Pharmacy Services

Pharmacy Services Residency

Internal Medicine II

 (PGY1 Rotation - Acute Care 2nd Rotation)

 
Preceptors:

Jennifer Babin, PharmD, BCPS
Ashley Crosby, PharmD, BCPS
Amanda Gallegos, PharmD, BCPS
Adya Mishra, PharmD, BCPS
Katie Nighorn Scerbo, PharmD
Heather Nyman, PharmD, BCPS
Kristine Ferreira, PharmD, BCPS – in training

 
Site Description:

The internal medicine service at the University of Utah Hospital currently consists of six teams, with potential to expand to seven teams in the near future. Four teams consist of an attending, resident, two intern physicians and medical students. The other two teams are composed of an attending and advanced practice clinician (either a physician assistant or nurse practitioner). Each internal medicine team consists of up to 22 patients with a total census of up to 135 internal medicine patients throughout the hospital. The majority of internal medicine patients are located on one of three internal medicine units (AIMA, AIMB, or WP5), however patients can be located throughout the hospital. Common reasons for admission include infection, coagulopathies, pulmonary dysfunction, liver dysfunction, and renal failure. Patients often present with multiple disease states and complicated drug regimens.

 
Role of the pharmacist:

The Internal Medicine pharmacist functions as part of a multidisciplinary team. Primary responsibilities include daily review of medication profiles, patient educations, reconciliation of home medications and improving medication dosing and utilization in all patients.

 
Resident Expectations:

Residents contribute to patient care by monitoring patients, reviewing med recs, making recommendations to the medical team to improve care, and by facilitating the delivery of medications. Residents will round with one of the internal medicine teams and will be expected to serve as that team’s pharmacist. Residents are expected to come in early enough to be able work up assigned patients prior to rounds. Residents are expected to follow through on patient care recommendations and monitoring tasks daily prior to leaving rotation. Residents are expected to participate in handoffs.

Residents are to prepare for presentations ahead of the deadline and present drafts as requested to preceptors for review. Presentations include daily patient presentations, bi-weekly topic discussion, weekly formal case presentations, one journal club, and one educational presentation/in-service.

 
Activities Evaluated and Taught:

RLS Objective

Rotation Activity

Teaching Method

Goal R1.1 In collaboration with the health care team, provide safe and effective patient care to a diverse range of patients, including those with multiple co-morbidities, high-risk medication regiments, and multiple medications following a consistent patient care process

OBJ R1.1.1 Interact effectively with health care teams to manage patients’ medication therapy

Residents will act as an effective member of the medication-use safety team to ensure the safety and welfare of the patient. Examples: assisting physicians with medication dosing/route, assisting nursing staff with questions such as IV compatibility.

Residents will round daily with one of six internal medicine teams. Residents will have the option of rounding with the preceptor the first day but will round independently for the remainder of the rotation, which will allow the resident to establish a collaborative, professional relationship with members of their medical team. The number of patients will vary daily, but each internal medicine team can have a maximum of 22 patients.

Direct Instruction
Modeling
Coaching
Facilitation

OBJ R1.1.3 Collect information on which to base safe and effective medication therapy

Residents will collect and update daily pharmacy progress notes with the newest laboratory results, microbiology results, pertinent imaging results and review any pertinent progress notes related to the patient’s care. Residents are expected to update daily pharmacy progress notes prior to the start of rounds each day. Residents will complete accurate medication histories and provide appropriate documentation.

Modeling
Coaching
Facilitation

OBJ R1.1.6 Ensure implementation of therapeutic regimens and monitoring plans (care plans) by taking appropriate follow-up actions

Residents will be responsible for implementing the medication changes discussed during rounds and subsequent medication monitoring (efficacy, side effects). Residents will follow-up with their team daily after discussing patients with their preceptor.

Modeling
Coaching
Facilitation

OBJ R1.1.8 Demonstrate responsibility to patients

Residents will evaluate each patient thoroughly and follow-up on recommendations and medication management of the patient throughout the day.

