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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
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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 • 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
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.aspx • Accredited programs • Consultants
http://www.ashp.org/Import/ACCREDITATION/ResidencyAccreditation/RegulationsStandards.aspxhttp://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
Which of the following are considered benefits of a PGY-2 Residency program? • Increase PGY-1 program recruitment • Increase project development and implementation • Expand professional staff development • Improve clinical pharmacy services • All of the above
2. Important resources to consult when considering development of a PGY-2 program include all of the following except: • 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? • Neurology • Medication Safety • Pharmacotherapy • Critical Care • Infectious Disease
Answers to self assessment questions • E • D • A