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Pharmacy Residency Programs

PGY1 at Women & Children's Hospital of Buffalo - Rotation Descriptions

Administrative Practice

The Practice Management (Administration Rotation) is a required learning experience for the pharmacy practice resident. The experience will consist of a longitudinal component and a 4 week long rotation. During the 4 week long rotation, the resident spends 8+ hours per day with the Manager of Pharmacy or Pharmacy Supervisor at Women & Childrenís Hospital of Buffalo, practicing in a team-based environment. The resident is responsible for working with the administrative and informatics staff of the pharmacy department. The resident will have multiple opportunities for interaction with upper level management staff within Kaleida Health. Good communication and interpersonal skills are of paramount importance in this setting. The resident must devise efficient strategies for accomplishing the required activities in a limited time frame.

The resident is expected to become familiar with the DNV medication management standards, National Patient Safety Goals, the Med Watch medication error reporting system, the principles behind ADE monitoring in health systems, and the ASHP standards for pharmacy services in health care systems.

Ambulatory Care

The experience involves direct patient care at Hodge Pediatrics Primary clinic and Special Needs clinic at WCHOB. Hodge Pediatrics is a teaching clinic consisting of attendings, pediatric medical residents, pediatric medical students, pharmacy students and nurse practitioners. Specials Needs clinic is also a teaching clinic consisting of the same health care providers plus a dietician. Hodge Pediatrics clinic schedules approximately 40 patients per session and Special Needs clinic schedules up to 12 patients per session. The patient population in Special Needs clinic includes a diversity of patients with complex medication regimens, mental and physical disabilities, behavioral health problems and other complex issues associated with varying diagnosis such as genetic syndromes, prematurity, autism, etc. The pharmacist/pharmacy resident is responsible for working with the health care professionals to provide optimal care and service to patients in both clinics. Pharmacist related activities include medication histories, reviewing and assessing patient charts and medications to recommend safe and effective medication therapy or immunization optimization, patient and medical education or counseling, and addressing other medication associated issues as they arise. This wide array of activities in clinic requires the use of evidence based medicine, critical thinking, oral and written communication skills, social awareness, cultural competence and efficient time management skills in order to address all requests while patients are accessible in clinic. This rotation also provides the challenge of seeing new and the chronic side of diseases and conditions that will differ in management compared to acute care clinical pharmacy.

Emergency Medicine

The major goal of this rotation is to provide a clinical pharmacy practice environment for the resident to apply the clinical, communication and teaching skills necessary to interact in a multidisciplinary emergency medicine environment.

The rotation will consist of providing clinical pharmacy services to an emergency medicine service under the preceptorship of a clinical pharmacy specialist. The practice environment will require daily interactions with the medical attendings, house staff, and mid-level practitioners, nursing staff, pharmacy staff and other healthcare professionals as necessary to optimize pharmacotherapy for patients. In addition to monitoring and consulting on pharmacologic issues, the resident will also provide educational presentations to nursing, pharmacy and physician staff members.

The preceptor will be available on a daily basis to discuss patient care issues, facilitate interactions with other health care team members, provide guidance in preparation and presentation of educational programs, and evaluate resident performance.

General Adult Internal Medicine

The general medical teaching services at Buffalo General Medical Center are comprised of an attending physician, a resident, two interns, medical students and a clinical pharmacist. These teams cover approximately 15-20 patients each. The clinical pharmacist provides educational sessions and materials, as well as drug information to other health-care professionals on the team. Drug therapy monitoring is provided to all team patients. The clinical pharmacist has an integral role in medication selection utilizing knowledge of current literature to compare treatment options with respect to efficacy, pharmacokinetics, adverse effects, and pharmacoeconomics. Dosage adjustment and therapy duration recommendations are based on clinical/laboratory data, patient responses, and the patientís concurrent diseases. Patient outcomes are also routinely assessed. All patients are educated regarding their drug therapy and counseled regarding discharge medications to optimize therapeutic outcomes. The clinical pharmacist is also responsible for ADR and Medication Error reporting involving team patients. The general medicine experience is four weeks in duration, during which time the resident is precepted by the clinical pharmacist. In addition, Pharmacy students may join the team allowing the resident an opportunity to assist in the teaching process.

General Pediatrics/General Surgery/Specialty Pediatrics

The experience involves the provision of direct patient care for patients on two inpatient pediatric floors with the medical teaching teams at WCHOB. The resident spends every day during the experience practicing in a team-based environment. The general pediatric medical teams include an attending physician, a resident, two or three interns, medical students, and a clinical pharmacist/pharmacy resident. These teams each cover approximately 10 - 20 patients on the 24 bed floors. The pharmacist/pharmacy resident is responsible for working with the team to identify, prevent and resolve medication therapy issues for patients on these services. The pharmacist/pharmacy resident has an integral role in medication selection utilizing knowledge of current literature to compare treatment options with respect to efficacy, pharmacokinetics, adverse effects, and pharmacoeconomics. Dosage adjustment and duration of therapy recommendations are based on clinical/laboratory data, patient responses, and the patientís concurrent diseases. The pharmacist/pharmacy resident is also responsible for ADR and medication error reporting involving team patients, as well as providing drug information to other health-care professionals. Good communication and interpersonal skills are of paramount importance in this setting. The resident must devise efficient strategies for accomplishing the required activities in a limited time frame.

