MAJOR DUTIES: This position is responsible for the clinical pharmacy functions of the military treatment facility (MTF). Serves as the MTF expert on pharmaceuticals, pharmacokinetics, and pharsacotherapeutics. Using an extensive and intensive knowledge of the drugs and other pharmaceuticals available, their nature, action, and interaction, provides authoritative instructions, advice, and assistance to prescribing and dispensing officials on effectiveness, suitability, hazards, and other aspects of their use. As subject matter expert to the Therapeutic Agents Board, recommends which items will be stocked based on their effectiveness, economy, and appropriateness for the intended use. Serves on a variety of committees., boards, and other bodies representing the pharmacy specialty and providing authoritative input on pharmacy related matters. Monitors the dispensing of all pharmaceuticals in the MTF and allied facilities. Analyzes patterns and trends to determine appropriate, effective, and economical prescribing and dispensing of drugs. Where improvement in these areas can be identified, counsels or recommends alternatives that will still satisfy the medical needs of the situation. Looks for indications of misuse or abuse of pharmaceuticals and recommends corrective or remedial action. Inspects pharmacy operations in the main and any remote facilities (e.g. troop medical clinics) to insure compliance with operating instructions and quality assurance criteria and procedures. As tasked, provides pharmacy input to quality assurance reviews and similar processes. Develops, with the attending physician, pharmacotherapeutic regimens for especially difficult or complex cases. Of particular concern are cases involving multiple serious or life-threatening conditions with conflicting drug requirements, serious, drug reactions or interactions, or other factors not receptive to standard or more common specialized approaches. Monitors progress and response to the regimen, modifying dosages or methods of administering as necessary. In emergency situations may change medications or significantly alter regimen without prior approval of physician, but subject to post action review. Participates in, conducts, or approves studies involving pharmaceuticals and pharmacy related issues. Designs and conducts studies intended to evaluate particular drugs, their effectiveness and suitability, or to study the reaction of diseases, patients, and conditions to drug based treatment. Reviews and approves pharmacy aspects of all protocols and investigative studies. Closely monitors and controls pharmacy aspects of all experimental and investigative drug use. Prepares related reports and documentation. Prepares and conducts or oversees training of physicians, pharmacists, and other health care providers on the use of drugs and other pharmaceuticals. Monitors training of residents, interns, and fellows to insure drug related issues are fully and correctly dealt with in their curriculum and that the required levels of skill have been attained. Recommends or initiates changes and updates to instructions, regulations And other guidance as needed. Dispense a varied range of medications in accordance with pharmacy procedures, Army regulations and federal laws. Prepares and dispenses prescriptions to inpatient and outpatients. Checks completed prescriptions prior to dispensing for validity, completeness, description of drug interactions and/or errors. Ensures prescription is filled as written to provide the correct medications, strength and dose and to ensure the label is appropriately typed. Provides information and consultative advice and to health care providers on contraindication, drug interactions, questionable dosages or incompatibilities. Performs other duties as assigned.