Elective learning experiences at The Christ Hospital
Preceptor: Brad Hein, PharmD, BCPS
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.
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
Preceptor: Rebecca Dudley, PharmD
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.
Critical Care: Cardiovascular ICU
Preceptors: Hilary Raidt, PharmD and Abby Rhoades, PharmD
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:
Cardiac surgery and anatomy
Acute decompensated heart failure
Left ventricular assist devices
ACLS/targeted temperature management
Cardiogenic and septic shock states
Atrial and ventricular arrhythmias
Preceptor: Angela Haskell, PharmD, BCPS
This rotation will provide an environment and set of experiences which will allow the resident to gain clinical pharmacy experience in infectious diseases and to address pharmacotherapy problems encountered with patients receiving antimicrobial or antifungal therapy in the hospital. The primary focus of the rotation will be spent reviewing patients assigned by the preceptor and presenting the patients to the preceptor on a daily basis. The resident will also discuss fundamental aspects of ID and clinical infectious disease topics with the preceptor. Additionally, one expectation is that the resident manages all in-patient vancomycin consults on a daily basis. Once the resident has demonstrated sufficient understanding of common infectious diseases concepts, diseases, and therapy they will spend some of the rotation with one of the infectious diseases physicians or nurse practitioner rounding on ID consults. Finally, as part of this experience the resident will visit the microbiology lab at Quest Diagnostics.
Core content that will be covered via patient care experiences; discussions, readings and or presentations include, but are not limited to the following:
Community acquired pneumonia
Dosing of antibiotics in setting of obesity, renal insufficiency, hepatic insufficiency, etc.
Urinary tract infections
Internal Medicine: Internal Medicine Inpatient Service
Preceptor: Brad Hein, PharmD, BCPS
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.
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
Preceptor: Adele R. Shields, PharmD, BCPS
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.
Preceptor: Anli Francis, PharmD, BCOP
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.
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.
Palliative Care elective
Preceptors: Kate Martin, PharmD and Alexandra Ting, PharmD
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.
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