Preceptors and Rotation Descriptions
 |
Sarah Berriman, PharmDEmail: Sarah.Berriman@trinity-health.org Clinical Specialist – Geriatrics Education
Preceptor for: Geriatrics Rotation Description: The resident will round as a multidisciplinary team member in one of two locations: 1) the Michigan St. Joseph Medicine Unit (which includes rounds with a geriatrician and internal medicine hospitalist) or 2) an internal medicine unit with a large volume of older adults. Both units offer team experiences and opportunities to interact with physicians, nurses, dietitians, and social workers/case managers who specialize in the care of the elderly. The rotation can be tailored to fit the individual needs/goals of the resident. The resident will also gain experience in medication profile review of older adults who are admitted through our Senior ER with an emphasis on medications that may contribute to causing falls or mental status changes. During this rotation, the resident will provide education to nursing staff on issues affecting hospitalized older adults. Topic discussions with the preceptor may include Alzheimer's disease/dementia, Parkinson's disease, pain management, depression, and falls in the elderly. Outside of pharmacy, I enjoy: Spending time with my family, walks with our American Eskimo dog Tango, listening to music, and attending my daughters' golf and tennis matches. |
 |
Shajal Bufalini, PharmDEmail: Shajal.Bufalini@trinity-health.org Clinical Specialist – Ambulatory Care Education
Preceptor for: Ambulatory Care Rotation Description: The ambulatory care rotation will involve residents predominantly working in anticoagulation and/or internal medicine. In the Pharmacist Managed Anticoagulation Service (PMAS), residents will work with patients who are new or chronically on warfarin at one of 3 clinic locations. The focus of PMAS is on patients with complex care issues that may benefit from pharmacist involvement in their care and ideally decrease readmissions to the hospital and prevent thrombotic and hemorrhagic complications. In addition to providing anticoagulation education, dosing adjustments, and point of care testing during in-office visits, the resident will have opportunities to coordinate care and patients issues that are not restricted to anticoagulation and navigate other numerous social work/care management concerns that occur in clinic settings. Residents will be expected to interact with patients via our telephone management arm of the clinic in as well as pharmacies and physicians' offices. The internal medicine rotation is in conjunction with a physician preceptor on the hospital campus. During this rotation the resident will serve as a resource for medication management questions, drug/lab information questions, and education resources for attendings, residents, nurses, and patients. Outside of pharmacy, I enjoy: Traveling, The Science Channel, Music, Spending time with my family and my dogs and cat who thinks she is a dog, Watching college football, Michigan Football (GO BLUE!), Green Bay Packer Football…did I mention football? |
 |
Michelle Brinker-Bodley, PharmDEmail: Michelle.Brinker-Bodley@trinity-health.org Clinical Specialist - Neonatal Intensive Care/Pediatrics, Labor and Delivery, Mother/Baby Education
Preceptor for: Neonatal Intensive Care/Pediatrics Rotation Description: This rotation allows the resident to become an integrated member of both multidisciplinary teams managing patients on the Pediatric Unit and in the Neonatal Intensive Care Unit (NICU). During this rotation, the resident will manage all Pediatric Unit patients and attend rounds autonomously there. The resident will be assigned NICU patients and NICU rounding responsibilities by the preceptor. Common disease states encountered include a wide range of bacterial and viral infections, complications of premature birth, asthma, migraine, pain, sedation, anaphylaxis, unintended/intended ingestion, gastroesophageal reflux, and Kawasaki disease. When appropriate, the resident will also be involved in the pharmaceutical care of patients in the Pediatric Emergency Department, Mother Baby Unit, or Labor and Delivery Unit. The resident is responsible for leading topic discussions, answering drug information questions, and providing policy and procedure review, as assigned by the preceptor. This rotation also involves some administrative duties in regards to the dispensing of pediatric medications, pediatric medication safety issues, and education of Pharmacists, Pharmacy Technicians, Student Pharmacists and Nursing staff. The Pediatric Unit average daily census is 6 patients, with the ability to flex up to 16 patients. The SJMH NICU is a Level III nursery with 15 Intensive Care beds and 11 Special Care beds, with the average daily census of 16 patients. This elective rotation can be flexible as a 3 or 4-week block, with the ability to tailor the rotation to the resident's interest and past experience. Outside of pharmacy, I enjoy: Traveling to beach or water destinations, paper crafting, reading, playing with my dog Brie, and agonizing over the twisted plots of The Walking Dead and Game of Thrones. |
