Common use of Required Rotations Clause in Contracts

Required Rotations. Orientation (1 month): Orientation to hospital, pharmacy departments, medication distribution systems, computer systems and clinical pharmacy services including clinical policies and procedures. • Internal Medicine 1 (2 months): Provision of pharmaceutical care for general medicine patients on an interdisciplinary rounding service, pharmacokinetic monitoring, clinical intervention documentation, patient counseling, vaccination screening, medication reconciliation, delivery of in-service(s) to physicians and/or nursing staff, precepting APPE students and/or PGY1 residents, and presentations at Internal Medicine conference. • Internal Medicine 2 (2 months): Continuation of Internal Medicine 1 roles and responsibilities with a concentration on autonomy, precepting, and education of pharmacy staff and medical teams. Resident will serve as a primary preceptor for an APPE student completing an acute care inpatient rotation. • Medical Intensive Care (1 month): Participate in the interdisciplinary care of patients in the medical intensive care units (MICU) while rounding with the MICU team, actively monitor antibiotic use, extensive pharmacokinetic drug monitoring, clinical intervention documentation, medication reconciliation, delivery of in-service(s) to physicians and/or nursing staff, and precepting APPE students and/or PGY1 residents. • Infectious Disease (1 month): Participate in daily rounds with the Infectious Diseases consult service, actively monitor antimicrobial use for appropriate indication, dose, duration, route, monitoring and efficacy. Resident will perform extensive pharmacokinetic/pharmacodynamics monitoring, dose adjustments, clinical intervention documents, vaccine screening, patient/physician medication-related education as needed, and precept APPE students and/or PGY1 residents. • Elective Rotations (4, 1 month): Emergency Medicine, Medical Oncology, Nutrition, Stroke Service, Ambulatory Care Clinic opportunities (HIV, Geriatrics, Internal Medicine), Solid Organ Transplant (KentuckyOne Health – Jewish Hospital), Cardiology (KentuckyOne Health – Jewish Hospital), Academia (Xxxxxxxx University College of Pharmacy) Longitudinal Rotations

Required Rotations. Orientation (1 month): Orientation to hospital, pharmacy departments, medication distribution systems, computer systems and clinical pharmacy services including clinical policies and procedures. • Internal Medicine 1 (2 months): Provision of pharmaceutical care for general medicine patients on an interdisciplinary rounding service, pharmacokinetic monitoring, clinical intervention documentation, patient counseling, vaccination screening, medication reconciliation, delivery of in-service(s) to physicians and/or nursing staff, precepting APPE students and/or PGY1 residents, and presentations at Internal Medicine conference. • Internal Medicine 2 (2 months): Continuation of Internal Medicine 1 roles and responsibilities with a concentration on autonomy, precepting, and education of pharmacy staff and medical teams. Resident will serve as a primary preceptor for an APPE student completing an acute care inpatient rotation. • Medical Intensive Care (1 month): Participate in the interdisciplinary care of patients in the medical intensive care units (MICU) while rounding with the MICU team, actively monitor antibiotic use, extensive pharmacokinetic drug monitoring, clinical intervention documentation, medication reconciliation, delivery of in-service(s) to physicians and/or nursing staff, and precepting APPE students and/or PGY1 residents. • Infectious Disease (1 month): Participate in daily rounds with the Infectious Diseases consult service, actively monitor antimicrobial use for appropriate indication, dose, duration, route, monitoring and efficacy. Resident will perform extensive pharmacokinetic/pharmacodynamics monitoring, dose adjustments, clinical intervention documents, vaccine screening, patient/physician medication-related education as needed, and precept APPE students and/or PGY1 residents. • Elective Rotations (4, 1 month): Emergency Medicine, Medical Oncology, Nutrition, Stroke Service, Ambulatory Care Clinic opportunities (HIV, Geriatrics, Internal Medicine), Solid Organ Transplant (KentuckyOne UofL Health – Jewish Hospital), Cardiology Cardiovascular Intensive Care Unit (KentuckyOne UofL Health – Jewish Hospital), Academia (Xxxxxxxx University College of Pharmacy) ), Neuro Intensive Care Unit, Toxicology Longitudinal Rotations

