Page | 1 PGY2 Critical Care Pharmacy Residency AU Medical Center University of Georgia College of Pharmacy PGY2 Residency Programs Purpose 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. Our PGY2 Critical Care Residency This PGY2 residency provides the resident with advanced clinical training in critical care pharmacotherapy, as well as numerous opportunities for research, teaching, and scholarship. Upon completion of this residency, the pharmacist will be a competent clinical pharmacy practitioner in critical care that engages in multidisciplinary collaboration, demonstrates advanced critical thinking skills, and is able to design and implement complex medication recommendations in this fast-paced environment. Program Director: Christy C. Forehand, Pharm.D., BCPS, BCCCP
Transcript
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PGY2 Critical Care Pharmacy Residency AU Medical Center
University of Georgia College of Pharmacy
PGY2 Residency Programs Purpose
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.
Our PGY2 Critical Care Residency
This PGY2 residency provides the resident with advanced clinical training in critical care
pharmacotherapy, as well as numerous opportunities for research, teaching, and scholarship. Upon completion of this residency, the pharmacist will be a competent
clinical pharmacy practitioner in critical care that engages in multidisciplinary collaboration, demonstrates advanced critical thinking skills, and is able to design and
implement complex medication recommendations in this fast-paced environment.
Program Director: Christy C. Forehand, Pharm.D., BCPS, BCCCP
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Table of Contents
Program Overview Page
Administration and Preceptors 3
Program Structure 11
Required Rotation Descriptions 12
Longitudinal Activity Descriptions 14
Resident Qualifications and Application Process 17
Health System Pharmacy Services 18
College of Pharmacy Connection 20
Augusta University Health Sciences Campus & Augusta Area 21
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AU Medical Center/UGA College of Pharmacy
PGY2 Critical Care Pharmacy Residency Program Administration and Preceptors
Christy C. Forehand, Pharm.D., BCPS, BCCCP
Critical Care Clinical Specialist PGY2 Critical Care Residency Program Director
Richard Burrell, RPh, MBA Director of Pharmacy AU Medical Center [email protected]
Brad Phillips, Pharm.D., BCPS, FCCP Professor and Department Head UGA College of Pharmacy [email protected]
Haize Newby, Pharm.D. Pharmacy Manager – Central Pharmacy AU Medical Center [email protected]
Erinn Rowe, Pharm.D., M.S. Pharmacy Manager – Decentralized Services AU Medical Center [email protected]
Preceptors Christy C. Forehand, Pharm.D., BCPS, BCCCP Critical Care Pharmacy Specialist – MICU PGY2 Critical Care Residency Program Director [email protected]
Tim Robinson, Pharm.D., BCPS Critical Care Clinical Specialist – Trauma Critical Care Pharmacy Supervisor [email protected]
Marjorie Phillips, M.S., R.Ph., FASHP Investigational Drug Service Clinical Research Pharmacist/Coordinator Clinical Professor (without salary) [email protected]
Joseph Schafer, Pharm.D. Clinical Specialist – Cardiology [email protected]
Amber Clemmons, Pharm.D., BCOP Bone Marrow Transplant Clinical Associate Professor [email protected]
Arpita Gandhi, Pharm.D., BCOP Bone Marrow Transplant/Leukemia Clinical Specialist Clinical Assistant Professor (without salary) [email protected]
Christy Forehand, Pharm.D., BCPS, BCCCP (Critical Care Pharmacy Specialist – MICU, PGY2 Critical Care Residency Program Director) Christy Forehand is a Critical Care Pharmacy Specialist for the medical ICU and the PGY2 Critical Care Residency Program Director. She is also a preceptor for the University of Georgia (UGA) College of Pharmacy. Christy received a Bachelor of Science in Biology from Georgia College and State University and her Doctor of Pharmacy degree from the University of Georgia College of Pharmacy in 2010. Christy was a clinical staff pharmacist for a year before completing a PGY1 pharmacy residency and PGY2 critical care pharmacy residency at the Medical College of Georgia (now AU Medical Center) and UGA College of Pharmacy. She completed a teaching certificate program during her residencies. Christy obtained her Board Certified Pharmacotherapy Specialist (BCPS) recognition during her PGY2 residency and obtained her Board Certified Critical Care Pharmacy Specialist (BCCCP) acknowledgement after completing her residency training. She maintains both of these certifications currently. Christy is responsible for providing critical care pharmacy clinical services to the Medical Intensive Care Unit (MICU). She serves as a preceptor in the MICU for UGA pharmacy students, the PGY1 pharmacy residency, and the PGY2 critical care pharmacy residency. Christy is an active member of the Georgia Society of Health System Pharmacists (GSHP), American College of Clinical Pharmacy (ACCP), Society of Critical Care Medicine (SCCM), and American Society of Health System Pharmacists (ASHP) and serves on the ICU Committee at AU Medical Center. Christy has not only presented her own research but has precepted resident research projects at SCCM’s Annual Congress several times (2013, 2015, and 2016). Christy’s professional and scholarly interests include sedation/analgesia/delirium, electrolyte abnormalities, and infectious diseases. Kelley Norris, Pharm.D., BCPS (Pediatric Critical Care Pharmacy Specialist, Supervisor of Pediatric