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.
Child and Adolescent Psychiatry
This is a 4-week experience that takes place at Inland Northwest Behavioral Health. Residents will work directly with the onsite pharmacists and providers to manage the care of child and adolescent patients. Residents will support transitions of care for these patients by conducting individual and group medication management and education services following discharge.
Inpatient Adult Psychiatry (acute care)
This is a 4-week experience that takes place at Sacred Heart Medical Center on the 16-bed adult inpatient unit. Residents will oversee and manage the care of adult patients with a wide range of behavioral health and neurological disorders. Residents will have the opportunity to provide individual patient and group education. This experience will allow residents to work directly with psychiatric medical residents and faculty to improve patient outcomes.
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 is a 4-week rotation designed to prepare the resident to participate as a member of the Providence healthcare team. Some of the things residents will familiarize themselves with during orientation will be the Providence mission and values, employee benefits, electronic health record (Epic), and will also complete suicide awareness and prevention training. Residents will also finalize their learning experience schedules for the year and begin preparing for their quality improvement project during orientation.
Outpatient Clinic
This experience will begin as a 4-week concentrated block that introduces residents to the Providence clinics. Residents will become familiar with the various clinic structures and teams, workflows, use of the electronic health record, managing and tracking patient referrals, and conducting patient visits. Upon completion of the concentrated block, residents will transition into a longitudinal experience and more independently oversee patient care activities. This experience will allow the resident to integrate into the healthcare team to support the goal of improving patient safety and outcomes for individuals with behavioral health and neurologic conditions.
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 psychiatric 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.
Staffing
The resident staffing experience will be a longitudinal experience that takes place within Providence Medical Group (PMG) outpatient clinics. The Spokane Teaching Health Clinic will be the primary practice site for staffing although other PMG clinic locations may be involved depending on patient care needs. This experience is designed for residents to practice and further develop skills in treating individuals with behavioral health and neurologic disorders. Residents will complete office visits related to primary care practice, manage and track incoming referrals, answer provider questions, and manage their own patient schedule.
Quality Improvement
This is a clinic based longitudinal experience designed to engage the resident in the process of psychiatric pharmacy service expansion or improvement. Projects will focus on developing and implementing new clinical pharmacy services or optimizing current clinical services based on clinic needs while also 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.
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.
Emergency Psychiatry
This is a 4-week experience that takes place at Inland Northwest Behavioral Health. Residents will participate in care for acutely ill patients with severe deconditioning related to psychiatric disorders. This experience will allow residents to work directly with the healthcare team to support patient stabilization and safety through medication management recommendations. Residents will have a crucial role in identifying potential interactions of prescription and non-prescription substances and reducing overall patient harm.
Developmental Disabilities
This is a 4-week experience at the Lakeland Village Residential Habilitation Center in Medical Lake, WA. The residents will work with the onsite psychiatric pharmacist and healthcare team to support patients with developmental and intellectual disabilities. Patients have vast psychopharmacologic profiles and require in-depth review and management to minimize potential adverse events, drug-drug interactions, and improve patient outcomes. The resident will have a large supporting role on the healthcare team in caring for these complex patient conditions.
Geriatric
This is a 4-week experience at the Eastern State Hospital Geriatric Facility in Medical Lake, WA. This experience will focus on geriatric patients with chronic and complex psychiatric disorders. These are patients who have often failed standard behavioral health treatment modalities and require additional services and dynamic therapies. In conjunction with the multidisciplinary team, residents will help to support and manage elderly patients with a variety of physical, metabolic, and pharmacologic challenges to improve patient safety and outcomes.
Substance Use Disorder
This 4-week experience will take place at Sacred Heart Medical Center. Residents will participate in a variety of treatment modalities for patients with addiction. They will engage in patient chart review, multidisciplinary and bedside rounding, medication optimization, lab monitoring, education, and clinical decision-making as a member of the healthcare team. Residents will also have the opportunity for community outreach through the Spokane Health District during this experience. They will engage in substance use disorder prevention education for youth and adults.
