Pharmacy

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Residency Training Programs

Residency Program Resources  Rotation Descriptions

Ambulatory Care
Duration: 5 weeks

The rotation in ambulatory care is a 5 week elective learning experience designed for PGY1 pharmacy residents. The resident will be expected to evaluate patients’ drug therapy and make suggestions with the goal of improving overall outcomes. This may include, but not be 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 or family medicine experience and will also have the opportunity to rotate through the cardiology, HIV and renal/transplant clinics based on interest and availability.


Antibiotic Stewardship
Duration: 5 weeks (PGY2)

The antibiotic stewardship rotation focuses on the application of antibiotic stewardship principles.  The resident is expected to develop a quality improvement project, spend time covering the AST pager for restricted antibiotics, and participate in weekly stewardship meetings and other activities as dictated by the rotation time (i.e. getsmart about antibiotics week, etc.). The Antimicrobial Stewardship Team consists of, an ID attending and  two Clinical Pharmacy Specialists for Infectious Diseases. Ancillary members include Clinical Microbiologist, Hospital Epidemiologist, Infectious Diseases Fellows, and PGY2 Infectious Diseases Pharmacy Resident.
The resident is expected to attend Fellows Conference, Consult Case Forum, and ID Case Conference.


Coronary Care Unit
Duration: 5 weeks

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.


Emergency Medicine
Duration: 5 weeks (PGY1), 5-10 weeks (PGY2)

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.


Hematology/Oncology (inpatient)
Duration: 5 weeks (PGY1), 5-10 weeks (PGY2)

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.


Hematology/Oncology (outpatient)
Duration: 5 weeks (PGY1), 5-10 weeks (PGY2)

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.


Infectious Diseases
Duration: 5 weeks (PGY1), 5-20 weeks (PGY2)

This rotation involves the provision of pharmaceutical care for patients on the Infectious Diseases (ID) consult service. The Infectious Diseases consult team consists of an ID attending, ID fellow, clinical pharmacist and a medical resident or student. The resident is responsible for providing safe, evidence-based pharmaceutical care to all patients consulted by the service.  Formal rounds occur daily; the time is determined by the Attending on service. In addition to patient care rounds, the resident is expected to attend Fellows Conference, Consult Case Forum, and ID Case Conference.  Resident-Preceptor interaction occurs daily with an emphasis on instructing, modeling, coaching and facilitation.


Infectious Diseases/Internal Medicine
Duration: 5 weeks

This rotation involves the provision of pharmaceutical care for adult patients on the internal medicine ID service. The team admits medically ill patients with an active or existing infectious disease.  The team consists of an attending ID physician, an ID fellow, resident, two interns, one sub-intern, 1-3 medical students and a pharmacist.  The resident will be responsible for providing safe, evidence-based pharmaceutical care to all patients admitted to the service. The resident is expected to attend daily round and attendance at Fellows Conference, Consult Case Forum, and ID Case Conference are encouraged if time permits. Resident-Preceptor interaction occurs daily with an emphasis on instructing, modeling, coaching and facilitation.


Internal Medicine
Duration: 5 weeks

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.
The resident will be responsible for providing pharmaceutical care to all patients admitted to the service.  The resident is expected to attend rounds Monday through Friday.  Residents should pre-round for one hour prior to the start of work rounds.  The resident and preceptor will meet daily to discuss patients.  Attendance at Medical Grand Rounds and attending rounds are encouraged if time permits. Remainder of time should be devoted to patient care and other longitudinal residency responsibilities. 


Medical ICU
Duration: 5 weeks (PGY1), 5-10 weeks (PGY2)

The MICU service primarily covers patients in Menino 5 East MICU (12 beds) and Menino 5 West ICU (8 beds). The service may also cover some patients in Menino 5 West Telemetry and Menino 5 East Surgical ICU. There are two MICU teams (Red & Blue) that alternate days admitting new patients to the service. Each team has an attending pulmonologist, a pulmonary fellow (that covers both teams), and a mix of interns, PGY2 and PGY3 residents from Medicine, Emergency Medicine and Family Medicine. Other personnel that play an essential role in the care of MICU 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.


