Required Learning Experiences
The required learning experiences are customizable.
Natalie Robertson, PharmD, MHA, CPh
Assistant Director of Pharmacy Clinical Programs/ Residency Program Director
Tallahassee Memorial HealthCare
The Advancing Practice learning experience is a required longitudinal experience at Tallahassee Memorial HealthCare. This learning experience will focus on building the resident’s competency in improving pharmacy services through formulary management, evaluating the medication use system and designing and implementing a quality or research project to improve practice.
Based on the results of the quality/research project, the resident will build and refine the skills necessary to conduct and manage a major project over the course of one year. In addition, it allows the resident to prepare and present a major project at the regional level and improve communication skills.
During the course of the year, the resident will focus on the key steps to performing a quality/research project to include, idea generation, literature search, study design, writing a protocol, ascertaining stakeholders support, receiving the appropriate committee approval(s), data analysis, presenting project and preparing in publishable form.
This learning experience will also build the resident’s skill sets in promoting optimal pharmacotherapy through formulary management. The resident will work closely with the medical team on analyzing a drug or class of drugs for formulary addition or deletion. In addition, the resident will work with the clinical staff on improving a medication use system via completing a medication use evaluation (MUE) pertinent to the organization. The MUE may focus on either a specific medication (drug utilization review) or medication use process, e.g., prescribing, preparing, dispensing or administering.
The Residency Program Director (RPD) serves as the primary preceptor for this learning experience ensuring all steps in the process and deadlines are performed and met. While the RPD is the preceptor for the learning experience, any of the preceptors for the residency program may serve as mentors and/or co-investigators for the project, formulary review and/or medication use evaluation.
Sean Wimberley, PharmD, BCPS
Clinical Team Leader, Ambulatory Care Services
Tallahassee Memorial HealthCare
Ambulatory Care is a required, six-week learning experience at Tallahassee Memorial HealthCare Transitional Center (TC). On average, there are approximately 100 patient visits at TMH’s TC monthly. Patients with greater than a one-week time frame following up visit with their primary care physician and meet one of the following criteria may be enrolled into the TC: 1) insured with primary care visit greater than 5 days out, 2) insured with no primary care physician assigned or 3) uninsured. At the patient’s consent enrollment into the TC occurs prior to discharge.
The purpose of this rotation is to expose the resident to the utilization of drugs in an ambulatory care practice setting at one of the most critical points in disease state management. This rotation will emphasize appropriate clinical decision making such as changing therapy to meet patient compliance issues, accessibility to healthcare care, monitoring of critical labs, and providing education to patients and staff. The Clinical pharmacist on the team rounds with the physician or nurse practitioner, performs medication reviews to include appropriate therapy changes as indicated by labs, compliance cost, etc, and provide education to patients, caregivers and healthcare professionals.
Joan Hazen, PharmD.
Clinical Team Leader, Cardiology
Tallahassee Memorial HealthCare
Cardiology is a required learning experience at Tallahassee Memorial Hospital on the Cardiac Progressive and Cardiac Intensive Care Units. There are 50 beds between the two units and one multidisciplinary team. The multidisciplinary team consists physicians, case managers, nurses, dieticians and the clinical pharmacist. The purpose of the Cardiology rotation is to increase the resident’s knowledge and experience in the provision of clinical pharmacy services to patients on the cardiac unit. The rotation will facilitate the resident’s development into a competent and confident pharmacy practitioner. The resident will gain an appreciation for managing these patients within the complexities of the institutional pharmacy matrix. The pathophysiology and drug therapies for acute coronary syndromes, congestive heart failure, arrhythmias and other cardiac disease states will be reviewed with the resident. In addition, the Cardiology rotation will help the resident develop a lifelong learning approach that includes evaluation of current literature.
