Rotations
Orientation
Orientation will take place
during the month of July. The resident will spend time orienting to
Beaumont Health System and the Department of Pharmacy. Time will be
spent with both pharmacy staff and specialists. The resident will be
provided training in the use of the Department’s computer system (EPIC),
staffing on 6CN satellite, the dosing service, and other duties
necessary to function as a pharmacist and a resident within the
department.
Medical Intensive Care Unit (MICU)
The
medical critical care rotation is a required learning experience for
the critical care resident. This rotation is completed on the medical
intensive care unit, and at least two MICU rotations are required for
the critical care resident during the residency year. The overall goal
of this rotation is to develop the resident’s skills in identifying and
resolving drug related problems in the critically ill using
evidence-based primary literature in the area of critical care
therapeutics. The resident will become the lead pharmacist on the
medical intensive care unit team, and will assume all responsibilities
of the rounding pharmacist. Residents may be involved in precepting
Doctor of Pharmacy students, baccalaureate pharmacy students, or
pharmacy practice residents.
General / Transplant Surgical Intensive Care Unit
This
surgical critical care rotation is one of three possible rotations
available to meet the required two SICU rotations during the residency
year. The rotation focuses on providing pharmaceutical care to the
patients on 3 East, a 20-bed unit caring for patients from a variety of
surgery services including: transplant surgery, general surgery,
vascular surgery, thoracic surgery and others. All patients undergoing
renal & hepatic transplants are cared for on this unit
post-operatively. The resident will participate in daily
multidisciplinary rounds and will identify and resolve actual and
potential drug related problems in the SICU. The resident will be
responsible for all pharmacokinetic dosing and precepting graduate
pharmacy students or PGY-1 residents if applicable. During the month,
the resident will meet with the preceptor as needed to discuss patient
cases, interventions and therapeutic topics. The rotation allows the
resident to promote adherence to institution-developed guidelines,
pathways and algorithms for a variety of disease states and drugs. The
resident will present one case presentation or topic discussion to the
pharmacy staff as well as one inservice to the surgical residents.
Cardiac Intensive Care Unit (CICU)
This
cardiac critical care rotation is an elective rotation for the PGY2
Critical Care Resident. The rotation focuses on providing pharmaceutical
care to the patients on 6 East, a 20-bed intensive care unit caring for
patients with a variety of cardiovascular disease states. Some of the
most common admission diagnoses include: acute decompensated heart
failure, acute coronary syndrome (ACS), cardiogenic shock, and various
arrhythmias. The resident will participate in daily multidisciplinary
rounds and work closely with the medical team to identify and resolve
actual and potential drug related problems in the CICU. The resident
will also be responsible for pharmacokinetic dosing and precepting of
pharmacy students or PGY-1 residents, if applicable, and will meet with
the preceptor regularly to discuss patient cases, interventions and
therapeutic topics. One case presentation or topic discussion to the
pharmacy staff and at least one in-service to the medical team will be
completed by the resident prior to rotation completion.
Cardiovascular Surgical Intensive Care Unit
This
surgical critical care rotation is one of three possible rotations
available to meet the required two SICU rotations during the residency
year. The rotation focuses on providing pharmaceutical care to the
patients on 2 East, a 20-bed unit caring for patients from a variety of
surgery services including: cardiothoracic surgery, general surgery,
vascular surgery, thoracic surgery and others. All cardiothoracic
surgery patients are cared for peri-operatively on this unit. The
resident will participate in daily multidisciplinary rounds and will
identify and resolve actual and potential drug related problems in the
SICU. The resident will be responsible for all pharmacokinetic dosing
and precepting graduate pharmacy students or PGY-1 residents if
applicable. During the month, the resident will meet with the preceptor
as needed to discuss patient cases, interventions and therapeutic
topics. The rotation allows the resident to promote adherence to
institution-developed guidelines, pathways and algorithms for a variety
of disease states and drugs. The resident will present one case
presentation or topic discussion to the pharmacy staff as well as one
inservice to the surgical residents.
Neurological / Trauma Surgical Intensive Care Unit
This
surgical critical care rotation is one of three possible rotations
available to meet the required two SICU rotations during the residency
year. The rotation focuses on providing pharmaceutical care to the
patients on 5 East, a 20-bed unit caring for patients from a variety of
surgery services including: neurosurgery, trauma surgery, general
surgery, vascular surgery, thoracic surgery and others. All major trauma
and neurologic injury patients are cared for peri-operatively on this
unit. The resident will participate in daily multidisciplinary rounds
and will identify and resolve actual and potential drug related problems
in the SICU. The resident will be responsible for all pharmacokinetic
dosing and precepting graduate pharmacy students or PGY-1 residents if
applicable. During the month, the resident will meet with the preceptor
as needed to discuss patient cases, interventions and therapeutic
topics. The rotation allows the resident to promote adherence to
institution-developed guidelines, pathways and algorithms for a variety
of disease states and drugs. The resident will present one case
presentation or topic discussion to the pharmacy staff as well as one
inservice to the surgical residents.
