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Program Director: Michael J. Melroy, Pharm.D.,
BCPS, (melromi1@memorialhealth.com)
Director of Pharmacy: Ken Jozefczyk, M.S., R.Ph., (jozefke1@memorialhealth.com)
Memorial University Medical Center
Memorial Hospital in Savannah, Georgia, first opened its doors in 1955 as a 300-bed community hospital. It was named in honor of the men and women who died fighting for our nation. At the time, it was called, "the most modern hospital in this part of the country."
Today, Memorial University Medical Center (MUMC) is a 530-bed nonprofit tertiary care and academic medical center serving a 35-county area in southeast Georgia and South Carolina. It is the flagship of Memorial Health, the largest healthcare system in the region. The organization's mission is: With compassion, we heal, teach, and discover. Learn more about MUMC and its services.
Our Location
Memorial University Medical Center is located in the beautiful coastal city of Savannah, Georgia. Savannah's architecture, history, and hospitality are internationally known. The city offers an outstanding quality of life and a wealth of opportunities for businesses, individuals, and families. Find out more about Savannah.
Residency Overview
The pharmacy residency at Memorial University Medical Center (MUMC) provides excellent
clinical, academic, and practice opportunities. The program is accredited
by the American Society of Health-System Pharmacists and features
the following core, elective, and longitudinal rotations:
Core Rotations
• Orientation/Institutional
Practice
• Critical Care -- Trauma
• Critical Care -- Medicine
• Internal Medicine
• Infectious Disease
• Oncology
• Pediatrics
• Practice Management
• Research
• Psychiatry
Elective Rotations
• Any Core Rotation
• Cardiology
• Medication Safety
Longitudinal Experiences
• Drug Information
• Research
• Community Outreach
Additional Rotations
Contact Information
Core Rotations
Orientation/Institutional
Practice
This rotation is designed to expose the
resident to the general functioning of the central pharmacy and
the hospital environment. The resident is
trained to enter orders, produce Total Parenteral Nutrition (TPN)
formulas, IV admixtures, and chemotherapy. Meetings with the residency
director and residency advisory board are held on a regular basis
to discuss expectations, requirements, and personal goals for the
program. During this rotation, the resident will be expected to begin
selecting a research project.
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Critical
Care -- Trauma
As a member of the trauma surgery team, the resident will follow
trauma patients in the medical/surgery/trauma and neuro intensive
care units. Responsibilities include daily rounds, pharmacokinetic
consultation, recognizing drug-drug and drug-disease state interactions,
reporting and preventing adverse drug reactions, and general monitoring
of drug therapy. Care for the critically ill patient is a highly
specialized area and an increased emphasis will be placed on the
patients' hemodynamic state, the utilization of appropriate antibiotics,
and TPN.
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Critical Care -- Medicine
The medicine critical care service is a consult service that rounds daily at 8:30 a.m. in the intensive care units. Common diagnoses include acute respiratory failure, sepsis/septic shock, hypovolemia/cardiogenic shock, acute decompensated heart failure, arrhythmias, acute intoxication, and acute renal failure. Common disease states/therapeutic issues encountered on this service include nutrition management, hemodynamics and physiologic monitoring, acid/base management, principles of mechanical ventilation, stress ulcer prophylaxis, prophylaxis and management of DVT/PE, basic ECG analysis and arrhythmia management (ACLS guidelines), fluid and electrolyte management, shock syndromes, acute respiratory failure/ARDS, MODS, acute renal failure, sepsis, management of select infectious diseases (intra-abdominal infections, surgical wound infections, nosocomial pneumonia, nosocomial urinary tract infections, line sepsis), antimicrobial pharmacokinetics and pharmacodynamics, alcohol withdrawal management, and other disease states consistent with this patient population.
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Infectious
Disease
This rotation allows the resident to be
exposed to daily rounds with an ID clinical pharmacist. The ID service
is a consult service and has a wide variety of patients from many
different backgrounds (medical service, critical care, oncology,
neonatal, HIV, etc.). The residents are also involved with research
in this department, as well as pharmacokinetics, appropriate antibiotic
selection, and HIV issues.
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Internal Medicine
The resident participates in patient rounds
as an integral part of a multidisciplinary team. The resident provides
pharmaceutical care, including pharmacokinetic consultations, drug
information, monitoring for the appropriateness and cost-effectiveness
of drug therapy, reporting of adverse drug reactions, and assessing
drug-drug, drug-disease state interactions. The resident attends
morning report, noon conference, and weekly grand rounds, providing
for intense involvement and exposure to a variety of internal medicine
topics and discussions. Resident has direct patient contact and
plays an important role in patient education and patient counseling.
