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STUDENTS MAKING A DIFFERENCE


Defining Our Role with Clinical Services: A Summer Internship Exploring Student Engagement in Community Pharmacies


By: Grant Woodard, Daniella Underwood, Grace Beyer | Mentored By: Jerry Callahan, RPh, Catherine Gilmore, PharmD


T


he term clinical services in pharmacy has always carried a vague defi nition. A pharmacy off ering clinical services could be interpreted as anything from


medication synchronization all the way to pharmacists prescribing post-exposure prophylaxis or hormonal contraception and everything in between. As students, when we hear pharmacists or professors talk about clinical services, we always wonder what end of the clinical services spectrum they are talking about.


“By bridging the gap between academia and practice, this initiative not only empowers future pharmacists but also strengthens the profession,ensuring its continued relevance and impact in the healthcare landscape.”


Recently, we have been exposed to a


clinical service in the community pharmacy setting that allows pharmacists to be reimbursed for the medication therapy management and education they provide to patients through Missouri Medicaid/ MoHealthNet called DirectCarePro (DCPro). Although this service has been off ered for several years by MOHealthNet, many pharmacists in Missouri are becoming credentialed as providers and billing for


these services for their Medicaid-eligible patients. T is has not only had positive patient health outcomes and positive cost savings to Missouri Medicaid, but also provides a wonderful revenue stream to pharmacies who are looking to diversify from traditional dispensing and branch out into the underdefi ned world of clinical services. With the help of MPA's past president Jerry


Callahan, we have developed a capstone business plan to introduce students to non- traditional clinical services like DCPro and more recognized ones like OutcomesMTM. Our belief is that if students are exposed and involved in these activities, they will be more inclined to think of community pharmacy as more than just putting pills in a bottle. Our capstone business plan includes the following details: • Who: rising P2 and P3 students paired


with community pharmacies off ering or interested in off ering clinical services. • What: a partnership between the St.


Louis College of Pharmacy and Missouri pharmacies in which students help initiate and run pharmacy clinical services. • When: beginning summer 2025. Students


will spend 1 week in training bootcamp (see section "How") and then spend the rest of the internship (approx. 9-12 weeks) at the pharmacy providing clinical services. • Where: Students will be located at the


pharmacy. If the pharmacy has the capability of remote set-up, that could be an option. • How: students will spend the fi rst week


of the internship learning about clinical services. Training will include lecture-style training highlighting the key points of both OutcomesMTM and DCPro, step-


44 Missouri PHARMACIST | Volume 98, Issue II | Summer 2024


by-step instructions for proper billing and documentation, and sessions with other students to practice providing education and identifying medication issues. T e introduction of non-traditional


clinical services like DCPro, alongside established programs such as OutcomesMTM, represents a pivotal moment in pharmacy education. By incorporating these initiatives into the curriculum through a capstone business plan, rising P2 and P3 students can gain fi rsthand experience in providing clinical services within community pharmacy settings. T is immersive approach not only fosters a deeper understanding of the pharmacist's role but also cultivates a mindset that views community pharmacy as a hub for comprehensive patient care rather than just a dispensing outlet. Community pharmacies benefi t from the


reimbursement by Missouri Medicaid and play a role in developing the next generation of pharmacists to help manage patient’s medications and disease states. T e students gain a competitive rate of compensation and invaluable experience with clinical services. T rough targeted training and hands-on


experience, students can become profi cient in delivering clinical services, navigating billing and documentation procedures, and eff ectively addressing medication- related issues. By bridging the gap between academia and practice, this initiative not only empowers future pharmacists but also strengthens the profession, ensuring its continued relevance and impact in the healthcare landscape.


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