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SWOSU College of Pharmacy Residency Program at Integris Southwest Medical Center - PGY1

Integris Southwest Mecial CenterASHP

Program Overview | Applicant Information | Rotation Experiences | Preceptors | Current Resident | Contact Information | Past Residents


Rotation Experiences

Required Rotations (1 month)

Residency Orientation
Academic*
Adult Medicine
Ambulatory Care*
Cardiology
Critical Care
Emergency Medicine

Infectious Diseases
Leadership and Administration
Pharmacy Informatics
Practice Management*
Research/Project Management*
Staffing*
Transitions of Care*

*Longitudinal Experiences

Orientation

This is the first month-long required rotation of the residency program designed to orient the resident to INTEGRIS Southwest Medical Center and the Department of Pharmacy.The resident will complete requirements related to the programmatic learning objectives, become acquainted with departmental policies and procedures, and begin work on a research protocol. During this month, a week-long orientation to the anticoagulation ambulatory care clinic will be completed.

Academic

Students at Table

This year-long required rotation will develop the resident’s skills in the area of teaching and precepting pharmacy students. The resident will complete training modules through the University of Kentucky (UK) as well as complete teaching requirements as outlined via UK to earn a teaching certificate at the end of the residency program. The resident will work in all areas of the educational process including didactic and experiential educational experiences and also have the opportunity to lecture in various courses throughout the PharmD program at SWOSU to gain valuable experience with a range of pharmacy students. In addition, the resident will also be involved in precepting students who are rotating at INTEGRIS Southwest Medical Center.

Adult Medicine

The adult medicine rotation is a 4-week required rotation that will expose the resident to the practice of pharmacy in the general medicine setting. The resident will be directly involved with the pharmaceutical care of patients in the medicine wards throughout the hospital by participating in daily rounds with the attending physician or respective medical service. The resident will be responsible for drug therapy monitoring, provision of drug information, and providing evidence-based recommendations when necessary to provide the highest quality of pharmaceutical care. Assigned readings will also be required to prepare for and actively participate in pharmacotherapy topic discussions.

Ambulatory Care

The INTEGRIS Southwest Anticoagulation Clinic serves as the practice site for this ambulatory care practicum. The focus of this longitudinal rotation is to provide the resident with the opportunity to acquire and practice skills in the delivery of pharmaceutical care to patients managed in the outpatient pharmacy setting. The goal of the rotation will be to provide advanced training and experience in management of ambulatory patients in prevention and treatment of thromboembolic disorders. Residents will also gain an appreciation of how pharmacists manage cost and quality of patient care in an ambulatory setting.

Cardiology

The cardiology rotation is a one month required rotation that will focus on the care of cardiovascular patients. The resident will work with the cardiology service over the course of the rotation. The resident will be expected to provide direct patient care to patients as well as helping with any necessary patient counseling. This is particularly focused on discharge counseling for patients who are post-MI, have heart failure, or are being discharged home on anticoagulation therapy. The resident will also have the opportunity to observe various procedures including stress tests, angiography/angioplasty/PCI, and various cardiothoracic surgical procedures. The resident will gain experience precepting students that may also be on the rotation as well as providing education to any medical residents or students who may also be rotating on the service.

Critical Care

Students in Hall

The critical care rotation is a one month required rotation designed to provide the resident with hands-on experience as a clinical pharmacist in the intensive care unit (ICU) at INTEGRIS Southwest Medical Center, which houses 20 medical/surgical beds. The resident will round daily in the ICU with pulmonologists and be a resource for physicians, nurses and other health care providers in the intensive care unit. Common tasks will include providing dosage recommendations, antibiotic selection, evaluating patients for deep venous thrombosis prophylaxis, and responding to cardiopulmonary arrests in the ICU. The resident will be expected to follow his/her patients on a daily basis, complete assigned readings, lead group discussions about patients or topics, and make recommendations regarding therapy. The resident will also have the opportunity to observe various procedures as opportunities occur during the rotation. Residents will gain experience precepting students that may also be on the rotation as well as providing education to any medical residents or students rotating on the service.

