Bobbi Jo Walston, PharmD, BCPS
Clinical Pharmacy Specialist
Residency Associated Title and Involvement
Preceptor: PGY2 Pharmacotherapy & Infectious Diseases Residencies, PGY1 Pharmacy Residency
Undergraduate: North Carolina State University
School of Pharmacy: Campbell University
PGY1: PGY1 Pharmacy Practice at Vidant Medical Center
Infectious Diseases/Internal Medicine
The acute care internal medicine/infectious diseases rotation for the PGY1 resident provides training in the area of adult infectious diseases and acute care medicine through participation on the 'Med K' team. Patients admitted to the Med K service are managed by a team of Attending ID Physicians, Medical Residents, Medical Interns, and Clinical Pharmacy Specialists. The service census is typically 15 to 20 patients. Common disease states encountered include pneumonia, osteomyelitis, skin and skin structure infections, HIV and related complications, cystic fibrosis, meningitis, endocarditis, and opportunistic infections in immunocompromised hosts as well as non-ID disease states including diabetes mellitus, hypertension, and cirrhosis.
The resident will work with the team and the preceptor to identify, prevent, and resolve drug-related problems for patients. Emphasis is also placed on patient care monitoring related to drug therapies, assisting in transitions of care processes (including access to medications upon discharge), developing a systematic process for approaching drug information questions, and refining communication skills.
The resident will collect and analyze patient information and clinically relevant data to formulate pharmacy plans prior to daily team rounds. Residents will participate on rounds and will be expected to contribute on rounds by evaluating and managing medication therapies for each patient. The resident is also responsible for medication order verification for the Med K patients between the hours of 7:00 am and 1:30 pm, and for documentation (pharmacy sign-out, chart notes, and pharmacy plan).
The resident will also help participate in precepting the pharmacy student or students on this rotation (if applicable).
Activities and discussions with the preceptor are tailored to the needs of the resident. Formal topic discussions are scheduled approximately once per week and may be conducted in collaboration with preceptors and learners within the Pulmonary-Infectious Diseases (PID) POD.