Rounded Out Residency

Published on 20 February 2018

Nalinoe Kernizan, Pharm.D., moved from Stanhope, New Jersey, to St. Louis to pursue a residency position through the College’s PGY2 ambulatory care residency at SSM Health St. Mary’s Hospital. During her time at the College, Kernizan has also practiced at SLUcare Family Medicine and completed a longitudinal rotation at the South County Department of Public Health.

“I applied to the College’s residency because it offered multiple clinic settings within the program,” Kernizan said. “I’m able to work with diverse patient populations that I’ve never worked with before.”

As part of her residency, Kernizan has been able to round in a variety of practice sites and experience unique disease states. Through her time in the maternal and fetal care center at SSM Health St. Mary’s Hospital she has worked directly with high-risk pregnant patients, some of whom were fighting opioid addiction.

“Treating this special population has challenged me to consider multiple variables when determining a health care regimen for my patients,” Kernizan said. “Not only do I have to consider my patient’s well-being, but also the well-being of her fetus.”

Kernizan also has rounded in SSM Health St. Mary’s Hospital outpatient internal medicine clinic as part of an multidisciplinary team made up of nurses, social workers, physician assistants and physicians.

“As a pharmacist, it is my responsibility to serve as the medication expert on the team,” she said. “Based on collaborative practice agreements, I have the authority to adjust medications in certain therapeutic areas based on lab results and patient presentation.”

When Kernizan is not rounding, she is teaching at the College, serving as a preceptor to students and participates in the Resident Education Academy (REA).

“Through REA, I’ve learned how to keep students engaged during didactic courses and how to provide valuable feedback to students in the experiential rotations,” she said. “I’m able to make recommendations for improvement based on how they have performed in a real-world clinical setting.”

Upon completion of her residency program, Kernizan plans to pursue a clinical position at an academic medical center or in private practice.

“I believe my residency program has provided me with the educational and patient care experiences necessary to pursue my ultimate goal of optimizing patient outcomes and teaching my patients how to improve their health as much as possible,” she said.

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