Emergency Medicine:
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Emergency Medicine is an elective 6 weeks rotation at Benefis Hospital. There is a multidisciplinary team including 2-3 physicians, nurse practitioners and/or physician assistants, nurses, social work, and a clinical pharmacy specialist that manage patients throughout three units in the emergency department. The resident will be part of the multidisciplinary team that cares for the acutely ill patients in the emergency department.
The clinical pharmacy specialist on the team is responsible for ensuring safe and effective medication use for all patients within the Emergency Department. Routine patient care include attendance and participation in the management of medical emergencies (including but not limited to, stroke, MI, cardiac arrest, trauma), review patient profiles, interview patients to perform complete reconciliation of their home medications and participation in emergency medicine committees. In addition, the clinical pharmacist initiate therapeutic plans by establishing a working relationship with healthcare providers to identify, prevent, or resolve medication-related issues and make recommendations when appropriate.
The resident must develop their ability to prioritize acute issues while still completing other less urgent tasks in a timely manner. Upon completion of this learning experience, the resident will be able to provide comprehensive clinical pharmacy services to emergency medicine patients.
Oncology:
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The practice area is primarily the Sletten Cancer Institute with opportunities on the inpatient oncology unit as well. The pharmacist in this practice area is expected to interact with all members of the oncology care team. This rotation in oncology will provide the resident with experience in providing clinical pharmacy services to patients with an underlying oncology diagnosis both in an ambulatory care environment, as well as in the inpatient environment. The resident will have many opportunities to participate in solving specific clinical problems in a complex patient population which may include managing traditional chemotherapy side effects, assessing for immunotherapy adverse reactions (IARs), learning about mitigating the financial toxicities of cancer care, as well as providing answers to medication questions posed by patients, caregivers and healthcare professionals. Participation in this clinical rotation will require taking part in the following activities:
Scheduled activities:
Additional activities will include real time entry of chemotherapy orders, assisting nursing with questions and management of infusion related reactions, participate in patient chemotherapy teaching sessions, supervise and manage the preparation of both hazardous and nonhazardous sterile preparations, as well as other managerial activities. There is potential to learn about biosimilar initiatives, dose rounding, and investigational drug accountability.
- Breast or Urology Tumor Board (some Wednesdays 0700 at SCI)
- General Tumor Board (Fridays 0700 at SCI)
- MedOnc Provider meeting (Every other Month 0800 TBA)
- Oncology Committee meetings (Every other Month 0700—TBA)
- MedOnc Operations meeting (Every other Month 0800 TBA)
Pediatrics / NICU:
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This 6-week elective rotation in neonatology and pediatrics will present the resident with experience in providing clinical pharmacy services to all children from birth through 18 years of age admitted to the NICU or Pediatric units. The resident will have many opportunities to participate in solving specific clinical problems in this unique patient population. This experience will occur within the neonatal intensive care unit (NICU) and on the pediatrics floor, in which the women's and children's unit-based pharmacist is an integral part of the multidisciplinary team.
The women's and children's unit-based pharmacist is responsible for ensuring safe and effective medication use for all patients admitted to the team. Routine responsibilities include rounding daily with the neonatology team; managing all orders for the NICU, pediatric, and obstetric units; writing TPN orders for NICU patients; as well as addressing formal consults for therapeutic drug monitoring for all patients admitted to the NICU, pediatric, and obstetric units, and non-formulary drug requests. The pharmacist will also provide drug information and education to healthcare professionals, as well as patients and caregivers, as needed.
Pharmacy Administration:
- The Pharmacy Administration six-week elective rotation will provide the resident with an introductory experience in the leadership and administration of a comprehensive pharmaceutical service within a complex health system. The focus of the rotation is to expand upon the concepts covered during the resident’s longitudinal administrative experience. This rotation will allow residents to develop skills in leadership, problem solving, verbal communication, personnel management, regulatory compliance, improving medication safety practices, and project management. This is supplemented by projects, discussions, and participation on various teams and committees as available and appropriate over a period of six-weeks.
Ambulatory Care:
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The Ambulatory Care Learning Experience is an elective six-week rotation offered through three Benefis pharmacies/clinics: Benefis Ambulatory Pharmacy (BAP), Anticoagulation Clinic (ACC), and Benefis Hospital Home Infusion (BHHI) Pharmacy. Comprehensive pharmacy services are provided to a diverse and growing population of patients residing in assisted living, home health, hospice, long-term care, transitional care, and outpatient settings. BAP also provides a comprehensive medication therapy management (MTM) program to select beneficiaries of the Benefis Health Plan.
Antimicrobial Stewardship / Infectious Disease:
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Antimicrobial Stewardship and Infectious Diseases is a six-week elective rotation at Benefis Hospitals. The role of the pharmacist in this practice area is to provide safe and effective utilization of antimicrobial agents in the treatment of infectious diseases. Patients span all levels of acuity within the inpatient hospital setting. Routine responsibilities include attendance at antimicrobial stewardship meetings when appropriate to the resident’s current practice rotation, participation in infectious diseases topic discussions, and participation in the annual update of the empiric therapy guidelines.