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PGY2 Solid Organ Transplant Pharmacy

The PGY2 pharmacy residency in transplant trains residents to practice as clinical specialists across all phases of transplantation through collaboration with the multidisciplinary transplant service. The resident will gain experience in a broad range of transplantation settings, including opportunities for teaching and research, and develop their own patient-centered, evidence-based practice. This program will prepare the resident to practice either in an in or outpatient setting and work with all types of solid organ transplants.

The PGY2 Residency consists of a series of learning experiences that span a 52 week period.  Specific learning experiences and goals will be accomplished in discrete blocks of time, while others will occur longitudinally throughout the duration of the residency.  Residency time will be generally structured as follows:

Residency duration   52 weeks
Orientation/Training 2 weeks (may be incorporated into a rotation for internal candidates)
Interviews/Holidays/Time Off       14 days plus 3 interview days (not a contiguous block)
Residency Learning Experiences 50 weeks (minus time off/project days/conferences)
Project Days
2 weeks
AST Fellows Symposium
/American Transplant Congress 
1 week


Required Rotational Experiences: 42 weeks

1. Kidney Transplant
4 weeks
2. Liver Transplant
4 weeks
3. Heart Transplant   4 weeks
4. Kidney and Liver Transplant Clinic  4 weeks
5. Heart Transplant Clinic
 4 weeks
6. Pediatric Kidney, Liver and Heart Transplant
 4 weeks
7. Transplant Infectious Disease
 4 weeks
8. Transplant Quality and Data 2 weeks

Elective Rotational Experiences: 20 weeks

A total of 20 weeks; can be split into 2 or 4 week rotations based on resident's interest and development plan. Part II of a required rotation will expect the resident to take ownership of the service with a focus on precepting pharmacy learners.

You must select at least two of the following:
  1. Kidney Transplant II
  2. Liver Transplant II
  3. Heart Transplant II
You may select any of the following:
  1. Kidney and Liver Transplant Clinic II
  2. Heart Transplant Clinic II
  3. Pediatric Kidney, Liver and Heart Transplant II
  4. Kidney and Liver Transplant (cover both services)
  5. Critical Care (ie. MICU, SICU, CCU, CTICU)
  6. End Stage Lung Disease
  7. End Stage Liver Disease
  8. End Stage Kidney Disease/Dialysis
  9. Transplant Hepatology Consult Service
  10. Transplant Nephrology Consult Service
  11. Transplant Endocrinology Clinic
  12. Transplant Infectious Disease Clinic
  13. Other/Repeat (with RPD approval)

Longitudinal Experiences:

  1. Kidney and Liver Transplant Clinic
    - Year-long coverage of Monday Kidney and Liver Transplant clinic caring for pre- and post-transplant recipients and living donors
  2. Residency project (2)
    - Longitudinal project focused on clinic topic
    - Cost management project/MUE
    - Submit research project for ATC or ASTS meeting and publication to transplant or pharmacy journal (at least 2 drafts of manuscript completed prior to graduation)
  3. Medical Review Board, Recipient Review Committee, Donor Advocacy Panel, Quality Assurance Performance Improvement (QAPI) meetings throughout the year
    - Learn requirements of transplant quality programs and regulatory requirements
  4. Education and Opportunities to precept: 
    - Teaching Certificate Program
    - Peer-review Journal Publications
    - Nursing and Physician In-services
    - Clinical Case Conference Presentations
    - Transplant Journal Club Presentations
    - Continuing education presentations
    - PharmD students
    - PGY1 residents
    - Local pharmacy school didactic lectures
  5. Administrative reports/responsibilities
    - Supervise PGY1 residents and APPE pharmacy students
    - Participation at Transplant QAPI meetings
    - Participation at Transplant listing meetings
  6. Staffing:*
    - Two shifts every third weekend and approximately 1-2 weekday shifts per month covering the transplant service (12 day stretches required)
    - On call formulary pager coverage (schedule to be determined) 
*Any staffing shift including night shift may be filled at discretion of residency director


PGY2 Solid Organ Transplant Requirements for Graduation

  1. Educational checklist complete
    1. One hour pharmacy grand rounds or ACPE accredited lecture (1)
    2. 30 minute clinical case conference (2)
    3. Nursing in-services (2)
    4. Physician in-services (2)
    5. Lecture at school of pharmacy (1)
    6. Career related community service (2)
    7. Contribution to Pharmacy Department Bulletin or pharmacy related publication (1)
    8. Epic Tickets (3)
    9. P&T monograph or class review or protocol creation or update (1)
    10. Cost Management/Medication Use Evaluation project completed
    11. Longitudinal project completed
    12. Transplant Quality Assurance Process Improvement (QAPI) presentation (1)
    13. Peer review at least two manuscripts with preceptor (2)
    14. Manuscript suitable for publication (Complete manuscript incorporating at least two rounds of preceptor feedback
    15. Poster or platform related to transplant submitted to a meeting (1)
    16. Portfolio complete (Completed documents for each checklist item uploaded to resident portfolio)
    17. Completion of disease state appendix
    18. Completion of Landmark Journal Club series
    19. Achieved at least 80% of ASHP residency objectives (Preceptor marked as "achieved" on at least two occasions or other documentation demonstrating achievement of the objective as evaluated by the RPC/RPD)
    20. Compliant with all pharmacist mandatory requirements (e.g. current pharmacist license in good standing on file, completion of all mandatory training)