 |
Kara Brockhaus-Johnson, PharmD, BCPSEmail: kara.brockhaus@trinity-health.org Clinical Specialist - Surgery Education
Preceptor for: Surgery Rotation Description: This rotation immerses the resident in the provision of pharmaceutical services to patients in the pre-operative, peri-operative, and post-operative settings. The resident will serve as an integral member on an interdisciplinary team which consists of surgeons, midlevel practitioners, nursing staff, nutritionists, case managers, and patients. Daily review of medication profiles, design and modification of drug regimens, therapeutic drug monitoring, provision of drug information, review of discharge medications and patient counseling are core components of this rotation. Quality improvement projects may be assigned during this rotation and typically include protocol development, MUE's, or case presentations. In addition, the resident will have an opportunity to participate in the Colorectal Surgery Enhanced Recovery Clinic where their skills are used to help prevent surgical readmissions in an outpatient setting. Outside of pharmacy, I enjoy: Traveling, Michigan State Basketball (Go Green!), yoga, spin class, and Starbucks. |
 |
Cherise Callahan, PharmDEmail: Cherise.Callahan@trinity-health.org Clinical Specialist - Anticoagulation and Clinical Utilization/Quality Management Education
Preceptor for: Anticoagulation Consult Service and Drug Information Rotation Description: Drug Information is a longitudinal rotation with an initial skills building week. This week focuses on drug information request responses, primary literature review and biostatistics. During the year the resident will be required to author at least one of each of the following short term projects: drug monograph or drug class review, medication use evaluation, clinical guideline, and journal club. The resident will participate in P&T related meetings and will be responsible for assembling a P&T agenda or writing the post P&T newsletter. The opportunity to problem-solve with drug shortage dilemmas and pharmacoeconomic issues may also arise. Outside of pharmacy, I enjoy: Cheering for my son and his team at football and basketball games, jamming on the piano, slicing, dicing and whipping up something yummy in my kitchen, hiking and camping with my family, and University of Michigan football/basketball. |
 |
Beena Cheriyan, PharmD, BCPSEmail: Beena.Cheriyan@trinity-health.org Clinical Specialist – Coronary ICU/Cardiology Education
Preceptor for: Coronary ICU/Cardiology Rotation Description: On this four to five week rotation, the pharmacy resident will round daily and become an integral part of the CICU interdisciplinary team. This team consists of the attending cardiologist, 3-4 residents/interns/medical students, bedside nurse, respiratory therapist, and clinical pharmacist. This team manages patients in the 6 to 8 bed intensive care unit who present with acute coronary syndromes, acute decompensated heart failure, cardiogenic shock, hypertensive emergencies, and ventricular/atrial arrhythmias. In addition to covering the CICU, the pharmacy resident will also be responsible for providing clinical coverage for up to 26 patients in the cardiac progressive care unit. There will be a focus on developing clinical skills and knowledge to effectively and appropriately make drug therapy recommendations and monitoring plans for cardiac patients. During this rotation, there will be significant exposure to antiplatelet, anticoagulant, anti-arrhythmic, diuretic, and vasoactive therapies in cardiovascular disease management. There will be twice weekly topic discussions with the preceptor and a final didactic presentation given by the resident to the CICU team. Outside of pharmacy, I enjoy: Playing my guitar, biking, crafting, spending time with family and friends, and watching Michigan Football. |
 |
Curtis Collins, PharmD, MS, BCPS (AQ-ID), FASHPEmail: Curtis.Collins@trinity-health.org Clinical Specialist – Infectious Diseases Education
