Mobile Primary Care APPE Longitudinal Rotations 2025-26

hi all my name is Dr Scott Monty and I would like to give you an overview of the mobile Primary Care rotation and specifically with the longitudinal rotation for 12 weeks uh this rotation is offered for both six and 12 weeks uh but I do think the longitudinal experience uh is one that lends well for people that are interested in developing into Ambulatory Care pharmacists or considering uh residency type Pathways so I'll give an overview of mobile Primary Care U mobile primary care has been in existence since about 2007 and there are really three domains that they take care of they take care of really elderly folks that are generally about 80 85 years old that are homebound or home Limited in some way there are some people that are under 65 but the vast majority of patients are geriatric uh so if geriatrics is an interest uh or Advanced diabetes management is an interest uh this type of rotation uh will be of interest for you and they will also take care of people in the assisted living facilities and they will take care of people in skilled nursing facilities as well uh I got involved a number of years ago with mold Primary Care uh knowing the owners um it was actually started by three nurse practitioners uh back in 2007 and it's grown from just a small populace to uh probably roughly five or 6,000 patients per year that they take care of there is another pharmacist on site Mark Leonard uh he would be our person that will also help me coordinate with orientation and day-to-day uh needs he's also the lead for what's called chronic Care Management uh chronic Care Management program we've enrolled almost 2,000 people into the program and these are people that we get to spend Pharmacy time on every month uh usually somewhere between 20 and 60 minutes per month that we can perform met reviews we can make Communications with providers and Specialists do consults uh meet with patients talk with patients to their families um and really putting a very strong f focus on on medication safety and if we get the opportunity to do deep prescribing uh so chronic Care Management is what I always describe is a little bit of a different sort of accounting type of function uh it will have clinical aspects but it very much is a organized and sort of checklist based program uh that there have to be certain criteria met we're doing medre Med adherence looking for drug drug interactions we're looking for de prescribing opportunities and we're making sure people are actually taking the meds uh that they're being given in the assisted living facilities which is a very significant challenge uh in the world and we're fortunate to have that program and and have the funding to do it uh fortunately students get to really work on the front lines of this uh Mark Leonard again being the lead of The Chronic Care Management program uh is the guy on site that you'd have the most interactions with chronic Care Management wise and then my role tends to be really building and developing your clinical process and your Therapeutics and I'll describe that um as I mentioned um the practice culture is one that is going to be um very open to Pharmacy um there is a lot of socialization to Pharmacy has been involved for over a decade at the practice uh so interacting with providers is not um a difficult process it's things that they're going to be come to expect uh and you will be part of that um again with Mark re Leonard being the preceptor uh of record I may also be a preceptor of record and when we meet together we're going to do weekly case reviews and we're going to dissect and diagnose where you have is issues uh with organizing information turning that into the secondary parts of the Care process of reductive assessments how do you pick medications how do you go through safety efficacy logistic considerations uh we build the process really and we we solidify that over the first 3 four weeks of the rotation and then we start to build more advanced therapeutic knowledge um thereafter in my experience for anybody that's listening to the shered and Medical Group rotation uh in my experience people students uh even young professionals and residents struggle with organization and understanding how to gather information that is a rigorous part of this rotation we are going to deconstruct and reconstruct how you go about gathering information and thinking through your therapeutic options we'll spend a lot of time on pathophysiology um and understanding specifically especially diabetes is an area that we're spent a lot of time on how do you link pathophysiology to drug mechanisms uh and then start to make rational choices based on the safety and efficacy considerations for those drugs so it will be um for folks at choose to do it in 6 weeks it's a pretty solid and rigorous rotation for those that do it in 12 weeks it gives you a little bit more lead time to really uh solidify and sharpen the knife of your clinical process and really understand and become a leader within the chronic Care Management program so we anybody that is interested in either the six or 12we rotation uh we are interested to have you um it's a very supportive environment it's one where you'll deal with providers and pharmacists on a daily basis um so I would welcome anybody at any really any level um of their therapeutic knowledge to come in because it's our job to help you build those Therapeutics after we build your clinical process and you can see all the different disease States and things that we would sort of routinely uh address throughout the rotation on the administrative side expect that we spend the vast majority of your time on the patient care activities we tend to keep it otherwise pretty thin because it is busy uh and I would rather you spend your time learning how to interact with Physicians and providers uh other APS meaning nurse practitioners and PAs and dealing with the day-to-day issues that come up in Primary Care we will have one longitudinal project that we assign you that may be operational in nature or could be drug um drug information or drug education in nature uh but outside of that we tend to keep it pretty thin for those six we Windows uh and of course you do have to maintain your hours uh through the core system and submit to your uh interim and final evaluations uh to me directly uh if I'm your preceptor of record if it's Mark Leonard uh to him as the preceptor record um so with that I'll end the the overview of the mobile Primary Care rotation and welcome anybody reaching out to me either by email or by phone anytime uh to talk about the rotation I think it's a great one and we'd love to have you thanks