Residency
Women's and Children's Rotation:
Inpatient Cystic Fibrosis, Obstetrics and Gynecology, Maternal Newborn Care, Nursery, Nursery Intermediate Care
Preceptors:
Susan Oddou, PharmD
Martha Drossos, RPh
Irv Nielsen, RPh
Site Description:
Women & Children's Services are primarily located in University of Utah Hospital's second floor. The units include the inpatient Cystic Fibrosis team (patients primarily on Acute Internal Medicine), OBGYN unit, Maternal NewBorn Care (MNBC), and Well Baby and Intermediate Care Nurseries (NSY & NYI). The hospital serves women requiring gynecological acute care and perinatal care in addition to well baby postnatal care and hospitalized patients with cystic fibrosis.
Rotation Description:
The pharmacist functions as part of a multidisciplinary team that includes nurses, physicians, social workers, case managers, and physician assistants. Primary responsibilities include daily review of medication profiles, patient education, therapeutic drug monitoring, medication reconciliation, and improving medication dosing and utilization in all patients in the various populations. Complex pharmacokinetic consults are provided for antibiotics in cystic fibrosis patients. In addition, the pharmacist provides drug information to the various teams. Time management is a critical component of this rotation.
RLS Goals:
R1.5 — Provide concise, applicable, comprehensive, and timely responses to requests for drug information from patients and health care providers
R2.1 — As appropriate, establish collaborative professional relationships with members of the health care team
R2.4 — Collect and analyze patient information
R2.9 — Implement regimens and monitoring plans
R5.1 — Provide effective medication and practice-related education, training, or counseling to patients, caregivers, health care professionals, and the public.
Activities Evaluated:
| Rotation Activity | RLS Goal | Teaching Method |
| Patient monitoring daily- data collection (OB-GYN, well baby, and CF patients) | R2.4 | Modeling Coaching Facilitating |
| Formulate patient-specific therapeutic regimen- identify & resolve medication problems. The resident will prepare recommendations to share with the appropriate team each day. The resident is expected to make recommendations to support best patient care and outcomes daily. | R2.4, R2.9 | Coaching Facilitating |
| Be a resource to physicians, residents, physician assistants, and nurses regarding the pharmacology, pharmacokinetics, drug interactions, compatibility, adverse effects of medications used in the units covered. | R1.5 | Modeling Coaching Facilitating |
| Patient/case presentations (minimum 2 formal cases during rotation) The resident will review their assigned patients with the preceptor daily. | R2.4, R2.9 | Coaching Facilitating |
| Topic presentations will occur several times per week, but the resident will prepare and lead a minimum 3 formal presentations during rotation. | R2.9, R5.1 | Direct Facilitating |
| Patient education: residents will counsel all patients requiring medication education covered under rotation service including anticoagulation, lactation compatibility, compounded pediatric medications, vaccinations, etc. | R5.1 | Modeling Coaching |
Readings and prep work:
Core topics that will be covered include the following: (assigned readings will be given prior to topic discussions)
- Cystic Fibrosis
- General obstetrics and gynecology
- Complications in obstetrics
- Newborn infant care
- Newborn sepsis
- Drugs in Pregnancy and Lactation
- Pharmacokinetics: aminoglycosides
Elective topics selected by preceptor may also be used for topic discussions.
- Newborn withdrawal
- Gestational Diabetes
- CF related diabetes
- HELLP
- Lung Transplant
- Drug resistance
- Pancreatic Insufficiency
Project description:
1) Case presentation (2)
- Patient presentation in SOAP note format
- Topic presentation that focuses on a specific disease state relevant to a patient (cystic fibrosis and obstetrics/gynecology/nursery)
- Formal hand-out and presentation
2) Journal Club (2)
- Topic must be related to cystic fibrosis and obstetrics/gynecology
- Article published within the last year
- Likely to impact patient care
- Formal hand-out
3) Nursing Inservice (1)
- Inservice topic will be selected/discussed at the beginning of the rotation
- Formal presentation with hand-out to nursing staff
Typical Daily Activity for Student/Resident:
A typical day for student/resident will be 0700-1530 but additional hours may be necessary to complete projects, readings for topic discussions and journal club, and attend meetings.
0700-0900 Pre-round on assigned patients (review labs, new medications), review new medication orders on all patients, run aminoglycoside kinetics for CF patients, review new admits
0900-1200 Medication reconciliations, check in with nurses, patients, CF rounds with team
1300- 1400 Patient presentation, identify and resolve follow-up issues with units
1400-1500 Topic discussions with preceptor
1500 + Additional time to work on projects, topic discussions, resolve any remaining follow-up issues with team
Evaluations:
The resident will receive daily feedback from a pharmacist on their performance. A brief summative evaluation will take place at the midpoint, and a full summative evaluation with ResiTrak will happen on the last day of rotation.
