The official rotation thread

[Bbed]

Got questions about rotation? Ask them here!

Let's start! What is your favorite rotation? How did you prepare? Did you get a job offer from your sites?

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[Rouelle]

I'll be mildly interested to see where this thread goes. I start rotations in June. Don't yet have my June assignment. July is general peds.

 

[forteo]

I got my current job through my rotations. It wasn't easy but I did things that other students didn't do. This is what I recommend:

(1) Choose sites that are likely to hire new graduates like retail, mail order, long term care, nursing home, etc. Even if these sites are far, they are worth the drive.

(2) Know the drugs well and be able to look up information right away. If they have a formulary, ask for a copy. I mainly used these sources:

- Pharmacy Charts: concise drug information in chart formats
http://www.ebay.com/itm/Pharmacy-Ch...3?pt=US_Texbook_Education&hash=item3ccde1ea77

- Tarascon: portable, instant information
http://www.amazon.com/Tarascon-Pock...=UTF8&qid=1397088286&sr=8-1&keywords=tarascon

- National guidelines: http://www.guideline.gov

(3) I came early and left later than other students. Sometimes, I even came on the weekends.

(4) I called my preceptors a week in advance and introduced myself. I then followed up with an email asking them how I can prepare for the rotations

(5) I treated the techs really well. I brought treats to the pharmacy and thanked them for their help. Techs and pharmacists love to talk so treat everyone with respect.

(6) I made it clear to my preceptors that I am interested in a pharmacist position. I took some of my preceptors' work home. I also looked up drug information for them.

(7) I talked to upperclassmen. I asked them about the sites, the preceptors and what I can do to impress my preceptors. I took each rotation like a 6 week interview.

 

[Bbed]

I'll be mildly interested to see where this thread goes. I start rotations in June. Don't yet have my June assignment. July is general peds.

I hope many more will share their experiences! If you are looking for networking opportunities, go to your local pharmacists association. The pharmacists I met there have a passion for this profession!

 

[Bbed]

(1) Choose sites that are likely to hire new graduates like retail, mail order, long term care, nursing home, etc. Even if these sites are far, they are worth the drive.

How far did you have to drive?

 

[forteo]

How far did you have to drive?

95 miles a day. I worked at a pain clinic. What a great experience! The preceptor became one of my references.

 

[owlegrad]

This is a cool thread, more reading for those inclined to do so: http://forums.studentdoctor.net/showthread.php?t=917138&highlight=rotations

Really I just recommend reading all the links in my sig though

 

[Bbed]

Rotation #1: VA ambulatory care (4 out of 5 stars)
- Recommend this rotation if you are planning to do a residency
- coumadin clinic, outpatient medicine clinic, dialysis clinic and pulmonary clinic
- 8 a.m. to 4 p.m (2 hours shift at each clinic)
- 2 presentations: one to the pharmacists and one to the medicine staff

Pros: Very knowledgeable pharmacists! If you want to learn drug therapies and evidence based treatment guidelines from diabetes to COPD then this is your ideal rotation. I also had the opportunity to counsel veterans and to educate them about their diseases. I worked directly with VA physicians, nurses, and medical students.

Cons: I would love to work here as a pharmacist but you need a residency. The formulary is a bit limited so you won't be expose to all of the drugs especially the new ones. The drive was a bit far but it was well worth it.

 

[Bbed]

Did anybody else also meet her significant other on rotations?

 

[Bbed]

This is a cool thread, more reading for those inclined to do so: http://forums.studentdoctor.net/showthread.php?t=917138&highlight=rotation

Awesome information! hope you don't mind that I post your info in this thread:

First rotation: Global Health Outreach Trip
Pros: Very awesome. The experience was great and very rewarding. It lasted a week and counted for four weeks (winning!).
Cons: Expensive, time consuming pre-rotation preparation, extensive paperwork involved, vaccines, etc. Probably didn't do much to prepare me to actually be a pharmacist.
Final Thought: Likely to be my favorite rotation. Would certainly do it again.

Second rotation: Community (Independent)
Pros: The staff was friendly, got LOTS of experience counseling, also got to compound and do some other cool retail stuff
Cons: Not many. You do feel like free help sometimes I guess. When it is busy it does not exactly feel like a learning environment, to put it mildly.
Final Thought: I feel like most people who put down communty rotations probably don't take advantage of the opportunity as much as they should. I worked at CVS for two years before this rotation and still learned a lot from my preceptors about how to counsel, different facts about medications, being a pharmacist, etc. Have an open mind and just absorb as much as you can.

