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American Family Children's Hospital
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Transplant Specialty Residency Activities

Required Rotations

 

 Inpatient rotations:

  • Kidney and pancreas transplant
  • Liver transplant
  • Medical transplant
  • Cardiothoracic transplant (heart, lung)

  • Transplant infectious diseases
  • Transplant practice management/UW Organ and Tissue Donation
  • Transplant clinical research/Pharmaceutical Research Center

Ambulatory rotations:

  • Transplant clinic (longitudinal experience): Six months in Lung Transplant Clinic and six months in Abdominal Transplant Clinic. 

Elective Rotations

 

Inpatient rotations:

  • ICU (Trauma and Life Support Center)
  • Transplant nephrology consult service
  • Nephrology consult service
  • Hepatology consult service
  • Academic/research

Ambulatory rotations:

  • Wisconsin Dialysis/UW Health Kidney Clinic 

Resident Activities

 

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

  • Collaboratively managing drug therapy with other members of the health care team
  • Rounding daily with the transplant team
  • Patient monitoring/problem solving/documentation
  • Investigation of medication error reports and patient/medication safety follow-up
  • Drug information, literature searches, reading and contributing to team files
  • Attending codes
  • Transplant Team-related projects
  • Communication and interaction with pharmacists, physicians, nurses, dietitians and social workers

Projects

 

Residents typically complete a practice advancement project and a clinical research project, which should be publishable upon completion.

  • Major project will be presented at the Great Lakes Pharmacy Residency Conference
  • Project will also be presented at the American Society of Health-System Pharmacists Midyear Meeting and/or other transplant-specific clinical meetings such as the American Transplant Congress

Past resident projects include:

  • Development of a pharmacist managed anemia protocol in the transplant clinic
  • Evaluation of antimicrobial penetration of biofilms produced by Vancomycin-resistant Enterococcus faecium urinary isolates from solid organ transplant recipients
  • Evaluation of generic tacrolimus trough concentrations at discharge and the association with the rate of biopsy proven acute rejection in renal transplant recipients
  • Evaluation of thymoglobulin versus basiliximab induction in sensitized deceased donor kidney transplant recipients
  • Utilization review of six months of valganciclovir prophylaxis for cytomegalovirus in transplant patients
  • Evaluation of the incidence of de novo donor-specific antibodies and antibody mediated rejection rates in moderately sensitized renal transplant recipients receiving thymoglobulin vs. basiliximab for induction
  • Evaluation of single dose basiliximab induction on the incidence of patient and graft survival in renal transplant recipients
  • Implementation of peripheral administration of anti-thymocyte globulin in the transplant clinic
  • Implementation of a pharmacist-led protocol for home management of anemia in transplant recipients
  • Development of a pharmacist managed adherence clinic in the Transplant Clinic
  • Review of risk factors and outcomes in HLA-matched kidney recipients with rejection

Presentation Opportunities

  • Formal presentation at the Wisconsin Chapter of the International Transplant Nurses Society Conference
  • Educational presentations and in-services for various audiences
  • Pharmacy resident report

Teaching Opportunities

  • Clinical instructor status at the University of Wisconsin School of Pharmacy
  • Serve as a co-preceptor for PGY1 residents and PharmD students on clinical rotation at the hospital
  • Pharmacotherapy lecture on transplant for the UW School of Pharmacy 

Other Activities

  • One-week UW Organ and Tissue Donation experience during the practice management rotation
  • Weekly Transplant Grand Rounds and bi-monthly journal club
  • Weekly desensitization luminex meeting and Transplant Selection Committee meetings
  • Advanced cardiac life support training
  • Opportunities to interact with residents in the critical care, infectious diseases, oncology, community and administrative programs 

Travel

  • Support to attend one national meeting (ASHP Midyear Clinical Meeting, ACCP, ATC)
  • Great Lakes Pharmacy Residents Conference

Clinical Staffing

 

Pharmacy services are provided by teams of pharmacists within an integrated practice model. These teams of pharmacists are de-centrally based and provide care as part of the interdisciplinary team through interdisciplinary rounds, clinical monitoring, medication order review, admission histories, discharge teaching and care coordination, code and stroke response teams, drug information resource and medication use stewardship. The resident will staff as a decentral transplant pharmacist on the transplant team over the course of the residency year. On average, the resident will staff 24 hours every two weeks, including every other weekend.