Pharmacy Services, PGY2 Pediatric Residency Program Director) Kelley Norris is a Pediatric Critical Care Specialist and the Pharmacy Pediatric Team Supervisor. She also holds an appointment as Clinical Assistant Professor at the University of Georgia (UGA), College of Pharmacy. Kelley received her Doctor of Pharmacy degree from Auburn University in 1999. After completing her pharmacy practice residency at the Medical College of Georgia in 2000, she joined the AU Health staff as a pediatric pharmacy specialist. She has earned and maintained the recognition of Board Certified Pharmacotherapy Specialist (BCPS) since 2000. Kelley is responsible for providing pediatric pharmacy clinical services to the Pediatric Intensive Care Unit (PICU). Kelley is the Residency Program Director for the Pediatric PGY2 program and also serves as a preceptor in the PICU for UGA pharmacy students, the PGY1 Pharmacy residency, the PGY2 Pediatric Pharmacy residency and the PGY2 Critical Care residency. She has served 3 years as Vice Chair for the Vizient Pharmacy Council Pediatric Pharmacy Committee and is the upcoming Chair for 2018-2020. She has also served on the Novation Pediatrics Advisory Group, and is an active member of the Pediatric Pharmacy
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Advocacy Group, ASHP, and ACCP. She was a member of the drafting team for the World Health Organization (WHO) List of Essential Medications for Pediatrics published in December 2007. Jody Carswell Rocker, Pharm.D., BCPS (Neurology/Critical Care Pharmacy Specialist) Jody received her Pharm.D. from the University of Georgia College of Pharmacy in 2003. She completed her PGY1 Pharmacy Residency at the Medical College of Georgia Health System in 2004 and then joined the MCG (now AU Medical Center) pharmacy staff as a Neuroscience Pharmacy Specialist. She serves as a preceptor for Pharm.D. students, PGY-1 and PGY-2 critical care residents. She has an appointment to the University of Georgia, College of Pharmacy as a Clinical Assistant Professor. At the 2004 ACCP Annual Meeting she presented, “Cliff Notes: How Mentoring Works” with Dr. Susan Fagan. She has been published in The Annals of Pharmacotherapy (2003), Hospital Pharmacy (2006), and Stroke (2012). Her areas of clinical interest are: blood pressure and hemostatic therapies for the management of intracerebral hemorrhage patients and secondary stroke prevention strategies. Jody is an active member of ACCP, Georgia Society of Health System Pharmacists (GSHP), the Neurocritical Care Society, and ASHP. She has participated in medical mission trips to Ecuador. Fall of 2015, GSHP recognized her with their Community Service award for both her international work and a popular program that bought pharmacists and pharmacy students to many community groups for health and medication education lectures. In the summer of 2016, GSHP honored her with their Preceptor of the Year award for her involvement with pharmacy residents. She is also the GSHP District Director for the Central Savannah River District (Board Member). Tim Robinson, Pharm.D., BCPS (Trauma/Critical Care Pharmacy Specialist; Supervisor of Adult Critical Care Pharmacy Services) Tim received his Doctor of Pharmacy degree from the University of Kentucky College of Pharmacy in 2007. He completed a PGY1 Pharmacy Residency at MCG Health in conjunction with the University of Georgia College of Pharmacy and completed a UGA Teaching Certificate. Upon residency completion in 2008, Tim joined the AU Health System Pharmacy staff covering internal medicine and the oncology/hematology service. Beginning in 2009, his practice focus has been in the Shock Trauma Intensive Care Unit. His practice interests include traumatic brain injury (TBI) management, continuous sedation/pain management and infectious disease. Tim earned the recognition of Board Certified Pharmacotherapy Specialist (BCPS) in 2012 and is a preceptor for pharmacy students, PGY1 residents and PGY2 critical care specialty residents. In 2017, he was also promoted to the role Critical Care Pharmacy Clinical Supervisor. Andrea Sikora Newsome, Pharm.D., BCPS, BCCCP (Clinical Assistant Professor, Critical Care Pharmacy Specialist – Cardiac Intensive Care Unit) Dr. Andrea Sikora Newsome is a Clinical Assistant Professor at The University of Georgia College of Pharmacy. Her practice site is the Cardiac Intensive Care Unit at Augusta University Medical Center. She serves as a clinical preceptor at her practice site for PGY2 Critical Care Pharmacy
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Specialty residents, PGY1 Pharmacy residents, 4th year Doctor of Pharmacy students, as well as Ph.D. candidates through The University of Georgia Clinical and Administrative Pharmacy Graduate Program. Additionally, she provides experiential rotations for 1st, 2nd, and 3rd year Doctor of Pharmacy candidates. Andrea graduated from The University of Georgia (UGA) College of Pharmacy and completed her PGY1 Pharmacy Residency and PGY2 Critical Care Specialty Pharmacy Residency at The University of North Carolina (UNC) Medical Center in Chapel Hill, NC. She joined AU Medical Center as a critical care pharmacist in 2015. Andrea serves on the Residency Advisory Committee, the Pharmacy Practice Model Committee, and the ICU Committee, among others. She is also a member of SCCM, ACCP, and GSHP and was awarded the GSHP Outstanding Young Health-System Pharmacist Award in 2016 and Augusta University Health Golden Pen Award in 2017. Ah Hyun