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2012 Rotational Electives
The Pharmacy department provides excellent patient care through safe and effective drug therapy. It strives toward leadership in pharmacy practice education and research.
The UC San Diego Health System Department of Pharmacy includes inpatient, ambulatory care, transitional care and home health patient care services. Our academic Health System serves as a primary teaching site for UC San Diego Skaggs School of Pharmacy and Pharmaceutical Sciences IPPE and APPE students, UC San Diego School of Medicine students and for other professional programs in the health sciences. The Hillcrest Medical Center, Thornton Hospital, Perlman Ambulatory Care Center, Moores Cancer Center, an NCI designated Comprehensive Cancer Center, and the Sulpizio Cardiovascular Center support a full range and scope of medical and surgical specialties as well as general medicine and surgery units. As part of the only academic health system in San Diego, the Sulpizio Cardiovascular Center is the only facility providing cardiovascular research, patient care services and programs in one location. Pharmacists are instrumental in providing patient-centered care and education, fighting heart and vascular diseases. The UC San Diego Regional Burn Center is a leader in making notable advances in burn therapy; the pharmacist is a member of the multidisciplinary team responding to the complex medical problems experienced by burn victims. The UC San Diego Center for Transplantation is the leading location for volume of solid organ transplants in the San Diego region. As a team member of this national hub of clinical expertise and research, the pharmacist is dedicated to improving organ transplant outcomes through optimal medication management at all points in the patient’s transitions of care. The 49-bed Neonatal Intensive Care Unit (NICU) is a highly specialized, nationally recognized center; the pharmacist is an active member of this Level III designated care center, providing medication management for these extremely complicated and frail patients. The UC San Diego Health System operates the region’s first Level 1 Trauma Center, part of the San Diego Trauma System, a collaborative, life-saving, countywide effort of six hospitals, responding to the highest level of critical injury. Pharmacists and Pharmacist residents are an integral component of the multidisciplinary Trauma team.
The UC San Diego Health System Department of Pharmacy is responsible for service to these hospitals, as well as six ambulatory care pharmacies, two Infusion Centers and multiple clinic sites. In addition, a Pharmacy Home Infusion Service program is operated in support of the Home Health Care Program. The department is staffed by over 200 full time employees comprised of pharmacists, technicians, clerical and supportive personnel. Currently, we have 23 resident positions (twelve acute and three ambulatory care PGY1, and eight PYG2 residents) and 60 fourth-year SSPPS pharmacy students, all of whom participate directly in the provision of patient care.
Pharmacists and pharmacy residents serve as members of interdisciplinary patient care teams on inpatient medical, surgical and intensive care units, with special emphasis on oncology, HIV, transplant, trauma surgery, neonatology, infectious diseases, cardiovascular diseases and transitions of care. In the ambulatory care area our current areas of disease state emphasis are family medicine, anticoagulation, transplantation, diabetes, CKD, CHF, and HIV, with expanding emphasis on the Transitions of Care model. Responsibility for these patients is shared by the staff, full-time faculty, residents, fellows and students. Our Pharmacy Home Infusion Service staff, which includes pharmacists and nurses, provides care for a wide range of patients seen through the allied home health care programs. The Department also has formal programs in the areas of Informatics, Antimicrobial Monitoring and Investigational Drugs.
In support of our decentralized clinical pharmacy services, the department operates a 24-hour centralized drug distribution area. Drug distribution is provided through a house-wide, point-of-use unit dose system, which uses computer-actuated dispensing equipment and a barcode driven medication administration system. All UC San Diego Health System patients (ambulatory care, inpatient, and home care) are included in an integrated, computerized patient information system. Computer terminals are available in all patient care locations, within pharmacies and at the pharmacy offices. A computerized physician order entry system (CPOE) has been implemented. Pharmacists review and validate orders prior to dispensing.