Neurocritical Care
Duration: 5 weeks (PGY2)

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.


NICU
Duration: 5 weeks (PGY1)

This rotation involves the provision of pharmaceutical care to the neonatal inpatients in the neonatal intensive care unit, who may generally range in age from 24 to 44 weeks corrected gestation. The service includes an attending physician, medical residents and interns, a pediatric dietician, and often a respiratory therapist. In addition, medical students and dietetic interns may round with the team and provide input with regards to optimal patient care. The pharmacy resident will be responsible for the care of all patients in the NICU, as well as the clinical and operational concerns which may arise with regards to their patients throughout the course of the rotation. Attendance is highly encouraged at weekly Grand Rounds and Case of the Week, presented by various members of the Pediatrics department. Patient discussion and review will occur daily as time permits, with topic discussions occurring throughout the course of the rotation.


Pediatrics
Duration: 5 weeks (PGY1)

This rotation involves the provision of pharmaceutical care to the pediatric inpatients on the general Pediatrics team, who may range in age from newborn to 21 years of age. The service includes an attending physician, medical residents and interns. In addition, medical students and a pediatric dietician may also round with the team and provide input with regards to optimal patient care. The pharmacy resident will be responsible for the care of all patients on the general Pediatrics service, as well as the clinical and operational concerns which may arise with regards to their patients throughout the course of the rotation. Attendance is highly encouraged at weekly Grand Rounds and Case of the Week, presented by various members of the Pediatrics department. Patient discussion and review will occur daily as time permits, with topic discussions occurring throughout the course of the rotation.


Practice Management
Duration: 5 weeks (PGY1)

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.
Daily activities will include: required readings, topic discussions, intra/interdepartmental meetings, medication error investigations, controlled substance investigation, and TJC compliance data collection (chart evaluation).


Surgical ICU
Duration: 5 weeks (PGY1), 5-10 weeks (PGY2)

The East Newton Surgical ICU (ESICU) is located on 3 West and is comprised of 16 beds and three patient care services: critical care medicine, cardiothoracic surgery, and pulmonary critical care (i.e. MICU). The surgery services that admit patients to critical care medicine include general surgery, oral maxillofacial surgery (OMFS), OB/GYN surgery, neurocritical care, neurosurgery, transplant, and vascular surgery.  The critical care medicine team consists of an anesthesiology intensivist attending, residents from general surgery, anesthesiology, OMFS, and OB/GYN, medical and pharmacy students, and a pharmacy resident or specialist. Other personnel that play an essential role in the care of ESICU patients include nurses, respiratory therapists, clinical dieticians, social workers, physical therapists and occupational therapists.  The rotation focuses on the provision of safe, evidence-based, and comprehensive clinical pharmacy services for all ESICU patients.


Trauma ICU
Duration: 5 weeks (PGY1), 5-10 weeks (PGY2)

The Trauma Service typically covers 10 to 15 patients located on Menino 5 East Surgical ICU (HSICU) and Menino 5 West Telemetry. 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. 

Contact Us


Outpatient Pharmacies

Shapiro Ambulatory Care Center
725 Albany Street
Call: 617.414.4880
Toll free number: 855.274.MEDS
Hours: Mon-Fri: 7 am-7 pm
Sat: 9 am-5 pm
Sun: 10 am-3 pm

Doctors Office Building
720 Harrison Avenue
Call: 617.638.8130
Hours: Mon–Fri: 9 am–6 pm
Sat–Sun: closed

Yawkey Ambulatory Care Center
850 Harrison Avenue
Call: 617.414.4883
Hours: Mon–Fri: 9 am–8 pm
Sat: 9 am–4 pm
Sun: closed


Administrative Offices

Inpatient
Newton Pavilion
88 East Newton Street
Call:617.638.6790

Outpatient
Yawkey Ambulatory Care Center
850 Harrison Avenue
Call: 617.638.5781


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