Implementing a PGY-2 Residency Program Critical Care Pharmacy Practice Case Study Kimberly Zammit, PharmD, BCPS

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

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

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

Buffalo General Hospital

Internal & Family Medicine Intensive Care Medicine Cardiac Surgical Cardiac Surgery Step-down Cardiology Chest Pain Center Cardiac Catheterization Lab Neurology Psychiatry Gastroenterology/ Urology Surgery General Cardiac Orthopedic Vascular Interventional Radiology Nephrology / Dialysis Solid Organ Transplantation Rehabilitation medicine Hospice Largest hospital within Kaleida Health Founded in bed acute care medical center Patient Care Services

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

Program Design

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

Residency Program Overview Longitudinal Requirements Committee Participation ▫Critical Care ▫Code Blue Drug Information ▫MUE ▫P&T: Selected critical care topics Project Process implementation

Residency Program Overview Responsibilities Hospital Practice Responsibilities ▫Every 3 rd 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

Resources ASHP: ▫ /ResidencyAccreditation/RegulationsStandards.a spx Accredited programs Consultants

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

Self-Assessment Questions

1.Which of the following are considered benefits of a PGY-2 Residency program? a.Increase PGY-1 program recruitment b.Increase project development and implementation c.Expand professional staff development d.Improve clinical pharmacy services e.All of the above

2.Important resources to consult when considering development of a PGY-2 program include all of the following except: a.ASHP Website b.Established PGY-2 program directors c.Paid Consultants d.CMS website e.None of the above

3. Which of the following is not currently an ASHP recognized PGY-2 residency program? a.Neurology b.Medication Safety c.Pharmacotherapy d.Critical Care e.Infectious Disease

Answers to self assessment questions 1.E 2.D 3.A