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Careers at UW Health

Rotations

Rotations

The resident will complete one four-week training/onboarding period, 12 four-week rotations and longitudinal experiences in ambulatory care clinics. Some rotations may be extended to five weeks.

Required Rotations (5)Elective Rotations (7)
* Internal Medicine
* Oncology
* Transplant
* Drug Policy
* Precepting
* Renal/Pancreas Transplant
* Liver/Medical Transplant
* Academia
* Bone Marrow Transplant
* Cardiology
* Cardiothoracic Surgery
* Advanced Heart Failure
* Emergency Medicine
* Hematology
* Specialty Pharmacy
* Supply Chain
* Informatics
* Neurology
* Neurosurgery
* Psychiatry
* Hospice/Palliative Care
* Infectious Diseases
* Medical/Surgical/Burn ICU
* Nuclear Medicine
* Operating Room
* Infusion Center
* Pharmaceutical Research Center
* Medication Safety
* Overnights
* Home Infusion
* Pharmacy Benefit Management
* Pediatrics (PICU, NICU, Oncology, General)
* Surgery (General, Specialty, Trauma)
* Medication Systems and Operations
* Clinical Practice Management

Ambulatory Care

Residents participate in a full-day ambulatory care clinic every other week. Residents have the opportunity for two clinic experiences, each for half of the residency year. Clinics include:

  • Anticoagulation
  • Adult Pulmonology
  • Geriatrics
  • HIV Clinic/Infectious Diseases
  • Neurology
  • Oncology
  • Lung Transplant
  • Abdominal Transplant
  • Pediatric Pulmonary
  • Primary Care
  • Hepatology
  • Inflammatory Bowel Diseases
  • Specialty Pharmacy

Clinical Staffing

Pharmacy services are provided by teams of pharmacists within an integrated practice model. These teams of pharmacists are de-centrally based and provide care as part of the interprofessional team through patient care rounds, clinical monitoring, medication order review, admission histories, first-dose teaching, discharge teaching and care coordination, code and stroke response teams, drug information provision and medication use stewardship.

Residents staff in the same roles as their preceptors on two different teams over the course of the residency year, developing confidence and competence for PGY-2 training or employment following residency. This is supported by a preceptor on weekends dedicated to resident feedback and available for consultation.

These independent staffing experiences are completed every other weekend (8-hour shifts) in addition to 1-2 weekday evenings (4-hour shifts), for an average of 12 hours per week. Time to complete training in these staffing areas are pre-built into residents’ schedules.

Required/Staffing Rotations (2):

  • Medicine
  • Neurology
  • Surgery
  • Cardiology
  • Pediatrics

Duty Hours

The residency program follows duty hour definitions and recommendations from the American Society of Health-System Pharmacists. Duty hours are defined as all clinical and academic activities related to the program; i.e., patient care (both inpatient and outpatient), administrative duties relative to patient care, the provision for transfer of patient care, time spent in-house during call activities and scheduled activities such as conferences. Duty hours do not include reading and preparation time spent away from the duty site.

  • Duty hours must be limited to 80 hours per week, averaged over a four-week period, inclusive of all in-house call activities.
  • Residents must be provided with one day in seven free from all educational and clinical responsibilities, averaged over a four-week period.

Resident Activities

The primary focus of the PGY1 Pharmacy Residency is direct patient care, and for this reason, residents are typically expected to be on the clinical unit a majority of the day.

Activities while on the unit will include, but are not limited to:

  • Collaboratively managing drug therapy with other members of the health care team
  • Daily rounds with the health care team
  • Admission histories (completed for all UW Health patients)
  • Discharge teaching (completed for all UW Health patients)
  • First-dose teaching
  • Patient monitoring and documentation
  • Pharmacokinetic calculations and dose adjustments
  • Investigation of medication error reports and patient/medication safety follow-up
  • Adverse drug event reporting
  • Drug information; literature review; reading and contributing to team files
  • Attending and participating in code situations
  • Quality improvement activities
  • Team-related research projects
  • Communication and interaction with team preceptor and pharmacists
  • Communication and interaction with physicians and nurses
  • Working with students (first-, second- and third-year IPPE students; fourth-year APPE students)
  • Instructional and patient case presentations

Projects

Each resident completes at least one medication-use evaluation (MUE) or other medication-use process improvement project along with a major research project. Projects are presented at the UHC resident poster session prior to the ASHP Midyear Clinical Meeting and Great Lakes Pharmacy Resident Conference. Residents are strongly encouraged to submit a manuscript for publication. Projects are selected off a vetted list provided by the resident advisory committee, and usually 70 to 80 projects are available to select from. All PGY1 projects include implementing changes that expand or enhance patient care or pharmacist roles at UW Health. Everything our department has accomplished is a result of resident projects.

