PGY2 Critical Care Residency

The primary objective of the PGY2 Critical Care Pharmacy Residency Program at New Hanover Regional Medical Center is to provide an experience which leads to the development of expert knowledge and skills in critical care pharmacy practice.

The primary objective of the PGY2 Critical Care Pharmacy Residency Program at New Hanover Regional Medical Center is to provide an experience which leads to the development of expert knowledge and skills in critical care pharmacy practice.

PGY2 Residency Purpose: PGY2 pharmacy residency programs build on Doctor of Pharmacy (PharmD) 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 that improves medication therapy. Residents who successfully complete an accredited PGY2 pharmacy residency should possess competencies that qualify them for clinical pharmacist and/or faculty positions and position them to be eligible for attainment of board certification in the specialized practice area (when board certification for the practice area exists).

Program Description

New Hanover Regional Medical Center is an 855 bed hospital and 108 emergency department and ambulatory care center affiliated with South Eastern Area Health Education Center. The institution is a regional referral, designated Level-2 Trauma center for seven surrounding counties and is the 9th largest medical center in North Carolina. The institution features critical care services in medical, coronary, surgical-trauma, neuro / neuroscience / neurosurgery, cardiothoracic surgery, pediatric and neonatal intensive care units. The Department of Pharmacy at New Hanover Regional Medical Center provides decentralized, 24 hour, full service to all areas of the hospital.

The PGY2 critical care pharmacy residency at the New Hanover Regional Medical Center consists of 12 months of critical care training and experience. The PGY2 critical care residency program is currently in candidate status with American Society of Health-System Pharmacists (ASHP) with anticipated accreditation review in 2017. The goals, objectives and evaluation procedures are established to be consistent with the PGY 2 ASHP Standards with ASHP Goals and Objectives focused in critical care. The program allows sufficient flexibility to adapt to the needs and interests of the individual resident, while providing a foundation to develop professional critical care practice skills.

The critical care pharmacy resident will work as part of the healthcare team to provide comprehensive pharmaceutical care, including but not limited to therapeutic drug monitoring, pharmacokinetic monitoring, anticoagulation, nutrition/metabolic management, drug information and critical care / emergency code team participation.

The resident is given a unique opportunity to gain experience through a variety of clinical rotations and interactions with a multidisciplinary healthcare team for optimization of the care of critically ill patients. The resident will work with experienced preceptors specific to each clinical learning experience. In addition, the resident will participate in formulary issues and policy writing relating to critically-ill patients. Time spent in each area will be individualized to meet the resident's interests and needs.

Throughout the year, the resident will gain the following skills focused in critical care:

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 and students
Enhance written and verbal communication skills
Apply critical thinking and evaluative skills to solving practice-related problems
Enhance knowledgebase with evidence-based medicine
Improve self-evaluation and increase confidence level
Enhance skills to become a leader in the pharmacy profession and understand the need for continual professional development

Pharmacy PGY2 Critical Care Residency Curriculum

Required rotations:

Orientation
Medical Intensive Care (2 months)
Surgical / Trauma Intensive Care (1 month)
Neuro / Neuroscience / Neurotrauma Intensive Care (1 month)
Emergency Medicine (1 month)
Cardiothoracic Surgery (1 month)
Cardiac Intensive Care (1 month)
Nutrition / Metabolic Management (1 month)
Pediatric Intensive Care (1 month)

Electives

Any of the required rotations
Additional rotations may be available to fit the needs of the resident

Education and Teaching

Participate in Critical Care Pharmacy Journal Club Survey – Monthly review of primary critical care literature
ACPE Continuing Education Seminar – 1 seminar required per year
Physician, mid-level providers and nursing educational sessions
Co-precepting of PGY1 residents and students on rotation
Pharmacy Education Forum – moderating and evaluating PGY1 residents and students monthly

Research

1 original research project related to critical care required
Data presented at Research in Education and Practice Symposium (REPS)
Manuscript preparation and submission for publication to a peer-reviewed journal/publication

Service Component

Intensive Care Units, decentralized – every other weekend during orientation training and then every 6th weekend and 1 major holiday (Thanksgiving or Christmas)
Service on hospital and department of pharmacy committees for critical care – Critical Care Committee and Critical Care Pharmacy Practice Council

Community Outreach

All pharmacy residents will work together to coordinate two community outreach events annually

Conferences

ASHP Midyear Clinical Meeting
Regional Residency Conference - Research in Education and Practice Symposium (REPS)
Society of Critical Care Medicine Annual Congress
Carolina Virginia Society of Critical Care Medicine