During this component of the residency, the PGY2 ID resident will provide weekend and evening clinical services. On average, the resident provides PPE services every third weekend and one 4-hour evening shift per week. Evening shift activities involve prospective audit and feedback, with a focus on patients with certain criteria:
- Positive blood cultures (rapid diagnostic results)
- EHR stewardship alerts (e.g. bug-drug mismatch)
- Inpatient antiretroviral therapy
- De-escalation opportunities
- IV to PO switch opportunities
Weekend activities are also clinically focused and involve a broader scope of pharmacy services, including:
- ‘Carve-out’ order verification for adult med/surg and ICU units
- Response to positive blood cultures (rapid diagnostic results)
- Pharmacy to Manage Consults (vancomycin and aminoglycosides)
- Discharge medication reconciliation
- Patient education
- Clinical follow-up action items
- Transitions of care activities
- Pharmacy review of Hospital at Home patients
Precepting
Precepting students and PGY1 residents provides the PGY2 resident with the opportunity to refine their teaching skills and further deepen their own clinical knowledge base. Atrium Health Wake Forest Baptist is a rotation site for pharmacy students from Campbell, Wingate, and High Point Universities. The PGY2 ID resident is expected to participate in precepting during the ID Consult experiences.
Teaching Certificate Program
If the PGY2 ID resident did not complete one during their PGY1 year, they will have the opportunity to enroll in a teaching certificate program sponsored by the Wake Forest Baptist Pharmacy Department. This program is intended to develop the resident’s knowledge, skills, and abilities to teach effectively in a wide variety of settings. The certificate program also aims to enhance the resident’s ability to provide constructive evaluations, as well as incorporate feedback into his or her own teaching. Many of the residency-required presentations qualify as experiences that help the resident complete the certificate program.