Current Resident Projects

Past PGY1 Resident Projects (2016-2022):

  • Implementation of an Unfractionated Heparin Infusion Dosing Calculator
  • Evaluation of VTE Prophylaxis with Subcutaneous Heparin in Kidney Transplant Recipients
  • Decreasing Inappropriate Albumin Use
  • Decrease Inappropriate Inpatient Hypertension Treatment
  • Improving Safety and Efficiency of the Discharge Process with Pharmacist Pended Meds
  • Creation and Implementation of IT Support for System-Wide Geriatric Patient Care
  • Impact of Ketamine and Lidocaine on Opioid Requirements for Acute Pain
  • Management and Optimization of Alk+ Non Small Cell Lung Cancer Tyrosine Kinase Inhibitors
  • Pharmacist Shared Decision Making Consulting Service
  • Hormonal Contraceptive Interactions: Medication Safety Initiative
  • Probiotics in General Medicine Patients: Are they useful?
  • Pharmacist Role in Assessment for Readmission Root Causes: Inpatient and Ambulatory Pharmacist Mechanisms for Reducing Readmissions
  • Evaluation of antibiotic prescribing in pediatric ambulatory setting as impacted by telemedicine and COVID-19
  • Evaluation of Antithrombin III (ATIII) use in AFCH (also UH?)
  • Development and Implementation of a Pediatric Sepsis Tool
  • Outpatient BMT Conditioning RPh CINV Management
  • Pharmacist-Led Immunosuppression Dosing Delegation Protocol in Stem Cell Transplant Recipients
  • Specialty Pharmacy Space & Workflow Redesign to Improve Operational Efficiency
  • Developing the Infrastructure and Processes for a Specialty Pharmacy Outcomes Reporting/Research Program
  • Increasing Possession of Naloxone by Cancer Patients on Opioids
  • Evaluation and Implementation of a Pain Agitation and Delirium Protocol in Post-Surgical Cardio-thoracic Patients
  • Evaluation of antibiotic prescribing in pediatric ambulatory setting as impacted by telemedicine and COVID-19
  • Replacement of a centralized robotic dispensing system to improve drug dispensing efficiency
  • Pharmacist Role in Assessment for Readmission Root Causes: Inpatient and Ambulatory Pharmacist Mechanisms for Reducing Readmissions
  • Review of tobramycin dosing in pediatric patients with cystic fibrosis
  • Evaluation and implementation of desensitization protocols for carboplatin
  • Optimization of outpatient management of neutropenic fever in patients with solid tumors
  • Standardization of practice surrounding infectious disease prophylaxis in UW Health stem cell transplant patients
  • Clinical decision support alerts for pediatric antibiotic dosing/prescribing in ED/AFCH
  • Development and implementation oncology emergency order sets
  • Implementation of a HAP/VAP guideline and standardization of duration of treatment
  • Implementation of a pre-operative medication management protocol
  • Evaluation of clinical pharmacy ICU services and practice standards development
  • Evaluating the impact of discharge medication reconciliation: A UHC multicenter project
  • Development and implementation of an oral alkalinization regimen prior to admission for high dose methotrexate
  • Implementation of a decision support program for adults and pediatrics for HIT testing
  • Evaluation of drug related causes of AKI in pediatric patients
  • Evaluation of the impact of pharmacist oral chemotherapy follow-up calls
  • Implementation of a novel thromboelastography based cardiothoracic surgery protocol for the replacement of factor and blood products
  • Immune checkpoint inhibitors: Optimization of pharmacy services in toxicity management
  • Implementation of caregiver vaccine screening and smoking cessation screening in a pediatric hospital
  • Optimization of the pharmacist admissions process
  • Implementation and utilization of a pharmacogenomics program for acute leukemias
  • Pharmacist driven prediction of community-acquired pneumonia caused by drug-resistant pathogens: guideline, screening tool and order set implementation
  • Adult AKI detection and intervention
  • Implementation of meds to beds for enhanced recovery programs
  • Vaccine compliance rates in post-splenectomy patients at an academic medical center

