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.
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.
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 accredited with American Society of Health-System Pharmacists (ASHP). 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
- Medical Intensive Care (2 months)
- Surgical / Trauma Intensive Care (1 month)
- Neuro / Neuroscience / Neurotrauma Intensive Care (1 month)
- Emergency Medicine (1 month)
- Cardiothoracic Surgery Intensive Care (1 month)
- Cardiac Intensive Care (1 month)
- Nutrition / Metabolic Management (1 month)
- Pediatric Intensive Care (1 month)
- Any of the required rotations
- Additional rotations will be developed on an as needed basis 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
Optional Teaching and Learning Curriculum
- One original research project related to critical care is required
- Data will be presented at the Research in Education and Practice Symposium (REPS), the Carolinas Virginia Chapter of the Society of Critical Care Medicine, and the Society of Critical Care Medicine
- Manuscript preparation and submission for publication to a peer-reviewed journal/publication
- Intensive Care Units, decentralized – every other weekend during orientation training and then every 6th weekend and 1 major holiday
- Service on hospital and department of pharmacy committees for critical care – Critical Care Committee and Critical Care Pharmacy Practice Council
- All pharmacy residents will work together to coordinate two community outreach events annually
- ASHP Midyear Clinical Meeting
- Regional Residency Conference - Research in Education and Practice Symposium (REPS)
- Society of Critical Care Medicine Annual Congress
- Carolinas Virginias Chapter of the Society of Critical Care Medicine