Residents will spend approximately three weeks at the beginning of the year orienting to the Ambulatory Care Pharmacies to develop skills in the provision of services provided within these outpatient pharmacies. Upon completion of the orientation time period, residents will begin learning experiences in a longitudinal (6-12 months), extended (3-6 months), or rotational (1-3 months) fashion. During both the PGY1 and PGY2 Ambulatory Care residency years, residents will complete longitudinal/extended experiences in core clinics.
Core Extended/Longitudinal Experiences
- Anticoagulation Case Management Service (ACMS): This is an established pharmacist run service for managing patients on anticoagulation therapy. The clinic functions under the use of a Collaborative Practice Agreement and is a billable service. The resident will work within this service longitudinally.
- Geriatrics Assessment Clinic: The pharmacy resident will be part of a multi-disciplinary team and will complete an extended rotation in the clinic of at least 4-6 months. However, more time in this clinic may be available based on the resident’s interest.
- Long-Term Care: As part of their geriatrics experience, the resident will have the opportunity to work directly with a medical team to optimize the care of geriatric patients residing at local nursing homes. This is an extended rotation of at least 4-6 months. However, more time in this service may be available based on the resident’s interest.
- Pharmacotherapy Clinic: This is an established pharmacist run service for patients seen at the Iowa River Landing (IRL) General Internal Medicine Clinic. It is a referral based, medication therapy management clinic. Currently the focus is on the management of type 2 diabetes, hypertension and dyslipidemia. This is a billable service and the disease states are managed under Collaborative Practice Agreements/Hospital Based protocols with the referring physicians. Pharmacy residents will practice in this clinic on an extended/longitudinal basis.
- Primary Care Clinic North (PCCN): This clinic provides primary care services exclusively to an indigent population of patients that are IowaCare enrollees (a limited-benefit, public health insurance program for qualifying adults in Iowa). The pharmacy resident will be expected to assist with anticoagulation management, medication reviews, drug information consults, and pharmacotherapy consults while in this clinic. The resident may spend time in this clinic over an extended period of time depending on the needs of the clinic and interest of the resident.
Other Core Rotation Experiences
In addition, the PGY1 resident will complete 1 month rotations in the following core rotations:
- Drug Information (DI) Center: This rotation introduces residents to researching the literature and responding to calls that come into the Drug Information Center.
- Medication Use Evaluation (MUE): This rotation introduces residents to performing medication use evaluations, as well as participating in drug therapy policy development.
- Pharmacy Practice Management (PPM): This rotation provides residents with experience in management of comprehensive pharmacy services.
- Family Medicine Inpatient Service: The resident will be an integral member of a multidisciplinary team responsible for the assessment, monitoring, and treatment of hospitalized family medicine patients.
- Acute Care: The resident will complete a second inpatient rotation in an area of their choice. This will be done in order to give the resident a well-rounded experience in general pharmacy practice.