Basic Ingredients of the CHCC PGY-1 Pediatric Pharmacy Residency Program

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1 Basic Ingredients of the CHCC PGY-1 Pediatric Pharmacy Residency Program Pediatric Pharmacy Residency Program (PGY1) Children s Hospital Central California offers a one-year, postgraduate residency program in pharmacy practice with an emphasis in pediatrics. This program will teach you to convert didactic concepts into sound drug therapy using a hands-on approach. Throughout the year, resident activities will include providing patient-specific clinical pharmacology in both inpatient and outpatient areas; providing drug education to medical residents and nurses; precepting pharmacy students; and participating in administrative activities. Period of Appointment: Twelve months Salary: Approximately $39,500 annually, paid biweekly Health Benefits: Residents are entitled to full health benefits. *Plans to be selected upon arrival *Supplemental coverage for family members may be purchased Pharmacy Residents: Carlesia Smith, Patrick Loo, Blaire Fujimoto and Nancy Vuong Weekend Staffing: Residents are required to staff the inpatient pharmacy two weekends a month. Time is considered overtime. Professional Leave: Residents are encouraged to attend and participate in conventions and professional meetings. Residents will be scheduled to attend two of the following pharmacy conferences: Pediatric Pharmacy Advocacy Group Annual Conference, ASHP Midyear Clinical Meeting, CSHP Seminar and the Western States Conference. Vacation/Sick Days: For every 80-hour pay-period, residents will receive 7.69 hours of paid time off (PTO). PTO includes hours taken for both vacation and sick days and must be approved by the Residency Coordinator. Examination and Licensure: It is strongly recommended that residents take the NAPLEX and CPJE (California Pharmacy Jurisprudence Examination) prior to the start of residency. Residents must have a California Intern License if exam results not back before the start of the residency. (For more information regarding board exams, visit: or

2 : Direct Patient Care Ambulatory Care Operational Weekly Service (12 weeks each) Required General Medicine Pediatric Intensive Care Unit Neonatal Intensive Care Unit Hematology/Oncology California Poison Control System Neurology Clinic Pharmacy Operations Orientation Pharmacy Administration Infectious Diseases (1 day per week) Rehab Rounds (every Tuesday morning) Medication Utilization Subcommittee/ Pharmacy & Therapeutics Utilization Committee Elective Parenteral Nutrition Primary Care Clinic Nephrology Clinic Endocrinology Clinic Gastroenterology Clinic Pulmonology Clinic Information Technology Services **Resident is allowed to choose one 6-week elective for the end of the residency year. Elective may be a rotation he or she has already completed. Longitudinal Experiences The resident will be oriented and directly instructed in these longitudinal experiences during the first several months of the residency. Then following preceptor modeling and coaching, the resident will be expected to more independently continue these experiences for the remaining months of the residency. Pharmacy Operations (staffing) Anticoagulation Service Research Project Teaching and Education Committee member of one of the following Emergency Medical Response Team (EMRT) Leadership Meeting, Medication Safety Joint Subcommittee, Pathways Committee and Antibiotic Utilization Therapy (AUT) Committee Presentations and Teaching throughout the year Journal club presentations, patient case presentations, drug consults 15 minute PowerPoint presentation at monthly Pharmacy Staff and Technician meetings Two 1 hour didactic lectures to present to pharmacy students from local schools of pharmacy APPE classes will be scheduled Active role in precepting pharmacy students on rotation at Children s Hospital Central California Other Learning Opportunities Weekly pediatric core topic lectures lead by pharmacists Medical staff disease state lectures lead by medical specialists

3 Description of various rotations General Medicine This rotation consists of attending morning reports, radiology rounds, medical rounds where the resident keeps a close relationship with their medical team and answers all questions that may arise. Residents will also manage aminoglycoside and vancomycin protocol patients daily and utilize basic kinetics to adjust dosing based on levels. Residents are expected to review various topics that they encounter proactively and educate new medical residents and medical/pharmacy students as needed. NICU This rotation is pharmacist centered and does not consist of daily rounds with physicians. Residents are in charge of various medication monitoring such as epogen, vancomycin and aminoglycosides. Residents are responsible for writing orders based on protocols currently established. The resident and preceptor will have topic discussions and hold walk around rounds through out the rotation on various patients. With the flexibility of this rotation, it is easy to tailor this to each individual residents interest. PICU On the Pediatric Intensive Care Unit (PICU) rotation, the resident attends teaching rounds and identifies and resolves medication therapy issues that may arise. The resident initiates and documents clinical interventions, provides therapeutic drug monitoring, and is involved in educating medical staff and patients. The resident will work closely with the PICU clinical pharmacist to address medical issues and develop therapeutic monitoring plans. Rehab This rotation rounds on a weekly basis and covers a diverse set of patients that allow residents to develop a variety of problem management skills in disease states such as: pain management, anxiety, insomnia, diabetes insipidus and many more. This rotation focuses on helping health care providers optimize their medication regimen. Also when patients are ready, residents prepare medications for patient Community Reorientation Leaves (CRL), which allow patients to leave the hospital for 4-8 hours. The resident will dispense the medications that are needed to cover the patient during this time period and provide proper medication counseling. Pharmacy Operations Within this rotation, residents are to learn the flow throughout the pharmacy. Each resident will learn all the technician roles and responsibilities. This allows the resident to be able to understand each process of how all products are made, recorded, and delivered. With a complete understanding of these duties, the pharmacist roles in checking off finished product will also be clearer. In addition, throughout the day, residents will perform tasks such as checking/updating medication carts, review medication orders and profiles, perform medication reconciliation, and research drug information questions. By the end of the rotation, the resident should have a strong understanding of the inpatient pharmacy operations. Residents will also be required to staff on weekends within the main pharmacy or at the pharmacy satellites, utilizing all the experience they obtain during this rotation. Anticoagulation This rotation is in collaboration with various physicians. Each resident will be trained on the pharmacist run anticoagulation protocols and is assigned specific patients for the year to follow. While working in conjunction with the preceptors, residents take on the responsibility of monitoring and adjusting patients anticoagulation medication doses and schedules based on patient specific INR/PTT levels. Also based on hospital protocols, follow-up lab tests, new/refill prescriptions, and up to date chart documentation is performed. This longitudinal year long rotation allows the residents to develop relationships with their patients to stress the importance of

