In this episode of Your PharmD Bestie, host Alina Luk, PharmD, is joined by William Xu, PharmD, for a practical discussion on one of the most intimidating yet essential clinical skills in pharmacy training: working up a patient.
From identifying the chief complaint and prioritizing active problems to interpreting labs, reviewing medications, and making meaningful clinical interventions, Alina and William break down their step-by-step approach to inpatient patient workups. They share how their perspectives evolved from pharmacy students focused on memorizing every detail to residents learning how to prioritize what matters most for patient care.
The conversation explores common medication-related interventions pharmacists make, including renal and hepatic dose adjustments, IV-to-PO conversions, antibiotic de-escalation, monitoring for adverse effects, and anticipating next steps in a patient's treatment plan. They also discuss the transition from student to resident responsibilities, balancing autonomy with asking questions, and developing the clinical reasoning needed to support recommendations to the healthcare team.
Beyond patient workups, Alina and William share practical tips for staying organized on busy rotations, managing competing priorities, communicating effectively with preceptors and interdisciplinary teams, and avoiding the pressure to know everything immediately.
Whether you're a pharmacy student preparing for APPE rotations, a new resident adjusting to clinical practice, or a pharmacist looking to refine your approach to patient care, this episode offers practical strategies, reassurance, and reminders that clinical confidence is built through repetition, feedback, and experience.
What is Your PharmD Bestie Podcast?
Your PharmD Bestie is a podcast under the Pharm So Hard Network, produced by Jimmy Pruitt. Hosted by pharmacist Alina Luk, the show provides an authentic and unfiltered look into the pharmacy profession, bridging the gap between students, residents, and practicing professionals. Alina Luk’s journey through pharmacy school and residency is filled with valuable lessons and experiences that she eagerly shares with her listeners. Through personal stories, professional insights, and practical advice, Alina explores topics ranging from navigating pharmacy school and residency to overcoming challenges and celebrating achievements as a practicing pharmacist. With guest contributions from preceptors, fellow professionals, and students, this podcast is a go-to resource for anyone passionate about pharmacy.