Acute Medicine I
The Acute Medicine I rotation is a required 4-week patient care learning experience that occurs on a general medicine floor that has 33 beds. The resident will practice in a decentralized pharmacy practice model. The decentralized clinical pharmacist is responsible for order verification for 36 beds, responds to and manages all physician-generated pharmacy consults, proactively monitors all patients, and collaborates with providers and nursing staff to ensure appropriate, evidence-based medicine is used to treat and monitor the patients.
Acute Medicine II
The Acute Medicine II rotation is a required 4-week rotation on a Medical/Surgical floor. This learning experience focuses on providing evidence-based patient-centered care to patients admitted to the UT Family Practice Medicine service. The resident will become fully integrated into the team, round on a daily basis, and focus on management of drug therapy in patients with multiple medical problems.
Acute Medicine with Cardiology Emphasis
The Acute Medicine with emphasis in Cardiology rotation is a required 4-week rotation on the cardiac telemetry unit that has 36 beds. There will also be opportunities for participating in the care of patients in the progressive care unit (PCU) and epilepsy monitoring unit (EMU). The resident will practice in a decentralized pharmacy practice model.
Acute Medicine with Oncology Emphasis
The Acute Medicine with Oncology emphasis rotation is an elective 4-week experience designed to provide the resident with the opportunity to develop the knowledge and skills necessary to provide appropriate treatment strategies in patients with acute disease states as well as patients with acute oncologic emergencies. The resident will practice in a decentralized pharmacy practice model.
The Antimicrobial Stewardship rotation is a required 4-month longitudinal experience. During this experience the resident will gain a general understanding of appropriate empiric and definitive utilization of antimicrobial agents in the adult inpatient population. The resident will support antimicrobial stewardship initiatives through the development of education, protocols, and prospective audit and feedback. Antimicrobial utilization data will be collected, analyzed, and presented to appropriate stakeholders/committees.
The Critical Care rotation is a required 4-week experience designed to provide the resident with the opportunity to develop the knowledge and skills about the clinical course, manifestations and therapy of common critical care disease states through direct instruction, observation and modeling by the preceptor. The resident will have the opportunity to apply this knowledge through active participation in the multi-disciplinary team and focused projects relating to critical care with coaching and facilitation occurring by the preceptor.
The Drug Information rotation is a required 12-month longitudinal experience. The resident will respond to drug information questions with evidence-based responses with different preceptors throughout the year. Drug information projects may include a drug monograph, drug class review, or development of a clinical pathway or guideline.
The Infectious Disease rotation is an elective 4-week experience designed to provide experience in the management of patients with a variety of complicated infectious processes. The resident will gain a general understanding of the etiology, pathophysiology, prognosis, and antimicrobial therapy for certain infectious diseases. Throughout the rotation, the resident will routinely collaborate with infectious disease physicians to ensure appropriate implementation of evidence-based pharmacotherapeutic care plans. The resident will also be required to complete one infectious disease or antimicrobial stewardship related project or presentation based on the needs of the organization.
The Emergency Medicine rotation is an elective 4-week experience in a 49 bed emergency room. The rotation involves the care of patients in the hospital's emergency department (ED). The ED is a fast-paced environment that can allow for experience in hands-on patient care. In addition to issues relating to critically ill patients, principals of internal medicine and other areas will be covered. The clinical pharmacist collaborates with physicians, residents, nurses and other disciplines to ensure appropriate, evidence-based medicine is used to treat and monitor the patient. The resident will participate in discussions of pharmacotherapy related to patients observed in the ED and are responsible for their monitoring. There may also be opportunities to participate in the education of student pharmacists, nurses, and Emergency Medicine residents.
The Medication Safety rotation is a required 4-month longitudinal experience that gives the resident an insight into and experience with medication event reporting and monitoring. The resident will investigate medication safety events, conduct a root cause analysis (RCA), and develop a recommendation to prevent a similar error in the future. The resident will also gain an appreciation for ISMP's purpose, publications, and quarterly gap analysis.
Pain Management/Palliative Care
The Pain Management/Palliative Care rotation is an elective 4-week experience designed to provide the resident with the opportunity to develop the knowledge and skills necessary to provide appropriate treatment strategies for patients with acute and chronic pain. The resident will develop pain management strategies through direct instruction, observation, and modeling by the preceptor. Residents will have the opportunity to apply this knowledge through active participation in the Palliative Care team focusing on pain management in palliative care, post-surgical patients with pain care needs, and chronic pain patients admitted for acute care management.
The Performance Improvement rotation is a required 4-month longitudinal experience that will provide the resident an opportunity to learn about the medication-use system by identifying an area for improvement based on best practices. The resident will develop and implement a plan to resolve the identified issues utilizing Lean principles. Didactic instruction will surround Kaizen events, A3 methodology, Value Stream mapping, and MUDA with the intent of preparing the resident for the project.
The Pharmacotherapy Clinic rotation is a required, 4-week learning experience in the PGY-1 residency. The clinic is located at the Saint Louise Clinic and is in collaboration with the UT Family Medicine Residency program. The clinic is a family practice setting composed of attendings, medical residents, nurse practitioners, nurses, medical assistants, and a social worker.
The pharmacotherapy clinic provides chronic medication management (CMM), patient/ caregiver counseling and education, as well as drug information to other members of the healthcare team. Given an average return to clinic interval of 2-4 weeks, the resident will have multiple plan re-design opportunities.
The Pharmacy Administration rotation is a required, 4-week learning experience where the resident shall gain an appreciation of Pharmacy's role within the organization, obtain insight into pharmacy productivity targets in relationship to supply/non-supply budgets, and develop skills utilizing reports to support administrative decision making.
Pharmacy Operations is a 4-week required learning experience that will provide an opportunity for the resident to develop foundational hospital pharmacy practice skills. The resident will work in the Central Pharmacy and participate in the medication procurement, preparation and distribution process. The resident will focus on the safe, effective and cost-conscious delivery of medications to inpatients. The scope will include automated medication distribution, sterile and non-sterile compounding, narcotic medication distribution and management, preparing, packaging and labeling oral and intravenous medications, and monitoring medication therapy. The resident will supervise pharmacy technicians and maintain Central Pharmacy operations.
Pharmacy Orientation is a 4-week required learning experience that will provide a focused introduction to hospital pharmacy practice. It will include the Saint Thomas Health/Saint Thomas Rutherford Pharmacist onboarding activities, as well as activities specific to the Residency program.
Precepting Applied Therapeutics
The Precepting Applied Therapeutics learning experience is a required, longitudinal experience that is designed to give the resident an opportunity to precept 2nd and 3rd year pharmacy students. The goal of the Applied Therapeutics course is to prepare students to provide direct patient contact and to apply therapeutic knowledge to solve drug-therapy problems. The resident's responsibility is to help mentor and guide students as they prepare for and present assigned patients.
The Teaching Certificate is a required 10-month learning experience in collaboration with University of Tennessee College of Pharmacy.