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Memorial Hermann Southwest: Preceptors and Rotations

The PGY1 Pharmacy Residency Program at Memorial Hermann Southwest Hospital (MHSW) provides a comprehensive educational and practical experience that develops competent clinicians in a multi-site community hospital practice setting. Rotations are divided into 12 blocks, with 1 for orientation, 1 for research, 8 core rotations and 2 elective rotations. Core rotations consist of: Internal Medicine (choice of 2 between Cardiology, General Medicine, Geriatrics, Neurology, and Neuro-Rehab), Critical Care, Infectious Diseases, Emergency Department, Management, Patient/Medication Safety, and Integrated Clinical Pharmacist. Elective rotations may be selected from any core rotation, Academia, Ambulatory Care, Cardiovascular Surgery (CVICU), Corporate Pharmacy, Informatics, and off-site rotations based on the resident’s interest areas.

Ambulatory Family Medicine


Julie Adkison, PharmD, BCACP, CDE
Education: University of Houston College of Pharmacy, Houston TX
Residency: PGY1 at University of Houston College of Pharmacy/Memorial Hermann Healthcare System
Site: Physicians at Sugar Creek

This longitudinal experience combines ambulatory care with medical education at the Physicians at Sugar Creek (PSC) clinic in Sugar Land. PSC is recognized as a Level 3 Patient Centered Medical Home. There are 42 family medicine residents plus faculty who complete approximately 50,000 patient visits per year. The full spectrum of primary care diseases is seen at PSC, and patients have a variety of payor types, including both insured and non-resource. The pharmacy resident on this experience is a highly valued team member. The resident will work closely with family medicine residents in their daily patient care clinic. There are also opportunities to see diabetic patients in a specialty clinic, work with a dietician, conduct in-depth medication reviews in a senior services clinic and work with a behavioral health professional. Additionally, the resident will be exposed to the process of creating educational materials for family medicine residents. Because multiple pharmacotherapy clinics are not established, this rotation is a non-traditional ambulatory care experience. Through the wide variety of patient care encounters and close work with physicians, the uniqueness of this rotation lies in its ability to be tailored to the pharmacy resident’s area of interest within family medicine and ambulatory care.

Cardiology and Integrated Clinical Pharmacist

2017 Samuel Akinyele

Samuel Akinyele, PharmD, BCPS
Education: University of Maryland School of Pharmacy, Baltimore, MD
Residency: PGY1 at Baylor St. Luke’s Medical Center, Texas Medical Center, Houston, TX;
PGY2 in Cardiology at Baylor St. Luke’s Medical Center, Texas Medical Center, Houston, TX
Site: Memorial Hermann Southwest Hospital

Cardiology: Memorial Hermann Southwest Heart and Vascular institute opened in 2006 as Houston’s first freestanding heart hospital dedicated to manage cardiovascular patients. The institute’s Heart Valve Clinic offers innovative care delivered by a multidisciplinary team of affiliated heart specialists. Accredited as a chest pain center by the society of cardiovascular patient care, the institute is well known for expert heart attack care. The rotation will provide experience in the management of a wide variety of disease states related to Cardiology and Cardiovascular surgery. The resident will have opportunity to provide individualized evaluation of drug therapy and participate in patients care through interaction with physicians and other health professionals. The resident will be participating in a multidisciplinary rounding on a daily basis. The primary focus of the rotation will be on optimizing pharmacotherapy and the ability to apply best-practice medicine to the care of patients who have various conditions related to cardiology.   

Integrated Clinical Pharmacist: The purpose of the Integrated Clinical Pharmacist rotation is for the resident to gain an understanding of general pharmacy practice including technology systems and unit based work flow. The resident will utilize both staffing and clinical skills that he/she has obtained throughout the year by functioning as a decentralized pharmacist in the assigned medicine floors. The resident will be responsible for order verification, clinical protocols, counseling and be a drug information resource for providers on the assigned medicine floors.

Critical Care

2017 Jigna Patel

Jigna Patel, PharmD, BCPS
Education: University of Houston College of Pharmacy, Houston, TX
Residency: PGY1 at University of Texas Medical Branch, Houston, TX
Memorial Hermann Southwest Hospital

The critical care rotation is based in the Memorial Hermann Southwest 40 bed ICU. The resident will have an opportunity to work with the ICU team composed of an attending physician (intensivist), nursing, dietary, respiratory therapist and case management. This rotation will allow the resident to build a basic foundation of knowledge and clinical skills for the management of critically ill patients. The resident will be participating on daily rounds with the team and have an opportunity to optimize pharmacotherapy and the ability to apply best-practice medicine for a diverse population with many different disease states.

