Internal Medicine topics pharmacy

The University of Utah Health's Postgraduate Year Two [PGY-2] Internal Medicine Pharmacy Residency is an organized, directed, postgraduate training program in internal medicine pharmacy practice and academia. Two PGY-2 resident positions will be available each year. Required experiences will consist of rounding and providing clinical pharmacy services for one of the Internal Medicine teams at the University of Utah Health. The resident will provide clinical pharmacy services for the Internal Medicine teams at the University of Utah Hospital. Four months of the year will be spent providing clinical pharmacy services with the Internal medicine teams staffed by hospitalists and three months of the year will be spent providing clinical pharmacy services with the pulmonary teams staffed by pulmonologists. Three months of the year will be spent in elective experiences of the resident's choice that may include but are not limited to: cardiology, neurology, infectious disease, medical intensive care, and solid organ transplant. Residents will provide longitudinal clinical pharmacy service at the University of Utah Adult Cystic Fibrosis Transitions of Care clinic. The resident's program will be individualized based on his or her previous experience.

PGY2 pharmacy residency programs build on Doctor of Pharmacy [Pharm.D.] education and PGY1 pharmacy residency programs to contribute to the development of clinical pharmacists in specialized areas of practice. PGY2 residencies provide residents with opportunities to function independently as practitioners by conceptualizing and integrating accumulated experience and knowledge and incorporating both into the provision of patient care or other advanced practice settings. Residents who successfully complete an accredited PGY2 pharmacy residency are prepared for advanced patient care, academic, or other specialized positions, along with board certification, if available.

The program uses the required ASHP PGY-2 Internal Medicine Pharmacy Residency Outcomes, Goals and Objectives. In addition, resident will complete the required ASHP PGY-2 Internal Medicine Pharmacy Residency Academic Elective Goals and Objectives [i.e. E1.1, 1.2, 1.3, 5.1]

The summary of the Outcomes, Goals and Objectives selected for the year are included as a print out from PharmAcademic for each resident after planning for the program year.

1. Required 4-week rotations include:
   
   1. Orientation, Acute Internal Medicine 1 & 2, Acute Internal Medicine Faculty 1 & 2, Internal Medicine Cystic Fibrosis Acute & Continuous Care, Pulmonary Acute Internal Medicine 1 & 2.
2. Required 2-week rotations include: Leadership & Academia
3. Required 11-month longitudinal rotations include: Academic, Medication Use & Policy, Residency Project, Staffing
4. Required 8-month longitudinal rotation: Cystic Fibrosis Transitions of Care Clinic
5. Three 4-week Elective rotations will be individualized based on the resident's previous experiences, resident's interests, and identified resident needs.
6. A foundational set of experiences are required. The following summarizes the rotation experiences.
   
   1. Foundational Required Experiences
      RotationPrimary PreceptorDuration

      Orientation	Kristine Gray	4 weeks
      Acute Internal Medicine 1 & 2	Kristine Gray, Jennifer Wiederrich Amanda Gallegos, Keith Chow, Ashley Crosby, Ashley Cline, Brian Spence, Katie Scerbo, Adya Mishra, Christian Gabriel, Tamara Cisowska	4 weeks [x2]
      Acute Internal Medicine Faculty 1 & 2	Heather Nyman, Jennifer Babin	4 weeks [x2]
      Internal Medicine Cystic Fibrosis Acute & Continuous Care	David Young	4 weeks
      Pulmonary Acute Internal Medicine 1 & 2	Zubin Bhakta	4 weeks [x2]
      Leadership & Academia	David Young, Heather Nyman, Jennifer Babin, Kyle Turner	2 weeks
      Cystic Fibrosis Transitions of Care Clinic Longitudinal	Hollyann Jacobs	8 months
      Academic Longitudinal	Jennifer Babin, Heather Nyman, David Young	11 months
      Medication Use & Policy Longitudinal	Sonya Ruelle	11 months
      Residency Project Longitudinal	Varies based on project selected	11 months
      Staffing Longitudinal	Kristine Gray, Jennifer Wiederrich	11 months

   2. Elective Experiences
      RotationPrimary PreceptorDuration

      Electives are arranged based on the resident's interests and preceptor availability. The following are established PGY-2 Internal Medicine electives. Additional electives are available.
      Cardiology Acute Care	Teshia Sorensen, Josh Sessions, John Dechand	4 weeks
      Drug Information	Erin Fox, Michelle Wheeler	4 weeks
      Emergency Medicine	Cole Sloan	4 weeks
      Infectious Diseases Consult	Russell Benefield, Brandon Tritle, Karen Fong	4 weeks
      Medical Intensive Care	Brianne Wolfe	4 weeks
      Medication Safety	Shantel Mullin	4 weeks
      Neurology Acute Care	Benson Sederholm, Chad Condie	4 weeks
      Oncology	Variable	4 weeks
      Pediatric Cystic Fibrosis [CF]/Infectious Disease [ID] Intermountain Primary Childrens Hospital	Jeff Zobell	4 weeks
      Solid Organ Transplant	Bhanupriya Sirandas	4 weeks
      Thrombosis Service	Sara Vazquez	4 weeks