Pharmacy residents completing the UC San Diego Health System Postgraduate Year One (PGY1) Acute Care Residency will be competent in the management of medication therapy for various disease states in a variety of health care settings. They will be responsible for achieving optimal drug therapy outcomes as part of interdisciplinary health care teams. These pharmacists will demonstrate proficiency in communication and in educating other health care professionals, patients, students and the community on drug related topics. Residents will participate in precepting students on rotation from the Skaggs School of Pharmacy and Pharmaceutical Sciences. Residents will demonstrate professional maturity by developing a personal philosophy of practice and teaching, monitoring and evaluating their own performance and exhibiting commitment to the profession. They will be trained in research methodologies, leadership skills and will be able to contribute to the advancement of the profession. Graduates of this program will create working career plans, possess marketable job skills and be prepared for adjunct faculty positions, direct patient care opportunities in the Acute Care setting, advanced PGY2 programs and will be eligible to sit for board certification as a pharmacotherapy specialist.
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Residents have the opportunity to choose two electives. Residents may choose to duplicate a required learning experience or choose an elective. We offer elective training in a wide range of medical and surgical specialty areas, in both the inpatient and ambulatory care settings. There are currently more than 20 electives to choose from for these elective experiences.
The UC San Diego Health System is an Introductory Pharmacy Practice Experience (IPPE) and Advanced Pharmacy Practice Experience (APPE) site for Pharm.D candidates from the UC San Diego Skaggs School of Pharmacy and Pharmaceutical Sciences (SSPPS). Our residents, clinical staff and faculty serve as preceptors for the pharmacy students during these educational opportunities. In addition, our residents serve as facilitators for the 3rd year Therapeutics Conferences and 4th year patient care conferences. Didactic lectures at the SSPPS may be available and residents are encouraged to participate. The residents also provide lectures and presentations to physicians, nurses, pharmacists, pharmacy students and other allied health care providers.
Residents participate in the San Diego Pharmacy Residency Leaders (SDPRL) Teaching Certificate Program which includes a seminar series with residents from other county-wide residency programs. Seminar topics will focus on teaching and preceptor development. Seminar attendance is mandatory. One excused absence is allowed provided the make-up assignment is completed as assigned. Residents will develop their own Teaching Philosophy and will attend Preceptor Development seminars to prepare themselves to be effective teachers and preceptors for students, patients and health care professionals. Evaluation tools and their applications will be reviewed to assist the resident in self-reflection and in creating a meaningful evaluation processes for the student. The resident learns to use evaluations to support the students’ growth and professional development by identifying activities and offering feedback in ways that encourage students to revise and improve their understanding and behaviors.
Each resident helps design and complete one major project during the academic year under the guidance and in collaboration with a pharmacist preceptor/project PI. This project may be a medication use evaluation (MUE), a continuous quality improvement (CQI) project, pharmacokinetic evaluation, or another type of residency project. Residents gain experience in preparing IRB submissions, creating data collection tools, and analysis design. Projects are presented at a professional meeting to UC San Diego pharmacy faculty and staff as well as invited guests. The project will be written in manuscript format and those suitable for publication will be submitted. Residents are encouraged to participate in the University Health System Consortium Resident Poster Session held immediately preceding the ASHP Midyear. Problem-solving skills are also developed through day to day activities and a variety of other projects.
Residents complete a longitudinal distribution and staffing rotation which averages two days per month. Residents also receive instruction regarding pharmacy policies and procedures that govern the preparation and distribution of medications, automation and related technology as well as how to use information technology to reduce errors and improve medication safety.
Residents will be required to attend various professional meetings throughout the year, which may include CSHP’s (California Society of Health System Pharmacists) Seminar and/or ASHP’s (American Society of Health-System Pharmacists) Midyear meeting at which they will participate in recruitment efforts. Residents will present their residency project at a professional meeting.
