Emergency Medicine APPE

The Emergency Medicine rotation will provide students exposure and opportunity to participate in the essential roles of the pharmacist in the Emergency Department through the activities outlined below. Topic discussions, projects, and presentations will be required as directed by the preceptor. The goal of the rotation is for the student to become familiar with the role of the pharmacist in the Emergency Department, obtain experience in working with an interdisciplinary team, and to gain experience in optimizing pharmacotherapeutic regimens, patient care, and safety.

Potential Topics/Activities

The student should expect to participate in or observe the following activities during the rotation:

  • Direct patient care rounds
  • Medication order review
  • Medication therapy monitoring
  • Patient care involving high-risk medications and procedures
  • Resuscitation
  • Medication procurement and preparation
  • Distribution of medication information
  • Documentation of pharmacist related activities
  • Care of boarded patients
  • Medication histories and medication reconciliation
  • Promotion of patient safety through identifying, addressing, and reporting of real or potential errors or hazardous conditions with potential for harm
  • Quality-improvement initiatives
  • Leadership duties and professional service through attendance of select pharmacy and emergency department meetings
  • Emergency preparedness planning and implementation
  • Provision of education related to pharmacy topics to pharmacy students, PGY1 pharmacy residents, patients, patient representatives, and other health care professionals
  • Research and scholarly activity

Rotation activities adapted from the ASHP Guidelines on Emergency Medicine Pharmacist Services available at ashp.org/DocLibrary/BestPractices/SpecificGdlEmergMed



Stephanie Buckingham, PharmD, BCPS
  • School of pharmacy: University of Missouri-Kansas City; University of Missouri School of Pharmacy
  • Residency training: PGY1—Saint Luke’s Hospital, PGY2CC—Truman Medical Center
  • Specialty interests: Emergency Medicine
  • Health system, hospital, pharmacy, and residency committee involvement: Emergency Department Evidence-Based Practice Team (EPT), System Pharmacy Clinical User Group, Research Oversight Committee
  • Professional involvement: Greater Kansas City Society of Health System-Pharmacists (GKCSHP)
  • Pharmacy awards, accolades: 2015 Missouri Society of Health-System Pharmacists Rising Star
Jacob Michalski, PharmD, BCPS
  • School of pharmacy: University of Kansas School of Pharmacy
  • Residency training: PGY1—University of Chicago Medicine
  • Specialty interests: Emergency Medicine, Critical Care, Neonatal Medicine
  • Health system, hospital, pharmacy, and residency committee involvement: Saint Luke’s Health System Code Blue Committee, Saint Luke’s Hospital Code Blue Committee, Sepsis Review Committee
  • Professional involvement: American Society of Health-System Pharmacists (ASHP)