Presentation Opportunities

Residents have ongoing opportunities to improve their speaking skills by preparing for and participating in “Resident GRILL (Grand Round Interprofessional Lunch and Learn),” which occurs weekly and is an opportunity for residents, preceptors and students to discuss patient cases and how to improve their clinical practice. In addition, residents provide educational presentations and in-services and can present in University of Wisconsin School of Pharmacy courses. All residents will present their research, quality improvement and drug usage evaluation projects at local, regional and national meetings.

Teaching Opportunities

Residents have the opportunity to complete a four-week rotation in pharmacy practice management and leadership. Additionally, a variety of topics including medication-use system structure, process and outcomes quality and regulatory standards/metrics, professional development, time management, organizational politics, leadership philosophies and financial management and planning are built into our weekly PGY1 meetings.

Pharmacy Leadership Development

Residents have the opportunity to complete a four-week rotation in pharmacy practice management and leadership. Additionally, a variety of topics including medication-use system structure, process and outcomes quality and regulatory standards/metrics, professional development, time management, organizational politics, leadership philosophies and financial management and planning are built into our weekly PGY1 meetings.

Professional Organizational Involvement

Residents are encouraged to participate in a statewide collaborative with the Pharmacy Society of Wisconsin as leaders. Additional opportunities to participate in UHC and ASHP committee work are available.

Other Activities

  • Weekly resident seminar – local and national speakers discussing clinical and administrative topics
  • Participation in clinically focused committees
  • Advanced Cardiac Life Support (ACLS) training
  • Participation in resident group service projects/volunteering
  • Every resident is provided a mentor to meet with monthly for guidance and support
  • Interprofessional mock codes in the state-of-the-art simulation center
  • Learn with your co-residents (approximately 29 residents per year currently – programs include critical care, infectious disease, oncology, transplant, administration, medication systems and operations, specialty pharmacy, ambulatory care, internal medicine, drug policy, pediatrics and informatics.)

Travel

Residents receive travel support to attend the ASHP Midyear Clinical Meeting, the Great Lakes Pharmacy Residents Conference, the Midwest Residency Exchange and a spring visit to other health systems and residency programs in order to observe, learn and share ideas.

PGY1 Pharmacy Residency

2022-23 Information Sessions

University of Wisconsin (UW) Health’s Pharmacy Department invites you to attend our 2022-23 Informational Sessions to learn more about the programs we have to offer. Here you will have the chance to hear from current residents, program directors, preceptors and alumni.

  1. Sept. 29, 2022 from 6-7 p.m.
  2. Oct. 10, 2022 from 6-7 p.m.
  3. Oct. 27, 2022 from 6-7 p.m.
  4. Nov. 28, 2022 from 6-7 p.m.
  5. Dec. 15, 2022 from 6-7 p.m.
    All times Central

Register for information sessions

PGY1 Pharmacy Residency

Residents who successfully complete the UW Health PGY1 Pharmacy Residency will be able to provide integrated pharmaceutical care at a patient-specific level, as well as a patient population level across the continuum. This residency will provide residents with opportunities to conceptualize, integrate and transform accumulated experiences and knowledge into skill, competence and confidence in providing safe, efficient and cost-effective patient care.

Residents will acquire a philosophy of practice that includes:

  • Pharmacists’ responsibility and accountability for pursuing optimal drug-therapy outcomes and medication safety in the provision of patient care
  • Education and training of other health professionals and students
  • A program of self-learning and continuing professional development
  • A commitment to the profession and their community
  • An appreciation for scholarly activity

Education and training in the fundamentals of contemporary pharmacy practice will serve as a foundation for further training in specialized residencies or specialty practice positions.

PGY1 Clinical Pharmacy Residents

Meet our 2022-23 class of residents, and learn more about them.

  • Megan Buechel
  • Allie Curran
  • Mahnoor Khan
  • Molly Lofy
  • Shivani Patel
  • Johanna Van Epps
  • Jared Walz
  • Emily Wong
  • Jake Yandre

Residency Program Director: Lucas Schulz (lschulz2@uwhealth.org)

Program Summary

UW Health Pharmacy Residencies Manual (pdf)