PGY1 Learning Experiences
Below we highlight the learning experiences included in the PGY1 Program.
For more information email
Lisa Serrano, Pharm.D.
Acute Patient Care
The resident is required to rotate through clinical rotations in the areas
of medicine, critical care, pediatrics/neonatology, and hematology/oncology.
Each rotation will be six weeks in length. As a member of the medical
team, the resident is expected to proficiently and competently provide
pharmaceutical care as well as staff the clinical area for the last two
weeks of the rotation. Additionally, the resident will have the opportunity
to rotate through the emergency department on an emergency medicine rotation.
The resident will utilize clinical skills to enhance patient care and
improve patient outcomes. Activities include active participation in patient
care, attending rounds, monitoring and regulating patient drug therapies,
pharmacokinetics, and consultation in drug information. Regulation of
drug therapy involves appropriate drug and dose selection and dosage adjustments
based on patient specific parameters, clinical status, and response. Additional
responsibilities include providing in-service lectures to the pharmacy,
nursing, and medical staff; as well as precepting fourth-year pharmacy
The resident is required to rotate through a six-week rotation in infectious
diseases. The resident will develop a broader understanding of the pharmacotherapy
of a wide variety of infectious diseases. T he resident will apply pharmacokinetic,
pharmacodynamic, adverse drug reaction profile, clinical use, and relative
cost information of antimicrobials to maximize treatment outcomes for
patients. Activities include formulating individual monitoring plans,
making recommendations regarding patient management and monitoring parameters
involved with the patient’s drug therapy as well as precepting fourth-year
The resident will participate in the hospital’s pharmacist-managed
anticoagulation clinic for a total of three weeks. The first two weeks
will include orientation and training and the last week will consist of
staffing the clinic. The resident will review and update patient profiles,
adjust Warfarin doses based on the pertinent lab results and co-morbid
conditions, provide patient education and precept fourth-year pharmacy
The resident will become oriented to the functions and concepts of pharmacy
administration within the hospital setting. This exposure will enable
the resident to make administrative judgments and assume responsibility.
The resident will be intimately involved in medication error and adverse
drug reaction reporting and evaluation. Additionally, the resident will
develop problem-solving abilities related to operational and organizational
management. Activities include attending and participating in the Pharmacy,
Therapeutics, and Diet (PT & D) Committee, Medication Safety Committee,
pharmacy staff meetings, management meetings, and interdepartmental committees.
The resident will understand the role of the PT & D Committee in developing,
implementing, and regulating drug usage policies and procedures. Topics
discussed in practice management are people skills and key relationships,
cost and profit analysis, budget preparation, drug distribution systems,
and drug inventory control.
Pharmacy Research Project
In addition to various short-term projects assigned throughout the year,
the resident is required to undertake a year-long project under the direction
and guidance of a faculty preceptor. The resident is expected to research
and analyze administrative and/or clinical problems. The project will
be presented as a poster at the ASHP Midyear Clinical Meeting in December
and as a platform presentation at the annual Western States Conference
in May. The results may also be published in pharmacy journals as well
as presented at state/national pharmacy conferences.
The teaching affiliations with the local schools of pharmacy provide the
resident an opportunity for precepting fourth-year pharmacy students on
clinical rotations. Additionally, the resident will be required to provide
educational in-services to the pharmacy, nursing, and medical staff. Lastly,
the resident will also be required to develop and present an ACPE-accredited
continuing education program to the pharmacy staff.