Hematology/Oncology

The experience involves the provision of direct patient care for patients on the 9 bed unit of the WCHOB Pediatric Hematology/Oncology service. The resident is responsible for working with the medical residents and attending physician in order to identify, prevent and resolve medication therapy issues. The pharmacist provides educational sessions and materials, as well as drug information to other health-care professionals on the team. Drug therapy monitoring is provided to all team patients. Dosage adjustment and therapy duration recommendations are based on clinical/laboratory data, patient responses, and the patientís concurrent diseases. Patient outcomes are also routinely assessed. All new patients are educated regarding their drug therapy and counseled regarding discharge medications to optimize therapeutic outcomes. The pharmacist is also responsible for ADR and Medication Error reporting involving team patients. Good communication and interpersonal skills are of paramount importance in this setting. The resident must devise efficient strategies for accomplishing the required activities in a limited time frame.

Neonatal Intensive Care Unit

The experience involves the provision of direct patient care for patients in the 64 bed Neonatal Intensive Care Unit (NICU) at WCHOB. The team is comprised of an attending, a fellow, pediatric medical resident(s), pediatric medical intern(s), two to three nurse practitioners or physicianís assistants, a nutritionist, and a clinical pharmacist/pharmacy resident. Each team covers approximately 25-30 patients. During this experience, the resident spends every day on the NICU service practicing in a team-based environment. The pharmacist/pharmacy resident is responsible for working with the interdisciplinary critical care team, to identify, prevent and resolve medication therapy issues for patients in the NICU. The pharmacist/pharmacy resident has an integral role in medication selection utilizing knowledge of current literature to compare treatment options with respect to efficacy, pharmacokinetics, adverse effects, and pharmacoeconomics. Dosage adjustment and duration of therapy recommendations are based on clinical/laboratory data, patient responses, and the patientís concurrent diseases. Good communication and interpersonal skills are of paramount importance in this setting. In addition, pharmacy students may join the team allowing the resident an opportunity to assist in the teaching process. The resident must devise efficient strategies for accomplishing the required activities in a limited time frame.

The pharmacist provides educational sessions and materials, as well as drug information to other health-care professionals on the team. Drug therapy monitoring is provided to all team patients. The pharmacist has an integral role in medication selection utilizing knowledge of current literature to compare treatment options with respect to efficacy, pharmacokinetics, adverse effects, and pharmacoeconomics. Dosage adjustment and therapy duration recommendations are based on clinical/laboratory data, patient responses, and the patientís concurrent diseases. Patient outcomes are also routinely assessed. All patients are educated regarding their drug therapy and counseled regarding discharge medications to optimize therapeutic outcomes. The pharmacist is also responsible for ADR and Medication Error reporting involving team patients. Good communication and interpersonal skills are of paramount importance in this setting. In addition, pharmacy students may join the team allowing the resident an opportunity to assist in the teaching process. The resident must devise efficient strategies for accomplishing the required activities in a limited time frame.

Pediatric Intensive Care Unit

The experience involves the provision of direct patient care for patients in the 20 bed Pediatric Intensive Care Unit (PICU) at WCHOB. The resident is responsible for working with the interdisciplinary critical care team, including the attending, fellows, medicine and emergency medicine residents, nurses, respiratory therapists, social worker, and nutritionists, to identify, prevent and resolve medication therapy issues for patients in the PICU. Good communication and interpersonal skills are of paramount importance in this setting. The resident must devise efficient strategies for accomplishing the required activities in a limited time frame.

The pharmacist provides educational sessions and materials, as well as drug information to other health-care professionals on the team. Drug therapy monitoring is provided to all team patients. The pharmacist has an integral role in medication selection utilizing knowledge of current literature to compare treatment options with respect to efficacy, pharmacokinetics, adverse effects, and pharmacoeconomics. Dosage adjustment and therapy duration recommendations are based on clinical/laboratory data, patient responses, and the patientís concurrent diseases. Patient outcomes are also routinely assessed. All patients are educated regarding their drug therapy and counseled regarding discharge medications to optimize therapeutic outcomes. The pharmacist is also responsible for ADR and Medication Error reporting involving team patients. Good communication and interpersonal skills are of paramount importance in this setting. In addition, pharmacy students may join the team allowing the resident an opportunity to assist in the teaching process. The resident must devise efficient strategies for accomplishing the required activities in a limited time frame.