Pharmacy Residency Rotation Descriptions
Cardiology - Amanda Torbett, PharmD, MBA, BCPS
Residents will gain experience serving as the cardiology drug therapy specialist, as well as the pharmacy educator, actively participating in team meetings and bedside rounds with a team comprised of a cardiology attending, fellow, medical residents, and nurse practitioners. Interventions and patient education will be documented in the medical record as appropriate. Residents will also have the opportunity to provide presentations to medical staff, precept pharmacy students, will participate in regular topic discussions, and assist in policy and/or order set development.
Cardiothoracic Critical Care - Megan Van Berkel Patel, PharmD, BCPS, BCCCP
During this rotation, the resident will become an integral part of the cardiothoracic surgery team and participate on daily multidisciplinary rounds. The resident will be expected to build on the basic knowledge gained during other patient care rotations, while focusing on cardiac and critical care issues. Residents will gain experience understanding hemodynamic monitoring, hemostasis, mechanical circulatory support including extracorporal membrane oxygenation (ECMO), pharmacotherapy and disease states as it relates to the cardiothoracic surgery patient. Residents will be expected to give a patient case presentation and participate in a journal club discussion with the cardiothoracic surgery team while on this rotation.
Emergency Medicine - Jeffery Galyon, PharmD, BCPS
The Emergency Medicine rotation is a four week acute care rotation designed to expose residents to key clinical, communication, and teaching skills utilized by clinical pharmacists in the Emergency Department (ED) setting. In this practice environment, residents will learn ED processes and develop an understanding of the pharmacologic management of acute and emergent disease states and traumatic injuries. Rotation activities will include response to emergency situations including acute trauma and ACLS events, supervision of pharmacy technician medication reconciliation, medication order review, drug therapy monitoring, medication preparation and delivery, provision of drug information to ED staff, and working as an integral part of an interdisciplinary team. Daily interactions with medical attendings, mid-level practitioners, nursing, and pharmacy staff will enhance professional communication and teaching skills. The rotation will focus on enhancing the resident’s teaching skills by providing opportunities for provision of direct physician and nursing staff education, as well allowing the resident to participate in multidisciplinary committees and workgroups within the ED. During the course of this rotation, residents will also assist with identifying areas for quality improvement within the ED.
Family Medicine - J. Lacie Bradford, PharmD, BCPS
Residents will gain experience managing all aspects of pharmacotherapy through active participation on daily bedside rounds with a multi-disciplinary team comprised of an attending physician, PGY1/PGY2 medical residents, medical students, pharmacy students and a clinical pharmacy specialist. There will also be opportunities for the resident to participate in clinical pharmacy services at the outpatient UT Family Medicine Clinic. The resident will provide drug information and education to healthcare professionals as well as patients and caregivers. The resident will also serve on the Pharmacy Anticoagulation Service during this rotation.
Hospital Practice - Emily Smith, PharmD, BCPS
Residents will gain longitudinal experience with the distributive functions of hospital pharmacy practice. Residents will become familiar with the medication-use system, medication and departmental policies and procedures and the skills required to serve as a clinical pharmacist during staffing requirements. Residents will also be involved with medication-use improvement projects.
Infectious Diseases - Cyle White, PharmD, BCPS
The purpose of the ID Practice rotation is to help the resident develop expert skills and competency in the care of infectious diseases and appropriate use of antimicrobials. The activities are designed to expose the resident to the diagnosis and pathophysiology of various infections. The resident will effectively design and recommend appropriate empiric and definitive treatment regimens, including monitoring of antimicrobial therapies. The resident will also gain experience through our antimicrobial stewardship program to promote appropriate and judicious use of antimicrobial agents. The majority of the resident’s experience on this rotation will focus on bedside rounding with an ID consult service and performing hospital-wide antimicrobial stewardship. There is one ID teaching team consisting of an attending physician, medical interns, PGY2 and PGY3 medical residents, medical students, pharmacy students and a clinical pharmacy specialist. Pharmacy residents and other healthcare professionals in training also participate when assigned to the ID teaching team.
