PGY2 Infectious Diseases Pharmacy Residency Curriculum

Preceptor/s

Christopher McCoy, PharmD
BIDMC Associate Director, Antimicrobial Stewardship

Rotation Description

The Antimicrobial Stewardship (AST) rotation provides the resident with the opportunity to gain insight in the management of Infectious Diseases from the perspective of antibiotic resistance, evidence based practice, cost effectiveness, decreasing collateral damage and improving the selection of antibiotics throughout the institution. The resident will develop problem-solving skills relative to guidance of house staff in the selection of antibiotics, an evaluation of risk factors for drug resistance as well as antimicrobial pharmacokinetics and pharmacodynamics. The resident works with the Antimicrobial Stewardship team at daily rounds and independently, maintaining a responsibility to survey key drugs and infections in order to promote effective and evidence based use of antimicrobials with the ultimate goals of improving patient care and maintaining cost effectiveness. This includes setting durations of antibiotic therapy, ensuring compliance with hospital pathways and national guidelines. Additionally, surveillance of resistance throughout the institution will be important. The AST sees a wide variety of patients across the entire institution. The resident will also participate in the P&T antibiotic subcommittee as well as in current medication use evaluations and other research activities within the Pharmacy and ID Departments.

Preceptor/s

Kendall Bell
Clinical Specialist 1, Infectious Diseases/Antimicrobial Stewardship

Ryan Chapin
Clinical Specialist 2, Infectious Diseases/Antimicrobial Stewardship

Rotation Description

The goal of this rotation is for the resident to gain insight in the management of a broad range of Infectious Diseases in the immunocompetent patient, develop problem-solving skills in therapeutics, and establishment of a firm knowledge base in antimicrobial pharmacokinetics and pharmacodynamics.  The resident works with the consult team and will be expected to attend daily rounds.  The resident is responsible for optimizing anti-infective therapy for consult patients, including pharmacokinetic dosing and daily monitoring of anti-infective therapies.  The ID consult service sees a wide variety of patients from many different backgrounds (medical, surgical, critical care, HIV, etc). The resident will also participate in the P&T antibiotic subcommittee as well as in current medication use evaluations and other research activities within the Pharmacy and Infectious Disease Departments.

Preceptor/s

Kendall Bell
Clinical Specialist 1, Infectious Diseases/Antimicrobial Stewardship

Ryan Chapin
Clinical Specialist 2, Infectious Diseases/Antimicrobial Stewardship

Rotation Description

The Immunocompromised Infectious Diseases (ID) rotation provides the resident with the opportunity to gain insight and experience in the management of patients that are immunocompromised in terms of treatment and prophylaxis of Infectious Diseases. Specific problem-solving skills in the pharmacotherapy of these diseases are key learning experiences, as well as establishing a firm knowledge base in antimicrobial pharmacokinetics and pharmacodynamics. The resident works with the ID consult team at daily rounds, maintaining a responsibility to optimize anti-infective therapy for the consult patients. This includes dosing recommendations and daily monitoring of anti-infective therapies. The ID immunocompromised consult service sees patients on the East campus and those admitted to the Hepatobiliary Service as well as Solid Organ Transplant, Hematology-oncology, HSCT, etc). The resident will also participate in the P&T antibiotic subcommittee as well as in current medication use evaluations and other research activities within the Pharmacy and ID Departments.

Preceptor/s

Monica Mahoney
Clinical Specialist, Outpatient Infectious Diseases

Jeff Larnard
Infectious Diseases Physician, Clinic Director

Rotation Description

The HIV/HCV Clinic rotation provides the resident with the opportunity to gain insight and practice in the management of outpatients with chronic infections, to develop problem-solving skills in the pharmacotherapy of these, and to broaden their knowledge base in antimicrobial/antiviral and antiretroviral pharmacokinetics and pharmacodynamics.  The resident works with the Clinic team and independently, maintaining a responsibility to provide patient education, assess medication adherence, assess medication profiles, and to document quality initiatives. The clinic sees a wide variety of patients with unique comorbidities.

Preceptor/s

Dana Pepe
Infectious Diseases Physician, Infection Control Epidemiologist

Rotation Description

The rotation incorporates collaborative work on quality measures related to infection prevention, tracking hospital acquired events and potentially responding to outbreaks or local public health issues.  The resident may engage in surveillance, prevention and control projects. The resident should work towards independent data collection and analysis and is responsible for: Identifying the essential elements of the Infection Control dashboard for QA, including surgical prophylaxis, immunization, and hospital acquired infections as they relate to CMS and or state regulations.

