APPE Resident Program

Why Do Student Rotations at Cedars-Sinai?

  • Variety of APPE rotations available
  • Opportunity to learn from highly trained and specialized pharmacists
  • Areas of excellence
    • Cardiology
    • Neurology (Comprehensive Stroke Center – TJC certified)
    • Solid organ transplantation
    • Largest heart transplant program in the world
    • Oncology
  • Largest oncology provider in Southern California
  • Inpatient pharmacy experience with a progressive pharmacy department
  • Opportunity to work with a good mix of different healthcare providers (e.g. private community physicians vs. house staff/teaching teams)

Cedars-Sinai APPE Student Rotations

*Prerequisite: completion of acute care medicine rotation

Acute Care Medicine

  • Participate in daily patient care rounds with the medicine team (physician attending, medical residents, medical students)
  • Monitor pharmacy drug therapy protocols, optimize patient drug therapies, and apply evidence-based medicine, provide patient education and medication reconciliation, learn common disease states, perform patient case presentations
  • Medical grand rounds and noon conferences
  • Pharmacy department-sponsored lectures
  • Journal clubs

Oncology

  • Daily multidisciplinary patient care rounds with the hematology/oncology team (physician attending, residents, medical students, nurses, case manager, social worker)
  • Exposure to acute care services provided to patients with cancer or blood disorders, with emphasis on stem cell transplantation and acute leukemia
  • Learn about the medical treatment of cancer (specific focus on hematological malignancies) and common complications of cancer and chemotherapy
  • Monitor pharmacy drug therapy protocols, optimize patient drug therapies based on evidence-based medicine, provide chemotherapy counseling and obtain medication histories, weekly presentations on oncological disease states, complete one journal club presentation
  • Educational conferences
  • Pharmacy department-sponsored lectures

Solid Organ Transplantation

  • Daily patient care rounds with the transplant team (transplant attending, fellow, residents, medical students)
  • Learn about common post-operative complications associated with the specific type of transplant
  • Manage pre/post-transplant drug therapy (e.g., apply prophylactic measures such as immunosuppressive agents, antimicrobials) to prevent graft rejection and infections)
  • Conduct discharge medication counseling for patient and family
  • Attend outpatient transplant clinic
  • Potential opportunity to observe procedures (e.g., transplant, bronchoscopy, biopsy) and attend pathology rounds
  • Pharmacy conference twice weekly (patient case presentation)
  • Pharmacy department-sponsored lectures

Critical Care

  • Daily patient care rounds with the ICU team Intensivist, fellow, residents, medical students, nurses, other healthcare providers)
  • Learn about and manage critically ill disease states specific to the area of specialty and common ICU-related complications
  • Monitor pharmacy drug therapy protocols, optimize patient drug pharmacotherapies and apply evidence-based medicine, perform patient case presentations
  • Attend and participate in Code Blues and Code Brains
  • Potential opportunity to observe procedures (e.g. intubation, bronchoscopy)
  • Educational conferences specific to the ICU area
  • Pharmacy department-sponsored lectures

O.R./Anesthesia

  • Triage patients in the O.R. in terms of potential pharmacotherapeutic intervention
  • Evaluate and monitor drug therapy for appropriateness
  • Help preceptor prepare and dispense medications following Cedars-Sinai policies and procedures (e.g. protocol dosing, education, order clarification and therapy assessment)
  • Participate in management of emergencies (e.g., Code Blues, Code Brains, AMI)
  • Learn about and manage perioperative medications (e.g., pain management, anesthesia induction and paralysis), Surgical Care Improvement Project national quality measures, and medical problems encountered in the operating room and procedural areas
  • Pharmacy department-sponsored lectures

Pediatric/Neonatal

  • Attend and participate in interdisciplinary rounds
  • Monitor and optimize patients' drug therapy protocols and apply evidence-based medicine when applicable
  • Provide patient education and medication reconciliation
  • Learn common disease states encountered in the pediatric/neonatal population and how to manage them
  • Perform patient case presentations
  • Attend and participate in pediatric grand rounds, pediatric noon conferences, and morning report
  • Participate in virtual neonatal journal club and lectures
  • Pharmacy department-sponsored lectures

Transitions of Care (TOC)

Inpatient Specialty Program and Emergency Department/SNF TOC

  • Provide patient education
  • Reconcile PTA medication list with inpatient medication list
  • Perform discharge medication reconciliation and post-discharge medication reconciliation
  • Opportunity to work with healthcare providers (physicians, nurses, case managers, social workers, SNF personnel)
  • Pharmacy department-sponsored lectures

Heart Failure TOC

  • Attend and participate in daily multidisciplinary patient care rounds with the cardiomyopathy team
  • Learn about pathophysiology and pharmacotherapeutic management of heart failure
  • Ensure medication therapy is appropriate from admission to discharge
  • Monitor and optimize patients' drug therapies and apply evidence-based medicine as appropriate
  • Provide education for heart failure patients, medication reconciliation, discharge counseling
  • Perform patient case presentations
  • Pharmacy department-sponsored lectures

Ambulatory Care

  • Participation in Therapeutic Management Clinic
    • Evaluate patients' medication profiles and provide recommendations to optimize drug therapies as appropriate
    • Perform medication reconciliation, patient education
  • Transitions of care activities – working with an inpatient hospitalist group of physicians
    • Obtain accurate PTA medication history
    • Provide patient education
    • Optimize patient therapy
  • Nursing in-services, journal club presentations, therapeutic presentation on a specific disease state relevant to ambulatory care practice
  • Pharmacy department-sponsored lectures

Infectious Diseases/Antimicrobial Stewardship

  • Participate in ID teaching rounds daily
    • Evaluate patients' antimicrobial regimens and provide recommendations to optimize drug therapies based on evidence-based medicine
  • Prepare MUE/monograph or other agenda items for Antimicrobial Stewardship Committee meeting
  • Participate in ID clinical case conferences and clinics
  • Attend microbiology and epidemiology orientation
  • Assist ID pharmacist with antimicrobial stewardship activities
  • Pharmacy department-sponsored lectures

Hospital Practice

  • Learn and participate in various aspects of the drug distribution system
  • Exposure to and involvement in process changes related to information technology, automation and other decentralized medication management systems
  • Obtain experience working in sterile and nonsterile compounding
  • Assess medication orders for appropriateness
  • Oral presentations
  • Pharmacy department-sponsored lectures

Drug Information

  • Learn to provide concise, comprehensive, applicable and timely responses to requests for drug information from healthcare providers
  • Opportunities to improve verbal and written communication skills
  • Drug monograph or formulary class review
  • Journal club presentations
  • Pharmacy department-sponsored lectures

Administration

  • Attend and participate in administrative meetings: strategic planning, human resource development, program development, financial management
  • Attend departmental, interdepartmental and committee meetings
  • Assigned QA/QI/MUE projects that will be presented and submitted to the pharmacy administrative staff
  • Pharmacy department-sponsored lectures