Rotations

Orientation

Orientation will take place during the month of July. The resident will spend time orienting to Beaumont Health System and the Department of Pharmacy. Time will be spent with both pharmacy staff and specialists. The resident will be provided training in the use of the Department’s computer system (EPIC), staffing on 6CN satellite, the dosing service, and other duties necessary to function as a pharmacist and a resident within the department.

Medical Intensive Care Unit (MICU)

The medical critical care rotation is a required learning experience for the critical care resident. This rotation is completed on the medical intensive care unit, and at least two MICU rotations are required for the critical care resident during the residency year. The overall goal of this rotation is to develop the resident’s skills in identifying and resolving drug related problems in the critically ill using evidence-based primary literature in the area of critical care therapeutics. The resident will become the lead pharmacist on the medical intensive care unit team, and will assume all responsibilities of the rounding pharmacist. Residents may be involved in precepting Doctor of Pharmacy students, baccalaureate pharmacy students, or pharmacy practice residents.  

General / Transplant Surgical Intensive Care Unit

This surgical critical care rotation is one of three possible rotations available to meet the required two SICU rotations during the residency year. The rotation focuses on providing pharmaceutical care to the patients on 3 East, a 20-bed unit caring for patients from a variety of surgery services including: transplant surgery, general surgery, vascular surgery, thoracic surgery and others.  All patients undergoing renal & hepatic transplants are cared for on this unit post-operatively. The resident will participate in daily multidisciplinary rounds and will identify and resolve actual and potential drug related problems in the SICU. The resident will be responsible for all pharmacokinetic dosing and precepting graduate pharmacy students or PGY-1 residents if applicable.  During the month, the resident will meet with the preceptor as needed to discuss patient cases, interventions and therapeutic topics. The rotation allows the resident to promote adherence to institution-developed guidelines, pathways and algorithms for a variety of disease states and drugs. The resident will present one case presentation or topic discussion to the pharmacy staff as well as one inservice to the surgical residents.

Cardiac Intensive Care Unit (CICU)

This cardiac critical care rotation is an elective rotation for the PGY2 Critical Care Resident. The rotation focuses on providing pharmaceutical care to the patients on 6 East, a 20-bed intensive care unit caring for patients with a variety of cardiovascular disease states.  Some of the most common admission diagnoses include: acute decompensated heart failure, acute coronary syndrome (ACS), cardiogenic shock, and various arrhythmias.  The resident will participate in daily multidisciplinary rounds and work closely with the medical team to identify and resolve actual and potential drug related problems in the CICU.  The resident will also be responsible for pharmacokinetic dosing and precepting of pharmacy students or PGY-1 residents, if applicable, and will meet with the preceptor regularly to discuss patient cases, interventions and therapeutic topics. One case presentation or topic discussion to the pharmacy staff and at least one in-service to the medical team will be completed by the resident prior to rotation completion.

Cardiovascular Surgical Intensive Care Unit

This surgical critical care rotation is one of three possible rotations available to meet the required two SICU rotations during the residency year. The rotation focuses on providing pharmaceutical care to the patients on 2 East, a 20-bed unit caring for patients from a variety of surgery services including: cardiothoracic surgery, general surgery, vascular surgery, thoracic surgery and others. All cardiothoracic surgery patients are cared for peri-operatively on this unit. The resident will participate in daily multidisciplinary rounds and will identify and resolve actual and potential drug related problems in the SICU. The resident will be responsible for all pharmacokinetic dosing and precepting graduate pharmacy students or PGY-1 residents if applicable. During the month, the resident will meet with the preceptor as needed to discuss patient cases, interventions and therapeutic topics. The rotation allows the resident to promote adherence to institution-developed guidelines, pathways and algorithms for a variety of disease states and drugs. The resident will present one case presentation or topic discussion to the pharmacy staff as well as one inservice to the surgical residents.

Neurological / Trauma Surgical Intensive Care Unit

This surgical critical care rotation is one of three possible rotations available to meet the required two SICU rotations during the residency year. The rotation focuses on providing pharmaceutical care to the patients on 5 East, a 20-bed unit caring for patients from a variety of surgery services including: neurosurgery, trauma surgery, general surgery, vascular surgery, thoracic surgery and others. All major trauma and neurologic injury patients are cared for peri-operatively on this unit. The resident will participate in daily multidisciplinary rounds and will identify and resolve actual and potential drug related problems in the SICU. The resident will be responsible for all pharmacokinetic dosing and precepting graduate pharmacy students or PGY-1 residents if applicable. During the month, the resident will meet with the preceptor as needed to discuss patient cases, interventions and therapeutic topics. The rotation allows the resident to promote adherence to institution-developed guidelines, pathways and algorithms for a variety of disease states and drugs. The resident will present one case presentation or topic discussion to the pharmacy staff as well as one inservice to the surgical residents.

