The Anticoagulation Clinic rotation is a longitudinal rotation with direct patient care which is held in an outpatient-based anticoagulation clinic. The resident will be responsible for overseeing the care of patients who are receiving oral anticoagulation therapy with warfarin. The resident is required to interview the patient, perform a physical examination, assess the appropriateness of therapy, assess their bleeding risk, make drug dosage adjustments based on their INR value, and document all interactions in the software program utilized by the AC clinic.
Critical Care - Medical Intensive Care Unit
The Medical Intensive Care rotation is a five week acute care rotation for pharmacy residents. The primary focus of patient care in the MICCU is related to non-surgical acute cardiac and noncardiac illness. The secondary focus of patient care on the MICCU is to act as a hospital resource to treat patients who have experienced a life-threatening or life-altering condition when other critical care beds may be limited. The MICCU is a 22 bed ICU that serves a diverse group of patients including critically ill general, cardiac, neurological, geriatric, vascular, oncologic, etc. The MICCU team consists of critical care physician team (attending, resident, interns), clinical pharmacist, critical care nursing, respiratory therapy, and clinical dietary working collaboratively with the primary service for the patient.
Critical Care - Surgical Intensive Care Unit
The Surgical Critical Care / Trauma rotation is a five week acute care rotation for pharmacy residents. The surgical/neuro intensive care unit (SINI) provides care to a wide variety of patients. The 20 bed SINI serves critically ill trauma, vascular, general, thoracic, orthopedic, and head and neck surgical patients. The majority of patients the resident will be exposed to are trauma patients. The trauma team provides the most comprehensive care to the ICU patients. This provides the resident with the opportunity to become an intricate part of the trauma team. The team consists of a trauma attending surgeon and both surgical and emergency medicine residents (from both UIC and ACMC).
The Drug Information rotation is a four week required rotation. The purpose of this rotation is to provide the resident with the knowledge and skills necessary to:
The Emergency Medicine rotation is a five week required rotation. The rotation is designed to provide an opportunity for the resident to gain insight into the management of emergency medical conditions. The objective of this rotation is to develop the skills and knowledge necessary to provide optimal pharmaceutical care to the patients presenting to the emergency department. During this rotation, pharmacy residents will be actively involved in medication regimen selection and monitoring. They will also be involved in medication history interviews, medical and trauma code situations, and patient/staff education.
The General Medicine rotation is a five week required rotation for pharmacy residents. This rotation is designed to provide residents with a broad training experience in managing general medicine patients admitted for diverse and complex medical management. The General Medicine patient population consists of adult and elderly patients. The patients have a wide range of disease states, most commonly experiencing cardiology, diabetes, pulmonary, infectious disease, and renal problems. The goal of this rotation is for residents to develop the skills and competencies which will enable them to effectively participate in therapeutic decision making, drug therapy selection, and the monitoring of acutely ill patients. The active involvement of residents in screening patients' medication profiles for potential problems involving dosing, drug allergies, drug interactions, intravenous compatibilities and medication response, in addition to monitoring antibiotic therapy and any medication that requires additional laboratory monitoring, will help assure high quality patient care.
The Infectious Disease rotation is a five week required rotation. This rotation was established to provide the resident the opportunity to design, recommend, implement, monitor, and modify anti-microbial therapeutic regimens utilizing evidence-based literature and/or hospital antibiotic sensitivity data. The patients will primarily be adults on the general medical units but may also include patients from the various intensive care units (medical and surgical). The resident will interact with physicians, including infectious disease specialists, medical residents and nursing staff in addition to the pharmacy staff.
The Pediatrics / Neonatology rotation is a 5 week required rotation. This rotation is designed to develop and enhance the knowledge, skills, and attitudes necessary for providing quality clinical pharmacy services to pediatric patients. Service areas include general pediatrics, intensive care, neonatology, oncology and pediatric cardiovascular services. A great deal of attention will be spent on individual patient centered care via interdisciplinary rounds and chart review. In addition, the resident will work on various projects to improve drug-delivery processes and/or provide drug-therapy protocols for the pediatric and neonatal populations.
Most pharmacy residents have little exposure to pediatrics so a review of pediatric disease states will be incorporated into this rotation. However, if a resident has had sufficient exposure to pediatrics, then this rotation will be tailored to the resident needs.
Practice Management is a longitudinal experience which is required for the pharmacy practice resident. This experience is designed to promote the resident’s understanding and participation in the organization, planning, and supervision of pharmacy services. The resident will learn the organizational structure and function of the Pharmacy Department as well as its interrelationships with other hospital departments and hospital administration. Knowledge of regulations, both state and federal, as they pertain to pharmacy operations will be stressed throughout the rotation along with The Joint Commission standards. Performance improvement with a focus on patient safety initiatives, outcomes and measurement will be an integral part of this rotation.
The residency program requires the resident to participate in a pharmacy practice component, also known as staffing. This is a longitudinal experience that is designed to provide residents with exposure to practical operations and distributive pharmacy functions. The goal of the staffing component is to ensure that the residents can function autonomously as a pharmacist. Staffing responsibilities include order entry and drug distribution duties as well as the provision of patient care, pharmacokinetic monitoring and drug information. The staffing component consists of every other weekend, the fifth week of each clinical rotation, and three holidays. This averages out to be approximately 50 hours per month. The staffing requirement is consistent with ASHP duty hour guidelines.