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Pharmacy Residency Program

Pediatric Specialty Residency

Philosophy

The primary goal of the Texas Tech University Health Sciences Center (TTUHSC) School of Pharmacy pediatric residency program is to train and develop residents with an in-depth knowledge and independent clinical skills in pediatric pharmacotherapy. The emphasis of the residency is to develop a broad based experience in different a variety of pediatric practice settings including general pediatrics, critical care, ambulatory care, and subspecialty care, as well as in different age groups ranging from premature neonates to adolescence. The integration of pharmacy practice, teaching, and research skills is key to the development of quality resident. Teaching opportunities include didactic and clinical teaching experiences, while research opportunities with pediatric clinical faculty at both the School of Pharmacy and the School of Medicine are abound. Pediatric faculty are expected to place high priority on the teaching and the development of pediatric residents, however, residents must also be highly motivated to meet the stated competencies of the program.

Pediatric Residency Faculty

Sherry Luedtke, PharmD

Assistant Professor, Pharmacy Practice
TTUHSC School of Pharmacy - Amarillo

Michelle Condren, PharmD

Assistant Professor, Pharmacy Practice
TTUHSC School of Pharmacy -Amarillo

Mark Haase, PharmD

Assistant Professor, Pharmacy Practice
TTUHSC School of Pharmacy - Amarillo

Allyson Gaylor, PharmD

Assistant Professor, Pharmacy Practice
TTUHSC School of Pharmacy -Lubbock

Nicholas Blanchard, PharmD, M.S. Ed.

Associate Dean of Experiential Education
TTUHSC School of Pharmacy - Dallas

James Griener, PharmD

Regional Dean
TTUHSC School of Pharmacy -Dallas

Goals of the Residency

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Upon completion of the pediatric residency program and TTUHSC, a resident shall be able to :

  • Establish a drug distribution services and clinical services for a pediatric population
  • Develop, organize, and operate a pediatric pharmacy service and required including distribution services, budgeting, management of professional and supportive personnel, assumption and designation of responsibility, documentation/justification of clinical services
  • Develop appropriate drug formulations and administration techniques for medications in the pediatric population
  • Develop a pediatric drug formulary
  • Differentiate the advantages/disadvantages of various infusion devices for use in children
  • Integrate clinical and distributive pediatric pharmacy services
  • Effectively communicate with children of all ages
  • Write policies and procedures governing the appropriate administration of all drugs for pediatric patients
  • Describe the limitations of delivering drug therapy in children
  • Develop physical assessment skills specific to the pediatric population
  • Develop a pediatric pharmaceutical care database for children via parent/patient interviews, physical assessment, collaboration with health care professionals
  • Develop individualized drug therapy regimens
  • Monitor drug therapy using subjective and objective assessments/data
  • Perform pharmacokinetic analysis using neonatal and pediatric specific pharmacokinetic parameters and make appropriate dosing recommendations
  • Assist in the pharmacologic management of pediatric cardiopulmonary resuscitation
  • Provide individualized nutritional support services (enteral and parenteral) to neonatal and pediatric patients
  • Advise prescribers regarding the use of medication in pregnant women and the effects on the fetus
  • Evaluate biomedical literature relating to pediatric pharmacotherapy
  • Communicate with children, parents, and other health care providers
  • Establish methods and implement systems to prevent medication errors
  • Provide drug information to children/parents and health care providers
  • Advise prescribers in designing clinical guidelines and protocols for drug therapy and disease state management
  • Establish criteria for the safe and effective use of medication in children
  • Develop and coordinate drug use reviews
  • Provide educational programs on pediatric pharmacotherapy for students and professional staff
  • Provide pharmaceutical care to pediatric patients in a variety of settings and for diverse age groups
  • Develop and implement investigational protocols within the pediatric population.

Practice Responsibilities

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Required Rotations

A total of 7 months of required rotations include:

Neonatal Intensive Care (2 months)
Residents will be required to attend daily rounds in the intensive care nursery (ICN) and provide recommendations for drug therapy to all patients within the ICN. Prospective medication review (both neonatal and maternal), pharmacokinetic consults, and nutritional consults and serving as a drug information source to patients and health care providers are an vital roles of the resident on the ICN team. Participation in interdisciplinary rounds is expected. Documentation and justification of clinical service is required. Residents will provide formal educational programs to the ICN team during each month of rotation and will be required to attend all morning report meetings. Participation in pediatric grand rounds and other appropriate conferences is encouraged. Residents will be required to participate in any ongoing DUEs within the ICN and participate in the precepting and lecturing of students in areas pertinent to neonatal care. The resident will participate in the development of clinical guidelines for disease state management within the ICN. The integration of clinical and distributive pharmacy services is emphasized.

Pediatric Intensive Care (2 months)
Residents will be required to attend daily rounds in the pediatric intensive care (ICP) and provide recommendations for drug therapy to all patients within the ICP. Prospective medication review, pharmacokinetic consults, and serving as a drug information source to patients and health care providers are an vital roles of the resident on the ICP team. Poison and overdose management information is provided as needed for patient care. Residents are to participate in pediatric cardiopulmonary resuscitation and are required to become certified in Pediatric Advanced Life Support (PALS) during the residency. Documentation and justification of clinical service is required. Residents will provide formal educational programs to the ICP team during each month of rotation and will be required to attend all morning report meetings. Participation in pediatric grand rounds and other appropriate conferences is encouraged. Residents will be required to participate in any ongoing DUEs within the ICP and participate in the precepting and lecturing of students in areas pertinent. The integration of clinical and distributive pharmacy services is emphasized. The resident will participate in the development of clinical guidelines for disease state management within the ICP.

