Open Accessibility Menu
Hide

Rotations Offered

Required Rotations

Anticoagulation

This is a 4 week required block rotation that takes place at the Providence Sacred Heart Anticoagulation and Pharmacotherapy Clinic and is designed to engage the resident in face to face and over the phone anticoagulation management. The resident will actively participate in patient care visits and assist to promote optimal patient outcomes related to anticoagulation management.

Anticoagulation Triage

This is a 4 week required block rotation that takes place at the Providence Sacred Heart Anticoagulation and Pharmacotherapy Clinic and is designed to engage the resident in procedure planning, safe transitions of care from hospitals/acute care settings, and anticoagulation management through home health agencies.

Community Outreach

This is a 12 month required longitudinal rotation based out of the Providence Sacred Heart Anticoagulation and Pharmacotherapy Clinic and is designed to engage the resident in the local community in a meaningful way. The resident will participate in a community outreach event on a bimonthly basis such that there is an activity being completed every month between the two residents.

Disease State Management

This is a 6 week required block rotation that takes place at the Providence Sacred Heart Anticoagulation and Pharmacotherapy Clinic and is designed to engage the resident in the management of various disease states. The resident will actively participate in patient care visits and promote optimal patient outcomes related to disease state management. Residents will develop their ability to effectively manage various disease states including anemia, hepatitis C, rheumatology, osteoporosis, dermatology, diabetes, and tobacco cessation. The majority of patient appointments are face to face visits with some telephone follow up. Management of patients will include assessing patient medication adherence, patient disease state, diet, lifestyle, medication knowledge, evaluating lab results, and adjusting medication doses based on collaborative drug therapy guidelines. During the training portion of this rotation, residents will spend time shadowing multiple pharmacists treating all applicable disease states to gain experience and exposure to multiple disease states and a variety of clinical situations.

Management

This is a 6 week required block rotation that takes place at the Providence Sacred Heart Anticoagulation and Pharmacotherapy Clinic and is designed to engage the resident in various management activities. The resident will complete daily readings of articles recommended by AHSP, engage in topic discussion as time allows, complete activities and projects as assigned, and attend various clinic related management meetings. The management rotation will also help residents become familiar with the key principles utilized in hospitals and health systems for leadership. The experience exposes the learner to leadership nomenclature, key principles, tools, and available resources.

Obstetrics

This is a 6 week required block rotation that takes place at the High Risk Pregnancy Clinic and at the Sacred Heart Medical Center and Children's Hospital. It is designed to engage the resident in diabetes management for the high risk pregnancy population. The pregnant patient population served by this rotation include high risk pregnancy (co-existing disease states, fetal anomalies, multi-gestation pregnancies, complex drug therapies, etc.), patients who have had little to no prenatal care, and patients with a history of drug dependence or abuse.

Orientation

This is a 4 week required block rotation that takes place at the Providence Sacred Heart Anticoagulation and Pharmacotherapy Clinic and is designed to orient the resident to the residency program and allow time to complete the continuing education requirements for the clinic collaborative drug therapy agreements. The orientation rotation is separated into 2 separate two week blocks that are strategically scheduled in order for residents to apply the skills they are learning as soon as possible. Residents will also spend time shadowing our support staff in order to gain a full understanding of how our clinic is run. This additional shadowing experience will help the resident be successful in their pharmacist duties as they see patients and plan follow up visits.

Outpatient

This is a 12 month required longitudinal rotation based out of the Providence Sacred Heart Outpatient Pharmacy and is designed to engage the resident in the medication dispensing process. The resident will engage in various medication dispensing activities on a biweekly basis such that there is a resident on service every Saturday. The outpatient pharmacy focuses on bedside delivery and consultation for discharging patients and filling prescriptions for the hepatitis C and transplant patient populations.

Primary Care

This is a 6 week required block rotation that takes place at the Spokane Teaching Health Clinic (STHC) and is designed to engage the resident disease state management within the primary care practice setting. STHC is a training site for internal, family, and psychiatric medication residents. Pharmacy residents will serve as a resource for medical residents and faculty as well as conduct direct patient care visits to assist the health care team with disease state management.

Quality Improvement

This is a 12 month required longitudinal rotation based out of the Providence Sacred Heart Anticoagulation and Pharmacotherapy Clinic and is designed to engage the resident in the quality improvement process. The resident will select a yearlong project that focuses on quality improvement and will present their project in poster form at the ASHP Midyear Clinical Meeting in December and in PowerPoint form at the Western States Residency Conference in May.

Staffing

This is an 11 month required longitudinal rotation based out of the Providence Sacred Heart Anticoagulation and Pharmacotherapy Clinic and is designed to provide the resident with an opportunity to independently practice and apply the skills they are learning during their residency training. Staffing will begin immediately following the anticoagulation learning experience and patient appointment types will be added as the resident progresses through their residency year. Residents will also have on-call responsibilities as scheduled.

Teaching Certificate

This is a 12 month required longitudinal rotation based out of the Providence Sacred Heart Anticoagulation and Pharmacotherapy Clinic and is designed to engage the resident in gaining teaching and precepting experience. Through partnership with the Washington State University College of Pharmacy residents will earn a teaching certificate after completing a variety of teaching activities including (but not limited to) didactic lectures, applied patient care labs, simulation labs, and precepting advanced pharmacy experience (APPE) students.

Transitions of care

This is a 4 week required block rotation that takes place at Providence Sacred Heart Medical Center and Children's Hospital. It is designed to engage the resident in developing a better understanding of the complexity and processes involved in transitioning patients from the community setting to acute hospital setting and back to home or alternate care facility (i.e. Skilled Nursing Facility). A very important aspect of transitions of care is medication reconciliation. The resident will actively participate in obtaining accurate and complete medication histories at admission to ensure that patients receive appropriate home medications while hospitalized and to medications are updated correctly upon the patient being discharged.

Elective Rotations

Disease State Management Extension

This is a 2-6 week elective block rotation that takes place at Providence Holy Family Anticoagulation and Pharmacotherapy Clinic and is designed to engage the resident in disease state management activities. The resident will actively participate in patient care visits and promote optimal patient outcomes related to disease state management. Residents will develop their ability to effectively manage various disease states including anemia, multiple sclerosis, irritable bowel disease, diabetes, and tobacco cessation. The majority of patient appointments are face to face visits with some telephone follow up. Management of patients will include assessing their disease state, medication adherence, diet, lifestyle, medication knowledge, evaluating lab results, and adjusting medication doses based on collaborative drug therapy guidelines. During the training portion of this rotation, residents will spend time shadowing multiple pharmacists treating all applicable disease states to gain experience and exposure to a variety of clinical situations.

Geriatrics

This is a 2-6 week elective block rotation that takes place at the Providence Visiting Nurses Association and is designed for the resident to develop expertise in medication management of the ambulatory geriatric population as well as gain substantial academic-related experiences.

Internal Medicine

This is a 2-6 week elective block rotation that takes place at Providence Sacred Heart Medical Center and Children's Hospital and is designed to introduce residents to a team-based approach for medical care needs while admitted in the hospital and as patients discharge home

Pharmacy Informatics

This is a 2-6 week elective block rotation that takes place at Sacred Heart Medical Center and is designed to engage the residents in developing an understanding of how their knowledge of pharmacy practice applies in the realm of healthcare informatics. This rotation will provide exposure to the skills necessary for the practical application of pharmacy information and automated technology principles in integrated healthcare systems.

Sample Schedules