Jun, Pharm.D., BCCCP (Critical Care Pharmacy Specialist, Medicine ICU) Ah Hyun joined the AU Medical Center Pharmacy team in August 2016, after completing a PGY1 Pharmacy Residency and PGY2 Critical Care Pharmacy Residency at Grady Health System in Atlanta and the Pharmacy Teaching Program at Mercer University College of Pharmacy. She is a Doctor of Pharmacy graduate of the University of Georgia College of Pharmacy and a board certified critical care pharmacist. She presented two of her research projects at the Society of Critical Care Medicine (SCCM) National Congress meetings (2016, 2017). Her research interests include the management of diabetes ketoacidosis and pain, agitation, delirium in the ICU. She precepts UGA Pharm.D. students and residents in the medical ICU. Sonal Patel, Pharm.D., BCPS (Antimicrobial Stewardship/Infectious Disease Specialist) Sonal Patel completed her undergraduate studies in biology at the York University in Toronto, Canada, and went on receive her Pharm.D. from the Wayne State University in Detroit, Michigan. She then completed a PGY1 Pharmacy Residency at the Detroit Medical Center and a PGY2 Infectious Diseases Residency at the Henry Ford Hospital in Detroit. Sonal joined the AU Medical Center pharmacy team in 2013 as the antimicrobial stewardship pharmacist. She has an appointment to the University Of Georgia College Of Pharmacy as a Clinical Assistant Professor. She rounds with the Infectious Disease Consult Service while at the same time, works closely with pharmacists and physicians to ensure that antibiotic use is being optimized in patients (both adult and pediatrics). Sonal is also involved in multiple hospital-wide taskforces, is a member of the Infections Prevention Committee and serves as the Secretary of the Antimicrobial Subcommittee of the Pharmacy & Therapeutics Committee. Marjorie Shaw Phillips, M.S. R.Ph., FASHP, CIP (PGY1 Residency Program Director) Marjorie Shaw Phillips, is Pharmacy Manager (Clinical Research and Education), AU Medical Center and Clinical Professor, University of Georgia College of Pharmacy. A member of the
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Pharmacy Leadership Team, her practice includes clinical research pharmacy and coordination of technician students and observers for the pharmacy department. After serving as the Pharmacy Residency Coordinator for nine years, Marjorie became the PGY1 Program Director in 2008. She also precepts a Pharm.D. rotation in Clinical Research/Investigational Drug Services (APPE). From 1995 to 2010 and 2015-2016, she served as the Chair of the health system Medication Error Prevention Committee (MEPC) and she continues to be actively involved as a member of MEPC. The MEPC is an interdisciplinary group whose focus is review of local/national medication error reports and hospital efforts to improve medication safety and increase event reporting in a non-punitive environment. She has been a member of the Augusta University Institutional Review Board (IRB) for 25 years, and after 13 years as a Vice-Chair of the biomedical IRB became Chair of IRB-C (Oncology-focused biomedical board) in January 2015. In fall 2017 she earned the credential of Certified IRB Professional (CIP) by examination from the organization for Public Responsibility in Medicine and Research (PRIM&R). She is a member of the Georgia Cancer Center and serves on the Protocol Review and Monitoring (Scientific Review) Committee. Marjorie received her M.S. in Hospital Pharmacy from the University of Florida College of Pharmacy and completed a two-year hospital pharmacy residency at Shands Hospital at the University of Florida in 1984. The next six years were spent practicing hospital pharmacy, with an emphasis in quality and performance improvement, at two Florida hospitals (Shands-UF/Gainesville and Memorial Hospital-Ormond Beach). In 1990, she joined the pharmacy staff at the Medical College of Georgia (MCG) Hospitals and Clinics (the organization that later became AU Medical Center). ASHP service includes Chair of the House of Delegates (2003-2006), Board of Directors (2002-2006), Commission on Credentialing (2017-2019), House of Delegates, Council on Organizational Affairs (1991-1994), Ad Hoc Committee on Policy Development, USP Advisory Committee, Section of Clinical Specialists Communication and Education Committees and drafter for two ASHP Guidelines. She is Past President, Georgia Society of Health-System Pharmacists and Eastern Shores Florida Society of Hospital Pharmacists, and a past Board Member and Committee Chair for both FSHP and GSHP. In 1997, she was GSHP Pharmacist of the Year. She served on the Steering Committee for the Southeastern Residency Conference from 2000 to 2011 and completed a five-year term as Treasurer in 2005. Her professional contributions also include over 40 publications and 70 presentations (on varying topics including medication safety, performance improvement, team-building, and clinical trials compliance) and several book chapters (quality improvement, medication safety). She served two five-year terms on the USP Safe Medication Use Expert Committee (2005-2010), as Vice-chair for the second term, and as an Expert Consultant for USP. Marjorie was recognized by the UGA College of Pharmacy with its Distinguished Service Award at Homecoming 2011, served on the FDA Drug Safety and Risk Management Advisory Committee (DSaRM AC) 2012-2016 and continues to have an appointment as a Special Government Employee and consultant to the FDA DSaRM AC.
