PGY1 Pharmacy Residency

Purpose

PGY1 Pharmacy residency programs build on Doctor of Pharmacy (Pharm.D.) education and outcomes to contribute to the development of clinical pharmacists responsible for medication-related care of patients with a wide range of conditions, eligible for board certification, and eligible for postgraduate year two (PGY2) pharmacy residency training. A graduate of the PGY1 Pharmacy residency at New Hanover Regional Medical Center (NHRMC) will be a competent and confident generalist pharmacist. The resident will accept responsibility for patient safety, optimal patient outcomes, and be accountable for all aspects of the medication use process. The resident will develop written and verbal communication skills, serving as an effective interdisciplinary team member, and educator.

Program Description

New Hanover Regional Medical Center (NHRMC) is an 855 bed, certified stroke and level II trauma center, with its primary service area including the seven-county region of Southeastern North Carolina. As a community teaching hospital, NHRMC houses 4 pharmacy residency programs (PGY1 Community-Based, PGY1 Pharmacy, PGY2 Ambulatory Care, PGY2 Critical Care), in addition to 4 medical residency programs (Family Medicine, Internal Medicine, Obstetrics/Gynecology, and Surgery). NHRMC is home to the Wilmington campus of the UNC School of Medicine and is affiliated with several pharmacy programs, including Campbell, High Point, and Wingate Universities. The health system includes the NHRMC main campus, a free-standing Emergency Department, and numerous outpatient clinics. The main campus includes a 108 bed Emergency Department, women’s and children’s hospital, a behavioral health hospital, an inpatient rehabilitation hospital, and an ambulatory oncology center.

In accordance with our mission statement, NHRMC measures our success by the health of our community and has made it our mission to improve all aspects of health in our service area. We are focused on delivering access to value based care and health equity to the community we serve. Our organization is striving to reach beyond the walls of our hospitals to ensure members of our community experience outstanding health in the most convenient, affordable way that is customized to their unique circumstances.

Pharmacy services are provided throughout the hospitals and outpatient clinics. In addition to central pharmacy services, satellite pharmacies are in the Women’s and Children’s Hospital and Surgical Pavilion. Decentralized, inpatient pharmacists are located on each floor of the adult tower, in each critical care unit, in the emergency department and in the Women’s and Children’s Hospital. Pharmacists participate in academic rounding services with the Family Medicine, Internal Medicine, Surgical, Surgical ICU, Medical Intensive Care, Pediatrics, and Neonatal teams. Outpatient pharmacy services include an outpatient pharmacy and medical assistance program in addition to transitions of care services. Ambulatory pharmacy services include the Family Medicine Clinic, Internal Medicine Clinic, HIV Care Team Clinic, Employee Health Clinic, and Zimmer Oncology Center. Approximately 40% of pharmacists are residency trained and approximately 30% hold board certification.

The PGY1 Pharmacy residency program has been accredited since 2007, and its goals, objectives and evaluation procedures are established to be consistent with ASHP standards. The program is individualized for each resident, considering previous experience and pre-existing strengths and weaknesses. Each learning experience has specific objectives allowing the resident a clear understanding of performance expectations. This process provides ongoing feedback to assist the resident with skill development and goal attainment.

NHRMC pharmacy residents participate in a formal leadership and development curriculum as well as biannual community service. Throughout the year, the resident will gain the following skills:

  • Provide competent patient care throughout all aspects of the health system focusing on safety, efficacy, and economy
  • Serve as the drug expert on an interdisciplinary health care team
  • Effectively teach health care practitioners, students, and the community about drug therapy
  • Become a competent written and verbal communicator
  • Apply critical thinking and evaluative skills to solving practice-related problems
  • Enhance drug information skills, focusing on evidence-based medicine
  • Improve self-evaluation and increase confidence level
  • Develop skills to become a leader in the pharmacy profession and understand the need for continual professional development

PGY1 Pharmacy Curriculum

Required rotations:

  • Ambulatory Care (4-8 weeks)
  • Integrated Practice
  • Internal Medicine I
  • Internal Medicine II
  • Intensive Care Unit
  • Orientation (6 weeks)
  • Practice Management

Elective rotations:

  • Administration-Cardiology
  • Administration- Operations
  • Administration- Direct patient care
  • Ambulatory Care- Family Medicine
  • Ambulatory Care- Internal Medicine Clinic
  • Ambulatory Care- Family Medicine Inpatient rounding service
  • Ambulatory Care- New Hanover Medical Group
  • Ambulatory Care- Oncology
  • Emergency Medicine
  • Integrated Practice
  • Integrated Practice- Float
  • Intensive Care Unit- Cardiology
  • Intensive Care Unit- Cardiothoracic Surgical
  • Intensive Care Unit- Medical
  • Intensive Care Unit- Neuro
  • Intensive Care Unit- Neonatal
  • Intensive Care Unit- Pediatric
  • Intensive Care Unit- Surgical- Trauma
  • Metabolic Nutrition Support
  • Research

Education and Teaching

  • ACPE continuing education presentation- 1 required
  • Teaching and Learning Curriculum with optional certificate program
  • Opportunities to co-precept APPE pharmacy students
  • Monthly education forum with 4th year pharmacy students which encompasses resident journal clubs and small group didactic teaching
  • In-services to pharmacy, medical and nursing staff

Research/Writing

  • A minimum of 1 MUE is required, results of which, will be presented at the ASHP Midyear conference
  • 1 original research project is required, results of which, will be presented at the Research in Education and Practice Symposium (REPS)Manuscript preparation and submission for publication to a peer reviewed journal/publication
  • 3 articles for the department newsletter

Staffing Component

  • Inpatient centralized and decentralized longitudinal staffing- every other weekend during orientation, then every 3rd weekend, and 1 major holiday (Christmas or Thanksgiving)
  • Discharge education and medication reconciliation (8 hours/month)

Community Outreach

  • All pharmacy residents will coordinate two community outreach events annually
  • All pharmacy residents will coordinate and/or participate in the biannual National Prescription Drug Take-Back Day

Conferences

  • ASHP Midyear Clinical Meeting

  • Regional Residency Conference - Research in Education and Practice Symposium (REPS)