8 As previously stated, there is ample evidence of pharmacist-run and physician/nurse-run travel health clinics in the find more literature.4,5,9 None have described a multidisciplinary team approach that our travel health clinic has as part of an ambulatory care outpatient clinic affiliated with a hospital. The team

consists of an infectious disease physician, a nurse, and a pharmacist affiliated with a college of pharmacy. Additionally, pharmacy students enrolled in their advanced pharmacy practice rotations are involved with the clinic. Prior to the start of their rotations, all students participate in a travel health class as part of the pharmacy curriculum. The primary role of all team members includes provision of travel-related education to patients; the pharmacist and pharmacy students emphasize vaccine-related adverse effects, the nurse is responsible for administration of immunizations, and the physician performs any necessary physical assessment. The clinic has operated once a week by both an appointment-only as well as a walk-in system since August 2009 when the

local health department could no longer administer travel vaccines due to budgetary cuts. The clinic is certified to administer the Yellow Fever vaccine. The clinic is fee for service and does not accept insurance at this time for services rendered. No consultation fee is charged if the patient receives injectable immunizations. If only oral medications Seliciclib research buy are prescribed a nominal consultation fee is charged. At each appointment an individualized risk assessment is performed by the team for each patient following completion of a screening form. Information such as the patient’s medical history, current medications, immunization records, travel destinations on the itinerary, N-acetylglucosamine-1-phosphate transferase and the planned length of stay are reviewed prior to making any recommendations. The CDC Travelers’ Health web site,10 the CDC’s Yellow Book,11and theWHO web site12 are used as references for travel health recommendations. Recommendations are made by the pharmacist and nurse and are reviewed by the infectious diseases physician for accuracy

and confirmation. An individualized counseling session is conducted with the pharmacist and pharmacy students in a private examination room that is based upon the itinerary, the immunizations to be administered, malaria prophylaxis (if appropriate), and personal protective measures. Each counseling session focuses on health promotion and disease prevention that may last up to 30 minutes depending upon the traveler’s individual needs. Personal protective measures reviewed include mosquito/tick bite protection, traveler’s diarrhea, personal safety, and sexually transmitted diseases. All patients receive user-friendly handouts developed by the pharmacist and pharmacy students educating them about the medications and vaccines prescribed.