Program Purpose

Vision Statement: Establish a program that encourages the development of independent practitioners with an emphasis on comprehensive emergency medicine management, effective critical thinking, research, leadership, and the growth of future colleagues.

The UC Health – University of Cincinnati Medical Center PGY2 Emergency Medicine Pharmacy Residency is a one-year program based upon ASHP standards and the ASHP Supplemental Standard and Learning Objectives for Residency Training in Emergency Medicine Pharmacy Practice. The aim of the program is development of well-rounded emergency medicine practitioners that possess the clinical database, attitudes, and skills necessary to practice successfully in multiple settings.

Upon successful completion of the PGY2 Emergency Medicine Residency Program, the individual should be able to practice as an independent clinical pharmacy specialist in critical care with sufficient preparation to sit for the Board Certified Emergency Medicine Pharmacists (BCEMP) examination. The resident will also develop a teaching portfolio by precepting Doctor of Pharmacy candidates, delivering didactic lectures at the University of Cincinnati College of Pharmacy, and providing in-services for pre-hospital medics, pharmacists, nurses, and physicians.

The program focuses on provision of evidence-based, patient-focused care. The residency includes training in the emergency department, specialized intensive care units (e.g., surgical; medical; neuroscience; cardiovascular), toxicology, pre-hospital medicine, and research. These areas are represented through direct patient care activities, clinical and didactic teaching activities, completion of a longitudinal research project, and patient-oriented longitudinal practice experience.

Program Requirements

Entrance into the PGY2 Emergency Medicine Pharmacy Residency requires the following:

• Doctor of Pharmacy degree from an ACPE-accredited College of Pharmacy
• Completion of an ASHP-accredited PGY1 Pharmacy Residency
• Pharmacist licensure in the state of Ohio
• The UC Health Department of Pharmacy is able to support some, but not all visa types.
  For questions about a specific visa type, contact
  Nicole Harger Dykes, PharmD, BCCCP (Manager, Pharmacy Residency Programs and Professional Development):
  nicole.harger@uchealth.com.

The PGY2 Emergency Medicine Residency Certificate will be awarded with the completion of all established program requirements, including achievement of Required Competency Areas, Goals, and Objectives for PGY2 Emergency Medicine Pharmacy Residency.

Required Clinical Learning Experiences

• Orientation – 4 weeks – July (internal or external match)
• Community Emergency Medicine (4 weeks) – West Chester Hospital
• Intensive Care Unit Selectives (4 weeks, choose 2)

• Emergency Medicine I (4 weeks, days)
• Emergency Medicine II (4 weeks, nights)
• Primary Precepting (4 weeks)
• Toxicology Medicine (4 weeks)
• Pre-Hospital (2 weeks) 
  • Medical Intensive Care Unit
  • Surgical Intensive Care Unit
  • Neuroscience Intensive Care Unit
  • Cardiovascular/Burns/ENT Intensive Care-Critical Care Anesthesiology TeamNeonatal Intensive Care Unit

• Research Project (4 weeks) 
  • UC AirCare (12-hour shift × 1)
  • CFD EMS (12-hour shift × 6)

Required Longitudinal Learning Experiences

• Longitudinal Research Project (12 months, including one dedicated month)
• Pharmacy Practice and Leadership: Longitudinal Experience (12 months)
• Pharmacy Grand Rounds (total of two)
• Pharmacy Morbidity, Mortality, and Process Improvement (MMI) (total of one)

Elective Learning Experiences (choose 2–3)

• Inpatient Hematology and Bone Marrow Transplant (2 weeks)
• FLEX Intensive Care Unit (2 weeks)
• Infectious Disease Service (option for one or both)
  • Infectious Disease Consult Service (2 weeks)
  • Antimicrobial Stewardship (2 weeks)
• Psychiatry Emergency Services (2 weeks)
• Metabolic Support (2 weeks)
• Trauma Service(2 or 4 weeks)

Salary and Benefits

Final information regarding salary, benefits, and pre-employment requirements will be provided to matched applicants prior to the start of the residency year.