Emergency Medicine

The emergency medicine rotation is a one month required rotation designed to provide the resident with hands-on experience as a clinical pharmacist in the fast-paced environment of the emergency department. The resident will develop an understanding of triage and emergency medicine from diagnosis to treatment and will be a resource for physicians, nurses and other health care providers housed in the emergency department. Medication histories and patient education will be completed as required. The resident will also have the opportunity to observe various procedures as opportunities occur during the rotation. Residents will gain experience precepting students that may also be on the rotation as well as providing education to any medical residents or students rotating through the emergency department.

Infectious Diseases

Infectious diseases is a one month required rotation that will provide an opportunity for the resident to gain insight in the management of infectious diseases, appropriate antimicrobial utilization for patients in an acute care setting, and to understand the principles and practices of antimicrobial stewardship through the Antimicrobial Management Program. The resident will be expected to follow his/her patients on a daily basis and routinely present assigned patients to the preceptor. When feasible, the resident may be working with the Infectious Diseases (ID) consult team and attend rounds with the ID team. Assigned readings will also be required to prepare for and actively participate in pharmacotherapy topic discussions regarding antimicrobial therapy in the management of infectious diseases.

Leadership and Administration

The leadership and administration rotation is a required one month rotation that will bring an understanding of administrative, management, and leadership principles within a community hospital and as well as a health system. The focus of the rotation will include medication policies and procedures, operations, budget management, and medication safety. Although this is a focused month, the resident may be involved in various projects from time to time that contribute to the learning objectives for this rotation.

Pharmacy Informatics

Informatics is a one month required rotation in which the resident will become familiarized with the organization’s medication-use systems. The resident will gain a basic understanding of computerized prescriber order entry (CPOE) systems, pharmacy order entry systems, barcoded medication administration (BCMA) systems, automated dispensing systems, automation/robotics, and electronic health records (EHR). Depending on department initiatives during the rotation, the resident may be involved with the planning and implementation of specific projects or system upgrades. Throughout the rotation, the resident will also develop an understanding of medication use processes and related to medication safety.

Practice Management

Student Working

The drug information rotation is a required longitudinal rotation. Residents will respond to drug information requests, prepare drug monographs for the Pharmacy and Therapeutics Committee, and perform Drug Use Evaluations. The resident will apply advanced drug information and evidence-based medicine skills to formulate recommendations to various members of the healthcare team. These activities require that residents develop communication and literature evaluation skills as well as become proficient in the use of printed and online references.

Research

Student doing research

Research is a year-long longitudinal rotation with a focus in research in the month of December. Experience and training in research is gained through two main mechanisms: (1) resident research project; and (2) research lectures within the Core Lecture Series. The purpose of completing a research project is for the resident to gain experience in all aspects of research: study design and conduct, data analysis, presentation of results, and submission of manuscript for publication.

The resident will conduct the research project under the direction and guidance from the Research Advisory Panel (RAP), which consists of a primary preceptor for the research project (typically the preceptor from which the selected research topic originated) and a minimum of two other co-preceptors with helpful areas of expertise.

Staffing

Lab Setting

A dedicated one month staffing orientation will allow the resident to develop skills needed during weekend staffing shifts. This is scheduled during the second month of the residency to allow the resident to completed their licensure testing and be a licensed pharmacist for the majority of the rotation.

Transitions of Care

This is one month rotation that will focus on obtaining accurate medication histories for the patient record as a basis of current treatment. The resident will be expected to work with physicians, nursing staff, and others to help facilitate the medication reconciliation process. Patients/Caregivers may also need education on their medication regimens if problems are identified as part of the home medication reconciliation process. Residents will also be involved in discharge counseling for patients as needed.

Elective Rotations

Additional learning experiences may be chosen from the electives offered (range 2 — 4 weeks per elective chosen). These could include areas above as well as oncology, pediatrics, transplant, and several others. Some of these additional rotations are available at our sister facility, INTEGRIS Baptist Medical Center. An elective in didactic academic work will also be available on the Weatherford campus of Southwestern Oklahoma State University.

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