General Pediatrics (2 months)
Residents will be required to attend daily rounds with the general pediatric ward team and provide prospective medication reviews on all general pediatric patients. Pharmacokinetic consults, and serving as a drug information source to patients and health care providers are an vital roles of the resident. Documentation and justification of clinical service is required. Residents will provide formal educational programs to the team/nursing personnel during each month of rotation and will be required to attend all morning report meetings. Participation in pediatric grand rounds and other appropriate conferences is encouraged. Residents will be required to participate in any ongoing DUEs on the general pediatric floor and participate in the precepting and lecturing of students in areas pertinent. The integration of clinical and distributive pharmacy services is emphasized as well as the development of systems to prevent medication errors. The resident will participate in the development of clinical guidelines for disease state management.

Ambulatory Care (1 month)
Functions resident in a ambulatory care clinic include: obtaining mediation histories and profiles on new patients in the clinic (including vitamin and dietary supplement use, OTC medications) ensuring all profiles are current, provide patient education, determining patient compliance and making appropriate interventions, prospectively monitoring therapeutic endpoints for therapy, serving as a drug information source to patients and health care providers, recommending cost effective therapy, and developing a greater understanding of chronic disease management in children. Residents will provide formal educational programs to the team/nursing personnel during each month of rotation and will be required to attend all morning report meetings. Participation in pediatric grand rounds and other appropriate conferences is encouraged.

Continuity Clinic (1 afternoon/week X 12 months)
Residents may choose a continuity clinic from a variety of pediatric clinic settings (including general pediatric clinic, high risk follow-up clinic, pediatric oncology clinic, etc) which they will be assigned to throughout the residency. The goal of the continuity clinic is to provide the resident with a ambulatory care experience in which they will develop a relationship with their patients over the long term. Clinic functions of the resident include: medication histories and profiles on new patients in the clinic (including vitamin and dietary supplement use, OTC medications) ensuring all profiles are current, provide patient education, determining patient compliance and making appropriate interventions, prospectively monitoring therapeutic endpoints for therapy, serving as a drug information source to patients and health care providers, recommending cost effective therapy, and developing a greater understanding of chronic disease management in children. The integration of clinical and dispensing pharmacy services will be a goal throughout the year. Residents will provide formal educational programs to the team/nursing personnel during each month of rotation and will be required to attend all morning report meetings. Participation in pediatric grand rounds and other appropriate conferences is encouraged.

Elective Rotations
Five elective rotations may be chosen at the discretion of the resident. The elective rotations may be chosen from the following:

  • Pediatric Surgery · Pediatric Hematology
  • Pediatric Cardiology · High Risk Obstetrics
  • Pediatric Neurology · Perinatology
  • Pediatric Nephrology · Pediatric Pulmonology
  • Pediatric Oncology · Pediatric Endocrinology

During elective rotational experiences, residents will be required to attend inpatient rounds as well as the weekly specialty clinic for a given specialty area. Daily functions include pharmacotherapy consults, patient education, and provision of drug information to prescribers and healthcare personnel. Emphasis shall be placed on the development of continuity of care throughout the health care system. Elective rotations are designed to provide the resident with more in-depth experiences within a sub-specialty of pediatrics. The further development of physical assessment skills is an important objective of elective rotations. Residents will be required to provide at least on educational conference on a topic of therapeutic interest to health care providers during each rotation. Participation in pediatric grand rounds and other appropriate conferences is encouraged.

Practice Sites

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The pediatric residency is based in Amarillo, however residents may select elective rotation sites from the regional campuses. Required rotations must be completed on the Amarillo campus. Rotation sites include:

Amarillo

Northwest Texas Healthcare System

Baptist St. Anthony's Hospital

University Physicians Clinic

Amarillo Area Healthcare Specialist Clinic

Little Lungs Pediatric Pulmonology Clinic

Lubbock

University Medical Center

Dallas

Children's Medical Center

Teaching Responsibilities

Residents will gain experience in teaching in a variety of formats. Residents learn facilitation skills through teaching in Case Studies Courses and have the opportunity to teach 1-2 didactic lectures per year. Residents will also help precept 3rd and 4th year pharmacy students on clerkships. Residents are appointed as Clinical Instructors with Texas Tech HSC School of Pharmacy.

Research Responsibilities

The resident will be required to complete one major resident research project during the year and present at the regional resident Acalade. The pediatric resident will also participate in practice research by documenting clinical activities to justify clinical services. Additionally research projects may evolve as agreed upon by the resident and preceptor according to the resident interests.

Assessment Methods

Rotation Evaluations

After completion of each rotation, the resident will be evaluated by preceptor with input from physicians and other health care personnel. The resident will also provide an evaluation of the rotation and preceptor. Copies of all evaluations will be forwarded to the Residency Coordinator.

Written quarterly evaluations & self evaluations

On a quarterly basis, preceptors will formally evaluate the residents overall development. This will entail a discussion with the resident and written quarterly evaluation. A competency checklist shall be maintained and reviewed throughout the year.

According the to ASHP Residency Learning System, a list of residency objectives has been formulated for the pediatric specialty residency. The preceptor and resident shall identify activities to fulfill the objectives at the beginning of the year and document the completion of the activities.

Teaching evaluations

Residents will be involved in case discussions as well as a limited number of didactic lectures for the PharmD candidates. Evaluations of teaching methods by candidates and other faculty in attendance will be reviewed and discussed with the residents in order to improve teaching skills.

Contact Information

For additional information, please contact:

Sherry Luedtke, Pharm.D.
Assistant Professor of Pharmacy Practice
TTUHSC - School of Pharmacy
1300 S. Coulter RM 206
Amarillo, TX 79106
Phone (806) 356-4000, ext. 340
Fax (806) 356-4018
Pager (806) 379-0834
E-mail: sluedtke@cortex.ama.ttuhsc.edu

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