel educational experience completed by Laura Odell from 1995-1997, working with College of Pharmacy faculty members Don Uden and Tom Larson. Dr. Odell was a pioneer leaving the city and moving west (albeit not by covered wagon) to the small community of Paynesville (pop. 2250) in search of gold—creating a new role for a pharmacist in PAHCS’s primary care clinics. The success of that work paved the way for the establishment of our current program and PAHCS has been an important partner ever since, facilitating the residency experiences of more residents than any other site in our program. The story of pharmacy services at PAHCS is truly one of innovation which has resulted in it becoming a model for rural pharmacy practices locally and nationally. In the late 1990’s, the work of pharmacists at PAHCS was focused on providing clinical services and managing drug therapy in the primary care clinic—a new role for pharmacists in almost any ambulatory care setting, but certainly novel for a small rural health care organization. Then, in the early 2000’s, a decision was made to bring the inpatient pharmacy services “in house” (these duties had been managed by the local community pharmacy owner contracted by PAHCS). Todd Lemke was the lead pharmacist at this time and this change triggered a renewal of the way the medication use system was managed at PAHCS. Dr. Lemke led critical changes in medication safety, such as developing a medication error reporting system, renovating pharmacy space to meet contemporary guidelines for sterile product preparation, implementing automated dispensing technology (Omnicell®) and upgrading computer systems allowing for remote access to patient profiles by pharmacists after hours.


4 PAHCS, continued. Anyone who believes that pharmacy services in a small rural health care organization are second rate to that of large urban systems hasn’t visited Paynesville. In fact, the work of the pharmacy staff at Paynesville has been recognized nationally by the Health Resources and Services Administration (HRSA) through the national Patient Safety and Clinical Pharmacy Services Collaborative (PSPC). Paynesville was one of 30 “high performing” organizations in the area of pharmacy services studied for the development of the Collaborative’s Change Package, a document used by health care teams from around the United States to assist in advancing pharmacy services in their own organizations. Dr. Lemke has served on the national faculty of the PSPC for the past two years. Unfortunately, PAHCS has not been immune to the fiscal realities currently impacting the delivery of health care, and as a result, we will not have a resident at PAHCS for the 2010-11 year. We do hope this is a temporary situation, but regardless, we will continue to look to the staff at PAHCS to provide inspiration for students, residents and practitioners who wish to understand how high quality pharmacy services can be delivered in a small rural community. Residency Graduates from PAHCS Name Residency Yr Laura Odell 1995-1997 Shara Mihm 1998-1999 Todd Lemke 1999-2000 JD Anderson 2000-2001 Elizabeth Kadlec 2001-2002 Jennifer Lamberg 2002-2003 Jana Zeiher 2002-2003 Kristine Cervin 2003-2004 Rebecca Focken 2004-2005 Jennifer Mihm 2005-2006 Bryan Stroyny 2006-2007 Holly Kadrmas 2007-2008 Jenna Buskohl 2009-2010

Current Practice Site Mayo Clinic Walmart Pharmacy Paynesville Area Health Care Center St. Cloud VAMC Rice Memorial Hospital St. Cloud VAMC St. Cloud VAMC Rice Memorial Hospital NDSU College of Pharmacy Fairview UMC-Mesabi Gundersen Lutheran Health Partners TBD

New Residents for 2010-2011 We are excited to introduce our newest Ambulatory Care Residents for 2010 – 2011! Jennifer Chen (Ohio State) St. Mary’s Duluth Clinics Jenny Rivera (U of MN) West Side CHS Mary Jo Vierkant (U of MN) West Side CHS Molly Branaugh (SDSU) St. Cloud VA Amy Engelhart (SDSU) St. Cloud VA Heidi Schultz (U of MN) Fairview Pharmacy Services Jonica Hazaert (U of MN) Fairview Pharmacy Services, Genetics/Rare Diseases Emphasis Amanda Pasche (Creighton) Goodrich Pharmacy Jenifer Morgan (U of MN) Community-University Health Care Center Maggie Wallace (NDSU) Pharmaceutical Care Leadership, Year 1 Alison Knutson (U of MN) Pharmaceutical Care Leadership, Year 1 Kassy Bartelme (U of MN) Pharmaceutical Care Leadership, Year 2 Andrew Bzowyckyj (UCONN) Pharmaceutical Care Leadership, Year 2


