PGY2: Emergency Medicine

Program Snapshot

Program Code:

—

National Matching Service Code:

706369

Deadline to Apply:

January 2

Start Date:

First week of July (date communicated each year)

Number of Positions:

1

Program Purpose Statement

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 critical care 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 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)
  • Medical Intensive Care Unit
  • Surgical Intensive Care Unit
  • Neuroscience Intensive Care Unit
  • Critical Care Anesthesia Team/Cardiovascular Intensive Care Unit
  • Neonatal Intensive Care Unit
• Adult Emergency Medicine I (4 weeks, day)
• Adult Emergency Medicine II (4 weeks, nights)
• Primary Precepting (4 weeks)
• Toxicology (4 weeks)
• EMS/Pre-Hospital Medicine (2 weeks)
  • UC AirCare (12-hour shift × 1)
  • Mobile Stroke Unit (12-hour shift × 3)
  • CFD EMS (12-hour shift × 3)
• Research/Project (4 weeks)

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)

• Bone marrow transplant (2 weeks)
• Flex Intensive Care Unit (2 weeks)
• Infectious Disease Consult Service (option for one or both)
  • Clinical Infectious Disease (2 weeks)
  • Antimicrobial Stewardship (2 weeks)
• Psychiatry emergency medicine (option for one or both)
  • Psych emergency services (2 weeks)
  • Addiction sciences (2 weeks)
• Nutrition Support (2 weeks)
• Renal disease (2 weeks)
• Trauma Surgery (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

PGY2 residents 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.

Educational Opportunities

PGY2 residents 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

PGY2 pharmacy residents 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)

PGY2 pharmacy residents 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 Committee
• Southwest Ohio EMS Protocol Committee
• Trauma Committee
• Medical Intensive Care Unit and Medical Step-Down Process Improvement 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, Code Blue, and
trauma stats. The PGY2 emergency medicine resident will spend one month longitudinally working with the
Pulmonary Consult team to ensure safe antibiotic use in cystic fibrosis patients. 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)

Program Contact

Lesley Pahs, PharmD, BCCCP, BCEMP
Clinical Pharmacy Specialist, Emergency Medicine and Critical Care
Program Director, PGY2 Emergency Medicine Pharmacy Residency