Clinical Rotations

A description of some of the available rotations follows. For a biographical sketch of the clinical preceptor, please click on the preceptor’s name.

Hospital Practice Orientation

The goal of this rotation is to introduce the resident to the information they will need to know about the hospital and the pharmacy department to prepare them for a productive and successful year of training and experience as a pharmacy practice resident. The rotation will also prepare the successful resident to understand and practice within a busy hospital pharmacy department. The rotation will provide the resident with the tools to become familiar with all aspects of providing contemporary hospital pharmacy services.

Acute Hospital Medicine

Sara Fogg, PharmD
Residents who elect to complete the Acute Hospital Medicine Rotation will be expected to actively participate in Hospital Medicine Service rounds. Expectations of the rotation include providing drug information, evidence-based drug therapy recommendations, pharmacokinetic monitoring, patient education, and documentation of patient care interventions on a daily basis. Many different disease states will be encountered during the rotation, some of which include: acute myocardial infarction, pancreatitis, pain management, diabetes mellitus, stroke, anemia, nutrition support and renal failure.

Adult Medicine

Brandon C. Schminke, PharmD
This rotation focuses on the pharmacist’s role in the pharmacological management of internal medicine patients. Rotation duties include daily comprehensive patient monitoring, participation in Internal Medicine team rounds, therapy recommendations, chart assessments, patient education, journal club meetings, presentations to pharmacy staff, and other projects as assigned. The independent nature of this rotation allows the resident the opportunity to probe further into specific areas of interest and to build self-confidence in their decision-making skills.

Cardiology

Joe D. Slechta, PharmD
This rotation offers the resident the opportunity to build and expand upon their current knowledge of cardiovascular diseases and the principles of pharmacotherapeutics in cardiology. The goal of this rotation is to provide the resident with the opportunity to gain confidence in applying therapeutic knowledge and decision-making skills that will have a direct impact on patient care. Using an evidence-based approach, the resident will develop therapeutic care plans for the patients of the Coronary Care Unit and serve as a resource for all cardiovascular services personnel. The resident will spend the majority of their time in the clinical setting and will have the opportunity to participate in interdisciplinary activities. Opportunities for teaching pharmacists, students, nurses, and physicians will be provided to enhance the resident’s presentation and verbal skills.

Critical Care, Surgery/Trauma

Bridgette Kram, PharmD
Wesley’s emergency department is the largest in the state of Kansas, serving as a primary care site to nearly 60,000 patients each year. This busy department provides advanced trauma care to around 2,000 patients a year as an American College of Surgeons-certified Level 1 Trauma Center. The Trauma Resuscitation team includes board-certified trauma surgeons / critical care intensivists, nurse practitioners, physician assistants, pharmacists, and many other healthcare workers. This team concept carries over into the Surgical/Trauma Intensive Care Unit.

The resident will become an active member of the multidisciplinary team, and in addition to assisting in trauma resuscitation, will make rounds on trauma patients with the team and make beside therapeutic recommendations to staff, provide drug information to the team, patients, and family members. The resident will serve as the clinical pharmacist for the patients admitted to the Trauma Service on a daily basis. Care of these patients will include becoming knowledgeable of the patient’s history, their injuries, medications, and therapeutic plan. The resident will serve as a resource for all members of the team. The resident is expected to spend the majority of their time in the clinical setting and will have the opportunity to participate in interdisciplinary activities and meetings, including daily rounds with the trauma team. In addition, Trauma/Critical Care Services provides a rapid response team known as the “Sepsis Team”. This highly specialized group of healthcare workers is called upon to provide prompt care to patients exhibiting signs of septic shock with organ compromise. The resident will become familiar with the protocols of the Sepsis Team and be able to provide recommendations for antibiotics, vasopressors, use of steroids, and other supportive care measures.