Internal Medicine - Brittany N. White, PharmD, BCPS, Emily Goodwin, PharmD, BCPS
Internal medicine is a core rotation that will expose residents to management of pharmacotherapy through active participation on daily rounds with a multidisciplinary team comprised of an attending physician, medical residents and students, and pharmacy students. Residents will develop a mastery of evaluation and management of chronic disease states as well as acute critical illnesses. In addition, residents will provide pharmacy anticoagulation and pharmacokinetic consult services, medical resident and pharmacy student education, and assist in various projects include medication use evaluations and drug information consults.
Management - Katie Duffy, PharmD, MBA
This is a four week experience that encompasses participation in multidisciplinary meetings and activities concerning the role of pharmacy across the Erlanger Health System. Residents will gain experience in all aspects of pharmacy management, and will also have the opportunity to organize meeting agendas and present material for the Pharmacy and Therapeutics Committee.
Nutrition Support - Breanna Carter, PharmD, BCPS, BCCCP
During this required rotation, residents will gain experience serving as the nutrition support pharmacist for all adult inpatients. This includes evaluation for appropriate use of parenteral nutrition and assessment of patients receiving parenteral nutrition on a daily basis. The resident will have the opportunity to work collaboratively with dieticians to formulate treatment plans for patients requiring parenteral nutrition.
Pediatric General Medicine - Andrea Gerwin, PharmD, BCPPS
The resident will gain an understanding of medication issues specifically related to the care of pediatric patients. During this rotation, the resident will also be exposed to various disease states including neurosurgical, pulmonary, cardiac, general medicine, orthopedic, and trauma patients. Pediatric patients often have unique conditions uncommon in adult populations. The patients will be followed closely by the resident and daily activities will include monitoring medications, labs, sedation scores, vital signs, and other information relevant to appropriate medication use. The resident will become familiar with developmental pharmacology as well as age appropriate medication dosing. Plans and issues with medication therapy will be discussed on rounds with the interdisciplinary team and with the preceptor. Recommendations will be made when appropriate and education will be provided to the team when necessary. Educational activities include regular topic discussions with the preceptor or ICU team, daily attendance at Morning Report, weekly attendance of Grand Rounds, precepting students, and one patient case presentation to be given to the clinical pharmacy staff. The resident will participate in the pediatric antimicrobial stewardship review, renal review, and anticoagulation monitoring for the Children’s Hospital. Opportunities for rounding independently with the inpatient teams and participating in outpatient clinics are also available for the advanced resident.
Pulmonary Critical Care - Cassie Hamilton, PharmD, BCCCP
During this rotation, residents will monitor patients in the Medical Intensive Care Unit (MICU) and participate in daily evaluation and assessment of patient pharmacotherapeutic needs in addition to multidisciplinary bedside rounding. This teaching team includes an attending physician, medical residents and students as well as a clinical pharmacy specialist. Pharmacy residents and other healthcare professionals in training also participate. The resident will also gain experience in management of pharmacokinetic consults and development of proficiency in chart documentation.
Research Project Management - J. Lacie Bradford, PharmD, BCPS
Residents will gain experience in research by completing a clinical practice-related project of publishable quality. The residents will complete an extensive literature review, data collection and statistical evaluation while learning how to lead a research project. Residents will formally present their research projects at the Southeastern Residency Conference at the end of the residency year and complete a written manuscript. Residents will work closely with a project team that will assist and support them at every step of the research process.
Trauma Critical Care - Breanna Carter, PharmD, BCPS, BCCCP
On this rotation, residents will act as the drug therapy specialist for the Trauma/Surgical Intensive Care Team. Residents will actively participate in daily bedside rounds with a team comprised of an attending surgeon, surgical critical care fellow, and surgery/orthopedic surgery/emergency medicine residents and pharmacy students. Residents may have the opportunity to precept pharmacy students, respond to trauma activations, and participate in weekly topic discussions.
For more information about the Erlanger Pharmacy Residency Program, email Amanda Torbett, PharmD at Amanda.Torbett@erlanger.org.