| The objective of the Specialty Pharmacy Practice Residency in Emergency Medicine is to develop a high-level emergency medicine pharmacist leader with the skills necessary to establish pharmacy services in any health system emergency department. The graduate of this program will be capable of making medication recommendations in a fast-paced environment, and triaging and treating the most complex patients seen in the emergency department (ED). They will obtain the skills necessary to exercise leadership for emergency medicine pharmacy practice. Graduates will be experienced in teaching health professionals and those training to be health professionals. The resident will achieve these goals through a variety of learning experiences and rotations with practitioners with advanced clinical skills. The residency year will be divided into three core Emergency Medicine rotations that take place in the Emergency Department. Other core learning experiences include rotations in Pediatric Emergency Medicine at Primary Children’s Hospital, Toxicology at the Utah Poison Control Center, and Shock Trauma Intensive Care. A variety of elective rotations are available in critical care (Neuroscience Critical Care, Respiratory Critical Care, Coronary Critical Care, and Thoracic Critical Care), Infectious Disease/Antimicrobial Stewardship, Drug Information, Heart Failure/Mechanical Circulatory Support, and Solid Organ Transplant. Longitudinal experiences include Pharmacy Practice Management, Emergency Preparedness, Code Blue Response Team, Acute Stroke Response Team, and Trauma Response Team. The resident will be involved into aspects of patient care including (1) committee involvement (2) collaborative, multidisciplinary development of protocols and standard operating procedures (3) providing education to patients, nurses, physicians and other health care providers, and (4) completion of a research project. Upon completion of the program, the resident will have developed a philosophy of practice that includes: (1) a commitment to advancing the profession (2) a desire to enhance inter-professional relationships through education and training other healthcare professionals; (3) a dedication to self learning and assessment; (4) a responsibility and accountability to pursue optimal drug therapy; and (5) a commitment to pharmaceutical research. This is a full-time, temporary, one year benefited position. Training Site: Intermountain Medical Center is a 454 bed tertiary teaching hospital located in the Salt Lake Valley. It has the busiest ED in the state with over 89,000 annual visits and a 30% hospital admission rate. It is a Level I Trauma Center and is supported by Life Flight, Intermountain Healthcare’s air medical transport and rescue service. The Emergency Department contains 56 beds, including four trauma bays, two specially-designed psychiatric rooms, a separate entrance for hazardous material decontamination teams as well as a chemical isolation room for hazmat emergencies. Clinical Staffing: Pharmacy services at Intermountain Medical Center are provided by teams of pharmacists within an integrated practice model. The decentralized, unit based pharmacists provide care as part of an interdisciplinary team through: patient care rounds, clinical monitoring, medication order review, admission histories, first-dose teaching, discharge teaching and care coordination. Additional responsibilities of the critical care pharmacist include participation on the rapid code response teams, the stroke response team, and serve as a drug information resource and promote medication use stewardship. The Emergency Department Resident will staff as a decentral pharmacist in the Emergency Department. The resident will staff approximately 16 hours every 2 weeks. . Resident Daily Activities: While on rotation, the daily duties of the critical care resident will include, but are not limited to the following activities: (1) manage drug therapy as a member of the healthcare team; (2)attend daily rounds with a multidisciplinary team; (3) gain an understanding of rational drug therapy and its application to the critical care patient ; (3) obtain admission histories; (4) provide discharge teaching; (5) monitor and document pharmacotherapy plans; (6) investigate and understand the pathophysiology and medication implications of commonly encountered acute medical problems listed under the areas of emphasis in the ASHP standards; (7) identify medication errors and provide safety follow-up; (8) report adverse drug events; (9) problem solving (10) conduct drug information and literature searches (11) attend codes (12) complete quality improvement activities and audits (13) team-related projects (14) communicate and interact with team preceptor(s) and pharmacists; (15) communicate and interact with physicians and nurses (16) work with pharmacy students (17) work with PGY1 – Pharmacy Residents on rotation; (18) provide instructional and patient case presentations. Projects The emergency medicine resident will complete a major research project suitable for publication. Projects are presented at the UHC resident poster session prior to the ASHP Midyear Clinical Meeting, and a designated Pharmacy Residency Conference held each spring. |
