The curriculum offers broad and balanced experience in both inpatient and outpatient settings which prepare the resident for a career in pharmacy or further training in any of the pharmacy subspecialties. By the end of the program, graduating residents leave as expert practitioners in the care and treatment of major acute and chronic diseases.
Under the supervision of full-time faculty, practitioners, pharmacy managers and attending staff, residents participate in daily rounds on each unit. Residents conduct patient interviews, develop treatment plans, and monitor and adjust patient's therapy. The nature of the program allows residents to learn other specialties as they focus on their own. Additionally, it enables the resident to work with an interdisciplinary team including nurses, physicians, nutritional support staff, social services and patient relations. This experience provides the resident with an understanding of the full range of care and support services available to patients.
Our critical care services strive to provide care that is consistent, evidence-based and high quality. With a focus on patient care, the Medical Center has adopted a multi-disciplinary approach to critical care by utilizing physician intensivists and specially trained nurses and staff to manage the care of our sickest patients in our intensive care units. Our integrated approach has led to standardized admissions and treatment protocols that have resulted in shorter lengths of stay and fewer complications for our patients.
The resident will participate in daily rounds, provide direct patient care, communicate regimens and monitoring plans to the medical team, attend informal teaching sessions, and have the opportunity to observe procedures, such as endoscopy and central line placement. The integration of critical care skills will help pharmacy practice residents further broaden their knowledge and skills in pharmacotherapy and identify this speciality area as a possible interest for their future career.
Emergency Medicine integrates the general pharmacy practice role with the specialty of stabilization of the acutely ill patient. The Emergency Department is a diverse, all-encompassing microcosm of the hospital, and the emergency medicine practitioner must, therefore, be skilled in the assessment and treatment of an extremely wide variety of medical problems. Practicing in the Emergency Department is unique, as the pharmacist can immediately see the results from drug administration, and continue minute-to-minute management of the acutely ill patient. Emergency Care is a specialty that requires extraordinary training and education. The Emergency Medicine rotation allows the resident to train under one of the few Emergency Medicine/Toxicology specialty residency trained preceptors in the nation. The resident will gain experience in resuscitative care, bioterrorism preparedness, toxicological emergencies and management of the acutely ill patient. Under the guidance of their preceptor, the resident will participate in the management of medical emergencies, including the titration of vasopressors and vasodilators, procurement of medications and documentation of medication administration.
Maimonides Medical Center is an Acute Care for Elders Unit. This 29-bed unit, which first opened in 2002, was developed to prevent elderly patients from experiencing the hazards of hospitalization through the use of an interdisciplinary team approach. As a pharmacist on this unit, the resident will have the experience of working with members of other disciplines to assure that optimal care is being delivered to every patient. The resident will be responsible for reviewing, monitoring, optimizing, and re-designing evidence-based therapeutic regimens for all newly admitted geriatric patients. Other opportunities which may arise during this rotation include, but are not limited to, conducting teaching rounds for the medical staff on a geriatric specific topic; participating in a consultative service; and serving as a peer-reviewer for a geriatric specific article submitted to a pharmacy journal.
Infectious diseases are major causes of human morbidity and mortality worldwide. This rotation is intended to provide the resident with the opportunity to learn to ensure the safe, appropriate and economical use of antimicrobial agents in patients through the application of specialized skills, knowledge and functions through the Antibiotic Stewardship program. Residents have the opportunity to round and consult on patients with the Infectious Diseases team. The resident will learn how to manage a diverse patient population, including those with nosocomial and community acquired infections, multi-drug resistant organisms, and HIV-infected patients. The resident will also gain exposure to pharmacokinetics and therapeutic drug monitoring, resistance surveillance, and quality assurance programs for the optimal use of antimicrobials.
In order to provide patient care, pharmacists need to develop critical thinking and communication skills so as to apply their extensive pharmaceutical and therapeutic knowledge effectively. This required rotation will provide residents with the opportunity to participate in team-oriented, direct patient care using their communication and critical-thinking skills. The purpose of this rotation is to introduce the resident to patient-care responsibilities as a member of a multidisciplinary health care team, as well as help the resident integrate earlier curricular content and principles to the practice of direct patient care. The resident will have the opportunity to practice internal medicine on various units of the hospital. While on the internal medicine rotation, the resident will learn how to conduct a medication use evaluation and the pharmacotherapeutics are required to provide patients with individualized drug therapy. Knowledge gained during these three required rotations will prepare the resident for Board Certification.
Our multi-faceted curriculum includes training in various mental health and psychiatric care settings offering a highly diverse patient population. The program offers training in community day treatment, child and adolescent services, substance abuse, and outreach and emergency treatment. Residents have the opportunity to participate in physician-patient interviews; attend and participate in medical rounds on the inpatient psychiatric units and in interdisciplinary treatment plan meetings; recommend and monitor patients' responses to drug therapy; learn how to communicate with and manage a mentally ill patient; and provide effective medication and practice-related education, training, or counseling to patients, caregivers, health care professionals and the public.
The Maimonides Infants & Children's Hospital is the first and only accredited children's hospital in Brooklyn, specifically focused on the treatment and care of infants, children and adolescents with a full range of pediatric services and specialties. With a Neonatal Intensive Care Unit, Pediatric Intensive Care Unit, General Pediatric Unit, and Pediatric Emergency Department, the residents will gain experiences for a wide range of disease states and levels of acuity. They will be faced with unique challenges when treating this special patient population, particularly in regards to weight and age appropriate medication dosing as well as extemporaneous compounding of new liquid formulations. Residents will have the opportunity to participate in daily patient care rounds, recommend and monitor therapeutic drug regimens, verify outpatient discharge prescriptions, sharpen computerized order entry skills, perform a practice improvement project, counsel families and patients on drug therapy, and provide medication and practice-related education to pharmacy staff.
Pharmacy Practice Residency Outcomes
- Provide direct patient care in multiple environments
- Educate others
- Function as a member of a health care team
- Deepen commitment to professionalism
- Manage one's own practice
- Exercise leadership in improving safety of the medication-use system
- Develop an appreciation for the use of technology as a tool to support the application of pharmaceutical care
- Adapt the department's mission of continuous quality improvement as a road map to foster continued support of pharmacy services
- Identify areas of interest through training with a diverse set of preceptors
- Prepare for board certification in Pharmacotherapy