Emergency Medicine

2017 Chase Waxler

Chase Waxler, PharmD, BCPS
Education: University of Houston College of Pharmacy, Houston TX
Residency: PGY1 at Memorial Hermann Southwest, Houston, TX
Site: Memorial Hermann Southwest Hospital

This emergency medicine rotation is based out of the Memorial Hermann Southwest (MHSW) Emergency Department. The emergency department (ED) functions as a multidisciplinary team and allows the resident to interact with variety of health care professionals including ED physicians, mid-level practitioners, nursing staff, registrants, respiratory therapists, case managers, family practice residents and admitting physicians. Our ED treats approximately 70,000 patients/year averaging around 200 patients daily and holds designations as both a level III trauma center and a level II stroke center. The acuity of our patient population also provides opportunity for the resident to gain experience in the provision of advanced cardiovascular life support to both pediatric and adult patients. Overall, this rotation will provide the resident with a broad scope of experience in managing high acuity patients in a fast-paced environment.

The primary focus of the resident will be ensuring the prompt/safe delivery of evidence-based medicine to our patients through a collaborative effort with other health care professionals on the ED team. He/she will be available as a medication resource/educator to our patients and the ED team upon request. The resident will attempt to obtain accurate medication histories from our patients in an effort to evaluate compliance.

General Medicine

2017 Theresa Gerst

Theresa Gerst, PharmD, CGP, BCPPp
Education: Texas Tech University Health Sciences Center School of Pharmacy, Amarillo, TX
Residency: PGY1 at Veterans Affairs Hospital, St. Louis, MO;
PGY2 in Psychiatry at University of North Carolina Hospital, Chapel Hill, NC
Site: Memorial Hermann Katy Hospital

Memorial Hermann Katy Hospital (MHKH) serves a variety of patients in the West Houston area. With the expansion of a six-story tower to be completed in 2015, the service lines continue to expand. As of 2014, MHKH has a 12 bed ICU, a 4 bed IMU, and a 30 bed Observational Unit. In 2013, MHKH was recognized as a Top Performer by The Joint Commission for outstanding performance with measure sets (i.e. core measures).

The objective of this rotation is to learn a variety of disease states in the community hospital setting. The resident will work closely with the critical care team as well as with our hospitalists, infectious disease specialists, pulmonologists, and neonatologists. The resident is expected to round with the critical care team daily. Patient counseling, attending codes throughout the hospital, and nursing and pharmacy education is also expected during the rotation.

Geriatrics and Neurology

2017 Ngan Vo

Ngan Vo, PharmD, BCPS
Education: University of Houston College of Pharmacy, Houston TX
Residency: PGY1 at Memorial Hermann–Texas Medical Center, Houston, TX;
PGY2 in Internal Medicine at Methodist University Hospital/University of Tennessee Health Science Center, Memphis, TN
Site: Memorial Hermann Southwest Hospital

The Geriatrics and Neurology rotations at Memorial Hermann Southwest are designed to provide residents with training in managing patients with diverse medical conditions in a specialized acute care setting. The resident will develop care plans in collaboration with attending and consulting physicians, mid-level practitioners, nursing staff, physical therapists, occupational therapists, case managers, social workers, and home health coordinators. 

Geriatrics: Our hospital offers dedicated services to senior patients via the Senior Emergency Center and 24-bed Senior Medicine Unit. The resident will function as a member of the multidisciplinary team on the Senior Medicine Unit, where patients 55 years or older are hospitalized for a variety of diagnoses, including altered mental status, anemia, cellulitis, COPD exacerbations, diabetes and associated complications, CHF, falls, pneumonia, sepsis, syncope and urinary tract infections.

Neurology: Recognized as a Primary Stroke Center, Memorial Hermann Southwest is prepared to rapidly diagnose and treat stroke patients. More than 10 neurologists and neurosurgeons are on staff and telemedicine capabilities allow physicians to collaborate and assess patients from remote locations. In addition to stroke management, the resident will provide care for patients with a wide variety of neurological conditions and disorders in the 20-bed Neuroscience Center.

Infectious Diseases

2017 Shivani Patel

Shivani Patel, PharmD, BCPS
Education: University of North Carolina at Chapel Hill, School of Pharmacyp
Residency: PGY1 at Vanderbilt University Medical Centerp
Site Location: Memorial Hermann Southwest Hospital

This infectious disease rotation is based out of the Memorial Hermann Southwest (MHSW) Hospital. The infectious diseases rotation covers patients in all 594 beds at MHSW. The hospital has multiple infectious disease consult physician groups that provide antibiotic services to our diverse patient population in addition to the other medical service lines that we support. The resident is responsible for optimizing anti-infective therapy for all identified patients with infectious disease related issues and is an integral member of the inpatient team. The resident participates actively in daily patient-care reviews, literature evaluation, patient presentations, and disease and drug analyses and discussions. The resident will also participate in weekly microbiology rounds in conjunction with the Family Practice Residency service to gain an in-depth understanding of microbiology and how to appropriately apply relevant pharmacotherapy. This rotation provides in depth training in antimicrobial management of the following infections: bacteremias, bone and joint, nosocomial, CNS, skin and soft tissue, respiratory, cardiovascular, and more. The resident is challenged to develop individualized therapeutic recommendations and monitoring plans daily. Development of critical thinking skills is paramount in this rotation. Our site offers exposure to a wide variety and scope of infectious disease related pharmacotherapy issues.


