Elective Learning Experiences

Interior Content

​L​eading the Way in Clinical Education​

Academic Elective

Preceptor: Brad Hein, Pharm.D., BCPS            


Description: 

The resident on the academic elective rotation will have the opportunity to observe and participate in various activities performed by a college of pharmacy faculty member. This includes attending meetings, developing lectures and case studies, grading case write ups and facilitating team based learning exercises. The resident will be exposed to and involved with various longitudinal faculty responsibilities, including research, accreditation activities and student mentoring. The goal of the elective is to give the resident an accurate representation of a non-tenure track faculty position as well as managing a faculty position with practice-based responsibilities.           


Activities:           

  • Attend all meetings with faculty preceptor
  • Attend all lectures given by faculty preceptor
  • Attend selected lectures given by other faculty as part of the Renal and Electrolyte Therapeutics module
  • Develop, facilitate and grade a case utilized in the Case Series sequence
  • Facilitate small group sessions as part of the case studies series
  • Participate in weekly topic discussions related to academia
  • Develop and assess exam questions utilized in the course​​

Antimicrobial Stewardship 

Preceptor:  Angela Haskell, Pharm.D., BCPS           


Description:

This rotation will provide the resident with exposure to the Antimicrobial Stewardship Program at The Christ Hospital and may only be done after completion of the Infectious Disease core learning experience.  This rotation can be either a 2 or 4 week rotation.  Each day, the resident will utilize decision support software to assist with the review of all patients receiving antimicrobial therapy as well as bug-drug mismatches. The resident will also be responsible for a stewardship project (DUR, policy development, initiative implementation, etc.) and present findings/recommendations to the Antimicrobial Stewardship Committee meeting. The resident will participate in stewardship rounds with the Stewardship Team.    


The resident will participate in various aspects of the stewardship program including program justification and various intervention strategies including but not limited to:           

  • Auditing and feedback
  • Criteria for use
  • Guideline implementation
  • De-escalation and streamlining
  • Dosage optimization
  • Outcomes measurement
  • Antibiogram development
  • Medication usage evaluation

Cardiology Elective

Preceptor: Rebecca Dudley, PharmD


Description:

The Cardiology elective learning experience involves being an active interdisciplinary member on the Clinical Cardiology service. The service is divided into two separate teams, each consisting of a cardiologist, nurse practitioner(s), and cardiology pharmacist. Other team members may include medical residents, nurse practitioner students, and pharmacy students. Patients covered by the Clinical Cardiology service include, but are not limited to, those admitted for management of heart failure, acute coronary syndrome, arrhythmias, endocarditis, valvular disease, pericarditis, and pericardial effusion. 


The pharmacist performs daily independent chart reviews or bedside rounds with the multidisciplinary team, depending on physician preference. The purpose of this learning experience is to provide the resident with an additional opportunity to expand his/her knowledge of cardiology in a unique patient care setting and to increase efficiency as a cardiology pharmacist. 


Common disease states with which the resident will be expected to gain proficiency through literature review, topic discussions, and direct patient care experience include but are not limited to: anticoagulation, hypertensive urgency and emergency, hyperlipidemia, heart failure, acute coronary syndromes, stable and unstable angina, pericarditis, valvular disease, and atrial and ventricular arrhythmias. The resident is expected to understand the pharmacotherapy related to these disease states as well as other disease states encountered in this setting. Topic discussions and key articles will be used to help develop the resident’s patient care skills for common disease states or acquiring knowledge about diseases seen infrequently on the service.


Cardiovascular Intensive Care Unit

Preceptors: Hilary Raidt, PharmD. and Abby Rhoades, PharmD.


Description: 

The cardiovascular intensive care unit (CVICU) critical care learning experience involves being an active member of the heart failure CVICU team. The CVICU team is composed of the heart failure specialist, CVICU nurse practitioners, pharmacy and nursing. The resident is expected to assume all critical care pharmacist responsibilities including patient profile review, multi-disciplinary rounding, therapeutic drug monitoring as well as providing drug information/education to other health care professionals. Additionally, the resident will respond to all code blue emergencies throughout the hospital and lead advanced cardiovascular life support (ACLS) drug therapy.       


