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.

Rotations
The rotation schedule for the one-year Critical Care Pharmacy Practice Residency will include:

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 program:
  
  - Nutrition support
  - Trauma and surgical intensive care
  - Medical intensive care
  - Coronary intensive care
  - Research
  
  Additional Rotations
  Mayo Clinic’s Critical Care Pharmacy Practice Residency is tailored to meet your goals and objectives. You may choose from:
  
  Critical care
  - Cardiac surgery intensive care
  - Critical care nephrology
  - Emergency medical services
  - General medical/surgical intensive care
  - Immunocompromised ICU
  - Intensive care infectious diseases
  - Neurosurgical intensive care
  - Noncardiac vascular and thoracic surgery intensive care
  - Pediatric/neonatal intensive care
  
  Complementary noncritical care
  - Bone marrow transplant
  - Cardiology
  - Neurology
  - Organ transplantation
  - Pain management
  - Pediatrics

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 Critical Care Pharmacy Practice Residency, 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.