Core Rotations

Our core rotations represent the strengths of the hospital services where clinical pharmacy specialists have been incorporated into the multidisciplinary teams. The broad reach of our pharmacy department will allow for ample learning opportunities with the goal of identifying or reinforcing areas of interest and future direction for our residents.

Additionally, our philosophy is to tailor the learning experiences to the learner, which includes

  • Flexible scheduling of core rotations
  • Multiple elective opportunities
  • Mandatory creation of at least one elective rotation by the resident, to truly make the learning experience their own.

Emergency Medicine- MHB 1

The MHB I Emergency Department rotation is a required learning experience at Mercy Hospital of Buffalo. In this rotation, the resident will learn the skills necessary to become a competent clinical pharmacist that can work independently and provide direct patient care to patients in the emergency department (ED). This is an extension of the orientation period to prepare the resident to independently staff in the ED on weekends. The ED at Mercy Hospital is a 32-bed unit, with 2 resuscitation rooms, and is one of the largest EDs in the area. Clinical pharmacy services are provided in the Mercy Hospital ED, at minimum, from 0900-2200 Monday through Friday, overnight from 2200 – 0700, and 1300-2100 on weekends

Emergency Medicine- MHB 2

The MHB II Emergency Department rotation is a required learning experience at Mercy Hospital of Buffalo. In this rotation, the resident will practice the skills necessary to perform as competent clinical pharmacist that can work independently and provide direct patient care to patients in the emergency department (ED). This rotation is an extension of the MHB I rotation. The resident will be expected to perform at the level of a clinical pharmacy specialist.

Emergency Medicine- MHB Precepting

In this rotation, the resident will practice the skills necessary to perform as competent clinical pharmacist that can work independently and provide direct patient care to patients in the emergency department (ED). The resident will be expected to perform at the level of a clinical pharmacy specialist. However, the primary focus of this rotation is to focus on pharmacy precepting and the teaching, education and dissemination of knowledge. The resident will be expected to formally take on the role of precepting to the PGY1 pharmacy resident and/or APPE/IPPE student. This will include orientating the learner to the learning experience, providing formative and summative feedback, and effectively employing preceptor roles (instructing, modeling, coaching, or facilitating).

Overnight/Toxicology

The Overnight and Toxicology Emergency Department rotation is a four week long required learning experience at Mercy Hospital of Buffalo that must be started before April. In this rotation, the resident will focus on toxidromes, their treatment, and complications associated with them. Based on patient load/experiences, this rotation may extend an additional 8 weeks as a longitudinal component to ensure direct patient care exposure to the required toxidromes

Emergency Medicine- Kenmore Mercy Hospital

Emergency Medicine at Kenmore Mercy Hospital is a required, four week learning experience for the PGY2 EM program. The ER is a 25 bed unit that cares for a mix of ambulatory, medical, surgical, and neurocritical care patients. Attending physicians and advance practice providers (APPs) are responsible for caring for our emergency room patients. The ER pharmacist works closely with nurses, providers, respiratory therapists, and consultants to provide comprehensive medication management services to our patients.

Emergency Medicine- Mount St. Mary’s Hospital

The Mount St. Mary's (MSM) Emergency Department (ED) rotation is a required 4-week learning experience at MSM Hospital in Lewiston, NY. This ED is a 16-bed unit and provides initial triage, assessment, and treatment for a variety of acute and chronic conditions by a multidisciplinary team. MSM Hospital accommodates ~50 internal medicine beds, 12 ICU beds, and also includes a labor and delivery floor, 30-day substance abuse rehab program (Clearview), and many outpatient clinics.

Emergency Medicine- Sisters of Charity Hospital

The SOC Emergency Department rotation is a required learning experience at Sisters Hospital. In this rotation, the resident will learn the skills necessary to become a competent clinical pharmacist that can work independently and provide direct patient care to patients in the community emergency department (ED) setting. The ED at Sisters Hospital is a 29-bed unit equipped with two code rooms and a 5-bed fast track. Clinical pharmacy services are provided in the ED, at minimum, from 0900-2200 Monday through Friday. Pharmacist responsibilities in the ED include responding to cardiac arrests and stroke emergencies, answering drug information questions from ED and Sister Hospital caregivers, patients, and families, antibiotic stewardship (including the daily outpatient microbiology report), collaborating with the centralized pharmacists to assure timely medication availability, and medication reconciliation. In addition, the ED pharmacist will serve as a drug information resource during the evening hours and be responsible for determining appropriateness of medication therapy and completing pharmacy consults for the hospital during this time. During this rotation, the pharmacy resident will work collaboratively with several disciplines including the ED physicians, ED mid-level providers, hospitalists, medical residents and ED nurses to optimize pharmaceutical care for the ED patients. The resident will be required to use evidence-based medicine to provide pharmaceutical care to a range of ED patients, from the ambulatory to the critically ill.

Critical Care

The resident will be expected to complete two rotation in a critical care unit at Mercy Hospital of Buffalo. The choice of which of two of the following units will be at the discretion of the resident:

  • Medical Intensive Care Unit
  • Cardiac Intensive Care Unit
  • Neurocritical Care Unit

SMART- Longitudinal

The Specialized Medical Assistance Response Team (SMART) is Erie County, New York's volunteer public health emergency response organization. SMART is sponsored by the Erie County Department of Health and the Department of Emergency Medicine at Erie County Medical Center Corporation. SMART currently includes representation from Emergency Medicine, the Pharmacy Association of Western New York, Kaleida Health, Erie County Medical Center, the Catholic Health System, the Dental Association of Western New York, the Niagara Frontier Veterinary Society, the Erie County Department of Health, the Erie County Department of Mental Health, and the Erie County Department of Emergency Services. SMART operates under Standing Operating Guidelines approved by the Commissioners of Health and Emergency Services and is designated as a volunteer emergency response organization under NYS Law.

Research Project- Longitudinal

The resident will be required to complete a longitudinal pharmacy research project. This research project may be of a clinical, economic, research, administrative, or quality/process improvement design. A list of possible projects will be provided to the resident at the beginning of the residency year. Additionally, the resident may elect to conduct an unlisted project, only with the approval of the residency advisory committee.

Patient Care Services/Operations- Longitudinal

This longitudinal rotation will cover the dispensing and clinical operations in the pharmacy department of Mercy Hospital of Buffalo, with a focus on the emergency department. Within this rotation the resident will be oriented to the physical layout of the department and hospital, read and understand Catholic Health, Mercy Hospital policies and procedures, and pharmacy department specific policies and procedures, as well as software programs pertinent to the pharmacy department. Staffing requirements include every third weekend in the emergency department and coverage of two major holidays as needed by the department. The resident will be required to complete clinical competencies as required by the department during this period.

Elective Rotations

Elective rotations are an area that allows for customization of our program to fit the interests of the residents. While we have several elective rotations that have been developed based on strengths of our institution, one of the requirements for this program is for the resident to create their own elective. Creation of an elective provides ownership for the resident in their experiences as well as develops a skill set and understanding of the regulations set forth by our accrediting organization, ASHP. Some examples electives include:

  • Cardiovascular Intensive Care Unit (CVICU)
  • Infectious Diseases/Antimicrobial Stewardship- Kenmore Mercy Hospital
  • Medical Intensive Care Unit (MICU)
  • Neonatal ICU
  • Neurocritical Care