Required Rotations. Orientation (1 month): Orientation to hospital, pharmacy departments, medication distribution systems, computer systems and clinical pharmacy services including clinical policies and procedures. If resident has completed PGY1 at UofL Health, orientation month will be replaced with an additional elective rotation. • Internal Medicine 1 (2 months): Provision of pharmaceutical care for general internal medicine patients on an interdisciplinary rounding service, pharmacokinetic monitoring, clinical intervention documentation, patient counseling, vaccination screening, medication reconciliationreconciliation (admission and discharge), delivery of in-service(s) to physicians and/or nursing staff, precepting APPE students and/or PGY1 residents, and presentations at Internal Medicine conference. • Internal Medicine 2 (2 months1 month): The resident will continue to cultivate the skills developed during Internal Medicine 1 with a concentration on autonomy, precepting and education of pharmacy staff, nursing and medical teams. • Internal Medicine 3 (1 month): Continuation of Internal Medicine 1 and 2 roles and responsibilities with a concentration on autonomydepartmental leadership, precepting, and education of pharmacy staff and medical teams. Resident will serve as a primary preceptor for an APPE student completing an acute care inpatient rotation. • Medical Intensive Care (1 month): Participate in the interdisciplinary care of patients in the medical intensive care units (MICU) while rounding with the MICU team, actively monitor antibiotic use, extensive pharmacokinetic drug monitoring, clinical intervention documentation, medication reconciliation, delivery of in-service(s) to physicians and/or nursing staff, and precepting APPE students and/or PGY1 residents. • Infectious Disease (1 month): Participate in daily rounds with the Infectious Diseases consult service, actively monitor antimicrobial use for appropriate indication, dose, duration, route, monitoring and efficacy. Resident will perform extensive pharmacokinetic/pharmacodynamics monitoring, dose adjustments, clinical intervention documents, vaccine screening, patient/physician medication-related education as needed, and precept APPE students and/or PGY1 residents. • Elective Rotations (4, 1 month): Emergency Medicine, Medical Oncology, Nutrition, Stroke Service, Ambulatory Care Clinic opportunities (HIV, Geriatrics, Internal Medicine)Specialty Clinics, Solid Organ Transplant (KentuckyOne UofL Health – Jewish Hospital), Cardiology Cardiovascular Surgery Intensive Care Unit (KentuckyOne UofL Health – - Jewish Hospital), Academia (Xxxxxxxx University College of Pharmacy), Neuro Intensive Care Unit, Substance Use Disorder Service (SUDS) Longitudinal RotationsRotations (12 months) • Clinical Staffing: Resident will learn to effectively care for patients as an integral, contributing member of the clinical pharmacy team providing weekend, peripheral coverage. The resident will clinically staff every fourth weekend (subject to change based on departmental need). Responsibilities include but are not limited to admission medication reconciliation, completion of clinical report review, completion of Theradoc® Alert monitoring, discharge counseling, TPN monitoring and adjustment, pharmacokinetic consults. As the year progresses, the resident will act as a mentor and preceptor to PGY1 residents.

