Internal Medicine Rotation I and II are two of the required rotations for the PGY1 residency.  Each rotation is a 1 month block of time occurring nonconsecutively during the 12 month residency program.  The resident will be an active member of the SRAHEC internal medicine team and participate in all team activities. Patients are distributed throughout the hospital floors at Cape Fear Valley Health System. Responsibilities include provision of pharmaceutical care by reviewing each patient profile for appropriateness of drug therapy, performing pharmacokinetic dosing and monitoring on all therapeutically monitored drugs (TDM), obtaining medication histories, performing discharge medication counseling, providing drug information to team, training and educating medical residents on the appropriate use of medications, and precepting fourth year pharmacy students.

Resident Learning Activities

1. Actively participate in work rounds with medicine team daily.

2. Actively participate in attending rounds with medicine team daily.

3. Present patients to preceptor on a daily basis and formally present two patient cases during each month to the pharmacy staff or internal medicine pharmacy team.

4. Critically appraise and present one journal club article to the pharmacy staff or internal medicine pharmacy team.

5. Attend SRAHEC noon conferences every Tuesday and Thursday at 1200 in the Family Medicine Classroom unless excused by preceptor.

6. Document or update allergies, height and weight on all patients as needed in the pharmacy computer system. 

7. Perform pharmacokinetic monitoring on all patients on medicine team.

8. Document interventions/recommendations in the patient’s medical record as needed.

9. Give a minimum of 1 inservice to the medicine team.

10. Meet with your preceptor to discuss patient care and various disease states (e.g. Asthma/COPD, renal failure, liver failure, diabetes mellitus, pneumonia, AIDS, pancreatitis, meningitis, DVT/PE, etc.).

11. Complete the One Minute Preceptor Course available online and review concepts with preceptor

12. Attend scheduled educational sessions for PY4 pharmacy students as planned during the month

13. Prepare and teach pharmacokinetic dosing and monitoring of vancomycin, aminoglycosides, heparin, and phenytoin to PY4 pharmacy students.

14. Precept and serve as role model for fourth year pharmacy students.