PGY1 Pharmacy Resident Activities

The primary focus of the PGY1 Pharmacy Residency is direct patient care, and for this reason, residents are typically expected to be on the clinical unit a majority of the day.

 

Activities while on the unit will include, but are not limited to:

  • Collaboratively managing drug therapy with other members of the healthcare team
  • Daily rounds with the healthcare team
  • Admission histories (completed for all UW Health patients)
  • Discharge teaching (completed for all UW Health patients)
  • First-dose teaching
  • Patient monitoring and documentation
  • Pharmacokinetic calculations and dose adjustments
  • Investigation of medication error reports and patient/medication safety follow-up
  • Adverse drug event reporting
  • Drug information; literature review; reading and contributing to team files
  • Attending and participating in code situations
  • Quality improvement activities
  • Team-related research projects
  • Communication and interaction with team preceptor and pharmacists
  • Communication and interaction with physicians and nurses
  • Working with students (first-, second- and third-year IPPE students, fourth-year APPE students)
  • Instructional and patient case presentations

Projects

 

Each pharmacy resident completes at least one medication use evaluation (MUE) or other medication use process improvement project along with a major research project. Projects are presented at the Vizient resident poster session prior to the ASHP Midyear Clinical Meeting and Great Lakes Pharmacy Resident Conference. Residents are strongly encouraged to submit a manuscript for publication. Projects are selected off a vetted list provided by the resident advisory committee and 40-50 projects usually are available to select from. All PGY1 projects include implementation of change that expands or enhances patient care or pharmacist roles at UW Health. Everything our department has accomplished is a result of resident projects.

 

Past PGY1 Resident Projects (2015-2017):

  • Pharmacist to Pharmacist Discharge Summary: Collaboration to Determine Impact on Readmissions and Patient Outcomes
  • Development and Implementation of a Guideline to Optimize Pegaspargase Utilization for Adult and Pediatric patients
  • Implementation of an Afib Triage Pathway in the ED to Cardiology Clinic
  • Implementation of Hyperlipidemia Management in Primary Care
  • Standardization of Prevention and Treatment of Veno-Occlusive Disease in Adult and Pediatric Bone Marrow Transplant Patients
  • Therapeutic Drug Monitoring and Dosing of Infliximab
  • Improving Treatment of Pediatric Pneumonia
  • Development and Implementation of Diabetes Transitions of Care Best Practices
  • Development and Implementation of SNF Discharge Handoff and Follow-up
  • Evaluation and Implementation of Desensitization Protocols for Carboplatin
  • Optimization of Outpatient Management of Neutropenic Fever in Patients with Solid Tumors
  • Standardization of Infectious Disease Prophylaxis in UW Health Stem Cell Transplant Patients
  • Development and Implementation Oncology Emergency Order Sets
  • Implementation of a HAP/VAP guideline and Standardization of Duration of Treatment
  • Implementation of a Pre-operative Medication Management Protocol
  • Evaluation of Clinical Pharmacy ICU Services and Practice Standards Development
  • Evaluating the Impact of Discharge Medication Reconciliation: a UHC multicenter project
  • Development and Implementation of an Oral Alkalinization Regimen Prior to Admission for High Dose Methotrexate
  • Implementation of a Decision Support Program for Adult and Pediatric HIT Testing
  • Evaluation and Implementation of a Detection Tool to Prevent Drug Related AKI in Pediatric Patients
  • Implementation and Evaluation of the Impact of Pharmacist Oral Chemotherapy Follow-up Calls

Presentation Opportunities

 

Residents have ongoing opportunities to improve their speaking skills as they prepare for and participate in "Resident Report," which occurs weekly and is an opportunity for residents, preceptors and students to discuss clinical pearls from weekend staffing shifts. These may be related to clinical decision-making, workflow issues, interprofessional communication or operations. In addition, residents provide educational presentations and in-services at Pharmacy Grand Rounds or in University of Wisconsin School of Pharmacy courses.

 

Teaching Opportunities

 

Residents receive clinical instructor status at the University of Wisconsin School of Pharmacy. They have the opportunity to take an active role in teaching second- and third-year students in pharmacotherapy lab and precepting fourth-year students on clinical rotation at the hospital. A teaching certificate program for residents at area hospitals is offered in conjunction with the University of Wisconsin School of Pharmacy. Additional elective rotations with School of Pharmacy faculty are available.

 

Leadership Development

 

Residents have the opportunity to complete a four-week rotation in pharmacy practice management and leadership. Additionally, built into our weekly PGY1 meetings, residents learn about a variety of topics, including medication-use system structure, process and outcomes quality and regulatory standards/metrics, professional development, time management, organizational politics, leadership philosophies, financial management and planning.

 

Professional Organizational Involvement

 

Residents are encouraged to participate in a statewide collaborative with the Pharmacy Society of Wisconsin as leaders. Additional opportunities to participate in UHC and ASHP committee work are available.

 

Other Activities

  • Weekly resident seminar - local and national speakers discussing clinical and administrative topics
  • Participation in clinically focused committees
  • Advanced Cardiac Life Support (ACLS) training
  • Participation in resident group service projects/volunteering
  • Every resident is provided a mentor to meet with monthly for guidance and support
  • Interprofessional mock codes in the state-of-the-art simulation center
  • Learn with your co-residents (approximately 26 residents per year currently - programs include critical care, infectious disease, oncology, transplant, administration, medication systems and operations, specialty pharmacy, ambulatory care, internal medicine, drug policy, pediatrics and informatics.)

Travel

 

Residents receive travel support to attend the ASHP Midyear Clinical Meeting, the Great Lakes Pharmacy Residents Conference and a spring visit to other health systems and residency programs in order to observe, learn and share ideas.