Critical Care Pharmacotherapy Residency (PGY-2)

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Critical Care Pharmacotherapy Residency (PGY-2)
Kingsbrook Jewish Medical Center
And
Arnold & Marie Schwartz College of Pharmacy and Health Sciences
Long Island University, Brooklyn, New York
Critical Care Pharmacotherapy Residency Goals
The Kingsbrook Jewish Medical Center and the Arnold & Marie Schwartz College of Pharmacy and Health Sciences,
Long Island University, offer a one-year ASHP-accredited Specialty Residency Program in Critical Care
Pharmacotherapy (PGY-2). The primary goals of this residency program are to prepare the resident to become a
highly trained pharmacy professional with leadership skills who is a proficient specialist in critical care
pharmacotherapy, and is competent in publication and presentation scholarship, and clinical research and design.
Upon completion of this advanced training program, the resident should be poised for careers in hospital practice,
academia, or industry. The resident will receive comprehensive, intense, and individualized training in all aspects of
critical care pharmacy practice from dedicated, passionate, and expert pharmacy faculty.
Pharmacy Residency Position Description
The resident will be responsible for providing comprehensive medication therapy management for critically ill patients
in the following settings: medical/surgical critical care unit, cardiac critical care unit, emergency department, and
surgery units. The resident will have the opportunity to provide emergency medicine pharmacy services via the
emergency medicine pharmacy satellite; and will partner with paramedics throughout New York City in hospital
ambulances. Residents will be trained to provide nutritional support to the critically ill. The resident may complete a
rotation in wound care, which includes experience in hyperbaric medicine, and apply wound care skills to the critically
ill. Clerkship opportunities in Clinical Pharmacokinetics and Infectious Diseases are available. The resident will
perform pharmacotherapy and pharmacokinetic consultations, and approve restricted antimicrobials for the critically
ill. The resident will interact with several critical care pharmacy and medicine faculty. He/she will participate in
adverse drug event and medication error reporting, and will perform admission histories and medication
reconciliation, and drug discharge counseling. The resident will receive BCLS and ACLS training and certification,
and participate in codes. An IRB approved scholarly research project is required. There is a faculty appointment with
the Arnold & Marie Schwartz College of Pharmacy and Health Sciences, Long Island University.
Employment Information and Fringe Benefits
Number of PGY-2 Positions:
1 – 2 critical care positions
Total PGY-1 & PGY-2 Class:
7 – 8 residents
Total Faculty:
11 preceptors (2 Critical Care Faculty members)
Start Date:
July 1, 2008
Application Deadline:
January 1, 2008
Estimated Stipend:
$40,000
Benefits:
Health insurance, meal stipend, 10 days paid vacation, 7 paid holidays, parking,
educational travel stipend, personal computer and PDA, modern office space
Required Conferences:
ASHP Midyear, Society of Critical Care Medicine Annual Congress,
NY State Council of Health-System Pharmacists Annual Assembly
Residency Director:
Henry Cohen, MSc., Pharm.D., FCCM, BCPP, CGP
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The Kingsbrook Jewish Medical Center
The pharmacy residency program will take place at Kingsbrook Jewish Medical Center, an 864-bed teaching, medical
and pharmacy university-affiliated, non-profit, private community institution, comprised of a 326-bed acute care
hospital and a 538-bed adult and pediatric skilled nursing long-term care facility. KJMC has a 10-bed
medical/surgical and 10-bed cardiac intensive care unit, a step-down cardiac care telemetry unit, a 30-bed ventilator
unit, a 20-bed traumatic brain injury and coma recovery unit, a 30-bed psychiatry unit, a pain management and
treatment center, wound care and hyperbaric medicine center, a renal dialysis unit, a vascular laboratory, a
cardiology suite, an endoscopy suite, a 911 receiving emergency department, surgical services including urology,
orthopedics, vascular, gynecology, and ophthalmology, and multiple specialty ambulatory care clinics. The Rutland
Nursing Home is a 538-bed facility offering skilled nursing, rehabilitation and post acute care services. The nursing
home operates an Adult Day Health Care Center. The Department of Medicine maintains an independent medical
residency program of over 50 medical residents and many board certified faculty. The surgical teaching program is
affiliated with the SUNY Health Science Center Brooklyn Medical College. Other medical residency programs include
orthopedics, podiatry, physical medicine and rehabilitation, and dentistry.
Pharmacy Services & Medication Safety through Advanced Technology
The Department of Pharmacy is fully computerized, provides 24-hour pharmacy services and utilizes a robotic
dispensing system. The Pharmacy Department employs over 40 professional and support personnel. The pharmacy
department dispenses over 10,000 unit dose medications daily. The hospital has a closed loop technologic drug
distribution and administration system. Prescribers utilize the Computerized Physician Order Entry (CPOE) system,
medication orders simultaneously interface into the Pharmacy Computer System, Pharmacists validate these orders,
the Pharmacy Robot dispenses medications using barcode technology, and Nurses administer medications using
barcode scanners. Computer terminals are located throughout the hospital, and on medication carts. An Emergency
Medicine Satellite Pharmacy and a Clinical Pharmacist are responsible for medication utilization and delivery to the
Emergency Department.
Pharmacotherapy Services
The 18-member Pharmacotherapy Team employs highly skilled Clinical Pharmacists, who have completed either
postgraduate Pharm.D. Degree with a pharmacotherapy specialty residency; a 6-year Pharm.D. Degree with 2 years
of pharmacy residency training; or extensive equivalent experience. Clinical Pharmacists specialize in the following
settings: Critical Care, Surgery & Nutrition, Emergency Medicine, Internal Medicine, Infectious Diseases, Cardiology,
Psychiatry, Geriatrics, Long-Term Care, Wound Care, and Ambulatory Care. The department has two ASHP
accredited specialty residency programs in Critical Care Pharmacotherapy, and Geriatric Pharmacotherapy, one
ASHP-pending accreditation specialty residency program in Internal Medicine, and a Medication Safety Pharmacy
Fellow. The Pharmacotherapy team is highly respected, and is an elite healthcare team within the medical center. A
summary of annual Pharmacotherapy Services highlights is listed in the table below.
1.
Clinical Pharmacy Service
Pharmacotherapy Services