Topics that will be covered via patient care experiences, discussions, readings and/or presentations include but are not limited to the following:       

  • Acid/base disorders

  • Cardiac surgery and anatomy

  • Acute decompensated heart failure

  • Hemodynamics

  • Left ventricular assist devices

  • Anticoagulation 

  • Infectious diseases

  • ACLS/targeted temperature management

  • Cardiogenic and septic shock states

  • Mechanical ventilation

  • Atrial and ventricular arrhythmias

Internal Medicine elective

Preceptor: Brad Hein, Pharm.D., BCPS           


Description: 

The PGY 1 resident will be expected to provide evidence-based patient-centered care to a variety of patients on a general medicine service. Common disease states encountered include infectious, cardiovascular, renal, thromboembolic, fluid and electrolyte disturbances, gastrointestinal, neurologic, transplant, oncology and hepatology. The resident will be assigned to a medical team and expected to attend rounds, provide educational services (including inservices and drug information requests) and provide care for all patients on the internal medicine resident service. The provision of care will include the collection and analysis of patient information, the design of an evidence-based therapeutic regimen and monitoring plan, the communication of recommendations to the medical team and the implementation, documentation and follow up of recommendations. All recommendations will be made in light of the overall responsibility for the welfare of the patient. The resident will be expected to participate in daily patient discussions, topic presentations and may assist in the precepting of advanced clerkship students.           


Activities:           

  • Provide evidence-based patient-centered care to an internal medicine population.
  • Attend daily internal medicine rounds. Attend grand rounds as appropriate.
  • Provide educational opportunities to the medical residents, pharmacy students and others present on the medical team.
  • Participate in afternoon discussions with preceptor, sometimes as part of the student presentations.
  • Appropriately document interventions and follow-up in the medical record.
  • When applicable, the resident will assist in precepting pharmacy students on rotation, leading topic discussions, and daily patient presentation discussions​

Palliative Care elective

Preceptors: Kate Martin, PharmD and Alexandra Ting, PharmD 

Description: 

The PGY 1 resident will be expected to provide evidence-based patient-centered care to a variety of patients on a palliative care service. The resident will be part of an interdisciplinary team and will provide recommendations to maximize patient comfort. This will include, but not limited to, pain management, chemotherapy symptom control, delirium, depression and constipation. The resident will attend rounds daily and in addition to patient care responsibilities, will be expected to provide drug information support as needed. The provision of care will include the collection and analysis of patient information, the design of an evidence-based therapeutic regimen and monitoring plan, the communication of recommendations to the palliative care team and the implementation, documentation and follow up of recommendations. All recommendations will be made in light of the overall responsibility for the welfare of the patient. The resident will be expected to participate in daily patient and topic discussions.          

           

Activities:           

  • Provide evidence-based patient-centered care to a palliative care population.
  • Attend palliative care rounds daily. Attend palliative care team meetings weekly, as appropriate.
  • Provide educational opportunities to all team members.
  • Participate in afternoon discussions with preceptor.
  • Appropriately document interventions and follow-up in the medical record​

Kidney Transplant

Preceptor:  Adele R. Shields, Pharm.D., BCPS         


Description: 

The PGY 1 resident will be expected to provide evidence-based patient-centered pharmaceutical care to patients on a kidney transplantation medicine and surgical service. Throughout the rotation, the resident should develop specialized clinical skills and basic research abilities in adult kidney transplantation. The resident will be a member of an interdisciplinary team providing comprehensive care to kidney transplant recipients; primarily in an inpatient setting, but also help provide some outpatient services. Experience in clinical research will be gained through exposure to investigator-initiated and industry sponsored clinical research. The resident will actively follow inpatient kidney transplant recipients daily, attending rounds with surgeon if they are available. The resident will actively participate in renal transplant pre-transplant conferences and provision of medication education prior to and after transplantation. 


The provision of care will include the collection and analysis of patient information, the design of an evidence-based therapeutic regimen and monitoring plan, the communication of recommendations to the medical team and the implementation, documentation and follow up of recommendations. The resident will be expected to participate in daily patient discussions with preceptor, participate in topic presentations and may assist in the precepting of advanced clerkship students.​         


Oncology

Preceptor: Anli Francis, Pharm.D.


Description:

The PGY 1 resident will be expected to provide evidence-based patient-centered care to a variety of patients on an inpatient hematology/oncology service. The resident will follow patients under the care of hematology/oncology attending physicians and work with an interdisciplinary team to optimize all aspects of patient care. This will include a mix of internal medicine related issues, as well as cancer-specific issues such as the management of oncologic emergencies and chemotherapy. The resident will also participate in outpatient and financial aspects of cancer care to understand the full spectrum of a patient's treatment course. The provision of care will include the collection and analysis of patient information, the design of evidence-based therapeutic regimens and monitoring plans, the communication of recommendations to hematology/oncology providers, and the implementation, documentation, and follow up of recommendations.


Activities:       

  • Provide evidence-based patient-centered care to a hematology/oncology population by reviewing patients daily and communicating recommendations to providers.
  • Observe and participate in the outpatient administration of chemotherapy in the Cancer Center on select days.
  • Attend weekly tumor board meetings.
  • Participate in afternoon patient and topic discussions with preceptor.
  • Provide patient counseling on chemotherapy regimens as needed.