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Advanced Practice Pharmacy Clerkships: Acute Care Clerkships

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www.pharmacy.wisc.edu/
clerkship

 

Contact Information

Philip Trapskin, PharmD, BCPS

(608) 265-0341

ptrapskin@uwhealth.org

The University of Wisconsin Hospital and Clinics encompasses an academic medical center, multiple specialty and primary care clinics, 12 ambulatory pharmacies, and a wide array of innovative pharmacy services. We are a pharmacy department nationally recognized in the areas of clinical pharmacy practice, pharmacy leadership and residency training.

 

Cardiology (CVM-1/2)

  • Patient population: Acute coronary syndrome (myocardial infarction, unstable angina), CHF, arrhythmia patients
  • Student role: Teaching rounds with attendings, residents and medical students (approximately one to three hours per day), extensive opportunities for medication regimen review, recommendations on additional or alternative therapies to providers, admission and discharge medication reconciliation and consultation, first dose teaching, therapeutic drug monitoring
  • Unique student opportunities: Frequent opportunities to manage warfarin; opportunity to see a cardiac cath; advanced students may be able to round with CHF team; attend weekly MD educational conference; approximately 10 scheduled didactic discussions; often able to participate in unit code response team
  • Typical hours: 7am-3:30pm, 40-45 hours per week based on patient care needs
  • Night or weekend flexibility: Limited nights and weekends available to accommodate student needs

 

Medicine (General Medicine)

  • Patient population: Diverse – multiple complex acute and chronic disease states across a wide spectrum of age (adolescents to elderly); disease states include end-stage liver disease, infectious disease, asthma/COPD exacerbations, pain, cystic fibrosis, AKI/CKD/ESRD/HD and GI (Crohn's, ulcerative colitis)
  • Student role: Attend work rounds with medical residents, students and attendings (approximately five hours per day), extensive opportunities for medication regimen review, recommendations on additional or alternative therapies to providers, admission and discharge medication reconciliation and consultation, first dose teaching, therapeutic drug monitoring
  • Unique student opportunities: Attend topic discussions with attending physicians and their medical students/residents, approximately eight scheduled didactic discussions, weekly SOAP note reviews, opportunity to shadow acute care for the elderly consult service and HIV clinic
  • Typical hours: 7am-4pm, 45–50 hours per week
  • Night or weekend flexibility: Students can work evenings/overnight with their medical teams while they are on call; limited weekends to accommodate student needs

Neuro-Rehabilitation (Neurology or Rehabilitation)

  • Patient population: Stoke, general neurology (epilepsy, Parkinson’s, multiple sclerosis), and rehabilitation patients (stroke, orthopedics and transplantation)
  • Student role: Round twice daily (appoximately one to two hours per day total), first on multidisciplinary rounds (physical therapy, occupational therapy, speech/swallow, case management) and then with physician residents and attendings; extensive opportunities for medication regimen review; recommendations on additional or alternative therapies to providers; admission and discharge medication reconciliation and consultation; first dose teaching; therapeutic drug monitoring
  • Unique student opportunities: Three to four opportunities per week for lengthy patient interactions with rehabilitation patients (designing medication administration tools and medication teaching); approximately eight scheduled didactic discussions; opportunity to attend Neurology Grand Rounds; frequent opportunity to manage warfarin; opportunity to shadow a pharmacist in Epilepsy Clinic
  • Typical hours: 7am3:30pm, 40-45 hours per week
  • Night or weekend flexibility: Limited nights and weekends available to accommodate student needs

Trauma Surgery (Trauma Surgery Unit)

  • Patient population: General care and intermediate care (IMC) of trauma and orthopedic patients with the following possible complications or conditions from trauma: long bone and pelvis fractures, rib fractures, post-concussive nausea and vomiting; pain control management (with opioids, epidurals, NSAIDS, acetaminophen, and ketamine); delirium; ethanol and/or other substance withdrawal; trauma induced seizures; trauma induced bowel or abdominal injuries; trauma induced hypercoagulable states
  • Student role: Actively participate in resident work rounds at 0600 and attending/teaching rounds; complete a daily review of assigned patients (problem list, pharmacotherapy, procedures, labs, vitals, enteral/parenteral access); monitor medications daily for indication, dosing, efficacy, safety/adverse effects, potential drug interactions, drug administration/compliance issues, procurement/cost considerations; communicate therapeutic recommendations to the prescriber; demonstrate ability to complete thorough admission medication histories; admission and discharge medication reconciliation; discharge patient counseling for trauma and orthopedic patients; coordinate efforts with social workers, discharge planners, home care agencies, pharmacies and clinics to ensure successful outpatient drug therapy and continuity of care; and provide first dose counseling
  • Unique student opportunities: Care of IMC (step down from ICU) patients; interaction with the interdisciplinary team (including physicians, nurses, therapists, social worker, and nurse case manager) several times per day; daily rounds with the pharmacist; topic discussions pertaining to patient case load; weekly trauma case conference; by request and availability: journal club with the interdisciplinary team and a one-week trade with ED APPE student on rotation; by request: Pain Team, Diabetes Management Service, Surgical Nutrition (TPN team), and Discharge Medication Specialist
  • Typical hours/night or weekend flexibility: 6am-3:30pm (approximately 45 hours per week based on patient care needs), with opportunities to pick up hours in the evening and/or weekends
  • Minimum rotation requirements: Assigned curriculum pertaining to trauma patients and as assigned by the School of Pharmacy or preceptor