Curriculum

Clinical Training
As a resident in critical care pharmacy, you will devote much of your time to comprehensive clinical training in:

• Direct patient care services
• Pharmacokinetic monitoring
• Drug information
• Research
• Pharmacoeconomics and drug policy support

Direct Patient Care Services
Throughout your residency, you will be an integral member of a multidisciplinary patient care team in one of Mayo Clinic's critical care areas. You will provide patient-specific pharmaceutical care services, and will develop individualized pharmacotherapeutic care plans for critically ill patients. You will enhance your skills in:

• Developing problem lists.
• Defining therapeutic goals.
• Developing therapeutic plans.
• Monitoring drug therapy outcomes.
• Making therapeutic recommendations.
• Providing drug information and education.
• Assessing and practicing evidence-based medicine.

Pharmacokinetic Monitoring
You will provide pharmacokinetic monitoring for the critical care services. You also will serve as an information resource for other pharmacists providing these services throughout the hospital. As part of this monitoring, you will:

• Recommend appropriate assay procedures.
• Evaluate serum drug concentrations.
• Provide timely recommendations to the appropriate service.
• Document interventions according to pharmacy department protocol.

Drug Information
Throughout the residency you will:

• Provide drug information to physicians, nurses, pharmacists and allied health professionals.
• Enhance your drug information retrieval skills using a variety of resources.
• Participate in medication use reviews and adverse drug reaction reporting.

Research Training
You will work on at least one research project throughout your residency year. Your primary preceptor will help you identify the project, which will give you experience in:

• Organizing, planning and conducting a series of research-related tasks.
• Managing time and maintaining accuracy while multitasking.
• Developing investigational skills.
• Writing a research protocol.
• Evaluating and completing a project.

You will be encouraged to publish the results of your research in a peer-reviewed journal and/or to present the results as a poster or platform presentation at a national meeting. You will have time devoted specifically to your research project during the academic year.

Education Opportunities:

• Participate in grand rounds, pharmacy lectures and case conferences.
• Be responsible for coordinating the Board Certified Pharmacotherapy Specialist (BCPS) preparation course offered each year.
• Educate others in a variety of settings including patient care rounds, formal lectures and case conferences.
• Precept pharmacy practice residents and pharmacy students on clinical rotations.

Program Structure

Pharmacy Practice Orientation	2 weeks
Staffing Orientation	2 weeks
Rotations	40 weeks
Professional conferences	2 weeks
Paid time off	2 weeks
Research/MUE	4 weeks
TOTAL	52 weeks

Rotation Descriptions

• Orientation
  Your residency will begin with a four-week orientation program, which includes an introduction to clinical services, to Mayo's drug distribution system and training in our pharmacy order entry system. Electronic drug information retrieval and Advanced Cardiac Life Support (ACLS) training also are completed during this time.

Core Rotations
During the program, the following rotations will be incorporated into your tailored residency:

Medical ICU	8 weeks
Surgical/Trauma ICU	8 weeks
Coronary Care Unit	4 weeks
Nutrition	3 weeks

Additional Rotations
Mayo Clinic's Pharmacy Practice Residency in Critical Care is tailored to meet your goals and objectives. You may choose from:

Complementary rotation opportunities:

Required Experiences (Longitudinal)

Research Project and Manuscript Completion

Midwestern States Residency Conference Presentation

Medication Use Evaluation

Pharmacy Patient Case Presentation

Committee Involvement

PhRESH and Grand Rounds Presentations

ACLS and Code 45 Participation

Code 45 Pharmacology Class Lecture

Staffing

Research Project and Manuscript Completion
You will complete a research project as a part of your residency year. A mentor will be assigned to help you with you research project. Completion of a manuscript about your research project is required prior to graduation.

Midwestern States Residency Conference Presentation
You will present your residency research project at Midwestern States Residency Conference.

Medication Use Evaluation
You will complete a medication use evaluation (MUE) in the early part of your residency year. The goal is to help you learn how to develop a systematic process designed to determine and maintain the appropriate and effective use of medications. A mentor will be assigned to help you with the MUE project.

Pharmacy Patient Case Presentations
You will present 3 different patient case presentations during the Friday afternoon Pharmacy Patient Case Presentations.

Committee Involvement
During the Critical Care Residency, you will participate in a decided upon Pharmacy Committee.

PhRESH and Grand Rounds Presentation
3 one half hour presentations (a case, controversial topic, journal club, or pro-con debate) and 1 one hour long Grand Rounds presentations during PhRESH (the weekly educational seminar series led by pharmacy preceptors, residents and students to further the professional development of our department).

ACLS and Code 45 Participation
ACLS certification will be obtained during orientation. Daily Code 45 pager coverage will alternate with the pharmacy practice residents. Additionally the Critical Care Resident's pager will be paged when a code occurs in any ICU to further their experience if they are available.

Code 45 Pharmacology Class Lecture
The Critical Care Resident's will present the Code 45 Pharmacology Class to any new coming pharmacists once during the residency year.

Staffing
The Critical Care Resident will staff one 4 hour evening shift weekly in an ICU for a total of 144 hours per year performing both clinical and order entry activities.

Professional Conferences
During your residency you will have the opportunity to attend these professional conferences:

• ASHP Midyear Clinical Meeting
• Minnesota Society of Health System Pharmacists Annual Meeting
• Midwest Pharmacy Residents Conference
• Critical Care Specialty Conference

Evaluation
Core standards for resident performance have been established to provide clear expectations. The Residency Learning System (RLS) is used to ensure that you will receive ongoing feedback that facilitates the development of your skills throughout the year. This feedback utilizes consistent assessment criteria and provides a mechanism to improve your monitoring skills.

Graduation and Certification
Upon successful completion of your Pharmacy Practice Residency in Critical Care, you will receive a Certificate of Completion from Mayo Clinic College of Medicine, Mayo School of Health Sciences.

To successfully complete this specialized residency, you must:

• Obtain a minimum of 2,000 hours of training time over no less than 50 weeks.
• Complete a medication use evaluation.
• Meet the behavioral objectives for each rotation and for the program.
• Complete a research project satisfactorily.
• Contribute to providing the best patient care and to achieving the mission and goals of Pharmacy Services.

Graduates are eligible to take the Board of Pharmaceutical Specialities' examinations in pharmacotherapy.

Curriculum Enhancements
Mayo School of Health Sciences is committed to developing and maintaining the very best education programs. Changes may be made to the curriculum and other aspects of this program as necessary to assure the highest-quality training.

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