PGY1 Acute Care Pharmacy Residency

Program Summary

  • Resident Positions Available
    12 new residents are accepted each year
  • Stipend
    The current annual stipend is approximately $46,000
  • Beginning Date
    July 1
  • Pharmacist Intern License
    Matched residents must be licensed Pharmacist Interns in the State of California prior to July 1
  • Pharmacist License
    Matched residents must be licensed Pharmacists in the State of California by September 15th of the appointment year
  • Application Procedure
  1. Applicants must participate in the ASHP Match and apply using PhORCAS at http://www.ashp.org/phorcas.
  2. Complete the Supplemental Application Form indicating your interview availability.
  3. Your personal statement/Letter of Intent should be 500 Word Maximum
  • Application Deadline
    January 4, 2014

Elective Rotations

Resident Contacts

Department of Pharmacy Mission Statement

The Pharmacy department provides excellent patient care through safe and effective drug therapy. It strives toward leadership in pharmacy practice education and research.

Department of Pharmacy Goals and Scope

  • Recognition as a national leader in the innovative use of resources and technology to provide the highest quality and most cost-effective patient care
  • Recognition for excellence in the clinical education of U C San Diego Skaggs School of Pharmacy and Pharmaceutical Sciences students
  • Recognition for its contributions, including research and publications, in all aspects of pharmacy practice

Read more on Department of Pharmacy Goals and Scope

The UC San Diego Health System Department of Pharmacy includes inpatient, ambulatory, transitional, and home health patient care services. Our academic Health System serves as a primary teaching site for UC San Diego Skaggs School of Pharmacy and Pharmaceutical Sciences IPPE and APPE students, UC San Diego School of Medicine students and other professional programs in the health sciences. The Hillcrest Medical Center, Thornton Hospital, Perlman Ambulatory Care Center, Moores Cancer Center, an NCI designated Comprehensive Cancer Center, and the Sulpizio Cardiovascular Center support a full range and scope of medical and surgical specialties as well as general medicine and surgery units. As part of the only academic health system in San Diego, the Sulpizio Cardiovascular Center provides cardiovascular research, patient care services and programs in one location. Pharmacists are instrumental in providing patient-centered care and education, fighting heart and vascular diseases. The UC San Diego Regional Burn Center is a leader in making notable advances in burn therapy; the pharmacist is a member of the multidisciplinary team responding to the complex medical problems experienced by burn victims. The UC San Diego Center for Transplantation is the leading location for volume of solid organ transplants in the San Diego region. As a team member of this national hub of clinical expertise and research, the pharmacist is dedicated to improving organ transplant outcomes through optimal medication management at all points in the patient’s transitions of care. The 49-bed Neonatal Intensive Care Unit (NICU) is a highly specialized, nationally recognized center; the pharmacist is an active member of this Level III designated care center, providing medication management for these extremely complicated patients. The UC San Diego Health System operates the region’s first Level 1 Trauma Center, part of the San Diego Trauma System, a collaborative, life-saving, countywide effort of six hospitals, responding to the highest level of critical injury. Pharmacists and Pharmacist residents are an integral component of the multidisciplinary Trauma team.

The UC San Diego Health System Department of Pharmacy is responsible for service to these hospitals, as well as five ambulatory care pharmacies, two Infusion Centers and multiple clinic sites. The department is staffed by over 200 full time employees of pharmacists, technicians, clerical and supportive personnel. Currently, we have 23 resident positions (twelve acute and three ambulatory care PGY1, and eight PYG2 residents) and 60 fourth-year SSPPS pharmacy students, all of whom participate directly in the provision of patient care.

Pharmacists and pharmacy residents serve as members of interdisciplinary patient care teams on inpatient medical, surgical and intensive care units, with oncology, HIV, transplant, trauma surgery, neonatology, infectious diseases, cardiovascular diseases and transitions of care. In the ambulatory care area our current areas of disease state emphasis are HIV, CKD, transplant, family medicine, anticoagulation, and CHF, with expanding emphasis on the Transitions of Care model. Responsibility for these patients is shared by the staff, full-time faculty, residents, fellows and students. The Department also has formal programs in the areas of Informatics and Antimicrobial Monitoring.