5 Meet Our Residents, 2009-2010

Daniel Aistrope, Pharm.D. Pharmaceutical Care Leadership (Year 2) Site: Open Cities Health Center

Dan Aistrope is a 2008 graduate from Creighton University School of Pharmacy and Health Professions where he earned his Pharm.D. He is now finishing his second year of the Pharmaceutical Care Leadership program, and spends half of his time establishing clinical pharmacy services at Open Cities Health Center in St. Paul, and half of his time at the College of Pharmacy. After graduation, Dan is seeking a career in academia with a clinical ambulatory practice focused on medication therapy management services.   Post-Graduation Plans: Assistant Professor, University of Kansas-City, Columbia Campus

Magdi Awad, Pharm.D. Site: Westside Community Health Services

Magdi Awad is a 2009 graduate from the University of Minnesota-Duluth School of Pharmacy. As the current resident of West Side Community Health Services, he is looking forward to participating in the management of chronic conditions. Magdi’s future plans include adjunct faculty at a college of pharmacy with a clinical ambulatory practice. Post-Graduation Plans: Assistant Professor, Northern Ohio University

The Program will host its first resident with a genetics and rare disease emphasis, 2010-2012! For more information, go to http://www.pharmacy.umn.edu/residency/ opportunities/fairview_genetics_rarediseases/ home.html

Kassandra Bartelme, Pharm.D. Pharmaceutical Care Leadership (Year 1) Site: University of Minnesota Physicians - Broadway Clinic

Kassy Bartelme received her Doctor of Pharmacy degree from the University of Minnesota-Twin Cities in May 2009. As a resident, Kassy is practicing at Broadway Family Medicine Clinic and enjoys serving a diverse patient population. After completing the two year residency, Kassy would like to hold a practice faculty position at a college or school of pharmacy where she is able to both care for patients in an ambulatory care clinic and provide didactic education to pharmacy students.

Jessica Bruns, Pharm.D. Site: St. Cloud VA Medical Center

Jessie received her Doctor of Pharmacy degree from the University of Minnesota Twin Cities in May 2009. Jessie is currently a Pharmaceutical Care Resident at the VA Medical Center in St. Cloud, Minn. In the future, Jessie hopes to continue her work in an ambulatory care setting. She intends to work to increase community awareness of the benefits of lifestyle changes on improving general health & wellness, as well as preventing and improving management of chronic diseases.

Jenna Buskohl, Pharm.D. Site: Paynesville Area Healthcare System

Jenna Buskohl earned her Doctor of Pharmacy degree with an emphasis in leadership from the University of Minnesota-Twin Cities in May 2009. As the ambulatory care resident at the Paynesville Area Health Care System, Jenna is able to experience a wide range of clinical pharmacy services unique to a critical access hospital. After her residency, Jenna plans to pursue a pharmacy career in a rural community where she can provide clinical pharmacy services and promote healthy lifestyle choices. 


6

Andrew Bzowyckyj, Pharm.D. Pharmaceutical Care Leadership (Year 1) Site: University of Minnesota Physicians - Smiley’s Clinic

Andrew Bzowyckyj graduated with his Doctor of Pharmacy degree from the University of Connecticut in 2009. Andrew is currently in the first year of the Pharmaceutical Care Leadership program working at Smiley’s Clinic in Minneapolis for half of the week as well as working with the University of Minnesota - College of Pharmacy for the second half of the week. After completing his residency, Andrew plans to pursue a career in academia while providing pharmacy services at an ambulatory care practice site.

