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Learning Experiences

Pharmacy Residency ProgramAt the beginning of the program, each resident will undergo initial orientation and training learning experiences that focus on our operational functions. After training, residents complete eight required learning experiences and three elective learning experiences.

The residents’ interests and career goals determine the sequence of learning experiences. If a resident is interested in completing a PGY-2 residency focus, we can align the learning experiences to the American Society of Health-System Pharmacists mid-year meeting in preparation. 

Acute Rehabilitation

The Acute Rehabilitation Unit learning experience is a five-week elective. There are 48 beds on the ARU. 

During the learning experience, the pharmacist:

  • Prepares and provides recommendations during multidisciplinary rounds
  • Completes pharmacy consultations in anticoagulation and antibiotics
  • Provides evidence-based responses to drug information questions from patients and providers
  • Assesses and ensures accuracy of transfer medication reconciliation for newly admitted patients 
  • Precepts introductory and advanced practice pharmacy students

Adult Internal Medicine

The required five-week Adult Internal Medicine learning experience takes place on a 40-bed unit.

During the learning experience, the pharmacist:

  • Oversees safe and effective medication use for all patients
  • Monitors intravenous-to-oral conversions
  • Reviews renal, pharmacokinetic and warfarin dosing
  • Educates STEMI patients about ticagrelor and other medications
  • Serves as a drug information resource to physicians, midlevel practitioners and nursing staff
  • Precepts pharmacy students

Antimicrobial Stewardship

The required five-week Antimicrobial Stewardship learning experience includes hospital-wide surveillance of antibiotic use to promote the rational, safe and cost-effective use of antimicrobial agents.

The pharmacist:

  • Reviews and assesses hospital-wide culture and susceptibility reports to ensure appropriate antimicrobial coverage, dose and duration of therapy
  • Identifies opportunities for de-escalation and resolve any therapeutic duplications, unintended drug interactions or adverse events
  • Optimizes the outcome of individuals with an infectious disease by providing evidence-based, patient-center medication therapy as an integral member of an interdisciplinary team
  • Participates and documents patient-centered care such as pharmacokinetic and renal dosing of antimicrobial agents
  • Serves as a resource on the optimal use of antimicrobial agents
  • Conducts medication use evaluations and formulary review as needed, and report results to the Antimicrobial Stewardship Committee
  • Precepts pharmacy students

Cardiac Intensive Care

The required Cardiac Intensive Care Unit learning experience is five weeks long. There are 14 beds on the Cardiac Intensive Care Unit.

During the learning experience, the pharmacist:

  • Precepts Introductory Pharmacy Practice Experiences, General Medicine I and Advanced Pharmacy Practice Experiences students
  • Monitors all patients in the CICU daily and assists providers with optimizing medication regimens
  • Participates in CICU multidisciplinary rounds every week on Mondays, Wednesdays and Fridays
  • Completes admission medication histories
  • Prepares and completes clinical and operational projects
  • Attends monthly Pharmacy and Therapeutics Cardiovascular Subcommittee meetings, Critical Care Practice Council meetings and other multidisciplinary process improvement meetings; assists with related initiatives, as needed

Cardiovascular Intensive Care

The elective Cardiovascular Intensive Care Unit learning experience is five weeks long. There are 12 beds on the Cardiovascular Intensive Care Unit.

During the learning experience, the pharmacist:

  • Precepts Introductory Pharmacy Practice Experience, General Medicine I and Advanced Pharmacy Practice Experience students
  • Monitors all patients in the CVICU daily and assists providers with optimizing medication regimens
  • Participates in daily cardiothoracic surgery rounds
  • Completes admission medication histories
  • Prepares and completes clinical and operational projects
  • Attends monthly Pharmacy and Therapeutics Cardiovascular Subcommittee meetings, Critical Care Practice Council meetings, and other multidisciplinary process improvement meetings; assists with related initiatives, as needed

Emergency Medicine

The Emergency Medicine learning experience is a five-week elective. There are 42 beds in the Emergency Department. 