Preceptor for: Infectious Diseases Rotation Description: The adult infectious diseases rotation is an inpatient, acute care experience that serves to introduce the PGY-1 resident to the role and impact of adult infectious diseases clinical pharmacy, and offers the resident the opportunity to gain experience in the provision of pharmaceutical care of adult patients with various infectious etiologies. This rotation will afford the resident experience in antimicrobial stewardship, anti-infective pharmacology, pharmacokinetics/pharmacodynamics, and spectrum of activity relationships, as well as the management of various infectious disease states. In addition to daily patient care responsibilities, the resident will gain knowledge and experience in infectious diseases through medication use evaluations, topic discussions, journal clubs, formal presentations, in-services, and attendance of multidisciplinary conferences as assigned by the preceptor. Outside of pharmacy, I enjoy: Traveling, golfing, watching college football, and chaperoning my pup on wild adventures. |
 |
Angela Duenn, PharmD, BCOPEmail: Angela.Duenn@trinity-health.org Clinical Specialist – Hematology-Oncology Education
Preceptor for: Inpatient Hematology/Oncology Rotation Description: This rotation provides residents the opportunity to practice pharmaceutical care in the adult, acute care setting with exposure to hematology and oncology medical issues. The resident will be involved in all aspects of pharmacotherapy and will actively participate on daily rounds with the multi-disciplinary consult team. There will be frequent topic discussions during the rotation. The resident will present a case presentation, topic discussion or therapeutic debate at noon conference. Additional projects (quality improvement, research, writing, MUE, etc) and/or presentations (staff in-service, journal club, etc) may be assigned based on resident interest. Outside of pharmacy, I enjoy: Spending time with family and friends, traveling, and learning something new. |
 |
Jessica J. Ellis, PharmD, BCPSEmail: Jessica.Ellis@trinity-health.org Clinical Specialist – Nephrology Education
Preceptor for: Nephrology Rotation Description: The pharmacy resident, in conjunction with the preceptor, will be responsible for patient care activities that involve the nephrology consult service. The nephrology "chronic" consult service typically provides adjunctive care to 20-30 patients on dialysis (AKI and ESKD) or post kidney transplantation daily. A variety of primary medical issues will be seen during the rotation; however, emphasis will be placed on drug therapy as it relates to or is influenced by conditions unique to patients with acute and chronic kidney disease. The pharmacy resident will also be exposed to the economic, quality of life, and political factors involved in managing drug therapy in this patient population. Topics that will be discussed during the course of the rotation include AKI, drug-induced kidney failure, anemia of CKD, bone metabolism in CKD, nutrition in CKD, renal replacement therapy (HD/PD/CRRT), drug dosing in kidney impairment/HD/PD/CRRT, and hyponatremia. Outside of pharmacy, I enjoy: My sons’ humor, Cornhusker football and volleyball, Marvel superhero movies, good music, travel, and Oreo cookies. |
 |
Jason Hecht, PharmD, BCPS, BCCCP, FCCMEmail: Jason.Hecht@trinity-health.org Clinical Specialist – Surgical ICU Education
Preceptor for: Surgical ICU Rotation Description: The Surgical Intensive Care Unit is a 20 bed mixed surgical ICU comprised of patients from the Trauma Surgery and Critical Care service (TSCC) and Cardiothoracic Surgery service. Patient care responsibilities will be determined by the resident's interests and goals for the rotation. The TSCC team will expose the resident to critically ill trauma patients as a level 1 trauma center as well as patients from neurosurgery, vascular surgery, colorectal surgery, general surgery, otolaryngology, OB/GYN, and orthopedic surgery. The Cardiothoracic Surgery service manages over 500 open-heart surgery patients every year as well as critically ill thoracic surgery patients. Pharmacy residents will round daily on an interdisciplinary team composed of a pharmacist, attending surgical intensivist, surgical critical care fellow, surgical/medical residents, mid-level practitioners, a clinical dietician, nursing, and a respiratory therapist. A majority of rotation time will be spent doing direct patient care with time allocated for topic discussions, didactic presentations, and protocol development based on the interests of the resident. Opportunities will exist to coordinate this rotation so that the resident may assist in precepting a physician assistant or pharmacy student rotation. Outside of pharmacy, I enjoy: Butler University Basketball, golfing, fishing, canoeing, agonizing over watching Detroit sports, and playing with my dog Lucky. |
 |
Nicole Humbert, PharmD, BCPSEmail: Nicole.Humbert@trinity-health.org Clinical Specialist – Pain Management Education
