The 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 formal drug monograph formulary/medication utilization reviews. The program is tailored for your individual interests under the instruction and coaching of the clinical preceptors. Started in 1991, Renown Regional Medical Center’s PGY1 Pharmacy Residency is accredited by the American Society of Health-System Pharmacists (ASHP).
The clinical rotations will immerse the PGY1 resident in all areas of patient care at Renown Regional Medical Center, providing exposure to many aspects of pharmacy practice. Your rotation schedule will be personalized according to your areas of interest. The Pharmacy Department offers a choice of numerous rotations, including eight required rotations. These rotations range from 2 to 10 weeks or are longitudinal depending on your interest. The offered rotations include:
Required RotationsElective Rotations
Emergency Medicine Cardiology
Critical Care Pediatrics/NICU
Parenteral Nutritional Support
Drug Policy/Drug Information
The required rotations provide a broad range of exposure to all aspects of pharmacy practice. During each rotation direct patient contact will provide opportunities for patient assessment, evaluation of medications for appropriateness, duplication, interactions, doses and therapeutic endpoints. Pharmacoeconomics, evidence-based medicine, and state of the art educational approaches are used in all rotations.
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 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.
Infectious Disease: 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.
Emergency Medicine Rotation: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.
Research Project: 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 Rotation: 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.
Staffing: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, cardiology, pediatrics and neonatal intensive care unit (NICU). An example of an elective rotation is the pediatric rotation. During this rotation, the resident gains experience in monitoring pediatric patients in the PICU and NICU. You will develop an understanding of dosing differences in our youngest patient population and understand the relationship the pharmacist has with excellent patient care. This rotation includes rounding with the medical staff team and making dose adjustment based on our broad Pharmacy and Therapeutics protocols.
Additional Learning Opportunities
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.
Meetings Residents are invited to attend the weekly Grand Rounds and medical residents' noon conferences. Residents will attend both the ASHP Midyear Meeting and Western States Conference.
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.
Pharmacy resident candidates at Renown Regional Medical Center are required to possess a Doctor of Pharmacy degree from a pharmacy school accredited by the American Council of Pharmaceutical Education and be a registered pharmacist in Nevada or awaiting results from the NAPLEX in June.
All applicants, both foreign and domestic, must provide proof of United States citizenship or legal immigration status, or proper work authorization (permanent or temporary). Applicants for the PGY1 pharmacy residency programs are not eligible for VISA sponsorship.
The candidates must possess interpersonal skills necessary to maintain effective communication with other healthcare professionals and have the ability to work with general direction from the program director and assigned preceptors.