Residency Program Overview

Renown Regional Medical Center's PGY1 Pharmacy Practice Residency is designed to give participants exposure to a broad range of clinical specializations and venues. Our program consists of a series of clinical rotations, inpatient care experience, educational meetings, research projects and is accredited by the American Society of Health-System Pharmacists (ASHP).

To learn more about our clinical rotations, please click on a desired link below:

Ambulatory Care Rotation

During the longitudinal ambulatory care rotation, you will be directly involved with patient care at the Outpatient Anticoagulation Service at Renown's Institute for Heart and Vascular Health. Routine tasks will include patient counseling, laboratory testing, and dosage adjustment for patients requiring chronic anticoagulation therapy. Additional ambulatory care opportunities exist in an agreement with the VA Sierra Nevada Health System. This experience provides the opportunity to participate in outpatient clinics in the areas of hypertension, lipid management, anticoagulation, and mental health.

Critical Care/Cardiology Rotation

Renown Regional Medical Center Trauma/Medical ICUs and Cardiology ICU provide an outstanding resource for a pharmacy resident to excel in the highly demanding field of critical care medicine. You will experience direct patient contact, participate in patient care rounds with daily monitoring of critically ill patients. The resident will be expected to actively participate in recommendations for improved therapeutics. Additionally, residents will respond to code blue and trauma blue alerts. Residents are required to become ACLS certified. PALS certification is also offered.

Internal Medicine Rotation

You will join a University of Nevada School of Medicine teaching team composed of an attending physician, medical residents and medical students. Rounding daily with the medical team provides the opportunity to participate as an active part of the healthcare team.

Parenteral Nutritional Support

Renown's Pharmacy Department is a leader in parenteral nutrition management with liberal protocols for pharmacist management. During this rotation, you will have the opportunity to perform nutritional assessments, formulate and adjust parenteral nutrition solutions for different patient populations, including the elderly and critically ill.

Infectious Disease

This valuable and challenging rotation is precepted by an experienced infectious disease pharmacist. The resident will build a knowledge base of infectious disease, learn to evaluate antibiotic therapy throughout the medical center, and recommend changes when warranted. Residents will gain the skills to manage the ICU pharmacokinetics service for vancomycin and aminoglycosides. Additionally, this rotation offers outpatient clinic experience in the areas of HIV, hepatitis C, and travel medicine.

Practice Management Rotations

Residents learn managerial skills including regulatory compliance, ethics, and finance through the practice management rotation. Residents actively participate in meetings including Pharmacy and Therapeutics Committee, Investigational Review Board (IRB), and various managerial meetings.

Elective Rotations

A number of elective rotations are available, including oncology, geriatrics, cardiology, pediatrics, neonatal intensive care unit (NICU), emergency medicine, and surgery. An example of an elective rotation is the surgery rotation. During this rotation, the resident gains experience in monitoring patients intraoperatively with assigned anesthesiologists. You will develop an understanding of anesthetic techniques and their relationship to the surgical procedure. This rotation also includes directing an operating room pharmacy satellite.

In addition to the rotation schedule, resident will also gain experience through a series of meetings, formal drug reviews, a research project, and outpatient care experience.

Meetings

Residents are invited to attend the weekly Grand Rounds and selected medical residents' noon conferences. Residents will attend both the ASHP Midyear and The Western States Conference.

Local continuing education events also provide an opportunity to meet the pharmacists of northern Nevada. Within the hospital system, residents gain exposure and are afforded networking opportunities through required participation in the Pharmacy and Therapeutics Committee, monthly staff meetings, pharmacist specialty area meetings, and management team meetings. Residents will also provide in-service training to healthcare practitioners regarding rational drug therapy.

Drug Policy/Drug Information Rotation

This rotation is structured longitudinally. Residents learn to assess and critique primary literature to make pharmacotherapy recommendations and policy through the drug policy/drug information rotations. Residents actively participate in meetings including Grand Rounds and Journal Club.

Outpatient Services and Other Opportunities

Residents will be exposed to outpatient care through the treatment of patients receiving chronic anticoagulation, cancer chemotherapy, dialysis, outpatient infusion, same-day surgery, emergency care, cystic fibrosis clinic, and pediatric oncology specialty clinic. The Pharmacy Department supplies medication and drug information for these treatments, and residents may arrange to be involved in these areas.

Other outpatient services are available through The Healthcare Clinic. A cooperative effort between the University of Nevada School of Medicine, Washoe County and Renown Health, The Healthcare Clinic provides primary care services to qualifying low-income families. Residents work closely with pharmacists, physicians and nurses on patient care, consultation and monitoring. Residents will also have the opportunity to participate in anticoagulation, lipid, and asthma clinics through the Clinic Pharmacy.

Renown Health's Diabetes Health Center allows residents the opportunity to monitor diabetic patients and their drug therapy. Residents will interview patients, make pharmacotherapy recommendations and participate in diabetic patient classes.

Hours

Typically, resident will be on rotations forty hours per week. Residents are scheduled as staff pharmacists approximately four days per month. Weekend shifts are balanced with weekday time off. Residents are also required to staff one major holiday (Thanksgiving or Christmas).

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