Pharmacy IV Preparations for PGY1 Pharmacy Resident

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BETH ISRAEL MEDICAL CENTER
PHARMACY DEPARTMENT
Hospital Pharmacy Residency Program (PGY1)
Inpatient Family Medicine: Service Commitment
Rotation Preceptor: Sharon See, Pharm.D., FCCP, BCPS
Associate Clinical Professor
St.John's University College of Pharmacy and Allied Health Professions
Clinical Faculty
Beth Israel Residency in Urban Family Practice
212-844-1955
[email protected]/[email protected]
Rotation Website:
http://facpub.stjohns.edu/~sees/FMsite/index.shtm
Description of Rotation:
This is a 4-5 week experiential rotation in inpatient Family Medicine at Beth Israel Medical
Center. The family medicine service is primarily located on 8Linsky and on other specialty units
throughout the hospital. Our team consists of family medicine interns, residents, Family
Medicine physician attendings, a Pharm.D. attending, medical and pharmacy students,
pharmacy, psychiatric and OB residents. This experience is intended to expose the pharmacy
resident to various aspects of clinical pharmacy practice and principles of family medicine in the
inpatient family medicine setting. Under the direct guidance of Dr.See, the resident will help
optimize drug therapy in our family medicine patients by conducting patient-specific
assessments, evaluating patient drug therapy regimens, identyfying and resolving drug related
problems, selecting drug therapy regimens, prospectively monitoring of therapy, and providing
patient and health professional education.
Disease States:
The resident will gain proficiency in the following areas through literature review, topic
discussion, and/or direct patient care experience including but not limited to:
1.
2.
3.
4.
5.
6.
Cardiovascular-ACS, MI, Atrial Fibrillation, HTN, heart failure
Endocrine-Inpatient glycemic control
Anticoagulation-DVT/PE
ID-osteomyelitis, HIV, HAP, CAP, skin/soft tissue infections, UTI
Psych-alcohol withdrawal, depression, bipolar disorder, anxiety
Renal-Renal failure
SS 8/17/11
1
Resident Learning Goals & Activities:
Outcome Manage and improve the medication-use process.
R1:
R1.4 Demonstrate ownership of and responsibility for the welfare of the patient by
performing all necessary aspects of the medication-use system.
R1.5 Provide concise, applicable, comprehensive, and timely responses to requests for drug
information from patients and health care providers.
Outcome Provide evidence-based, patient-centered medication therapy management with
R2: interdisciplinary teams.
R2.1 As appropriate, establish collaborative professional relationships with members of the
health care team
R2.2 Place practice priority on the delivery of patient-centered care to patients
R2.3 As appropriate, establish collaborative professional pharmacist-patient relationships.
R2.4 Collect and analyze patient information.
R2.6 Design evidence-based therapeutic regimens.
R2.7 Design evidence-based monitoring plans.
R2.8 Recommend or communicate regimens and monitoring plans.
R2.9 Implement regimens and monitoring plans.
R2.10 Evaluate patients’ progress and redesign regimens and monitoring plans.
R2.11 Communicate ongoing patient information.
R2.12 Document direct patient care activities appropriately.
Outcome Provide medication and practice-related education/training
R5:
R5.1.3 Use skill in the 4 preceptor roles employed in practice based teaching (direct
instruction, modeling, coaching, facilitation
Activities:
1. Co-precept St. John’s University College of Pharmacy students under supervision of
Dr.See (Objective R5.1.3)
a. Serve as junior faculty member
b. Assess journal clubs, case presentations, student performance
2. Attendance and participation in daily medical rounds with assigned medical teams.
(Objective R2.1.1, R.2.2.1, R2.6.2, R2.8.1)
3. Monitor and review patient therapy for efficacy, appropriateness of therapy, and drug
related problems for all patients on the family medicine service. Discuss pharmaceutical
care plans with preceptor using organized patient monitoring sheets and verbal
discussions with preceptor. Communicate recommendations to the team. (Objective
R2.4.1, R2.6.2, R2.7.1, R2.8.1, R2.10.1, R2.10.2, R2.11.2, R2.12.3)
4. Obtain drug histories and perform discharge counseling. (Objective R2.3.1, R1.4.1,
R2.4.1, R2.4.2, R2.12.1, R2.12.2, R2.9.2)
SS 8/17/11
2
a. Documentation: Submit drug histories and patient counseling forms as part of
patient management
5. Answer patient-specific drug information questions resulting from rounds, patient
contacts or assigned readings. (Objective R1.5.1, R1.5.2, R1.5.3, R1.5.4, R1.5.5, R1.5.6,
R.5.7)
a. Documentation: Submit drug information responses with references to preceptor or
provider when applicable.
6. Review journals and pertinent literature relevant to adult medicine (Objective R1.5.2,
R1.5.3, R1.5.4, R1.5.5, R1.5.6, R.5.7)
a. Documentation: Journal club presentation and/or conduct discussions with
preceptor, students
7. Provide in-service lecture(s) to pharmacy students, nursing staff, or medical team when
requested. (Objective R2.11.2, R5.1.5)
a. Documentation: Submit outline and lecture handouts.
8. Report cases of adverse drug reactions. (Objective R2.4.1, 2.11.2, 2.12.1)
a. Documentation: Submit institution’s ADR reporting form or FDA drug reaction
reporting form.
9. Attend all departmental and interdepartmental educational functions including lectures,
grand rounds, and journal clubs.
a. Documentation: As per preceptor
10. Document all interventions, ADRs, in-services, drug information questions.
(Objective R2.12.1, R2.12.2)
General Schedule
(see website for updated schedule)
Time
8-9am
9amnoon
M
Attending
Rounds
9am
Noon
1-4pm
Pt follow
up/Case
discussion
SS 8/17/11
T
W
Th
Fr
Night float rounds/Morning report
Attending
Attending Rounds/ Attending
Attending
Rounds
Psychosocial
Rounds
Rounds
Rounds
Multidisciplin
Multidisciplinary
ary Rounds-8L
Rounds-8L
Lunch
Pt follow
Wed Teaching
Pt follow up/Case Pt follow
up/Case
Afternoon
discussion
up/Case
discussion
discussion
3
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