Our Preceptors Southwest
Preceptor: Julie Adkison, Pharm.D., CDEEducation: University of Houston College of Pharmacy, Houston TXResidency: PGY1 at University of Houston College of Pharmacy/Memorial Hermann Healthcare System Site Location: Physicians at Sugar Creek Clinic, Memorial Family Medicine Residency ProgramClinical Experience: 13 years
This rotation combines ambulatory care with medical education at the Physicians at Sugar Creek (PSC) clinic in Sugar Land. PSC is recognized as a Level 3 Patient Centered Medical Home. There are 42 family medicine residents plus faculty who complete approximately 50,000 patient visits per year. The full spectrum of primary care diseases are seen at PSC, and patients have a variety of payor types, including both insured and non-resource. The pharmacy resident on this rotation is a highly valued team member. The resident will work closely with family medicine residents in their daily patient care clinic. There are also opportunities to see diabetic patients in a specialty clinic, work with a dietician, conduct in-depth medication reviews in a senior services clinic and work with a behavioral health professional. Additionally, the resident will be exposed to the process of creating educational materials for family medicine residents. Because multiple pharmacotherapy clinics are not established, this rotation is a non-traditional ambulatory care experience. Through the wide variety of patient care encounters and close work with physicians, the uniqueness of this rotation lies in its ability to be tailored to the pharmacy resident’s area of interest within family medicine and ambulatory care.
Preceptor: Malar Narayanan, Pharm.D.,BCPSEducation: University of Houston College of Pharmacy, Houston TXResidency: PGY1 at Memorial Hermann–Texas Medical Center, Houston, TXSite Location: Memorial Hermann Southwest HospitalClinical Experience: 7 years
Cardiology: Memorial Hermann Southwest Heart and Vascular institute opened in 2006 as Houston’s first freestanding heart hospital dedicated to manage cardiovascular patients. The institute’s Heart Valve Clinic offers innovative care delivered by a multidisciplinary team of affiliated heart specialists. Accredited as a chest pain center by the society of cardiovascular patient care, the institute is well known for expert heart attack care. The rotation will provide experience in the management of a wide variety of disease states related to Cardiology and Cardiovascular surgery. The resident will have opportunity to provide individualized evaluation of drug therapy and participate in patients care through interaction with physicians and other health professionals.
The resident will be participating in a multidisciplinary rounding on a daily basis. The primary focus of the rotation will be on optimizing pharmacotherapy and the ability to apply best-practice medicine to the care of patients who have various conditions related to cardiology.
Critical Care: The critical care rotation is based in the Memorial Hermann Southwest 28 bed medical surgical ICU. The resident will have an opportunity to work with the ICU team composed of an attending physician (intensivist), nursing, dietary, respiratory therapist and case management. This rotation will allow the resident to build a basic foundation of knowledge and clinical skills for the management of critically ill patients. The resident will be participating on daily rounds with the team and have an opportunity to optimize pharmacotherapy and the ability to apply best–practice medicine for a diverse population with many different disease states.
Preceptor: Chase Waxler, Pharm.D., BCPSEducation: University of Houston College of Pharmacy, Houston TXResidency: PGY1 at Memorial Hermann SouthwestSite Location: Memorial Hermann Southwest HospitalClinical Experience: 1 year
This emergency medicine rotation is based out of the Memorial Hermann Southwest (MHSW) Emergency Department. The emergency department (ED) functions as a multidisciplinary team and allows the resident to interact with variety of health care professionals including ED physicians, mid-level practitioners, nursing staff, registrants, respiratory therapists, case managers, family practice residents and admitting physicians. Our ED treats approximately 70,000 patients/year averaging around 200 patients daily and holds designations as both a level III trauma center and a level II stroke center. Because of these designations, we treat approximately 700 trauma patients/month and administer human recombinant tissue plasminogen activator (rt-PA) an average of 4 times monthly. The acuity of our patient population also provides opportunity for the resident to gain experience in the provision of advanced cardiovascular life support to both pediatric and adult patients. Due to our high volume of patients and the diverse patient population in which we serve, the MHSW ED enrolls patients in several ongoing clinical trials keeping us at the forefront of patient care. Overall, this rotation will provide the resident with a broad scope of experience in managing high acuity patients in a fast-paced environment.
