Banner Boswell Pharmacy Residency  

Pharmacy Rotation Details

Banner Baywood Medical Center  

Cardiology

This rotation will offer a variety of cardiology activities to the resident, including working with physician assistants and nurse practitioners to coordinate the care of the cardiovascular patient. The purpose of this four-week rotation is for the resident to cultivate his/her knowledge and skills in order to identify, manage, and monitor the treatment of cardiovascular care of the patient. Emphasis will be placed on the resident’s ability to demonstrate not only the understanding of common disease states and their treatment approaches but to ensure that treatment goals are being monitored and achieved. Common cardiovascular disease states that will be encountered include acute coronary syndromes, heart failure, arrhythmias, hypertensive crisis and inpatient anticoagulation. 

Activities:

  • Multi-disciplinary rounds with cardiology consult service
  • Medication management
  • Secondary preceptor for pharmacy students
  • Heart failure education
  • Discharge counseling

Critical Care

The critical care pharmacy rotation will focus on both medical and surgical ICU patients. The resident will learn to provide optimal pharmaceutical care in a variety of critical care settings. The resident will work on a multidisciplinary team providing critical care drug therapy recommendations and education to the ICU staff. The primary emphasis of this rotation is for the resident to develop expertise in critical care pharmacotherapy.

Activities:

  • Pharmacokinetics
  • Code Blue
  • Sepsis management
  • Monitor hemodynamics
  • Medication management
  • Provider and patient education

Emergency Medicine

In 2010, there were approximately 47,000 emergency department (ED) visits with an average admission rate of 39% at Banner Boswell Medical Center. While it is not a trauma center, the BBWMC ED offers the student and/or resident a wide breadth of experiences in ambulatory care, critical care and toxicology as integrated into a multidisciplinary approach. The primary team consists of the ED physician, physician assistant, nurse, clinical pharmacist and social worker. The resident also has opportunities to work closely with the emergency medical services (EMS) personnel in the community.  Moreover, the resident will focus primarily on geriatric patients in the acute or critical care part of the ED with some interactions and exposure to urgent care type of patients.

Activities:

  • Stroke Alert Team Response participation
  • Code Blue
  • Code Trauma
  • Antimicrobial stewardship and culture follow-up
  • Medication reconciliation
  • Discharge counseling
  • Medication management
  • Provider and patient education

Internal Medicine

The internal medicine pharmacy rotation will focus on pharmacotherapy management of a variety of core disease states in a primarily geriatric population. The residency will begin with an eight-week rotation to allow the resident to identify areas for improvement as well as cultivate those stronger areas.  The internal medicine rotation aims to prepare a solid foundation in which the resident can build upon in specialized rotations such as cardiology, critical care, oncology, and emergency medicine. Disease states that will be managed while on rotation will include hypertension, diabetes, acute and chronic renal failure, pneumonia, COPD exacerbations, heart failure, stroke, and atrial fibrillation. During the rotation the resident is expected to participate in medication use evaluations (MUEs) in order to improve practice on a hospital wide level.

Activities: 

  • Medication Reconciliation
  • Medication Regimen Review
  • Disease State Optimization
  • Direct Working Relationship with Hospitalists
  • Antimicrobial Stewardship and Culture Follow-up

Oncology

The hospital-based Oncology Pharmacy rotation at BBWMC provides the resident with an opportunity to gain knowledge and skills with respect to oncology pharmacy in the areas of disease state management, treatment planning, symptom management and oncologic emergencies. Though most chemotherapy is given in the outpatient setting, there are chemotherapy regimens that are generally given inpatient for acute leukemia, high grade lymphoma, sarcoma and other cancer disease states. Additionally, we see many patients for symptom management of the side effects of chemotherapy such as febrile neutropenia, acute renal failure, coagulopathy, nausea and vomiting, spinal cord compression, hypercalcemia and others that are treated on an inpatient basis. 

Transitional Care/Rehabilitation

Boswell Rehabilitation Center is a transitional care facility located adjacent to Banner Boswell Medical Center. The facility serves acute rehab (post stroke, cardiac rehab, etc.) as well as skilled nursing patients. The resident will participate in interdisciplinary team meetings for acute rehab patients and participate in rounds / physician consults for skilled nursing patients.  

The goal of the rotation is that the resident will develop their drug therapy management skills and gain experience in the process of medication regimen review. The PGY1 resident will understand the goals of therapy for each medication taking into account comorbidities and other patient specific considerations. The resident will identify medication-related problems and provide recommendations to manage these problems. In addition, the resident will be exposed to other aspects of the medication use process including: medication use audits, regulatory compliance assurance, medication quality and safety teams and interdisciplinary education.

Activities:

  • Medication Regimen Reviews
  • Interdisciplinary patient care team conferences
  • Interdisciplinary patient care rounding / physician consults
  • Medication use audits
  • Med Pass Observations
  • Patient medication education counseling
  • Patient disease state group education classes

Pharmacy Management

The administration rotation serves to promote leadership and involvement in pharmacy improvement processes. The resident(s) will learn how to detect problems and effect change in the continual evolution of the practice of pharmacy, both operationally and clinically.  The resident(s) will identify issues, formulate plans and lead teams as necessary to implement solutions. The resident(s) will be involved in various Pharmacy Leadership teams and will be involved in the daily aspects of managing an institutional pharmacy.


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