Allison Close, Pharm.D. Site: Goodrich Pharmacies

Allison Close graduated from the University of Minnesota-Twin Cities in May 2009. Allison is currently a resident at Goodrich Pharmacy. In the future she would like to continue working as a clinical pharmacist in an ambulatory care setting. Post-Graduation Plans: Manager, Target Pharmacy, Owatonna, Minn.

Amy Edge, Pharm.D. Site: St. Elizabeth’s Medical Center

Amy Edge earned her Doctor of Pharmacy degree from the University of Minnesota in 2009. Amy is located at St. Elizabeth’s Medical Center in Wabasha, Minn. as a first year ambulatory care resident. Amy will be working on expanding the MTM Program throughout the next year. She is excited to complete her residency and plans to seek a pharmacy career in a rural community where she hopes to develop or expand upon MTM services. Post-Graduation Plans: MTM Pharmacist, Coborns, Glencoe, Minn.  

Drew Klinkebiel, Pharm.D. Pharmaceutical Care leadership (Year 2) Site: Boynton Health Services

Drew Klinkebiel earned his Doctor of Pharmacy from the University of Nebraska Medical Center in May of 2008. Drew is currently a second year Pharmaceutical Care Leadership Resident who divides his time between Boynton Health Services and the University of Minnesota College of Pharmacy. After completion of his residency, Drew hopes to continue to provide pharmaceutical care within the ambulatory care setting and maintain ties with a College of Pharmacy to assist with the education of future pharmacists. Post-Graduation Plans: Clinical Pharmacist, Siouxland Community Health Center, Sioux City, Iowa

Kajua Betsy Lor, Pharm.D. Site: Westside Community Health Services

Kajua Betsy Lor earned her Doctor of Pharmacy degree from the University of Wisconsin – Madison in 2009. As the pharmaceutical care resident at Eastside Family Clinic, Kajua utilizes her Spanish and Hmong language skills to provide medication therapy management and anticoagulation services to an under-served, diverse population. After completing her residency, Kajua will pursue a career in academia with a clinical ambulatory care practice at an international clinic in the Twin-Cities, Minnesota area. Additionally, she hopes to educate healthcare professionals on Hmong herbal medicine, culture and health beliefs.

Goodrich Pharmacy was highlighted in the March 2010 issue of Pharmacy Today! For more information, go to http://www.pharmacy.umn.edu/residency/ opportunities/goodrich/home.html


7

Heather Maracle, Pharm.D. Site: Fairview Pharmacy Services

Heather Maracle received her Doctor of Pharmacy degree from the University of Minnesota in May 2009. As the Medication Therapy Management Resident for Fairview Pharmacy Services, Heather is able to be involved in many exciting opportunities. In the future, Heather hopes to continue to practice pharmaceutical care within the ambulatory care setting, with a focus on Native American patients. 

Jennifer Nickell, Pharm.D. Site: St. Cloud VA Medical Center

Jenny Archer earned her Doctor of Pharmacy degree from the University of Minnesota-Duluth in May 2009. Jenny is currently one of the residents at the VA Medical Center in St. Cloud, Minn., working directly with Veterans in the outpatient clinics, and is involved with therapeutic decision-making surrounding their care. In the future, she hopes to continue in an ambulatory care setting as a clinical pharmacist.

Adele Reichel, Pharm.D Site: Community-University Health Care Center

Adele Reichel earned her Doctor of Pharmacy degree with a leadership emphasis from the University of Minnesota in May 2009. Currently, Adele is completing a residency at Community University Health Care Center (CUHCC) Clinic in Minneapolis. Following this program, Adele plans to seek a career combining ambulatory care practice, teaching, and research, while continuing to work with underserved communities.

Sean Stewart, Pharm.D. Site: St. Mary’s Duluth Clinic

Sean Stewart earned his Doctor of Pharmacy degree from the University of Minnesota in 2009. Sean is a pharmaceutical care resident at St. Mary’s Duluth Clinic, providing medication therapy management services to patients in the department of internal medicine, and working with a great team of physicians, nurses, and assistants to help manage their chronic conditions. Sean is excited about his year of residency, and plans to seek a career in academia with a clinical ambulatory care practice following his residency training.

