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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
Interviews/Holidays/Time Off       14 days plus 3 interview days
(not a contiguous block)
Residency Learning Experiences 48 weeks
Project Days
1 week
AST Fellows Symposium/American Transplant Congress  2 weeks

Required Rotational Experiences: 36 weeks

1. Adult Kidney Transplant
8 weeks
2. Adult & Pediatric Liver Transplant
8 weeks
3. Pediatric Transplant  4 weeks
4. Transplant Clinic
 8 weeks
5. Heart Transplant
 4 weeks
6. Transplant Infectious Disease
 4 weeks
7. End-stage Liver Disease Service
 4 weeks

Elective Rotational Experiences: 12 weeks/3 rotations

  1. Critical Care (MICU and/or SICU)
  2. Off-site elective (ex. lung transplantation)
  3. End-Stage Lung Disease
  4. Hepatology Consult Service
  5. Nephrology Consult Service
  6. Other/Repeat (with residency director approval)

Longitudinal Experiences:

  1. Residency project(s)
    - Submit research project for AST or ASTS meeting and publication to transplant or pharmacy journal
  2. Transplant Quality Longitudinal Rotation
    - Learn requirements of transplant quality programs and regulatory requirements
  3. Medical Review Board, Donor Advocacy Panel, Quality Assurance Performance Improvement (QAPI) meetings for liver and/or kidney throughout the year
  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
    - Local pharmacy school didactic lectures
  5. Administrative reports/responsibilities
    - Supervise PGY1 residents and pharmacy students
    - Participation at Transplant QAPI 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
    a. One hour pharmacy grand rounds or ACPE accredited lecture (1)
    b. Clinical case conference (2)
    c. Nursing in-services (4)
    d. Physician in-services (4)
    e. Lecture at school of pharmacy (1)
    f. Career related community service (2)
    g. Contribution to Pharmacy Department Bulletin (1)
    h. Epic Tickets (2)
    i. P&T monograph or class review (1)
    j. Medication Use Evaluation (1)
    k. Transplant Quality Assurance Process Improvement presentation (1)
    l. Protocol creation or update (1)
    m. Review of manuscripts submitted for peer review (2)
    n. Poster or platform related to transplant at a meeting (1)
  2. Portfolio complete (Completed documents for each checklist item uploaded to resident portfolio)
  3. Cost management and longitudinal project completed 
  4. 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)
  5. Manuscript suitable for publication (Complete manuscript incorporating at least two rounds of preceptor feedback