- research project presented at a regional residency conference
- medication use evaluation (MUE) presented at ASHP Midyear Meeting
- extended rotation series (ambulatory care clinics)
- presentation to Pharmacy & Therapeutics Committee (formulary review and/or new protocol development and/or results of MUE)
- Pharmacy Grand Rounds (attendance and presentations)
- attendance at Pharmacy Staff Meetings and Clinical Pharmacy Practice Council Meetings
- pharmacy education (Pharmacy Grand Rounds, ACPE lecture, Learn & Grow in-services, dept. newsletter, and more)
- precept IPPE and APPE residents
- rotating chief resident appointment
- rotating code blue team participation
- clinical and operations staffing (every third weekend plus one afternoon every 4 weeks)
- Teaching Certificate Program provided through Wayne State University Eugene Applebaum College of Pharmacy and Health Sciences
Professional meeting attendance
- Southeastern Michigan Society of Health System Pharmacists
- ASHP Midyear Clinical Meeting
- Regional Residency Conference
The Pharmacy Administration rotation is a required learning experience for the PGY1 resident. This is a 4-week based rotation with some teaching elements applying to a 12 month longitudinal learning experience. The rotation will allow the resident to observe and participate in the most important pharmacy and hospital leadership, managerial, administrative and medication use safety activities performed at Beaumont Hospital of Dearborn and/ or Beaumont Health Pharmaceutical Services. The learning experiences will allow the resident to have a first had experience in committees, budgetary plans, strategic plans, quality assurance, creating and updating polices, along with optimizing clinical and operation services opportunities. Interdisciplinary committees are a significant part in pharmacy administration and medication use safety. Resident attendance and participation in many of these committees is required. The rotation will involve working with the Director of Pharmacy, pharmacy managers, pharmacy leads and/ or pharmacy specialists, depending on project assignments during the rotation.
The antimicrobial stewardship (AMS) rotation will provide the resident with the opportunity to learn about the management of an antimicrobial stewardship program (ASP). The resident will work under the direction of a clinical pharmacy specialist and infectious diseases physician to identify and resolve anti-infective pharmacotherapy problems in high-risk patients. The resident will demonstrate proficiency in communication and interpersonal skills with other health care providers in the hospital setting. The resident will also exercise leadership skills, demonstrate project management skills, provide medication and practice-related education/training, and utilize medical informatics during the course of the rotation.
Four main components:
- cardiac intensive care rounds with a multidisciplinary team composed of intensive care physician, nurse practitioner, nurses, respiratory therapist, palliative care, and clinical dietitian. Patients would be worked up in a “head to toe” approach covering pharmacotherapy evaluation for multiple disease states
- academic cardiology consult team composed of the attending cardiologist, cardiology fellow, and medical residents. The focus will be on cardiovascular-related pharmacotherapy
- heart failure consults where patients at very high risk for HF re-admission are referred to the pharmacist for pharmacotherapy evaluation, medication optimization recommendations, and patient education
- post-acute-myocardial infarction consults where patients with acute MI are referred to the pharmacist for pharmacotherapy evaluation, medication optimization recommendations, and patient education
During this rotation, residents will be exposed to a variety of experiences targeted to enhance clinical management of patients and their medications. Residents will be trained to assess patient therapy, dose appropriateness, efficacy, and safety. Residents will be expected to manage warfarin therapy under a collaborative practice agreement as well as monitor the safety and efficacy of novel oral anticoagulants. Furthermore, residents will partake in pharmacokinetic dosing and medication management services to patients on various antimicrobials, anticoagulants, and antiepileptics. This rotation will also allow residents the opportunity to partake heavily in HIV treatment, monitoring, and counseling. To further enhance learning, residents will be expected to provide presentations and in-services to pharmacy staff, educate patients on their medications, and work in collaboration with the healthcare team with the patient’s best interest in mind.
Drug information and quality
Upon successful completion of this rotation, the resident will demonstrate that he/she is competent and proficient in his/her ability to gain insight on the various roles of a pharmacist in the DI/ administrative arena, utilize drug information resources to answer questions, pharmacist involvement in medication safety and error reduction, monitoring and reporting of adverse events, the utilization of medication use criteria, participation in formulary review monograph preparation, and drug shortages management plans. The resident will exercise leadership skills, demonstrate project management skills, provide medication and practice-related education/training, and utilize medical informatics. The resident is expected to demonstrate effective communication, written and organization skills, responds well to constructive criticism, completes assignments on time, and shows ownership.
