Pediatric Infectious Disease Rotation

Pediatric Infectious Disease Rotation

Rotation Goal

The goal of this rotation is to allow the resident to become a specialist in pediatric infectious disease. The resident will become proficient at optimizing the treatment of pediatric infections by providing evidence-based, patient centered medication therapy. The resident will be able to make interventions with the infectious disease physicians and pediatricians to enhance the overall management of the pediatric patient.

Rotation Description

The Infectious Disease Pediatric Rotation is an advanced, 4 week elective rotation for the PGY2 resident.

The resident will spend a part of the day rounding with the infectious disease physician. The preceptor may or may not be present during this time with the infectious disease physician, and it is the resident’s responsibility to maintain a professional, symbiotic relationship with the physician. The resident will follow all patients that the physician is consulted on, as well as any other patients at the preceptor’s discretion.  After rounding with the physician, the resident will be responsible for having both patient discussions and topic discussions with the preceptor.  The resident is required to create monitoring plans for each patient that he/she is following with the physician. The resident will also be required to follow up with any infectious disease related Theradoc flags. The primary medication management role of the resident on this service is to streamline antibiotics, adjust medications for renal and/or hepatic impairment, identify and resolve potential adverse drug reactions, maximize drug therapy outcomes, and provide drug education to the team and patient caregivers.

Rotation Activities

  • The resident will begin working up patients no later than 7 am. This will include collecting all pertinent patient information from the electronic and paper charts to optimize treatment plans
  • The resident will create and update daily the monitoring plans for all patients followed by infectious disease physician
  • The resident will coordinate with the infectious disease physician the time to meet for rounds and work around the infectious disease physicians schedule.
  • The resident may use the pharmacy lap top or WOW, as long as neither are being used for rounds by the other pharmacists, to assist with rounds with the ID physician
  • The resident may be asked to enter medication orders, enter laboratory orders, recommend dosing or ordering of levels, etc by the infectious disease physician during rounds. The resident is expected to be helpful during the time spent with infectious disease physician and should offer any assistance possible to create a symbiotic relationship. The resident will also be responsible for verifying infectious disease related orders in PharmNet.
  • The resident will follow all antibiotic related kinetics in the children’s hospital.
  • Evaluate the use and benefit of the patient’s home chronic medications, current list of medications initiated in the hospital, and possible future medication regimens.
  • Each antimicrobial order will be assessed for (but not limited to): age appropriateness, indication, dose (mg/kg), frequency for age/renal status, route, formulation (liquid vs tablet), drug interactions, and drug duplications.
  • Professionally and effectively communicate with interdisciplinary team members and patients, in order to enhance pharmacy related outcomes.
  • The resident will provide concise timely responses to all drug information inquiries from the preceptor, physicians, or patient/family members.
  • The resident will assess each patient on service for any possible drug interactions, medication events, or adverse reactions.  This will be reported to the preceptor, medical team and documented in the THERADOC pharmacy monitoring system.
  • Identify, interpret, and apply current medical literature, evidence based medicine to maximize patient care inquires, goals and resolution of problems.
  • Make recommendations for appropriate drug therapy, including, renal dosing, drug interactions and allergy review.
  • Recommend alternative formulary agents when receiving request for non-formulary agents
  • Become familiar with and ensure adherence to the Policies and Procedures of Medication distribution, use and monitoring at St. Joseph’s Children’s Hospital.

Rotation Requirements

  • Required hours 7 am to 3:30pm. The times may vary based on patient care and the infectious disease physician’s schedule. 
  • Provide 3-5 formal discussions per week to the preceptor on Infectious Disease Topics. The resident will be prepared to present the topic with current literature and application to our patient population. (See Topic Discussion requirements). The PGY2 Resident may present this topic to the PGY1 resident(s) and pharmacy interns.
  • Meet with the preceptor daily to discuss patient problem lists, therapeutic goals, topic discussions, and personal progress through rotation.
  • The resident will be required to complete one formal write up of a drug information question relating to current infectious disease topics.
  • PALS certification – provided early in the residency
  • Document patient care interventions into THERADOC daily.
  • Participate in monthly nursing meetings to provide current medication and/or Pharmacy Department information to the team. Typically includes a 5-10 minute verbal presentation and written information for the nurses. May require more frequent, small group discussions in order to disseminate new information or procedures thoroughly to the teams.

Marroyln Simmons, Pharm.D. BCPS
Dale Bergamo, MD