Clinical Pharmacist (Ambulatory)

We need to output HTML fragment with sections: About the role? The posting includes Summary, Qualifications, Duties. We need headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Use only sections with real content. The posting has Summary (could be About the role). Qualifications section (Qualifications). Duties (Responsibilities). There's no explicit Benefits, Pay, Schedule. So we should not create those sections. Also we should not repeat job title. Provide

for each section heading. Use

for prose,

• for lists. We need to preserve all substantive information, but we can condense into paragraphs/lists while preserving details. Must not invent or summarize away detail. Must not include boilerplate like EEO, navigation, etc. Remove duplicated lines. We need to include content from Summary, Qualifications, Duties. Let's extract. Summary: "The Clinical Pharmacist provides distributive and clinical Pharmacy support service to primary care - medicine - surgery and specialty clinics within the VAWNYHS. The duties of the CP cover direct and indirect patient care - drug therapy monitoring - quality assurance/improvement - staff/patient education and consultation." We can put that as About the role paragraph. Qualifications: Very long. Need to include all basic requirements: US citizenship, education (ACPE-accredited BS Pharm or PharmD, foreign graduates with FPGEC certification), licensure (full current unrestricted license in US state/territory/DC, maintain registration, etc.), note about revoked licenses, grandfathering provision, physical requirements (see VA Directive and Handbook 5019), English language proficiency, grade requirements (creditable experience, residency/fellowship substitution, quality of experience, part-time experience, grade determinations for GS-12: need 1 year experience equivalent to next lower grade or completion of ACPE-accredited Pharm.D. program), assignment description (routine medication-related activities per local VISN/national policies: reviewing/interpreting/verifying medication orders, processing/filling, interacting with clinical staff, reviewing patient meds/allergies/labs, contacting providers, documenting recommendations, providing refill extensions, performing medication reconciliation, providing drug info, assisting in formulary management, documenting/adverse drug events, assisting in medical emergencies, providing oversight of technical staff). Then KSAs: knowledge of professional pharmacy practice, ability to communicate orally/written, knowledge of laws/regulations/accreditation standards related to distribution/control of scheduled/non-scheduled drugs and pharmacy security, skill in monitoring/assessing outcome of drug therapies including physical assessment and interpretation of lab/diagnostic parameters. Preferred experience: three or more years of ambulatory care or retail experience preferred. Reference links. We need to keep all that. Could be long but okay. Duties: list of distributive and clinical duties. We'll need to put as Responsibilities section with
  • . Must preserve all bullet-like sentences. Let's extract duties list: Distributive: - Fills medication orders by selecting the correct drug and dosage form - reducing the drug from bulk to the quantity prescribed - compounding when necessary - then packaging and labeling the drug in an appropriate manner - Responsible for the dispensing of drugs - especially controlled substances - investigational and cytotoxic drugs - to assure that legal and agency regulations and instructions are followed - that proper and complete recordkeeping is maintained - and that the drug storage areas are stocked - safe - and secure - Reviews the patient medication profile prior to dispensing drugs and medications to ensure safe and appropriate medication use - Responsible for special formulations - and for extemporaneous compounding of routine and special medications requiring complex compounding procedures - Initiates medication orders for patients per approved protocol - established guidelines or provider consultation - Responsible for providing care as required to meet patient care needs and to maintain competence in your areas of pharmacy practice - Dispenses investigational and research drugs to patients as required in accordance with VA policy Clinical Duties: - Identifies drug-induced problems that may be affecting the patient - takes appropriate steps to manage these problems and/or communicates these findings to his/her primary provider (includes drug side effects - allergic reactions - toxicities - dosage regimens - and non-compliance concerns) - Reviews and recommends therapeutic care plans utilizing the most effective - least toxic - and most economical medication treatments - recognizing the special drug considerations of the age and stage of life for the patient - and communicates this plan to the patient's primary provider - Counsels patients and family members concerning directions for use - side effects - precautions - and the need to strictly follow the regimen - Monitors patient profiles and ensures information is correct and up-to-date (may include addition of or correction of documented allergies/ADRs - addition of or discontinuation of non-VA medications and discontinuation of orders per current scope of practice) - Provides consultation to physicians - nurses - and other health professionals on medication management issues (may include formal rounds - informal rounds - formal consults and informal consults and may be verbal - telephone or written consultations) - Applies pharmacokinetics - using rate order equations as appropriate to assess serum levels using volumes of distribution and/or renal and hepatic clearances and to make recommendations when necessary - Education: Accurately completes all assignments in a timely manner with independence and minimal guidance - personally setting the deadlines for work completion as defined by immediate supervisor or other member of the Pharmacy Management Team - He or she assumes responsibility in work assignments in accordance with regulations and independently and resolves most conflicts by using considerable judgment and interpretation - Work is reviewed to ensure that overall objectives of the position are met - Assists in the orientation and training of new pharmacy employees - pharmacy residents - pharmacy students - medical residents - medical students - attending providers and pharmacy volunteers - Functions as a consultant to the medical staff on pharmacotherapeutics - pharmacokinetics - and toxicology via effective written and oral communication - Quality Assurance and Improvement: Participates in the DUE/MUE process by assisting in determination of problem areas - criteria development - analysis and follow-up as deemed appropriate (education - review - etc.) - Documents all patient-centered workload according to current VAWNYHS - VISN and VACO Pharmacy guidelines - Participates in pharmacy efforts to optimize efficiency (testing of new software - supporting new technology - proposing changes in operations - realigning workload - etc.) - Administrative: Checks - guides - and advises lower-grade co-workers and trainees on the receipt - interpretation - compounding - (cut off). The text ends abruptly. We'll include what we have. We need to avoid repeating content. We'll produce sections: About the role (Summary), Qualifications, Responsibilities (Duties). Use

