PGY-1 Pharmacy Residency Program structure and requirements | Norton Healthcare Louisville, Ky.

PGY-1 Pharmacy Residency Program structure and requirements

The postgraduate year 1 (PGY-1) pharmacy residency year is divided into four quarters, each with three blocks. All blocks are either four or five weeks in length.

Core rotations listed below plus four direct patient care rotations selected by the resident in consultation with the residency program director (RPD) comprise the majority of the year. The two remaining blocks may be used for any rotation (patient care or nonpatient care electives).  Longitudinal learning experiences add a broader array of objectives that are practiced over the residency year.

Inclusive of all blocks, each resident must complete one block on each Norton Healthcare campus.

CORE ROTATIONS

This five-week rotation orients residents to their home-base practice site as well as Norton Healthcare facilities where learning experiences occur. This rotation serves as an introduction to pharmacy practice as it relates to both health-system and hospital-specific operations and delivery of patient care. During the orientation period, residents become familiar with the hospital facility, the departmental policies and procedures, and begin the process of integration within the pharmacy staff.

The Internal Medicine (IM) rotation provides residents with a broad training experience in managing acutely ill internal medicine patients who are admitted to an adult medical/surgical unit for diverse and complex medical management. The goal of this rotation is for the resident to develop knowledge, skills and competencies to provide evidence-based, patient-centered medication therapy management with interdisciplinary teams.

The Critical Care I rotation is designed to provide the resident with an introduction to critical care medicine as a member of the health care team. The goal of this rotation is for the resident to develop knowledge, skills and competencies to provide evidence-based, patient-centered medication therapy management for disease states commonly encountered in critically ill patients. At the conclusion of this learning experience, the resident should be able to recommend appropriate treatment options, perform therapeutic drug monitoring for selected medications and communicate with other health care professionals to ensure optimal drug therapy.

The infectious diseases rotation provides PGY-1 residents with a broad training experience in the infectious diseases pharmacotherapy needs of acutely ill inpatients and in the principles of antimicrobial stewardship. Specific daily tasks include prospective audit and feedback, blood culture reporting and recommendation, patient counseling, anti-infective allergy clarification and management, and drug information service.

The Transitions of Care (TOC) rotation provides residents with practical experiences related to a clinical pharmacy service in transitions of care. Through this experience, residents will explore unique opportunities and document challenges/barriers that exist for providing medication management during transitions of care.  The role of the pharmacist in these areas is to facilitate transitions of care for patients admitted to medical/surgical units and deemed to be high risk for readmission. This will be accomplished through the collection of accurate admission medication histories, the delivery of comprehensive medication education at admission and discharge, coordination with the outpatient pharmacy and participation with the interdisciplinary team. 

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