This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. NOTE: This applies to current/past/upcoming VHA HPTs only. An HPT is an individual appointed to a temporary position in one or more VHA medical facilities performing clinical or research training experiences to satisfy program or degree requirements or receiving VA Health Professional Scholarship Program. HPTs can be either VA-paid or Without Compensation (WOC). 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. English Language Proficiency. Pharmacists appointed to direct patient care positions must be proficient in spoken and written English in accordance with chapter 2, section D, paragraph 5a, this part. 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.) (2) Graduates of foreign pharmacy degree programs meet the educational requirement if the graduate is 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 (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 Grade Determinations:GS-13, Clinical Pharmacist Specialist Experience. In addition to the GS-12 requirements, must have 1 year of experience equivalent to the next lower grade level. Assignments. Candidates at this grade level are to be in one of the assignments listed below. For all assignments above the full performance level, the higher level duties must consist of significant scope, administrative independence, complexity (difficulty) and range of variety as described in this standard at the specified grade level and be performed by the incumbent at least 25% of the time. 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. Knowledge, Skills and Abilities (KSAs) - In addition to meeting the experience requirements for this grade level, the candidate must fully 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 or significant experience in Anticoagulation Pharmacotherapy References: June 7, 2012 VA HANDBOOK 5005/55 PART II APPENDIX G15. The full performance level of this vacancy is GS-13. Physical Requirements: Typically, the employee can be expected to sit at a desk or table with walking and standing throughout the day. Items such as cases of drugs, nutritional supplements, prescription vials, totes, etc. are carried from delivery carts for placement on shelves. Lifting of moderately heavy objects approximately 40 lbs normally required. ["The Clinical Pharmacist Practitioner- Anticoagulation has full time responsibility for providing pharmaceutical care for patients in the anticoagulation outpatient setting and support to staff with regards to the management of anticoagulation agents and adjustments of therapy for procedures. The Clinical Pharmacist Practitioner assumes the routine duties and responsibilities below including but not limited to: Develops and maintains an in-depth knowledge of antithrombotic/anticoagulation management including pharmacotherapy, laboratory monitoring, and relevant medico-legal aspects of anticoagulation management Manages the global and daily administration of the medical center Anticoagulation Clinic including clinic consults, home anticoagulation consults, database management, laboratory compliance of point-of-care monitors, individual clinic patient anticoagulation management, quality review, and clinic personnel training. Monitors patient therapy utilizing advanced skills in physical assessment, pharmaceutics, pharmacokinetics, pharmacodynamics, and interpretation of laboratory and other diagnostic parameters. Appropriately renders pharmaceutical care to Anticoagulation Clinic and Primary Care patients and documents care in the medical record. Designs and performs relevant drug use evaluations under direction of the Associate Chief of Pharmacy, Clinical & Educational Services. Participate in research studies in ambulatory care area as assigned. All inpatient/outpatient medication orders are checked to include patient information, correct medication, dose, route, and frequency of administration. Orders are checked for patient allergies, drug interactions, incompatibilities, duplication, and priority. Functions as an Advanced Practice Provider to design, implement, and monitor therapeutic drug plans to achieve definite outcomes through direct interactions with patients and providers in assigned areas. Acts as a liaison between the clinical pharmacy managed Anticoagulation Clinic and medical center professional and administrative personnel. Serves as a role model and preceptor to pharmacy students and residents. Assumes an active role in staff development of peers and provides educational opportunities to nursing, medical staff or to other ancillary services Directs pharmacy support staff to achieve dispensing goals of the service. Dispenses controlled substances with accuracy according to current policy and procedures and federal statutes. The clinical pharmacy specialist is responsible for maintaining his/her professional competency by keeping abreast of current medical and pharmaceutical literature, new drugs and therapies, and applies this knowledge in his/her daily duties. The incumbent serves with considerable independence in pharmacy activities under the general supervision of the Geriatrics and Anticoagulation Supervisor and Associate Chief of Pharmacy, Clinical and Educational Services. Consistently responds to patients', family members', caregivers', visitors', and co- workers' questions or requests for assistance in a prompt, timely, and cooperative manner. Work Schedule: Monday through Friday, 7:45 am to 4:30 pm Telework: Available as determined by the service. Virtual: This is not a virtual position. Functional Statement #: 61035-F Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: Contact VISN9HREDRP@va.gov, the EDRP Coordinator for questions/assistance. Learn more Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]

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