Domain Expert - Pharmacy (UpToDate Lexidrug)
To qualify you must use UpToDate Lexidrug (or Lexicomp) regularly - weekly or more - as a working part of your job, with 2+ years of professional pharmacy experience.
Lexidrug knowledge we require
Core (required of all candidates)
- Knows how to work a full medication-list interaction check to completion - not just confirm a single named pair, but judge severity ratings and mechanism of interaction across the whole list
- Knows how to weigh contraindications, boxed warnings, and warnings/precautions against a specific patient's situation, not just check whether a flag exists
- Knows how to distinguish \"not contraindicated\" from \"appropriate for this patient\" - and where in the monograph that second judgment actually gets made
- Knows how to reconcile a Special Alert against monograph content when they conflict - recognizes alerts generally take precedence until reconciled
- Knows how to apply renal/hepatic dose-adjustment logic and calculators correctly given current patient data (labs, weight), not just plug in numbers
Specialized depth (strong working knowledge in at least 2-3 of the following)
- Trissel's IV Compatibility (physical/chemical incompatibility vs. physiological interaction - knows these are distinct problems, not one nested in the other)
- Pediatric/weight-based dosing
- Beers Criteria / geriatric-specific precautions
- Pregnancy and lactation risk categories
- REMS and prescribing/access restrictions (controlled substance scheduling, restricted distribution programs)
- Therapeutic class comparison for alternatives (allergy, shortage, formulary substitution)
- Drug I.D. and patient education / multi-language handouts
What you'll do
- Confirm an interaction, dosing, or contraindication finding holds up against the patient's full medication list and chart - not just the two drugs named in the question
- Catch missed interactions, stale patient data (outdated labs/weight) driving a wrong dose, and monograph guidance superseded by a newer Special Alert
- Judge completeness: is the full clinical picture (all active meds, current labs, comorbidities) accounted for, or was the question scoped too narrowly
- Distinguish \"permitted\" from \"appropriate\" - flag when a drug clears interaction/contraindication checks but is still a poor choice for this specific patient
- Verify that a correct clinical conclusion is actually carried through - order updated, prescriber notified, chart/note documented - not just identified and left there
Requirements
- Frequent Lexidrug (or Lexicomp) use - weekly or more - in your current or recent role
- 2+ years of professional pharmacy experience, inpatient/hospital setting strongly preferred
- Reflexive use of Interactions, Trissel's, and monograph sections; can spot a missed interaction, a stale dose calculation, or superseded guidance on sight
- PharmD and active pharmacy license, or equivalent verification-heavy clinical experience
- Strong working knowledge in at least 2-3 specialized areas above, tied to your practice setting (e.g., ICU, oncology, pediatrics, geriatrics)
- Comfort judging whether a correct clinical finding was properly followed through into the chart, order, and care-team communication
- Prior data annotation, labeling, or AI evaluation experience is a plus
Pharmacy Expert - Lexidrug Specialist employer: Obsidian
At Obsidian, we pride ourselves on fostering a collaborative and innovative work culture that empowers our employees to excel in their fields. As a Finance & Real Estate Legal Expert, you will have the opportunity to engage in meaningful projects while benefiting from flexible working hours and a commitment to professional growth. Our supportive environment encourages continuous learning and offers unique insights into the intersection of law and technology, making it an ideal place for those looking to make a significant impact.