The clinical pharmacist on the team is responsible for ensuring safe and effective medication use for all patients admitted to the team and includes participating in the multidisciplinary rounds, follow-up on clinical initiatives and distributive functions. The pharmacist also provides education to patients and their family members, physicians, nurses, and pharmacy colleagues.
Internal Medicine I and II
Phillip Treadwell, PharmD
Associate Director of Clinical Pharmacology
Tallahassee Memorial Family Medicine Residency Program
Internal Medicine is a required 12-week learning experience with Tallahassee Memorial HealthCare Family Medicine Residency. The 12 weeks is divided into two separate learning experiences hence Internal Medicine I & II. There are two internal medicine teams. Each of the teaching teams includes the medical students and residents, pharmacy clinical pharmacologist, pharmacy students, and attending physician. The clinical pharmacologist on the team is responsible for ensuring safe and effective medication use for all patients admitted to the team, including active participation in work and attending rounds daily, collaboration with decentralized pharmacists, education of patients and their family members, as well as education of physicians and nurses.
The Internal Medicine experience is an intensive inpatient and outpatient experience which allows for both closely supervised and more autonomous pharmacy practice by the resident. The primary goal is for the resident to learn clinical and communication skills necessary to deliver pharmacotherapy services to patients in inpatient and outpatient settings. This is achieved through both didactic and practical experiences. The pharmacy resident is also responsible for identifying and resolving medication therapy issues for patients and assuming care of all patients under the care of the Family Medicine team.
Laura Akers, PharmD
Tallahassee Memorial HealthCare
Oncology is a required, four- to six-week learning experience at the TMH Cancer Center . On an annual basis, service is provided to approximately 5,000 patients in our outpatient facility. The team consists of pharmacists, hematologists/oncologists, gynecologic-oncologists, navigators, clinical dieticians, and nurses.
The clinical pharmacist team leader is responsible for ensuing safe and effective medication use for all patients in the infusion center, which may also include attending rounds, education of patients and their family members, education of physicians and nurses, and education of pharmacy staff. The pharmacist is also responsible for the distributive functions of this unit.
The oncology rotation will provide the resident with the opportunity to further develop and refine advanced pharmacotherapeutic management skills required for provision of care of patients with hematology/oncology disorders. The resident will assist in the overall monitoring and management of the complex treatment and supportive care issues throughout the continuum of care.
Cicely Williams, PharmD
Medication Safety Officer/Pharmacoeconomic Pharmacy Team Leader
Tallahassee Memorial HealthCare
Patient Safety is a required, longitudinal learning experience at Tallahassee Memorial Healthcare. The resident will work closely with the Medication Safety Officer throughout the year to identify and resolve safety issues within the facility’s medication-use system. The resident will gain an understanding of and experience in the management of the health system’s medication safety program. This exposure and experience shall include developing relationships between the pharmacy department and other areas in the hospital and providing leadership for implementation of safe medication practices within the Tallahassee Memorial HealthCare system.
The pharmacy resident is responsible for actively participating and facilitating the Medication Safety Subcommittee meeting, as well as presenting pertinent medication safety data at the following meetings: Patient Safety, Pharmacy and Therapeutics, and Continuous Quality Improvement. The Medication Safety Officer will review all medication safety events for opportunities for medication-use system improvements and thereby discuss with residents on a weekly basis. The Medication Safety Officer will also discuss various topics with the residents centered on the causes and prevention of medication errors. The resident is ultimately responsible for staff education, development of strategies to evaluate the safety of the medication use process, and development of strategies to implement new medication safety practices within the system.
By the end of the longitudinal learning experience, the resident should be able to effectively facilitate the Medication Safety Subcommittee meeting, identify process changes needed in the facility’s medication-use system, and implement the steps needed to improve the safety of the medication-use process.
