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Description:In the Clinical Pharmacy Resident Intervention, a pharmacy resident creates and leads an HIV pharmacotherapy clinic to increase HIV suppression among veterans with HIV at the Tennessee Valley Healthcare System Veterans Affairs (TVHS VA) Medical Center. In the HIV pharmacotherapy clinic, the pharmacy resident performs ART regimen evaluation and ART adherence assessment. Additionally, the pharmacy resident provides targeted patientspecific interventions in the clinic to address comorbidities such as Hepatitis C, diabetes, hypertension, smoking cessation, immunization screenings, and patient referrals to mental health, social work, and substance abuse counseling. Veterans receiving care at the TVHS VA are enrolled in the HIV pharmacotherapy clinic by a referral from their primary HIV provider or by the pharmacy resident contacting patients with unsuppressed HIV viral loads. Clinic visits with pharmacy residents last between 30 and 90 minutes and all visits are scheduled on one half-day per week. The pharmacy resident follows patients for a minimum of 3 months via telephone or subsequent clinic visits for patient support and additional patient-specific interventions as needed. Prior to establishing the HIV pharmacotherapy clinic, the pharmacy resident received training from a clinical pharmacy specialist at a neighboring institution with HIV pharmacy services for one month during the postgraduate year 1 and underwent a self-directed study of HIV pharmacotherapy. While operating the HIV pharmacotherapy clinic, the pharmacy resident is mentored by a clinical HIV pharmacist who is certified by the American Academy of HIV Medicine, and works with a multidisciplinary team of physicians, nurses, and a nurse practitioner to provide care for veterans with HIV.
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