Residents rotate assignments throughout the year and, to the extent possible, areas of assignment are designed around the resident's interests. In all areas to which the residents are assigned, they assume the role and responsibility of team members in the clinical service, as well as teaching and administrative aspects of the unit.
The goal of the Internal Medicine rotation is for residents to develop skills and competencies in the provision of pharmaceutical care for a diverse population of internal medicine patients, enabling them to effectively participate in therapeutic decision making, drug therapy selection, monitoring of acutely ill patients and discharge counseling. The resident contributes to the medical team and the care of the patient by screening patients' medication profiles for potential problems involving drug dosing, drug allergies, drug-drug and drug-disease state interactions, identifying and reporting adverse drug reactions and monitoring the appropriateness and cost-effectiveness of drug therapy. The resident attends daily teaching rounds, weekly noon conference, and weekly grand rounds, providing for intense involvement and exposure to a variety of internal medicine topics and discussions.
Introduction to Infectious Diseases and Antimicrobial Stewardship
The goal of this Introductory Infectious Diseases rotation is for the resident to gain insight the utilization of anti-infective medication utilization within the acute care hospital setting, to understand the principles and practices of Anti-Infective Stewardship and to develop problem-solving skills in Infectious Disease therapy. The resident will work with the Antimicrobial Stewardship team and participate in the oversight of the ant-infective approval process and follow-up of those patients receiving targeted anti-infective therapies. The resident will collaborate to optimize anti-infective therapy for these patients, including pharmacokinetic dosing and daily monitoring of the patient.
Medical Intensive Care
The Medical Intensive Care Unit (MICU) rotation offers residents an opportunity to develop the skills necessary to provide pharmaceutical care to the critically ill patient. During the MICU rotation, the resident will develop competencies in the areas of critical care pharmacology, fluid and electrolyte balance, anticoagulation, cardiovascular hemodynamics, pain management, sedation, nutrition, anti-infective management and ventilatory support, through direct patient care involvement. As an integral member of the multidisciplinary critical care team, the resident will actively participate in therapeutic decision making, drug therapy selection and appropriate dosing and monitoring of the critical care patient.
The Pharmacy Administration rotation will give the resident exposure to, and an overview of issues and tasks affecting overall pharmacy operations and specific current management initiatives. The resident will meet with the Directors of Pharmacy to discuss theories on pharmaceutical administration, budget issues, technology advancements and other global issues relating to the department and the profession. Clinical resource management, pharmacoeconomics, drug procurement and quality improvement are among the topics covered. During this rotation, the resident will also gain an understanding of the role of each of the managers and management support staff members within the department. In addition, regular participation at bimonthly pharmacy operations meetings during the year is encouraged. The residents are active members of the P&T Committee, and also serve on other committees throughout the hospital as required.
This rotation provides the resident with advanced practice experience in providing pharmaceutical care and establishing professional relationships with clinicians and patients in an ambulatory care setting. The resident will identify actual and potential patient-specific drug-related problems and will collaborate with primary care physicians and other members of the health care team to resolve and/or prevent them. This practice experience will occur within the Healthcare Associates, Beth Israel Deaconess Medical Center practice. In this setting, the resident will have the opportunity to interface with patients, support staff, medical residents, nurse practitioners and physicians. The resident will have the opportunity to provide direct patient care, to learn from other health care providers and to teach health care providers about rational pharmacotherapy. These opportunities will occur during conferences, patient discussions during and outside of patient visits and through direct care to patients.
Clinical Clerkship Preceptor, BIDMC
Beth Israel Deaconess Medical Center is one of the Advanced Pharmacy Practice Experience sites for PharmD students from the MCPHS. The resident will be involved in providing experiential education to the clerkship students, including teaching and student assessment as it relates to providing pharmaceutical care.
Pharmacotherapeutics Seminar I and II, MCPHS
The resident will serve as an instructor in the MCPHS Pharmacotherapeutics Seminar during the fall and/or spring semester. The course requires the resident to be at the College for two to three hours per week, with an additional one to two hours for preparation and grading.
Core Elective Rotations:
- Bone Marrow Transplantation
- Hematology/ Oncology (Inpatient)
- Infectious Diseases: Advanced Antibiotic Stewardship
- Infectious Diseases Consult Service-Advanced Elective
- Medication Safety
- Solid Organ Transplantation
- Surgical Intensive Care
General Elective Rotations:
- Emergency Medicine
- Neonatal Intensive Care Unit
- Parenteral Nutrition
- Take minutes at meetings and summarize
- Develop and present a drug monograph for formulary consideration
- Develop and complete a MUE
- Contribute to the P&T newsletter
Medication Safety Committee
- Attend meetings, take minutes and summarize
- Work with the Medication Safety Coordinator to evaluate medication related incidents, ADR's and other safety related projects
- Prepare written responses to drug information questions
- Design and execute an original pharmacy related research project
- Present findings at Eastern States Residency Conference
- Patient counseling/medication compliance review in Infectious Diseases Clinic
- Medication reconciliation
- Participate in counseling of heart failure patient, anticoagulation
Didactic Teaching, MCPHS
The resident will be provided the opportunity to gain didactic lecture experience within one of the programs at MCPHS (this is not a residency requirement).
Resident's Teaching Seminar
The resident will be provided the opportunity to participate, with other Boston area residents, in a seminar structured to assist in developing effective teaching skills (this is not a residency requirement).