Associate Professor, Pharmacy Practice
Location: St. Bernards Medical Center
Phone: (870) 207.4463
Email: mfcrader@uams.edu
Department
Pharmacy Practice
Education & Training
Doctor of Pharmacy
University of Louisiana at Monroe
Monroe, Louisiana
May 2003
Teaching Responsibilities
I. Didactic
- UAMS Pharmacy Practice 7302 – Therapeutics II, Viral Hepatitis (2 hour lecture), Fall 2019 – present
- Lower Respiratory Tract Infections (1.5 hour lecture), Fall 2021 – present
- Tick Borne Diseases (0.5 hour lecture), Fall 2021 – present
- Skin and Soft Tissue Infections (1 hour lecture), Fall 2021 – present
- Urinary Tract Infections and Asymptomatic Bacteriuria (1 hour lecture), Fall 2021 – present
- Intra-abdominal and C. difficile Infections (1 hour lecture), Fall 2019 – present
- Bloodstream and Line Infections (1 hour lecture), Fall 2019 – present
- Infective Endocarditis (1 hour lecture), Fall 2019 – present
- University of Arkansas for Medical Sciences, 2019 – present
- UAMS Pharmacy Practice 7375 – Infectious Diseases and Stewardship Elective
- COURSE COORDINATOR, Lecturer, and Active Learning Facilitator, Infectious diseases resources and duration of therapy, Spring 2022 – present
- Spectrum of activity (MRSA and VRE) and antibiotic allergies, Spring 2022–present
- Spectrum of activity (Pseudomonas), antibiograms, and empiric antibiotic therapy, Spring 2022 – present
- Spectrum of activity (beta-lactamase producing organisms) and definitive therapy part 1, Spring 2022 – present
- Spectrum of activity (carbapenamase producing organisms) and definitive therapy part 2, Spring 2022 – present
- Spectrum of activity (anaerobic and atypical organisms) and infectious diseases and antibiotic monitoring, Spring 2022 – present
- Infectious diseases transitions of care, Spring 2022 – present
- CDC Antimicrobial Stewardship Core Elements, Spring 2022 – present
- Facilitator of written provider recommendations and order set development, Spring 2022 – present
- Facilitator of verbal provider recommendations and order set development, Spring 2022 – present
- Infection prevention and example antimicrobial stewardship projects and facilitator of antibiotic education development, Spring 2022 – present
- Clinical Laboratory Standards Institute susceptibility breakpoints and facilitator of antibiotic education development, Spring 2022 – present
- Microbiology equipment and diagnostic stewardship and facilitator of antibiotic education development, Spring 2022 – present
- UAMS Pharmacy Practice 7203 – Therapeutics I
- Inflammatory Bowel Disease (2 hour lecture), Spring 2007 – 2021
- Acute and Chronic Pancreatitis (1 hour lecture), Spring 2007 – 2020
- Gastroesophageal Reflux Disease (1 hour lecture), Spring 2013 – 2020
- Peptic Ulcer Disease (1 hour lecture), Spring 2013 – 2020
- Non-variceal Gastrointestinal Bleeding (1 hour lecture), Spring 2014 – 2020
- Introduction to Liver Disease (1 hour lecture), Spring 2015 – 2021
- Alcoholic Liver Disease/Non-alcoholic steatohepatitis (1 hour lecture), Spring 2015 – 2021
- Complications of Cirrhosis (2 hour lecture), Spring 2015 – 2021
- Constipation (1 hour lecture), Spring 2015
- Drug-Induced Liver Disease (1 hour lecture), Spring 2018 – 2021
