Internal Medicine

Postgraduate Year Two (PGY2)

 
Program Overview

The University of Utah Health's Postgraduate Year Two (PGY-2) Pharmacy Residency in Internal Medicine is an organized, directed, postgraduate training program in internal medicine pharmacy practice and academia. Three PGY-2 resident positions will be available each year. Required experiences will consist of rounding and providing clinical pharmacy services for one of the Internal Medicine teams at the University of Utah Health. The resident will provide clinical pharmacy services for the Internal Medicine teams at the University of Utah Hospital. Five months of the year will be spent providing clinical pharmacy services with the Internal medicine teams staffed by internists and three months of the year will be spent providing clinical pharmacy services with the Internal medicine teams staffed by pulmonologists. Three months of the year will be spent in elective acute care experiences of the resident's choice that may include but are not limited to: cardiology, neurology, infectious disease, emergency medicine, medical intensive care, and solid organ transplant. Residents will provide longitudinal clinical pharmacy service at the University of Utah Adult Cystic Fibrosis Transitions of Care clinic. The resident’s program will be individualized based on his or her previous experience.

 
Purpose statement

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.

Program Educational Outcomes, Goals, and Objectives

The program uses the required ASHP PGY-2 Pharmacy Residency in Internal Medicine Outcomes, Goals and Objectives. In addition, resident will complete the required ASHP PGY-2 Pharmacy Residency in Internal Medicine Academic Elective Goals and Objectives (i.e. E1.1, 1.2, 1.3, 3.1, 5.1)

The summary of the Outcomes, Goals and Objectives selected for the year are included as a print out from PharmAcademic for each resident after planning for the program year.

Site Description

The University of Utah Hospital is a level I trauma center that serves critical and acute care patients in 490 beds, and is a referral hospital for a 5-state region. Over 100 FTEs of pharmacy staff serve the patients of University Hospital, and the residents are a part of patient care and multi-disciplinary teams. The Huntsman Cancer Institute also serves patients with 100 inpatient beds, an infusion center, and several clinics. Clinics at the hospital and surrounding communities serve patients with pharmacy care both through retail pharmacies, MTM services, thrombosis services, and clinic-based services. The University Health Care system also includes a Drug Information Service. The University of Utah Adult Cystic Fibrosis Center is accredited by the Cystic Fibrosis Foundation and provides care for 250 adult's patients throughout a 5-state region (Utah, Idaho, Montana, Nevada, Wyoming). The University of Utah Adult Cystic Fibrosis Center is also a designated Therapeutics Development Network (TDN) center with demonstrated expertise in clinical research, recruit study participants and conduct clinical trials. The University of Utah College of Pharmacy is ranked in the top ten Colleges of Pharmacy in the United States. The College's vision is to carry out its academic and service missions through pharmaceutical education programs which are nationally recognized for teaching and learning innovations; research which is recognized by peer-review for its excellence; and service/outreach programs which are valued by the various constituencies of the College. It is envisioned that the College will serve as a focus for academic leadership for the profession of pharmacy in Utah, and will contribute to the state's economy through technology transfer.

Highlights of Experience

The Postgraduate Year Two (PGY-2) Pharmacy Residency in Internal Medicine at University of Utah Health will provide a diverse experience balancing clinical, academic and research experiences in an academic medical center. Residents will learn the skills necessary to develop a patient-centered, evidence-based, collaborative practice in order to advance internal medicine pharmacotherapy throughout the state and country. Residents will receive patient care experiences and skills necessary to become proficient and innovative internal medicine pharmacy practitioner and gain experience in academia by providing education to patients, pharmacy students, physician assistant students, and other health care professionals. Residents will become integral members of an interdisciplinary internal medicine team that includes physicians, nurses, respiratory therapists, physical therapists, dietary specialists, and social workers. Residents will develop the skills necessary to become a highly effective clinician, project manager, scholar, and educator.

