2024-2025 Rotation Descriptions
Rotation Requirements
- Drug Information
- Practice Management
- 2 Acute Care rotations
- 1 must be Internal Medicine
- Options include all rotations listed in Acute Care rotation offerings as well as Critical Care rotation offerings
- 1 Critical Care rotation
- 1 Transitions of Care rotation
- 2 elective rotations + capstone rotation to be determined closer to end of year
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.
Residents will receive an introduction and overview to the department’s compliance, supply chain, revenue integrity and financial issues.
Acute Care Rotations
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.
Residents will rounds with the hematology service daily covering up to 12 patients.
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!
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.
There are 2-3 multi-disciplinary teams on the inpatient oncology service. PGY1 residents will spend ~3 weeks on the APC service and ~1 week on service with the oncology fellow.
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!
The patient population includes patients followed by the general surgery, orthopedic surgery, transplant surgery, trauma surgery, vascular surgery, and urology teams.
Critical Care Rotations
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.
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.
The Huntsman Intensive Care Unit (HICU) serves adult medical and surgical oncology/hematology patients as well as stem cell transplant recipients.
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.
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.
The Surgical Intensive Care Unit (SICU) serves OB/GYN, trauma, vascular, transplant, and general surgery patients.
Transitions of Care Rotations
Residents on the Transitions of Care rotation may select to round with General Cardiology or Heart Failure and Transplant in at least 2 settings (i.e., ICU, acute care, or clinic).
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.
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.
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)
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.
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.
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
Ambulatory Care Rotations
The clinic is composed of general, interventional, and congenital cardiology, heart failure/transplant, electrophysiology, cardiothoracic surgery, and vascular surgery patients. The resident will collaborate to manage patients and will primarily be working with the heart failure and general cardiology teams.
The family medicine clinical rotation is based at University of Utah Health Family Medicine Residency Clinics (Sugarhouse (SHC) or Madsen (MHC). Each clinic provides care to a wide variety of patients, including pediatrics, obstetrics, geriatrics and every type of patient in between.
The gastroenterology clinic is composed of biliary, motility, inflammatory bowel diseases, and general gastroenterology services. The hepatology clinics is composed of transplant hepatology, hepatitis C, hepatitis B, end stage liver disease, and general hepatology services
The Geriatric Clinic provides comprehensive primary car to older adults, including identification of support needed by family and/or the caregiver(s) of the patient
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.
Clinical pharmacy services provided include chronic disease state medication management through collaborative practice, comprehensive mediation reviews, refill authorization, drug information services and patient education.
This site is in the University’s two ambulatory Neurology Clinics, located at the Clinical Neurosciences Center and the Imaging and Neurosciences Center. Sub-specialties differ between clinics, and residents will be offered the opportunity to be involved in all areas or focus based on areas of special interest. Subspecialties include: general neurology, neuromuscular disorders, epilepsy, stroke, headache, multiple sclerosis, movement disorders, and cognitive disorders.
The Ambulatory Oncology Pharmacy rotation includes two primary areas: the Huntsman Cancer Hospital infusion pharmacy and the Huntsman Cancer Hospital ambulatory clinics.
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
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
The Community Thrombosis Clinic (CTC) at University of Utah Health is a pharmacist-based anticoagulation management service. The CTC provides telephone-based antithrombotic therapy management for approximately 2500 outpatients within U of U Health system via collaborative practice agreement with the referring provider.
Other Elective Options
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
The inpatient BMT service manages admitted patients receiving stem cell transplants and acutely ill stem cell transplant recipients not currently undergoing stem cell transplant.
Home Infusion is comprised of a diverse team of pharmacists, pharmacy technicians, nurse case managers, intake specialists, reimbursement specialists, and delivery coordinators that provide comprehensive and high quality infusion services to patients in their homes. Our services include transitions of care coordination, benefit investigation and prior authorization, USP <797> sterile compounding, dispensing and delivery of medications, clinical monitoring and ongoing care coordination, and billing and reimbursement for services provided.
The General Infectious Diseases (ID) Consult Service is responsible for most inpatient ID consults for University Hospital. The General ID Consult Service carries an average patient load of ~15-20 patients.
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.
This rotation is a reading, discussion, committee and project-based rotation. The resident will have opportunities to develop his or her understanding of medication safety issues in hospitals and clinics. Audits and projects will help the resident have a more clear understanding of their role in medication and patient safety in the health system.
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.
The primary objective for the resident is to develop a functional understanding of drug procurement and system distribution management in addition to the associated regulatory and compliance standards, including regulations that pertain to 340B drug pricing, Drug Supply Chain Security Act and State Procurement Code.