Rotations
Antibiotic Stewardship/Infectious Disease Rotation
The resident will learn to optimize the management of
patients with acute infectious diseases with an emphasis on
antimicrobial stewardship (AMS). The Antimicrobial
Stewardship team is scheduled for 4 hours daily, Monday
through Friday. AMS services include prospective audit and
review, dose optimization, restricted antimicrobial review,
and antimicrobial recommendations. Concepts including
antimicrobial spectrum, resistance mechanisms, antibiogram
data, and evidence-based treatment guidelines will be
reinforced and incorporated into recommendations. Additional
activities during the rotation may include Medication Use
Evaluation (MUE), monograph development, and Journal Club.
Distribution Rotation
The resident will master the pharmacist’s role in
pharmaceutical distribution within a hospital with a
decentralized model. The resident will gain experience
with working in pharmacy operations including order
verification, preparing IV medications, and facilitating
the medication reconciliation process. The resident will
also gain skills in utilizing and trouble-shooting
pharmacy technology (e.g. automatic dispensing
cabinets). The resident will communicate with providers
about medication related problems identified and improve
upon their overall problem-solving skills. Staffing is
required one evening per week and every fourth weekend.
Internal Medicine
Rotation
The resident will strengthen their pharmacotherapy
skillsets to serve patients on a 24-bed internal
medicine telemetry unit within a multidisciplinary
healthcare team. The resident will enhance their
knowledge of evidence-based guidelines and latest
literature for common acute care conditions, such as
atrial fibrillation, venous thromboembolism, heart
failure, chronic obstructive pulmonary disease,
diabetes mellitus, etc. The resident will also
practice transitions of care services in
collaboration with the Medication Management clinic
and CTO pharmacist for patients at high risk of
readmission.
Anticoagulation
Clinic Rotation
The resident will learn to manage patients in
the anticoagulation management service based on
current protocols and guidelines. The AC clinic
operates Monday through Friday. Activities will
include performing finger sticks and operating
the CoaguChek device for the AC clinic in
addition to determining an appropriate plan for
anticoagulant dosing and management of
anticoagulation peri-procedurally. Resident may
also assist in precepting Advanced Pharmacy
Practice Experience (APPE) students.
Critical Care
Rotation
The resident will learn to care for patients
in a 12-bed intensive care unit based on
current protocols and guidelines. Disease
states commonly encountered include shock,
hospital-acquired and ventilator-acquired
pneumonia, acute decompensated congestive
heart failure, and diabetic ketoacidosis.
The resident will develop
pharmacotherapeutic management plans for
critically ill patients and participate in
daily multidisciplinary rounds.
Administration Rotation
The administrative rotation looks to
provide pharmacy residents experience in
administrative duties, financial and
human resource management knowledge,
scheduling, drug diversion tactics,
technological implementation, purchasing
and inventory control, and strategic
planning. Residents will work with
various members of the leadership team
to gain exposure to the various
administrative areas of pharmacy
practice. The resident will be expected
to exhibit leadership skills and
contribute to management activities by
the end of the rotation.
Medication Safety Rotation
The Medication Safety Rotation is a
3-week rotation at Carroll Hospital.
By the end of this rotation, the
resident will be able to demonstrate
the ability to analyze adverse drug
event reports and make systematic
recommendations to minimize the risk
of future repeated events. The
resident will have the opportunity
to learn about the activities of the
risk management department, quality
department and regulatory department
as they pertain to medication safety
issues. The resident will gain
experience in identifying ways to
enhance the medication use system to
minimize the risk of adverse drug
events.
intermediate Care Rotation
The resident will learn to
identify and integrate essential
patient information to meet
inpatient goals for optimal
medication utilization. The
Intermediate Care unit (IMC) is
a step-down unit from Intensive
Care, where high acuity adult
patients require close
monitoring. With less
functionality, patients may have
chest tubes, feeding tubes,
non-titrated cardiac infusions,
chronic ventilatory support with
tracheostomies, new cardiac
stents, parenteral nutrition and
PCA pain pumps. Primarily
located directly on the IMC
Unit, the resident will practice
therapeutic drug monitoring
services (e.g. vancomycin,
aminoglycosides), renal dosing,
inpatient warfarin management,
DOAC monitoring, IV to enteral
conversions, drug information
questions and other clinical
interventions. Rounds are done
daily with providers, nurses,
and care managers in a
multidisciplinary approach to
achieve high quality patient
outcomes.
Medication Management Rotation
The Medication Management
rotation is an elective
4-week rotation providing
pharmaceutical care to
patients in the community
surrounding Carroll
Hospital. Through this
rotation, the resident
provides care to patients
who are at high risk of
hospital resource
utilization by completing
comprehensive medication
reviews, targeted medication
reviews, and chronic disease
management. The rotation is
designed to provide
experiences caring for
patients through in-person
and telephonic
consultations. The hours of
this rotation are 0800-1630
Monday through Friday. The
resident will work directly
with the preceptor on
Monday, Tuesday, Thursday,
and Friday in the Medication
Management Clinic. On
Wednesday, the resident will
work independently providing
patient care under the
supervision of a qualified
pharmacist.
Ambulatory Care
Rotation
During the ambulatory
care rotation, the
resident will partner
with the primary care
pharmacist in various
provider offices. Core
components of this
rotation include the
identification and
management of potential
drug therapy problems,
the design and
modification of drug
regimens, provision of
drug information, and
pharmacist-driven
disease management. Upon
completion of this
rotation, the resident
will be confident in
their ability to
participate in
therapeutic
decision-making and to
develop
patient-centered,
evidence-based
medication regimens and
monitoring plans. The
resident will gain
experience in performing
medication
reconciliation,
patient/caregiver
education, documentation
in medical record, and
collaboration with other
healthcare disciplines.
The resident will be
exposed to a variety of
patient interactions
including in-person,
telehealth, and
telephonic
consultations.
Pharmacy
Informatics Rotation
This required core
rotation is not at
CHC but will be
completed at SHB.
PGY1 Rotation Experiences