In order to ensure that our residents are qualified across a wide range
of clinical practice settings Southwest General’s residency program
requires that all residents complete the following rotational experiences.
Internal Medicine I & II
These rotations provide the resident hands-on experience across many common
disease states such as diabetes, cornary artery disease, chronic obstructive
pulmonary disease, and gastrointestinal disorders. Residents are involved
in the day to day care of their patients, rounding with internal medicine
physicians, and patient interaction and education. This rotation forms
the foundation for drug and disease knowledge that other rotations will build on.
Transitions of Care
Nowhere else is a pharmacist more valuable than in the Transitions of Care
process. Southwest General has multiple pharmacists devoted specifically
towards this important specialty practice. The residents will work collaboratively
with patients, families, social workers, physicians, and extended care
facilities to ensure optimal care for patients across the whole medical
With the adaptation of the Joint Commission Antimicrobial Stewardship Standard,
a pharmacist’s skills in infectious disease have never been more
important. In this rotation, our residents will work directly with Southwest
General’s antimicrobial stewardship pharmacists, physicians, and
other clinical providers to monitor and improve antibiotic utilization
across our hospital. They will learn through reviewing culture reports,
making therapy recommendations, as well as gain valuable experience in
pharmacokinetics and patient-specific dosing recommendations.
This rotation requires the resident to synthesize and apply drug therapy
knowledge to medically complicated patient cases, making clinical recommendations
based on patient specific changes in pharmacokinetics and pharmacodynamics.
The resident will be integrated into the daily function of the medical
team, including intensivists, nursing, and case management as well as
participating fully in code blue and stroke alert responses.
The emergency department is a unique practice site due to the wide variety
of clinical experiences and the necessity of quick, independent decision
making. The residents in the emergency department participate in code
response, stroke alerts, rapid sequence intubation, and many other unique
and time sensitive scenarios and are challenged to take on more responsibility
as an independent practitioner. Despite these challenges, many previous
residents have found this rotation to be instrumental to their development
as a pharmacist.
Ambulatory Care (Longitudinal)
Direct patient care is an important part of any residency program, and
our residents experience that through the longitudinal ambulatory care
rotation. In addition to routine staffing in our Coumadin Clinic, our
residents also work with our chronic care services to improve holistic
patient care across a wide variety of practice settings and disease states.
Over the course of the year, residents will design and implement a clinical
research project. With the help of our preceptors, residency research
committee, consulting statistician, and other available resources the
residents will present their findings at both regional and national conferences
and prepare a manuscript for publication
This rotation pairs the resident with our Director of Pharmacy throughout
the residency year. Through monthly meetings and projects, the resident
can expect leadership mentoring, personal and professional development,
as well as an opportunity to effect change on the practice of pharmacy
at Southwest General through quality projects, committee membership, and
pharmacy service implementation.