Anticoagulation – This is a 5 week required block rotation that takes place at the Providence Sacred Heart 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 in promoting optimal patient outcomes related to anticoagulation management.
Centralized Refill - This is a 12 month required longitudinal rotation that takes place at the Providence Sacred Heart Pharmacotherapy Clinic and is designed to engage the resident in the medication review and authorization process. Residents will also gain substantial knowledge in medication monitoring parameters and appropriate follow-up.
Community Outreach – This is a 12 month required longitudinal rotation based out of the Providence Sacred Heart Pharmacotherapy Clinic and is designed to engage the resident in the local community in a meaningful way. The resident will participate in various community outreach events throughout the year.
Didactic Teaching –This is a 3-5 week elective block rotation that takes place at Washington State University College of Pharmacy and Pharmaceutical Sciences and is designed to engage the resident in a variety of teaching activities during the Special Populations course including (but not limited to) didactic lectures, applied patient care labs, simulation labs, and writing and evaluating examinations.
Disease Modifying Therapy ONE –This is a 5 week required block rotation that takes place at the Providence Sacred Heart Pharmacotherapy Clinic. It is designed to immerse the resident in activities related to disease-modifying therapy. The resident will take an active role in patient care visits, aiming to enhance patient outcomes through effective management of biologic therapies in the fields of dermatology, rheumatology, pulmonology, and endocrinology. Most patient interactions will be face-to-face, supplemented by follow-up phone calls. Patient management will involve a comprehensive approach, including assessing their disease state, ensuring medication adherence, reviewing diet and lifestyle factors, increasing medication knowledge, evaluating lab results, and adjusting medication doses according to collaborative drug therapy guidelines.
Disease Modifying Therapy TWO –This is a 5 week required block rotation that takes place at Providence Holy Family Pharmacotherapy Clinic and is designed to immerse the resident in activities related to disease-modifying therapy. The disease states and medications for this rotation differ form the disease modifying therapy (DMT) one rotation. The resident will take an active role in patient care visits, aiming to enhance patient outcomes through effective management of biologic therapies in the fields of Multiple Sclerosis and Gastrointestinal disorders. Most patient interactions will be face-to-face, supplemented by follow-up phone calls. Patient management will involve a comprehensive approach, including assessing their disease state, ensuring medication adherence, reviewing diet and lifestyle factors, increasing medication knowledge, evaluating lab results, and adjusting medication doses according to collaborative drug therapy guidelines.
Disease State Management – This is a 5 week required block rotation that takes place at Providence Sacred Heart Pharmacotherapy Clinic and is designed to immerse residents in the care of specific disease states managed by pharmacists. Residents will engage actively in patient care visits, with the goal of promoting optimal outcomes in disease state management. During this rotation, residents will enhance their ability to manage various conditions such as hepatitis C, tobacco use disorder, iron deficiency anemia, transthyretin amyloidosis, and type 2 diabetes mellitus. Patient management will involve a comprehensive approach, including evaluating the disease state, ensuring medication adherence, reviewing diet and lifestyle factors, improving medication knowledge, interpreting lab results, and adjusting medication therapies or dosages in accordance with collaborative drug therapy guidelines.
Management – This is a 5 week required block rotation that takes place at the Providence Sacred Heart Pharmacotherapy Clinic and is designed to engage the resident in various management activities. Travel to the Holy Family Pharmacotherapy Clinic may be required based on location of in-person meetings. The resident will complete the reading of articles determined by the preceptors and a leadership book of their choosing, engage in topic discussion as time allows, complete activities and projects as assigned, and attend various clinic related management meetings
Obstetrics – This is a 5 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 5-week required block rotation that takes place at the Providence Sacred Heart 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 as well as prepare the resident for several of their block and longitudinal rotation. This includes reading and preparations for Disease Modifying Therapy ONE, Anticoagulation, Centralized Refill, Community Outreach, Teaching Certificate and Quality Improvement. Residents will also spend time shadowing our support staff to gain a full understanding of how our clinic is run.
Outpatient – This is a 3-5 week elective block rotation based out of the Providence Sacred Heart Outpatient Pharmacy (Credena) and is designed to engage the residents in the practice of retail pharmacy. The resident will actively participate in the filling and verification of prescriptions, as well as counseling patients and fellow healthcare providers. The pharmacy provides prescription services to patients discharging from Providence Sacred Heart Medical Center, Providence Holy Family Hospital, associated Pharmacotherapy Clinics, as well as the community at large.
Population Health – This is a 3-5 week elective block learning experience that take place at the Providence Pharmacotherapy Clinic and designed to engage the resident in quality metrics related to pharmacy practice. The resident will participate in population health initiatives through patient outreach, intervention, and physician collaboration.
Primary Care – This is a 5 week required block rotation that takes place at the Spokane Teaching Health Clinic (STHC) and is designed to engage the resident in primary care practices with an emphasis on medication review and preventative care. The resident will actively participate in patient care visits and assist in promoting optimal patient outcomes related to preventative care and disease state management.
Psychiatric Pharmacy –This is a 5 week elective block rotation that takes place at Providence Medical Group Northpointe Family Medicine Clinic. pharmacist. This experience is designed for residents to learn the pharmcist role within a primary care clinic setting and specifically the skills related to treating individuals with behavioral health and neurologic disorders. Residents will work directly with the psychiatric pharmacist in managing patient referrals, answering provider questions, completing patient care visits, and other activities as required.
Quality Improvement – This is a 12 month required longitudinal rotation based out of the Providence Sacred Heart Pharmacotherapy Clinic with occasional block sessions such as the regional residency conference and the Midyear Clinical Meeting. This rotation occurs both on-site and off-site, designed to immerse the resident in yearlong quality improvement projects. It is a resident-led experience with guidance and mentorship provided by a preceptor. The rotation aims to develop the resident's skills in drug class reviews, project management, presentation, and manuscript writing suitable for publication.
Staffing – This is an 10 month required longitudinal rotation located at the Providence Sacred Heart Pharmacotherapy Clinic and is designed to immerse the resident in clinical pharmacy staffing practices by providing the resident with an opportunity to independently practice and apply the skills they are learning during their residency training. After completing the initial two clinical rotations at the Sacred Heart Pharmacotherapy Clinic, the resident will manage patients within the services they have trained for. The resident is scheduled to staff at least once a week, usually, but not always, on Monday or Friday, with a 9-hour shift, along with occasional week-long staffing commitments. Throughout this rotation, the resident will actively engage in patient care visits, focusing on promoting optimal outcomes related to anticoagulation and disease state management.
Teaching Certificate – This is a 12 month required longitudinal experience where residents will work with the Washington State University College of Pharmacy (WSU COP) to gain teaching experience through active participation in all aspects of the clinical teaching program. The residents will gain teaching experience through didactic lectures, running applied patient care labs (APCL), writing exam questions, and participating in simulation labs. Residents will also participate in journal club and chalk talk activities with APPE students on rotation at the Sacred Heart Pharmacotherapy Clinic. Residents will also participate in student precepting when there is an APPE student on their current clinical rotation regardless of the rotation the resident is on. Residents may be required to travel to different locations for events.
Transitions of care – This is a 3-5 week elective block rotation that takes place at Providence Sacred Heart Medical Center and Children's Hospital. It is designed to immerse residents in the intricate processes involved in guiding patients smoothly from the community setting to an acute hospital environment and then transitioning back to their homes or another care facility, such as a Skilled Nursing Facility. It also covers the transition following an emergency department visit. Throughout this rotation, residents will delve into two pivotal aspects of patient care transitions, blending emergency medicine activities with comprehensive medication history evaluations.
