Pharmacist

Credit Valley Family Health Team (CVFHT) is an Academic Family Health Team affiliated with Trillium Health Partners and the University of Toronto. It is an engaging inter-professional primary care team dedicated to continuous learning and excellence within primary care with a demonstrated track record of impactful quality improvement activities. It is a not for profit organization that receives funding from the Ministry of Health and Long Term Care and provides primary health care services to over 14,000 patients in Mississauga. The CVFHT also has a mandate to provide French language primary care services to the Francophone community.

Role definition

To provide pharmaceutical care to patients by optimizing medication therapy and acting as a resource to the team. To ensure safe, comprehensive and effective medication usage through education on correct dosage and method of administration, adverse reactions and cross reactions with other medications. To participate in clinical activities under the direction of the FHT. To perform roles permitted under the OCP Scope of Practice, including those that are permissible via a FHT Medical Directive or FHT Direct Order.

List of specific duties and responsibilities

1. Medication Optimization:
   • Perform medication assessment and counseling for:
     • Patients with chronic diseases or chronic medications. Set up patient Medication Profile, with the goal of having the CVFHT EMR being consistent with the community pharmacy EMR, and with what the patient is actually taking.
     • Patients on medications, for the purpose of identifying and resolving Drug Therapy Problems (DTP’s), pertaining to: dosing, frequency, duration of therapy, lack of therapy, duplicate or unnecessary therapy, interactions (drug/drug, drug/food, and drug/conditions), adverse drug reactions, maintenance of optimal therapeutic drug levels, medication adherence, affordability, etc.
     • As requested by MD’s (MRP / Resident MD), IHP’s, patients, or caregivers of patients.

• Perform Medication Reconciliation (aka Med Rec):
  • Including review of: indication, dose, frequency, drug administration, drug interactions, allergies, formulary compliance, cost effectiveness, and duplication of therapy.
  • For recently hospitalized patients who have had medication changes (i.e. Post Hospital Discharge Med Rec).
  • Based on Community Pharmacy Med Recs (aka MedsChecks).
  • Based on specialist reports (Respirology, Cardiology, Endocrinology, Nephrology, etc.).
  • Review and liaise with MRP regarding recommendations/changes/ discrepancies, as part of the FHT circle of care.
  • Update medications under patient’s EMR.

2. Operational Efficiencies:
   • Optimize use of prescription writer in EMR, including but not limited to:
     • Updating EMR database/contact list of Community Pharmacies.
   • Using Expanded Scope of Practice to support prescription-related tasks:
     • Minor Ailments Prescribing.
     • Smoking Cessation Prescribing.
     • Chronic Medication – Renewal and Adaptation.
   • Participate in Quality Improvement activities to keep track of metrics for self-improvement and for MOH Reporting. This includes working with the Quality Improvement Decision Support Specialist.

3. Provide drug information and drug therapy educational opportunities
   • Present topical pharmacologic guidance to staff, physicians, and residents via Pharmacist Memos/Updates.
   • Provide guidance regarding drug-related issues and/or drug regulatory issues (e.g. recalls), and initiate the process to deal with drug withdrawals, warnings, or advisories.
   • Expedite and facilitate drug access by navigating with patient through the following: private plan, ODB, TDP application, LU codes, EAP, etc.
   • Provide patient education through individual or group sessions (e.g. presentations) for the purpose of health promotion.
   • Assume responsibility for information on drugs (including vaccinations), and health guidance to ensure safe and effective provision of pharmacologic care.

4. Coordinate and participate in FHT Pharmacy teaching duties, including but not limited to:
   • Being a preceptor/co-preceptor for UofT Faculty of Pharmacy APPE students.

5. Coordinate and participate in FHT FMTU teaching duties, including but not limited to:
   • Academic Half Day (AHD) pharmacy presentations for residents, as requested by AHD Lead.
   • CC3 Clerk shadowing, as requested by DFCM Medical Education Lead/Coordinator.

6. As appropriate, collaborate with other IHP’s and MD’s on different programs, including but not limited to:
   • MINT Memory Clinic
   • Smoking Cessation
   • COPD
   • Diabetes

Qualifications

Professional/Education/Experience Required:

• Minimum education required:
  • Masters of Science in Pharmacy, or Pharm D
• Registrations / Certification Requirements:
  • Ontario College of Pharmacists (License)
  • Registered as a Part A Pharmacist with the Ontario College of Pharmacist (OCP), and in Good Standing with OCP.
  • Any extra certifications is an asset – e.g. CDE, CRE, BCGP, etc.

• Demonstration of clinical competency in a relevant field:
  • Residency in Primary Care / Ambulatory Care is an asset
  • Residency in Hospital Pharmacy is an asset
  • Previous Hospital experience is an asset
  • Community Pharmacy experience is an asset

Essential Non-Cognitive Skills:

• Ability to prioritize patient input when developing an intervention.
• Ability to work effectively with all members of the health care team.
• Ability to work in an inter-professional team environment.
• Ability to independently prioritize, manage time effectively, and be flexible in a dynamic work environment.
• Strong oral and written communication skills.

Additional Skills/Abilities:

• French competency (i.e. being able to independently conduct patient interviews in French) is an asset.
• Experience in student education/mentorship is an asset.
• Commitment to improving the work flow process.
• Ability to identify, acknowledge, and address the needs of multiple stakeholders.

CVFHT provides competitive salary and benefit including pension plan (HOOPP), extended health plan, dental plan and many more.

To apply for this vacancy please submit a resume with cover letter via email at HR.CVFHT@THP.CA.

In accordance with the Accessibility for Ontarians with Disabilities Act and the Ontario Human Rights Code, CVFHT will provide accommodation throughout the recruitment and selection process. If you require accommodation, we will work with you to meet your needs to ensure your equal participation. All personal information is collected under the authority of the Freedom of Information and Protection of Privacy Act.