4 patient therapy and compliance. Residents themselves also learn important time management skills as patient calls and lab work is fit into primary rotation responsibilities. Administration During the administrative rotation, the essential goal is to learn the basic principles of pharmacy management for six weeks. Residents will work directly under the guidance of the pharmacy director, operations manager, clinical coordinator or other administrative leaders depending on the project at hand. Residents will attend meetings, develop and implement policy and procedures and assist in ensuring departmental compliance with regulatory requirements. Residents will develop knowledge of the organizational structure of the hospital, pharmacy department and medical staff/committees. The objectives of the administration rotation are to understand the principles of various approaches to department planning, evaluate current protocols, review regulatory agencies and to effectively communicate verbally and in writing. Neurology The resident works closely with neurologists, nurse practitioners, and clinical pharmacist in the Neurology outpatient clinic. The resident is responsible for identifying and resolving medication therapy issues for patients and optimizing outcomes by providing evidencebased, patient-centered medication therapy. Residents help triage phone calls, research charts for medication refills, perform pharmacokinetics for anticonvulsant medications and research drug information requests. Some of the disease states covered during this rotation include generalized and partial seizures, headaches/migraines, chronic pain, movement disorders and behavioral disorders. Oncology The pharmacy resident is responsible for providing pharmacy services to both inpatient and outpatient oncology patients. This includes (but not limited to): participating in weekly rounds with the multi-disciplinary oncology service team, timely and accurate dispensing of chemotherapy agents, assisting with pharmacist order entry, initiating and following per pharmacy protocol patients including aminoglycosides, vancomycin, and anticoagulation, and providing drug information for both nursing and physicians when needed. Infectious Disease Infectious Disease (ID) is a required longitudinal rotation for pharmacy residents. Pharmacy residents round with the ID team once a week. The resident assists both inpatient and outpatient services, working alongside ID physicians, medical residents, medical students, ID fellow and the clinical pharmacist. The pharmacy resident serves as a resource to optimize medications used to treat infectious diseases by providing evidenced-based, patientcentered recommendations to the ID team. Poison Control Residents are responsible to staff at the Poison Control Center located on the CHCC campus, where they are 1 of 61 centers operating in the United States. The resident must monitor telephones for various questions throughout the day and utilize databases at hand to answer drug toxicology questions effectively and efficiently. Pharmacists staffing the Poison Control Center, often call emergency departments (ED) when patients are on route to help ED staff prepare or even to answer ED calls about a patient currently being seen. Pharmacists have also determined the need to send an ambulance to a patient s home if the situation was warranted. From this rotation, residents will learn to navigate through toxicology based questions and be confident in making decisions and providing education through the phone. MU/PTU Pharmacy, Therapeutics and Utilization (PTU) Committee has representatives from each medical staff department. The purpose of the PTU Committee is to ensure continuous improvement of the quality of patient care and outcomes. The Medication Utilization (MU) Subcommittee is part

5 of the PTU committee and is responsible for development of or carrying out any changes to patient care guidelines, policies/procedures or protocols that are medication or pharmacy related. The resident will serve on both PTU and MU committees. Some of the activities the resident takes part in includes formulary review, medication utilization evaluations, evaluation of ISMP recommendations and alerts, reviewing quarterly reports of PRN indications, unapproved abbreviations, and drug recalls. Application Requirements It is highly recommended that candidates complete a pediatric rotation prior to application submission. If candidates are unable to obtain a pediatric rotation, there must be some pediatric experience or exposure documented on the Curriculum Vitae (pharmacy intern in a children s hospital, elective in pediatrics, volunteer work in a pediatric setting, etc.). Doctor of Pharmacy degree from an ACPE accredited school of pharmacy; a M.S. or B.S. in Pharmacy with equivalent clinical experience Apply for ASHP Residency Matching Program (Match # ) visit for more information Be eligible to apply for a license to practice pharmacy in the state of California Completed online application for employment (see ) Up to date Curriculum Vitae (CV) Letter of intent describing reasons for seeking a pediatric residency Three professional letters of recommendation in addition to completed recommendation form for each letter (Two letters from preceptors who can speak of your clinical abilities and one letter from your pharmacy employer. If you have completed a pediatric rotation, your one letter should be from that pediatric preceptor.) Official transcripts sent from your school of pharmacy Completed Strengths, Weaknesses, Interests, Goals (SWIG) Be available for interview in late January or February (Fifteen minute Power Point presentation on a pediatric topic of your choice required during interview) Final deadline for all application materials is January 15 th. Review of any completed application packets will begin after January 1 st. If there are additional questions about the residency program or application requirements please contact the Residency Program Director via at [email protected]. Mailing Address for all Application Materials: Wenee Liu Lopez, Pharm.D. Pharmacy Residency and Student Program Director Children's Hospital Central California 9300 Valley Children's Place, GW19 Madera, CA Phone: Fax: [email protected]