Research
The
residency project research month is a mandatory learning experience for
the PGY-2 resident and is usually completed during the month of
December. The main goals of the residency research project are to
provide the resident with experience in 1) conducting a complete
research project, 2) giving a presentation at a regional pharmacy
conference, and 3) preparing a manuscript for submission to a
professional journal. Projects at Beaumont Hospital, Royal Oak are
chosen for their 1) relevance to the current practice of pharmacy, 2)
ability to be completed during the residency year, and 3) impact on
patient care. The resident will not only experience the process of
project development, implementation, and analysis but to also see that
all their hard work will be utilized to further patient care and/or
advance the provision of pharmaceutical services.
Infectious Diseases
Infectious
Diseases rotation is an elective learning experience for the PGY-2
resident, and will be rounding with the ID team providing
recommendations that ensure safe and effective use of antimicrobials.
The resident will be responsible for identifying and resolving drug
related problems in the patients assigned to them. They will also become
familiar with key articles in the infectious diseases literature and
use primary literature to support their desired interventions when
appropriate. Residents completing the rotation will have the
understanding of microbiology, pharmacokinetics and pharmacodynamics of
antimicrobial therapy. Residents will also be expected to demonstrate
excellent communication skills with the medical team and the pharmacy
staff, and may have an active role in precepting Doctor of Pharmacy
students concurrently on the ID rotation.
Nutrition
The
Nutrition Support rotation is a required learning experience for the
PGY-2 resident. The Nutrition Support Service (NSS) is a
multi-disciplinary team of nurses, pharmacists, and physicians
responsible for monitoring all adult total parenteral nutrition (TPN)
patients which consists of a significant subset of surgical ICU
patients. The PGY-2 resident will be the lead pharmacist responsible for
ensuring optimized nutrition therapy by promoting safe and
cost-effective use of parenteral and enteral nutrition and to minimize
inherent complications. The resident will round with a member of the NSS
team on a daily basis and attend formal rounds with the attending
physician twice weekly. Residents may be involved in precepting Doctor
of Pharmacy students, pharmacy practice residents, and dietetic
interns.
Transplant
Transplant is a
required learning experience for the PGY-2 resident. The
multidisciplinary transplant team consists of a nurse practitioner,
surgical residents, attending nephrologists, hepatologists, and
surgeons, as well as inpatient and outpatient nurses. The pharmacy
resident will work with the team to identify and resolve
medication-related issues in patients with end-stage renal or hepatic
disease and those with a history of a solid organ transplant. The
resident will also assist in transitioning new transplant recipients to
the outpatient clinic by providing medication-related counseling. In
addition to daily laboratory value monitoring, chart reviews, and
participation in team rounds, the resident will also conduct topic
discussions, deliver case presentations, and perform educational reviews
for the team. Additionally, the resident may gain teaching experience
by co-precepting Doctor of Pharmacy students and/or PGY-1 residents.
Academics
The Academics rotation is an elective learning experience for PGY-2
residents. Residents will spend their time between Beaumont Hospital and
the Eugene Applebaum College of Pharmacy and Health Sciences (EACPHS)
located in Detroit, MI. The rotation is structured to provide residents
with insight into academia as a potential career path. Residents will
gain an understanding of the different philosophies of teaching and
pedagogy, the different types of faculty positions, the infrastructure
of an academic program/college and challenges facing academia. The
preceptor will meet with residents prior to the rotation in order to
gauge resident interest in different opportunities which may be
available. The rotation activities list will be individualized and
finalized after this meeting occurs. The resident must devise efficient
strategies for accomplishing the required activities. When there is a
Doctor of Pharmacy student on the rotation concurrently, the resident
will have an active role in precepting the student and facilitate the
topic discussions prepared by the student.
Pediatric Intensive Care Unit
Pediatric
ICU is an elective patient care rotation for the PGY-2 resident. During
this rotation the resident will be expected to be involved in all
aspects of pharmacotherapy and to provide direct patient care for
selected patients in the pediatric intensive care unit. The resident
will work with the medical team to identify, present and resolve
medication therapy issues in the pediatric critical care setting. In
addition, the PGY-2 resident will also be required to understand the
operations within the pediatric pharmacy satellite, precept any pharmacy
students on rotation, and provide education to pediatric pharmacy
staff, pediatric ICU nursing staff, and the medical team. The resident
may be asked to also complete a pediatrics/pediatric ICU related project
during this rotation.
Neonatal Intensive Care Unit
The
Neonatal ICU rotation is an elective patient care rotation for the
PGY-2 resident. The resident will be involved in all aspects of
pharmacotherapy and provide direct patient care for infants on the
medical resident service in the Neonatal Intensive Care Unit. The
resident will assume responsibilities of the rounding pharmacist and
work with the medical team to identify, present and resolve medication
therapy issues for neonatal patients. In addition, the PGY-2 resident
will also be required to understand the operations within the pediatric
pharmacy satellite with regards to verifying and dispensing medications
for neonatal patients as well as to provide education to the medical
resident team and medical students.
Drug Information / Medication Safety
The
Medication Safety Rotation is longitudinal learning experience for the
PGY-2 resident. This rotation will provide residents the opportunity to
gain experience with evaluation of both internally- and
externally-identified sources of actual or potential medication safety
concerns, action plan development and implementation of system safety
measures where applicable. There will be topic discussions throughout
the year based on assigned readings, for which the resident is expected
to be well-prepared. Residents may be actively involved in the monthly
Medication Safety Committee meeting throughout the year.