2.
3.
4.
Restricted Antibiotic Consult Service
Adverse Drug Events Consult Service
Pharmacokinetic Consult Service



5.
6.
Clinical Pharmacology Consult Service
Oxandrolone Consult Service


Annual Highlights
Clinical Pharmacists perform > 18,000 pharmacotherapy
interventions
Pharmacotherapy interventions lead to > $5 million in costs
savings
Clinical Pharmacists approve over 8,000 restricted antibiotics
Over 700 ADEs are detected, reported, and managed
All Aminoglycoside orders require a Clinical Pharmacist’s
review, written note, and follow up
Physicians request formal written pharmacotherapy consults
All Oxandrolone orders require a written pharmacotherapy
consult to determine feasibility of use and monitoring
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7.
Ambulatory Care Services

8.
Ventilator Weaning Service

Pharmacist-lead clinics are provided for anticoagulation
(warfarin), diabetes, and smoking cessation
Pharmacotherapy interventions have helped decrease the
length of stay by 2 – 3 days
Clinical Rotations
The resident will have the unique opportunity to practice critical care medicine in several settings including medical,
surgical, and cardiac critical care and in the emergency department. The resident will participate in daily patient-care
teaching rounds, daily formal medical grand round lectures, and pharmacy-led clinical pharmacology rounds. Our 11member Pharmacy Residency Faculty, allow us to offer a diverse variety of clinical clerkships, and one-to-one
faculty-to-resident training. The resident in collaboration with the Residency Program Director can design a one year
residency program that focuses on areas of personal interest by emphasizing medical or cardiac critical care, and
choosing elective rotations and certain clerkships for 2 month rotations.
1.
2.
3.
4.
5.
Critical Care Required Rotations
Medical Critical Care
Cardiac Critical Care
Surgery & Nutrition Support
Emergency Medicine
Research & Design
Duration
5 - 7 months
2 – 3 months
1 month
1 month
1 month
1.
2.
3.
Elective Rotations
Infectious Diseases
Clinical Pharmacokinetics
Wound Care
Kingsbrook University – Courses for Pharmacy Residents
In order to strengthen the Pharmacy Residents fundamental skills in Physical Assessment, Clinical
Pharmacokinetics, Biostatistics, and Pharmacotherapy, we offer a condensed 2 week course on these subjects.
Courses, workshops, and laboratory sessions are taught by Pharmacy Faculty. Residents are expected to develop a
minimal skill set prior to beginning their clinical rotations.
Biostatistics
Physical Assessment
Pharmacokinetics
Pharmacotherapy
1 college credit equivalent
1 college credit equivalent
1 college credit equivalent
1 college credit equivalent
ANOVA
Correlation Statistics
Power Statistics
Kaplan-Meier Curves
Frequencies
HEENT and Neck Exams
Lungs and Thorax Exams
Cardiac Exams
Abdominal Exams
Neurology Exams
Aminoglycosides
Vancomycin
Phenytoin
Valproic Acid
Digoxin
Infectious Diseases
Cardiac Diseases
Pain Management
Diabetes
Stroke
Faculty Appointment at Long Island University and Teaching Responsibilities
The resident will receive a university faculty appointment at the Clinical Assistant Professor of Pharmacy Practice
rank with the Division of Pharmacy Practice at the Arnold & Marie Schwartz College of Pharmacy and Health
Sciences, Long Island University. At the university, the resident will teach pharmacotherapy recitations or physical
assessment laboratory. At the hospital, the residents will precept Pharm.D. students during their clerkships. The
Resident will lead Clinical Pharmacology Rounds for Pharmacy Students as the Attending Pharmacotherapist and
teach pharmacotherapy to Pharm.D. students both in the class room and bedside settings.
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Lecture Opportunities
