Infectious Diseases

The resident will work at the Ryan White funded HIV clinic to assist in the care of HIV patients. Pharmacists have been integrated into the HIV clinic for more than 10 years and see patients soon after diagnosis. The resident will be involved in the selection of ART regimens based on resistance, tolerability, and drug interactions. The resident will help provide support to the ID fellows in the clinic. After exposure in orientation, the resident will rotate through the HIV clinic once a week for at least 6 months. After the six required months, other ambulatory elective learning experiences may be developed based on resident interest and preceptor availability.

The resident will round with the general ID consult teaching team. The team consists of internal medicine residents, ID fellows, pharmacy and an ID nurse practitioner. The team sees 100-120 new consults per month in a variety of medical and surgical disease states. 

The resident will round with the general ID consult teaching team while precepting an APPE student as required by the teaching certificate. 

The Microbiology rotation is a 1-month rotation that is typically scheduled during the first few months of the year. This rotation is overseen by the director of the microbiology laboratory and is taught by the staff members of the clinical microbiology laboratory. During this time the resident will gain experience in diagnostic bacteriology, mycobacteriology, mycology, and virology, as well as antimicrobial susceptibility testing serology, and molecular diagnostics. The resident may complete a susceptibility based project during their micro rotation. 

The resident will have a concentrated month to help complete their ID focused research project. The resident’s research project will be guided by the resident research committee.  A research committee is customized for each resident and includes the residency program director, an expert in the practice area in which research will be conducted and an expert in study design, data analysis, and statistical methods. The committee supports the resident through each step of the process, providing the mentorship and resources necessary for a successful research experience. Residents also complete a research curriculum which includes OUHSC Institutional Review Board (IRB) certification for conducting human research and research training sessions in Resident Rounds.  The research curriculum consists of several required educational research discussions ranging from 7.5-12 hours covering a variety of topics including those focused on the institutional review board (IRB) and interactive sessions focusing on working with the research committee, medical writing, and biostatistics. This approach has led to an average publication rate of 52% for our residents as described in AJHP (https://doi.org/10.1093/ajhp/zxac233).

The resident works up new patients with home antibiotic consults and coordinates with discharging team and infusion pharmacies. The resident follows home antibiotic patients for safety of antimicrobials and helps to triage issues to prevent readmissions. We have a collaborative practice agreement with the ID section for this service which has been in place since 2016. Our service has been shown to decrease 30-day readmissions in patients discharged on vancomycin (19.4% vs 39.1%) as described in our recent publication. 

The resident will round with the transplant ID service seeing immunosuppressed patients such as solid and liquid cancers, solid organ transplants, and bone marrow transplants. 

The resident will participate in the stewardship program activities including blood culture response, penicillin allergy clarification, audit and feedback of broad-spectrum antibiotics, and review/approval of restricted antibiotics.

The resident will participate in stewardship activities, have focused discussions on stewardship metrics (DOT, DDD, SAAR) and regulations (CMS, joint commission, and leapfrog), and lead a stewardship meeting. 

The staffing longitudinal is a learning experience that spans the entire residency year after the resident’s OPAT rotation in August from September to June. The resident will be on call every third weekend. This experience will take place at UOMC or be done remotely based on the resident’s preference. The purpose of this experience is to provide residents clinical staffing experience. The resident will be on call for OPAT on the weekends, Saturday and Sunday from 8 am to 4 pm. The resident will be provided a phone to use for these weekends that will allow them to access the electronic medical record. The resident will place OPAT intake notes, update the OPAT database, keep up with the reminder lists in EPIC, and help facilitate discharges over the weekend. Reminder lists in EPIC will be used for patient handoff to guide the resident on what activities to complete over the weekend.  Staffing throughout the residency year will occur every 3rd weekend (Saturday and Sunday). A preceptor will be available on call to coach and facilitate the residents. This schedule of preceptor coverage will be made available to the resident.

The resident will have the ability to serve on a committee at the college of pharmacy. The resident will attend the monthly antimicrobial stewardship meetings and serve as secretary. The resident will lead a stewardship meeting. They will also present their MUE and research project at the stewardship committee.  Membership in a national infectious diseases committee with SIDP or the ACCP ID PRN will be encouraged.

The resident will attend and have the opportunity to present at the following conferences in conjunction with the Infectious Diseases Fellowship: ID case conference (weekly), ID fellow core curriculum lectures (weekly), and ID journal club (monthly). ID case conference presentations from ID pharmacy residents will involve a controversial pharmacologic topic involving a patient seen by the ID consult service. Core curriculum lectures are hour-long didactic lectures on pharmacotherapy (e.g. beta-lactam antibiotics, antifungal agents, antiviral agents). ID journal club is a 30-minute critical review of a recent article presented to ID attendings and pharmacists at OU Health and the Oklahoma City Veterans Affairs hospital.

Attendance at the ACCP ID PRN journal clubs and OPAT chats will be encouraged.

Resident Rounds is a weekly curriculum for OU Health/OU College of Pharmacy residents that addresses topics related to health-systems management, research, teaching, poster presentations, interviewing, mentoring, and self-assessment, among others. It is facilitated by preceptors from the program.  In addition, residents gain experience in literature evaluation and clinical decision-making through presentations at journal clubs and of patient cases at some resident rounds.

The PGY-2 resident will be involved in teaching activities such as participation in educational workshops, the delivery of formal presentations, and primary precepting. The Residency Teaching Certificate Program is an optional, longitudinal experience at the University of Oklahoma College of Pharmacy. PGY2 residents who chose to participate complete 8 teaching activities which include receiving training on evidence-based teaching techniques. PGY2 residents then use that training for designing, formally rehearsing, delivering, and assessing 2 lectures and lecture materials (objectives, test questions, slides, and handout) in their specialty area (e.g. infectious disease module). PGY2 residents also serve as a facilitator for 1-2 activities such as small group case discussions and grade and provide feedback to students in ~4 skills-based activities such as a skills-based lab. PGY2 residents also serve as an assigned co-grader for a P4 seminar group and as the APPE preceptor of record for at least one month in the spring semester. To conclude the certificate program, PGY2 residents submit a teaching portfolio and teaching philosophy.

Teaching certificate requirements

1. Teaching proposal and quarterly meetings
2. Teaching workshops (attend a half day teaching retreat in July on didactic and experiential teaching fundamentals and attend ~15 additional teaching workshops throughout the year)
3. Small group facilitating (such as small group case discussions)
4. Student activity grading and feedback (such as in a skills lab where residents evaluate students using a rubric and provide feedback and set goals for future improvement)
5. Didactic teaching (2 lectures in the resident’s specialty area)
6. Teaching or precepting philosophy and portfolio (submit draft in November and receive feedback, submit a final version in June and receive final feedback)
7. P4 Spring Seminar co-grader
8. APPE Precepting