Preceptor for: Pain Management Rotation Description: The PGY1 Pain management rotation at St. Joes is an elective two to four week rotation that will introduce residents to pain management in various clinical situations from acute, chronic, palliative and pain in the substance use disorder patient. The resident will participate in various patient care rounds from surgery to palliative with a medical team and manage the pain therapy for all patients on that service as well as identify patients through use of targeted medication reports and consults. They will also be exposed to our Acute Pain Service (Anesthesia), Addiction Medicine and the outpatient Pain Clinic. The resident will complete patient chart reviews, interview and counsel patients, provide pain related information and education to health care providers. They will gain experience in identification of potential opioid and non-opioid drug interactions, design and modify pain management regimens, identify patients at risk for opioid induced respiratory depression and/or opioid addiction during this rotation. This experience will allow the resident to further develop their clinical skills, knowledge base and patient counseling regarding pain management issues. The pharmacy resident will also be exposed to improving patient outcomes and continuity of care with projects involving Trinity’s core measures pertaining to pain management, proactive protocol development and surgical enhanced recovery program management. Outside of pharmacy, I enjoy: spending time with my German Shepherds, traveling, exercising, SEC football (Go Gamecocks!) and visiting with family and friends. |
 |
Emily Johengen, PharmD, BCACPEmail: Emily_Johengen@ihacares.com Clinical Specialist – Ambulatory Care Oncology Education
Preceptor for: Ambulatory Care Oncology Rotation Description: The outpatient oncology practice area includes caring for patients with all types of cancer. A clinical focus involves patients taking oral medications for cancer. Collaboration with physicians, advanced practice practitioners, nurses, and specialty pharmacies is central to the experience. Outside of pharmacy, I enjoy: Cooking and trying out new recipes, reading, and enjoying outdoor adventures in all of Michigan’s varied seasons. |
 |
Zack LaDuke, PharmD, BCPSEmail: Zachary.LaDuke@trinity-health.org Clinical Specialist – Internal Medicine Education
Preceptor for: Internal Medicine Rotation Description: This rotation will have the resident become an integral part of the interdisciplinary team as the pharmacist rounding with a Medical Teaching Service. The resident will interact with nurses, case managers, medical residents, and attending physicians on a daily basis to provide optimal care for each patient on their service. Expected daily tasks include, but are not limited to: medication profile review, pharmacokinetics, anticoagulation, rounding with the Medical Teaching Service, answering drug information questions, and being a resource for nurses. Outside of pharmacy, I enjoy: Traveling, playing golf and hockey, watching sports (particularly Detroit teams, my WVU Mountaineers, and Michigan teams) |
 |
Sarah Langford, PharmD, BCACP, BC-ADMEmail: Sarah_Langford@ihacares.com Clinical Specialist – Ambulatory Care Education
Preceptor for: Ambulatory Care Rotation Description: This rotation involves medication management under a collaborative practice agreement with the Primary Care Providers at Trinity Health IHA Brighton, Howell, Hamburg, Pinckney, and South Lyon offices. Our scope of practice includes diabetes, hypertension, hyperlipidemia. We also see patients for transitions of care and comprehensive medication review services. By the end of the rotation, residents are expected to conduct patient visits independently, and will complete an in-service presentation for physicians, 3-4 topic discussions with the preceptor, as well as a journal club for the pharmacy team. Opportunities for layered learning with APPE students and administrative experiences are also available. Outside of pharmacy, I enjoy: playing violin professionally in musical theater pits and other events, reading thriller novels, and teaching violin and piano lessons |
 |
Erin Sadek, PharmD, BCEMPEmail: Erin.Sadek@trinity-health.org Clinical Specialist – Emergency Medicine Education