2017 Dehuti Pandya

Dehuti Pandya, PharmD, BCPS
Education: University of Texas College of Pharmacy, Austin, TX
Residency: PGY1 at Memorial Hermann–Texas Medical Center, Houston, TX
Site: TIRR Memorial Hermann Hospital

This neuro-rehabilitation rotation is based out of the TIRR Memorial Hermann located in the World Renowned Texas Medical Center. TIRR is ranked 3rd in the nation for its exceptional rehabilitation care. At TIRR we specialize in neurological rehabilitation. Our comprehensive rehab includes inpatient and outpatient treatment of stroke, brain injury, spinal cord injury, amputation, and neurological and neuromuscular disorders.

Every year since 1990, US News & World Report has ranked our nation’s leading hospitals. And in every one of those years, TIRR Memorial Hermann has been named among the very best rehabilitation hospitals in the United States. TIRR is affiliated with both University of Texas Medical School at Houston and Baylor College of Medicine. We are an academic teaching hospital with many opportunities for pharmacy residents to work in a multidisciplinary physician led team, play an integral part in medical resident education and training, high level patient care interaction, and most importantly be a part of a team that enables each patient to regain independence after very challenging circumstances.

The primary focus of the resident will be ensuring the prompt/safe delivery of evidence-based medicine to sub-acute care patients. The resident will be involved in physician education/training, patient counseling, and ongoing research trials. Being involved in outpatient pharmacy services with collaborative practice agreements (prescriptive rights) in the disease states like anticoagulation, diabetes, smoking cessation, and hypertension, is just an example of unique experiences that TIRR Memorial Hermann offers.

Patient and Medication Safety

2017 Sarah Lake Wallace

Sarah Lake-Wallace, MS, PharmD
Education: University of Houston College of Pharmacy, Houston, TX, University of Florida College of Pharmacy, Gainesville, FL (MS Pharmacy Administration)
Residency: Kelsey-Seybold Managed Care Residency, Houston, TX
Site: TIRR Memorial Hermann

This rotation is based with the Memorial Hermann Rehabilitation Network, primarily focused at TIRR Memorial Hermann. TIRR Memorial Hermann is an inpatient rehabilitation facility with 134 licensed beds focusing on the care of stroke, brain injuries, spinal cord injuries, and neuromuscular disabilities. The rotation will involve the entire hospital and multiple departments. Residents are exposed to and participate in interdisciplinary quality improvement activities relating to assuring a safe and effective medication use process and patient safety. The activities will be project and meeting based. Roles and responsibilities include investigating and completing medication-related significant adverse drug event reports, assessing aggregate event data for process variance and hospital-wide trends, compose and present reports related to medication use to the Committees and Subcommittees charged with monitoring medication use, patient safety and quality, participate on teams and workgroups to formulate corrective action plans, implement those plans and devise monitoring plans for measuring the effectiveness of process improvements implemented. Resident will have the opportunity to participate in high level leadership meetings, medical residency education activities, and develop project management skills.

Pharmacy Management

2017 Steven Thomas

Steve Thomas, RPh, MBA
Education: Temple University, Philadelphia, PA
Site: Memorial Hermann Southwest Hospital 

The Management rotation is designed to provide a basic overview of the administrative aspects of managing a Pharmacy Department in a community hospital setting. Its purpose is to get the resident involved in pharmacy administration with experiences in the overall direction and integration of pharmacy services. The rotation consists of both longitudinal and focused experiences with various pharmacy leaders. The experiential component of this rotation focuses on actual projects, teams and PI activities. The rotation is intended to provide the resident with “hands on” experience in identifying and resolving administrative and clinical problems, forming and functioning within a team-work environment and developing new pharmacy initiatives. In addition, the resident becomes knowledgeable about key administrative responsibilities including planning, budgeting, medication safety and management structures within the pharmacy department of a community hospital.

Staffing/Pharmacy Operations

2018 Jessica Phan Update

Jessica Phan, RPh
Education: University of Houston College of Pharmacy, Houston TX
Site: Memorial Hermann Southwest Hospital 

One of the unique aspects of Memorial Hermann Southwest Hospital residency is the staffing component. We are the largest facility that has been serving the communities of Southwest Houston since 1977. For three years in a row, our hospital has been recognized as one of America’s 50 Best Hospitals by HealthGrades, an independent health quality ratings company for our overall clinical excellence. The goal of the staffing component is to gain a better understanding of the operation of pharmacy and the critical role it serves in the overall care of patients, which range from neonates to geriatrics. During the staffing portion, the resident is exposed to the six steps of medication management (prescribing, procurement, preparation, dispensing, administration, and monitoring). Through this experience, the resident will have to opportunity to interact with various healthcare disciplines, reinforce the fundamentals and extend the working knowledge of hospital pharmacy, which will make the resident a more well-rounded clinician.