- University of Arkansas for Medical Sciences, 2007 – present
- ASU Nursing 4343 – Community Theory
- Antibiotic Review (invited 1 ½ hour guest lecture)
- Arkansas State University College of Nursing and Health Professions, Fall 2008, Spring 2009, Fall 2009, Fall 2010, Spring 2012
- What’s New in Diabetes (invited 1 ½ hour guest lecture)
- Arkansas State University College of Nursing and Health Professions, Spring 2007
- ULM Pharmacy 446 – Nonprescription Medications and Self-Care – COURSE COORDINATOR and Lecturer
- Self-Care and Nonprescription Pharmacotherapy
- Patient Assessment and Consultation
- Cultural, Legal, and Regulatory issues
- Allergy, Cold, and Cough
- University of Louisiana at Monroe, Spring 2005
- ULM Pharmacy 585 – Disease/Pathology I
- Dyslipidemia and Atherosclerosis
- University of Louisiana at Monroe, Fall 2004, Summer 2004
- ULM Pharmacy 280 – Principles of Pharmacology (Nursing Pharmacology)
- Dyslipidemia and Atherosclerosis
- Coagulation Disorders
- Inflammation, Allergies, and Immune Disorders
- Pulmonary Disorders
- Muscle Spasms and Bone Disorders
- Skin Disorders
- University of Louisiana at Monroe, Spring 2005, Fall 2004, Summer 2004
- Gastrointestinal Disorders
- Eye and Ear Disorders
- University of Louisiana at Monroe, Fall 2004, Summer 2004
Marsha Crader, PharmD, FASHP - ULM Pharmacy Board Review
- NAPLEX Calculations Review
- University of Louisiana at Monroe, May 2004
- ULM Pharmacy 426 – Aging/Drug Use in the Elderly
- Care for the Dying Patient
- University of Louisiana at Monroe, Spring 2003
- ULM Pharmacy 557 – Pharmacotherapeutics Forum
- Non-Depolarizing Muscular Blockers
- University of Louisiana at Monroe, Spring 2002
II. Experiential
- Pharmacy Practice 7411/7414 – Advanced Experiential – Acute Care (average at least 20 hours per week in direct student interaction), University of Arkansas for Medical Sciences, Summer 2006 – present
- Pharmacy 604 – Advanced Experiential – Ambulatory Care, University of Louisiana at Monroe, Spring 2004 – Spring 2005
III. Post-graduate Experiential
- UAMS Family Medicine and St. Bernards Medical Center Internal Medicine Residency Programs, 2017 – present
- Conference lecturer, 2017 – present
- Pharmacy Post Graduate Year 1 (PGY1) Pharmacy Residency Program, St. Bernards Medical Center, 2011 – 2014; 2020 – present
Preceptor:
- Antimicrobial Stewardship (required), 2011 – 2014; 2020 – present
- Academic/Preceptorship (required), 2013 – 2014
- Internal Medicine (required), 2011 – 2012 and 2012 – 2013 co-preceptor and preceptor mentor for new preceptor of record
- Cardiology (elective), 2011 – 2012
Research Mentor:
- 2013-14: “Association of vancomycin loading dose administration with time to therapeutic level”
- 2012-13: “Effect upon patient satisfaction with pharmacist intervention at time of admission and discharge”
- 2011-12: “Impact of pharmacist-driven antimicrobial stewardship activities in a community hospital”
- “Implementation of an inpatient warfarin management service by pharmacists”
Teaching Mentor:
- 2021-22: Sarah Steely, PharmD, and Linh Nguyen, PharmD
- 2013-14: Russ Pierce, Pharm.D, Justin Piker, Pharm.D., and Shervin Izadian, Pharm.D.
- 2012-13: Mandy Young, Pharm.D. 2011-12: Andrea Cavenaugh, Pharm.D. and Sarah Cochran, Pharm.D.
