implementing a pgy-2 residency program critical care pharmacy practice case study kimberly zammit,...
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![Page 1: Implementing a PGY-2 Residency Program Critical Care Pharmacy Practice Case Study Kimberly Zammit, PharmD, BCPS](https://reader036.vdocument.in/reader036/viewer/2022081514/551b84eb550346a10a8b5371/html5/thumbnails/1.jpg)
Implementing a PGY-2 Residency ProgramCritical Care Pharmacy Practice Case Study
Kimberly Zammit, PharmD, BCPS
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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
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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
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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
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Buffalo General Hospital
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Buffalo General Hospital
Internal & Family Medicine
Intensive Care MedicineCardiacSurgical Cardiac SurgeryStep-down
Cardiology Chest Pain CenterCardiac Catheterization Lab
NeurologyPsychiatry
Gastroenterology/ UrologySurgery
GeneralCardiacOrthopedicVascular
Interventional RadiologyNephrology / DialysisSolid Organ
TransplantationRehabilitation medicine
Hospice
Largest hospital within Kaleida Health•Founded in 1855 •511-bed acute care medical center
Patient Care Services
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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
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Program Design
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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
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Residency Program Overview Longitudinal Requirements
•Committee Participation▫Critical Care ▫Code Blue
•Drug Information▫MUE ▫P&T: Selected critical care topics
•Project•Process implementation
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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
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Resources
•ASHP:▫ http://www.ashp.org/Import/
ACCREDITATION/ResidencyAccreditation/RegulationsStandards.aspx
•Accredited programs•Consultants
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http://www.ashp.org/Import/ACCREDITATION/ResidencyAccreditation/RegulationsStandards.aspx
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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
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Self-Assessment Questions
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1. Which of the following are considered benefits of a PGY-2 Residency program?
a. Increase PGY-1 program recruitmentb. Increase project development and
implementationc. Expand professional staff developmentd. Improve clinical pharmacy servicese. All of the above
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2. Important resources to consult when considering development of
a PGY-2 program include all of the following except:
a. ASHP Websiteb. Established PGY-2 program directorsc. Paid Consultantsd. CMS websitee. None of the above
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3. Which of the following is not currently an ASHP recognized PGY-2 residency program?
a. Neurologyb. Medication Safetyc. Pharmacotherapyd. Critical Caree. Infectious Disease
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Answers to self assessment questions1. E2. D3. A