Mercy Hospital PGY-2 Ambulatory Care


Rotation Overview

Residency Rotations / Learning Experiences

There are 8 required and 2 elective learning experiences. Experiences are designated as either rotation-based (R) (one month) or longitudinal (L). Longitudinal experiences occur throughout the residency year, including during other rotations.

Required Rotations / Learning Experiences

Electives

Ambulatory Care I

Preceptor: Erika Romeus, BS, PharmD, BCACP, AAHIVP, Gia McKnight, PharmD

The Ambulatory Care I rotation is a required, one month learning experience at Oakwood Shores Clinic, an outpatient clinic of Mercy Hospital and Medical Center. During the one month learning experience the resident will be oriented to specific services and protocols provided by the pharmacists which include a pharmacist-managed anticoagulation service, and a pharmacist-managed smoking cessation clinic. The pharmacy resident will also have the opportunity to complete a quality assessment report of an existing pharmacy service and evaluate existing protocols.

Ambulatory Care II

Preceptor: Erika Romeus, BS, PharmD, BCACP, AAHIVP, Gia McKnight, PharmD

The Ambulatory Care II rotation is a required, one month learning experience that will allow the PGY-2 ambulatory care resident to continue developing independent skills at Oakwood Shores Clinic. During the one month learning experience the pharmacy resident will assume full responsibilities for all patient care activities including but not limiting to: creating sound relationships with patients/families/healthcare members, developing pharmacotherapy regimens while balancing cost-effectiveness, and appropriately identifying steps for patient follow-up. The resident will also strengthen practical management skills related to successfully running pharmacy services in the outpatient setting including schedule management, outcomes evaluation, and on-site problem solving in addition to daily patient care requirements. At the end of this rotation, the goal is for the pharmacy resident to become a more confident practitioner.

Ambulatory Care III

Preceptor: Erika Romeus, BS, PharmD, BCACP, AAHIVP, Gia McKnight, PharmD

The Ambulatory Care III rotation is a required, one month learning experience at the Family Health Center of Mercy Hospital and Medical Center. During the one month learning experience the resident will learn in-depth how to effectively and efficiently work with medical assistants, medical residents, and attending physicians. Clinical pharmacy services include: chronic disease state management, medication reconciliation, drug information services, and patient education.

Drug Information

Preceptors: Rabiah Dys, BS, PharmD and Valerie Sheehan, BS, PharmD

The Drug Information rotation is a required learning experience that allows the resident to provide drug information services to pharmacists and other healthcare professionals. Emphasis within the rotation is placed on how to properly receive requests for information, conduct a systematic information search, and assimilate the information obtained into an appropriate response format. The resident will develop a working knowledge of information resources as well as develop the ability to critically evaluate such resources. The resident may also have the opportunity to become involved with the evaluation of drugs for formulary inclusion, quality assurance/drug usage evaluation activities, adverse drug reactions, news publications, and Pharmacy and Therapeutics Committee Support.

Health-Systems Administration I

Preceptor: Steve Silverstein, PharmD, BCPS

The Health-System Administration I rotation is a required learning experience designed to develop accountability, practice patterns, habits, and expert knowledge, skills, attitudes, and abilities in pharmacy practice and health system pharmacy leadership. The rotation is designed to develop the resident’s ability to manage and lead a pharmacy department and participate in the development, implementation and management of a safe and effective medication system. The rotation provides the resident with opportunities to function independently as a practitioner and leader by conceptualizing and integrating accumulated experience and knowledge and transforming both into improved medication therapy for patients. Additionally, the rotation covers management of the 340B drug pricing program, administered by the department of Health Resources and Services Administration (HRSA), including oversight, self-auditing, regulatory compliance and fiscal management of the program.

Orientation

Preceptor: Erika Romeus, BS, PharmD, BCACP, AAHIVP, Gia McKnight, PharmD

Throughout the end of June and the month of July, the pharmacy resident will be oriented to clinical activities performed by clinical pharmacists. The resident will be working in a variety of pharmacy areas in order to become familiar with pharmacy processes and increase confidence in his/her skills.

Residency Projects

Preceptor: Erika Romeus, BS, PharmD, BCACP, AAHIVP, Gia McKnight, PharmD

The resident will complete a research project for presentation at the Great Lakes Pharmacy Residency Conference, at the ASHP Midyear, and to CPS and Mercy health care providers. Additionally, the resident will perform a medication use evaluation. The resident can choose from a wide variety of research project ideas. The resident will become familiar with the investigational review board process, improve his/her research skills and promote effective medication use for the institution. The resident also will gain experience in preparing manuscripts and improve his/her public speaking skills through formal presentations.

Staffing

Preceptors: Larry Cohen, RPh, Carita Johnson, RPh and Julie Strong, RPh

The staffing rotation is a required longitudinal learning experience. In this rotation the resident will provide pharmacy support to the community pharmacies of Mercy.

Oncology

Preceptor: Dawn LaFleur, RPh

The oncology rotation is an elective rotation that gives the ambulatory resident exposure to outpatient oncology services at Mercy Hospital. The resident will be a part of the multi-disciplinary team providing care for patients receiving cancer treatments.

Health-Systems Administration II

Preceptor: Steve Silverstein, PharmD, BCPS

The Health-System Administration II rotation is an elective learning experience designed to allow the PGY-2 ambulatory care resident to build on the skills and abilities obtained in the Health-System Administration I rotation. The resident will have opportunities to manage human resources and financial considerations to develop advanced leadership skills. The resident will continue to develop competence in high level managerial, supervisory, and leadership responsibilities. A high degree of resident involvement in the management of the pharmacy department is incorporated with decreasing supervision as the resident’s skills and knowledge increase. The resident will have the opportunity to assume direct supervisory experience of a select area of pharmacy operations. Resident experiences will be tailored to meet individual goals and expectations.

Abdominal Solid Organ Transplant

Preceptor: Cassie Muran (Stromayer) PharmD, BCPS, Sabrina Sanchez, PharmD, Lynley Heinrich, PharmD, BCPS

The PGY2 resident will join the Abdominal Transplant team for a month long rotation experience at Loyola University Medical Center Outpatient Center. Outpatient responsibilities include evaluation of pre kidney, pancreas and liver transplant candidates and post-transplant care for kidney, pancreas, and liver transplant recipients.

HIV Treatment and Prevention

Preceptor: Drew Halbur, BSPharm, AAHIVP, BCACP

Specialty Pharmacy

Preceptor: Jacquelyn Ivankovic, PharmD