Curriculum

Clinical Training
As a resident in infectious diseases pharmacy, you will devote much of your time to the following:

• Direct patient care services in inpatient and outpatient settings
• Pharmacokinetic monitoring
• Drug information
• Research
• Computer-based antimicrobial monitoring
• Educational activities
• Committee and project participation

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 infectious diseases practice areas. By providing patient-specific pharmaceutical care services and developing pharmacotherapeutic care plans, you will enhance your skills in:

• Developing individualized therapeutic plans for infectious diseases patients
• Monitoring drug therapy and enhancing patient outcomes
• Making therapeutic recommendations
• Providing drug information and education to health-care practitioners
• Counseling and educating patients on medication use
• Assessing and practicing evidence-based medicine
• Promoting cost-effective pharmacy practice

Pharmacokinetic Monitoring
You will provide pharmacokinetic monitoring for the infectious disease 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:

• Participate in ordering appropriate assays
• Evaluate serum drug concentrations
• Provide timely dosing and monitoring suggestions 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 research-related tasks.
• Developing investigational skills
• Writing a research protocol
• Evaluating and completing a project
• Writing a manuscript

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.

Computer-based Antimicrobial Monitoring (CBAM)
Mayo Clinic has developed a computerized program that incorporates data from several sources, including the pharmacy computer system and the microbiology and chemistry laborartory systems. Computerized algorithms that utilize this data have been designed to detect situations where antimicrobial therapy could be optimized.

Examples of detected situations include infections not optimally treated based on organism and susceptibility patterns, drug interactions and duplications, opportunities for more cost effective therapy, formulary management issues, and inadequate drug or culture monitoring.

You will work with the primary preceptor, infectious disease physicians and computer programmers to:

• Assess the therapy of patients that have been identified as having potentially suboptimal therapy
• Intervene with medical/surgical services when appropriate
• Document interventions and outcomes
• Identify opportunities for the development of new algorithms and participate in weekly meetings with the programmers.

Educational Opportunities:

• You will participate in weekly infectious disease conferences, lectures, and journal clubs.  Numerous other educational opportunities include grand rounds, pharmacy lectures and case conferences, BCPS preparation course etc. 
• You will educate others in a variety of settings including patient care rounds, formal lectures, case conferences, and precepting pharmacy practice residents.

Committee Participation
You will participate in several committees including the infectious disease formulary committee, the infectious disease clinical practice committee, and the Computer-based Antimicrobial Monitoring program executive committee.

Rotations
The rotation schedule for the one-year Infectious Diseases Pharmacy Practice Residency will include:

Rotation Descriptions

• Orientation
  Your residency will begin with an orientation program, which includes an introduction to clinical services and to Mayo's drug distribution system. Computer and drug information retrieval, training and departmental competencies also are completed during this time. In addition, you will receive orientation to the computer-based antimicrobial monitoring program and the HIV Clinic.
  
• Core Rotations
  During the program the following rotations will be incorporated into your tailored residency program:
  
  - Foundations in microbiology laboratory
  - Adult infectious diseases service(s)
  - Critical care infectious diseases service
  - Hematology/oncology infectious diseases service
  - Infection control
  - HIV Clinic (throughout the year)
  - Computer-based antimicrobial monitoring (throughout the year)
  - Formulary management
  - Drug information (if no previous formalized training)

Additional Rotations
The Infectious Diseases Pharmacy Practice Residency is tailored to meet your goals and objectives. You may choose additional rotations from:

• Transplantation infectious diseases service
• Pediatric infectious diseases service
• Medical or surgical intensive care
• Internal medicine
• Cardiology or CV surgery
• Hematology/oncology
• Neurology
• Bone marrow and/or organ transplantation
• Pediatrics
• Nutrition support
• Nephrology
• Managed Care

Practice Coverage
You will be scheduled every third weekend to assist with clinical services.

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

• ASHP Midyear Clinical Meeting
• Midwest Pharmacy Residents Conference
• Infectious diseases 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.

Graduation and Certification
Upon successful completion of your PGY-2 Infectious Diseases 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.
• Meet the objectives for each rotation and for the program in general.
• Complete a research project and medication utilization evaluation satisfactorily.
• Contribute to providing optimal patient care and to achieving the mission and goals of Pharmacy Services.

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.