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Infectious Diseases Specialty Residency

Beginning July 16, 2014, the UC San Diego Health System Center Department of Pharmacy and UC San Diego Skaggs School of Pharmacy and Pharmaceutical Sciences offers a one-year specialty residency in infectious diseases.

Program Summary

  • Residency Positions Available Per Year
    1 resident is accepted each year
  • Stipend
    The current annual stipend is approximately $50,000.
  • Beginning Date
    2nd or 3rd Monday of July (matched residents must be licensed pharmacists in the State of California before starting the residency year and no later than November 1st)
  • Application Procedure
    Eligible applicants must have graduated from an accredited school of pharmacy with a Doctor of Pharmacy degree and successfully completed a PGY1 pharmacy practice residency. Application found on PhORCAS at http://www.ashp.org/phorcas.
  • Application Deadline 
    January 4, 2105 

Resident Contacts

Program Overview

PDF of PGY2 infectious diseases program overview

Residency Program Purpose

The purpose of the UC San Diego Infectious Diseases Pharmacy Residency is to train and educate pharmacists in the delivery of exemplary pharmaceutical care to patients with infectious diseases. This PGY2 infectious diseases residency embraces the concept that infectious diseases pharmacy practitioners share in the responsibility and accountability for optimal drug therapy outcomes. Infectious diseases pharmacy residents must function independently as practitioners through conceptualizing, integrating, and transforming accumulated experience and knowledge into improved drug therapy for patients. The resident(s) will engage in various learning experiences with depth, allowing them to understand and appreciate the implications of medication therapy used in various disease states commonly encountered in this volatile patient population. These advanced practitioners will demonstrate leadership and practice management skills, and will develop proficiency in communication through educating other health care professionals, patients, and students on infectious diseases issues. The practitioners will develop the skills necessary to conduct an infectious diseases research project as well as demonstrate professional maturity by strengthening their personal philosophy of practice, monitoring their own performance, and exhibiting commitment to the profession. Graduates of this specialized program will create working career plans and possess intense, focused marketable job skills that should prepare them for career opportunities in any infectious diseases specialized health care organization.

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Required Learning Experiences

  • Orientation/training/research: 2-4 weeks (duration determined by the resident’s previous work experience)
  • Core rotations: Infectious Diseases Consult Service (twice), Critical Care, Hem/Onc – BMT or HIV – 6 weeks long
  • Foundations in microbiology laboratory – 4 weeks long
  • Antibiotic surveillance – 2 weeks long - formal rotation with ASP activities throughout residency
  • Electives: 1 month each (may repeat any of the ICU’s or other electives)
  • Staffing: 12 weekends throughout the year (~1 shift/month) including 1 major and 1 minor holiday
  • Research project and publication

This specialty residency balances direct patient care, research, and teaching opportunities and is tailored to the individual’s interest within the infectious diseases discipline. Primary service responsibilities include antimicrobial stewardship, attending daily microbiology laboratory rounds, and participation with the Infectious Diseases Consultation Service. A broad range of electives are available for the resident to select from including, critical care, trauma, burn, internal medicine, surgery, cardiology, oncology, hepatology, solid organ and bone marrow transplantation, infection control and epidemiology, HIV/AIDS, and pediatric infectious diseases.

Teaching activities include regular didactic presentations, involvement with the UC San Diego Skaggs School of Pharmacy and Pharmaceutical Sciences courses, (e.g., conference leader for third year microbiology therapeutics course, lecturer in microbiology therapeutics course), and clerkship preceptorship for PGY1 pharmacy practice residents and fourth-year UC San Diego pharmacy students during their clinical infectious diseases rotation. The ability to work independently and to supervise pharmacy students and residents will be emphasized. The resident will participate in all of these activities and will also have a longitudinal clinical practice site.

A residency project will be completed and presented at the San Diego Pharmacy Resident’s Forum. Scientific writing is strongly emphasized and the preparation and submission of a manuscript will be expected. The ability to work independently and to supervise pharmacy students and residents will be emphasized. Minimal staffing component and professional time off to attend pharmacy and ID related professional meetings.

Supplemental experiences: Electives

There will be a total of 18 rotations that the resident can choose their three electives from as the list below identifies, they will be patient care services that are either the primary team caring for the patient (e.g. Solid Organ Transplant) or a consultative service supporting the patient (e.g. Inpatient AIDS). The elective choices allow the resident the flexibility to tailor their PGY2 experience to an area of interest. The primary focus during these elective rotations would be the infectious diseases associated with these patient populations.

  • Coronary Care Unit (CCU)
  • Medical ICU
  • Inpatient AIDS Service
  • Ambulatory AIDS Service
  • Neonatal ICU
  • Nephrology
  • Hematology/Oncology
  • CT Surgery
  • Bone Marrow Transplant
  • Solid Organ Transplant
  • Surgical ICU- Critical Care
  • Burn ICU
  • Pharmaceutical Industry
  • Pediatric Infectious Diseases at Rady’s Children’s Hospital
  • Infection Control / Epidemiology
  • Inpatient Infectious Diseases practice at the San Diego Veterans Hospital
  • Pharmacoeconomics / Health Economic
  • Hepatology

Teaching

Teaching is a large component of our program. PGY2 residents will have many opportunities to precept/teach and their training will include learning how to incorporate teaching into their clinical responsibilities. UC San Diego is a teaching institution affiliated with UCSD Skaggs School of Pharmacy and Pharmaceutical Sciences (SSPPS) and UCSD School of Medicine. The PGY2 resident will have multiple opportunities to precept 4th year SSPPS pharmacy students and PGY1 pharmacy practice residents, as well as to work with UCSD physician interns, residents and fellows on most, if not all, rotations. In addition, the resident will be asked to give many educational lectures to their colleagues throughout their residency year.