Bernadette Brown, PharmD, CPh
Director of Pharmacy Services
Tallahassee Memorial HealthCare
Patient Safety and Pharmacy Leadership is a required, longitudinal learning experience at Tallahassee Memorial HealthCare for the PGY1 Pharmacy Resident focusing on administrative responsibilities of Pharmacy leadership and the health system’s medication safety program. The Resident and Director of Pharmacy will meet every other week. During the meetings, the resident will discuss and answer questions to improve their understanding of the medication use system, human resource management, fiscal management, quality assurance, medication safety, and effective interpersonal communication and leadership skills.
The Pharmacy resident is responsible for actively participating in pharmacy discussions with the Director of Pharmacy Services. The Director of Pharmacy will provide reading materials or reference information prior to the meetings. The Director will also assign process improvement projects that enable the resident to evaluate and implement patient safety improvements. The resulting system improvements will ensure a medication utilization system that complies with Joint Commission medication management standards and federal laws.
By the end of the rotation, the pharmacy resident should be able to explain the effect of accreditation, legal and regulatory requirements on patient safety. The resident should be able to identify the proper steps needed to accurately evaluate the Pharmacy’s medication safety system. The resident should also be able to identify leadership qualities necessary to conduct ethical business practices. The resident should also be able to explain the principles of financial and personnel resources of a pharmacy department.
Clarence Herring, PharmD, CPh
Assistant Director of Pharmacy Services
Tallahassee Memorial HealthCare
Practice Management is a required, four to six-week learning experience at Tallahassee Memorial Healthcare with the primary purpose of building a strong, effective leader in the profession of pharmacy. The resident will work closely with the Assistant Director of Pharmacy Services to become introduced to the functions and concepts of pharmacy administration within the hospital setting. The learning experience will afford the resident opportunities in developing problem-solving skills related to operational management, enabling strong administrative judgments, and assuming overall responsibilities of leading and managing a pharmacy department.
The pharmacy resident is responsible for updating pharmacy financials daily and actively participating in clinic inspections. The Assistant Director will provide necessary guidance and instruction on how to complete a schedule via OptiLink Plus software and give pertinent financial data so that the resident can formulate predictions to better manage overtime hours. The preceptor will also provide instruction and afford the opportunity of learning the process of ordering, reconciling, and resolving discrepancies associated with controlled substances. The pharmacy resident will also be responsible for attending monthly pharmacy administration and pharmacy staff meetings.
At the end of the learning experience, the pharmacy resident will gain crucial management expertise and will be able to function as a member of the pharmacy management team.
Jay Wallace, PharmD, CPh
Clinical Team Leader, Behavioral Health and Rehabilitation Center
Tallahassee Memorial HealthCare
Staffing is a required learning experience designed to train the resident in balancing the various distributive and patient care based functions normally encountered by a hospital staff pharmacist. The residency coordinator and preceptor will coordinate initial training in basic elements of staff pharmacist activities. This will include use of Medication Manager Order processing system in Cerner, documentation methods including ad-hoc charting of interventions and clinical notes, Pyxis automated dispensing machine procedures, CII Safe narcotic procedures, intravenous admixture preparation and checking, and outpatient prescription processing. Specialists in the designated functions will provide the training whenever possible. \
Following the initial training, the resident will spend 1 week with a pharmacist in a decentralized pharmacy area focusing on sharpening order entry skills. The resident will also provide other clinical intervention activities during this time, under the supervision of the training pharmacist. The preceptor will be a training pharmacist. If there are two residents, another pharmacist may train the other resident at the discretion of the residency coordinator.
During the remaining course of the residency, the resident will work one weekend per month (two 8 hour shifts) in a staffing role. The resident will also work one 3.5-hour staffing shift each week and at least one 8-hour shift on one major holiday (Thanksgiving, Christmas, or New Year’s Day). The preceptor will work along with the resident on the weekend shift. The preceptor will provide instruction, answer questions, supervise activities, and provide any other guidance as needed to assist resident in the development of necessary skills. Pharmacists generally work one weekend a month. Therefore, if there is a second resident, another pharmacist other than the preceptor may also provide the weekend training role at the discretion of the residency coordinator. In addition, other pharmacists will supervise the residents’ activities during the 3.5 hour and holiday shifts.
