Rotations and Curriculum

Facilities

St. Elizabeth Youngstown Hospital

Rotation Schedule

Required learning experiences (three to seven weeks):

• Orientation to Residency and Hospital Practice
• Practice Management
• Internal Medicine
• Transition of Care/Decentralized Pharmacy Services 
• Critical care (two months required)
  • Critical Care (ICU required)
  • St. Elizabeth Youngstown Hospital MICU
  • St. Elizabeth Boardman Hospital ICU
  • Critical Care (SICU)
• Emergency Medicine (required)
• St. Elizabeth Youngstown Hospital
• St. Joseph Warren Hospital
• Advanced Adult Medicine (with pharmacy student preceptorship)

• Clinical Services (pharmacy consultation service) 
• Hospital Formulary and Policy Management 
• Hospital Practice
• Medication Safety/Management
• Pharmacy/Family Medicine Clinic
• Residency Project
  • Consistent with other residency programs, residents are required to design and conduct a major project throughout the year
• Teaching and Education (including teaching certificate program)
  • Opportunities are available to participate in the education of:
    • Pharmacy students
    • Resident physicians
    • Other health care professionals
  • When you participate in the teaching certificate program, you’ll be given a title of clinical instructor at the Northeast Ohio Medical University’s College of Pharmacy
    • Provides an opportunity to improve didactic, small group and experiential teaching skills
    • Resident will have access to the university’s intranet, course management system and extensive library resources

Elective learning experiences (three to four weeks):

The resident may choose one physician co-precepted elective rotation. Flexibility exists to create additional electives based on resident interest. Up to one month of elective time may be used for residency project implementation/completion, if necessary, for the project and approved by the residency program director.

Pharmacist precepted:

• Anticoagulation clinic 
• Hematology Oncology 
• Population Health (facilitated through BSMH Population Health)
• Emergency Medicine (elective)
• St. Elizabeth Youngstown Hospital
• St. Joseph Warren Hospital
• Critical Care (ICU elective)
• St. Elizabeth Youngstown Hospital
• St. Elizabeth Boardman Hospital
• St. Joseph Warren Hospital

Physician co-precepted:

• Cardiology
• Infectious disease 
• Trauma service

Research and Scholarly Activity

Residents complete several required longitudinal projects throughout the residency year.  Residents are required to design and conduct a major research project throughout the year, including the writing of a final manuscript.  Research will be presented in several forums throughout the year, including the ASHP Midyear meeting, the Ohio Pharmacy Residency Conference (OPRC), and Mercy Health Youngstown Resident Research Day.  Additionally, the residents complete at least one Medication Use Evaluation (MUE), complete one formulary drug monograph which is presented at the local and enterprise-wide P&T, write one policy or guideline, and complete one newsletter article for local or regional publication.

Publications and Presentations

Abbas A, Yankle JM, Apostolis M, Limbu I, Peyko V. A case report of a 74-year-old immunocompromised host diagnosed with pulmonary blastomycosis and pulmonary hemorrhage. Am J Case Rep. 2022; 23: e935059.

Bajdas H, Rine N, Sabol B, Ordons K. Impact of pharmacist intervention on thrombolytic therapy. American Society of Health-System Pharmacists (ASHP) Midyear Meeting – Poster Presentation, 2019.

Lauver AR, McKay J. Intensivist/Pharmacist Relationships: Critical in Critical Care Telehealth? National presenters for American Society of Health-System Pharmacists (ASHP) Telehealth Management Pearls Part II Webinar, 2021.

Longstreth KL, Abbas A, Rhodes J, Shick B, Gemmel DJ. Implementation of a Pharmacist-Optimized Education and Transition (POET) Service Advances Pharmacy Practice at a Community Teaching Hospital. The Journal of the Pharmacy Society of Wisconsin. 2019; 22(4): 44-50.

Peyko V, Cohen H. A Comparison of Adjusted Versus Unadjusted Doses of Polymyxin B Based on Renal Function and Incidence of Acute Kidney Injury. J Pharm Pract. 2020; 33(3):255-261.

Peyko V, Ladd H, Cutrona A. The Safe Administration of Remdesivir in a Patient with Acute Kidney Injury Requiring Hemodialysis. Case Reports in Infectious Diseases. 2020: Article ID 8811798.

Peyko V, Shams D, Lauver AR. Epinephrine Auto-Injection After Allergic Reaction Leading to Gas Gangrene of the Leg. Am J Case Rep. 2021; 22: e930889.

Polverine O, McKay J, Wirtz S, Lauver AR, Barreiro TJ, Al-Zoby M, Gemmel D. Evaluation of ketamine as an alternative for sedation in patients with COVID-19 (Ke-Co study). American Society of Health-System Pharmacists (ASHP) Midyear Meeting – Poster Presentation, 2021.

Starr C, Ordons K, Longstreth K, Rine N. Impact of Intravenous Push Administration on Time to Antibiotic Initiation in Septic Patients. American Society of Health-System Pharmacists (ASHP) Midyear Meeting – Poster Presentation, 2019.

Timanus E, Lauver AR, Stanitsas L, Rock T. Comparison of hydralazine and labetalol on intracranial pressure when used for blood pressure control in patients with intracranial hemorrhage. American Society of Health-System Pharmacists (ASHP) Midyear Meeting – Poster Presentation, 2021.

Walker C, Peyko V, Farrell C, Awad-Spirtos J, Adamo M, Scrocco J. Pericardial effusion and cardiac tamponade requiring pericardial window in an otherwise healthy 30-year-old patient with COVID-19: a case report. Journal of Medical Case Reports 2020; 14:158.