7. Rotation Descriptions
   
   1. Example rotation descriptions are available here. PGY2 rotation descriptions are in PharmAcademic.
8. Goals and objectives for each rotation
   
   1. The goals and objectives are assigned for each learning experience. PharmAcademic is used as a tool for managing this process.
   2. Completion of Goals and Objectives
      
      1. 85% of all goals and objectives marked "Achieved for Residency" [AChR] are required for completion in the program. All R1 goals must be marked "Achieved for Residency" [AChR]. All other goals and objectives must be marked as "satisfactory progress" or "achieved" in PharmAcademic.
9. Internal Medicine Disease State Appendix
   
   1. Resident and Preceptor to sign off throughout the year [via PDF checklist or appendix in PharmAcademic]
10. Research Project
    
    1. Completion of a residency research roject is required. A poster presentation of this project is required at Vizient University Health System Consortium. A presentation of this project is required at Mountain States Residency conference.
11. Publication
    
    1. Complete a research project and written article suitable for publication in a peer-reviewed medical journal
    2. Review an article to be published in a peer-review journal [if available]
12. Presentations
    
    1. Prepare and deliver an ACPE-accredited continuing education presentation for pharmacists in the Fall
    2. Prepare and present research abstract and poster at Vizient University Health System Consortium Pharmacy Network Meeting in December
    3. Prepare and present research abstract and poster at Mountain States Residency Conference in May
    4. Prepare and deliver an in-service presentation[s] for members of the multidisciplinary team throughout the year
13. Staffing requirements
    
    1. Primarily staff weekend swing shifts as the pharmacist responsible for the acute internal medicine teams, attend emergency response codes, and assist multidisciplinary team questions
    2. Secondarily staff central pharmacy swing and weekend shifts as scheduled
    3. All University of Utah pharmacy residents are required to staff 48 8-hour shifts during their residency year [average 4 shifts per month].
14. Academic
    
    1. Develop and modify a teaching philosophy is collaboration with your academic longitudinal preceptor and/or RPD.
15. Didactic
    
    1. Prepare and deliver at least two [2] lectures to College of Pharmacy students.
    2. Prepare and participate in at least three [3] recitation per semester sessions [at least 6 per year] to College of Pharmacy students.
16. Precepting/Mentoring
    
    1. Serve as a mentor and role model to pharmacy students and residents
    2. Serve as the primary preceptor for at least two [2] pharmacy students deemed appropriate by the RPD and the resident.
17. Residents' Conference
    
    1. Attend weekly Residents' Conference when deemed appropriate via the RPD/preceptor and resident.
18. ACLS
    
    1. Certification is required. For those not already certified, certification must be complete by the end of August.
19. Recruitment
    
    1. Participate in the recruitment and selection of future residents.
20. Meetings
    
    1. Attend and participate at ASHP Clinical Midyear Meeting and Vizient University Health System Consortium Pharmacy Network Meeting and Resident Poster Session
    2. Attend and participate at the Mountain States Residency Conference
    3. Attend and participate at the North American Cystic Fibrosis Conference or equivalent meeting [determined in collaboration with RPD]
21. E Portfolio
    
    1. Resident is responsible for continually documenting program and rotation requirements on the UUH shared drive
22. Timeline of longitudinal requirements
    
    1. July
       
       1. Orientation
          1. Meet with the RPD and Residency Coordinators to develop an individualized plan based on the Self-Evaluation and Planning Form
          2. Read through Common Residency Manual
          3. Select longitudinal research project
             
             1. Select potential project
                
                1. May also brainstorm with RPD preceptors and/or interdisciplinary professionals to develop a project idea.
                2. Develop proposal to submit [with RPD and/or preceptor review] and present to RAC [July/August] and then IRB after RAC approval granted
                3. Begin collecting data after IRB approval granted
    2. August
       
       1. Identify College of Pharmacy lecture topics for
          1. Fall semester [at least 1 lecture]
          2. Spring semester [at least 1 lecture]
       2. Develop Fall College of Pharmacy lecture[s] with RPD and/or preceptor review
       3. Identify topic and mentor for ACPE-accredited CE presentation
          1. Develop CE objectives with RPD and/or preceptor review
          2. Prepare CE slides and review with RPD and/or preceptor before due to USHP
       4. Develop longitudinal research project propoasal
    3. September
       
       1. Submit completed ACPE-accredited CE presentation slides to USHP
       2. Present longitudinal research project proposal to the Project Subcommittee of the Residency Advisory Committee
          1. Make recommended edits [if necessary]
    4. October
       
