PGY2 Emergency Medicine Pharmacy

The PGY2 residency in emergency medicine pharmacy is designed to transition PGY1 residency graduates from generalist practice to specialized practice, which meets the needs of patients in the emergency department setting. Upon completion of training, graduates are equipped to be fully integrated members of the interdisciplinary emergency medicine team, are able to prioritize responsibilities and utilization of resources, and are able to make complex medication recommendations in this fast-paced environment. Training focuses on developing residents’ capability to deal with a wide range of diseases and disorders that occurs in patients in the emergency environment.

The PGY2 emergency medicine 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
Residency Learning Experiences       50 weeks
Conferences (ACEP, ENA, ASHP, etc) 1-2 annually
Interviews/Holidays/Time off
14 days plus 3 interview days
weeks (not a continuous block)

Required Rotations (8): 42 weeks

1. EM - Introduction
4 weeks
2. EM - Core
 8 weeks
3. EM - Preceptorship  4 weeks
4. EM - SRC
 4 weeks
5. EM - Independent Practice 
 4 weeks
6. EM - Pediatrics
 4 weeks
7. Medical ICU
 4 weeks
8. Trauma/Surgical ICU  2 weeks
9. Neuroscience ICU 4 weeks

Elective Rotations: 12 weeks

  1. Toxicology 
  2. Burn ICU
  3. Infectious Diseases
  4. EM-LMH
  5. Cardiac ICU
  6. Cardiothoracic ICU
  7. Acute Pain Service/Anesthesia
  8. Health-System Administration & Leadership
  9. Other (with Residency Director/Coordinator approval) 

Longitudinal Experiences

  1. Project management:
    - At least one major project for presentation at a state, regional, or national conference.
    - Prepare at least one manuscript suitable for publication.
  2. Education:
    - ACLS/PALS/ATLS certification (within first 2 months)
    - Co-precept PharmD students and PGY1 pharmacy residents
    - 1 Pharmacy Grand Rounds presentation
    - 3 Clinical Care Conference presentations
    - Nursing/physician in-services
    - Present a University-level didactic pharmacology lecture
    - Journal club presentations during rotations
    - Teaching certificate program
    - Department publications 
  3. Staffing:*
    - Two weekend shifts every third weekend (12 day stretches required)
    * Any shift (including nights) may be filled at discretion of Residency Program Director
  4. Committee Co-Lead the ED Pharmacy System Meeting 
  5. EM Psychiatry 
    - Rounding to be completed with the Psychiatry Team once weekly while on an ED rotation
    - Topic discussions to be completed with Psychiatry Pharmacist and documented on the resident’s topic discussion list 

Requirement for successful completion of residency

  1. Educational checklist complete
  2. Portfolio complete
  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)
  6. Compliant with all pharmacist mandatory requirements (e.g. current pharmacist license in good standing on file, completion of all mandatory training)

The learning experiences will include a series of learning activities designed to expose the resident to many facets of pharmacy practice with guidance from the preceptor.  An individual resident plan and calendar will be developed for each resident.

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