Katharine Scheidt, Pharm.D. Site: Kanabec Hospital

Katharine earned her Doctor of Pharmacy degree from Drake University in May of 2009. Katharine is a pharmaceutical care resident at the Kanabec Hospital in Mora, Minn. Her specific interests include serving the mental health population and incorporating complementary and alternative medicine into mainstream healthcare.

Sarah Schweiss, Pharm.D. Site: SuperiorHealth Center

Sarah Schweiss earned her Doctor of Pharmacy degree from the University of Minnesota in 2009. Sarah is currently completing an ambulatory care residency, and spends time at both SuperiorHealth Center and the College of Pharmacy in Duluth. Upon completion of the residency program, Sarah plans to seek a career in academia with a clinical ambulatory practice.  


8 Residents & Sites - Through the Years Rural Emphasis Tyler Health Care Center April R. Hanson

2004-2005

Sanford Sheldon Hospital

Sheldon, IA

St. Elizabeth Medical Center Bob Rouzitalab 2008-2009

University of Colorado

Denver, CO

Dawson Clinic Evert Oleson

Avera Marshall Regional Medical Center

Marshall, MN

2008-2009

Community Clinic Emphasis Ridgeview Melissa Reichert-Atwood Jim Polucha

1998-2000 1998-2000

Minneapolis VA Medical Center Medicine Chest Pharmacy and Camera

Minneapolis, MN White Bear Lake, MN

SuperiorHealth Center Keri Hager Naglosky Danielle MacDonald

2006-2007 2007-2008

University of Minnesota SuperiorHealth Center

Duluth, MN Superior, WI

Fairview Pharmacy Services Laura Keller 1998-1999 Kelly Schweim 2005-2006 Allyson Schlichte 2006-2007 Mark Malak 2008-2009

PHARM*assist Services PLLC Fairview Pharmacy Services Fairview Pharmacy Services Ontario Pharmacists Association

Hastings, MN Minneapolis, MN Minneapolis, MN Toronto, Ontario

St. Cloud VAMC Stephanie Cone DeAnne Trenda Melissa Bell (Lamoreaux) Yuen (Jaclynn) Chin Andrew Beckman Alissa Theis

2005-2006 2006-2007 2007-2008 2007-2008 2008-2009 2008-2009

VA Medical Center White Earth Clinic VA Medical Center Sioux Falls VAMC & SDSU Cash Wise Pharmacy VA Medical Center

St. Cloud, MN Ogema, MN St. Cloud, MN Sioux Falls SD St. Cloud, MN St. Cloud, MN

Open Cities Health Center Katie Kelley 2001-2002 May Xia Lo 2002-2003

PrairieStone Pharmacy West Side CHS

Minneapolis, MN Woodbury, MN

Southside Community Health Services Kathy Oh 2001-2002

Center for Medicare & Medicaid Services Baltimore, MD


9 Mayo Clinic Pharmacy Sherry Welliver (Thell)

2002-2003

Express Scripts

Minneapolis, MN

West Side CHS Deanna Gengler Paul Cihunka Krissa Klotzle (Skoglund) Konping Khang Aimee Husom Anna Jarombek Anna Pedersen Pajnhiag Nengchu

2002-2003 2003-2004 2004-2005 2005-2006 2006-2007 2007-2008 2008-2009 2008-2009

West Side CHS Unknown Health Partners Unknown BioScrip HCMC West Side CHS ER Pharmacist

St. Paul, MN Sanger, CA Bloomington, MN Unknown Minneapolis, MN Minneapolis, MN St. Paul, MN Hawaii

Smiley’s Clinic Stacy Seber (Olson)

2005-2006

Goodrich Pharmacy

Anoka, MN

Goodrich Pharmacy Kati Dvorak (Ovik) 2008-2009 Thrifty White Pharmacy (Sandstone), Pine City, MN Kanabec Hospital & Gateway Clinic (Moose Lake) Community-University Health Care Center Eric Hung 2008-2009 Cedar Riverside People’s Center Minneapolis, MN St. Mary’s Duluth Clinics Audrey Imberg