Research

The residency project research month is a mandatory learning experience for the PGY-2 resident and is usually completed during the month of December. The main goals of the residency research project are to provide the resident with experience in 1) conducting a complete research project, 2) giving a presentation at a regional pharmacy conference, and 3) preparing a manuscript for submission to a professional journal. Projects at Beaumont Hospital, Royal Oak are chosen for their 1) relevance to the current practice of pharmacy, 2) ability to be completed during the residency year, and 3) impact on patient care. The resident will not only experience the process of project development, implementation, and analysis but to also see that all their hard work will be utilized to further patient care and/or advance the provision of pharmaceutical services.

Infectious Diseases

Infectious Diseases rotation is an elective learning experience for the PGY-2 resident, and will be rounding with the ID team providing recommendations that ensure safe and effective use of antimicrobials. The resident will be responsible for identifying and resolving drug related problems in the patients assigned to them. They will also become familiar with key articles in the infectious diseases literature and use primary literature to support their desired interventions when appropriate. Residents completing the rotation will have the understanding of microbiology, pharmacokinetics and pharmacodynamics of antimicrobial therapy. Residents will also be expected to demonstrate excellent communication skills with the medical team and the pharmacy staff, and may have an active role in precepting Doctor of Pharmacy students concurrently on the ID rotation.

Nutrition

The Nutrition Support rotation is an elective learning experience for the PGY-2 resident. The Nutrition Support Service (NSS) is a multi-disciplinary team of nurses, pharmacists, and physicians responsible for monitoring all adult total parenteral nutrition (TPN) patients which consists of a significant subset of surgical ICU patients. The PGY-2 resident will be the lead pharmacist responsible for ensuring optimized nutrition therapy by promoting safe and cost-effective use of parenteral and enteral nutrition and to minimize inherent complications. The resident will round with a member of the NSS team on a daily basis and attend formal rounds with the attending physician twice weekly. Residents may be involved in precepting Doctor of Pharmacy students,  pharmacy practice residents, and dietetic interns.  

Transplant

Transplant is an elective learning experience for the PGY-2 resident. The multidisciplinary transplant team consists of a nurse practitioner, surgical residents, attending nephrologists, hepatologists, and surgeons, as well as inpatient and outpatient nurses. The pharmacy resident will work with the team to identify and resolve medication-related issues in patients with end-stage renal or hepatic disease and those with a history of a solid organ transplant. The resident will also assist in transitioning new transplant recipients to the outpatient clinic by providing medication-related counseling. In addition to daily laboratory value monitoring, chart reviews, and participation in team rounds, the resident will also conduct topic discussions, deliver case presentations, and perform educational reviews for the team. Additionally, the resident may gain teaching experience by co-precepting Doctor of Pharmacy students and/or PGY-1 residents.

Academics

The  Academic rotation is an elective learning experience for PGY-2 residents. Residents will spend their time between Beaumont Hospital and the Eugene Applebaum College of Pharmacy and Health Sciences (EACPHS) located in Detroit, MI. The rotation is structured to provide residents with insight into academia as a potential career path. Residents will gain an understanding of the different philosophies of teaching and pedagogy, the different types of faculty positions, the infrastructure of an academic program/college and challenges facing academia. The preceptor will meet with residents prior to the rotation in order to gauge resident interest in different opportunities which may be available. The rotation activities list will be individualized and finalized after this meeting occurs. The resident must devise efficient strategies for accomplishing the required activities. When there is a Doctor of Pharmacy student on the rotation concurrently, the resident will have an active role in precepting the student and facilitate the topic discussions prepared by the student. 

Pediatric Intensive Care Unit

Pediatric ICU is an elective patient care rotation for the PGY-2 resident. During this rotation the resident will be expected to be involved in all aspects of pharmacotherapy and to provide direct patient care for selected patients in the pediatric intensive care unit. The resident will work with the medical team to identify, present and resolve medication therapy issues in the pediatric critical care setting. In addition, the PGY-2 resident will also be required to understand the operations within the pediatric pharmacy satellite, precept any pharmacy students on rotation, and provide education to pediatric pharmacy staff, pediatric ICU nursing staff, and the medical team. The resident may be asked to also complete a pediatrics/pediatric ICU related project during this rotation.

Neonatal Intensive Care Unit

The Neonatal ICU rotation is an elective patient care rotation for the PGY-2 resident. The resident will be  involved in all aspects of pharmacotherapy and provide direct patient care for infants on the medical resident service in the Neonatal Intensive Care Unit. The resident will assume responsibilities of the rounding pharmacist and work with the medical team to identify, present and resolve medication therapy issues for neonatal patients. In addition, the PGY-2 resident will also be required to understand the operations within the pediatric pharmacy satellite with regards to verifying and dispensing medications for neonatal patients as well as to provide education to the medical resident team and medical students.

Drug Information / Medication Safety

The Medication Safety Rotation is longitudinal learning experience for the PGY-2 resident. This rotation will provide residents the opportunity to gain experience with evaluation of both internally- and externally-identified sources of actual or potential medication safety concerns, action plan development and implementation of system safety measures where applicable. There will be topic discussions throughout the year based on assigned readings, for which the resident is expected to be well-prepared. Residents may be actively involved in the monthly Medication Safety Committee meeting throughout the year.