Coaching
Facilitation

Goal R1.3 Prepare, dispense, and manage medications to support safe and effective drug therapy for patients

R1.3.2 Manage aspects of the medication-use process related to formulary management

Residents will assess all requests for non-formulary medications for their patients and determine appropriateness of use in the hospital. Residents will find cost-effective alternate medications or follow the patient’s own medication policy to use patient-supplied medications for expensive, non-formulary therapies.

Direct instruction
Modeling
Coaching
Facilitation

Goal R3.1 Demonstrate leadership skills

R3.1.2 Apply a process of on-going self-evaluation and personal performance improvement

Residents will be conscientious of their work and strive toward providing the best possible care at all times.

Facilitation

Goal R3.2 Demonstrate management skills

R3.2.4 Manages one’s own practice effectively

Residents are expected to act as the primary pharmacist for their internal medicine team. Residents will have the option of rounding with the preceptor the first day but are expected to round independently for the remainder of the rotation. Residents are expected to update all pharmacy progress notes for patients on their internal medicine team daily before rounds and to complete all patient care activities prior to meeting with the preceptor in the afternoons.

Direct Instruction
Modeling
Facilitation
Coaching

Goal R4.1 Provide effective medication and practice-related education to patients, caregivers, health care professionals, students, and the public (individuals and group)

OBJ R4.1.1 Design effective educational activities

Residents are expected to provide patient education as appropriate. These include anticoagulation educations, medication education of an existing home medication, or new medication educations.

Residents will tailor education to their specific audience. Patient educations, physician in-service, case-presentations, topic discussions, and journal clubs are examples of educational activities on rotation.

Residents will provide specific learning objectives during formal presentations. i.e. internal medicine physician in-service

When applicable, residents will serve as a role-model for DP4 students on their internal medicine rotation.

Residents will present weekly formal case presentations on Fridays. The formal case presentation will focus on a topic related to a specific patient’s reason for admission and a formal handout will be required.

Residents will present a final in-service on an internal medicine topic to their internal medicine team. The presentation will include formal handouts.

Residents will provide a handout to their preceptor for topic presentations, journal club, and case presentations. Residents will provide a handout to the internal medicine team during the final in-service.

Direct Instruction
Facilitation
Coaching

 
Project Description:

  1. Case presentation (weekly)
    • Patient presentation in SOAP note format
    • Topic presentation that focuses on a specific disease state relevant to a patient
    • Formal hand-out and presentation
  2. Topic discussion (weekly)
    • Formal hand-out and presentation
    • Examples of topics: AKI, alcoholic hepatitis, anemia, pneumonia
  3. Journal Club (1)
    • Topic must be related to internal medicine
    • Article published within the last year
    • Likely to impact patient care
    • Formal hand-out and presentation
  4. Inservice presentation (1)
    • Examples of past topics include: DVT prophylaxis, insulin review, bowel regimens, overview of QTc prolonging medications, antibiotic coverage, overview of NOACs
    • Formal hand-out and presentation

 
Typical Daily/Weekly/Monthly Activities:

A typical day will be 0700-1530 but additional hours are usually necessary to complete projects, readings for topic discussions, journal club and attend meetings.

  • 0700-0900 Round preparation- patient monitoring and med reconciliations
  • 0900-1200 Internal medicine rounds
  • 1300-1400 Patient presentations- identify and resolve follow-up issues with medical team
  • 1400-1500 Topic discussion with preceptor
  • 1500 + Additional time to work on medication reconciliations, projects, topic discussions and resolve any remaining follow-up issues with medical team

 
Resident Expectations:

It is important to always behave professionally during your rotation as you will be working with other members of the health care team to provide quality healthcare.

Other resident expectations are listed under the “Rotation Activity” column in the table above.

 
Evaluation:

The resident will receive feedback on their progress each day as they discuss patients with the preceptor. The preceptor will provide formative feedback for case presentations, journal clubs and in-service. There will be a snapshot of their progress at 2 weeks and a summative evaluation of strengths, areas for development, and specific feedback to take to the next rotation. A formal final summative evaluation will occur on the last day of rotation.

Updated September 2017