       1. Complete and review evaluations and customized plan
          1. Review residency outcomes, goals, and objectives
          2. Review residency project progress
          3. Review core disease state competency tracking form progress
       2. Practice ACPE-accredited CE presentation with RPD and/or preceptors
       3. Submit residency project abstract [with RPD and/or preceptor review] to Vizient University Health System Consortium for poster presentation at ASHP Midyear Clinical Meeting
       4. Submit longitudinal research project to the Univerisity of Utah IRB for approval
    5. November
       
       1. Present ACPE-accredited CE and review feedback with RPD and/or preceptor
       2. Develop Spring College of Pharmacy lecture[s] with RPD and/or preceptor review
       3. Construct [with RPD and/or preceptor review] and print poster of longitudinal research project for Vizient University Health System Consortium Pharmacy Network Meeting and Resident Poster Session at ASHP Midyear Clinical Meeting
       4. Begin data collection for longitudinal research project once approved by the IRB
    6. December
       
       1. Attend and present residency project abstract at the Vizient University Health System Consortium Pharmacy Network Meeting and Resident Poster Session at ASHP Midyear Clinical Meeting
       2. Assist in recruiting residency candidates at the ASHP Midyear Clinical Meeting
          1. Complete and review evaluations and customized plan
             
             1. Review residency outcomes, goals, and objectives
             2. Review residency project progress
             3. Review core disease state competency tracking form progress
    7. January
       
       1. Participate in resident interviews
       2. Residency Program Retreat
       3. Review and analyze project data
    8. February
       
       1. Prepare and submit abstract of longitudinal research project [with RPD and/or preceptor review] for presentation at the Mountain States Residency Conference
    9. March
       
       1. Participate in residency candidate ranking meeting
       2. Complete and review evaluations and customized plan
          1. Review residency outcomes, goals, and objectives
          2. Review residency project progress
          3. Review core disease state competency tracking form progress
    10. April
        
        1. Prepare Mountain States Residency Conference slides and handout of longitudinal research project [with RPD and/or preceptor review]
        2. Practice Mountain States Residency Conference presentation for presentation at professional meeting
    11. May
        
        1. Attend and present results of the longitudinal research project at the Mountain States Residency Conference and review feedback with RPD and/or preceptor
        2. Prepare manuscript of the longitudinal research project [with RPD and/or preceptor review] for publication in appropriate peer-reviewed journal
    12. June
        
        1. Attend and participate in the Residency Program Retreat
        2. Complete and review evaluations and customized plan
        3. Complete residency outcomes, goals, and objectives sign-off in PharmAcademic
        4. Complete core disease state competency tracking form
        5. Complete residency project checklist
        6. Complete Program Completion Checklist
        7. Complete residency closeout evaluation
23. Optional experience
    
    1. Complete requirements for teaching certificate program.

Candidates must graduate from an ACPE-accredited pharmacy program with a doctor of pharmacy degree [or equivalent combination of education and clinical experience] with a minimum GPA of 3.1 on a 4.0 scale. Residents must have completed an accredited PGY1 pharmacy residency program. Applicants must be eligible for Utah licensure and are expected to obtain licensure as a pharmacist in Utah by September 30th of each program year. [The University of Utah Pharmacy residency programs do not sponsor visas.]

The following information must be submitted by the date specified on the residency application for the applicant to be considered for an onsite interview:

• Completed PhORCAS registration
• Curriculum vitae
• Letter of intent
• College of pharmacy transcripts
• Three recommendations using the PhORCAS standard form

All residency programs at University of Utah Health use the Pharmacy Online Residency Centralized Application Service [PhORCAS]. No paper applications will be accepted. Completed applications in PhORCAS are reviewed, and competitive applicants will be interviewed virtually. The program participates in the Resident Matching Program of ASHP.

Residents receive 18 days of paid time off for vacations & sick leave; however residents are limited to 10 days of vacation/interview per year. Residents also have 10 days of holiday leave, though residents staff 3 holidays per year. Residents are considered full time exempt staff and receive medical and life insurance. Registration for the ASHP Midyear Clinical Meeting and Mountain States Resident Conference are paid by the Pharmacy Department.

David Young, PharmD
Professor of Pharmacotherapy [Clinical]
University of Utah College of Pharmacy
L.S. Skaggs Pharmacy Institute
30 South 2000 East Rm 4916
Salt Lake City, UT 84112
Office: 801-581-8510
Pager: 801-339-1789

Kristine Gray, PharmD, BCPS
Acute Internal Medicine Clinical Pharmacist
University of Utah Health
Department of Pharmacy Services
50 N. Medical Drive, A-090M Salt Lake City, UT 84132

Jennifer Wiederrich, PharmD, BCPS
Acute Internal Medicine Clinical Pharmacist
University of Utah Health
Department of Pharmacy Services
50 N. Medical Drive, A-090M Salt Lake City, UT 84132