Residency Rotation Schedule
- July / August - Orientation / Administration
- August / September - Internal Medicine (4 weeks)
- September / October - Oncology (4 weeks)
- October / December - Infectious Disease (6 weeks)
- December / January - Critical Care (6 weeks)
- February / March - Cardiology (6 weeks)
- March / April - Emergency Medicine (6 weeks)
- May - Elective I (4 weeks)
- June - Elective II (4 weeks)
Preceptor - Kim Tate, Pharm.D.
The Administrative learning experience is a longitudinal rotation for PGY1 pharmacy residents. The resident will be introduced to and receive experiences in all aspects of pharmacy administration including budgeting, human resource issues, committee responsibilities, inter- and intra-departmental relationships, and extra-hospital responsibilities. The business, regulatory, and medication safety aspects of the Pharmacy Department will be a primary focus of this rotation. This rotation is designed to develop knowledge, managerial skills, attitudes and abilities in pharmacy leadership. Specific residency objectives will be established in the beginning of the residency and modified according to the resident's interests and previous experiences.
Preceptors - William Moran, Pharm.D., BCPS / Paige Schuenke, Pharm.D.
The cardiology rotation is a 6-week required learning experience for PGY1 pharmacy residents. The cardiology rotation will provide a foundation for the general treatment of multiple cardiac conditions that occur in a wide variety of patients. By the end of the rotation the resident should be able to provide clinical pharmaceutical services independent of their preceptor to a general cardiac population. As the 6-week rotation evolves, the resident will be given more responsibility within the service to provide patient care and clinical monitoring. Direction and discussion of specific patient cases will be conducted with the preceptor on a daily basis or as needed by the resident. Recommendations should be made to the medical staff based on current guidelines, recent literature reviews, and patient safety.
Critical Care Rotation
Preceptors - John Flanigan, Pharm.D., BCNSP / James Adams, Pharm.D., BCPS
Critical care is a required, 6-week learning experience at Good Samaritan Medical Center and is the fifth patient care experience for all PGY1 pharmacy residents. The ICU consists of 24 beds and cares for medical, cardiac, neurology, and surgical ICU patients. There are three main pulmonologists who conduct patient care rounds daily. Other disciplines of the ICU team include: clinical pharmacists, nursing, dieticians, respiratory therapists, clinical nursing educators and various other consulted physicians and healthcare professionals. The pharmacy resident is responsible for working towards assuming care of all patients in the unit throughout the learning experience. The resident will provide and document all therapeutic drug monitoring services for patients requiring, but not limited to, electrolyte management, aminoglycoside, vancomycin, parenteral nutrition, glucose control, antibiotic therapy, anticoagulation and drug information.
The resident will work extensively with various members of the intensive care team to ensure patient safety and the application of evidence based medicine. The resident will provide an educational in-service to the intensive care team prior to the completion of the rotation and provide journal club presentation to the pharmacy department. Good communication and interpersonal skills are vital to success in this experience. The resident must devise efficient strategies for accomplishing the required activities in a limited time frame.
Emergency Medicine Rotation
Preceptors - Paula Rinaldi, Pharm.D., BCPS / Kristie Arend, Pharm.D., BCPS
Emergency medicine is a required, 6-week learning experience at SCL Health Good Samaritan Medical Center. The emergency department has Level II Trauma Center designation and consists of 39 acute care beds including nine fast track beds and 10 senior care beds. Additional disciplines the resident will work closely with include: trauma, nursing, respiratory therapy, imaging, laboratory, counseling services, and several hospitalist groups. As the rotation progresses, the pharmacy resident is expected to assume the care of all patients presenting to the emergency department as well as all after-hours pharmacotherapy consults and patient care emergencies throughout the house. Preceptor review and interaction shall be provided on a daily and as needed basis to the resident.