The resident will be taught oral communication and presentation skills, and Power Point slide development.
Throughout the residency program, residents will formally present to faculty and colleagues’ journal clubs with
comprehensive disease or drug reviews, and reviews of pharmacotherapy topics. There will be ample opportunity to
lecture at professional society meetings, medical, nurse practitioner and physician assistant programs in the tristate
area, the universities active continuing education programs, and the hospital’s pharmacy, nursing, and medical staffs.
Residency Research Project and Publishing Requirements
The resident is required to complete one rigorous scholarly critical care research project. The resident will be
responsible for preparing a research proposal including justification for the project and study methodology,
determination of a power analysis, application of appropriate statistical analysis, development of a budget, receiving
IRB approval, collaborating with research-intensive medical residents, presenting via poster or platform presentation,
and publishing the results as an abstract and manuscript.
Pharmacy Practice Management
The resident will have opportunities to provide off-hour clinical pharmacy services including responding to codes,
emergency medicine pharmacy satellite coverage, infectious disease approvals, clinical pharmacology consultations,
medication regimen review, renal dosing, and drug information. On off-hours, the residents will hold supervisor
responsibilities including overseeing the pharmacy operation and clinical pharmacy services.
Qualifications and Application Procedure
In order to apply for this ASHP-accredited critical care pharmacotherapy specialty residency program (PGY2), you
must be a graduate of an ACPE accredited college of pharmacy, and you should possess a Pharm.D. degree, or a
Post-BS Pharm.D. degree or equivalent experience, and have completed an ASHP-accredited Pharmacy Practice
Residency (PGY-1). Pharmacy licensure or eligibility for licensure in NY State is required.
Applicants must submit the following:
1. Complete the “KJMC Application for Admission – Pharmacy Practice and Specialty Residency Programs Form.”
2. Curriculum vitae (6 copies), which includes your education history, employment history, a list of pharmacy
clerkships and preceptors, publications and presentations.
3. All official college transcripts.
4. Three letters of recommendation – two from primary preceptors from recent pharmacy residency clerkships.
Provide a list with names, addresses, E-mail addresses and telephone numbers of the individuals sending
recommendations on your behalf. Please do not use the ASHP Residency Applicant Recommendation Request
Form.
5. A brief letter of intent describing why you want to complete a Critical Care Pharmacotherapy Specialty Residency
and why you want to complete it at Kingsbrook Jewish Medical Center.
6. A succinct essay describing three clinical pharmacy scenarios in which you intervened and provided medication
therapy management that had impact.
Application data is due by January 1, and should be submitted to: Henry Cohen, M.S., Pharm.D., FCCM, BCPP,
CGP, Chief Pharmacotherapy Officer, Department of Pharmacy, Kingsbrook Jewish Medical Center, 585
Schenectady Avenue, Brooklyn, New York, 11203. An on-site interview at the applicant’s expense and
participation in the ASHP Residency Match Program is required. For more information please call Dr. Cohen at 718604-5373 or E-mail him at: Henry.Cohen@LIU.edu
Kingsbrook Jewish Medical Center is committed to the directives of the Equal Employment Opportunity and Affirmative Action programs and policies in
conformance with the principles of the Equal Employment Opportunity Commission.
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