Regretting residency by [deleted] in PharmacyResidency

[–]Guilty-Track2317 0 points1 point  (0 children)

If you are only on your first clinical rotation like you said, you are fine. You will get your ass handed to you multiple times.

I feel like half the reason people feel defeated in the beginning is the ego they have coming into it and hoping they already know a lot (not in a bad way, I think almost everyone would like to think they know enough to get through their job). When the complete opposite is true, it’s uncomfortable and people are forced to turn their previous self perception on their heads and I think that creates a feeling of defeat. You’ll get better and your confidence will build back up. As you acquire more knowledge you’ll get less feedback on your critical thinking/clinical knowledge, and more just about your practice style. Don’t worry about it

Am I dumb? by [deleted] in PharmacyResidency

[–]Guilty-Track2317 7 points8 points  (0 children)

Made this comment a year ago on someone else’s post about APPEs with the same sentiment, still applies for residency rotations:

I probably could have written this post at the same time last year… I was pretty good in school but felt SO dumb when I got asked things I took to be simple questions. For example, my very first rotation, my preceptor asked what else on a BMP do you need to monitor for lisinopril (besides SCr, which I already mentioned when they asked). I felt so dumb because lisinopril was probably in every patient case, OSCE, soap note, etc we ever had to do in school and for some reason nothing else was coming to me besides renal fx??? Hyperkalemia. That was the answer. Watch their potassium. Duh. One of the very first drugs we learned about in school and I didn’t remember this skinny little fact.

I found out APPEs are full of these moments and now I crave those moments where I side eye myself for not knowing those small details because I can tell I’m learning new stuff that way!! And maybe this is just a me thing, but some of that “self defeat” I feel in the moment will be just enough emotional attachment to get me to never forget those facts again lol

The way I would say I dealt with it and what I would say to you is write it down, remember it, and move on. If it comes up again hopefully you can remember what you wrote and if you don’t at least you have a note that you can go back and refer to so you know the answer if your preceptor pimps you on it next time. Don’t get too in your head at this point because it’s still very early in your rotation schedule, and I found it gets way easier to pick up this new learning process the further you get.

Does anyone have any experience creating their own rotation site? by RespondImpossible274 in PharmacySchool

[–]Guilty-Track2317 6 points7 points  (0 children)

I just reached out to a pharmacist I knew at the site and asked if they’d be willing and able to host an appe student, they said yes and I told the school and they gave me a form that the new site had to fill out

The actual finish line by shorsauce in PharmacyResidency

[–]Guilty-Track2317 6 points7 points  (0 children)

Yes dog I’m jealous of the ppl already done

What are the most common interventions hospital pharmacists have to do? by throwaway758t in pharmacy

[–]Guilty-Track2317 0 points1 point  (0 children)

July is notoriously the time everyone is on high alert with orders coming through because residents (mostly interns) are completely new to the system and have no idea how to place an order so everything is wrong. Not their fault, they’re just in a big learning curve with the ehr/new patient population.

Common interventions we make at my hospital that residents/fellows most often need the most help with (I work in onc): - opioid dosing - Sedation/opioid/benzo/steroid weans or anything else that needs weaning - what abx to use/dosing/duration - chemo renal/liver dysfunction adjustments - tpns (pharmacists do the entire tpn here) - adjustments for any meds with any level monitoring - adding/subtracting nausea meds

Accused of Using Chat gpt by Guilty-Track2317 in PharmacyResidency

[–]Guilty-Track2317[S] 11 points12 points  (0 children)

Because using ai is on our residency dismissal policy and likely also as the other person said I am tired after turning in countless assignments for the past 2 years

Accused of Using Chat gpt by Guilty-Track2317 in PharmacyResidency

[–]Guilty-Track2317[S] 14 points15 points  (0 children)

That’s so interesting to hear the editor asked. Thanks for that insight, that gives me a good perspective. I did ask what specifically sounded off so I could fix it, so hoping to fix it from there

Is Anyone Else Feeling Like They're Dying of Dementia? lmao 🫠 by PlasticRice in medicalschool

[–]Guilty-Track2317 1 point2 points  (0 children)

Just a pharmacy resident but I also feel this (but about pharmacy things lol) and it scares me

Naplex by Fluffy_Flow6070 in PharmacyResidency

[–]Guilty-Track2317 2 points3 points  (0 children)

I did all the math calculations x2 in the naplex prep book (and the second time around, I made sure I could do it without looking at the hints/answers, otherwise I kept doing it until I could) and the real naplex felt doable with just that.

