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This Clinical Pharmacy Specialist position is located within Pharmacy Service at the Dayton VA Medical Center, Dayton Ohio and supports Clinical services as assigned, utilizing education, experience and expertise. The Pharmacist serves as a provider with prescribing privileges as outlined in the individual's Scope of Practice for Clinical Pharmacy Specialist (CPS) and is directly supervised by the Clinical Coordinator. BASIC REQUIREMENTS a. Citizenship. Citizen of the United States. (Noncitizens may be appointed when it is not possible to recruit qualified citizens) b. Education (1) 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 of approved degree programs may be obtained from the Accreditation Council for Pharmacy Education, 20 North Clark Street, Suite 2500, Chicago, Illinois 60602-5109; phone: (312) 664-3575, or through their Web site at: http://www.acpe-accredit.org/. (NOTE: Prior to 2005 ACPE accredited both baccalaureate and Doctor of Pharmacy terminal degree program. Today the sole degree is Doctor of Pharmacy.) May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). c. Licensure. Full, current and unrestricted license to practice pharmacy in a State, Territory, Commonwealth of the United States (i.e., Puerto Rico), or the District of Columbia. The pharmacist must maintain current registration if this is a requirement for maintaining full, current, and unrestricted 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 the provisions in VA Handbook 5005, Part II, Chapter 3, section B, paragraph 16. d. 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. For employees who do not meet all the basic requirements required in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, the following provisions apply: (1) Employees grandfathered into the GS-660 occupational series may be reassigned, promoted up to and including the full performance (journey) level, or changed to lower grade within the occupation, but may not be promoted beyond the journey level or placed in supervisory or managerial positions. (2) Employees who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed, on a temporary or permanent basis, until they fully meet the basic requirements of the standard. Employees initially grandfathered into this occupation, who subsequently obtain additional education and/or licensure/certification/registration, that meet all the basic requirements of this qualification standard must maintain the required credentials as a condition of employment in the occupation. (3) If a licensed pharmacist who was retained under this provision leaves the occupation, the employee loses protected status and must meet the full VA qualification standard requirements in effect at the time of reentry to the occupation. Grade Determinations: a. Creditable Experience (1) Knowledge of Professional Pharmacy Practices. To be creditable, the experience must have demonstrated the use of knowledge, skills, and abilities associated with professional pharmacy practice. Professional practice means paid/non-paid employment as a professional or unlicensed graduate pharmacist as defined by the appropriate licensing board. (2) 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 that is not accredited by the American College of Clinical Pharmacy (ACCP) will need to have comparable standards for experience to be creditable (Professional Standards Board refers to the Deputy Chief Consultant for Professional Practice for the determination). (3) 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. (4) Part-time Experience. Part-time experience as a professional pharmacist is credited according to its relationship to the full-time workweek. For example, a pharmacist employed 20 hours a week, or on a 1/2-time basis, would receive 1 full-time workweek of credit for each 2 weeks of service. b. Grade Determinations. In addition to the basic requirements for employment in paragraph 2, the following criteria must be met when determining the grade of candidates. (3) GS-13 (a) Experience. In addition to the GS-12 requirements, must have 1 year of experience equivalent to the next lower grade level. (b) Assignments. 1. Clinical Pharmacy Specialist. The clinical pharmacy specialist (CPS) functions at the highest level of clinical practice, works independently under their scope of practice as defined by the individual medical center to directly care for patients. A CPS plays a defined role in budgetary execution and serves as a mid-level provider who functions to initiate, modify or discontinue medication therapy and as a consultant for intensive medication therapy management services. This includes, but is not limited to, the following: designing, implementing, assessing, monitoring and documenting therapeutic plans utilizing the most effective, least toxic and most economical medication treatments; helping achieve positive patient centric outcomes through direct and indirect interactions with patients, providers, and interdisciplinary teams in assigned areas; performing physical assessments; and ordering laboratory and other tests to help determine efficacy and