Infectious disease inpatient consult
The long term goal of the Infectious Diseases (ID) consultation rotation is to contribute to the trainee’s development of fundamental pharmacotherapy skills for the foundation as an independent clinical pharmacy practitioner. The objectives of this rotation are to enhance the foundational approach to clinical knowledge, the application of evidence-based medicine, the clinical assessment of patients, and the dissemination of education.
During the Infectious Diseases (ID) consultation rotation, the trainee will be responsible for direct patient care of patients consulted to the ID consult service as an integral member of the multi-disciplinary ID team or intimately with the ID attending alone. ID inpatient service manages consults throughout the hospital and specialty units with an average daily census of 15-20 patients with a variety of infectious complications. ID service is a daily teaching rounding service that entails extensive pharmacotherapy work-ups of patients encompassing guidelines and primary evidence, ID educational meetings, and patient and staff education. Additional learning experiences include integrated antimicrobial stewardship activities, microbiology rounds, outpatient clinic shadowing, and projects.
Infectious disease ambulatory care clinic
The long term goal of the Infectious Diseases (ID) ambulatory care rotation is to contribute to the trainee’s development as a primary care provider. The objectives of this rotation are to enhance the foundation of patient adherence assessment and education, the application of evidence-based medicine toward pharmacotherapy management, and the dissemination of education.
During this ambulatory rotation, the trainee will be an integral member of the multi-disciplinary team consisting of ID attending, specialized nurse practitioner, specialized social worker, dietician, and specialized medical assistants. ID outpatient services span across 4-5 half-days/week and include HIV clinic, Wayne County Department of Health TB clinic, and generalized ID clinic. Trainees will focus on patient education, MTM, develop clinical pathways, maintain telemedicine services, manage vaccinations, and educate clinic staff. Pharmacotherapy learning experiences also include standard of care pharmacogenomics and application of pharmacokinetic dose design.
Internal medicine ambulatory care clinic
The Internal Medicine Clinic ambulatory care rotation will provide an opportunity for residents to use an interdisciplinary and collaborative approach to the delivery of patient care via face-to-face clinic visits and non-face-to-face efforts. The goal of the embedded pharmacist-led Pharmacotherapy Clinic is to promote positive health outcomes related to the use of medications. Residents on this rotation will be involved in patient care services including chronic disease state management, transitions of care management, and comprehensive medication management. Residents will establish relationships with clinic patients while learning how to enhance medication effectiveness, safety, adherence, education, and accessibility. On this rotation, residents will learn alongside medical residents, physicians, and other members of the interprofessional health care team.
Develop patient care skills and knowledge in oncology, including but not limited to patient work ups, pharmacy consults patient education, drug information questions, topic discussions, and assigned projects or presentations. Responsibilities may involve inpatient and Cancer Treatment Center (CTC).
Intensive Care Unit
The intensive care unit rotation will provide the resident with the opportunity to care for critically ill patients through a collective multidisciplinary approach. Residents will be responsible for working up patients in a head-to-toe fashion, assessing current therapy comprehensively, identifying any gaps or errors in care, and developing an individual care plan for each patient. During this rotation, residents will develop a hands-on approach to multidisciplinary interactions through discussion of care strategies as well as presenting evidence based care with a goal of providing the most effective and safe therapy. Residents will have the opportunity to further develop their knowledge of disease states through frequent resident-led topic and patient discussions. The intensive care unit serves as an environment which allows residents to establish an understanding of diverse disease states, the treatment of multiple complications at once, and multidisciplinary communication.
The internal medicine rotation is a required learning experience. Residents provide clinical pharmacy services to one of three teaching teams with patients of a wide range of acuity and complexity. The pharmacy resident is expected to conduct thorough medication histories, facilitate transitions of care, provide drug information services, and actively participate in daily teaching rounds and team assignments. Residents will gain hands-on experience interviewing, evaluating, and educating patients and families, creating drug therapy and monitoring plans, and communicating with numerous care providers. This rotation utilizes a layered learning model to facilitate the practical training of PGY1 residents, APPE students, as well as the occasional IPPE student.
This rotation aims to identify, develop, and implement safe medication practices as it relates to the inpatient setting. Activities involve review of reported medication errors and adverse drug events, participating in root causes analyses, presenting at the medication safety meeting, and projects related to medication safety.