This rotation involves two distinct services – the Antimicrobial Stewardship Program (AMS) as well as Infectious Diseases (ID) consult service. This rotation is based in Victoria at the Royal Jubilee Hospital (RJH), in Duncan at the Cowichan District Hospital, in Nanaimo at the Nanaimo Regional General Hospital, and in Campbell River at the Campbell River Hospital. Each day, the resident will take on the care of 1-5 patients (depending on the complexity of the patient and where the ID/AMS rotation falls within the year) from the AMS daily review list.

The AMS portion of this rotation will provide the resident with the opportunity to learn about the appropriate use of antimicrobials on various wards at RJH. With the goal of stewardship in mind, the resident will provided clinical patient care to selected patients who have a drug therapy problem related to optimization of antimicrobial therapy. The resident will work to identify and resolve the patient’s DTPs, make suggestions to the team, monitor therapy and provide education regarding the optimal use of antimicrobials. The resident will also spend time learning about the different modalities of providing AMS services (audit and feedback, protocol development, education etc.) and about the different moving parts of the program (medical microbiology, laboratory medicine, infection prevention and control, ID, research etc.).

The ID portion of this rotation will provide the resident an opportunity to learn about the role of the infectious disease consultation team as well as the pharmacist’s role within such team. The level of involvement may range depending on patient factors, requests from other team members and learning goals of the resident