Required Learning Experience Preceptors
- Laura Akers, PharmD
- Bernadette Brown, PharmD
- Joan Hazen, PharmD
- Clarence Herring, Jr., PharmD, CPh
- Natalie Robertson, PharmD, MHA, CPh
- Phillip Treadwell, PharmD
- Jay Wallace, PharmD, CPh
- Cicely Williams, PharmD
- Sean Wimberley, PharmD, BCPS
Laura Akers, PharmD, CPh, is a graduate of Florida A&M University College of Pharmacy and Pharmaceutical Sciences receiving her Doctor of Pharmacy degree in 2012. Prior to attending pharmacy school, she received her Bachelor of Science degree in Biochemistry from Florida State University. After successful completion of the residency program at TMH, Dr. Akers stayed on staff as a Clinical Staff Pharmacist. She was highly active with permitting and the establishment of pharmacy services in the Emergency Center, as well as policy review and development for the Pharmacy Department. She later fulfilled the role of Interim Sterile Compounding Supervisor. She has served as Chair to the Patient Care Technology Council of TMH’s Interdisciplinary Shared Governance.
Dr. Akers is now Clinical and Operational Lead Oncology Pharmacist at the TMH Cancer Center. She remains active in policy development for both inpatient and ambulatory care sites throughout the organization. She is currently pursuing her Master’s in Business Administration at Florida State University. She is an active member of the American Society of Health-System Pharmacists, Florida Society of Health-System Pharmacists, and is the current President-Elect for the Capital Society of Health-System Pharmacists.
Bernadette Brown, PharmD, received her Doctor of Pharmacy degree from the University of Illinois at Chicago College of Pharmacy. Immediately following graduation, Dr. Brown began working for the Department of Veteran Affairs Chicago Health Care System as a clinical staff pharmacist. She has enjoyed challenging clinical and supervisory positions. Pursuing the promotion of outstanding pharmaceutical care led her to the position of pharmacy chief at the Edward Hines Jr. VA Hospital in Chicago, Illinois. She continues to strive for improvement in patient outcomes through pharmacy interventions as the Director of Pharmacy Services at Tallahassee Memorial HealthCare.
Dr. Brown is actively involved in her profession through various activities. She has attended and presented at the American Society of Health-System Pharmacists Annual Meeting in 1999 and 2003. She received an academic appointment as clinical assistant professor of Pharmacy Practice with the University of Illinois College of Pharmacy. Dr. Brown has also participated in research with the University of Tennessee related to a pharmaceutical care approach to the management of ambulatory patients with hyperlipidemia. She has been honored with the Excellence in Achievement Award from the Department of Veteran Affairs for Outstanding Performance Rating in 1996, 1997, and 2003 – 2008. She is a member of the American Society of Health-Systems Pharmacists and the Illinois Council of Health-Systems Pharmacists.
Joan Hazen, PharmD, is a graduate of Creighton University School of Pharmacy. Upon completion of the doctoral program, Dr. Hazen completed a fellowship in Cardiovascular Research at the Creighton Cardiac Center in Omaha, Nebraska. Following completion of the fellowship, Dr. Hazen worked at the University Medical Center in Jacksonville, FL in a dual capacity as cardiovascular practitioner in the Pharmacy Department and assistant professor at the University of Florida. Before joining the team at TMH, she worked as the clinical liaison in Medical Affairs for Hoffman-LaRoche, Inc. Dr. Hazen currently holds the position of Team Leader for Cardiac Units at Tallahassee Memorial HealthCare.
Dr. Hazen is a member of various professional organizations such as the American Society of Health-System Pharmacists, Florida Society of Health-System Pharmacists, Association of Clinical Research Professionals and the Rho Chi Pharmaceutical Honor Society. She is the current Treasurer of the Capital Society of Health-System Pharmacists. Dr. Hazen has published extensively and conducted numerous presentations on various cardiology topics.
