Dr. Ernst’s clinical practice interests are in the area of infectious diseases and appropriate use of antimicrobial agents. Her clinical practice site is the University of Iowa Hospitals and Clinics infectious diseases consult service. While on service she participates in daily medical rounds with the infectious diseases consult service, providing drug information and drug therapy evaluation to physicians, residents, and medical and pharmacy students. She is also a member of the pharmacy and therapeutics committee and the antibiotic advisory subcommittee at UIHC. Her interests include appropriate use of antimicrobial agents, pharmacoepidemiology and antimicrobial resistance.
Dr. Ernst is a Clinical Professor in the College of Pharmacy, and in the Department of Family Medicine, Carver College of Medicine. His practice areas within the Family Medicine clinic encompass both the outpatient and inpatient settings where he is engaged in direct patient care, as well as traditional provision of drug information and pharmacotherapy consultation to physicians and allied health care providers in the clinic. He maintains active practice and research interests in the areas of hypertension and geriatric patient care. He is an active participant in the pharmacist-directed anticoagulation case management service, as well as the multi-disciplinary geriatric assessment clinic. As a faculty member of the Department, he participates directly in the education of medical residents and allied health professional students in the Family Medicine Residency Program.
In addition to his patient care responsibilities in the Department of Family Medicine in Iowa City, Dr. Ernst is also a consultant clinical pharmacist at the Unity Point Mt. Vernon Family Practice Clinic in Mt. Vernon, Iowa, where he provides outpatient anticoagulation services.
Dr. Ernst has published numerous review articles, research articles, book chapters, and monographs encompassing a broad array of topics commonly encountered in the primary care setting.
Dr. Farley currently practices as the clinical pharmacist member of the hospitalist team at Mercy Hospital in Iowa City. He works closely with the hospitalist group of Internal Medicine physicians at Mercy. His responsibilities at Mercy include attending rounds, making clinical recommendations, reconciling medications and adjustment of numerous medications under a collaborative practice agreement, among other things. His clinical interests include diabetes management, anticoagulation, hypertension treatment, gastrointestinal & infectious diseases.
Dr. Fravel is a Clinical Associate Professor at the University of Iowa College of Pharmacy with primary teaching roles in the Pharmacy Practice Lab series and the Renal Integrated Pharmacotherapy course. She received her Pharm.D. from the University of Iowa College of Pharmacy and completed a two-year Specialized Ambulatory Care Residency at the University of Iowa Hospitals & Clinics. Dr. Fravel is also a Clinical Pharmacy Specialist in the Anticoagulation Clinic, Family Medicine Geriatric Clinic, and the Nephrology Department at the University of Iowa Hospitals and Clinics. She serves as a preceptor to students and residents in these clinical settings.
I am involved in helping students discover the skills and knowledge they need to become future pharmacy practitioners and researchers. A major focus of my efforts is to expose these mentees to the role of safe medical research through the review and approval of all proposed research that involves medications being used in humans. I conduct a pharmacist review on behalf of the Pharmacy & Therapeutics Committee for all research that will be conducted at the UIHC that will involve medications being used in human subjects. Students and residents are exposed to the research process from the design and safety perspective and how this might impact pharmacy.
I review, on the average, 18 new research protocols each month (range 7-29 per month). I spend about 2.2 hours on each review (range 1-4 hours), with the shorter ones having been first reviewed by the Holden Comprehensive Cancer Center. I no longer participate in the Institutional Review Board (IRB) meetings that approve all research projects that will involve human subjects. In addition I review and approve approximately 28 IRB research proposals per month that require a modification. This is a 14% increase in the number of new protocols reviewed each month and an increase of 28% for the modifications that are done each month. The goal is to provide these consultative services and develop a clerkship experience that will generate interest and skills for students who will pursue research in their future residency or faculty appointments.
A portion of my time is also spent providing back-up coverage in the hospital drug information center when the current staff member is on leave or is away from the center on other business and creatively through the development of drug information applications for mobile devices. There is also regular interaction with the residents that provide DI and MUE services. I provide an advanced practice experience in an underserved country one rotation cycle per year. I have taken students to Ethiopia, Kenya, Nicaragua and Belize in past years.
Dr. Herring practices at UnityPoint Family Medicine at East Des Moines, which is a teaching clinic for 18 family medicine physician residents. In addition, the clinic site has 6 faculty physicians and a nurse practitioner. The East Des Moines Family Care Center provides a variety of ambulatory patient services. Dr. Herring's clinic services include anticoagulation clinic, diabetes education, smoking cessation, and chronic disease management. She also attends inpatient rounds at Iowa Lutheran Hospital with the residency service. Iowa Lutheran Hospital is a private, community hospital which services a diverse patient population. She serves as a preceptor for pharmacy students completing a family medicine rotation and incorporates them into all areas of her practice. Dr. Herring's professional interests include diabetes, adherence, patient education techniques and chronic disease state management.