Required Rotations.  Orientation (1 month): Orientation to hospital, pharmacy departments, medication distribution systems, computer systems and clinical pharmacy services including clinical policies and procedures. •  Internal Medicine 1 (2 months): Provision of pharmaceutical care for general medicine patients on an interdisciplinary rounding service, pharmacokinetic monitoring, clinical intervention documentation, patient counseling, vaccination screening, medication reconciliation, delivery of in-service(s) to physicians and/or nursing staff, precepting APPE students and/or PGY1 residents, and presentations at Internal Medicine conference. •  Internal Medicine 2 (2 months): Continuation of Internal Medicine 1 roles and responsibilities with a concentration on autonomy, precepting, and education of pharmacy staff and medical teams. Resident will serve as a primary preceptor for an APPE student completing an acute care inpatient rotation. •  Medical Intensive Care (1 month): Participate in the interdisciplinary care of patients in the medical intensive care units (MICU) while rounding with the MICU team, actively monitor antibiotic use, extensive pharmacokinetic drug monitoring, clinical intervention documentation, medication reconciliation, delivery of in-service(s) to physicians and/or nursing staff, and precepting APPE students and/or PGY1 residents. •  Infectious Disease (1 month): Participate in daily rounds with the Infectious Diseases consult service, actively monitor antimicrobial use for appropriate indication, dose, duration, route, monitoring and efficacy. Resident will perform extensive pharmacokinetic/pharmacodynamics monitoring, dose adjustments, clinical intervention documents, vaccine screening, patient/physician medication-related education as needed, and precept APPE students and/or PGY1 residents. •  Cardiology (1 month, KentuckyOne Health – Jewish Hospital): Participate in the interdisciplinary care of cardiology patients in both acute and long term settings, pharmacokinetic monitoring, clinical intervention documentation, patient counseling, medication reconciliation, delivery of in-service(s) to physicians and/or nursing staff, and precepting APPE students and/or PGY1 residents.  Elective Rotations (43, 1 month): Emergency Medicine, Medical Oncology, Nutrition, Stroke Service, Ambulatory Care Clinic opportunities (HIV, Geriatrics, Internal Medicine), Solid Organ Transplant (KentuckyOne Health – Jewish Hospital), Cardiology (KentuckyOne Health – Jewish Hospital), Academia (Xxxxxxxx University College of Pharmacy) Longitudinal Rotations)

Required Rotations. Orientation (1 month): Orientation to hospital, pharmacy departments, medication distribution systems, computer systems and clinical pharmacy services including clinical policies and procedures. If resident has completed PGY1 at UofL Health, orientation month will be replaced with an additional elective rotation. • Internal Medicine 1 (2 months): Provision of pharmaceutical care for general internal medicine patients on an interdisciplinary rounding service, pharmacokinetic monitoring, clinical intervention documentation, patient counseling, vaccination screening, medication reconciliationreconciliation (admission and discharge), delivery of in-service(s) to physicians and/or nursing staff, precepting APPE students and/or PGY1 residents, and presentations at Internal Medicine conference. • Internal Medicine 2 (2 months1 month): The resident will continue to cultivate the skills developed during Internal Medicine 1 with a concentration on autonomy, precepting and education of pharmacy staff, nursing and medical teams. • Internal Medicine 3 (1 month): Continuation of Internal Medicine 1 and 2 roles and responsibilities with a concentration on autonomydepartmental leadership, precepting, and education of pharmacy staff and medical teams. Resident will serve as a primary preceptor for an APPE student completing an acute care inpatient rotation. • Cardiology (1 month): Participate in the interdisciplinary care of patients admitted to and/or consulted on by the UofL Hospital general cardiology service (2 weeks). For the second half (2 weeks) of the learning experience, the resident will transition to the Jewish Hospital cardiology service where management of hospitalized patients with heart failure will be the focus. • Medical Intensive Care (1 month): Participate in the interdisciplinary care of patients in the medical intensive care units (MICU) while rounding with the MICU team, actively monitor antibiotic use, extensive pharmacokinetic drug monitoring, clinical intervention documentation, medication reconciliation, delivery of in-service(s) to physicians and/or nursing staff, and precepting APPE students and/or PGY1 residents. • Infectious Disease (1 month): Participate in daily rounds with the Infectious Diseases consult service, actively monitor antimicrobial use for appropriate indication, dose, duration, route, monitoring and efficacy. Resident will perform extensive pharmacokinetic/pharmacodynamics monitoring, dose adjustments, clinical intervention documents, vaccine screening, patient/physician medication-related education as needed, and precept APPE students and/or PGY1 residents. • Research (1 month): Resident will receive 1 month dedicated to working toward completion of their selected residency research project. Resident will work on requirements of the research project including but not limited to submission of research proposal to the Residency Research Advisory Committee, obtain approval from the University of Louisville Institutional Review Board (IRB), Microsoft Access training, poster presentation at ASHP MCM, presentation of final results at the Great Lakes Pharmacy Residency Conference, and preparation of a final manuscript suitable for publication. • Elective Rotations (43, 1 month): Antimicrobial Stewardship, Emergency Medicine, Internal Medicine – Hospitalist, Medical Oncology, Nutrition, Stroke Service, Ambulatory Care Clinic opportunities (HIV, Geriatrics, Internal Medicine)Specialty Clinics, Solid Organ Transplant (KentuckyOne UofL Health – Jewish Hospital), Cardiology Cardiovascular Surgery Intensive Care Unit (KentuckyOne UofL Health – - Jewish Hospital), Academia (Xxxxxxxx University College of Pharmacy), Neuro Intensive Care Unit, Substance Use Disorder Service (SUDS), Palliative Care Longitudinal Rotations (12 months/52 weeks) Longitudinal Rotations• Clinical Staffing: Resident will learn to effectively care for patients as an integral, contributing member of the clinical pharmacy team providing weekend, peripheral coverage. The resident will clinically staff every fourth weekend (subject to change based on departmental need) and two hospital recognized holidays. Responsibilities include but are not limited to admission medication reconciliation, completion of clinical report review, completion of Theradoc® Alert monitoring, discharge counseling, TPN monitoring and adjustment, pharmacokinetic consults. As the year progresses, the resident will act as a mentor and preceptor to PGY1 residents.