Clarence Herring, Jr., PharmD, CPh, is a graduate of Florida A&M University College of Pharmacy and Pharmaceutical Sciences; receiving both a Bachelor of Science degree in Pharmacy and a Doctor of Pharmacy degree. Herring holds regular and Consultant Pharmacy licensure in the states of Florida and Alabama. With over 30 years in pharmacy practice, Dr. Herring has demonstrated progressive advancement from staff pharmacist to a series of key leadership roles at Tallahassee Memorial HealthCare including interim director of Pharmacy Services, assistant director of Pharmacy Services, and assistant director of Inpatient Pharmacy and After-Hours Operations. Presently, Dr. Herring functions in day-to-day operations at TMH as the Assistant Director of Pharmacy Services. He also serves as a consultant pharmacist with the State of Florida Department of Health and an Adjunct Professor with Florida A&M University School of Nursing and College of Pharmacy and Pharmaceutical Sciences.
Dr. Herring is very active in the profession of pharmacy and in his community. He is currently a member of the Florida Society of Health System Pharmacists (House of Delegates and Rules and Regulatory Committee) and the Capital Society of Health System Pharmacists. His community involvements include the Tallahassee Urban League, Kappa Psi Pharmaceutical Fraternity, Omega Psi Phi Fraternity, and Police Athletic League. Dr. Herring has served as a guest speaker at annual recertification programs for Consultant Pharmacists and has delivered numerous presentations on pharmacy practices, legal requirements, and ethics at academic institutions and medical forums. Dr. Herring has been honored with the NAACP Black Achiever Award and named grant recipient through the McKnight Award.
Natalie Robertson, PharmD, MHA, CPh, is a graduate of Florida A&M University College of Pharmacy and Pharmaceutical Sciences. Upon completion of the doctoral program, Dr. Robertson went on to complete a pharmacy practice residency at Bay Pines Veteran Affairs Medical Center in Bay Pines, Florida. Immediately following her residency, Dr. Robertson joined the pharmacy team at Tallahassee Memorial HealthCare as a staff pharmacist. Over her years of service with TMH, Dr. Robertson transitioned from Staff Pharmacist to clinical pharmacist. Before moving into her current position, Dr. Robertson successfully matriculated through the University of Florida’s Master’s Program in Health Administration. She currently functions in the day-to-day operations as the pharmacy clinical coordinator and Residency Program Director. In her current capacity, she facilitates and actively participates on the Pharmacy and Therapeutics Committee, Drug Expense Management Committee, Anti-infective Subcommittee, Medication Safety Subcommittee, and Anticoagulation Subcommittee. She has been very instrumental in the ASHP accreditation of the TMH/FAMU Post Graduate Year 1 Pharmacy Practice Residency.
Dr. Robertson is very active in her pharmacy practice through membership in various organizations. She is a member of the American College of Clinical Pharmacy, American Society of Health-System Pharmacists, and the Florida Society of Health System Pharmacists. To her credit, Dr. Robertson is published and has presented various topics at both pharmacy and nursing professional forums. In addition to her many other attributes, Dr. Robertson received the State of Florida and Health Unsung Hero Award in 2005.
Phillip Treadwell, PharmD, is a graduate of the University of Florida College of Pharmacy. Upon receiving his Doctor of Pharmacy degree, Dr. Treadwell completed a pharmacy practice residency at the Tallahassee Memorial Regional Medical Center in 1995. Dr. Treadwell has functioned in multiple clinical roles while at Tallahassee Memorial HealthCare. He was a clinical specialist for the Department of Pharmacy for five years and later transitioned to the position of Associate Director for Clinical Pharmacology with the Family Practice Residency Program. During his tenure with TMH, he has also worked as the Tallahassee Site Coordinator/Remediation Model Coordinator for the Working Professional Doctor of Pharmacy Program with University of Florida College of Pharmacy. To add to his credentials, Dr. Treadwell is a certified HIV Expert through the American Academy of HIV Medicine.
