Required Pharmacy Experiences

Required Experience Name & Preceptor(s)	Description
Administration & Medication Safety Preceptors: Tom Bauer & Carla Lamson	This experience is designed to introduce the residents to the important role pharmacists play in medication safety, medication use systems, and administration. The resident will spend time reviewing and evaluating medication errors and safety events as well as reviewing practice standards. The residents will also work closely with the Director of Pharmacy to develop skills to be an effective leader. Included in this will be a general understanding of inventory and purchasing philosophies, diversion prevention, billing and reimbursement, scheduling and staff development, safety and quality and the ability to lead staff meetings.
Critical Care/ICU Preceptor: Courtney Hochman	The Critical Care experience is a required rotation where the pharmacy resident is integrated into the multidisciplinary team in the Intensive Care Unit (ICU). The resident has the opportunity to round with the medical team and also participate in multidisciplinary rounds focused on liberating patients from the ICU. The focus of this rotation is providing guidance on optimizing medications for all conditions of the critically ill patient. The resident is available for any medication therapy related questions, optimizing therapy, and evaluating patients that are positive for delirium. The resident will have the opportunity to participate in code situations and observe a variety of bedside procedures.
Community Preceptor: Dan Stratton	The community experience is completed through New Choice Pharmacy. The resident will assume responsibility for medication use processes and provide direct medication related patient care. This includes but is not limited to medication counseling, administering immunizations, compounding, processing medication orders, and final verification of prescriptions. The resident will also have exposure to financial aspects of running a pharmacy business that include inventory management, reimbursement, pricing, and use of discounts and patient assistance programs for high dollar prescriptions. The resident will work closely with medical staff and nursing to provide patient centered pharmacy services. This experience will also allow the resident to see patients in our smoking cessation clinic and participate in our medication therapy management process.
Education Preceptor: Erin Onder	Patient, provider, pharmacy, and staff education is vital to being able to care for patients using evidence-based practices. This experience will focus on providing education to a multitude of audiences in the healthcare setting, including patients. Skills practiced during this experience will help the resident perfect counseling, creating objectives, crafting continuing education, and working with other health professionals. For patient counseling, a focus on helping patients identify why they are taking medications and learning about possible side effects will be expected. An overall improvement in communication skills and assessment of education will be expected.
Emergency Department/Clinical Leadership* *New in 2022 Preceptor: Erin Onder	This experience is meant to build on the foundation built throughout the residency program, with a focus on meeting the specialized needs of patients in the emergency department setting. The resident will be trained on integrating within the interdisciplinary emergency medicine team, prioritizing responsibilities and utilization of resources, and making complex medications recommendations in a fast-paced environment. Pharmacy is an integral part of the Emergency Department, and duties will include, but not limited to: • Clinical recommendations • Medication reconciliations (admission and discharge) • Patient/caregiver education • Safe and effective transition from the inpatient to outpatient setting and vice versa • Many other medication-centered services • Inventory Management
Infectious Disease/Stewardship Preceptor: Erin Onder	During the infectious disease / stewardship experience, the resident will participate in the hospital’s antimicrobial stewardship program. We look at regulations and standards that surround stewardship as well as rounding on patients. The resident will get to work alongside the infectious disease team and gain a better understanding of the treatments that surround bacterial, viral, and fungal infections as well as spend time in the microbiology lab.
Internal Medicine/Transitions of Care 1 & 2 Preceptor: Raquel Guertal	During your Internal Medicine (IM) and Transitions of Care (TOC) experience(s) you will be exposed to multiple essential roles that a pharmacist can, and should, participate in to optimize the care of our patients. During IM and TOC you will be responsible for identifying and resolving medication therapy issues and maximizing medication-related outcomes. This may include, but is not limited to: • Therapeutic drug monitoring • Education of patients/caregivers, physicians, nursing, ancillary staff and students • Drug information requests • Multidisciplinary rounding • Medication reconciliation upon admission and discharge • Patient and caregiver counseling • Drug therapy optimization • Development, refinement and/or provide feedback on clinical algorithms • Medication affordability issues and prior authorizations
Pharmacy Services Preceptor: Jayme Jones	During this experience, the residents will learn the inpatient pharmacy’s workflow and layout, hospital’s policies and procedures as well as how to utilize the electronic medical record. The residents will enhance key patient care skills involving the preparation and dispensing of medications as well as managing patients' drug therapy by communicating with nurses and providers regarding orders entered via CPOE.
Longitudinal Experience Name & Preceptor(s)	Description
Ambulatory Care Preceptor: Raquel Guertal	The Ambulatory Care experience is a required longitudinal experience encompassing both opportunities in a pharmacist run anticoagulation clinic and the hospitals primary care clinic. Western Reserve Hospital has a family medicine medical residency where these residents run a primary care clinic. The resident participates one afternoon a week in an ambulatory care setting. The resident rotates every other week between the anticoagulation clinic and the family medicine clinic. The resident will become proficient in managing anticoagulation therapy and provide patient visits independently. The resident will work alongside the family medicine residents providing pharmacy services to primary care patients. Opportunities include but are not limited to medication education, diabetic education, assisting with medication therapy related questions, and providing recommendations to optimize medication regimens.
Education and Projects Preceptor: Courtney Hochman	The Education and Projects experience is a required longitudinal experience extending throughout the entire residency year. This rotation encompasses many different areas of teaching and learning. This rotation evaluates the resident’s experience in precepting pharmacy students (APPE and IPPE), Pharmacy and Therapeutics (P&T) presentations and projects, the teaching certificate through ASHP, and much more. The resident is required to provide lectures to internal medicine residents through our graduate medical education department as part of the teaching certificate. There are opportunities to educate other healthcare providers including nursing staff. The goal of this experience is to have the resident leave proficient and confident in all aspects of teaching.
Research Preceptor: Erin Onder	This is a longitudinal and month long required experience focused on the resident’s chosen research project. Throughout the year the resident will meet with the research team to develop a project, progress through the research process, and see the project through to completion. Assistance from the Western Reserve Hospital research committee and a biostatistician will be available to the resident.