(Also refer to the general goals and objectives for PhPr 803)
The primary purpose of the renal rotation is to develop an understanding of pharmacotherapy for patients with renal disorders who are treated in outpatient clinics and admitted to the wards and intensive care units of an institution. An ancillary goal is to allow the student to develop the ability to effectively gather and disseminate information, and communicate with patients, nurses, physicians, pharmacists, and other health care practitioners specific information necessary in the care of chronically ill patients.
At the beginning of this rotation, the preceptor and student will review the objectives. The student is expected to develop his/her own objectives at the start of the rotation. The preceptor and student will review particular topics for reading/discussion. These topics should be primarily based on the individual's weaknesses and strengths as viewed by both the student and preceptor.
At the completion of this rotation, the student should be able to:
1. Present cases and discuss the management of patients with the following renal disorders.
- Acute renal failure
- Chronic renal failure
- Acid-base disorders
- Fluid and electrolyte disorders
- Renal dialysis
- Nephrotic syndrome
- Kidney transplantation
2. Discuss pathophysiology of patients with renal disorders.
3. Discuss the pharmacotherapy of the various renal diseases and kidney transplant including pharmacokinetics, adverse events, and cost-benefit data.
The responsibilities of the student during this rotation shall include the following:
- Closely follow patients from the consulting service as assigned by the preceptor.
- Closely review all the drug therapy of each patient being monitored including pharmacology, toxicology, pharmacokinetics, drug interactions, and monitoring parameters. From these data, develop a therapeutic plan.
- Write progress notes on patients.
- Evaluate serum drug concentrations for patients being followed.
- Document all patient care activities as required.
- Attend patient conferences, pharmacy in-service presentations, and pharmacists' meetings.
- Review and discuss a topic as selected by the preceptor and student once weekly.
- Prepare and give a formal presentation.
Students will be evaluated on an objective and subjective basis. Objective evaluation will be based on the preset expectations discussed at the beginning of the rotation. Subjective evaluation will be based on enthusiasm, inquisitiveness, logical thinking, professionalism, and a willingness to do more than the minimum amount of work. Students will be informed of their progress at the midpoint and end of the rotation unless the preceptor feels more frequent formal evaluations are necessary.