The primary focus of the resident will be ensuring the prompt/safe delivery of evidence-based medicine to our patients through a collaborative effort with other health care professionals on the ED team. He/she will be available as a medication resource/educator to our patients and the ED team upon request. The resident will attempt to obtain accurate medication histories from our patients in an effort to evaluate compliance and assess medication-related issues as well as provide continuity of care through daily antimicrobial culture reviews.
Preceptor: Ngan Vo, Pharm.D., BCPSEducation: University of Houston College of Pharmacy, Houston TXResidency: PGY1 at Memorial Hermann–Texas Medical Center, Houston, TX; PGY2 in Internal Medicine at Methodist University Hospital/University of Tennessee Health Science Center, Memphis, TNSite Location: Memorial Hermann Southwest HospitalClinical Experience: 2 years
The Geriatrics and Neurology rotations at Memorial Hermann Southwest are designed to provide residents with training in managing patients with diverse medical conditions in a specialized acute care setting. The resident will develop care plans in collaboration with attending and consulting physicians, mid-level practitioners, nursing staff, physical therapists, occupational therapists, case managers, social workers, and home health coordinators.
Geriatrics: Our hospital offers dedicated services to senior patients via the Senior Emergency Center, 24-bed Senior Medicine Unit, and the Senior Treatment and Recovery Unit. The resident will function as a member of the multidisciplinary team on the Senior Medicine Unit, where patients 55 years or older are hospitalized for a variety of diagnoses, including altered mental status, anemia, cellulitis, COPD exacerbations, diabetes and associated complications, CHF, falls, gastrointestinal issues, pneumonia, sepsis, syncope and urinary tract infections.
Neurology: Recognized as a Primary Stroke Center, Memorial Hermann Southwest is prepared to rapidly diagnose and treat stroke patients. More than 10 neurologists and neurosurgeons are on staff and telemedicine capabilities allow physicians to collaborate and assess patients from remote locations. In addition to stroke management, the resident will provide care for patients with a wide variety of neurological conditions and disorders in the 20-bed Neuroscience Center.
Preceptor: Sarah Lake-Wallace, MS, Pharm.DEducation: University of Houston College of Pharmacy, Houston TX, University of Florida College of Pharmacy, Gainesville FL (MS Pharmacy Administration)Residency: Kelsey-Seybold Managed Care Residency, Houston TXSite Location: TIRR Memorial Hermann Clinical Experience: 13 years
This rotation is based with the Memorial Hermann Rehabilitation Network, primarily focused at TIRR Memorial Hermann. TIRR Memorial Hermann is an inpatient rehabilitation facility with 119 licensed beds focusing on the care of stroke, brain injuries, spinal cord injuries, and neuromuscular disabilities. The rotation will involve the entire hospital and multiple departments. Residents are exposed to and participate in interdisciplinary quality improvement activities relating to assuring a safe and effective medication use process and patient safety. The activities will be project and meeting based. Roles and responsibilities include investigating and completing medication-related significant adverse drug event reports, assessing aggregate event data for process variance and hospital-wide trends, compose and present reports related to medication use to the Committees and Subcommittees charged with monitoring medication use, patient safety and quality, participate on teams and workgroups to formulate corrective action plans, implement those plans and devise monitoring plans for measuring the effectiveness of process improvements implemented. Resident will have the opportunity to participate in high level leadership meetings, medical residency education activities, and develop project management skills.
Preceptor: Dehuti Pandya, Pharm.D., BCPSEducation: University of Texas College of Pharmacy, Austin, TXResidency: PGY1 at Memorial Hermann–Texas Medical Center, Houston, TXSite Location: TIRR Memorial Hermann HospitalClinical Experience: 11 years
This neurorehabiliation rotation is based out of the TIRR Memorial Hermann located in the World Renowned Texas Medical Center . TIRR is ranked 3rd in the nation for its exceptional rehabilitation care. At TIRR we specialize in neurological rehabilitation. Our comprehensive rehab includes inpatient and outpatient treatment of stroke, brain injury, spinal cord injury, amputation, and neurological and neuromuscular disorders.
