Required Rotations
Elective
BCPP Exam Preparation
This longitudinal experience will prepare residents to sit for the BCPP exam following successful completion of the program. BCPP exam preparation will be supported through weekly reading and review assignments of psychiatric diseases and topics with a large portion of exam preparation coming from the residents’ involvement in direct patient care activities during the residency year.
Centralized Refill
The centralized refill learning experience is a longitudinal, remote rotation designed to engage residents in the review and authorization of psychopharmacologic medication refills. Throughout this rotation, residents will assess refill requests, evaluate medication appropriateness, and ensure required monitoring parameters are met. Residents will also gain substantial knowledge in medication safety, guideline-based monitoring, and determining appropriate follow-up intervals.
Independent Practice
The resident will engage in a longitudinal independent practice experience within Providence Medical Group (PMG) outpatient clinics. The primary practice site is the Northpointe Clinic, with opportunities to support additional PMG locations based on patient care needs. In this role, residents will independently manage a patient panel and provide direct care for individuals with behavioral health and neurologic conditions. Responsibilities include conducting office visits within a primary care setting, managing and tracking referrals, responding to provider consults, and maintaining a personal clinical schedule to support comprehensive, patient-centered care.
Inpatient Adult Psychiatry/Substance Abuse (acute)
This 4-week rotation takes place at Sacred Heart Medical Center on the 16-bed adult inpatient psychiatric unit. Residents will oversee and manage the care of adults with a broad spectrum of behavioral health, neurologic, and substance use disorders. In addition to core inpatient responsibilities, residents will participate in bedside rounding and clinical management of patients admitted for substance use–related conditions, gaining experience in withdrawal management, pharmacologic interventions, and supportive care.
Inpatient Adult Psychiatry (long-term and forensic psychiatry)
This is a 4-week experience that takes place at Eastern State Hospital in Medical Lake, WA. Residents will work with inpatient pharmacists and providers to manage a variety of patients with chronic behavioral health and neurological disorders. Many of these patients have failed traditional treatment modalities and have very complex conditions and psychopharmacologic regimens. Some of the activities residents will support include attending daily multidisciplinary rounds, providing education, and lab monitoring, to help manage these complex conditions.
Orientation
This 5-week rotation prepares the resident to function as an effective member of the Providence healthcare team. During this experience, residents become familiar with the Providence mission and values, employee benefits, and the electronic health record (Epic), and complete required education such as suicide awareness and prevention training. Residents also finalize their learning experience schedules for the year and begin initial planning for their longitudinal quality improvement project, establishing a strong foundation for the remainder of the residency year.
Outpatient Clinic
This experience begins with a 4-week concentrated block that introduces residents to Providence outpatient clinics. During this time, residents become familiar with clinic structures and interprofessional teams, workflows, the electronic health record, managing and tracking patient referrals, and conducting patient visits. After completing the concentrated block, residents transition into a longitudinal independent practice experience in which they assume responsibility for overseeing patient care activities. This rotation enables residents to fully integrate into the healthcare team and contribute to improved patient safety and outcomes for individuals with behavioral health and neurologic disorders.
Pain Management
This will be a 4-hour per week longitudinal experience located at the Spokane Teaching Health Clinic. The residents will work directly with medical residents and faculty to review current pain management strategies for patients with acute and chronic pain conditions. They will actively participate to help improve patient outcomes through psychosocial, medication management, and deprescribing interventions.
Quality Improvement
This clinic-based longitudinal experience engages the resident in developing, expanding, or optimizing psychiatric pharmacy services within the Providence outpatient setting. Projects are selected based on identified clinic needs while also incorporating resident interests. Throughout the year, residents design, implement, and evaluate their quality improvement initiative with support from preceptors and clinic stakeholders. Residents will present their project in poster form at the ASHP Midyear Clinical Meeting and the American Association of Psychiatric Pharmacists (AAPP) Annual Meeting and will present their project findings and outcomes with the Washington State Pharmacists Association Behavioral Health Special Interest Group.
Teaching
The teaching experience is designed to include both a longitudinal and an optional elective 4-week block experience. There will be multiple opportunities for residents to provide education through direct patient care activities, community outreach events, and didactic education within the WSU College of Pharmacy and Pharmaceutical Sciences curriculum.
Administration
This is a 4-week experience that takes place at Providence Medical Group Cowley Park clinic. This will be conducted 3 days per week and 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.
Teaching Certificate
This elective experience is a longitudinal elective experience completed in association with Washington State University College of Pharmacy and Pharmaceutical Sciences Teaching Certificate Program. Residents will participate in a variety of teaching and precepting activities, including delivering psychopharmacology lectures to pharmacy and nurse practitioner students and serving as a preceptor for pharmacy students on clinical rotations using a layered learning model. Additional opportunities for didactic, small-group, and experiential teaching will be available throughout the year, allowing residents to further develop their academic, precepting, and educational skills.
