A Wealth of First-Hand Knowledge
The first few weeks of a rotation account for the residents’ orientation to Southwest General and the Pharmacy Department. The goal is to provide practical experience to new pharmacists. Orientation is flexible and the duration is determined by the residents’ previous experience, not by the department’s scheduling.
Internal Medicine (Required):
This rotation provides a wide range of patient therapies from hypertension to diabetes to infectious disease and takes place on our medical units. Residents are involved in a broad spectrum of disease states and drug therapies, increasing their awareness of diseases. This is the opportunity for pharmacy college knowledge to transcend into real life practice, as residents will use their basic drug knowledge and apply it to actual patients.
Critical Care (Required):
Residents will be responsible to participate in the care of patients in the ICUs. The resident will be expected to use higher levels of learning, applying drug and therapy information gained in previous rotations and school, using that knowledge to develop treatment plans and tailor therapies.
Infectious Disease (Required):
This specialized rotation will be a longitudinal learning experience where the resident will collaborate with the antibiotic stewardship program to ensure optimal antimicrobial therapy. The resident will review culture and sensitivity results and make drug and dose recommendation as well as gain valuable experience in pharmacokinetics and patient specific dosing recommendations.
This experienced based rotation to help the resident provide pharmaceutical care to a patient population in the cardiovascular setting. The resident will gain experience in monitoring for adverse and therapeutic effects of medications, assessing patients’ medication regimens and participate as a multidisciplinary team member during cardiology rounds.
Cardiology Outpatient (Elective):
This is an experienced based rotation in a major cardiovascular outpatient setting. The resident will gain experience in monitoring compliance, adverse effects of medications, counseling patients about their medications, ensuring core measures and participating as a multidisciplinary team member during clinic and office hours.
Ambulatory Care (Elective):
In our direct patient care Coumadin Clinic, residents will be able to interview, assess, monitor and provide direct care to our warfarin patients. From blood pressures to INRs, patients are evaluated and treatment course mapped to optimize therapy. Even though the clinic is geared to warfarin therapy, the big picture assessment is necessary to provide the optimum care. This rotation also will involve teaching about diabetes, tobacco cessation, pulmonary artery hypertension training and optimizing the heart failure diagnosis. A portion of the duties also will include patient teaching, whether in the clinic or prior to discharge from the hospital.
Transitions of Care (Elective):
Through our Medication Reconciliation Program, patients are followed throughout the continuum of care. Patient presentation venues could be in the ER, pre-admission testing or pre-op. Planning for discharge will involve collaboration with social workers, discharge planners, extended care facilities and home care providers. The resident will consult with physicians to ensure core measures are fulfilled and discharge medications are optimally prescribed. The resident also will develop programs for the community and extended care facilities.
Emergency Medicines (Elective):
The resident will develop a presence in the Emergency Room to provide needed drug information and treatment strategies. The resident will be ACLS and PALS trained and will provide rapid sequence intubation instructions and dosing guidance to the Emergency Room staff.
Technology is a mainstay in pharmacy practice. Through our highly integrated electronic patient care system, the resident will learn support and evaluation of various technologies and apply them to improve patient care and safety.
Administration / Drug Information / Quality Assurance (Required):
This longitudinal rotation fosters understanding of administration and how quality assurance reviews and drug information play into the practice of pharmacy. Because drug policy is developed on statistics gathered from quality reviews and drug information, this rotation combines these elements to paint the picture of pharmacy administrative practice. Residents will attend meetings such as Medication Safety and Pharmacy and Therapeutics Committee. The resident will work with the Quality Department and informatics to gather needed information to make clinical decisions.
Each resident will be responsible for a major project aimed at improving care at Southwest General Health Center. This could be a new or enhanced service or program, a problem solving exercise, optimizing drug distribution or improving information technology. Throughout the rotation, timelines will be set to help keep residents on track. Projects will be submitted for publication or presentation at various pharmacy programs or conventions.