The goal of this rotation is to develop the resident's skill set in hematology and oncology. The resident will be become proficient at optimizing the treatment for various disease states in hematology and oncology. The resident will also become comfortable working with a multi-disciplinary team to develop treatment plans.
Our service includes inpatient and outpatient hospital visits with a multidisciplinary team approach to care. The Hematology/Oncology group is a member of the Children's Oncology Group and does enroll patients in a variety of investigational protocols.
The rotation will focus on chemotherapeutic medications and supportive care for the cancer patient. The resident will be responsible for developing a knowledge base pertaining to the following hematology and oncology disease states and potential treatment complications. This knowledge base should include, but is not limited to: etiology, pathogenesis, clinical presentation, diagnostic criteria, prognosis, common treatment regimens, therapeutic goals, and pharmaceutical care monitoring parameters associated with each disease state and treatment.
- Fluid and electrolytes
- Acute Lymphoblastic Leukemia
- Pharmacokinetic considerations
- Acute Myelogenous Leukemia
- Fever and neutropenia
- Ewing Sarcoma
- Pain management
- Hodgkin Lymphoma
- Nutritional support
- Non-Hodgkin Lymphoma
- Chemotherapy induced nausea and vomiting
- Tumor lysis syndrome
- Sickle Cell Anemia
- Osteogenic sarcoma
- Down Syndrome Cancer implications
- Wilms Tumor
- Round with the multidisciplinary team and demonstrate appropriate interpersonal, leadership and collaboration skills. In addition, the resident will provide pharmacotherapeutic recommendations.
- Prioritize rotation responsibilities and additional requirements of the residency program (example: residency projects and topic for publication).Evaluate drug therapy regimens for appropriateness of drug, dose, dosage regimen, route/method of administration, compliance, therapeutic duplications, therapeutic outcomes, cost, adverse drug reactions, and interactions.
- Design effective therapeutic regimens when therapy is initiated to best address patient specific goals and outcomes. Regimens should be guided by evidence based medicine.
- Design monitoring plans to achieve appropriate efficacy outcomes and avoid unwarranted adverse events/side effects with commonly used antineoplastic agents.
- Meet daily with preceptor to review patient care issues to ensure items have been addressed.
- Obtain familiarity with and assure compliance to institutional policies and procedures for drug use evaluation guidelines.
- Provide timely responses to drug information requests from the team, nursing, pharmacists, preceptor, and other health care providers.
- Facilitate the inpatient to outpatient transfers by reviewing discharge patient records and counseling patient/caregivers.
- Counsel patients/caregivers when newly diagnosed or changes are made to routine home medications. Be responsible and advocate for patients for beneficial discharge outcomes (prescription review and medication procurement).
- Prepare cytotoxic medications. Maintain good aseptic techniques and standard precautions using hazardous drugs.
- Participate effectively in multidisciplinary rounds for pediatric patients, Tumor Board, Breast Cancer Conference, Neurology Rounds, Cancer Committee, student journal clubs, case presentations, and pertinent medical conferences.
- Provide in-services to chemotherapy nurses/pharmacy team on oncology related topics.
- Assist in distribution services for both inpatient and outpatient oncology patients.
- Actively participate in ongoing research protocols involving antineoplastic therapy in pediatric oncology patients.
- Complete a drug monograph on a newly approved chemotherapy agent or therapy.
- Document clinical activities/interventions and report adverse reactions.
- Stay current with Oncology literature.
- Deliver effective presentations for health care professionals and the public on topics related to oncology pharmaceutical care.
- Assist the preceptor in the education of Doctor of Pharmacy Students.
Kim Perez, Pharm.D.