The Nuvance Health – Norwalk Hospital PGY-1 Pharmacy Practice Residency Program is a 12-month (July – June) post-graduate training program. The program consists of 8 core block, 3 longitudinal learning experiences. An optional Teaching and Learning Certificate Program is also available to you. This program structure may be subject to change in order to customize the program to meet individual interests, goals, and needs of the resident as determined by the Residency Advisory Committee (RAC).
Required Core Block Learning Experiences:
- Orientation (4 weeks)
- General Medicine (6 weeks)
- Critical Care (6 weeks)
- Emergency Medicine (4 weeks)
- Oncology (6 weeks)
- Health Systems Clinical Services (4 weeks)
- Pharmacy Operations Management (4 weeks)
- Pharmacy Informatics (4 weeks)
- 797/800 Regulatory (5 weeks)
Required Longitudinal Learning Experiences:
- Ambulatory Care Clinic (4 weeks: spread 1 day/week, 18 weeks)
- Staffing (extended staffing days- 17 weeks, Sat and Sun every 3rd weekend, 17 weekends, 2 holidays [1 major, 1 minor])
- Research Project (Annual: spread across 1 residency year)
Additional Residency Teaching Experiences:
- Optional University of Connecticut Teaching and Learning Certificate Program
- Precept IPPE and APPE students on rotation
This learning experience is devoted to familiarizing the resident with the intricacies of the residency program and the pharmacy operations at Nuvance Health – Norwalk Hospital.
The resident will be assigned to work and train with multiple hospital staff members. The resident given an introduction to clinical services, pharmacy operations, technology, and departmental and hospital policies and procedures. The goal of this rotation is to progress the resident in his/her transition from student to pharmacist through instruction, modeling, coaching, and facilitation.
This resident will also be given an overview or the residency program. The resident will become familiar with PharmAcademics, build their residency schedule with the RPD, review the residency manual, and brainstorm quality and research projects.
This learning experience will stress the application of therapeutics in acute patient care and will require the resident to further develop skills in proper drug therapy selection, drug therapy monitoring, and patient education.
This learning experience involves provision of pharmaceutical care for patients admitted on the internal medicine teaching service which includes 7 different medical teams (each with a medical attending, residents, interns, and medical students). The resident will also be involved in patient and caregiver counseling and education, including providing “meds-to-beds”, to ensure smooth transitions-of-care.
This learning experience is conducted in Norwalk Hospital’s 16 bed intensive care unit, which serves medical, surgical, and cardiac patients. The resident will be involved in all aspects of medication therapy management for patients admitted to the unit. The resident will work with the multi-disciplinary medical and surgical teams in the intensive care unit to optimize pharmacotherapy provided to patients.
This learning experience will consist of providing clinical pharmacy services in the emergency department. The practice environment will require daily interactions with patients, medical staff, nursing staff, pharmacy staff and other healthcare professional necessary to optimize pharmacotherapy for patients. The resident will be expected to make pharmacotherapy recommendations, facilitate delivery of urgent medications, attend stroke alerts, traumas, and code blues. The resident is also expected to respond to drug information inquiries in the department, assist in staff education on pharmacy policies, providing antibiotic stewardship for discharged patients, participate in all disaster preparedness drills and action plans, and provide assistance to admitting teams.
There are two parts to this learning experience. The first goal of this learning experience is to immerse the resident in the distributive functions of an oncology pharmacist. The resident will help ensure safe and effective medication use for all patients, including intravenous and oral chemotherapy and supportive care (anti-emetics, growth factor, bone-modifying agents, analgesics, etc).
The second goal of this learning experience is to immerse the resident in the clinical services provided by an oncology pharmacist. The resident will interact with patients and cancer center staff to provide education and optimize pharmacotherapy.
Pharmacy Operations Management
This learning experience will provide a broad overview of health system pharmacy practice and pharmacy management/leadership at the local hospital level. The resident will become familiar with and receive a broad overview of central pharmacy operations and management/leadership issues associated with the pharmacy department. The focus of the learning experience includes departmental leadership, quality, medication safety, medication procurement and allocation, the medication use process, training of pharmacy personnel, and budget/contract management.
Informatics deals with computer systems, applications, technology, automation, data management, information, and knowledge in health care. Computerized information systems allow for management and communication of health care information in innovative ways and permit integration and structuring of knowledge and outcomes. The ability to both access and assess software, hardware, data storage tools, and information sources is crucial for all health care providers. Residents will be integrated into current informatics and technology-based projects throughout the learning experience. The resident will develop an understanding of the unique connection of pharmacy informatics with clinical pharmacy, medication-use processes, and medication safety.
Health Systems Clinical Services
This learning experience focuses on clinical initiatives and standardization on a systems level. During this experience, the resident will become familiar with and receive a broad overview of health system pharmacy practice and management/leadership issues associated with the pharmacy department. The focus of the learning experience includes practice leadership, quality, medication safety, medication use process, medication policies and committees, fiscal responsibility and clinical medication services.
This learning experience will allow residents to learn and practice all pharmacy compounding standards for preparing sterile and hazardous medications under USP chapters 797 and 800. The resident will help ensure safe practices by reduce risks such as contamination, infection or occupational exposure. The resident will assist the USP 797 designated pharmacist in training and coaching sterile compounding technicians. The resident will practice as the sterile compounding pharmacist.
Ambulatory Care Clinic
This is a longitudinal learning experience conducted at Norwalk Community Health Center (NCHC).
NCHC is a non-profit 501(C) 3, federally qualified community health center (FQHC), and intended to provide health care in a medically-underserved location. The resident will be involved in multidisciplinary specialty clinics that occur at NCHC, including Endocrine and Infectious Disease HIV/AIDS. The resident will perform medical therapy management activities, provide medication reconciliation, and education to patients and NCHC staff.
The resident will practice as a staff pharmacist in central pharmacy and learn to master verification and central pharmacy-related operational skills. The resident will develop a global and intricate understanding of our hospital medication distribution system in supporting patient care. The resident will develop proficiencies in automated central distribution, narcotic distribution and management, extemporaneous oral preparation, medication order verification, drug information, intravenous admixture, and TPN verification.
Residents must develop and complete one major residency research project on a relevant topic in pharmacy practice. The resident will contribute to the assessment, evaluation, and advancement of pharmacy practice.