Preceptor/s

James Kirby
Microbiology Director

Rotation Description

This rotation provides training in clinical bacteriology, mycobacteriology, mycology, parasitology, virology, and infectious diseases serology. Residents can observe bench work in techniques and methods in diagnostic medical microbiology. Diagnostic techniques will also be included. Residents can also participate in weekly joint infectious disease-microbiology conferences. The resident will choose a topic of particular interest on which to give a presentation to medical and technical staff.

Preceptor/s

MCPHS Faculty

• Yulia Murray
  
• Phong Oh

Rotation Description

MCPHS conducts group case based seminars for fifth year students facilitated by a faculty member. The resident will serve as the faculty facilitator, using group teaching techniques and will provide a student assessment as it relates to providing pharmaceutical care. One of the main goals of the rotation is for each resident to effectively develop essential group teaching skills utilizing his/her own experience and guidance from the teaching rotation preceptor. During the rotation the resident will guide students in developing professional skills required for case based activities and assess student performance in accordance with the MCPHS PharmD program guidelines.

Preceptor/s

MCPHS Faculty

• Dorothea Rudorf
  
• Anela Stanic

Rotation Description

MCPHS Virology and Antiinfectives course is a mandatory therapeutics curriculum item for PharmD candidates.  The resident will act as the official teaching assistant for the course.  The resident will attend all therapeutic lectures twice weekly.  The resident will prepare and deliver a one-hour lecture in Infectious Diseases pharmacy practice. The resident will conduct tutoring sessions for students once weekly. The resident will write 4 case-based/ multiple-choice questions for each 2-hour and 2-3 questions for each 1-hour lecture to be posted on Blackboard. The resident will become familiar with policies for early warning slips, make-up exams and policies for failing course; missing time; academic support; plagiarism).

Preceptor/s

Mary Eche
BIDMC Clinical Coordinator, Critical Care

Rotation Description

The Medical Intensive Care rotation offers residents an opportunity to develop the skills necessary to provide pharmaceutical care to the critically ill patient. During the MICU rotation, the resident will develop competencies in the areas of critical care pharmacology primarily related to anti-infective management, through direct patient care involvement. As an integral member of the multidisciplinary critical care team, the resident will actively participate in therapeutic decision making, drug therapy selection and appropriate dosing and monitoring of the critical care patient.

Preceptor/s

Katelyn Richards
BIDMC Clinical Coordinator, Solid Organ Transplant

Rotation Description

The solid organ transplant rotation will allow the resident to gain experience in management of kidney, liver and pancreas transplant recipients and particularly related to Infectious Diseases problems. The resident will make daily rounds with both the liver and kidney transplant teams and will assist in the management of immunosuppressive medications as well as infectious diseases in the transplant patient. As part of the transplant team the resident will participate in intake meetings where the resident will be exposed to the evaluation process that takes place prior to listing a patient for transplant. In addition to clinical roles the resident will also be responsible for providing discharge counseling to all new transplant recipients. The resident may be given the opportunity to participate in pre transplant ID evaluations within clinic.

Preceptor/s

Stefanie Clark, BCOP
BIDMC Clinical Coordinator, Hematology/Oncology

Rotation Description

The Hematology/Stem Cell Transplant block is an elective experience for PGY2 pharmacy residents. The two to four week rotation will include the clinical management of patients with hematology disease in the inpatient setting.

The inpatient Hematology/stem cell transplant service has an average of 25 patients. There are a wide variety of patients on the team, including acute leukemia, lymphomas and patients undergoing a stem cell transplant. The team consists of a hematology attending, a medical oncology fellow, three interns and the pharmacist. Patient rounds by the inpatient teams occur in the mornings between 8:00-8:30. The resident is responsible for pre-rounding on his or her assigned patients as well as rounding with his or her inpatient team. The resident will round with one of the interns and will be responsible for all patients. The resident should work towards independent medication management of the inpatient team and is responsible for the following particularly as they pertain to Infectious diseases treatment or prophylaxis in this high risk population:

• identifying and resolving medication therapy issues
• providing drug information to the rounding team members
• participating in discharge planning and patient education