This 4 week long required PGY2 rotation is designed to provide the resident with
the background in drug therapy that will facilitate the selection of
therapeutic treatment options and develop skills to provide quality health care
through pharmacotherapy decisions that are patient focused, evidenced based,
cost effective, and clinically sound. Three primary focus areas of the rotation
experience are: how drugs work, information management and rational drug
therapy selection for specific problems or diseases with an emphasis on chronic
disease management. The setting for the rotation is the Family Medical Center.
Patient Care
Goal
Residents must be able to provide patient care that is compassionate,
appropriate, and effective for the treatment of health problems and the
promotion of health. Residents are expected to:
Women's/men's health (contraception, pregnancy care, osteoporosis, sexual
dysfunction)
Objectives
Make informed pharmacotherapy decisions that are patient focused.
Develop and carry out medication management plans.
Counsel and educate patients and their families about proper medication use
including OTCs.
Demonstrate proper use of common medications that require correct procedures.
Provide pharmacotherapy aimed at health maintenance and prevention.
Medical Knowledge
Goal
Residents must demonstrate knowledge of established and evolving biomedical,
clinical, epidemiological, and social-behavioral sciences, as well as the
application of this knowledge to patient care. Residents are expected to:
Women's/men's health (contraception, pregnancy care, osteoporosis, sexual
dysfunction)
Objectives
Demonstrate an investigatory and analytic approach to pharmacotherapy.
Know and apply the basic principles of pharmacology and clinical
pharmacotherapy (see below)
-establish individualized therapeutic goals and evaluate
therapeutic outcomes
-practice cost-effective pharmacotherapy
-recognize, avoid and manage adverse drug reactions
-prescribe based on considerations in special populations
-prescribe appropriately according to renal and hepatic function
-therapeutic drug monitoring
-critically evaluate scientific literature and practice
evidence-based medicine
-discuss sources for accessing unbiased drug information
Practice- Based Learning and Improvement
Goal
Residents must demonstrate the ability to investigate and evaluate their care of
patients, to appraise and assimilate scientific evidence, and to continuously
improve patient care based on constant self-evaluation and life long learning.
Residents are expected to develop skills and habits to be able to :
Competencies
Identify strengths, deficiencies and limits in one's knowledge and expertise;
Objectives
Use information technology to manage and access drug information
Locate, appraise, assimilate and use evidence from scientific
studies on drug therapy.
Systems Based Practice
Goal
Residents must demonstrate an awareness of and responsiveness to the larger
context and system of health care, as well as the ability to call effectively
on other resources in the system to provide optimal health care. Residents are
expected to:
Competencies
Incorporate considerations of cost awareness and risk-benefit analysis in
patient care
Objectives
Practice cost-effective pharmacotherapy.
Professionalism
Goal
Residents must demonstrate a commitment to carrying out professional
responsibilities and an adherence to ethical principles. Residents are expected
to demonstrate:
Competencies
Accountability to patients, society, and the profession
Objectives
Demonstrate a commitment to ethical principles when interacting with the
pharmaceutical industry.
Interpersonal and Communication Skills
Goal
Residents must demonstrate interpersonal and communication
skills that result in the effective exchange of information and teaming with
patients, their families, and professional associates.
Competencies
Communicate effectively with patients and families across a broad range of
socioeconomic and cultural backgrounds
Objectives
Create and sustain a patient-provider relationship that is therapeutic, ethical
and promotes patient participation in health care.
Teaching Methods
Small group discussion, case studies, chart reviews and
one-on-one teaching.
Assessment Method
At the conclusion of each resident rotation, the residency coordinator sends a formative-type, rotation-specific performance evaluation form to the rotations' supervising physician. When the completed evaluation is returned, the resident physician and the resident's faculty advisor review the evaluation and attest to reviewing it by signing/initialing the form. Next, the program director reviews and attests to the document. Once all three have reviewed and attested the evaluation, it is included in the resident's permanent file. Resident will evaluate the faculty supervising the rotation anonymously via New Innovations.
Level of Supervision
The resident is supervised by the faculty PharmD preceptor.
Educational Resources
Micromedex, Lexi-Drug, DynaMed, Epocrates for PDA, Selected Readings from
Primary Literature and Evidence-Based Guidelines, Applied Therapeutics,
Pharmacotherapy, Drugs in Pregnancy and Lactation, Contraceptive Technology
