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TEXAS CHILDREN'S PHARMACY
DEPARTMENT
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Pharmacy
Department |
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Specialty
Residency in Pediatric Pharmacotherapy
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Specialty
Residency in Pediatric Rotations
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Brooke Bernhardt, Pharm.D., BCOP
The Texas Children’s Cancer Center and Hematology Service is the
largest of its kind in the United States, serving patients with all
types of oncologic and hematologic disorders. Nearly 25,000 patients
will be seen in the outpatient clinic, with approximately 1600 of
those patients presenting with new diagnoses this year. Patients and
family members come from 35 states and 26 countries to Texas
Children’s for treatment. The primary site for this rotation is the
9th floor of the West Tower of Texas Children’s Hospital, an open
ward comprised of 36 inpatient beds.
Provide clinical pharmacy services to pediatric hematology and
oncology patients, including:
- Patient profile review with problem medication order
identification/resolution.
- Understanding the pharmacology, dosing, indication,
and anticipated adverse events (and the management
thereof) for each medication used.
- Rounding and interacting effectively with the
multidisciplinary Hematology/Oncology teams.
- Participating in various learning opportunities as
appropriate, including Attending/Fellow lectures, Drug
of the Day, Pharmacotherapy Nursing Rounds,
Pharmacotherapy Rounds, Feigin Rounds, Tumor Board, and
Grand Rounds.
- Providing pharmacokinetic, nutrition, and
electrolyte recommendations as indicated on each
patient.
- Providing timely and accurate answers to drug
information questions.
- Monitoring for and reporting of adverse drug events
as appropriate.
- departmental initiatives as indicated.
Rounds
Patients are separated into two teams, read and blue.
The post-call team rounds first, followed by the on call team.
Rounding times may vary; therefore the resident is expected to
be present during the following times for rounds (slight
changes may be made on a daily basis):
Monday: 8:30 am – 12:00 pm
Tuesday: 8:15 am – 10:30 am (may resume from 11:30 am – 12:00 pm)
Wednesday: 8:30 am – 12:00 pm
Thursday: 9:15 am – 12:00 pm
Friday: 9:30 am – 12:00 pm
Required Meetings:
Meetings as scheduled with preceptor.
Attending/Fellow lectures:
Mondays and Fridays at 12 noon, 9WT work room
Tumor Board: Tuesdays at 4 pm, TCH Auditorium
Feigin Rounds: Tuesdays, 10:30 am, 6th floor Neo conference room
Grand Rounds: Fridays, 8:30 am, TCH auditorium
Hematology/Oncology Edu: one Tuesday per month, 3:00 pm, Cancer
Center Clinic Pharmacy
Nursing Pharmacotherapy Rounds: 2nd Thursday of the month, 2:00
pm, 9WT charge room
Pharmacotherapy Rounds: 3rd Thursday of the month, 3:00 pm, TBA
- Leukemia and Lymphomas
- Acute lymphoblastic leukemia, Acute myelogenous leukemia, Chronic leukemias
- Burkitt, Hodgkin, and
non-Hodgkin Lymphoma
- Solid Tumors
- Osteosarcoma, Rhabdomyosarcoma,
Ewing sarcoma family of tumors, Retinoblastoma, Neuroblastoma, Medulloblastoma, CNS
tumors
- Supportive Care
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Chemotherapy-induced nausea and
vomiting, acute and long-term
toxicities of chemotherapy, pain
management, nutritional/electrolyte
supplementation
- Hematology
- Autoimmune hemolytic anemia, Aplastic
anemia, Hemophilia, Sickle Cell Disease, Idiopathic thrombocytopenic purpura
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