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Oncology
This rotation will expose the resident
to a variety of issues involved in managing cancer patients at the Curtis and
Elizabeth Anderson Cancer Institute at MUMC. The resident will attend a scheduled medical oncology,
hematology, and gynecologic oncology clinic during the course of
the rotation. Daily responsibilities will include providing patient
counseling for all chemotherapy patients, providing recommendations
for the management of chemotherapy-induced side effects, answering
oncology-related drug information requests, and consulting on pain
management cases. During the rotation, the resident will have weekly
case presentations and topic discussions relating to patients seen
during clinic. In addition, if needed, the resident will present
a brief in-service for the oncology nursing staff. Other experiences
during the rotation will include attendance at weekly tumor board
meetings and orientation to radiation oncology.
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Pediatrics
The pediatric rotation places emphasis
on pathophysiology and treatment of disease states in the pediatric
population within the children's hospital at MUMC. Alternatives to drug therapy, documentation and prevention of adverse drug reactions, pharmacokinetics, and selection of antimicrobial
regimens are important aspects of this rotation. The pharmacy resident
is responsible for educating patients and their families about medications
specific to the patient's disease state. The resident is responsible
for a formal case presentation to pharmacy staff and administration.
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Practice Management
This rotation is coordinated by the program
director. The residents meet with the director of the pharmacy to
discuss theories on pharmaceutical administration, budget issues,
technology advancements, and other global issues relating to the
department and the profession. The residents are active members
of the P&T Committee, and also serve on other committees throughout
the hospital as directed.
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Psychiatry
Residents gain the experience necessary
to function as a clinical pharmacist in the treatment of the psychiatric
patient, while gaining insight into the clinical and social problems
of mental illness and substance abuse. Residents follow patients
in MUMC's Center for Behavioral Medicine and medical psychiatric unit. Residents gain experience working with a multidisciplinary team of psychiatrists, physicians, nurses,
social workers, and other healthcare professionals. Residents have
direct patient contact, providing patient education on psychotropic
medications to mentally ill patients in a group therapy setting.
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Research
Residents will present a year-long research
project at the Southeastern Residency Conference in the spring.
Residents will work with the research coordinator starting at the
onset of the year and will meet regularly to discuss issues and
progress. Residents will also be active in coordinating sponsored
research throughout the health system. In addition to the research
project, each resident is responsible for two medication use evaluations
that are coordinated by the program director and presented to the
P&T Committee.
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Elective Rotations
Cardiology
This rotation allows pharmacy residents
to round with a hospital cardiology service in the Heart & Vascular Institute at MUMC. Common cardiovascular
disease processes including coronary artery disease, hypertension,
hyperlipidemia, and congestive heart failure are discussed in detail
and treated. Patient education and compliance are
essential aspects of this rotation.
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Medication Safety
During this rotation, the resident will
focus on medication safety and investigational drugs. The resident
will participate in relevant meetings, documentation of medication
incidents, safety coaching, and the development or modification
of pharmacy policies at MUMC.
The resident will also be involved in the management of investigational
drug products according to established protocols, policies, and
procedures.
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Core Rotations
Core rotations can also be repeated as electives.
Longitudinal Experiences
Drug
Information
This is a longitudinal rotation that
is delegated by the chief resident. As drug information (DI) issues arise,
the residents are assigned DI projects as needed. This can include
anything from dosage ranges to side effects to new drug monographs
for P&T committee meetings.
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Community
Outreach
This is a longitudinal rotation provided
to the greater Savannah community. It includes visits to senior
citizen centers, retirement and assisted living communities, pharmacy schools, career days at local high schools or colleges, information sessions for MUMC's cardiac rehabilitation program, and other consults as required. Presentation topics
can include prescription drug plans, medication usage, "brown
bag sessions," and other topics as requested.
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Additional Rotations
Other areas of interest addressed by residents will be evaluated
by the program director and will be coordinated if appropriate with
the guidelines set forth by the ASHP Standards of Pharmacy Practice
Residencies.
Regular meetings are held with the pharmacy director
and manager to discuss the practice of pharmacy and other
issues pertinent to the profession. Journal Club is held regularly
for article discussion as well as case presentation. Residents also
attend the Pharmacy and Therapeutics Committee, present forum presentations,
precept pharmacy students, and provide education to the pharmacy,
nursing, and medical staff.
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Contact
Information
Additional questions should be directed to:
Michael J. Melroy, Pharm.D., BCPS
Manager, Clinical Services
MUMC Department of Pharmacy
4700 Waters Ave.
Savannah, GA 31404
Melromi1@memorialhealth.com
912-350-8245
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