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Erinn Rowe, PharmD, MS (Pharmacy Manager, Clinical Services) Erinn Rowe is the Pharmacy Manager for Decentralized Services at AU Medical Center (unit-based pharmacists, operating room satellites). Dr. Rowe obtained her Doctor of Pharmacy from the University of Georgia in 2008 and went on to complete the Health System Pharmacy Administration (HSPA) residency at the University of North Carolina Medical Center (UNCMC). She also received her MS degree from the University of North Carolina at Chapel Hill (UNC). She worked at UNCMC from 2010-2014, serving as a Clinical Manager over the Sterile Products Area, Controlled Substances, and Pharmacy Surgical Services. She served as a preceptor for PGY1 and PGY2 HSPA residents, PGY1 pharmacy practice residents, fourth year APPE students, and was the coordinator for the first year UNC IPPE students. While in North Carolina, Erinn was a member of the North Carolina Association of Pharmacists and also sat on the Financial Performance Committee of the University Health-System Consortium. She joined the AU team in September of 2014 and is leading efforts to enhance the pharmacy practice model at the medical center. Amber Bradley Clemmons, Pharm.D., BCOP (Bone Marrow Transplant, Hematology/Oncology) Amber is a 2009 PGY1 graduate of our residency program, who returned to Augusta as a full-time faculty member at the rank of Clinical Assistant Professor for UGA in August 2011; currently at the rank of Clinical Associate Professor. She received her Doctor of Pharmacy degree from the University of Michigan College of Pharmacy, completed a University of Georgia College of Pharmacy Teaching Certificate during her PGY1 year at MCG Health/UGA, and PGY2 Hematology/Oncology Pharmacy specialty residency at the University of North Carolina (UNC Hospitals and Clinics), Chapel Hill. Amber serves as a clinical pharmacy specialist for the adult bone marrow transplantation (BMT) team. She is a highly active member of the Hematology Oncology Pharmacy Association (HOPA) and the American Society for Blood and Marrow Transplantation (ASBMT) Pharmacy Special Interest Group (SIG), as well as a member of ASHP, GSHP, and the Georgia Cancer Center. Dr. Clemmons has received the STaR (Southern Translational Education and Research) Young Investigator of the Year Award (2011) the ASBMT Pharmacy SIG New Practitioner of the Year Award (2014), the GSHP Young Health-System Pharmacy Practitioner of the Year Award (2014), Teacher of the Year Award at the UGA College of Pharmacy (2016), and HOPA New Practitioner Award (2017). Dr. Clemmons serves as the Residency Program Director for the UGA/AU Medical Center PGY2 Oncology program. Arpita Gandhi, Pharm.D., BCOP (Bone Marrow Transplant, Leukemia, Hematology/Oncology) Arpita Shah Gandhi received her Doctor of Pharmacy degree from the Rutgers University Ernest Mario School of Pharmacy in 2011. Following graduation, she completed a PGY1 Pharmacy Residency and a Hematology/Oncology Specialty Residency (PGY2) at the Hospital of the University of Pennsylvania (UPenn). She completed a teaching certificate during her PGY2 year
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at Hospital of the University of Pennsylvania/Philadelphia College of Pharmacy. She is a member of Hematology Oncology Pharmacy Association, American Society of Blood and Marrow Transplantation and American Society of Health System Pharmacists and a Clinical Assistant Professor of Pharmacy Practice (without salary) for the University of Georgia College of Pharmacy. In addition to serving on the hospital Pain Committee, she was also the local Principal Investigator on a multi-site pilot study measuring the impact of pharmacist medication reconciliation at discharge (focusing on hematology/oncology patients at our institution) in 2015-2016. Arpita’s teaching, clinical service, and scholarship interests include hematological malignancies, bone marrow transplantation, and supportive care in oncology. She has had 18 publications in the medical literature since completing her residency, including several co-authored with our pharmacy residents. Joseph Schafer, Pharm.D. (Cardiology Pharmacy Specialist) Joe received his PharmD from University of the Sciences – Philadelphia College of Pharmacy in 2015. Following graduation, he completed his PGY1 year at Mount Sinai St. Luke’s in New York City where he received his teaching certificate from Touro College of Pharmacy. He went on to complete a PGY2 in Internal Medicine with a Cardiology focus at Ochsner Medical Center in New Orleans. After completion of residency, Joe joined the AU Medical Center pharmacy team in fall 2017 as the cardiology specialist. His professional interests include acute and chronic heart failure management, anticoagulation strategies, and optimal treatment of hypertensive crisis. Joe has a passion for preceptorship and mentorship and was able to act as preceptor for students in his residency years. He plans to become a Clinical Assistant Professor of Pharmacy Practice for the UGA College of Pharmacy to further foster his teaching interest. He is a member of American College of Cardiology (ACC), American College of Clinical Pharmacy (ACCP), and American Society of Health System Pharmacists (ASHP).
Elective Experiences (based on resident interest and
preceptor availability) Preceptor
Coronary Care Unit Andrea Newsome, Pharm.D, BCPS, BCCCP
Investigational Drugs/Clinical Research Marjorie Phillips, M.S., R.Ph., FASHP, CIP
Cardiology Joseph Schafer, Pharm.D.
