Implementing a PGY-2 Residency
Program
Critical Care Pharmacy Practice
Case Study
Kimberly Zammit, PharmD, BCPS
Advantages of PGY2 Residency
Program
• Program Recognition
▫ PGY1 Recruitment
▫ Publication
• Leadership /Preceptor Development
▫ Clinical and Mentoring skills
• Departmental Goals
▫ Projects
▫ Expand clinical programs and increase pharmacy
visibility
▫ Recruit clinical practitioners
ASHP Recognized PGY-2 Programs
•
•
•
•
•
•
•
•
•
•
Ambulatory care
Cardiology
Critical care
Drug information
Emergency medicine
Geriatrics
Infectious diseases
Informatics
Internal medicine
Managed care pharmacy
systems
•
•
•
•
•
•
•
Medication safety
Nuclear pharmacy
Nutrition support
Oncology
Pediatrics
Pharmacotherapy
Health-system pharmacy
administration practice
management
• Psychiatric pharmacy
• Solid organ transplant
Kaleida Health Overview
• Largest not-for-profit health care provider in
Western New York
• Sites for Critical Care Residency
▫ Primary Site:
 Buffalo General Hospital
▫ Secondary Sites:
 Millard Fillmore Gates Hospital
 Millard Fillmore Suburban Hospital
 Women and Children’s Hospital of Buffalo
Buffalo General Hospital
Buffalo General Hospital
Largest hospital within Kaleida Health
•Founded in 1855
•511-bed acute care medical center
Patient Care Services
Internal & Family Medicine
Intensive Care
Medicine
Cardiac
Surgical
Cardiac Surgery
Step-down
Cardiology
Chest Pain Center
Cardiac Catheterization Lab
Neurology
Psychiatry
Gastroenterology/ Urology
Surgery
General
Cardiac
Orthopedic
Vascular
Interventional Radiology
Nephrology / Dialysis
Solid Organ Transplantation
Rehabilitation medicine
Hospice
Program Goal
• Successful completion of this program will
produce an individual with the knowledge, skills
and confidence necessary for a challenging and
rewarding career as a critical care pharmacy
practitioner
Program Design
Residency Program Overview
Clinical Practice Experiences
• Core Rotations
▫ Medical ICU (16 weeks)
▫ Surgical ICU (8 weeks)
• Elective Rotations (20 weeks)
▫
▫
▫
▫
▫
▫
▫
Neurosurgical ICU
Coronary Care
Toxicology
Emergency Medicine
Pediatric ICU
Neonatal ICU
Cardio-thoracic ICU
Residency Program Overview
Longitudinal Requirements
• Committee Participation
▫ Critical Care
▫ Code Blue
• Drug Information
▫ MUE
▫ P&T: Selected critical care topics
• Project
• Process implementation
Residency Program Overview
Responsibilities
• Hospital Practice Responsibilities
▫ Every 3rd weekend (PK/ MAS)
▫ Code Blue response
• Educational Responsibilities
▫
▫
▫
▫
▫
Critical Care Pharmacotherapeutics (UB)
PGY1 Residents
Students (Multiple schools)
Pharmacist competencies
Nursing Grand Rounds
• Research Responsibilities
▫ Process evaluation / MUE
▫ Therapeutic intervention evaluation
Resources
• ASHP:
▫ http://www.ashp.org/Import/ACCREDITATION
/ResidencyAccreditation/RegulationsStandards.a
spx
• Accredited programs
• Consultants
http://www.ashp.org/Import/ACCREDITATION/ResidencyAccreditation/RegulationsStandards.aspx
Recruiting
• Residency Showcase
• Pre-accreditation
▫ Recruit from local programs/ graduates
▫ Guarantee spot to qualified candidates prior to the
match
▫ Contact unmatched candidates
• Matching Program
▫ ASHP-accredited, provisionally-accredited, and
application-submitted residency programs only
Self-Assessment Questions
1. Which of the following are considered
benefits of a PGY-2 Residency program?
a. Increase PGY-1 program recruitment
b. Increase project development and
implementation
c. Expand professional staff development
d. Improve clinical pharmacy services
e. All of the above
2.
Important resources to consult
when considering development of a
PGY-2 program include all of the
following except:
a.
b.
c.
d.
e.
ASHP Website
Established PGY-2 program directors
Paid Consultants
CMS website
None of the above
3.
Which of the following is not currently
an ASHP recognized PGY-2 residency
program?
a.
b.
c.
d.
e.
Neurology
Medication Safety
Pharmacotherapy
Critical Care
Infectious Disease
Answers to self assessment questions
1. E
2. D
3. A