Clinical Practice
Clinical Service
- 2016-present Pharmacist leader (co-director) of SBMC Antimicrobial Stewardship Program
- Work with physician leaders of the SBMC Inpatient and Outpatient Antimicrobial Stewardship Programs to ensure requirements for regulatory agencies are met
- Work with physician leaders and Clinical Efficiency Program Antimicrobial Stewardship (CEP-AS) Subcommittee to implement education and improvement initiatives to ensure appropriate and cost effective use of antimicrobial agents to improve patient outcomes, including initiatives identified through data collection and analysis
- Ensure compliance with Joint Commission Medication Management Standard MM.09.01.01 and CMS section 485.640(b)
- Create and update antimicrobial-related physician inpatient order sets outpatient protocols based on national guidelines and local susceptibility data
- Compile and review inpatient, outpatient, intensive care, and pediatric antibiograms for trends and changes needed in empiric therapy (e.g., MRSA, ESBLs, Pseudomonas, anaerobes)
- Calculate and trend days of antibiotic therapy per 1000 patient days and other measures as appropriate
- Build IT alerts and create reports in clinical surveillance software
- Work with microbiology lab and infection prevention for potential opportunities for improvement (e.g., ESBL susceptibility results, blood culture specimen collection, MDRO definitions and testing, C. difficile test and urine culture ordering)o Collect, track, analyze, and report antimicrobial usage, antimicrobial documentation policy adherence, facility-specific order set utilization, and pharmacist prospective audit and feedback recommendations and acceptance rate
- Work with physicians, pharmacists, nursing, microbiology, etc. to improve education and processes for antibiotic de-escalation (e.g., obtaining MALDI-TOF and PCR lab equipment, de-escalation of MRSA coverage in health-care associated pneumonia patients, penicillin/cephalosporin allergy education and assessments)
- Develop and provide education to appropriate health-care providers
- Provide assistance to critical access hospitals that are owned/managed by SBMC
- Participate as needed in appropriate committees, collaboratives at the local, state, and national level
- Participate in community education (e.g., annual HMG Health and Wellness Expo, U.S. Antibiotic Awareness Week, as needed education during COVID-19) 2010-present Pharmacist antimicrobial stewardship/ID rounds, clinical pharmacist
- Review for appropriate antibiotic usage including empiric therapy, “bug-drug” mismatch, de-escalation, drug-drug interactions, dosing, length of therapy, etc.
- Follow-up with prescribers regarding therapy and make automatic changes per the Pharmacy and Therapeutics Committee (i.e., renal dosing and intravenous to oral conversions)
- Rounding includes presentation of complicated patients to infectious diseases physician for his expert opinion on difficult cases, 2010-2013;
- ID rounds with interdisciplinary team, 2019-present 2014-15 St. Bernards Clopton Clinic, part-time clinical pharmacist
- Helped begin medication therapeutic management services at Clopton Clinic as part of the CMS Comprehensive Primary Care Initiative
- Provide chart reviews, patient counseling, transitions of care services, and any other duties related to medication management for high risk patients
- Developed and implemented collaborative practice agreement for pharmacist-managed warfarin dosing service, 2015 2006-14 Hospice, clinical pharmacist
- As needed pharmacist for both outpatient and inpatient hospice services
- Attend interdisciplinary meetings and provide chart reviews to ensure appropriate medication therapy and to comply with regulatory requirements 2006-14
- Pharmacokinetics dosing, clinical pharmacist
- Established pharmacokinetics dosing service
- Provided house-wide services, 2006-08
- Provide services, education, and expert opinion as needed 2006-13 Senior Health Clinic, clinical pharmacist
- Review for appropriate medication therapy and monitoring in addition to anticoagulation/other medication consults
- Provide patient education as needed 2006-10 Internal medicine rounds, clinical pharmacist
- First pharmacist to round with physician in hospital which led to rounding with other specialties
- Review for appropriate medication therapy/monitoring and ensure CMS core measures and Joint Commission National Patient Safety Goals are met 2005-07
- Transitional Care Facility, clinical pharmacist
- Chart reviews for appropriate medication therapy, monitoring, and documentation
- Weekly interdisciplinary meetings for skilled nursing facility patients
Research & Scholarly Interests
Pharmacist/interdisciplinary teams’ impact on patient outcomes in a community hospital through the use of evidence-based education, interventions, or protocols/order sets
Honors & Awards
- Arkansas Association of Health-System Pharmacists Clinician of the Year (2010)
- The ASHP Midyear Clinical Meeting poster “Effect on sepsis mortality rate at a regional acute care institution after implementation of the Institute of Healthcare Improvement (IHI) sepsis bundles” was selected to be featured on ASHP’s Quality Improvement Initiative Resource Center as a virtual poster session (2008)
- Arkansas Association of Health-System Pharmacists New Practitioner of the Year (2008)
Memberships
- American Society of Health-System Pharmacists (2004 – present)
- Arkansas Association of Health-System Pharmacists (2006 – present)
- Arkansas Pharmacists Association (2005 – present)
- Phi Lambda Sigma Pharmacy Leadership Society (life member since 2001)
- Rho Chi Pharmaceutical Honor Society (life member since 2001)