Renown Regional Medical Center’s PGY1 Pharmacy Residency is designed to give participants exposure to a broad range of clinical specializations and venues. Our program consists of a series of clinical rotations, inpatient care experience, educational meetings, research projects and is accredited by the American Society of Health-System Pharmacists (ASHP).
To learn more about our clinical rotations, click on a link below:
- Ambulatory Care
- Critical Care/Cardiology
- Internal Medicine
- Parenteral Nutritional Support
- Infectious Diseases
- Emergency Medicine
- Research Project
- Practice Management
- Drug Policy/Drug Information
Ambulatory Care Rotation
During the longitudinal ambulatory care rotation, you will be directly involved with patient care at the Outpatient Anticoagulation Service at Renown’s Institute for Heart and Vascular Health. Routine tasks will include patient counseling, laboratory testing, and dosage adjustment for patients requiring chronic anticoagulation therapy. This experience also provides the opportunity to participate in outpatient clinics in the areas of hypertension, lipid management, heart failure and smoking cessation.
Critical Care/Cardiology Rotation
Renown Regional Medical Center Trauma/Medical ICUs and Cardiology ICU provide an outstanding resource for a pharmacy resident to excel in the highly demanding field of critical care medicine. You will experience direct patient contact, by participating in patient care rounds with daily monitoring of critically ill patients. The resident will be expected to actively participate in recommendations for improved therapeutics. Additionally, residents will respond to Code Blue and Trauma Red alerts. Residents are required to become ACLS certified. PALS certification is also offered.
Internal Medicine Rotation
You will join a University of Nevada School of Medicine teaching team composed of an attending physician, medical residents and medical students. Rounding daily with the medical team provides the opportunity to participate as an active part of the healthcare team.
Parenteral Nutritional Support
Renown’s Pharmacy Department is a leader in parenteral nutrition management with liberal protocols for pharmacist management. During this rotation, you will have the opportunity to perform nutritional assessments, formulate and adjust parenteral nutrition solutions for different patient populations, including the elderly and critically ill.
This valuable and challenging rotation is precepted by an experienced infectious disease pharmacist. The resident will build a knowledge base of infectious disease, learn to evaluate antibiotic therapy throughout the medical center, and recommend changes when warranted. Residents will gain the skills to manage the ICU pharmacokinetics service for vancomycin and aminoglycosides. The resident will also learn the valuable tenants of antimicrobial stewardship and apply these skills to patient care.
The Renown Regional Emergency Department has over 94,000 patient visits per year. The ER pharmacy satellite is staffed with a clinical pharmacist 18 hours per day. During the ER rotation, the resident participates on the healthcare team responding to Trauma Red, Code Blue, Code Stroke, Code Sepsis and Code Stroke Alerts. The residents are required to actively monitor patients in the emergency room and assist in providing timely care. There is also a large pharmacotherapy and drug information component to this rotation.
Residents must complete as least one major project or problem-solving exercise. This project frequently has an emphasis on increasing the cost effectiveness of therapy. Each rotation will include a mini-project or activity which focuses on initiation or maintenance of cost effective drug use programs. Residents also participate in pharmacy staff development and education programs.
Practice Management Rotations
Residents learn managerial skills including regulatory compliance, ethics, and finance through the practice management rotation. Residents actively participate in meetings including Pharmacy and Therapeutics Committee and various managerial meetings.
Drug Policy/Drug Information Rotation
This rotation is structured longitudinally. Residents learn to assess and critique primary literature to make pharmacotherapy recommendations and policy through the drug policy/drug information rotations. Residents have the opportunity to write drug review monographs throughout the year. You will gain experience in preparing Medication Use Evaluations, Adverse Drug Event reports, and drug monographs. You will also be responsible for providing oral and written drug information and consultation with other healthcare professionals regarding patient specific drug therapy management. Residents actively participate in meetings including Nursing Professional Development, Pharmacy and Therapeutics Committee and Journal Club.
The longitudinal staffing rotation is designed to reinforce the skills and knowledge that residents learn on their various other rotations and apply them to staffing pharmacist’s shifts independently. As the resident is signed off in various clinical areas their staffing days will transition from staffing distributive shifts to more clinically oriented functions. Residents are scheduled as staff pharmacists approximately four days per month. Residents are also required to staff one major holiday (Thanksgiving or Christmas).
A number of elective rotations are available, including oncology, geriatrics, cardiology, pediatrics, neonatal intensive care unit (NICU), emergency medicine, and surgery. An example of an elective rotation is the surgery rotation. During this rotation, the resident gains experience in monitoring patients intraoperatively with assigned anesthesiologists. You will develop an understanding of anesthetic techniques and their relationship to the surgical procedure. This rotation also includes directing an operating room pharmacy satellite.
In addition to the rotation schedule, resident will also gain experience through a series of meetings, formal drug reviews, a research project, and outpatient care experience.
Residents are invited to attend the weekly Grand Rounds and selected medical residents’ noon conferences. Residents will attend both the ASHP Midyear and The Western States Conference.
Local continuing education events also provide an opportunity to meet the pharmacists of northern Nevada. Within the hospital system, residents gain exposure and are afforded networking opportunities through required participation in the Pharmacy and Therapeutics Committee, monthly staff meetings, pharmacist specialty area meetings, and management team meetings. Residents will also provide in-service training to healthcare practitioners regarding rational drug therapy.