Residency Training Programs
Residency Program Resources Rotation Descriptions
The resident will be expected to evaluate patients’ drug therapy and make suggestions with the goal of improving overall outcomes. This may include, but is not limited to, assessing patient adherence and polypharmacy issues, evaluating and managing adverse drug reactions and drug interactions, and suggesting appropriate drug therapy. The resident will receive primary care experience and will also have the opportunity to rotate through the cardiology, anticoagulation, and HIV ID clinics based on interest.
The CCU service cares primarily for patients residing in the coronary care unit (E8N), however patients expected to be discharged shortly after leaving the ICU may remain on the service to facilitate continuity of care. The service includes an attending cardiologist, a cardiology fellow and three medical residents from both medicine and emergency medicine. The nursing staff also plays an essential role in the care and management of these patients. The rotation focuses on the provision of safe, evidence-based pharmaceutical care for all patients. Emphasis will be placed on clinical and operational responsibilities. In addition to patient care rounds the resident is expected to attend morning conference Tuesday – Fridays with the other cardiology team members.
The rotation involves the provision of pharmaceutical care for patients in the Emergency Department. The Emergency Medicine Team consists of one attending physician 2 – 3 resident physicians per section, 3 – 4 nurses per section and the clinical pharmacist. Patient discussion will occur throughout the day, as the Emergency Department tends to have a high turn over rate. Topic and journal club discussions will occur throughout the day as time permits. Time will be available throughout the day for patient care and other longitudinal residency responsibilities.
The rotation involves the provision of pharmaceutical care to patients admitted to the hematology/oncology service. The inpatient team consists of an attending, fellow, medical residents and students and a clinical pharmacist. The resident will be responsible for providing pharmaceutical care to all patients admitted to the service. The resident is expected to attend daily rounds. Attendance at weekly tumor board conference, hematology/oncology grand rounds and case conference is also highly encouraged if time permits.
The rotation involves the provision of pharmaceutical care to patients in the oncology clinic located in the Moakley building. The resident will be responsible for providing pharmaceutical care to patients that are receiving chemotherapy in the outpatient oncology clinic. The resident will be paired with a nurse practitioner or oncologist 2-3 days of the week and will be able to see patients with them. The resident will perform patient chart reviews, provide drug information to nurses/physicians, provide patient education, and prepare chemotherapy. Attendance at weekly tumor board conference, hematology/oncology grand rounds, and case conference is also highly encouraged if time permits.
This rotation involves the provision of pharmaceutical care for patients on the Infectious Diseases consult service on the Newton or Menino Campus. The Infectious Diseases consult team consists of an ID attending, ID fellow, clinical pharmacist and a medical resident or student. Formal rounds occur daily; the time is determined by the Attending on service. The resident is expected to attend Fellows Conference, Consult Case Forum, and ID Case Conference.
This rotation involves the provision of pharmaceutical care for adult patients on the internal medicine service. The resident will be assigned to a team by the preceptor. Generally, each internal medicine team consists of an attending physician, a resident, two interns, one sub-intern, 1-3 medical students and a clinical medicine pharmacist.
This rotation involves providing pharmaceutical care for patients on the neurocritical care (NCC) service. The NCC team consists of an attending neurointensivist, a nurse practitioner, a Neurology resident and occasionally a medical student.. The resident will be expected to round with the team daily in addition to attending the following: (1) Neurology Grand Rounds every week, monthly NCC Journal Club, and NCC-Neuroradiology teaching rounds every week. The resident and Pharmacy preceptor will routinely meet to discuss patients and assigned topics.
The Practice Management/Medication Safety experience will afford the PGY1 resident exposure to various aspects of pharmacy management/medication safety. The pharmacy resident will learn the fundamentals of medication/patient safety and will collaborate with the pharmacy management team on the decision making process affecting various operations of the department. These decisions may stem from issues involving patient safety, fiscal management, TJC compliance or compliance to the pharmacy department’s mission statement.
The Trauma Service primarily covers patients in Menino 5 East SICU (10 beds). The service may also cover some patients in Menino 5 East MICU (HMICU), Menino 5 West ICU (HICU), or Menino 5 West Telemetry. The surgery services that admit patients to the trauma service include: general surgery, trauma surgery, otolaryngology, oral and maxillofacial surgery, neurosurgery, and orthopedics. The Trauma Service is usually composed of an attending general surgeon, a trauma nurse practitioner, a surgical or pulmonary critical care fellow, PGY2 and PGY3 surgical resident(s), a mix of interns (from multiple surgical subspecialties), medical student(s), and a clinical pharmacy specialist. Other personnel that play an essential role in the care of HSICU patients include nurses, respiratory therapists, clinical dieticians, social workers, physical therapists and occupational therapists. The rotation focuses on the provision of safe, evidence-based pharmaceutical care for all assigned patients. Emphasis will be placed on clinical and operational responsibilities. Most important, the primary role of the resident will be to ensure patient safety.