Learning Experience

Required Learning Experiences

Administration/Management is a longitudinal experience that will expose the resident to administrative responsibilities within the Emergency and Pharmacy Departments. Residents will focus on emergency/disaster preparedness, medication safety, core measure/quality initiatives, and CPOE/smart pump utilization.

Critical Care is a 4-week direct patient care learning experience integrating the resident into the MICU/SICU team including physicians, nurses, case management and dieticians. The resident will use evidence-based therapy to care for an array of medically complex patients. The resident will take the primary pharmacy role in all intubations, code blue and stroke responses.

ED Antimicrobial Stewardship is a longitudinal experience that will allow the resident to become proficient in empiric antibiotic selection for a variety of infectious sources as well as definitive antibiotic selection for our ED culture callback program. Emergency medicine pharmacists provide culture review services for both the Southwest General and our freestanding Brunswick Emergency Departments through our Collaborative Practice Agreement and provider discussion.

Emergency Medicine is a series of direct patient care experiences that will prepare the resident to be proficient in common disease states seen within the Emergency Department. Residents will receive advanced training in emergency medicine including trauma, toxicology, code response (code blue adult and pediatric, stroke, STEMI, and rapid response), and Emergency Medicine Services (EMS). Bedside medication preparation, clinical consultation, prospective order verification, discharge counseling, committee participation, and medication histories will be areas of focus during these experiences.

Infectious Disease is a concentrated, 2-week learning experience focusing on empiric antibiotic selection, culture reports, and antibiotic utilization for Southwest General patients. Collaboration between antimicrobial stewardship pharmacists, physicians, and other clinical providers will allow the resident to become independent in making therapy recommendations based on Southwest General antimicrobial formulary.

Orientation is a required experience during the first few weeks of the residency year (longer or shorter depending on experience and present abilities). The purpose is to provide the PGY-2 resident with a foundational experience at Southwest General where they will be oriented to the Pharmacy and Emergency Departments, learn the computer systems and be able to perform the daily duties of a practicing pharmacist. The orientation experience will include specialized time in the inpatient pharmacy along with time in the emergency department.

Preceptorship allows the resident to serve as a co-preceptor for IPPE and APPE students as well as PGY-1 Pharmacy Residents. The PGY-2 resident will utilize the four preceptor roles while precepting APPE students and PGY-1 residents throughout the residency year. Opportunities for presentations to Southwest General Medical and Nursing staff as well as EMS departments will also be available.

Research is a longitudinal learning experience that will allow the PGY-2 resident to further their knowledge base on the research process, refine pharmacotherapeutic skills required to conduct a research project, and present and publish results. Every resident will conduct research in the field of emergency medicine pharmacy to improve patient care and further the practice of pharmacy. Formal presentations will be conducted at a state, regional, or national poster or podium presentation during a winter (ASHP Midyear) and spring month (OCCP) with the submission of a manuscript to a national journal for publication.

Resuscitation focuses on training the resident to become an integral member of the resuscitation team in emergency response throughout the Emergency Department and hospital. This includes respiratory/cardiac arrests (Code Blue), trauma, rapid sequence intubation, stroke, sepsis, STEMI alerts, procedural sedation, cardioversion and rapid responses within the hospital. The resident will also participate in Code Blue, Trauma, Stroke, Sepsis, ED Operations and EMS Protocol Development Committees throughout the year.

Staffing focuses on training the resident to develop and enhance independent clinical skills that can be gained by staffing the Emergency Department. It is important that the resident practices with a staffing perspective to gain realistic practice experience. The goal of this longitudinal rotation is to give the resident practical experience as a clinical pharmacist in the Emergency Department.

Elective

• CVICU*
• Pediatrics
• Toxicology*
• Transitions of Care
• Trauma*

* Pending preceptor availability

**other electives dependent on resident interest**

Month	PGY-2 EM Learning Experiences
July	Orientation
August	Infectious Disease		EM 1
September	EM 1
October	CRIT CARE
November	EM 2
December	ASHP Midyear	EM 2
January	Elective
February	Elective
March	EM 3
April	EM 3			Elective
May	Elective			EM 4
June	EM 4

Staffing Requirements

The resident will provide clinical staffing every 3rd weekend
1 major and 1 minor holiday