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PGY1 Pharmacy in an Acute Care Setting

2026-2027 Rotation Descriptions

Rotation Requirements

  • Orientation
  • Acute Care rotations (2)
    • Acute Care I: Internal Medicine
    • Acute Care II
  • Antimicrobial Stewardship
  • Capstone rotation
  • Central Operations
  • Critical Care rotation
  • Drug Information
  • Elective rotations (2)
  • Transitions of Care rotation

Orientation

Residents receive training on the electronic health record, policies and guidelines, department structure, pharmacy strategic initiatives, and requirements of the residency program.

Antimicrobial Stewardship

The Antimicrobial Stewardship Program (ASP) oversees appropriate use of restricted anti-infective agents, performs daily and longitudinal monitoring and surveillance activities, and facilitates education and development of staff and residents

Capstone

The capstone rotation is the final rotation of the residency year. In the second half of the year, residents will select from one of the existing acute care, critical care, transitions of care, or elective rotations in a clinical area that helps with the transition from their PGY1 year to their next career steps.

Central Operations

Residents will work in the central pharmacy and support order and product verification, technician oversight, and compounding oversight of medications provided to patients within the hospital.

Drug Information

Residents will be involved with many aspects of the University of Utah Drug Information Service (UUDIS) including responding to drug information requests in our consult service call center and writing a formulary monograph.

Internal Medicine

Residents will round with one of the internal medicine teams and encounter disease states including decompensated cirrhosis, diabetic ketoacidosis, community acquired pneumonia, skin and soft tissue infections, osteomyelitis, alcohol use disorder, DVT/PE, and many more!

Longitudinal Rotation Requirements

Practice Management

Residents will receive an introduction and overview to the department’s compliance, supply chain, revenue integrity and financial issues.

Presentations & Teaching

Residents are responsible for completing a statistics-based presentation, two recitation sections for College of Pharmacy (COP) students and two other COP activities, an ACPE-accredited continuing education presentation, a poster presentation at Vizient or ASHP Midyear Meeting, and a platform presentation of longitudinal project findings at the Mountain States Conference.

Project

Residents will select a quality improvement project, submit an IRB, write a project proposal, complete data collection and analysis, and write a publishable manuscript prior to the completion of the residency year.  

Staffing

Residents staff in one of the decentralized clinical areas at the University of Utah Health Main Hospital. Residents are responsible for critically evaluating patients' drug therapy regimens for efficacy and safety, making therapy recommendations to an interdisciplinary team, performing transitions of care activities, and documenting pass-off notes in the pharmacist handoff. 

Acute Care II Rotations

Cardiovascular Medicine

Residents will round with either the General Cardiology or Heart Failure and Transplant team and encounter patients with acute coronary syndromes, heart failure exacerbations, endocarditis, myocarditis, atrial fibrillation and many other cardiac primary problems.

Hematology/Oncology

Residents will join the medical oncology or malignant hematology teams during rounds, engaging with patients undergoing active cancer treatment. They will also encounter patients admitted due to treatment complications such as immune-related adverse events, coagulopathies, pain management issues, and infectious complications.

Neuroscience

All patients being followed by this service have some sort of primary/underlying neurologic condition, such as stroke, MS, epilepsy, meningitis, and myasthenia gravis, in addition to their other disease states.

Pulmonary Medicine

Residents will round with the pulmonary team and encounter disease states such and complicated pleural effusions, empyema, lung abscesses, lung transplant complications, tuberculosis, asthma/COPD exacerbations, and many more!

Surgery and Trauma

The patient population includes patients followed by the general surgery, orthopedic surgery, transplant surgery, trauma surgery, vascular surgery, and urology teams.

Critical Care Rotations

Burn Trauma ICU

The majority of patients cared for by the Burn Service have sustained a thermal injury whether from flame, scald, electrical, or chemical source. In addition, the Burn Center cares for other types of wound-related problems including Stevens-Johnson syndrome, toxic epidermal necrolysis, frostbite, necrotizing soft tissue infections, gangrene, and other skin disorders which require surgical management.

Cardiovascular ICU

The emphasis for this rotation will be on the cardiothoracic surgical patients with a significant number receiving mechanical circulatory support via ECMO and VADs alongside their other shock states, ventilator management and other co-morbidities.

Hematology/Oncology ICU

The Huntsman Intensive Care Unit (HICU) serves adult medical and surgical oncology/hematology patients as well as stem cell transplant recipients.

Medical ICU

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.

Neurocritical ICU

The majority of the patients in the NCCU have sustained ischemic and hemorrhagic stroke, meningitis, closed head injury, spinal cord injury, seizure prophylaxis, status epilepticus, brain tumors, myasthenia gravis, epilepsy, Guillain-Barre syndrome, anticoagulation management, and other medical and neurological disorders.

