(PGY1 Required Rotation)
Kavish Choudhary, PharmD, MS
Sara Bamford, PharmD
University of Utah Hospitals & Clinics (UUHC) is comprised of 4 hospitals, 10 free standing clinics, 14 retail pharmacies, 3 infusion centers, ambulatory clinic services, home infusion service, and a comprehensive drug information service. University Hospital is a 490 bed, level 1 trauma center with strong critical care, emergency medicine, surgical services, obstetrics and gynecology, neonatal, internal medicine and subspecialties, neurosciences, and rehabilitation. The University Neuropsychiatric Institute is a 130 bed inpatient psychiatric facility. The Huntsman Cancer Center consists of a 100 bed inpatient service including an ICU, an ambulatory infusion suite, and extensive ambulatory cancer clinics, including bone marrow transplant. The University Orthopaedic Hospital provides mostly ambulatory care surgery services plus orthopaedic specific clinics. The ambulatory care network includes the Community Clinics located throughout the Salt Lake Valley and the 4 counties surrounding that provide both primary and specialty care, plus the specialty clinics and infusion room at University Hospital. While on rotation, the resident will primarily be at University Hospital if assigned to Kavish or Linda or will be located at Mike’s offices. Either way, residents will have the opportunity to visit numerous sites within the enterprise.
Residents will receive a broad overview of the leadership and management issues in the Pharmacy Department. The resident will attend many of the meetings that the Chief Pharmacy Officer, Senior Pharmacy Directors, Director for Medication Quality and Safety, and the Manager for Support Services attend including those with senior leadership. The resident will develop a good understanding of pharmacy’s important role in the organization. The resident will be introduced to the department’s compliance, supply chain, revenue integrity, regulatory and financial issues. Residents will complete several projects to apply key concepts and understand how to justify pharmacy services.
Residents need to contact the preceptor 1-2 weeks before the rotation starts to confirm start date and provide the preceptor any scheduling situations (vacation, appointments, etc) as soon as the resident is planning it. No preparation is required prior to the start of rotation. If desired, residents can pick up readings for the rotation and start prior to the rotation. By the first day of rotation, residents need to complete everything on the, "Rotation Orientation Checklist for Preceptors and Residents." In particular, residents should bring a copy of the customized plan and resident’s individual goals for the rotation. Resident should bring their Color Code and Myers-Briggs preferences for the first day.
Typical Daily/Weekly/Monthly Activities:
Usual time for rotation is 7:45 am to 4:30 pm. However, it is very important to be flexible based on what is going on in the department and with meetings: 7 am or late in the afternoon or evening meetings are likely to happen several times in the rotation. The schedule will be reviewed every Monday morning to develop a plan for the week, and will be adjusted daily as the need arises.
The resident will have the opportunity to work on a wide range of relevant administrative, quality, safety or management projects during the rotation. Projects will be concentrated on topics and initiatives that will enable to resident to work with different areas within the department of pharmacy as well as departments throughout the entire organization. Project opportunities will be driven by current events in the department or organization and may require a presentation.
The resident will have discussions with the preceptor(s) multiple times per week. The weekly planning meeting (usually Monday morning first thing) will serve as a place for providing feedback to the resident and making adjustments to the rotation as needed.
A custom midpoint evaluation is used. The resident and preceptor will complete it together evaluating progress in completing goals, interpersonal communication, project and time management, and ability to work independently. Resident strengths and opportunities will be discuss. The resident needs to come prepared with the list of their projects to date, but no other preparation is needed.
A final summative evaluation will be completed, usually on the last day of rotation. Prior to the evaluation meeting, the resident needs to complete the self-evaluation, evaluation of learning experience, and preceptor evaluation in PharmAcademic. The final evaluation will be conducted in PharmAcademic. The resident needs to be sure to use the template for evaluations in preparing their evaluations.
Goals and Objectives, Rotation Activities, and Readings for the rotation:
The following table outlines the goals and objectives that have been selected for the rotation. For each goal, the usual rotation activities are described with the associated reading assignments. Required are available in a binder that you can borrow from your preceptor. Optional readings are available on request.