Infectious Disease Rotation
Preceptor - Catherine Davis, Pharm.D., BCPS
The infectious disease rotation is a 6-week required learning experience for PGY1 pharmacy residents. The resident will provide direct patient care to patients reviewed by the Antimicrobial Stewardship Program and seen on the infectious disease consult service. The resident is expected to display initiative in preventing, identifying, and resolving infectious disease pharmacy-related patient care problems while working in those areas. The resident is expected to review patients on antimicrobial therapy prior to meeting with the on call ID physician. It is the responsibility of the resident to find out when and where rounds will begin on a daily basis. Review patients daily (Monday through Friday) for appropriateness of antimicrobial therapy through a review of the "pharmacy antibiotic report." Meet with ID on-call physician daily to review patients and provide follow-up recommendations and documentation.
Internal Medicine Rotation
Preceptor - James Rapacchietta, Pharm.D., BCNSP, CACP
The internal medicine rotation is a 4-week core rotation for PGY1 pharmacy residents. The rotation with provide an introduction to pharmacy clinical consults as well as a broad overview of the most common disease states. The resident will be responsible for providing pharmacy services to the medical and surgical floors of the hospital including but not limited to pharmacokinetic dosing, nutrition support, anticoagulation, pain consults, and physician order entry verification. The resident will evaluate patients admitted to this service and is responsible for assuring appropriateness of drug therapy, to be a drug information resource for topic discussion, participate in patient education, identification of potential adverse drug effects and interactions, and discharge medication management to ensure the continuum of care. The goal of the internal medicine rotation is for the resident to develop expertise in the medication therapy management of post-op surgical patients, oncology, cardiovascular care, internal medicine, and infectious disease.
Preceptor - Matt Cummin, Pharm.D., BCOP
Oncology is a required, 4-week learning experience at Good Samaritan Medical Center. The Infusion Center consists of 15 chairs and one bed which care for patients with hematologic malignancies and tumors. There are three main providers that conduct patient care rounds every Tuesday and Thursday. Other disciplines of the oncology team include: board-certified oncology clinical pharmacists, physicians, nursing, dieticians, radiation therapists, clinical nursing educators, social workers and various other consulted physicians and healthcare professionals.
Preceptors - Jenna Allais, Pharm.D. / Kristin Lambert, Pharm. D. BCPS
The service rotation is a required, longitudinal learning experience at Good Samaritan Medical Center for all PGY1 pharmacy residents. Over the course of the year this rotation will provide the opportunity for the resident to gain experience and strengthen skills needed in the dispensing role of the hospital pharmacists. The pharmacy resident will become proficient in the IV room as well as serve as a floor pharmacist and provide clinical pharmacy services to either medical, surgery, or telemetry floors. The resident will also actively participate in the medication reconciliation process.
The pharmacy resident will be responsible for learning both the Epic computer system for all inpatient order verification, dispensing and documentation as well as the outpatient dispensing system. The rotation will provide the resident with the knowledge for skills required in the IV room including; IV preparation employing aseptic technique and 797 Guidelines, checking medications for IV administration, understanding stability, appropriate concentrations, IV compatibility, proper storage and filtration requirements, etc. The resident will also learn how to organize the daily workflow and prioritize the workload. This rotation will also provide the resident with the tools to provide timely, concise and accurate responses to drug information questions from other healthcare professionals as well as patients.
Following the resident's internal medicine rotation, the resident will be responsible for providing clinical pharmacy services for surgical, medical, or telemetry floors of the hospital. The resident will be actively involved in the medication reconciliation process and will gain an understanding of the importance of the role pharmacist in obtaining accurate medication histories and ensuring patient safety. The resident will be involved with several learning and teaching roles with new staff members and server as secondary preceptor for University of Colorado and Regis University School of Pharmacy students. The resident will be involved in the evaluation of student's drug information questions, adverse drug reaction reporting, monograph development, staff presentations, midpoint, and final evaluations. Finally, the resident will be mentored and develop the necessary skills of a practice leader. This will include continuing professional development with the goal of improving the quality of one's own performance through self-assessment and personal change.