toxicity of medication therapy. Pharmacists assigned to this position must demonstrate the following KSAs: a. Ability to communicate orally and in writing to persuade and influence clinical and management decisions. b. Expert understanding of regulatory and quality standards for their program area. c. Ability to solve problems, coordinate and organize responsibilities to maximize outcomes in their program area or area of clinical expertise. d. Expert knowledge of a specialized area of clinical pharmacy practice or specialty area of pharmacy. e. Advanced skill in monitoring and assessing the outcome of drug therapies, including physical assessment and interpretation of laboratory and other diagnostic parameters. Preferred Experience: PGY1 and/or Board Certification Ambulatory Care Experience References: VA HANDBOOK 5005/55 PART II APPENDIX G15 The full performance level of this vacancy is GS-12. The actual grade at which an applicant may be selected for this vacancy is GS-13. Physical Requirements: Some of the work involves extended periods of time standing, sitting or doing computer work. This position requires average agility and dexterity. Professional appearances per pharmacy dress code, attitude and demeanor are required. ["The Pharmacist duties include, but are not limited to: The Pharmacist duties include, but are not limited to: involvement in the independent design, implementation and monitoring of therapeutic drug plans to achieve definite outcomes through direct interactions with patients and providers obtains medication histories from patients and summarizes significant findings in the medical record and/or to the provider involved in reviewing patient medication regimens for clinical effectiveness, drug selection, dosing, contraindications, side effects, potential drug interactions, and therapeutic outcomes communicates findings with prescribers and provides appropriate alternatives to current treatment plans monitors for and reports drug errors, adverse drug reactions, allergies, and patient compliance issues; documents findings per facility procedures knowledge of normal laboratory values in the evaluation of patient care and recognizes significant abnormalities expertise in the principles of clinical pharmacokinetics and pharmacodynamics and is knowledgeable and able to make dose adjustment recommendations based on objective laboratory findings reviews and evaluates requests for non-formulary and restricted drugs for appropriateness and compliance with established criteria where applicable; assists with Pharmacy and Therapeutics activities documents clinical interventions in CPRS in a timely and professional manner as appropriate promotes and monitors compliance for established drug therapy policies; works with providers to ensure compliance with initiatives serves on Medical Center and/or VISN committees as requested reviews and verifies medication orders in assigned areas as appropriate, prior to administration, for accuracy and to reduce potential risk of adverse drug events primary provider for extending medication therapy until next medical appointment (limited to non-controlled substances) and to initiate, modify or discontinue patient's medication therapy, as a consultation for intensive medication therapy management services; provides patient-specific drug therapy modifications to maximize patient response and minimize drug interactions, adverse drug effects, and polypharmacy while providing cost-effective treatment - assessments are based on clinical reviews and objectives measures determines a referral to the physician is necessary when disease progression occurs or adverse drug events require treatment interventions orders, performs, reviews and analyzes laboratory tests and other diagnostic studies; follows-up with patients on results to discuss the plan of therapy participates in the training and in-servicing of medical center personnel as required; effectively instructs patients and family members in the appropriate use of medications and medical devices Is able to adjust communication and tracking methods based on age and developmental considerations; able to accurately assess and document patient comprehension and to refer patients to educational programs May serve as preceptor for pharmacy students and pharmacy assists in new employee orientation sessions as scheduled and in the development of proposals for improved and/or new clinical pharmacy services Serves as an authority on drug usage, interactions, over-dosages, and compliance to medical staff, nursing staff, technicians and students; uses appropriate references to research drug information; has a good working knowledge of information resources, both written and electronic; maintains a current knowledge of therapeutics and disease management; provides timely and accurate responses to drug information inquiries from all customers Work Schedule: M-Th 0700-1630; alt Fridays 0700-1530 Compressed/Flexible: Available Telework: Not available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized ???????Financial Disclosure Report: Not required"]

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