Required Rotations. Orientation (1 month): Orientation to hospital, pharmacy departments, medication distribution systems, computer systems and clinical pharmacy services including clinical policies and procedures. If resident has completed PGY1 at UofL Health, orientation month will be replaced with an additional elective rotation. • Internal Medicine 1 (2 months): Provision of pharmaceutical care for general internal medicine patients on an interdisciplinary rounding service, pharmacokinetic monitoring, clinical intervention documentation, patient counseling, vaccination screening, medication reconciliationreconciliation (admission and discharge), delivery of in-service(s) to physicians and/or nursing staff, precepting APPE students and/or PGY1 residents, and presentations at Internal Medicine conference. • Internal Medicine 2 (2 months1 month): The resident will continue to cultivate the skills developed during Internal Medicine 1 with a concentration on autonomy, precepting and education of pharmacy staff, nursing and medical teams. • Internal Medicine 3 (1 month): Continuation of Internal Medicine 1 and 2 roles and responsibilities with a concentration on autonomydepartmental leadership, precepting, and education of pharmacy staff and medical teams. Resident will serve as a primary preceptor for an APPE student completing an acute care inpatient rotation. • Medical Intensive Care (1 month): Participate in the interdisciplinary care of patients in the medical intensive care units (MICU) while rounding with the MICU team, actively monitor antibiotic use, extensive pharmacokinetic drug monitoring, clinical intervention documentation, medication reconciliation, delivery of in-service(s) to physicians and/or nursing staff, and precepting APPE students and/or PGY1 residents. • Infectious Disease (1 month): Participate in daily rounds with the Infectious Diseases consult service, actively monitor antimicrobial use for appropriate indication, dose, duration, route, monitoring and efficacy. Resident will perform extensive pharmacokinetic/pharmacodynamics monitoring, dose adjustments, clinical intervention documents, vaccine screening, patient/physician medication-related education as needed, and precept APPE students and/or PGY1 residents. • Elective Rotations (4, 1 month): Emergency Medicine, Medical Oncology, Nutrition, Stroke Service, Ambulatory Care Clinic opportunities (HIV, Geriatrics, Internal Medicine), Solid Organ Transplant (KentuckyOne UofL Health – Jewish Hospital), Cardiology Cardiovascular Surgery Intensive Care Unit (KentuckyOne UofL Health – - Jewish Hospital), Academia (Xxxxxxxx University College of Pharmacy), Neuro Intensive Care Unit, Substance Use Disorder Service (SUDS) Longitudinal RotationsRotations • Clinical Staffing: Resident will learn to effectively care for patients as an integral, contributing member of the clinical pharmacy team providing weekend, peripheral coverage. The resident will clinically staff every fourth weekend. Responsibilities include but are not limited to admission medication reconciliation, completion of clinical report review, completion of Theradoc® Alert monitoring, discharge counseling, TPN monitoring and adjustment, pharmacokinetic consults. As the year progresses, the resident will act as a mentor and preceptor to PGY1 residents.