Dr. Jacobsen is a Clinical Pharmacy Specialist in Ambulatory Pharmaceutical Care. His primary practice site includes the Iowa River Landing Heart and Vascular Clinic. He serves as a preceptor to residents and Pharm.D. students. He is also an Clinical Associate Professor with the University of Iowa and teaches in various courses at the College of Pharmacy. Dr. Jacobsen received his Pharm.D. degree from the Creighton University School of Pharmacy and completed an ASHP-accredited Specialized Residency in Ambulatory Care at the University of Iowa Hospitals and Clinics. In addition to his area of practice, his interests include interprofessional collaborative care and motivational patient interaction.
Dr. Kauer is a Clinical Pharmacy Specialist in Psychiatry at the University of Iowa Hospitals and Clinics. Her practice focuses on patients admitted to the combined internal medicine-psychiatry inpatient unit, with services also provided to the non-vascular neurology inpatient unit. Current areas of professional concentration include improving outcomes in the treatment of alcohol and opioid withdrawal and in management of delirium.
Dr. Kennelty's clinical practice is through the University of Iowa Hospitals & Clinics as a geriatric pharmacist in the Geriatric Health Assessment Clinic.
The Geriatric Health Assessment Clinic offers a team-based care approach to the comprehensive evaluation and treatment of older adults. Team members include nurses, pharmacists, physicians, and social workers who specialize in geriatric care with a focus on health promotion along with prevention and treatment of disease as well as disability in later life.
Dr. Knockel is an ambulatory care clinical pharmacist with the University of Iowa Hospitals & Clinics in Iowa City, Iowa. Prior to joining the faculty, she practiced at Hy-Vee Pharmacy in Iowa City for 10 years, where she helped implement an AADE-accredited diabetes self-management education program.
Dr. McDanel's current practice sites are within the Immunology Division and the Anticoagulation Case Management Service (ACMS) at UIHC. She holds a secondary appointment in the Immunology Division as the a clinical pharmacy specialist in Allergy/Immunology and has been with the division since 2002. She has dedicated patient appointments for evaluating penicillin drug allergy through skin testing. She also has served as a specialist in anticoagulation since 2001. The ACMS is a pharmacist-managed service provided under a Hospital Based Protocol with referring providers for primary care patients with established care in the clinics of General Internal Medicine, Family Medicine, Cardiology, Orthopedics, and the Cardiomyopathy Treatment Program. There are currently around 900 patients enrolled in this service.
Dr. Ray currently serves as the clinical pharmacy specialist for the Adult Supportive and Palliative Care Consult Service at the University of Iowa Hospital and Clinics. Dr. Ray’s experience includes Adult Medical Oncology which served as a foundation to develop a pharmacy pain consult service and the establishment of a palliative care consult service in his previous positions at Hamot Medical Center in Erie, Pennsylvania. Prior to joining the University of Iowa, he served as the Pharmacy Clinical Coordinator for Pain and Palliative Care at the University of Virginia Health System in Charlottesville, Virginia.
Dr. Reist practices as a Clinical Pharmacist in Ambulatory Care at University of Iowa Hospitals and Clinics. His primary area of practice is in the Department of Family Medicine Geriatric clinic where he serves on an interprofessional team caring for older adults.
Dr. Swegle is a faculty member and clinical pharmacist for the Mercy Family Medicine Residency in Mason City. The Family Medicine residency is a training program for 18 residents and is affiliated with Mercy Medical Center – North Iowa. The residency program serves as a teaching center for students of various disciplines including medicine, nursing, and pharmacy. His practice area focuses on drug therapy management for patients in the hospital, ambulatory, and nursing home settings. In addition, he works with the Palliative Medicine team and is the clinical pharmacist for Hospice of North Iowa. Dr Swegle serves as a preceptor for pharmacy students and pharmacy practice residents.
In addition to teaching responsibilities, he serves as a member of the Pharmacy and Therapeutics Subcommittee and the Institutional Review Board for Mercy Medical Center – North Iowa. He also collaborates with the Palliative Medicine team and serves as a clinical pharmacist for Hospice of North Iowa.
Dr. Vos's practice interests include pediatric pharmacotherapy and residency preparation for teaching. In addition to her clinical responsibilities, Dr. Vos develops and delivers preceptor educational programs and leads the college's teaching curriculum for residents and fellows. She is actively involved in many professional organizations and has led the college's accreditation efforts.
At the Family Medicine Center, prescription, over-the-counter medications, herbal therapies and dietary supplements are reviewed to determine whether the patient’s medications are appropriate, effective and safe. I work as a team with the patient and their provider to create a plan to resolve medication-related problems or concerns that have been identified. Anticoagulation therapy is managed through a collaborative practice agreement with physician colleagues. I participate in inpatient rounds on family medicine patients and meet with patients following hospital discharge.