Meet the preceptors at HCA Florida Trinity Hospital

Residency Program Director
Preceptor: Neonatal ICU

Michelle Mancuso, PharmD, BCPS is the NICU pharmacist at HCA Florida Trinity Hospital. She is originally from Batavia, NY and earned her PharmD from the University at Buffalo School of Pharmacy and Pharmaceutical Sciences. Following pharmacy school, Michelle completed a PGY1 Residency at Boston Medical Center. She remained at BMC for 8 years after residency as a Clinical Pharmacy Specialist in internal medicine, focusing in coverage of geriatrics as well as the pediatrics services (NICU, PICU, general pediatrics). During her time at BMC, she precepted both PGY1 and PGY2 residents, and served on multiple residency committees, including chairing the Resident Emotional Support Team. Michelle joined the team at Trinity Hospital in September 2021 as the NICU pharmacist, and has been the RPD since March 2022. Outside of work, Michelle enjoys trying out new restaurants, traveling, and spending time with her dog, Moose.

Director of Pharmacy
Preceptor: Pharmacy Administration

Tyler Thompson, PharmD, MBA, CPh is the Director of Pharmacy at HCA Florida Trinity Hospital. Originally from Bloomington, Indiana, he earned his Doctor of Pharmacy from Purdue University. Following pharmacy school, he began his career as a Clinical Pharmacist in the Intensive Care Unit at HCA Florida Fort Walton-Destin Hospital before transitioning to Clinical Coordinator at HCA Florida Palms of Pasadena and eventually Director of Pharmacy at HCA Florida Palms of Pasadena. In August 2021, he transitioned to the role of Director of Pharmacy at HCA Florida Trinity Hospital, where he also serves as an Ethics & Compliance Officer and oversees multiple other departments within the hospital. In his free time, he enjoys spending time with his family, staying active and playing golf.

Residency Program Coordinator
Preceptor: Internal Medicine I, Internal Medicine II

Alexandra Flannery, PharmD, BCPS is a Clinical Pharmacy Specialist and Residency Program Coordinator at HCA Florida Trinity Hospital. Originally from Port Richey, Florida, she completed her undergraduate education and Doctor of Pharmacy degree at University of South Florida (USF) in Tampa, Florida. Following pharmacy school, she completed a PGY1 Pharmacy Residency at HCA Florida Trinity Hospital in Trinity, Florida and subsequently achieved her Board Certification in Pharmacotherapy. In 2021, she began her career as a clinical pharmacist at HCA Florida Trinity Hospital, specializing in Internal Medicine. In her free time, Alex enjoys traveling and spending time with her family and dog.

Preceptor: Medication Dispensing

Gail D. Bruce, RPh is the operations pharmacist at HCA Florida Trinity Hospital. Originally from Marianna in the Florida panhandle, she earned her Bachelor of Science in Pharmacy from Florida A&M University in Tallahassee, FL. Following school, Gail started her career as a staff pharmacist at Morton Plant Hospital, a 600-bed facility in Clearwater, FL. After Morton Plant later joined with other area hospitals to become the BayCare facilities, Gail became the director/manager of Morton Plant Mease Hospital, a position she held for 14 years. During this time, Gail continued to work at Largo Medical Center as a PRN staff pharmacist to keep her clinical skills honed. After retiring from Morton Plant Mease, Gail stayed on at Largo, and eventually transferred to Trinity Hospital as a staff clinical pharmacist and later became the evening operations pharmacist. Outside of work, Gail loves to travel and spend time with family. She has a son, daughter and four grandchildren, ages 9-33, and also a cat named Bella.

Preceptor: Critical Care I, Critical Care II

Piyush Dilkhush, PharmD, is an esteemed critical care pharmacist at HCA Florida Trinity Hospital. Born in Surat, India, Dr. Dilkhush moved to the United States to pursue his passion for pharmacy. He graduated from Florida Agricultural and Mechanical University with a Doctor of Pharmacy Degree in 2000. After completing his degree, Dr. Dilkhush pursued a Pharmacy Practice Residency at Bayfront Medical Center in St. Petersburg, FL, which he completed in 2001. Following his residency, Dr. Dilkhush stayed on as a Clinical Pharmacist at Bayfront Medical Center, honing his skills and expanding his knowledge. Dr. Dilkhush has been a practicing pharmacist for over 23 years, working in various settings, including as an ER and Critical Care Pharmacist at BayCare. For the past five years, Dr. Dilkhush has worked for HCA Florida Trinity Hospital. His commitment to patient care is unwavering and he's respected by his colleagues for his attention to detail and strong work ethic. He is passionate about his work and is committed to improving the lives of his patients through excellent pharmacy care. When he's not working, Dr. Dilkhush enjoys spending time with his family and friends. He has two boys that keep him busy and loves traveling, golfing, and enjoying sports whenever he gets the chance. Dr. Dilkhush's dedication to his work and love for his family and hobbies make him an inspiration to those around him.