• Estimated salary of $70,000–$72,000
• 28 days paid time off (includes holidays not worked and some professional conference travel)
• Medical, dental, and vision plans
• Individual workspace including a desktop computer and laser printer
• Physical and electronic access to the University of Cincinnati Health Sciences Library (adjacent to the hospital)
• Weekly ACPE CE provided through Pharmacy Grand Rounds
• Financial reimbursement for select professional conferences
• Advanced Cardiac Life Support certification
• Free covered parking adjacent to the hospital

Research

The PGY2 resident will participate in a longitudinal research project that originates from either resident interest or preceptor research submissions. A research timeline is established to ensure the resident stays on schedule for completion of the residency.

Research Timeline

Educational Opportunities

The PGY2 resident may participate in the University of Cincinnati James L. Winkle College of Pharmacy Teaching Certificate Program (two-day seminar plus longitudinal didactic and small group teaching).

The emergency medicine pharmacy resident will participate in the Emergency Medicine Elective and the Antithrombotic Management Elective at the University of Cincinnati James L. Winkle College of Pharmacy. This includes developing and providing two (2) formal 2-hour lectures, developing and facilitating 3–5 case discussions, and writing 10 exam questions specific to their material for midterm and final exams. The resident will also have the opportunity to serve as primary preceptor for at least one PharmD candidate on an APPE. Additional didactic and experiential opportunities (IPPE and APPE) are built into learning experiences throughout the year.

Education of pharmacists and other healthcare professionals is integrated longitudinally throughout the program, including inter-professional grand rounds presentations, resident-led clinical presentations, nursing education, and other opportunities.

Pharmacy Grand Rounds

The PGY2 emergency medicine pharmacy resident will develop one 30-minute presentation providing 0.5 hour of ACPE CE focused on the background of their research project. They are responsible for presenting 30 minutes of additional ACPE CE in the spring focused on a topic and format (didactic, small group discussion, pro/con debate, etc.) of their choice.

Pharmacy Morbidity, Mortality, and Improvement

The PGY2 pharmacy resident will present one pharmacy-specific process improvement opportunity at the monthly Pharmacy MMI case conference. A written summary offering Medication Safety CE will be prepared for inclusion in the quarterly MMI continuing education publication.

Medication Use Evaluation (MUE)

The PGY2 pharmacy resident will conduct a MUE coordinated through an assigned committee. The MUE is completed within the first half of the academic year and will be presented by the resident to the Drug Policy Development or other relevant committee.

Committee Involvement

The PGY2 emergency medicine resident will serve as an active member of one of the following committees:

• Emergency Medicine Mega Monthly Meeting
• Procedural Sedation Committee
• CPR Committee
• Antimicrobial Stewardship Subcommittee
• EMS Protocol Committee SWOH
• Trauma Committee

The PGY2 resident will also have the opportunity for involvement in other pharmacy and multidisciplinary committees including Drug Policy Development, Pharmacy Process Improvement Committee, or others based on the resident’s interest.

Independent Practice

PGY2 pharmacy residents will assist with provision of pharmacy coverage for rapid responses and code blue emergencies,. Residents are also integrated into the weekly clinical pharmacist call schedule. The PGY2 emergency medicine resident will be scheduled for rotating weekend clinical coverage (average of every third weekend) as well as three holidays.

Professional Conferences

PGY2 residents are required to attend and present at the ASHP Midyear Clinical Meeting/Vizient meeting (December) and Great Lakes Pharmacy Resident Conference (April). With program director approval, the resident may attend an additional conference with department support based on available funding. Attendance and abstract submission to the Society for Academic Emergency Medicine Conference (SAEM) is encouraged.

Application Process

The following items must be received by January 2 to complete the application. Please submit via PhORCAS:

1. A letter of intent describing your reasons for applying to the program and interests within the pharmacy profession
2. College transcripts
3. Three letters of recommendation (PhORCAS format)