Program requirements

  1. Required 4-week rotations include:
    1. Orientation, Acute Internal Medicine 1 & 2, Acute Internal Medicine Faculty 1 & 2, Internal Medicine Cystic Fibrosis Acute & Continuous Care, Pulmonary Acute Internal Medicine 1 & 2.
  2. Required 2-week rotations include: Leadership & Academia
  3. Required 8-11 month longitudinal rotations include: Cystic Fibrosis Transitions of Care Clinic Longitudinal PGY2, Medication Use & Policy Longitudinal, Residency Project Longitudinal, Staffing Longitudinal
  4. Three 4-week Elective rotations will be individualized based on the resident's previous experiences, resident's interests, and identified resident needs.
  5. A foundational set of experiences are required. The following summarizes the rotation experiences.
    Rotation Primary Preceptor Duration

    Foundational Required Experiences

    Orientation Kristine Ferreira 4 weeks
    Acute Internal Medicine 1 & 2 Katie Scerbo, Amanda Gallegos, Adya Mishra, Ashley Crosby, Ashley Zabka, Brian Spence, Kristine Ferreira 8 weeks
    Acute Internal Medicine Faculty 1 & 2 Heather Nyman, Jennifer Babin 8 weeks
    Internal Medicine Cystic Fibrosis Acute & Continuous Care David Young 4 weeks
    Pulmonary Acute Internal Medicine 1 & 2 Zubin Bhakta 8 weeks
    Leadership & Academia David Young, Heather Nyman, Jennifer Babin, Kyle Turner 2 weeks
    Cystic Fibrosis Transitions of Care Clinic Longitudinal Hollyann Jacobs 8 months
    Medication Use & Policy Longitudinal Zubin Bhakta 11 months
    Residency Project Longitudinal David Young 11 months
    Staffing Longitudinal Jennifer Babin, Heather Nyman, Ashley Zabka 11 months