Third Rotation: Amb Care
Pros: Great hours, staff was friendly, preceptors challenge me more than my first two rotation sites (but not in a stressful way ), by far the most 'professional' setting I have seen a pharmacist in.
Cons: After the first hundred INR checks I doubt there is much more to learn. It gets monotonous.
Final Thought: Pretty cool overall, but it is just doing the same thing over and over and over...

And that is all I have so far. Hopefully others find this idea helpful and contribute.

 

[Bbed]

has anyone done a rotation in another country? how was your experience?

 

[Advate]

has anyone done a rotation in another country? how was your experience?

International rotations are good if you want to experience working and living in another country but you won't gain much practical experiences. Pharmacy is practiced very differently in other countries.

 

[owlegrad]

has anyone done a rotation in another country? how was your experience?

I loved the experience but it is not practical at all.

 

[Bbed]

International rotations are good if you want to experience working and living in another country but you won't gain much practical experiences. Pharmacy is practiced very differently in other countries.

I loved the experience but it is not practical at all.

Where did you guys do your international rotation? How long was the rotation? How much did it cost?

 

[Advate]

Where did you guys do your international rotation? How long was the rotation? How much did it cost?

I spent about 4 weeks Switzerland and yes, it was expensive! Does your school offer any international rotation? It's nice to take a "break" and travel but like others have said, you won't learn anything practical.

If you are going to do an international rotation, do it at the end of your rotations. This way you would get residency and job interview out of the way. You can just relax for a few weeks before you enter the "real world".

 

[Bbed]

How important are rotation grades for residency?

 

[owlegrad]

Where did you guys do your international rotation? How long was the rotation? How much did it cost?

It's all in the thread I posted.

 

[owlegrad]

How important are rotation grades for residency?

Doesn't everyone get A's on rotations? (Sorry if question is obnoxious)

 

[Advate]

How important are rotation grades for residency?

Most people get As so that means if you get a couple of Bs then that can hurt you. If you are absolutely sure you want to do a residency, choose a rotation site that has residency spots. Express interest in doing a residency there. Take it as a 6 week interview.

 

[Bbed]

just curious, what do you guys carry in your white coat pocket while on rotation?

 

[EML9255]

just curious, what do you guys carry in your white coat pocket while on rotation?

on my rotations where i wore my white coat daily i usually had a few random pens, calculator, phone, little general clinical pearls handbook, and probably some random piece of paper with notes scribbled on it,

 

[Bbed]

Does anybody else carry a candy bar in her white coat pocket?

How about a pack of gum? skittles? Those are great ice breaker!

 

[Carboxide]

Doesn't everyone get A's on rotations? (Sorry if question is obnoxious)

No. My sch0ol used to be one of those - everyone got As. so they drastically changed the grading regimen so that grades actually reflect your performance.

 

[Advate]

No. My sch0ol used to be one of those - everyone got As. so they drastically changed the grading regimen so that grades actually reflect your performance.

why would any school do this? why make it harder for their students when they apply for residency?

 

[Bbed]

No. My sch0ol used to be one of those - everyone got As. so they drastically changed the grading regimen so that grades actually reflect your performance.

just curious, how does your school do this?

 

[Bbed]

besides pubmed, what other sources do you use to look up research articles and clinical studies?

 

[Bbed]

I really feel 6 week rotation is really unnecessary. By the 4th week, either you know it or you don't.

 

[0810024]

besides pubmed, what other sources do you use to look up research articles and clinical studies?

TRIP database is a great resource especially for evidence-based medicine.

 

[Carboxide]

why would any school do this? why make it harder for their students when they apply for residency?

Because it does not help you when it is well known that an A means nothing. In fact, it could arguably hurt you when applying because you are considered an unknown. They have no idea what you know and don't know. I don't think it has affected our school, though. Every year at least 50% of the class gains a residency offer.

just curious, how does your school do this?

They have a grading form where the preceptor rates your abilities in certain areas and those translate through a system into a grade. They don't tell you how it translates. It's not THAT hard to figure out but it makes it a lot harder to game the system. Several people have said that they were graded by their preceptor fairly but got an B or even C, and the preceptor wasn't super happy because they thought the student did a good job and deserved better.

 

[Advate]

Because it does not help you when it is well known that an A means nothing. In fact, it could arguably hurt you when applying because you are considered an unknown. They have no idea what you know and don't know. I don't think it has affected our school, though. Every year at least 50% of the class gains a residency offer.

Yeah that's great and all but how do residency sites know this? If someone got a C, they would probably think the applicant is a poor student and not because of the high grading standards.

