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Obstetrical and Gynecological Care Rotation

Rotation Goal

The goal of the Obstetrical and Gynecological Care rotation is for the resident to develop the knowledge base and clinical skills necessary to provide safe and appropriate medication therapy management in the obstetrical, perinatal and gynecological patient.

Rotation Description

The Obstetrical and Gynecological Care Rotation is an elective rotation for the PGY1 and PGY2 resident.  This rotation takes place at St. Joseph's Women's Hospital (SJWH), which is located on the south campus of St. Joseph's Hospital. SJWH is licensed for 192 adult beds and also contains a 64-bed Level II and Level III NICU. SJWH provides care for obstetrical, high risk, gynecological as well as neonatal patients. This rotation is intended at providing the resident a comprehensive understanding and application of pharmacotherapeutic care for the obstetrical or gynecological patient. To achieve this objective, the resident will work with their preceptor in a decentralized practice model and interact with interdisciplinary team members (physicians, nurses, social workers and patients).

Rotation Activities

  • Conduct patient profile reviews of all assigned patients for identification and resolution of patient pharmacotherapy issues.
  • Monitor and provide recommendations for pharmacokinetic consultations. Follow patients in which pharmacy is not directly consulted and make recommendations as appropriate.
  • Perform order verification, checking each medication that is being profiled for appropriateness of dose, indication, length of therapy, drug-drug interactions, pregnancy risk category and breast-feeding interactions.
  • Present topic discussions on assigned disease states to develop an understanding of the basics of obstetrical and gynecological pathophysiology and pharmacotherapy.
  • Locate and present a review of a recent journal article pertaining to obstetrical care that will add to the current knowledge of the pathophysiology and pharmacotherapy in obstetrical care.
  • Provide drug information services to the pharmacy department as well as interdisciplinary team members, using appropriate drug resources.
  • Shadow a Neonatal Assessment Nurse while she conducts newborn assessments.
  • Shadow a Labor and Delivery Nurse while she monitors her assigned patients in labor.

Rotation Requirements

  • Required hours will be from 7:00 am – 3:30 pm or 10:00 am – 6:30 pm, depending on the focus for that day (a calendar will be provided to the resident prior to the start of their rotation).
  • Prior to beginning this elective rotation, residents will be required to be licensed to practice pharmacy, have completed the departmental orientation training and have completed the Internal Medicine rotation.
  • Professionalism and punctuality are required at all times.
  • Present formal topic discussions using appropriate resources (calendar depicting the dates of assigned topic discussions will be provided to the resident prior to the start of their rotation).
  • Present a review of one current journal article.
  • Present assigned patients to preceptor on a daily basis, following up any recommendations with the appropriate physicians and documenting all interventions in TheraDoc©.
  • Maintain all monitoring logs in TheraDoc©.
  • Perform order verification on a daily basis.
  • Accompany the preceptor to attend any unit meetings.

Preceptors

Christina Petretich-Elgendi, B.S. Pharm.
Martha Knoblich, Pharm.D., BCPS



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