Residents are required to give educational lectures to pharmacists, faculty, preceptors, residents and students throughout their residency year as well as to other health care professionals as assigned while on rotations:
Residents will present a 1-hour continuing education lecture to pharmacists, faculty, preceptors, residents, students and technicians based on a current or controversial drug-related topic, new drug or new drug application in which there is current literature for evaluation and discussion. Allied health professionals are welcome to attend. Presentations are accredited for continuing education through California Accreditation for Pharmacy Education (CAPE). This Grand Rounds presentation is offered once at the Hillcrest Medical Center and once in La Jolla.
Residents are required to critique and present an article regarding a current or controversial drug therapy topic.
Residents are required to present at least one 5 – 10 minute presentation on a clinically relevant topic at the monthly Outpatient Pharmacy Staff Meetings.
M&M / Medication Safety Related Topic
Residents may provide one medication safety related topic presented to pharmacists, faculty, preceptors, residents, students, and technicians. The resident will be assigned a topic and present during their Administration rotation. Topics will be assigned by the M&M preceptor, Medication Safety Specialist, Dr. Sally Rafie.
Residents participate in a community outreach program addressing the public regarding an area of disease prevention and wellness promotion.
Residents are required to provide several medication and/or disease state in-services to medical teams, students, pharmacy preceptors and pharmacy staff as assigned. Topics will be based on requests by the nursing or medical staff, recommendations from the resident or assigned by the preceptor.
Our Ambulatory Care (PGY1) Pharmacy residents completing this program will be advanced practitioners proficient in the areas of:
By consistently using an efficient and comprehensive pharmacy practice methodology, our graduating residents are leaders in medication safety and have enhanced patient outcomes by integrating patient- and disease-specific pharmacotherapy. Residents will have identified areas for improvement of the medication-use system and will have participated in the design and implementation of improvement recommendations. Our residents will have become proficient in preparing and dispensing medications according to the organization’s policies and procedures and will have demonstrated responsibility for the welfare and medication-related outcomes of the patient.
Our graduating residents will have been active members of health care teams and will have been leaders in delivering patient-centered, evidence-based, pharmacy care to their patients. They will have developed skills in creating patient-specific medication regimens and will have completed necessary medication and patient monitoring plans to obtain optimal outcomes. Residents will have become proficient in documenting and communicating medication-related matters to appropriate team members and will have assisted other health care professionals in ensuring appropriate follow-up care.
Our graduating residents will have effectively strengthened their knowledge, skills, and abilities in key areas of pharmacy practice management and leadership. These areas will include an understanding of medication distribution systems, and the medication use processes, including financial implications. Residents will have participated in organizational committees and will have improved their understanding and application of decision-making processes. Residents will have attended an Administration and Medication Safety Topics Seminar which will have introduced key aspects of pharmacy administration and safe medication practices from departmental leaders.
Our graduating residents will have engaged in a formal practice-related investigation project utilizing project management skills. Residents will have developed time management skills and familiarity of technological systems to support this experience. Residents will gain experience with the IRB process, designing data collection tools, and analysis tools. Residents will work with their preceptors and project PI’s to develop critical thinking skills when evaluating and discussing project results. Residents will have documented their work in manuscript format and presented their project at a professional meeting.
Our graduating residents will have become proficient in educating health care professionals, patients, and students on medication-related topics. Our residents will have become leaders as drug information resources. Residents will have participated in the San Diego Pharmacy Residency Leadership Teaching Certificate Program, which will cultivate their teaching, perception and facilitation skills. Residents will have attended a Teaching Skills Development Lecture series and created an introspective personal teaching philosophy.
Our graduating residents will be proficient in utilizing information technology to enhance efficiency, improve patient safety and provide optimal patient outcomes. UC San Diego Health System has received the “Most Wired” and “Most Wireless” Awards by Hospitals and Health Networks, a publication of the American Hospital Association. Residents will have become proficient in using web-based resources for supporting all patient-care, teaching and research activities.
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