The critical care residency offers the following required experiences:
- Surgical ICU (4 weeks)
- Cardiothoracic ICU (4 weeks)
- Medical ICU (8 weeks)
- Burn/Trauma ICU (4 weeks)
- Neurology/Neurosurgical ICU (4 weeks)
- Emergency Medicine (4 weeks)
- Critical Care Practice Management (Longitudinal)
- Infectious Diseases (4 weeks)
- Education and Leadership (Longitudinal)
- Research/Quality Improvement (Longitudinal)
- Service Commitment (Longitudinal)
Many elective experiences are available, which include (but are not limited to) the following:
- Oncology Intensive Care
- Newborn Intensive Care
- Solid Organ Transplantation
- Poison Control Center
The program is committed to individualizing schedules to meet the resident’s personal and career goals, including offering the opportunity for up to 4 weeks to be spent on rotation in an outside facility. Additionally, residents will have the opportunity to attend cardiac arrests, rapid response activations, brain attacks, and code sepsis following the department’s standard operating procedures.
Teaching & Learning Opportunities
The resident will provide in-services to interprofessional colleagues and lead topic discussions during each rotation experience. The PGY2 Critical Care resident is actively involved in the training of PGY1 residents and pharmacy students. Residents will present a lecture at the college of pharmacy. The resident will also have the opportunity to present to fellow pharmacists and pharmacy technicians through an ACPE-accredited continuing education program (CE) as well as pro/con debate (completed in conjunction with the emergency resident co-resident). Numerous additional opportunities are available at the hospital, affiliated schools of pharmacy and medicine and our aeromedical transport. This residency includes an optional teaching certificate program.
Service Commitment (Staffing Component)
The resident will complete their staffing commitment as 2-4 shifts per month in the Medical ICU (MICU). The Medical Intensive Care Unit (MICU) is a 25 bed critical care unit that cares for patients from throughout the Intermountain West. Patient demographics vary considerably and commonly encountered disease states include respiratory failure, states of impaired perfusion (septic, hemorrhagic, hypovolemic, and cardiogenic shock), acute and chronic kidney injury, toxic ingestions, gastrointestinal bleeds, acute and chronic liver failure, solid-organ transplant, and thromboembolic diseases. This rotation includes extensive coverage of various infectious disease topics. The Medical ICU team serves as the primary response team for all inpatient cardiac arrests.
The pharmacy resident on service will be responsible for providing comprehensive pharmaceutical care to all patients on the assigned team. The primary focus of this staffing experience is providing excellent patient care and for the resident to serve as the primary pharmacy contact for the team on the weekends. The resident is expected to attend daily rounds with the assigned medical team as well as be the primary pharmacy contact person for that team. Residents are also expected to perform thorough medication and vaccination histories on each patient and communicate pertinent patient information through documentation in the electronic chart.
Additional staffing areas may be included based on departmental needs. Residents are required to staff a portion of observed holidays. Participation in various community volunteer opportunities is encouraged, but not required.
Residency Research/Quality Improvement Project
Residents have the opportunity to complete their required research/quality improvement project within a collaborative, interdisciplinary environment, and as such, residents have the opportunity to meet regularly with other collaborators (e.g., physicians, nurses, etc.) to enhance their overall research design. Residents are also supported by one of the preeminent Drug Information Services in the country, which is readily accessible within our pharmacy department. Residents will demonstrate an understanding of the steps involved in planning and coordinating a project that furthers pharmacy practice, including, but not limited, to the following:
- Project selection and defense to the institution’s Resident Advisory Committee
- Development of project proposal in IRB format and IRB approval as necessary
- Identification and coordination of data collection and analysis
- Presentation of research in poster format at the University Health Consortium
- Presentation of research in platform format at Mountain States Conference
- Preparation of a manuscript suitable for publication in a peer-reviewed journal
The resident is expected to attend ASHP Midyear Clinical Meeting and Mountain States Conference, and will have the opportunity to attend the Annual Congress of the Society of Critical Care Medicine pending department funding.