Preceptor for: Emergency Medicine Rotation Description: The Emergency Medicine rotation is a four to five week rotation consisting of the resident providing emergency clinical pharmacy services under the preceptorship of the clinical pharmacy specialist. The resident will become an integral member of the emergency medicine multi-disciplinary team to optimize pharmacotherapy for patients, which consists of attending physicians, residents, nurses, and physician assistants. The ultimate rotation goal is to provide a pharmacy practice environment where the resident will apply the clinical, communication and teaching skills developed to interact within the emergency medicine team, while demonstrating the competency skills necessary to serve independently as the primary EM pharmacist at the end of the rotation. St. Joseph Mercy Ann Arbor is a level 1 trauma center, with a high-acuity adult, pediatric, and geriatric emergency department which can serve up to approximately 100 patients at once with a wide variety of disease states and emergencies. Throughout the rotation, the resident will be expected to become proficient in the treatment of the following disease states and emergencies, including but not limited to: BLS/ACLS, rapid sequence intubation, hypertensive urgency vs emergencies, acute coronary syndromes, antimicrobial stewardship in the ED (CAP/HAP, UTI, STI’s, Sepsis), anticoagulation reversal, trauma management and emergencies, acute asthma/COPD exacerbations, ischemic/hemorrhagic strokes, acute alcohol withdrawal, acute psychosis, toxicologic emergencies, hyper-/hypoglycemia/DKA, and drug administration. It is expected that the resident will partake in critical patient emergencies with the multidisciplinary team at the patient’s bedside to serve as the pharmacy expert and help optimize patient care. Additional required activities to enhance knowledge on the aforementioned emergent disease states include daily patient case presentations, weekly topic discussions, nursing and physician educational in-services, assistance with guideline/policy review and development, and projects suited to the learning needs of the resident and the department. Outside of pharmacy, I enjoy: traveling, Northern Michigan, biking, baking, downtown Detroit, discovering new restaurants/bars, supporting University of Minnesota (Go Gophers!) and Detroit sports, spending time with my fiancé Drew and my Border Terrier, Otto |
 |
Megan Singlar, PharmD, BCCCPEmail: Megan.Singlar@trinity-health.org Clinical Specialist – Neuro ICU Education
Preceptor for: Neuro ICU Rotation Description: The Neuroscience Intensive Care Unit takes care of ischemic strokes, hemorrhagic strokes, aneurysmal subarachnoid hemorrhages, status epilepticus, and other neurologic emergencies. The neurocritical care team also serves as a consult service to assist with the care of patients with neurological conditions located in other ICUs within the hospital. Pharmacy residents will round daily on an interdisciplinary team composed of an attending neuro intensivist, mid-level practitioners, nursing, respiratory therapy, and pharmacist. A majority of rotation time will be spent doing direct patient care. Topic discussions take place a few times per week with reading material provided by the preceptor. Projects may include literature reviews, education for providers or nurses, and MUEs based on the interests of the resident. Outside of pharmacy, I enjoy: spending time with my husband, family, and friends, traveling, going to Pure Barre work outs, and trying new local restaurants and coffee shops |
 |
David Sudekum, PharmD, BCPSEmail: Dave.Sudekum@trinity-health.org Clinical Specialist – Medical ICU Education
Preceptor for: Medical ICU Rotation Description: The pharmacy resident is integrated into the 12 bed MICU "Green" team, and has the opportunity to present recommendations in a true learning environment. The medical team consists of a Pulmonary/Critical Care attending physician, 4-5 medical residents/interns and the occasional medical student. Patient care rounds begin at 0800, with the expectation that the residents are arriving well before this to prepare. The patient demographics are quite diverse, as are the disease states encountered. T he major disease states seen include: sepsis, various infectious diseases, toxicologic misadventures, acid-base disorders, and gastrointestinal pathologies. The more advanced resident can simultaneously work up the 8 bed MICU "Blue" team (non-teaching service). Topic discussions take place a few times per week with reading material provided by the preceptor. Projects may include literature reviews, presentations to physicians or nurses, and MUEs. Outside of pharmacy, I enjoy: Being a father, Michigan State athletics, Premier League Football (Liverpool fan), NBA, listening to audiobooks and podcasts, running with my dog Ellie, working out, going to concerts, attempting to be hip and trendy. |
 |
Nina West, PharmDEmail: Nina.West@trinity-health.org Pharmacy Director, Trinity Health Ann Arbor, Chelsea, and Livingston Education
Preceptor for: Administration and Longitudinal Activities Rotation Description: Outside of pharmacy, I enjoy: Spending time with my family, doing volunteer work, watching the University of Michigan sports, traveling, movies and music. |