During the learning experience, the pharmacist:

  • Participates in emergency medical, stroke and trauma codes
  • Demonstrates antimicrobial stewardship
  • Monitors pharmacokinetic, anticoagulant and antimicrobial dosing
  • Prepares intravenous drugs in an emergency situation
  • Provides drug information and distribute medications on time
  • Precepts and/or serves as a primary preceptor for Introductory Pharmacy Practice Experiences, General Medicine I, and Advanced Pharmacy Practice Experiences students
  • Documents interventions
  • Interviews and counsels patients about previous medication, new medications and disease states
  • Attends Emergency Department Subcommittee meetings
  • Completes projects as assigned and conducts in-service programs for medical staff

Health Systems Administration

The required Health Systems Administration longitudinal learning experience is scheduled throughout the residency program. Pharmacy management provides an overview of the leadership and management issues within the profession, hospital and Pharmacy Department. Pharmacy management will complete the evaluation process.

Neonatal Intensive Care Unit

The required Neonatal Intensive Care Unit learning experience is two weeks long. There are 15 beds in the NICU.

The pharmacist:

  • Participates with the multidisciplinary NICU rounding team (neonatologists, nurse practitioners, nurses, respiratory therapists and pharmacists) to address medication questions and recommend drug therapy changes
  • Ensures safe and effective medication usage
  • Participates in NICU code and intubations to help with dosing, diluting and drawing medications
  • Prepares drug monographs for neonatal use
  • Compounds and dispenses medications following best practices and the hospital’s policies and procedures
  • Ensures appropriate dosing for renally-cleared drugs following protocol and guidelines
  • Addresses formal consults for non-formulary drug requests and recommend alternate medications when necessary
  • Serves as a drug information resource for patients, caregivers and healthcare professionals

Neuro/Trauma Intensive Care Unit

The required Neuro/Trauma Intensive Care Unit learning experience is five weeks long. There are 14 beds in the Neuro/Trauma ICU. 

During the learning experience, the pharmacist:

  • Participates in emergency medical and stroke codes
  • Participates in multidisciplinary rounds on Mondays, Wednesdays, and Fridays
  • Monitors pharmacokinetic, anticoagulant and antimicrobial dosing
  • Prepares intravenous drugs in an emergency situation
  • Provides drug information and distributes medications on time
  • Precepts and/or serves as a primary preceptor for Introductory Pharmacy Practice Experiences, General Medicine I, and Advanced Pharmacy Practice Experiences students
  • Documents interventions
  • Interviews and counsels patients about previous medications, new medications and disease states
  • Attends Intensive Care Unit Subcommittee and Critical Care Practice Council meetings
  • Completes a journal club in the practice area and conducts in-service programs for medical staff

Oncology

The Oncology learning experience is a five-week elective. There are 40 inpatient beds and an outpatient infusion clinic.

During the learning experience, the pharmacist:

  • Reviews oral and IV chemotherapy administration for hematology/oncology patients
  • Recommends appropriate oral and IV chemotherapy administration, including dose modification
  • Educates patients on new chemotherapy initiation
  • Works with community allies, medication assistance programs and medication suppliers to remove barriers to transitions-of-care planning
  • Interacts with multidisciplinary team members to coordinate and ensure appropriate medication use
  • Educates members of the multidisciplinary team using informal questions, formal drug use evaluations, literature reviews and topic presentations
  • Assesses patients for medication side effects
  • Evaluates patient knowledge of and adherence to medication use, including at-home use
  • Documents medication histories and follow-ups on clinical issues and pharmacy-to-dose medication orders

Orientation and Training

The required Orientation and Training learning experience is four weeks long. During that time, the pharmacist supports training for scheduled shifts in the central operations/order verification area and on decentralized units. Pharmacy management will complete the evaluation process.

Staffing

In the required Staffing longitudinal learning experience, students rotate working every other weekend as the pharmacist in the central operations/order verification area.