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Rotations Offered

Required Rotations

  • BCACP Prep
  • Camp Stix
  • Centralized Refill
  • High Risk Pregnancy Concentration
  • Independent Practice
  • Pharmacotherapy Clinic
  • Population Health
  • Primary Care Concentration
  • Quality Improvement
  • Spokane Teaching Health Clinic Concentration

Electives

  • Advanced Diabetes (focus on pumps)
  • Advanced Heart Disease
  • Cystic Fibrosis
  • Geriatrics
  • Infectious Disease
  • Management
  • Psychiatric Pharmacy
  • Renal Transplant

Brief Rotation Descriptions

Advanced Diabetes (focus on pumps)

This is a 4-week elective block rotation that takes place at various clinics with Providence that specializes in diabetes and pump management. This rotation is three days per week and is designed to engage the resident in intensive insulin pump training. The residents will actively participate in patient care visits and assist to promote optimal patient outcomes related to diabetes.

Advanced Heart Disease

This is a 4-week elective block rotation that takes place at the Advanced Heart Disease Clinic four days per week and is designed to engage the resident in face-to-face visits for heart failure and cardiac transplant management. The residents will actively participate in patient care visits and assist to promote optimal patient outcomes related to heart failure.

BCACP Prep

This is a required longitudinal rotation designed to prepare the resident to sit for the BCACP exam at the end of their residency year. Study materials will be provided to the resident along with a study schedule that makes every effort to coincide with the rotation the resident is currently on.

Camp STIX

This is a required one-week block of fun that takes place at Camp Reed. The rotation is designed for the residents to learn about Support, Tradition, Information and X-citement alongside 200 children with type I diabetes. Residents will be members of an interdisciplinary medical team responsible for the safety of campers and counselors while getting hands on experience with insulin pumps and continuous glucose monitors (CGMs). The rotation is designed to teach residents what it is like living with diabetes through the eyes of children ages 9-16. Until there's a cure, there's camp!

Centralized Refill

This is a required longitudinal rotation that takes place virtually and is designed to engage the resident in the centralized refill process. Residents will review charts to determine if refill requests are appropriate and authorize refills on behalf of providers using an established refill protocol. Participation in this required experience is a hands-on way to help residents remember medication specific monitoring parameters which will be beneficial when sitting for their board certification exam.

Cystic Fibrosis

This is an elective block rotation that takes place two days per week in our pulmonology clinic. This rotation is designed to expose the resident to practice in this specialty area. Residents will work alongside the cystic fibrosis pharmacist to provide medication education, address medication adherence barriers, and review charts for appropriate antibiotic use for “sick days.”

Geriatrics

This is a 4-week elective rotation that takes place three days per week at the Providence Visiting Nurse’s Association (PVNA) and is designed to engage residents in medication review for elderly patients. Residents will review charts of patients who are referred to pharmacy services and make appropriate recommendations. Residents may engage in home visits as opportunity allows.

Management

This is a 4-week elective rotation that takes place at the Cowley Park clinic 3 days per week. This rotation is designed to expose the resident to different management aspects of pharmacy practice in primary care. Residents will participate in management activities related to the centralized refill team, clinical practice in primary care, population health, and the residency program.

High Risk Pregnancy Concentration

This is a 4-week required rotation that takes place at the Maternal Fetal Medicine clinic 3-4 days per week (number of days depends on timing of residency year and familiarity with Epic). This rotation is designed to prepare the resident to staff in the clinic one day per week. Residents will participate in direct patient care visits where they will manage diabetes in the pregnant population. Residents may engage in preconception planning and management as opportunity presents.

Independent Practice

This is a required longitudinal rotation designed to engage the residents in independent ambulatory pharmacy practice. Residents will routinely cover pharmacist shifts at the High-Risk Pregnancy Clinic, various primary care clinics, and the Spokane Teaching Health Clinic. Residents will occasionally be scheduled to staff virtual shifts with the centralized refill service to help cover vacation requests and sick calls.

Pharmacotherapy Clinic

This is a 4-week required rotation that takes place at the Sacred Heart Pharmacotherapy Clinic 3 days per week. This rotation is designed to engage the residents in anticoagulation management, anemia treatment, and managing biologics. Residents will participate in direct patient care visits where they will prescribe medications and order appropriate labs based on referred service.

Population Health

This is a required longitudinal rotation designed to engage the residents in HEDIS metrics and STAR ratings. Residents will partner with specific payers to help improve outcomes related to medication adherence, statin use, and disease state control through direct and indirect patient care.

Primary Care Concentration

This is a 4-week required rotation that takes place at a Providence primary care clinic 3-4 days per week (number of days depends on timing of residency year and familiarity with Epic). This rotation is designed to prepare the resident to staff in the primary care setting. Residents will participate in direct patient care visits where they will complete office visits related to primary care practice. Residents will also learn how to manage and track incoming referrals, answer provider questions, and manage their own patient schedule.

Psychiatric Pharmacy

This is a 4-week elective block rotation that takes place at the Spokane Teaching Health Clinic 3 days per week. This rotation is designed to engage the residents in management of psychiatric disorders. Residents will participate in direct patient care visits where they will prescribe medications and order appropriate labs based on therapy management

Quality Improvement

This is a required longitudinal rotation based out of a target clinic and is designed to engage the resident in the process of pharmacy service expansion or improvement. Projects will focus on developing and implementing new clinical pharmacy services or optimizing current clinical services based on clinic need while considering resident interest. Residents will present their project in poster form at the ASHP Midyear Clinical Meeting and in PowerPoint form at the Western States Residency Conference.

Renal Transplant

This is a 4-week elective block rotation that takes place at the renal transplant clinic 3 days per week. This rotation is designed to engage the residents in pre and post-transplant medication management. Residents will participate in direct patient care visits where they will help assess patient’s readiness for transplant, provide post-transplant medication education, and participate in ongoing monitoring and adjusting of anti-rejection medications.

Spokane Teaching Health Clinic

This is a 4-week required rotation that takes place at the Spokane Teaching Health Clinic 2-3 days per week (number of days depends on timing of residency year and familiarity with Epic). This rotation is designed to prepare the resident to staff at the Spokane Teaching Health Clinic. Residents will participate in direct patient care visits where they will complete various office visits including Medicare Annual Wellness Visits. Residents will also learn how to manage and track incoming referrals, answer provider questions, and manage their own patient schedule.