Bone Marrow Transplant Amber Clemmons, Pharm.D., BCOP
Arpita Gandhi, Pharm.D., BCOP
Longitudinal Experiences Preceptor(s)
Practice Management/Administration/ Drug Information
Erinn Rowe, Pharm.D., MS Stephanie Lively, Pharm.D., BCPS
Management of Medical Emergencies Christy Forehand, Pharm.D., BCPS, BCCCP
Service (Weekend Distributive) Ah Hyun, Pharm.D., BCCCP
Teaching in Pharmacy Practice II Rusty May, Pharm.D., FASHP
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Required Rotation Descriptions Medical Intensive Care Unit (2 months) Preceptors: Christy Forehand, Pharm.D., BCPS, BCCCP; Ah Hyun Jun, Pharm.D., BCCCP Description: The overall purpose of the MICU rotation is to allow the resident to develop expertise in all aspects of critical care medicine. The resident will achieve advanced knowledge and skills needed by assuming complete responsibility for providing pharmaceutical care to the critically ill patient population in the MICU. This will allow the resident to assert their role as the pharmacist on the multidisciplinary team during the course of the experience. The rotation functions to provide pathophysiology, pharmacology, and management of various disease states within the MICU through direct patient care, literature review, peer instruction, and topic discussion. The MICU is a 24-bed closed unit for critically ill medicine patients. The multidisciplinary MICU team consists of one teaching-attending pulmonary physician, pulmonary fellow, medical residents, interns, students, clinical pharmacy specialist, pharmacy resident, pharmacy students, respiratory therapist, clinical dietitian, nurses, patients, and family members. Surgical/Cardiothoracic Intensive Care Unit (1 month) Preceptor: Ellen Huang, Pharm.D. Description: The overall purpose of the SICU rotation is to allow the resident to develop expertise in all aspects of critical care medicine relative to surgery, especially as it relates to the care of the cardiothoracic surgery. The resident will achieve advanced knowledge and skills needed by assuming complete responsibility for providing pharmaceutical care to the critically ill patient population in the SICU. Emphasis will be placed on primary literature relevant to fundamental critical care concepts and pharmacotherapy while assuming responsibility for the medication therapy outcomes. This will allow the resident to assert an active role as the pharmacist on the multidisciplinary team through development, assessment, and reevaluation of medication therapy. The SICU is a 12-bed unit for critically ill surgical patients. The critical care services are coordinated by the Anesthesia Critical Care Service. This interdisciplinary team consists of members from anesthesia, pharmacy, nursing, midlevel practitioners, respiratory therapy and nutrition. Trauma Intensive Care Unit (1 month) Preceptor: Tim Robinson, Pharm.D., BCPS Description: The overall purpose of the rotation is to enable the resident to develop expertise in the care of critically ill patients in an adult level 1 trauma center. The resident will achieve advanced knowledge and skills needed by assuming complete responsibility for providing pharmaceutical care to the critically ill patient population in the Trauma ICU. This will allow the resident to assert their role as the pharmacist on the multidisciplinary team during the course of the experience. The resident will be expected to create/evaluate therapeutic medication
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plans based on hospital policy and evidence based medicine, answer drug information questions, and provide pharmaceutical education to nursing and medical staff. The Trauma ICU is a 12-bed closed unit for critically ill trauma patients and specializes in the care of patients with injuries including motorcycle/motor vehicle collision, gunshot/stab/assault wounds, and fall-related injuries. The multidisciplinary team consists of one teaching-attending trauma surgery physician, fellow, surgery and emergency medicine residents, interns, students, clinical pharmacy specialist, pharmacy resident, pharmacy students, respiratory therapist, and nurses. Neuroscience Intensive Care Unit (1 month) Preceptor: Jody C. Rocker, Pharm.D., BCPS Description: The overall purpose of the Neuro ICU rotation is to allow the resident to develop expertise in all aspects of neurointensive medicine by working with the inpatient neurology and neurosurgery teams to provide patient care services and drug information healthcare professionals. The residents will achieve advanced knowledge and skills needed by assuming complete responsibility for providing necessary pharmaceutical care to all Neuro ICU patients in a 20-bed unit. Responsibilities will include timely responses to drug information questions, pharmacotherapy issues, and medication counseling for patients and/or family members. At AU Medical Center, the neurocritical care team consists of neurointensivists, a neurocritical care Pharm.D., case management, residents from both neurology and neurosurgery, and students. Infectious Diseases Consult (1 month) Preceptor: Sonal Patel, Pharm.D., BCPS Description: The overall purpose of the infectious disease rotation is to allow the resident to develop knowledge and skills in the identification and resolution of infectious disease-related issues in patients. The resident will learn about the different components of antimicrobial stewardship, such as de-escalation, IV to PO changes, optimizing dosing of antimicrobials, and determining appropriate treatment duration. When rounding on the ID consult team, the resident's responsibilities include making sure that antibiotics are de-escalated, monitoring for adverse effects of antimicrobials, following patients until discharge, and being the point person for any questions regarding antimicrobials. The resident will be responsible for daily rounding on the ID consult service. They will also participate in any activities related to the Antimicrobial Subcommittee as the opportunities arise. Good communication, interpersonal skills and time management are of paramount importance in this setting. The rotation functions to provide pathophysiology, pharmacology, and management of various disease states within the realm of infectious diseases through direct patient care, literature review, peer instruction, and topic discussion.
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Pediatric Intensive Care Unit (1 month) Preceptor: Kelley Norris, Pharm.D., BCPS
Description: The overall purpose of the PICU rotation is to provide the PGY2 resident an opportunity to become an independent practitioner in a pediatric critical care setting. The resident will achieve knowledge and skills needed to assume responsibility for providing pharmaceutical care to the critically ill population in the PICU. The goal is for the resident to understand the process employed and information used to reach clinical decisions regarding pediatric drug therapy in the critical care setting. The PICU is a 14 bed unit with a multi-disciplinary team that consists of an attending, medical residents, interns, medical students, clinical pharmacy specialist, pharmacy resident, pharmacy students, respiratory therapist, clinical dietician, nurses, patients and family members.
Longitudinal Activity Descriptions
Administration/Medication Use Policy Development Preceptors: Erinn Rowe, Pharm.D., MS; Stephanie Lively, Pharm.D., BCPS Description: The combined pharmacy management and drug policy longitudinal experience has been designed to provide the resident with administrative, practice, and leadership experience with a focus on medication use policy, drug information, and medication safety. The longitudinal experience will provide the resident with an opportunity to further develop writing, speaking, clinical, teamwork, project management, critical thinking, decision-making, organizational, leadership, and time management skills.
