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Pharmacy residency program rotations
During each rotation, the pharmacy resident will collaborate with pharmacists, nurses and physicians to identify, prevent and resolve medication therapy issues.
The resident must devise efficient strategies for accomplishing all required activities in a limited time frame. The focus of each rotation will be specific to the area, but may include other medication use issues as needed to care for the patients.
Emphasis will be placed on the resident's ability to improve their clinical skills in the selected area; however, the total care of the patient will also be taught. This includes the ability to multi-task and perform necessary dispensing functions.
By the end of the rotation, the resident should be competent to work independently as a novice pharmacist in the particular area, including:
The preceptor will be accountable for evaluating and providing feedback to the resident. The resident may work with several pharmacists during each rotation.
The cardiology rotation is designed to give the resident an opportunity to interact with patients hospitalized for heart failure, arrhythmia, acute coronary syndrome (ACS), primary pulmonary hypertension (PPH), interventional, cardiac surgery patients and critically ill patients with a cardiology-related primary diagnosis.
The critical care rotation allows the resident to identify patient-specific problems in critically ill patients and apply clinical therapeutic knowledge to provide patient care. In addition, the resident will monitor therapeutic drug regimens for efficacy and toxicity and become familiar with disease states common to critically ill patients. Interaction with other members of the care team is crucial to gain experience and confidence. Resident will prepare for and attend daily ICU rounds.
The emergency medicine rotation is required. The resident will work with an emergency medicine pharmacist. The resident will be an active member of the abnormal culture/lab follow-up service working under a collaborative practice agreement. The resident will be available to answer questions and provide recommendations to emergency medicine physicians and nurses. The resident will experience a fast-paced pharmacy environment which includes responding to and assisting with critical and trauma situations.
This elective rotation focuses on the care of our elderly patients. The resident will spend time focusing on geriatric health including fall risk reduction, medication adjustments and other population-specific themes. Most of this rotation will be spent practicing on the Unity's new Acute Care for the Elderly (ACE) unit which is only the second unit of its kind in the state.
The infectious disease rotation is designed to give the resident an opportunity to focus on the diagnosis, process, prevention and treatment of various infectious diseases. The resident will actively participate in daily antibiotic stewardship rounds with other members of the Antibiotic Advisory Team (including an infectious disease physician and pharmacist). The resident interacts with nurses, other pharmacists and microbiology/lab personnel daily.
This required longitudinal rotation focuses on the resident learning the systems behind the scenes making pharmacy safer and more efficient. The resident will work with a pharmacy operations manager to learn the various pharmacy systems such as our electronic medical record, automated dispensing system, and bedside barcoding. The resident will also learn the capabilities of our reporting software and learn to run their own data reports.
The required internal medicine rotation is designed to give the resident an overview of the patient population at Mercy and Unity while providing the building blocks for clinical pharmacy. The resident is involved in providing pharmaceutical care to internal medicine patients with acute and chronic medical illnesses. The resident will monitor patient's medication therapies, present and discuss internal medication topics with preceptors and students and further develop clinical pharmacist staffing skills.
Recognizing American Society of Health-System Pharmacists' call for pharmacy leadership development, the Mercy Residency Program offers a focus in developing an emerging pharmacy leader. The three part series will focus on:
This required longitudinal rotation will provide the resident knowledge and experience to identify, develop and implement safe medication practices. The resident will gain knowledge first through reading publications on mediation safety. The knowledge will then be applied to develop and implement initiatives to improve the medication use system. The resident will work with the manager of performance improvement and members of the Medication Safety Steering Committee which include executive vice presidents, directors and managers across Mercy and Unity. In addition the resident will work with the Nursing/Pharmacy Committee.
During this elective rotation, the resident will attend daily rounds on our inpatient adult and geriatric psychiatric unit at Mercy. The resident will round with an inpatient psychiatrist and be available for questions and recommendations. The resident will also have the opportunity to work with a chemical dependency counselor to gain experience with the chemical dependency programs in our inpatient substance abuse unit at Unity.
The elective oncology clinical rotation focuses on both outpatient and hospitalized patients with cancer with an emphasis on supportive care. During this rotation the pharmacy resident will identify and resolve medication therapy issues for patients as it pertains to oncology care. The resident will use current treatment guidelines to develop, monitor, and adjust patient-specific pharmacotherapy regimens and monitoring plans. The resident will follow all patients admitted for chemotherapy, and other patients identified by either the resident or preceptor. Opportunities for residents to shadow oncologist and infusion center nurses are also available.
This rotation is a required longitudinal rotation which focuses on several pharmacist opportunities in the outpatient setting. These include bariatric teaching, comprehensive medication review and medication therapy management visits, heart failure education, and geriatric medication review. Residents will meet with patients and provide education along with completing the documentation in the electronic medical record and interacting with other healthcare professionals as appropriate.
The purpose of the required practice management rotation is to enhance the resident's understanding of the role of pharmacy management and leadership in meeting the goals of the organization. Through assigned readings, focused discussions, projects, and observational and participative experiences, the resident will gain knowledge and skills related to financial operations, purchasing, medication safety, medication distribution, regulatory compliance, and collaboration with other disciplines. The resident will be challenged to evaluate and express insight related to their ongoing experiences, and the manifestations of leadership.
The resident will work routinely with our pharmacy director, pharmacy operations and clinical manager(s), participants in multidisciplinary committees and projects, Allina Health pharmacy leaders and other leaders on an ad-hoc basis. The resident will attend department staff meetings, director-manager meetings and other department meetings as assigned by the preceptor.