Grand Rounds: The resident will deliver a 1-hour CE lecture to the pharmacy staff regarding a controversial topic in infectious diseases. Allied health professionals are welcome to attend. Presentations are accredited for continuing education through California Accreditation for Pharmacy Education (CAPE).

Weekly Didactic Forums: In addition to the grand rounds, the resident will be required to research and deliver a 20-minute weekly to bi-monthly mini-lecture on various didactic topics throughout the year. These topics will be related to the ASHP supplemental standard for an Advanced Practice Residency in Infectious Diseases and will be relevant to the patient population they are currently involved with from a rotational perspective. These presentations will be given during pharmacy student/preceptor rounds or to the core clinical pharmacy staff.

Skagg’s School of Pharmacy and Pharmaceutical Sciences: Involvement with UC San Diego’s School of Pharmacy will vary depending on the preceptor but it is anticipated that the resident will participate in the therapeutics case conferences as a conference leader typically in the fall quarter. There will also be an opportunity to provide didactic lecture(s) during the Spring quarter Medical Microbiology and Infectious Diseases Therapeutics course presenting formally, preparing the lecture syllabus and prepare exam questions. There is also an opportunity to participate as a course workshop facilitator covering cutting edge ID topics during the Winter and Spring quarters. Direct student precepting would occur while on rotation with UC San Diego pharmacy students jointly with the faculty.

San Diego Pharmacy Residency Leadership Teaching Certificate Program

PGY2 residents have the option of participating in the San Diego Pharmacy Residency Leaders (SDPRL) Teaching Certificate Program which includes a seminar series with residents from other county-wide residency programs. Seminar topics will focus on teaching and preceptor development. Alternatively, residents may select certain seminars to attend based on their interest areas.

Research

The resident will be responsible for conducting 1 research project throughout the academic year that will be presented at the Western States Conference (Asilomar) or an equivalent conference and written up in manuscript form. A list of project ideas will be generated from the preceptors and the resident is expected to select a project during the first month of the residency year.

Publication

The resident will be required to write a manuscript suitable for publication by the end of their residency year. The purpose of this requirement will be the development of scientific writing and communication skills. The types of publishable literature can include any of the following types of manuscripts:

  • Case reports with a review of the literature
  • Primary research /original research
  • Medication Use Evaluation
  • Meta-analysis of a disease state or therapy
  • Review article

Staffing

Staffing will be incorporated into the residency experience with weekend shifts that provide the opportunity for PGY2 residents at the UC San Diego Thornton hospital. The PGY2 resident will be invited to staff 12 weekends (which includes 1 minor holiday weekend) PLUS 1 major holiday (Thanksgiving, Christmas, or New Year’s). The resident will get 13 paid days for holidays and 12 sick days for the academic year. Vacation time will be in accordance with GME rules and will be defined as 20 days of vacation PLUS 5 days for professional leave to attend meetings or conferences.

Professional meetings

The residents will have the opportunity to attend various professional meetings throughout the year. Residents receive an annual travel stipend that is variable based on available funding. In the past, residents have received a set stipend for the year which they can use at their discretion for registration, travel, accommodations, etc. The cost of attending Western States (or an equivalent conference) will be deducted from the travel stipend, along with any other conferences the resident chooses to attend. Residents are encouraged to attend a specialty meeting (e.g. Interscience Conference on Antimicrobial Agents and Chemotherapy or ID Week). Attendance at Western States Conference (or an equivalent conference to present their research) is mandatory.

Program Outcomes

Our Infectious Diseases (PGY2) Pharmacy residents completing this program will be advanced practitioners proficient in the areas of:

Demonstrating leadership and practice management skills.

Our graduating residents will effectively strengthen their knowledge, skills, and abilities in all key areas of practice management. These areas would include, among others, exploring their own professional growth improving the quality of one’s own self-assessment, developing effective negotiation skills to resolve conflicts, and demonstrating a commitment to advocacy for the optimal care of patients.

Optimizing the outcomes of patients with infectious diseases by providing evidence-based medication therapy as an integral part of an interdisciplinary team.

By consistently using an efficient and comprehensive pharmacy practice methodology, our graduating residents will become leaders in medication safety and have enhanced patient outcomes by integrating patient- and evidence-based disease-specific pharmacotherapy at the level of an advanced practitioner in various critical care settings.

Demonstrating excellence in the provision of training, including preceptorship, or educational activities for health care professionals and health care professionals in training.

Our graduating residents will become proficient in educating health care professionals, patients, and students on infectious diseases topics. Our residents will also be able to provide concise and accurate responses to requests for infectious diseases drug information from health care providers.

Demonstrating the skills necessary to conduct a critical care pharmacy research project.

Our graduating residents will be engaged in multiple projects related to infectious diseases throughout the year including a continuous quality improvement (CQI) project and at least one formal research project. Enhanced project management skills and familiarity of technological systems will support the resident throughout these endeavors.

Demonstrating the skills required to function in an academic setting.

The resident prepares and delivers a formal didactic lecture within to pharmacy students at the Skaggs School of Pharmacy and Pharmaceutical Sciences on a topic relevant to the specialized area of pharmacy residency training.