Management of Medical Emergencies (Code Blue Response) Preceptor: Christy Forehand, Pharm.D., BCPS, BCCCP Description: The PGY2 Critical Care resident will respond to Code Blue calls while in-house. The resident will be responsible for responding to all Code Blue calls while on any direct patient care rotation. The resident will respond with another critical care pharmacist for all calls until the resident has been deemed fully competent to respond individually. The PGY2 critical care resident will obtain ACLS certification during their July orientation month unless the resident has current certification.
Service (Weekend Operations) Component Preceptor: Ah Hyun, Pharm.D., BCCCP Description: The PGY2 Critical Care resident will staff in a clinical pharmacist role one weekend in the adult hospital every month (two 8 hour shifts) plus one 8 hour shift per month to help cover central distributive services.
Teaching in Pharmacy Practice (Teaching Certificate)
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Preceptor: Rusty May, Pharm.D., FASHP Description: Providing education to others is a significant and routine component of pharmacy practice and direct patient care. Practice at all levels provides numerous opportunities for classroom, experiential, and professional educational involvement. Therefore, development of teaching skills should add to the learning that occurs in becoming an effective practitioner and educator. For 2nd year residents, in addition to foundation teaching abilities, it is important to develop and demonstrate highly advanced skills as a pharmacy educator and preceptor. To foster this development, the University of Georgia College of Pharmacy (UGA) offers a structured course as part of its Graduate Certificate Program for Pharmacy Residents/Graduate Students that will provide PGY2 residents with peer-reviewed opportunities to practice and grow as a teacher and preceptor beyond the challenges already incurred as a 1st year resident.
Grand Rounds Description: The PGY2 Critical Care resident will present one University of Georgia College of Pharmacy Grand Rounds presentation during the residency year. The seminar will be accredited for ACPE-continuing education credit for pharmacists. Compliance with all ACPE requirements such as developing measureable learning objectives, incorporating active learning, and providing post-presentation assessment questions is mandatory. Research Project Description: The PGY2 Critical Care resident will conduct a residency research project each year. The residents will be provided with suggested topics early in the residency year. Residents will work with a clinical pharmacist and other multidisciplinary collaborators to complete the project according to the timeline established at the beginning of the year. Project results will be presented at the Southeastern Residency Conference (SERC). The project methodology and results will be written in manuscript format, suitable for publication, and will be submitted to preceptor and RPD. Submission for publication is highly encouraged. Project results may be presented at other regional and national meetings or other institutional committees, as appropriate. Medication Usage Evaluation (MUE) or Quality Improvement (QI) Project Description: The PGY2 Critical Care resident will perform an MUE or QI Project during the year. The resident will be provided with suggestions and will work with a clinical pharmacist and other needed individuals to collect and analyze the data. Project results will be shared with Departmental Leadership and further needed response/follow-up on the results will be initiated by the resident as the duration of the residency program allows.
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Journal Club Description: The PGY2 Critical Care resident will present one Journal Club during the residency year. The Journal Club will be presented to other pharmacy residents and clinicians and will be a thorough review of a recent journal article including an assessment of pertinent literature. Preceptor evaluations will be completed and shared with the resident. Critical Care Newsletter Description: The PGY2 Critical Care resident will develop and distribute a critical care newsletter on a monthly basis. The resident will choose each topic with suggestions provided by the preceptors. Each newsletter topic will be two to three pages in length and will help the resident evaluate literature and develop sound writing skills. The audience for the newsletter includes pharmacists, administrators, and physicians.
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Resident Qualifications and Application Process
Resident Qualifications Residents should be a graduate of an ACPE-accredited Doctor of Pharmacy Program and an ASHP-accredited PGY1 Residency Program. However, pharmacists who have experience beyond entry level practice and are licensed, practicing pharmacists in the United States may be considered for a residency position if they have all of the other qualifications to be ranked as a candidate. The resident will obtain licensure in the state of Georgia within sixty days of the start of the residency year (e.g. September 1). Failure to obtain a Georgia pharmacist license by this date will be grounds for immediate dismissal from the residency program, unless the Director of Pharmacy and RPD determine that extenuating circumstances exist, and a mutually acceptable immediate plan of action is devised to ensure that the delay in licensure does not impede the resident’s ability to complete all program requirements. Effective July 2016, the Georgia Board of Pharmacy has a process for pharmacy residents licensed in another state to obtain a temporary pharmacist license prior to the start of the residency. Because licensure is necessary to be able to work in a hospital pharmacy, either the temporary or permanent pharmacist license is required by the first day of residency. The residency program will participate in and abide by all the rules of the ASHP National Matching Service. In the event of unmatched available positions, the RPD will recruit using the same requirements and standards.
Application Process Applicants to the program will complete an online application packet using PHORCAS and submit by the application deadline. This packet will include the following: 1) Official transcript from accredited College of Pharmacy 2) Three letters of recommendation 3) Curriculum Vitae 4) Letter of intent Completed application packets will be reviewed by members of the PGY2 Critical Care Program. Selected candidates will be invited for an onsite interview with members of the PGY2 Critical Care Program and the RAC. Candidates will be required to perform a 20-30 minute clinical seminar on a topic of their preference. Following the interview cycle, residency candidates will be ranked based upon input from the program individuals. A rank list will be submitted to the Residency Matching Service. The RPD will provide the resident accepted to the program with a letter outlining their acceptance to the program.
