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Learning Experiences

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

The residents’ interests and career goals will 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 rotation is an elective five-week learning experience. There are 48 beds on the ARU. 

During the rotation, the pharmacist will:

  • Prepare and provide recommendations during multidisciplinary rounds
  • Complete pharmacy consultations in anticoagulation and antibiotics
  • Provide evidence-based responses to drug information questions from patients and providers
  • Assess and ensure accuracy of transfer medication reconciliation for newly admitted patients 
  • Precept introductory and advanced practice pharmacy students

Adult Internal Medicine

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

During the rotation, the pharmacist will:

  • Oversee safe and effective medication use for all patients
  • Monitor intravenous-to-oral conversions
  • Review renal, pharmacokinetic and warfarin dosing
  • Educate STEMI patients about ticagrelor and other medications
  • Serve as a drug information resource to physicians, midlevel practitioners and nursing staff
  • Precept pharmacy students

Antimicrobial Stewardship

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

The pharmacist will:

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

Cardiac and Cardiovascular Intensive Care

The Cardiac and Cardiovascular Intensive Care Unit rotation is a required five-week learning experience. There are 14 beds on the Cardiac Intensive Care Unit, and 12 beds on the Cardiovascular Intensive Care Unit.

During the rotation, the pharmacist will:

  • Precept Introductory Pharmacy Practice Experiences, General Medicine I, and Advanced Pharmacy Practice Experiences students
  • Monitor all patients in the CICU and CVICU daily and assist providers with optimizing medication regimens
  • Participate in daily cardiothoracic surgery rounds
  • Participate in CICU multidisciplinary rounds every week on Mondays, Wednesdays and Fridays
  • Complete admission medication histories
  • Prepare and complete clinical and operational projects
  • Attend monthly Pharmacy and Therapeutics Cardiovascular Subcommittee meetings, Critical Care Practice Council meetings and other multidisciplinary process improvement meetings; assist with related initiatives, as needed

Emergency Medicine

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

During the rotation, the pharmacist will:

  • Participate in emergency medical, stroke and trauma codes
  • Demonstrate antimicrobial stewardship
  • Monitor pharmacokinetic, anticoagulant and antimicrobial dosing
  • Prepare intravenous drugs in an emergency situation
  • Provide drug information and distribute medications on time
  • Precept and/or serve as a primary preceptor for Introductory Pharmacy Practice Experiences, General Medicine I, and Advanced Pharmacy Practice Experiences students
  • Document interventions
  • Interview and counsel patients about previous medication, new medications and disease states
  • Attend Emergency Department Subcommittee meetings
  • Complete projects as assigned and conduct in-service programs for medical staff

Health Systems Administration

The Health Systems Administration rotation is a required longitudinal learning experience scheduled throughout the residency program. Pharmacy management will provide 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 Neonatal Intensive Care Unit rotation is a required two week learning experience. There are 15 beds in the NICU.

The pharmacist will:

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

Neuro/Trauma Intensive Care Unit

The Neuro/Trauma Intensive Care Unit rotation is a required five-week learning experience. There are 14 beds in the Neuro/Trauma ICU. 

During the rotation, the pharmacist will:

  • Participate in emergency medical and stroke codes
  • Participate in multidisciplinary rounds on Mondays, Wednesdays, and Fridays
  • Monitor pharmacokinetic, anticoagulant and antimicrobial dosing
  • Prepare intravenous drugs in an emergency situation
  • Provide drug information and distribute medications on time
  • Precept and/or serve as a primary preceptor for Introductory Pharmacy Practice Experiences, General Medicine I, and Advanced Pharmacy Practice Experiences students
  • Document interventions
  • Interview and counsel patients about previous medication, new medications and disease states
  • Attend Intensive Care Unit Subcommittee and Critical Care Practice Council meetings
  • Complete a journal club in the practice area and conduct in-service programs for medical staff

Oncology

The Oncology Rotation is an elective five-week rotation. There are 40 inpatient beds and an outpatient infusion clinic.

During the rotation, the pharmacist will:

  • Review oral and IV chemotherapy administration for hematology/oncology patients
  • Recommend appropriate oral and IV chemotherapy administration, including dose modification
  • Educate patients on new chemotherapy initiation
  • Work with community allies, medication assistance programs and medication suppliers to remove barriers to transitions-of-care planning
  • Interact with multidisciplinary team members to coordinate and ensure appropriate medication use
  • Educate members of the multidisciplinary team using informal questions, formal drug use evaluations, literature reviews and topic presentations
  • Assess patients for medication side effects
  • Evaluate patient knowledge of and adherence to medication use, including at-home use
  • Document medication histories and follow-up on clinical issues and pharmacy-to-dose medication orders

Orientation and Training

The Orientation and Training rotation is a required four-week learning experience. During the rotation, the pharmacist will support training for scheduled shifts in the central operations/order verification area and on decentralized units. Pharmacy management will complete the evaluation process.

Staffing Rotation

The Staffing rotation is a required longitudinal learning experience. Students will rotate working every other weekend as the pharmacist in the central operations/order verification area. Pharmacy management will complete the evaluation process.