Core rotations will also be offered in several specialty areas including:
• Critical Care: The Critical Care rotation is intended to expose the resident to critically ill patients. Mercy Medical Center has three adult critical care units (Neurotrauma ICU, Cardiac Surgical ICU and Cardiac/Medical ICU). Emphasis will be placed on assessing and understanding commonly used medications for the critically ill patient and effectively communicating with other medical professionals. The focus of the practice is in the neurosurgical/ medical ICU and trauma patient populations. Some areas covered include anticoagulation, pain management, sedation, nutrition, antibiotics and hemodynamics as it applies to the critical care patient.
• Cardiology: The primary goal of this rotation is to facilitate the resident's development into a competent and confident pharmacy practitioner. While on the Cardiology rotation, the resident will take an active role in seeking out and preventing problems associated with medication use. The resident will be responsible for reviewing all patients’ drug regimens and developing pharmacotherapeutic plans. The pathophysiology and drug therapies for acute coronary syndromes, congestive heart failure, arrhythmias and other cardiac disease states will be reviewed with the resident. The resident will gain exposure to the drug policy process and will develop an approach to answering drug information requests. The Cardiology rotation will help the resident develop a lifelong learning approach that includes evaluation of current literature.
• Infectious Diseases: The goal of the infectious disease rotation is to provide the resident with an intensive and broad exposure to infectious diseases while developing competency in the clinical application of antimicrobial drug knowledge. Residents will learn the fundamentals of Antimicrobial Stewardship. During this rotation, the resident will be involved in the care of patients with a wide variety of infectious diseases. Activities during this rotation include daily rounding with the infectious disease pharmacy specialist, pharmacokinetic dosing of antimicrobials and monitoring anti-infective therapies of patients. Other activities include education of pharmacy students, physicians, nurses, other pharmacy staff and residents. The residents will also be involved in current research activities within the Pharmacy and Infection Control Departments.
• Internal Medicine: These internal medicine rotations allow the resident to actively participate in daily patient care rounds with attending physicians and medical resident physicians. During these rotations, the resident will be involved in many aspects of patient care – including diabetes management, anticoagulation management, cardiovascular medications management and many other areas of patient medication management. The resident will also be involved with precepting pharmacy students during these rotations.
• Oncology: The oncology rotation allows the resident to actively participate in the provision of pharmaceutical care for adult oncology patients. The resident’s activities include monitoring drug therapy to identify and resolve problems, managing TPN and pharmacokinetics consults, rounding with an oncology team, participating in discussions about oncology disease states and supportive care topics, presenting patient cases and journal articles and providing drug information. The resident is responsible for providing a nursing in-service and may assist with mentoring pharmacy students.
• Emergency Medicine: The EM learning experience offers an extremely hands on approach to patient care where pharmacists work at the bedside alongside physicians, medical residents, and nurses among other members of the interdisciplinary healthcare team. Residents will respond to medical and traumatic resuscitations, provide drug therapy consultations, perform culture follow-up activities, assist with medication administration, answer drug information questions, and other tasks as necessary.
• Practice Management: This longitudinal rotation is intended to expose the resident to issues and tasks affecting overall pharmacy operations and specific current initiatives. Financial performance, human resource management, medication safety and drug procurement are among the topics covered. During this time, the resident will also gain an understanding of the role of each of the managers and management support staff members within the department. In addition, regular participation at weekly pharmacy leadership team meetings throughout the year is encouraged. Residents may choose a longer (4-5 week) Practice Management rotation if they have a desire to gain more in-depth knowledge in this area.
• Resident Projects
Elective Rotations (multiple options are available)