Critical Care, Medical Intensive Care

Amber Meister, PharmD
This rotation has a broad focus on the critically ill patient. The resident will see and become familiar with a wide range of disease states and evidenced-based treatment strategies including acute renal failure, severe sepsis, pneumonia, meningitis, pancreatitis, gastrointestinal bleeding, acid/base disorders, pulmonary embolism/deep vein thrombosis, and adult respiratory distress syndrome/acute lung injury among many others. The resident will also become knowledgeable about and participate in supporting core measures in an intensive care unit. The resident will spend the majority of his/her time monitoring each patient in the MICU for appropriateness of therapeutic regimen focusing specifically on a disease state basis, providing drug information, working closely with other health care professionals, and advocating evidenced-based medicine. There will also be opportunities to learn ventilator management and dialysis strategies. Furthermore, the resident will get the chance to gain experience attending code blues and level 1 traumas. Opportunities to provide education to students, pharmacists, residents, nurses and physicians will also be available.

Drug Information and Formulary Management

Kelly Guhr, PharmD, BCPS
The Drug Information rotation is a one-month, required rotation for pharmacy practice residents. During the Drug Information rotation, the pharmacy practice resident will be assisting with all areas of drug information services. The resident will have the opportunity to answer drug information requests, prepare and present agenda items for the Pharmacy and Therapeutics (P&T) Committee meeting, develop policies, and participate in the drug utilization evaluation process. The resident will be assigned to carry the drug information phone daily, will be assigned reading materials, will participate in daily discussions with the preceptor, will complete at least one drug monograph, and will contribute to the development, data collection, and/or presentation of a drug use evaluation. The resident will attend policy committee meetings, pre-P&T and P&T Committee meetings, and an Antibiotic Subcommittee meeting while on rotation.

Infectious Diseases

Mandelin Cooper, PharmD, BCPS
This rotation involves monitoring and optimizing antimicrobial therapy on a daily basis for populations of any age receiving antimicrobials in the hospital.  This rotation allowsthe resident to interact with infectious diseases physicians, physician assistants, critical care physicians, internal medicine physicians, medical residents, pharmacists, nurses, and laboratory personnel. The resident learns to apply a pharmaceutical care model to patients with various infectious diseases (such as septic shock, meningitis, pneumonia, post surgical wound infections, abdominal infections, UTIs, etc). The resident may have the opportunity to participate in an Infectious Diseases Subcommittee, Infection Control, and Pharmacy and Therapeutics meeting.

Pediatrics

Chris Durham, PharmD
Wesley Medical Center in Wichita, KS contains the Children’s Center, a 12 bed Pediatric Intensive Care Unit and 38 bed Pediatric floor, along with a 36 bed Level III Neonatal Intensive Care Unit and an 18 bed Neonatal Special Care Unit. Wesley is the premier neonatal and pediatric center in Kansas. The resident will interact with pediatric intensivists, pediatricians, pediatric residents, medical students, nurses and other pediatric pharmacists. Resident activities will involve monitoring pediatric patients in a problem-based format, rounding with the PICU team, providing recommendations to covering physicians and educating pediatric residents and medical students on specified topics. The resident will also participate pediatric code blues and traumas. The resident will have the opportunity to tailor his or her rotation to his or her specific interests, whether that is pediatric critical care, or general pediatrics.

The resident will be expected to review and comprehend content on the topics such as pediatric age specific differences, sedation, analgesia, PALS, asthma, toxicology, nutrition etc.. These topics will be covered by daily patient care experiences, discussions of reading materials, case presentations, and lectures. Experience goals and objectives include, but are not limited to; identifying pediatric medication-related problems prospectively and provide evidence-based recommendations to improve patient outcomes, demonstrating knowledge of age specific differences in Absorption, Distribution, Metabolism and Excretion from the infant to the adolescent and developing an understanding of bedside pharmacokinetics including how to make adjustments based on available information etc.

Practice Management

Jack Bond, BS Pharm, MHS
This rotation will provide the resident with the opportunity to experience and learn from the many unique challenges facing hospital pharmacy today. The resident will participate in planning meetings, implementation and refinement of services, policy determinations, interaction with members of the hospital senior management team, committee meetings, budget and expense planning, management of department employees, and they will carry out focused projects under the guidance of the department director. This rotation will give the resident the chance to experience the inner workings of the hospital and the pharmacy department, to see how difficult decisions are made, and to get a completely different view of how healthcare works.