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Rotations Offered

Ambulatory Oncology

Rotation will help resident understand the laboratory, pharmacokinetic, and pathophysiologic parameters important in the care of oncology patients. By the end of the rotation the resident will understand and be able to provide for the supportive care needs of hematology and oncology patients. The resident will have opportunities to learn through providing staff and provider education, attend clinical conferences and inpatient care rounds. The resident will also be able to work with advanced care practitioners (ACPs) to provide direct patient care and patient education.

Anticoagulation Clinic

The Anticoagulation Rotation is designed to train pharmacy residents to use their clinical knowledge in an ambulatory setting. Pharmacy residents will be involved in all aspects of anticoagulation management including patient interviewing, INR and laboratory assessment, anticoagulation dose adjustment per collaborative practice agreement protocols, designing patient-centered, evidence based care plans and monitoring parameters, patient education, and providing consults to providers and patients. Residents will initially manage patients who are stable on their anticoagulation therapy and then progress to managing complex patients including those recently initiated on anticoagulation therapy.

Antimicrobial Stewardship

Rotation will introduce the resident to an Antimicrobial Stewardship and a clinical Infectious Disease pharmacy service. Working with an Infectious Disease physician, the goal of the service is to ensure optimal antimicrobial selection, dose, route, and duration to enhance outcomes while limiting the unintended consequences, such as resistance, adverse drug events, and cost. The rotation also supports development of effective communication with various healthcare professionals involved in direct patient care.

Cardiology

Focused on the acute cardiac management of patients that require continuous cardiac monitoring, telemetry, the rotation is designed to enable the resident to think critically and integrate their knowledge of pharmacotherapy, pharmaceutics, pharmacokinetics and pathophysiology to develop and assess therapeutic plans for patients with cardiac and/or cardiac related disease states. The cardiology services covers the progressive care, thoracic and vascular care, and medical telemetry units.

Medical Intensive Care

Rotation will familiarize the resident with aspects of a medical intensive care pharmacy practice and the experience will enable resident to gain knowledge and skills in the management of critically ill patients. The resident will be expected to participate in daily rounds and work closely with nurses, respiratory therapists and physicians to provide a multidisciplinary approach to patient care through optimal pharmacotherapy management and to ensure high quality patient outcomes.

Distribution Services (required)

This experience will allow the resident to gain experience and confidence in the fast paced environment of acute care pharmacy distribution. Resident will learn about automatic dispensing systems, purchasing, formulary control, IV standards and admixture. In addition, the resident will learn to oversee the work of pharmacy technicians in compliance with Washington State regulations. By the end of the learning experience, the resident should have a basic understanding of the medication flow from order entry to administration.

Emergency Services

Designed to familiarize the resident with the role the pharmacist plays in emergency medicine, the resident will receive clinical training managing the medication use needs of patients within an emergency department by emphasizing the fundamentals of pharmaceutical care and pharmacotherapy. PRMCE operates the busiest ED in the state of Washington and top-25 nationally.

General Medicine - Neurology/Surgery (required)

Rotation will introduce commonly encountered internal medicine and post-surgical disease states with appropriate pharmacotherapy. Rotation occurs predominantly on our surgical & neurology patient care areas and serves as an introduction to clinical pharmacy practice in an inpatient setting allowing the resident to get comfortable with all of department’s collaborative practice agreements.

Neonatal Intensive Care

The level III Neonatal Intensive Care (NICU) is a 29-bed unit that is part of the Seattle Children's Neonatology network that includes a team of neonatologists, ARNPs/PAs, and transport team that staff and facilitate the transport and care of neonates throughout the Puget Sound region. This rotation is designed to enable the resident to think critically and integrate pharmacokinetics, therapeutics and pathophysiology to care for neonates. The resident will participate in daily multi-disciplinary rounds to assess and develop therapeutic plans with the neonatal team. The NICU experience focuses primarily on neonates, but also includes peri- and postpartum monitoring of patients in the Family Maternity Center (FMC).

Oncology

Rotation provides the resident with an opportunity to specialize in the treatment and management of patients with cancer. Resident will participate in daily rounds and the main emphasis of the rotation will focus on guidance of the resident towards the handling chemotherapy processes, including patient assessment and monitoring, with eventual progression towards independent assessment, implementation, and monitoring of chemotherapy for our inpatient oncology population.

Surgical Intensive Care

Rotation focuses on critically ill pre & post-operative cardiac, neurosurgical, trauma general surgery patients and will enable resident to gain knowledge and develop advanced skills in their management. Resident will participate in multidisciplinary rounds daily and throughout the rotation, the preceptor will model the pharmacist's role on the heath care team for the resident and gradually give the resident increasing responsibility based on the resident's individual skills and progression. The resident will all have the opportunity to precept any student that is on service during the rotation.

Transitions of Care (required)

Designed to expose residents to the unique therapeutic challenges present at the point of hospital admission or discharge, the resident will intervene on patients throughout PRMCE inpatient setting with an emphasis on patients with congestive heart failure, chronic obstructive pulmonary disease, anticoagulation therapy, and patients at risk for poor medication adherence.

Pharmacy Administration (longitudinal)

This longitudinal rotation will enhance the resident's leadership skills in the health care environment through participation in various pharmacy leadership and operational activities. To practice pharmacy within hospitals and health delivery systems effectively in the future, this rotation will give exposure to leadership roles that oversee safe and effective medication usage helping the resident gain a broader perspective on how a hospital and pharmacy department functions and how to organize and promote appropriate medication control.

Major Project (longitudinal)

All Residents complete a major project as part of ASHP accreditation requirements. Projects are developed by the resident in conjunction with pharmacy administration based on resident interests and departmental needs. The intent of the project is to provide the resident with the opportunity to develop the knowledge and skills to successfully complete and implement such projects in pharmacy practice. The project abstract shall be presented at the ASHP Clinical Midyear Meeting and final project at the Western States Residency Conference held each spring.

Staffing (longitudinal)

Rotation will integrate resident into inpatient pharmacy operations resulting in them being able to provide pharmaceutical care at the level of a pharmacy generalist. Staffing will include both distributive & clinical shifts in areas where resident has completed training.

Required Rotations

  • Ambulatory Oncology
  • Anticoagulation Clinic
  • Antimicrobial Stewardship
  • Cardiology
  • Distribution
  • Emergency Services
  • General Medicine (Neurology/Surgery)
  • Medical Intensive Care
  • Neonatal Intensive Care
  • Oncology/Nephrology
  • Surgical Intensive Care
  • Transitions of Care

Longitudinal Rotations

  • Pharmacy Administration
  • Major Project
  • Staffing