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:
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. This experience also provides the opportunity to participate in outpatient clinics in the areas of hypertension, lipid management, heart failure and smoking cessation.
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.
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.
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.
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.
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.
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.
Residents must complete as least one major project throughout the residency year. This project will have an emphasis on increasing the cost effectiveness of therapy and improving patient care outcomes. All projects are reviewed and approved by the IRB. Project abstracts are submitted for poster presentation at ASHP Midyear Clinical Meeting. The finalized residency project is presented at the Western States Conference. The resident is required to submit the final project manuscript for publication in a peer review journal.
The longitudinal staffing rotation is designed to reinforce the skills and knowledge that residents learn on their various other rotations and apply them to staffing pharmacist’s shifts independently. As the resident is signed off in various clinical areas their staffing days will transition from staffing distributive shifts to more clinically oriented functions. Residents are scheduled as staff pharmacists approximately four days per month. Residents are also required to staff one major holiday (Thanksgiving or Christmas).
The Renown Regional Emergency Department has over 94,000 patient visits per year. The ER pharmacy satellite is staffed with a clinical pharmacist 18 hours per day. During the ER rotation, the resident participates on the healthcare team responding to Trauma Red, Code Blue, Code Stroke, Code Sepsis and Code Stroke Alerts. The residents are required to actively monitor patients in the emergency room and assist in providing timely care. There is also a large education and drug information component to this rotation.
A number of elective rotations are available, including oncology, cardiology, pediatrics and neonatal intensive care unit (NICU). An example of an elective rotation is the pediatric rotation. During this rotation, the resident gains experience in monitoring pediatric patients in the PICU and NICU. You will develop an understanding of dosing difference in our youngest patient population and understand the relationship the pharmacist has with excellent patient care. This rotation includes rounding with the medical staff team and making dose adjustment based on our broad Pharmacy and Therapeutics protocols.
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.
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.
Typically, resident will be on rotations 40 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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