2008-2009

St. Mary’s Duluth Clinics

Duluth, MN

Cub/Supervalu Priya Bardal (Mehta) Aaliya Khan Ericka Robey

2001-2002 2002-2003 2004-2005

Medication Management Systems, Inc. University of Maryland Medical Center Walmart Pharmacy

Plymouth, MN Baltimore, MD Owatonna, MN

Leadership Emphasis Heather Bislew (Lindeman) Dan Rehrauer Sarah Westberg (Biebighauser) Leslie Helou Jean Moon (Huh) Kelly Ruby (Craft) Andrew Traynor Karen Gallus (Kottschade) Casey Gallimore Shannon Reidt Vibhuti Arya Janice Freuh

1999-2001 2000-2002 2001-2003 2002-2004 2003-2005 2003-2005 2004-2005 2005-2007 2005-2007 2006-2007 2006-2008 2007-2009

Freelance Work HealthPartners University of Minnesota Upsher-Smith University of Minnesota North Point Health & Wellness Center Concordia University CVS Caremark University of Wisconsin University of Minnesota St. John’s University Southern Illinois Edwardsville University

Mankato, MN Bloomington, MN Minneapolis, MN Plymouth, MN Minneapolis, MN Minneapolis, MN Mequon, WI Phoenix, AZ Madison, WI Minneapolis, MN Collegeville, MN Edwardsville, IL


www.pharmacy.umn.edu/residency Visit our Web site to learn more about our residency learning system, sites, and resident successes. Notice the site activity for December 2009, a key application time for the Residency Program.

719 Visits 3,916 Pageviews

A Gift that Keeps Giving

The fund was initially established via a contract with the Pharmacy Services Support Center (PSSC) of the American Pharmacists Association. The PSSC contracted with our program to write a series

of therapeutic class monographs that are included within a webbased formulary management tool for safety net health care providers across the US. We have been able to renew the contract with the PSSC annually, providing additional funds and allowing the endowment to grow. This unique opportunity has provided a “win-win” for the program. Writing and managing the 31 therapeutic class monographs provides an excellent learning experience for our residents and the funds received have provided the initial “gift” required to establish a foundation account that will provide a special source of funding for many years to come. We will always owe gratitude to the Residency Class of 2008 which did fantastic work writing the initial reviews from scratch (a MUCH bigger job than the current work of keeping them up-to-date). They played a critical role in making this endowment a reality!

Ambulatory Care Residency Program College of Pharmacy University of Minnesota 308 Harvard Street SE Minneapolis, MN 55455

Meghann Schmidt Residency Program Coordinator Phone 612-626-3373 Fax 612-624-2974 schm2817@umn.edu

In 2008, the residency program was fortunate to be able to establish the Residency Program Endowment Fund. Funds from this endowment are earmarked for supporting community building activities of the program and ensuring that we can continue to offer distinctive experiences to our residents. In the past funds have been used to host welcoming events for new residents at orientation, alumni dinners at national professional meetings as well as the 10 Year Anniversary and Program Reunion Banquet. As the endowment grows (and thus generates more interest), we will also be able to use funds to support innovations in the residency learning experiences we offer.

In addition to funds received from the PSSC contract, we would like to acknowledge Upsher-Smith Laboratories, which has provided generous gifts to this endowment fund. We have also received gifts from individuals as well – thank you to those who have contributed! The balance of the endowment is nearly $40,000 and our goal is to grow the fund to $100,000 by 2015. This is called a “stretch goal,” but with creativity and dedicated alumni and friends, I think we can achieve it! For those wishing to make personal, tax-deductible gifts to the endowment, you can do so by clicking on the “Make a Gift to Pharmacy” button on the College of Pharmacy’s homepage (www.pharmacy.umn.edu). To ensure that you gift is directed to the residency program, in the “Special Instructions” box, simply type “Please Direct to Residency Program Enhancement Fund.”


Residency Program Newsletter - May 2010