Every year since 1990, US News & World Report has ranked our nation’s leading hospitals. And in every one of those years, TIRR Memorial Hermann has been named among the very best rehabilitation hospitals in the United States. TIRR is affiliated with both University of Texas Medical School at Houston and Baylor College of Medicine. We are an academic teaching hospital with many opportunities for pharmacy residents to work in a multidisciplinary physician led team, play an integral part in medical resident education and training, high level patient care interaction, and most importantly be a part of a team that enables each patient to regain independence after very challenging circumstances.
The primary focus of the resident will be ensuring the prompt/safe delivery of evidence-based medicine to sub-acute care patients. The resident will be involved in physician education/training, patient counseling, and ongoing research trials. Being involved in outpatient pharmacy services with collaborative practice agreements (prescriptive rights) in the disease states like anticoagulation, diabetes, smoking cessation, and hypertension, is just an example of unique experiences that TIRR Memorial Hermann offers.
Preceptor: Shivani Patel, PharmD, BCPSEducation: University of North Carolina at Chapel Hill, School of PharmacyResidency: PGY1 at Vanderbilt University Medical CenterSite Location: Memorial Hermann Southwest HospitalClinical Experience: 10 years
This infectious disease rotation is based out of the Memorial Hermann Southwest (MHSW) Hospital. The infectious diseases rotation covers patients in all 594 beds at MHSW. The hospital has multiple infectious disease consult physician groups that provide antibiotic services to our diverse patient population in addition to the other medical service lines that we support. The resident is responsible for optimizing anti-infective therapy for all identified patients with infectious disease related issues and is an integral member of the inpatient team. The resident participates actively in daily patient-care reviews, literature evaluation, patient presentations, and disease and drug analyses and discussions. The resident will also participate in weekly microbiology rounds in conjunction with the Family Practice Residency service to gain an in-depth understanding of microbiology and how to appropriately apply relevant pharmacotherapy. This rotation provides in depth training in antimicrobial management of the following infections: bacteremias, bone and joint, nosocomial, CNS, skin and soft tissue, respiratory, cardiovascular, and more. The resident is challenged to develop individualized therapeutic recommendations and monitoring plans daily. Development of critical thinking skills is paramount in this rotation. Our site offers exposure to a wide variety and scope of infectious disease related pharmacotherapy issues.
Preceptor: Steve Thomas, RPh, MBAEducation: Temple University, Philadelphia, PASite Location: Memorial Hermann Southwest HospitalManagement Experience: 20 years
The Management longitudinal rotation is designed to provide a basic overview of the administrative aspects of managing a Pharmacy Department in a community hospital setting. Its purpose is to get the resident involved in pharmacy administration with experiences in the overall direction and integration of pharmacy services. The rotation consists of both longitudinal and focused experiences with various pharmacy leaders. The experiential component of this rotation focuses on actual projects, teams and PI activities. The rotation is intended to provide the resident with “hands on” experience in identifying and resolving administrative and clinical problems, forming and functioning within a team-work environment and developing new pharmacy initiatives. In addition, the resident becomes knowledgeable about key administrative responsibilities including planning, budgeting, medication safety and management structures within the pharmacy department of a community hospital.
Preceptor: Rachel Nguyen, Pharm.DEducation: University of Houston College of Pharmacy, Houston TXSite Location: Memorial Hermann Southwest HospitalWorking Experience: 14 years
One of the unique aspects of Memorial Hermann Southwest Hospital residency is the staffing component. We are the largest facility that has been serving the communities of Southwest Houston since 1977. For three years in a row, our hospital has been recognized as one of America’s 50 Best Hospitals by HealthGrades, an independent health quality ratings company for our overall clinical excellence. The goal of the staffing component is to gain a better understanding of the operation of pharmacy and the critical role it serves in the overall care of patients, which range from neonates to geriatrics. During the staffing portion, the resident is exposed to the six steps of medication management (prescribing, procurement, preparation, dispensing, administration, and monitoring). Through this experience, the resident will have to opportunity to interact with various healthcare disciplines, reinforce the fundamentals and extend the working knowledge of hospital pharmacy, which will make the resident a more well-rounded clinician.