    headings. We must not include navigation/boilerplate. Ensure no empty sections. Let's craft HTML. We'll need to escape any HTML special characters? Not needed. We'll produce:

    About the role

    The Clinical Pharmacist provides distributive and clinical Pharmacy support service to primary care, medicine, surgery and specialty clinics within the VAWNYHS. The duties cover direct and indirect patient care, drug therapy monitoring, quality assurance/improvement, staff/patient education and consultation.

    Qualifications

    Basic Requirements:

    • United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
    • Education: Graduate of an Accreditation Council for Pharmacy Education (ACPE) accredited College or School of Pharmacy with a baccalaureate degree in pharmacy (BS Pharmacy) and/or a Doctor of Pharmacy (Pharm.D.) degree. Verification via ACPE (20 North Clark Street, Suite 2500, Chicago, IL 60602-5109, phone (312) 664-3575, http://www.acpe-accredit.org/). Prior to 2005 ACPE accredited both baccalaureate and Doctor of Pharmacy terminal degree programs; today the sole degree is Doctor of Pharmacy.
    • Graduates of foreign pharmacy degree programs meet the educational requirement if able to provide proof of achieving the Foreign Pharmacy Graduate Examination Commission (FPGEC) Certification, which includes passing the Foreign Pharmacy Graduate Equivalency Examination (FPGEE) and the Test of English as a Foreign Language Internet Based Test (TOEFL iBT).
    • Licensure: Full, current and unrestricted license to practice pharmacy in a State, Territory, Commonwealth of the United States (including Puerto Rico) or the District of Columbia. Must maintain current registration if required for maintaining licensure. A pharmacist who has—or has ever had—any license(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status may be appointed only in accordance with VA Handbook 5005, Part II, Chapter 3, section B, paragraph 16. Individuals who have or have had multiple licenses and had any such license revoked for professional misconduct, professional incompetence or substandard care, or who surrendered such license after receiving written notice of potential termination of such license by the State for professional misconduct, professional incompetence, or substandard care, are not eligible for appointment unless such revoked or surrendered license is fully restored (38 U.S.C.7402(f)). Effective November 30, 1999, this is a requirement for employment; does not apply to licensed pharmacists on VA rolls as of that date provided they maintain continuous appointment and are not disqualified for employment by any subsequent revocations or voluntary surrenders of State license, registration or certification.
    • Grandfathering Provision: All licensed pharmacists employed in VHA in this occupation on the effective date of this qualification standard are considered to have met all qualification requirements for the title, series and grade held—including positive education and licensure/certification/registration that are part of the basic requirements of the occupation.
    • Physical Requirements: See VA Directive and Handbook 5019.
    • English Language Proficiency: Pharmacists must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d).

    Grade Requirements (GS‑12 Clinical Pharmacist – Full Performance Level):

    • Creditable Experience: Knowledge of Professional Pharmacy Practices – experience must have demonstrated the use of knowledge, skills, and abilities associated with professional pharmacy practice (paid/unpaid employment as a professional or unlicensed graduate pharmacist as defined by the appropriate licensing board).
    • Residency and Fellowship Training: Residency and fellowship training programs in a specialized area of clinical pharmacy practice may be substituted for creditable experience on a year‑for‑year basis. The pharmacy residency program must be accredited by the American Society of Health‑System Pharmacists (ASHP). A fellowship program not accredited by the American College of Clinical Pharmacy (ACCP) must have comparable standards for experience to be creditable (determination by the Professional Standards Board/Deputy Chief Consultant for Professional Practice).
    • Quality of Experience: Qualifying experience must be at a level comparable to pharmacy experience at the next lower level. Experience as a Graduate Pharmacist is creditable provided the candidate was used as a professional pharmacist (under supervision) and subsequently passed the appropriate licensure examination.
    • Part‑time Experience: Part‑time experience as a professional pharmacist is credited according to its relationship to the full‑time workweek (e.g., 20 hours/week or ½‑time yields 1 full‑time workweek credit for each 2 weeks of service).
    • Grade Determinations: In addition to the basic requirements, candidates must meet one of the following: 1 year of experience equivalent to the next lower grade level, or completion of an ACPE‑accredited Pharm.D. program.
    • Assignment: A pharmacist in this assignment handles routine medication‑related activities in accordance with local, Veterans Integrated Service Network (VISN), and national policies and regulations. These include—but are not limited to—reviewing, interpreting