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Post-Graduate Year 1 (PGY-1) Residency Program

Required Learning Experiences

Cardiology Learning Experience

A learning experience in cardiology will provide exposure to the many subspecialties that make up cardiovascular care at Penn Medicine Lancaster General Health. Multidisciplinary teams are able to provide comprehensive, valuable care to our critically ill cardiac and heart failure population. Ensuring adherence to national consensus guidelines, appropriate and safe use of high-risk cardiovascular medications and optimal medical, nursing and pharmacy staff education on cardiac pharmacotherapy is vital to providing an extraordinary experience for our patients. Heart failure medication adherence counseling is necessary to improve the quality of life of our patients and reduce the potential for heart failure readmission.

Critical Care - Trauma Learning Experience

Lancaster General Health Trauma Neurosurgical unit consists of 16 critical care beds where pharmacists participate in Intensivists model multidisciplinary trauma rounds. Residents will round on trauma patients as well as neurosurgical patients when the trauma service is a consultant.  Pharmacy services include Propofol monitoring, hypertonic saline monitoring, anticoagulant monitoring, haloperidol Qtc monitoring and pharmacy to dose vancomycin. Residents will be exposed to critical care topics including but not limited to traumatic brain injury, ICU sedation and pain management and neuromuscular blockade. Residents will attend trauma meetings and trauma interesting patient case presentations.

Infectious Disease Learning Experience

The Infection Disease (ID) rotation will allow the resident to develop a solid understanding of microbiology, pharmacokinetics and pharmacodynamics of antimicrobials and antimicrobial stewardship. The resident will have the opportunity to interact with various departments such as infection control and microbiology. The resident will be part of the Infectious Diseases rounding service as well as Antimicrobial Stewardship Program rounds. Resident responsibilities include but are not limited to: daily rounds, PK dosing, weekly topic discussions, in-servicing infection control nurses, ID journal club and/or 45-minute patient case presentation. The resident may also have the opportunity to serve as a co-preceptor for doctor of pharmacy candidates.

Internal Medicine Learning Experience

This learning experience involves rounding with physicians from the Internal Medicine Hospital Specialist Group, providing drug information, therapeutic recommendations, detailed medication reconciliation, and patient counseling.  Family Practice Residents are also involved in this rounding experience and provide additional opportunities for learning and teaching. 

Management Learning Experience

Lancaster General’s management/leadership learning experience is intended to expose the resident to issues affecting overall pharmacy practice and operations, including specific current initiatives across the health-system. Financial performance, human resource management, organizational systems, current topics in pharmacy practice, regulatory compliance, leadership development, and practice model considerations are among the topics covered. During this time, the resident will also gain an understanding of the role of other members of the department’s management team, actively participating as a member of the management team during the learning experience. The resident will also be exposed to interactions with hospital administrators as well as physician and nursing leadership. Additional focus on management skills and problem-solving techniques will be developed.

Medication Safety Learning Experience

Lancaster General Health is proud to be a leader in innovative medication safety technology and is dedicated to ensuring the safest and best practice care to our patients. Our health system continuously evaluates the medication use process and current automation utilizing evidence-based methodologies to facilitate safe patient care and process improvement devoted to strengthening our culture of safety. A medication safety learning experience will introduce the resident to patient safety initiatives, National Patient Safety Goals, medication safety resources, automated technologies, medication error reporting and adverse drug reaction surveillance. The resident will be involved with providing bedside patient care by lessening the potential for harm and optimizing medication management strategies with high-risk medication therapies, such as anticoagulants.

Orientation / Pharmacy Operations (Part 1)

Lancaster General’s Orientation / Pharmacy Operations (Part 1) learning experience is a 3 week Learning Experience for PGY-1 residents.  During this Learning Experience, the resident will receive a comprehensive orientation to the pharmacy department.  This learning experiences requires residents to have a workable knowledge of the electronic health record for which the resident will complete approximately 24 hours of training and related competencies.  The resident will gain knowledge and experience of the department of pharmacy, become familiar with pertinent policies and procedures as well as obtain hands-on experience. 

Pharmacy Operations (Part 2)

Lancaster General’s Pharmacy Operations (Part 2) learning experience is a 2 week Learning Experience for PGY-1 residents.  During this Learning Experience, the resident will build upon their previous 2 learning experiences (Orientation/Pharmacy Operations – Part 1 and Clinical Monitoring).  This learning experiences requires residents to begin to have more autonomy and learn the daily activities for the areas of operation that the resident will staff throughout the residency program.


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