Preceptor: Medication Dispensing, Surgery/OR

Deitra Hairston is the OR clinical pharmacist at HCA Florida Trinity Hospital. Deitra was born in Tampa, Florida but was primarily raised in the panhandle part of Florida. Deitra loves football, spending time with family and home decorating/renovating. Deitra also enjoys watching her favorite TV network HGTV. Deitra graduated from Florida Agricultural and Mechanical College of Pharmacy in 2001. Upon graduation, Dr. Hairston worked in various settings of pharmacy including retail, specialty, and hospital. Deitra joined the HCA healthcare team in 2005 as a clinical pharmacist at HCA Florida Brandon Hospital in Brandon, Florida. Deitra has extensive experience in pharmacy operations, pediatric/NICU, and psychiatric pharmacy. Deitra was the Pediatric ICU pharmacist at Brandon Regional hospital for over 10 years. Upon moving closer to the area, Deitra joined the HCA Florida Trinity Hospital team as a prn pharmacist in July 2019 and later, joined the team as a full-time pharmacist in March 2020, most recently serving as the behavioral health pharmacist. Deitra is a member of the American College of Clinical Pharmacy (ACCP) and Florida Society of Health-System Pharmacists (FSHP).

Preceptor: Pharmacy Administration

Roji Joykutty, BS, Pharm D, CPh is the Pharmacy Manager at HCA Florida Trinity Hospital. Originally from India, he earned Bachelors in Pharmacy from Vinayaka Missions College of Pharmacy in India. He then went on to complete his PharmD from Massachusetts College of Pharmacy in Boston, MA and then his Consultant Pharmacist license from the University of Florida. Roji started his career as a pharmacist in the Middle East in 2000 and worked for four years before accepting a Pharmacy Manager position from 2004 to 2011. He then migrated to the United States in 2012 and has worked for HCA for the last eight years. He started working at HCA Florida Largo Hospital as a Clinical Pharmacist in 2015 and was promoted to the pharmacy leadership team in 2019. In 2022, Roji joined the pharmacy management team at HCA Florida Trinity Hospital. In his free time, Roji enjoys playing cricket, traveling, fishing, and spending time with his family.

Preceptor: Emergency Medicine II- Transitions of Care

An Phan, PharmD is the pharmacy medication reconciliation supervisor at HCA Florida Trinity Hospital. Originally from Fort Lauderdale, FL, he earned a bachelor's degree in chemistry from Nova Southeastern University in Davie, FL. He then went on to earn his doctorate in pharmacy from the University of Florida College of Pharmacy in Gainesville, FL. Following pharmacy school, An completed the PGY-1 residency program at HCA Florida Trinity Hospital in Trinity, FL. As a resident, An helped the pharmacy department initiate a pharmacy-led medication reconciliation program at HCA Florida Trinity Hospital and stayed on to serve as the program's supervisor. In his free time, An enjoys cooking, watching the NFL/NBA, and exercising. An enjoys hanging out with his friends and family by planning traveling trips or hosting get togethers. When it comes to cooking, An loves to cook Vietnamese cuisine and dishes of other cultures including Japanese, Indian and Italian.

Preceptor: Emergency Medicine, Pharmacy Administration

Michael Thiefault, PharmD is the Clinical Coordinator at HCA Florida Trinity Hospital. Originally from West Palm Beach, Florida, he completed his Doctor of Pharmacy from the University of Tennessee in Knoxville, TN. Following pharmacy school, he completed a PGY1 and PGY2 in Emergency Medicine at Mercy Medical Center in Des Moines, IA. Mike started his career working as an emergency medicine/trauma pharmacist in Des Moines, IA at the busiest ER in the state. He then went on to take a position at a new 80-bed ER in Florence, SC. His areas of interests include toxicology and resuscitation. In his free time, Mike enjoys to fish with his 4 boys.

Preceptor: Internal Medicine I

Rosed Yambao , BS, PharmD is the Evening Clinical Pharmacist at HCA Florida Trinity Hospital. Originally from the Philippines, she earned a Bachelor of Science in Pharmacy from University of Sto. Tomas in the Philippines. She then went on to complete her PharmD from Howard University in Washington D.C. Rosed started her career as a pharmacist in United Laboratories in the Philippines in the year 2000 for a year. She then worked at Bangkok Nursing Home Hospital in Thailand for 2 years. She migrated to the United States in 2003. In 2006 she worked in Virginia Hospital Center at Arlington, Va. She then transferred to a much larger hospital at Inova Fairfax Hospital still in VA in 2009. Aside from working in a hospital setting, she also worked in a retail setting at Molina Healthcare and in an Independent Retail at Preston’s Pharmacy as a PRN Pharmacist. She moved to Trinity, Florida in 2012 and started working as a Clinical Pharmacist in the year 2014 up to the present at HCA Florida Trinity Hospital. In her free time, Rosed enjoys traveling, trying different cuisines, spending time with her family and afternoon naps with her dog, Roxie.