Specialized Elective Studies
Pharmacy residents will have practice management and direct patient care responsibilities in a variety of roles. Elective studies with pharmacists will also be offered in several specialty areas including:
Orientation
- Pharmacy Practice
- Nutrition/Pharmacokinetics
- Computer Courses
Core Rotations
- Critical Care: The Critical Care rotation is intended to expose the resident to critically ill patients. 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 will 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 residents’ development into competent and confident pharmacy practitioners. 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. 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.
- Oncology: The oncology rotation allows the resident to actively participate in 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.
Longitudinal Rotations
Drug Information: This is a longitudinal rotation. Rotation goals are to enhance/expand the resident’s communication skills, ability to utilize the resources available, determine needed resources and provide concise, timely responses to information requests originating from the practice experience. Duties will consist of responding to questions from health care professionals and patients regarding medication and treatment information. Additional involvement will include patient assessment, application of medication safety standards, verbal and written responses, P&T reviews and newsletter articles.
- Nutrition/Pharmacokinetics
- P&T committee
- Staffing
- Resident Project
- MUE
Elective Rotations
- Oncology: Students who wish to emphasize their oncology studies, can choose this elective rotation. The oncology rotation allows the resident to actively participate in 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.
- 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 weeks) Practice Management rotation if they have a desire to gain more in-depth knowledge in this area.
- Pain Management
- Internal Medicine
- Emergency Department
- Pediatrics
- Geriatrics (see above)
- Hospice/Home Care
- Psychiatry
- Diabetes Education
- Adverse Drug Reactions
- Drug Information (see above)
- Critical Care (see above)
- Infectious Disease (see above)
- Cardiology (see above)
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Direct all correspondence, completed forms and phone calls to:
Rebecca Brannan, PharmD
PGY1 Pharmacy Residency Director
Mercy Medical Center
1111 6th Ave
Des Moines, IA 50314
rbrannan@mercydesmoines.org
Phone: (515) 643-2269
Fax: (515) 247-3966
About Des Moines
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