    Elective Experiences

    Electives are arranged based on the resident's interests. This can included experiences in other areas. In addition, there are many electives for the resident to choose from to gain experience and enhance their interests. The follow are established electives. Additional elective rotation may be selected based on the resident's interests and preceptor availability.
    Cardiology Acute Care Teshia Sorensen 4 weeks
    Drug Information PGY2 Erin Fox 4 weeks
    Infectious Diseases Consult Russell Benefield 4 weeks
    Medical Intensive Care Ben Gebhart 4 weeks
    Neurology Acute Care Benson Sederholm 4 weeks
    Pediatric Cystic Fibrosis (CF)/Infectious Disease (ID) Jeff Zobell 4 weeks
    Solid Organ Transplant Bhanupriya Sirandas 4 weeks
    Thrombosis Service Heidi Weber 4 weeks
  6. Research Project
    1. The completion of a residency project is required. A presentation of this project is required at a profession meeting as deemed appropriate by the RPD and the resident.
  7. Presentations
    1. Prepare and deliver an ACPE-accredited continuing education presentation for pharmacists.
    2. Prepare and present research abstract and poster at Vizient Residency Conference poster session
    3. Prepare and present research abstract and poster at Mountain States Residency Conference
    4. Prepare and deliver an in-service presentation for members of the multidisciplinary team.
    5. Prepare and deliver an in-service presentation for physicians, fellows, residents, and/or physician’s assistants/nurse practitioners.
  8. Didactic
    1. The resident will be expected to prepare and deliver at least two (2) lectures to College of Pharmacy students.
    2. The resident will be expected to prepare and participate in at least three (3) recitation per semester sessions (at least 6 per year) to College of Pharmacy students.
  9. Precepting/Mentoring
    1. The resident is expected to serve as a mentor and role model to pharmacy students and residents
    2. The resident is expected to serve as the primary preceptor for at least two (2) pharmacy students deemed appropriate by the RPD and the resident.
  10. Residents' Conference
    1. Attendance at the weekly Residents' Conference when deemed appropriate via the RPD and resident.
  11. ACLS
    1. ACLS certification is required. For those not already certified, certification must be complete by the end of August.
  12. Publication
    1. Complete a research project and written article suitable for publication in a peer-reviewed medical journal
    2. Review an article to be published in a peer-review journal
  13. Staffing requirements
    1. Residents work weekend swing shifts as the pharmacist responsible for Acute Internal Medicine A&B, WP5 (AIM A&B & WP5 on the 4th and 5th floors). The resident is responsible, on average, for 4 shifts per month.
  14. Rotation Descriptions
    1. Rotation descriptions are available via PharmAcademic and online on the website.
  15. Goals and objectives for each rotation
    1. The goals and objectives are assigned for each learning experience. PharmAcademic is used as a tool for managing this process.
  16. Completion of Goals and Objectives
    1. Residents are required to complete 85% of the goals and objectives as a requirement for completion in the program.
  17. Recruitment
    1. Participate in the recruitment and selection of future resident.
  18. Timeline
    1. July
      1. Orientation
        1. Meet with the RPD and Residency Coordinator (RC) to develop an individualized plan based on the Self-Evaluation and Planning Form
        2. Read through Common Residency Manual
      2. Attend residency project pitch.
        1. Select potential project
          1. May also brainstorm with RPD preceptors and/or interdisciplinary professionals to develop a project idea.
        2. Develop proposal to submit (with RPD and/or preceptor review) and present to RAC (July/August) and then IRB after RAC approval granted
        3. Begin collecting data after IRB approval granted
    2. August
      1. Identify College of Pharmacy lecture topics for
        1. Fall semester (at least 1 lecture)
        2. Spring semester (at least 1 lecture)
      2. Develop Fall College of Pharmacy lecture(s) with RPD and/or preceptor review
      3. Identify topic and mentor for ACPE-accredited CE presentation
        1. Develop CE objectives with RPD and/or preceptor review
        2. Prepare CE slides and review with RPD and/or preceptor before due to USHP
    3. September
      1. Submit completed ACPE-accredited CE presentation slides to USHP
    4. October
      1. Complete and review evaluations and customized plan
        1. Review residency outcomes, goals, and objectives
        2. Review residency project progress
        3. Review disease state competency progress
      2. Practice ACPE-accredited CE presentation with RPD and/or preceptors
      3. Submit residency project abstract (with RPD and/or preceptor review) to UHC for poster presentation at ASHP Midyear
      4. Construct (with RPD and/or preceptor review) and print poster for ASHP Midyear
    5. November
      1. Present ACPE-accredited CE and review feedback with RPD and/or preceptor
      2. Develop Spring College of Pharmacy lecture(s) with RPD and/or preceptor review
    6. December
      1. Attend and present residency project abstract at the ASHP Midyear Clinical Meeting
      2. Assist in recruiting residency candidates at the ASHP Midyear Clinical Meeting
      3. Complete and review evaluations and customized plan
        1. Review residency outcomes, goals, and objectives
        2. Review residency project progress
        3. Review disease state competency progress
    7. January
      1. Participate in resident interviews
      2. Residency Program Retreat
      3. Review and analyze project data
    8. February
      1. Prepare abstract (with RPD and/or preceptor review) and submit for presentation at the Mountain States Residency Conference
    9. March
      1. Participate in residency candidate ranking meeting
      2. Complete and review evaluations and customized plan
        1. Review residency outcomes, goals, and objectives
        2. Review residency project progress
        3. Review disease state competency progress
    10. April
      1. Prepare Mountain States Residency Conference slides and handout (with RPD and/or preceptor review)
      2. Practice Mountain States Residency Conference presentation for presentation at professional meeting
    11. May
      1. Attend and present abstract at the Mountain States Residency Conference and review feedback with RPD and/or preceptor
      2. Prepare manuscript (with RPD and/or preceptor review) for publication in appropriate peer-reviewed journal
    12. June
      1. Complete and review evaluations and customized plan
        1. Review residency outcomes, goals, and objectives
        2. Review residency project progress
        3. Review disease state competency progress
      2. Residency Program Retreat
      3. Residency closeout evaluation
      4. Complete Program Completion Checklist
  19. Optional experience
    1. Complete requirements for teaching certificate program.

For more information contact

David Young, Pharm.D.
PGY-2 Pharmacy Residency in Internal Medicine Program Director
Professor of Pharmacotherapy (Clinical)
University of Utah Health
david.young@hsc.utah.edu