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Health System Pharmacy Services
The AU Medical Center Department of Pharmacy provides pharmaceutical care to patients and comprehensive services to physicians and other health care professionals as an integral part of the teaching, research, and patient-care programs of the clinical enterprise. The Pharmacy Department’s activities are enhanced by integrated state-of-the-art computerized information systems, and automation from carrousel central inventory management to the latest unit-based cabinets and smart infusion pumps.
Pharmacy services available at a variety of locations around campus: The Central Pharmacy is the primary production area. The medication distribution process is highly automated with MedCarousel technology for refilling 80 Acudose automated dispensing cabinets throughout the medical center that provide immediate access to over 80% of doses. There is also a 24-hour unit-dose medication cart fill for pediatric patients requiring individualized doses. The packaging and manufacturing area prepares unit doses from bulk containers, compounds a variety of dosage forms, and flavors pediatric oral liquids. Large-volume parenterals, minibags, total parenteral nutrition solutions, and chemotherapy are aseptically prepared in a USP797-compliant IV clean room. Our purchasing, inventory management, and administrative offices are also located in the central pharmacy. Recent opening of a Pediatric and Adult Intensive Care Unit satellite pharmacy has facilitated more efficient distribution and delivery of high priority medications. The Medical Office Building Pharmacy provides pharmacy services to one of the largest ambulatory care centers in the southeast. Retail pharmacy services are not offered to the general ambulatory population, however, outpatient medications and Patient Assistance Program drugs are provided for renal transplant and oncology patients. An Employee Pharmacy opened in late fall 2012, Specialty Pharmacy services were implemented in 2014 and a new Retail Pharmacy includes a discharge prescription program with transitions in care management and delivery to the patient’s bedside.
Therapeutic Policy/Formulary Management/Drug Information Pharmacists proactively provide pharmaceutical and drug therapy information to health care practitioners. Pharmacy and Therapeutics Committee activities, formulary management, the medication use evaluation (MUE) program, and adverse drug reaction reporting are coordinated through a member of the Pharmacy Leadership Team. The Drug Information Newsletter has received state and national awards for excellence. Drug information resources include access to the University of Georgia Library and AU Medical Center’s Health Science Campus Greenblatt Library electronic reference systems. An Antimicrobial Stewardship Pharmacist works closely with the Infectious Disease service to promote optimal use of anti-infective agents and minimize resistance.
The Cancer Center Pharmacy prepares chemotherapy and supportive care medications for administration to ambulatory patients with cancer and provides services for a Cancer Clinical Research Unit (Phase I and Phase II clinical trials). The pharmacy is adjacent to the infusion area
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in which facilitates interactions and patient education. AU Medical Center is pursuing an initiative to be recognized as an NCI-designated Cancer Center and is one of only 12 NCI Community Oncology Research Program Minority/Underserved Community Site grantees (NCORP) nationally. Anticoagulation Clinic is a pharmacist-run collaborative practice site. Ambulatory care pharmacists also practice in the Family Medicine, Medicine and Digestive Health clinics. Renal Transplant Clinic provides multidisciplinary and collaborative care to patients before and after solid organ transplant and evaluation of donors and recipients. Two pharmacists are dedicated full time to the Solid Organ Transplant program (both inpatient and ambulatory care). Unit Based Pharmacists and Clinical Specialists cover hospital inpatient units. They provide clinical pharmacy support to the medical and nursing staffs including pharmacokinetic consulting and drug choice recommendations. They also participate in a variety of direct patient care services including medication counseling and therapeutic drug monitoring. Within the area of critical care, AU Medical Center is a Level I trauma center with pharmacists covering 74 adult ICU beds, 14 pediatric ICU beds and Level IV Neonatal Nursery (34 neonatal ICU beds).
The Clinical Research Pharmacy provides study medication management and research support services for over 150 inpatient and outpatient protocols. There is strong pharmacist involvement on both health science-related IRBs (member of biomedical IRB, Chair and member of oncology-related biomedical IRB). Pharmacy services are also provided to the Georgia War Veterans Nursing Home (GWVNH), a 188-bed long-term care facility on campus. Consultant services include attendance at admission interviews, developing a pharmacy care plan, monitoring therapy outcomes and recommending pharmacotherapeutic options. The Pharmacy also provides unit dose drug distribution, drug information and a medication use evaluation program. Education and Training Programs of the Pharmacy Department include an ASHP-accredited PGY1, PGY2 Pediatric, Oncology and Critical Care residencies, numerous APPE (clerkships) for the University of Georgia Pharm.D. Program, pharmacy intern/extern experiences, and technician training rotations in conjunction with two technical colleges. Pharmacy practitioners hold academic appointments with the University of Georgia College of Pharmacy as Clinical Faculty and/or Preceptors. “Pharmacy Grand Rounds” is a weekly ACPE-accredited educational seminar jointly sponsored by the AU Medical Center Pharmacy Department and the UGA College of Pharmacy. The Pharmacy Department also jointly sponsors an adult Adverse Drug Reaction (ADR) Conference with the Department of Medicine, and a pediatric ADR Conference with the Department of Pediatrics. Our department has a strong commitment to ongoing pharmacy preceptor development and our teaching mission.
