Residency Rotations & Staffing

Patient Care
A pharmacy residency must provide training in, and residents must gain experience with providing clinical and operational services necessary to provide a safe and effective medication use process at the site. Residents must also gain experience in providing pharmaceutical care to a diversity of patient populations with a variety of disease states and a range of complexity of patient problems.

PATIENT CARE SPECIFIC ROTATIONS DURATION
Anticoagulation*
2-4 weeks
Critical Care
4 weeks
Cardiology
4 weeks
Emergency Department*
4 weeks
General Medicine
4 weeks
Pediatrics / NICU
4 weeks
Psychiatry*
4 weeks
Oncology*
2-4 weeks
Surgery*  4 weeks
*denotes elective rotation

Pharmacist Supervised Rotation
To develop resident practice competency, it is critical that learning experiences be supervised by pharmacist preceptors who model pharmacy practice skills and provide regular feedback. However, in the later stages of resident training, when the primary role of the preceptor is to facilitate resident learning experiences, it is permissible to use practitioners (e.g., physicians, physician assistants, and certified nurse practitioners) who are not pharmacists as affiliated preceptors for select learning experiences. For each of these experiences, a pharmacist remains as primary preceptor. This pharmacist determines the goals and learning objectives the experience, and is ultimately responsible for evaluation of the resident’s performance. Moreover, a resident can complete these experiences only at a point in the residency when sufficient pharmacist modeling has occurred and the resident has demonstrated a level of professional competence that would permit indirect preceptor oversight.

ROTATIONS DURATION
Infectious Disease
4 weeks
Nephrology*
4 weeks
Nutrition Support*
2 weeks
Palliative Care*
2-4 weeks
*denotes elective rotation

Pharmacy Practice Management (PPM)
The focus of a pharmacy residency is on refining the knowledge, skills, attitudes and abilities needed to pursue optimal medication therapy outcomes. Therefore, a resident must understand the integrated facets of pharmacy operations within a health system that function to achieve that purpose. Over the course of the longitudinal PPM experience, the resident will fulfill obligations and complete assignment that help him gain a deeper understanding of medication use processes. These components include year-long tenure on the Therapeutic Review subcommittee of the Pharmacy and Therapeutics committee, completion of drug monographs, class reviews, and medication use evaluations, four-month tenure on the Safety Action subcommittee, bimonthly topic discussions with members of the pharmacy leadership team, and partnership with the pharmacy-information systems manager.

Project
An investigation of some particular element of pharmacy must be completed as one of the requirements for the residency. This may be in the form of original research, a problem-solving exercise, or development, enhancement or evaluation of some aspect of pharmacy operations or patient care services. Formal presentation of the project structure and results are required at the ASHP Midyear Clinical Meeting and the Great Lakes Regional Residency conference. Additionally, the resident is required to complete a manuscript by the conclusion of the residency program. The resident is given devoted rotation time to finalize the project prior to the ASHP Midyear Conference.

Any required rotation may be extended as an elective. The list of elective rotations is not inclusive. Residents should discuss non-listed opportunities with the Residency Program Director.

Pharmacy Practice Residency Goals and Objectives Residency Hospital Pharmacy Service (Staffing) Options
No staffing during first four weeks (orientation).

Late July-September: All residents will staff 2 x 5-hour PM shifts (1700-2200) per week: includes Monday through Fridays (no shifts Saturday or Sunday). Shifts will be rotated (i.e. same resident won’t consistently have Friday PM).

Options for remainder of program year (October-June):
  1. Every third weekend: Saturday/Sunday 10 hour days [260 hours]
  2. Every two weeks: weekday (including Fridays) PM 10 hour shift PLUS 2 weeks of blocked weekday staffing (4 x 10 hour days) during program year [280 hours]
Residents will have option to change at midpoint (January).

Residents share responsibility for Code/MRT pager coverage on weekdays from 0730 to 1700.
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