Longitudinal Rotations
 
 

Longitudinal Rotations

Required Longitudinal Rotations

Heart Function/Ambulatory Clinic

Preceptor: Sharjeel Khan, PharmD

The year-long Heart Function and Ambulatory Clinic longitudinal learning experience gives the resident exposure to the expanding ambulatory and transition-of-care services. The resident will gain experience caring for patients with a variety of disease states. Primary focuses will be anticoagulation, asthma, chronic obstructive pulmonary disease (COPD), diabetes, and heart failure. Most activities will take place in the Heart Function Clinic, Diabetes Education area, and the Pulmonary Rehab Clinic. The resident will work alongside fellow health professionals and provide patient care for patients with many chronic health conditions. The team is composed of physicians, pharmacists and pharmacy students, physician assistants, and nurse practitioners, among other providers.

Longitudinal Activities and Staffing

Preceptor: Jovino Hernandez, PharmD, BCPS

The longitudinal staffing experience extends throughout the residency year. Once residents are adequately trained in the pharmacy workflow and technology utilized by the department, they will begin staffing every third weekend alongside three other clinical pharmacists. Weekend assignments include a mix of decentralized and centralized services with the team sharing the responsibility of pharmacy consults, order verification, performing final checks of IV and other medications, supervising pharmacy technicians, and answering phone calls. Pharmacists also handle orders for Winter Haven Women's Hospital in the afternoon, evening, and overnight hours.

In addition to staffing, residents are required to complete various longitudinal assignments. These assignments will not be associated with any particular rotation and can be completed at any point during the residency year. Required longitudinal assignments will include a therapeutic update presentation (1-hour pharmacist CE), four formal presentations during rotations (i.e. journal club, patient case, in-services, etc.), completion of a medication use evaluation (MUE) or disease state review, presentation of a drug monograph during a BayCare P&T Committee meeting, completion of a newsletter article submitted to the health system’s Doc Talk, Nurses Notes, or pharmacy newsletters, and recording of the BayCare P&T Committee meeting minutes.

Therapeutic Policy and Management

Preceptor: Glenn Wysock, RPh

Co-Preceptor: Jovino Hernandez, PharmD, BCPS

This required 52-week longitudinal rotation is to develop leadership, financial, strategic planning, and project management skills. Skills related to formulary management, drug information, and medication safety will also be obtained.

Residents throughout the year can expect to be introduced to various projects, meetings, or situations that will help them gain knowledge of the subject area. Certain time slots in the year may be dedicated solely working on projects associated with this experience but most projects will need to be worked into the concurrent schedule of the resident. The resident may at times be requested to spend some time shadowing the Pharmacy Manager to observe day to day activities. This may involve being stationed in the office of the Pharmacy Manager.

Residents should expect to interact with other members of hospital management, including those for the Medical Staff, Nursing, Pharmacy, and other disciplines. Management interactions will not be limited to Winter Haven Hospital but will also include other facilities within the BayCare Health System.

Research

Preceptor: Karin Thatcher, PharmD, BCPS

Co-Preceptor: Jovino Hernandez, PharmD, BCPS

All residents are required to complete a research project during the residency year. These projects may be retrospective or prospective in design depending on the topic selected. Consideration should be given to the feasibility of the project and whether the project can be realistically completed within one year. Once ideas are chosen, each resident will develop a research proposal submitted to the BayCare institutional review board (IRB) for approval. Preliminary project results will be shown in a poster format at the ASHP Midyear Clinical Meeting in early December. Once data collection and statistical analyses are complete, final project results will be presented in presentation format at the FSHP Florida Residency Conference in May. A final manuscript will also be submitted by each resident before the end of the residency year.