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College of Pharmacy Connection
University of Georgia (UGA) College of Pharmacy has nine full-time faculty located on the GRU campus. The faculty participates in pharmacy services as part of their research, education, and training activities. The College of Pharmacy is an active partner in the pharmacy residency program. Pharmacy residents have the opportunity to participate in classroom teaching, and are involved with mentoring of pharmacy students on the Augusta campus. Residents are graduate teaching assistants in the College of Pharmacy and earn a graduate certificate from the UGA Graduate School as part of the residency program. Residents qualify for a tuition waiver if they would like to take elective UGA graduate courses.
Overview
The University of Georgia, College of Pharmacy offers the Doctor of Pharmacy professional degree. Based in Athens, Georgia, the college admits about 150 students a year. The four-year professional program integrates classroom, laboratory and experiential training in a curriculum organized around both human physiology and disease states. Thirty students from each class spend the last 2 years of their program on the Augusta campus, with an additional ten coming for 4th year clinical rotations to bring the number of APPE students to 40. The college also offers graduate studies in disciplines associated with pharmacotherapeutic research, clinical therapeutics, and administration.
History
The College of Pharmacy was founded in 1903. In 1926, seven years before a degree was required for licensure, the college adopted a four-year Bachelor of Science program. Since that time the college has remained on the cutting edge of pharmacy education. State-of-the-art two-way interactive video links our campus to faculty and students in Athens, Albany and Savannah. The UGA College of Pharmacy has also been a leader in implementing online instruction and providing students with earlier practice experience opportunities.
Clinical and Administrative Pharmacy
The Department of Clinical and Administrative Pharmacy offers clinical training in many areas through clinical sites in Athens, Augusta (at AU Medical Center), Savannah, and Albany. Faculty work in a diverse array of patient care sites from primary care clinics and community pharmacies to large, tertiary-care hospitals. The Department offers PhD degrees in Clinical and Experimental Therapeutics and Pharmacy Care Administration. The new Center for Pharmacy and Experimental Therapeutics at the Medical College of Georgia facilitates research and teaching collaborations between UGA and Augusta University/AU Medical Center.
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Augusta University Campus & Augusta Area
Internet-based Information Resources
www.augustahealth.org AU Medical Center
www.augusta.edu/about Augusta University Campus
www.augustaGA.org Community information on the Augusta area
http://cap.rx.uga.edu/index.php/academics/residency_program/ UGA College of Pharmacy Residencies
About Augusta Augusta, the Garden City, has a small-town atmosphere with big-city resources. The city borders South Carolina, with the Savannah River providing a beautiful, natural boundary. The larger community is diverse, offering a pleasurable mix of city life and country comfort with a growing skyline, but still plenty of peaceful, friendly neighborhoods and an affordable cost of living. Blankets of azaleas carpet the city each spring, and thousands of trees emblazon the area with color season after season. The Augusta Canal and North Augusta Greeneway feature walking and biking trails that offer miles of scenic exercise, recreation and relaxation. Augusta is the cultural entertainment and shopping center for the Central Savannah River Area (CSRA), which encompasses 18 counties and more than half a million people, 80 percent of whom live in the metropolitan area. Attractions in the city include the prestigious Masters Golf Tournament, and annual international rowing regatta, year round Riverwalk activities and Lake Thurmond, with a 1,200-mile shoreline. The city has minor-league baseball, professional rugby and roller derby teams, an opera association, community theaters, a symphony orchestra and a ballet company among other offerings. It is also the home of the EWSI Ironman Augusta 70.3, which holds the record for the largest IRONMAN 70.3 race. Augusta is a friendly, close-knit community with open arms for the many newcomers attracted to the area each year. (www.visitaugusta.com)
Augusta University, home of the Medical College of Georgia, is one of only four public comprehensive research institutions in the state of Georgia. Founded in 1828, the university includes nine colleges and schools with nearly 10,000 students, 1,000 full-time faculty members and 5,000 staff members. It houses the nation's 13th-oldest medical school, the state's sole dental college, an aligned and integrated health system, a growing intercollegiate athletics program, the highly respected Hull College of Business, the diverse Pamplin College of Arts, Humanities and Social Sciences, and a College of Education among other units. The university has a strong commitment to research, building on a proud tradition that boasts, among other achievements, the groundwork for such breakthroughs as beta-blocking drugs, fertility treatments, birth control pills and the cure for pellagra. The university is building on this excellent reputation as never before with major research initiatives in cancer as well as the cardiovascular, neurological and immune systems. The university's mission is to provide leadership and excellence in teaching, discovery, clinical care and service as a student-centered comprehensive research university and academic health center with a wide range of programs from learning assistance through postdoctoral studies. About AU Health System
Based in Augusta, Ga., AU Health System is a world-class health care network, offering the most comprehensive primary, specialty and subspecialty care in the region. AU Health System provides skilled, compassionate care to its patients, conducts leading-edge clinical research and fosters the medical education and training of tomorrow’s health care practitioners. AU Medical Center is a not-for-profit corporation that manages the 478-bed adult hospital; the 154-bed Children's Hospital of Georgia; Georgia Cancer Center, the AU Medical Office Building, with more than 80 outpatient practice sites in one convenient setting; the Critical Care Center, housing a 13-county regional Level I trauma center; and a variety of centers and units including 74 adult ICU beds, 14 pediatric ICU beds and 34 neonatal ICU beds. Being an academic health center, AU Medical Center differs from community hospitals. We have three primary missions -- patient care, education and research. As an academic health center, we must provide a full range of clinical services and maintain the infrastructure to foster education and research. Over 450 residents and fellows receive post-graduate training through the medical center. AU Medical Center at Augusta University is nationally recognized for its emphasis on patient and family-centered care.
