Rotations Offered
Required Rotations
BCACP Prep
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Longitudinal: This rotation is 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
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1 week block: This is a required block of fun! This takes place at a local campground
and 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 will
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
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Longitudinal: This rotation 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 maintain and expand
their knowledge on medication specific monitoring parameters which will
be beneficial when sitting for their board certification exam.
High Risk Pregnancy Concentration
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4 week block with opportunity for continued longitudinal staffing: This rotation takes place at the Maternal Fetal Medicine (MFM) clinic
3-4 days per week (number of days depends on timing of residency year
and familiarity with Epic). This experience is designed to prepare the
resident to staff in the clinic one day per week. Residents will participate
in direct patient care visits, focusing on managing diabetes in pregnant
patients. Residents may engage in preconception planning and management
as opportunities arise.
Independent Practice
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Longitudinal: This is a 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
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4 week block: This is 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 established
protocols.
Population Health
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Longitudinal: This rotation designed to engage the residents in Healthcare Effectiveness
Data and Information Set (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
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4 week concentrated block with longitudinal staffing: This rotation 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 as part of a multidisciplinary team. 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.
Quality Improvement
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Longitudinal: This rotation involves a resident project that is 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.
Spokane Teaching Health Clinic Concentration
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4 week concentrated block with longitudinal staffing: This rotation 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 engage in direct
patient care, encompassing a variety of office visits such as Medicare
Annual Wellness Visits, HIV medication management, and diabetes management.
Residents will also learn how to manage and track incoming referrals,
answer provider questions, and manage their own patient schedule.
Electives
Advanced Diabetes (focus on pumps)
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4 week block: This rotation takes place at various clinics within Providence that specialize
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
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4 week block: This rotation 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 and transplant.
Cystic Fibrosis
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4 week block: This rotation 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
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4 week block: This rotation 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.
Infectious Disease
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4 week block: This rotation takes place at the Spokane Teaching Health clinic. This
rotation is designed to engage the residents in the management of various
infectious disease. Residents will participate in direct patient care
visits with the infectious disease provider to help optimize outcomes.
Management
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4 week block: This rotation takes place at the Cowley Park clinic 3 days per week. This
rotation is designed to expose residents to various aspects of pharmacy
management within 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.
Psychiatric Pharmacy
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4 week block: This rotation takes place at Northpointe 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 an
established protocol.
Renal Transplant
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4 week block: This rotation 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.