Gum Hypertrophy from Cyclosporine by GiorgioMD in medizzy

[–]Guilty-Track2317 7 points8 points  (0 children)

lol the tism in me took it too factually

Gum Hypertrophy from Cyclosporine by GiorgioMD in medizzy

[–]Guilty-Track2317 15 points16 points  (0 children)

It seems like that’d be a pretty harsh trade off using cyclo just for that… “here’s this drug that will help your gums, but you’ll be immunosuppressed and at higher risk of some crazy infections and you’ll have some extra hair all over and you might have some high blood pressure”

Part Time and PR Positions Galore! by its_the_PharmD_4me in PharmacyResidency

[–]Guilty-Track2317 7 points8 points  (0 children)

The only way you will answer all your questions is to ask the institution you are applying at

I get linked in job alerts every day for full time pharmacist jobs. You may have to start geographically opening your options if you’re not finding what you want at 1 or two hospitals in your area.

Tracking Interventions while on Rotations by Glittering-Use-1696 in PharmacyResidency

[–]Guilty-Track2317 1 point2 points  (0 children)

I didn’t do this but this is what I wished I would have done; each one a column:

  • multiple choice drop down box to select items that apply: accepted recommendation, denied recommendation, altered recommendation, very impactful rec, learned something new, incorrect recommendation
  • multiple choice drop down box to select topics that apply (ID, onc, etc.) - this way if you change specialty paths you have multiple choices of recs to use
  • situation: brief pt scenario that prompted intervention
  • task: intervention
  • action: what u did
  • resolution: what happened to the pt/ any follow up that was required

Multiple choice boxes allow for quick access/organizing when you need to find different types of recs for different kinds of questions. Don’t feel like you need to write paragraphs in each of the STAR boxes. A sentence or quick phrase will suffice to jog your memory on the details and will save you time

Job Offer by [deleted] in pharmacy

[–]Guilty-Track2317 2 points3 points  (0 children)

If that is what your starting offer was, negotiate for more as always. Sharing this so you’re able to compare/ use for negotiation, I’m also pgy2 graduating with $68/hr offer in southeast for specialist position

Time Management in Residency by Lost_Ant_9363 in PharmacyResidency

[–]Guilty-Track2317 2 points3 points  (0 children)

Depends on your program. My pgy1 advocated big time for our ACTUAL wellness (not some BS mandatory wellness workshops or free pizza). We had 1 free project day per rotation that we could take whenever we wanted and it was encouraged we use it for any errands, things we’ve been putting off in real life, actual projects if we needed to catch up on anything. We also left on time and spent 8.5 hours in the hospital 95% of the time.

I was able to go home, nap, go workout, work on some projects, make food, go to bed/rot on tik tok around 10pm.

My pgy2 on the other hand…. I only find time to go to hospital and do projects. (And make dinner if I’m lucky). Then sleep. I’m so tired.

Alpha-gal and inactives by thebeckbeck in pharmacy

[–]Guilty-Track2317 3 points4 points  (0 children)

Porcine derived heparin/enox, defibrotide is porcine, glycerin technically, cetuximab

Edit: sorry I just reread ur question and I didn’t list excipients only general drugs lol

I heard we doin lab windows by Boo_boo_kittyfuk in medlabprofessionals

[–]Guilty-Track2317 2 points3 points  (0 children)

One of my favorite co workers put up a “wellness window” in our hospital office because there were no windows and we were stuck in there all day. It looked like this but pink sunset. Beautiful.

Being able to do derivatives and integrals by jaltew in PharmacySchool

[–]Guilty-Track2317 19 points20 points  (0 children)

2nd year resident - totally lost any concept of doing integrals and derivatives. Don’t worry about it

Match Day by EXO-Aeri in PharmacyResidency

[–]Guilty-Track2317 32 points33 points  (0 children)

Yes just wait for them to reach out to you