VA North Texas Health Care System
The Hematology/Oncology rotation at the North Texas Veteran's Affair Dallas is an elective learning experience. Here the Advanced Practice Pharmacist provides in-patient and out-patient oncology pharmacy services to the Oncology Consult team and Pharmacy department. The rotation is for residents interested in learning clinical aspects of patients presenting with cancer. The rotation provides understanding and application of cancer diagnosis, treatment and supportive care. The particular emphasis is placed on chemotherapy agents, and supportive care agents to mitigate toxicity.
The in-patient oncology team consists of an attending, oncology fellow, medical resident and pharmacist. It is responsible for addressing oncology and benign and malignant hematology related consults. The resident will round with the oncology team on regular basis. The resident will work closely with the oncology team to serve as a source of drug information and provide therapeutic recommendations. The resident will be responsible for supporting other oncology related pharmacy functions including in-service, policy or protocol development or project support. The resident will also have opportunity serve as mentor for 3rd and 4th year pharmacy students.
The pharmacist works under a scope of practice to manage patients' therapy (assessing, initiating and adjusting medication therapy, ordering and following up on laboratory work, and submission of referrals to other healthcare providers). Team members within the clinic (physicians, physician assistants, and nurse practitioners) work together to provide cancer care. In the out-patient clinic the resident will be providing direct patient care. He or she will be assessing patients for chemotherapy toxicity and supportive care need. The resident will also manage patients with chronic cancer diseases. Education is provided to the patients about their medication regimens, and every effort is made to improve patient compliance as needed. The resident will be responsible for managing his/her own patients as assigned by the preceptor. Good communication and interpersonal skills are of paramount importance in this setting. The resident must devise effective strategies for accomplishing the required activities in the time frame of the clinic.