Dr. Treadwell has been honored with numerous awards including Aesculapian Award for Outstanding Clinical Teaching (2006 and 2010), Intern Appreciation Award in 2004, and Roche Preceptor of the Year in a Hospital Setting in 2000. Dr. Treadwell has lectured extensively on topics related to anticoagulation, HIV, MRSA, pharmacokinetics and pneumonia. He has also presented clinical papers at various professional forums and meetings, published peer-reviewed journal articles and co-authored a book entitled, “Herbs as Medicine-What You Should Know.” In addition to Dr. Treadwell’s numerous clinical activities, he has participated in several multicenter clinical trials as either an assistant to the Primary Investigator, Lead Pharmacist or Study Site Coordinator.
Jay Wallace, PharmD, CPh, is a graduate of the University of Louisiana at Monroe College of Pharmacy. After receiving his Bachelor of Science degree in Pharmacy, Jay completed a one year general hospital pharmacy residency at the University of Texas Medical Branch in Galveston, Texas. Immediately following completion of his residency, Jay worked as a pharmacist for the University of Texas Medical Branch. He then became the Clinical Pharmacy Manager for Owen Healthcare in Rome, New York. Currently, Jay is the Team Leader for the Tallahassee Memorial HealthCare Behavior Health and Rehabilitation Center. While at TMH, Jay has been very instrumental in initiating the pharmacist warfarin dosing protocol and coordinating the inpatient bedside INR monitoring program. Jay holds both regular and consultant pharmacy licensure in the state of Florida.
Jay is the current president of the Capital Society of Health-System Pharmacists. He also has been honored as the Tallahassee Memorial Behavioral Health Center Employee of the Month (March 2007) and the Physician Service Award Runner-up for 2006 and 2008. In addition to his clinical activities at TMH, Jay has served as guest lecturer to local colleges and universities and has presented at local professional meetings on various psychiatric disorders and related pharmacotherapy.
Cicely Williams, PharmD is a graduate of Florida A&M University College of Pharmacy and Pharmaceutical Sciences. In 2008, Dr. Williams completed a post-graduate pharmacy practice residency program through the joint venture of Tallahassee Memorial HealthCare and Florida A&M University College of Pharmacy. She also holds a Master of Science degree in Biology/Environmental Microbiology from Georgia State University. Upon completion of the residency program, Dr. Williams accepted a staff pharmacist position at TMH. She has advanced in her practice from staff pharmacist to Lead Pharmacist for Surgical Units. Dr. Williams currently functions in the capacity of Lead Pharmacist for Medication Safety and Pharmacoeconomics. In her new role, she serves as the residency preceptor for the Medication Safety learning experience, investigates medication events, evaluates medication utilization, and performs reviews on new formulary additions.
Dr. Williams is published in newsletters and peer-reviewed journals and has lectured on various topics in both nursing and pharmacy forums. She is active in the pharmacy profession by maintaining membership in several pharmacy organizations.
Sean Wimberley, PharmD, BCPS, is a graduate of University of Florida College of Pharmacy. After successfully completing the PGY1 Pharmacy Residency Program at TMH, Sean remained employed at TMH as a full-time Clinical Staff Pharmacist. He assisted with the start-up of Pharmacy Services in the stand-alone emergency center. In 2012, Sean passed the board certification exam in Pharmacotherapy. He currently works at the Transition Center and is involved with continuing the department’s vision to establish an operational medication therapy management program. He is also working on completing a teaching certificate through the University of Connecticut. Aside from pharmacy, Sean is active with the Florida State University Marching Chiefs, Florida State Winter Guard, enjoys kayaking, and taking care of his furry children: Bart, Dale and Doug.