Surgical ICU

The Surgical Intensive Care Unit (SICU) serves OB/GYN, trauma, vascular, transplant, and general surgery patients.

Transitions of Care Rotations

Emergency Medicine

During this rotation a resident will perform the usual institutional activities such medication history reconciliations and clarifying distributional questions. Emergency Department specific activities may include performing prospective reviews of medications administered in the ED, identify potential drug‐related problems and communicate these to other health care providers, participate in trauma/cardiac/brain attack codes, participate in topic/article discussions, present patients to a preceptor, be a resource to the ED staff in the areas of pharmacotherapy, pharmacokinetics, drug interactions, adverse effects, and side effects of commonly administered medications.

Pharmacy Ambulatory Clinical Care Center (PAC3)

Residents will assist with onboarding patients to Specialty Pharmacy Services by providing education, reviewing prior authorizations, and issuing refills for specialty medications. Specialty diseases will likely include, but are not limited to rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, plaque psoriasis, ulcerative colitis, Crohn's disease, and eosinophilic esophagitis.

Physical Medicine & Rehabilitation

Population served: stroke, traumatic brain injury, polytrauma, spinal cord injury, critical illness myopathy, transplant patient recovery

Teams provides pharmacy services for a total of 4 medical teams (Red- stroke, Blue- TBI/polytrauma, Green-SCI and Purple- CIM/transplant)

Pulmonary Medicine/Cystic Fibrosis

The resident will rotate between the inpatient pulmonary service, focusing specifically on patients admitted for Cystic Fibrosis exacerbations as well as the ambulatory Cystic Fibrosis Clinic and Asthma Clinic.

Solid Organ Transplant

The resident will be responsible for direct patient care of post-transplant patients in both the inpatient and outpatient setting. The resident will also have the opportunity to participate in transplant evaluation meetings.

Thrombosis

The resident will learn to function as a clinical pharmacist on the Hospital Thrombosis Team, located on CVMU of the University Hospital. The resident will also rotate through the on-site Thrombosis Clinic at the University Hospital, where they provide point-of-care INR testing, anticoagulation drug therapy selection and education (including the direct oral anticoagulants (DOACs)), and management for outpatients within the UUHC system via collaborative practice agreement with the referring provider

Electives

Additional elective opportunities are available upon request.

Gastroenterology-Rheumatology Clinic

The resident will spend 3 days per week in the gastroenterology clinic which serves patients with various disease states including inflammatory bowel disease (IBD), eosinophilic esophagitis, gastroesophageal reflux, IBS, motility dysfunction, and other general GI issues. The resident will spend 2 days per week in the rheumatology clinic which serves patients with rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, lupus (SLE), glucocorticoid-induced osteoporosis, and gout

Hematology/Oncology Clinics

The Huntsman Cancer Institute features pharmacists in over 10 hematology and oncology clinics, covering conditions from breast cancer to multiple myeloma. Residents will interact with patients at various stages of their oncology treatment, providing valuable experience in developing chemotherapy and supportive care plans, as well as medication counseling.

HIV Clinic

The HIV Clinic is the largest provider of HIV/AIDS care in the state and provides care to patients in the surrounding intermountain region. Clinical pharmacy services include drug information, patient education and consultation in HIV.

Informatics

Residents will be trained in the safe and effective use of information technology and automated systems including assessment, planning and appropriate use of various technologies. This rotation will include time for projects, informatics meetings, and technology training.

Inpatient Psychiatry/Outpatient Recovery Services

Huntsman Mental Health Institute (HMHI) is an inpatient and outpatient facility serving both adult and adolescent patients suffering from psychiatric disorders including but not limited to schizophrenia, bipolar disorder, PTSD, depression, anxiety, substance use disorder, and eating disorders.

Investigational Drug Service

The Investigation Drug Service (IDS) pharmacy is responsible for the acquisition, accountability, storage, labeling, and distribution of study drugs. The resident is expected to be engaged in learning IDS processes and understanding the role IDS plays in the care of patients enrolled in clinical trials.

Neonatal ICU

The Neonatology rotation is a 48 bed level IIIb newborn ICU caring for very low birth weight and extremely low birth weight infants drawn from a diverse urban/rural population of ~2 million covering 5 states.

Primary Care Clinic

The Redwood Health Center Pharmacy is a high volume (approximately 600 prescriptions per day) pharmacy that primarily serves a diverse patient population and employees of the University of Utah Health System.

The Greenwood Health Center offers a full range of medical services including primary care, urgent care, dental, and physical therapy.

The South Jordan Health Center offers a full range of medical services including primary care, specialty care, infusion, emergency services, and outpatient surgery

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