Past Residents: Where are they now?

Preceptors

Longitudinal Clinic

The Internal Medicine (IM) clinic experience takes place in the Ascension St. Vincent Joshua Max Simon Primary Care Center. This clinic is designed to provide primary care to uninsured, underinsured, and underserved patient populations from diverse socioeconomic and cultural backgrounds. IM clinic includes patients 18 years and older, many with multiple chronic conditions that have gone untreated or undertreated due to lack of healthcare access for some time. In addition, this clinic serves as the outpatient clinic training site for medical residents completing post-graduate training in Internal Medicine. The clinic is made up of the practices of both resident and faculty physicians, with faculty physicians also providing oversight for the resident physicians while they practice. Because of the diversity in patient populations and disease states seen in the IM clinic, it is anticipated that the resident will have the opportunity to participate in the care of patients with therapeutic concerns from many topic areas.

Advanced Practice Projects

As part of this experience, the PGY2 resident will complete three practice based projects: a policy/guideline/protocol, a drug class review or drug monograph and a medication use evaluation.  In collaboration with the preceptor, the PGY2 resident will help identify the specific topic for each project based on the needs of the organization.  The projects may be interconnected and one project may be the result of the findings and recommendations of another project (i.e. protocol or policy based on the findings of the MUE).

Education/Academia

This learning experience will take place at Ascension St. Vincent and Butler University College of Pharmacy and Health Sciences. This experience is designed to allow the resident to gain experience in participating in, designing, and providing a variety of education to a wide range of learners (including but not limited to pharmacy and physician assistant students, PGY1 pharmacy residents, medical residents, and multidisciplinary team members). As a Butler University Affiliated Residency, the resident will participate in the Butler University Longitudinal Academic Experiential Program for Residents (LAEP) and the Academic Leadership Certificate Program.  The PGY2 resident will participate in 2 semesters of small group facilitation (Case Conference), one didactic lecture to pharmacy or physician assistant students based on the needs of the college, primary preceptor for at least 2 APPE pharmacy students, and co-coordination of the Internal Medicine Therapeutics Elective.  Non-Butler education includes a grand rounds presentation and an in-service for the internal medicine or family medicine medical residency programs.

Practice Management

The Practice Management rotation has three main activities associated with the experience: participation in a committee or workgroup, coordination and updating the Internal Medicine Website and Medication Safety.  The resident will work as part of a multidisciplinary committee on the Infection Disease Expert Review Panel (ERP committee).  As a member of the committee, the PGY2 resident will review relevant materials prior to meetings, participate in market level stewardship discussions and planning, and progress throughout the experience to facilitating the meetings.  The Internal Medicine website is a resource used by providers and pharmacists across the state.  The PGY2 resident is responsible for evaluating current content for potential updates, working with content experts on appropriate updates and facilitating updates completed by students and PGY1 residents.  During the Medication Safety portion of this experience, the PGY2 resident will complete monthly Safety Event Investigations and coordinate with the Medication Safety team for needed changes based on their review.

Residency Project

The IM Resident will conduct a project pertaining to internal medicine pharmacy practice.  The residency program utilizes a flipped project style where the outgoing PGY2 IM will start a project in the second half of their residency year to be finished by the incoming PGY2 IM resident during the first 6 months of their residency. The new resident will then develop their own project and topic to start in the second half of their year that will be passed along to the next resident.

Staffing

The PGY2 resident staffs in a de-centralized role on a medical, surgical or cardiac floor every third weekend.  Additionally, the resident staffs one minor and one major holiday each year.