 

[Carboxide]

Yeah that's great and all but how do residency sites know this? If someone got a C, they would probably think the applicant is a poor student and not because of the high grading standards.

When you go to a very well-known school, people know what your grading scale is.

Example: everyone knows Stanford grade deflates.

 

[Advate]

that is a horrible idea. instead of concentrating on work experience and networking, you are going focus on useless grades.

 

[Bbed]

If you are on the first week of rotation and you feel you are not learning anything, what course of action would you take? Would you try to work it out with your preceptor? Would you talk to your school admin?

 

[Advate]

If you are on the first week of rotation and you feel you are not learning anything, what course of action would you take? Would you try to work it out with your preceptor? Would you talk to your school admin?

If you are having issues with your rotation site, let your school admin know first. Don't try to work it out with your preceptor. Some preceptors are just bad and can be defensive. Some sites are there to just use you as free labor. Talk to your school admin. Do it early.

 

[radio frequency]

just curious, what do you guys carry in your white coat pocket while on rotation?

I have so many pockets (some hidden)! I love my white coat!

I carry the Sanford guide, my phone with tons of pharmacy apps, a favorite pen, a granola bar, and sometimes some note paper.

 

[Bbed]

I have so many pockets (some hidden)! I love my white coat!

I carry the Sanford guide, my phone with tons of pharmacy apps, a favorite pen, a granola bar, and sometimes some note paper.

I also carry a granola bar! I have gums as well. They are great ice breaker!

 

[Bbed]

Rotation #2: Surgical ICU (2.5 stars out of 5)
- a team of 3 pharmacy students and a professor
- follow patients who had been hospitalized and the medications they are on
- made weekly recommendation on their medications especially antibiotics

Pros: got a chance to meet some of the attending physicians and the director. We had full access to the hospital computers and got a chance to see how patients are being treated in the ICU.

Cons: didn't interact with the medical team much. We mostly add notes and made suggestions but often, those suggestions were not ignored. We also did not round with the team. We mainly learn things from the patients' charts.

Overall, it was a decent rotation. It was a good introduction to the hospital. We did work with nurses, med students and attending physicians but it would have been much better if we had rounded with them more often.

 

[Advate]

Cons: didn't interact with the medical team much. We mostly add notes and made suggestions but often, those suggestions were not ignored. We also did not round with the team. We mainly learn things from the patients' charts.

That's too bad. Part of the learning is to work with med students. You learn a lot from them and they also learn from you.

 

[Bbed]

Has anyone ever done an out of state rotation? Do you need to get an intern license in that state first?

 

[owlegrad]

Has anyone ever done an out of state rotation? Do you need to get an intern license in that state first?

Yes

 

[Bbed]

Yes

Thanks! what state did you do your rotation? How long was the process?

 

[owlegrad]

Thanks! what state did you do your rotation? How long was the process?

No I was just answering the question about needing a licence. The answer is yes.

 

[Bbed]

for those who applied for residencies, how many days did you ask to be off for residency interview?

 

[Bbed]

anyone here had a NP as your preceptor? my next preceptor is a NP and I am not sure what to expect? Is this legal?

 

[trailerpark]

My school requires your preceptor to be a pharmacist regardless of where the setting is.

 

[oldstock]

anyone here had a NP as your preceptor? my next preceptor is a NP and I am not sure what to expect? Is this legal?

are you training to be a pharmacist or NP ??

 

[Bbed]

are you training to be a pharmacist or NP ??

Pharmacist. Weird right? Is this even legal? I thought as an intern, my work must be monitored by a pharmacist.

 

[oldstock]

Pharmacist. Weird right? Is this even legal? I thought as an intern, my work must be monitored by a pharmacist.

Call the state board of pharmacy and/or ACPE. This does not sound right to me...

And what school is it, if you don't mind sharing ??

 

[Bbed]

Call the state board of pharmacy and/or ACPE. This does not sound right to me...

And what school is it, if you don't mind sharing ??

I spoke with the rotation coordinator and she said my preceptor doesn't have to be a pharmacist. She said I would be working with medications but I won't be dispensing. It would also give me a good opportunity to learn what other professionals do.

 

[oldstock]

I spoke with the rotation coordinator and she said my preceptor doesn't have to be a pharmacist. She said I would be working with medications but I won't be dispensing. It would also give me a good opportunity to learn what other professionals do.

still sounds really weird as this is the first time I have heard about. I would still contact/call the state board of pharmacy (anonymously ? ) in your case just to make sure there is no complication for your intern hours (making sure that counts).

hope other pharmacists here chime in....