Ambulatory care is a four week rotation that allows the resident the opportunity to develop skills in providing pharmaceutical care to ambulatory patients and to acquire an understanding of the pharmacist’s role on an outpatient healthcare team. This rotation will stress the application of therapeutics in patient care and require the resident to develop skills in taking medication histories, monitoring patients, providing drug information, and patient education. This rotation is designed to illustrate how to apply critical thinking in the process of reviewing clinical situations that require the use of pharmacotherapeutic concepts.
Administration – Hospital
Pharmacy Management is a four week rotation that involves introduction to basic principles of pharmacy financial management, human resource management, clinical performance measures, regulatory requirements, professional strategic planning, and key principles utilized in hospitals and health systems for leadership. The resident will participate with the Pharmacy System Director in all aspects of pharmacy administration. The resident will be given an opportunity to participate in projects that address process improvements and operational changes. The readings, discussions, and assigned projects will be determined by the department activities at the time of the rotation.
Family Medicine is a four week rotation. The resident’s responsibilities will include reviewing patient profiles prior to their scheduled appointments for potential issues or patients that would benefit from counseling. The resident will target patients for counseling who are on multiple medications, have multiple disease states, referred by physicians for counseling, and/or patients who are non-compliant with therapy. The resident will document all recommendations and counseling points in the patient’s visit note. Off campus patient visits are required for one day on the Mobile Outreach Clinic, as well as, at least one home visit with an attending physician and medical resident if the opportunity is available. The resident will attend educational activities such as Morning Reports and Noon Conferences and will serve as a drug information resource for Family Medicine physicians, nurses, and patients.
Geriatrics is a four week rotation that allows the resident to build a basic foundation of knowledge and clinical skills in the area of geriatrics. The resident will engage in active learning and develop pharmacotherapeutic skills in the prevention, identification, and resolution of drug therapy problems in the elderly. The resident will achieve a level of comfort in the pharmacotherapy of geriatrics patients to allow them to assume the role of a clinical pharmacist in the multidisciplinary care of the senior adult patient.
Internal Medicine I
Internal Medicine I is a four week rotation that involves the provision of pharmaceutical care on internal medicine/telemetry units within the hospital. The resident will review medication profiles daily to ensure appropriate indications for use and dosing, monitor for adverse effects, prevent drug interactions, and ensure proper laboratory monitoring. Daily responsibilities will also include providing pharmacokinetic dosing and management, TPN management, ensuring medication safety, properly documenting patient care activities, and effectively communicating with healthcare providers and patients. The resident performs an appropriate review of outpatient, admission, and discharge medications for indication, interactions (e.g. drug-drug, drug-disease state), dose, and duration according to evidence based medicine. In addition, the resident will also provide drug information and education for healthcare providers, patients, and students.
Therapeutic Policy Management
Therapeutic Drug Policy Management (TDP) is a four week concentrated rotation, which involves the continuous evaluation of the medical evidence to assist in the development of therapeutic policy and formulary management at St. Vincent’s Medical Center (SVMC). This rotation entails evaluating and analyzing the medication-use system against current best practices to ensure optimal outcomes. TPM is devised in a format to establish a working foundation for providing pharmaceutical care to patients and pharmaceutical information to healthcare professionals and the general public. Additional experience will be gained through designated learning activities in other rotation settings.