In support of our decentralized clinical pharmacy services, the department operates a 24-hour centralized drug distribution area. Drug distribution is provided through a house-wide, point-of-use unit dose system, which uses computer-actuated dispensing equipment and a barcode driven medication administration system. All UC San Diego Health System patients (ambulatory care, inpatient, and home care) are included in an integrated, computerized patient information and chart system. Computer terminals are available in all patient care locations, within pharmacies and at the pharmacy offices. A computerized physician order entry system (CPOE) has been implemented. Pharmacists review and validate orders prior to dispensing.

Residency Program Purpose

Pharmacy residents completing the UC San Diego Health System Postgraduate Year One (PGY1) Acute Care Residency will be competent in the management of in-patients with a wide range of acuity, including medication therapy management for various disease states in a variety of acute care health care settings. They will have been responsible for achieving optimal drug therapy outcomes as part of interdisciplinary health care teams. Residents will participate in the ambulatory care setting in which a rotational and longitudinal experience, will enhance their understanding of the importance of transition of care, including the prevention of medication-related hospital readmissions.  These pharmacists will have demonstrated proficiency in communication and in educating other health care professionals, patients, students and the community on drug related topics. Residents will have participated in precepting students on rotation from the UCSD Skaggs School of Pharmacy and Pharmaceutical Sciences. Residents will have demonstrated professional maturity by monitoring and evaluating their own progress, as well as the performance of their colleagues and preceptors.  They will have been trained in research methodologies and leadership skills, developing organizational and time management skills, becoming proficient in the use of technology to support evidence-based medicine and patient-centered care, and will have participated in a Teaching Certificate Program.  Graduates of this program will be prepared for adjunct faculty positions, direct patient care opportunities in the Acute Care setting, advanced PGY2 programs, and will be eligible to sit for board certification as a pharmacotherapy specialist.

Program Overview

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Required Learning Experiences

  • Orientation
  • Central Pharmacy and CPOE Training Rotation: 5 weeks
  • Administration: 5 weeks
  • Ambulatory Care: one, five week block and one, six month longitudinal half day clinic
  • Medicine: 10 weeks (5 weeks each at Hillcrest and La Jolla Hospitals)
  • Adult ICU of your choice: 5 weeks
  • Operations: longitudinal (20 weekends, which includes one major and two minor holidays)
  • SSPPS Therapeutics Conference Facilitator: 1 quarter
  • Pharmacy ART (Advanced Resuscitation Training)
  • Formulary Project
  • Administration and Medication Safety Topics Seminar Series
  • Residency Project
  • SDPRL Teaching Certificate Program
    • Patient Directed Group Teaching/Outreach Presentation: 1
    • Small Group Teaching: 5
    • Small Group Facilitation: 2
    • Journal Club: 1
    • Large Group Formal Presentation: 1
    • Patient Case: 1
    • Nursing In-Service: 1
    • Technician CE Presentation: 1 

Supplemental experiences: Electives

Three elective experiences are included, one of which must be an Adult ICU Elective; of the three remaining electives, a minimum of two must be direct in-patient care rotations. We offer elective training in a wide range of medical and surgical specialty areas, in the inpatient, ambulatory care and transitional care settings. There are currently more than 25 electives to choose from for these elective experiences.

Teaching

The UC San Diego Health System is an Introductory Pharmacy Practice Experience (IPPE) and Advanced Pharmacy Practice Experience (APPE) site for PharmD candidates from the UCSD Skaggs School of Pharmacy and Pharmaceutical Sciences (SSPPS). Our residents, clinical staff and faculty serve as preceptors for the pharmacy students during these educational opportunities. In addition, our residents serve as facilitators for the 3rd year Therapeutics Conferences and 4th year patient care conferences. Didactic lectures at the SSPPS may be available and residents are encouraged to participate. The residents also provide lectures and presentations to physicians, nurses, pharmacists, pharmacy students, other allied health care providers and patients.

San Diego Pharmacy Residency Leadership (SDPRL) Teaching Certificate Program

Residents participate 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. Seminar attendance is mandatory. Residents will develop their own Teaching Philosophy and will attend Preceptor Development seminars to prepare themselves to be effective teachers and preceptors for students, patients and health care professionals. Evaluation tools and their applications will be reviewed to assist the resident in self-reflection and in creating a meaningful evaluation processes for the student. The resident learns to use evaluations to support the students’ growth and professional development by identifying activities and offering feedback in ways that encourage students to revise and improve their understanding and behaviors.

UCSD SSPPS Therapeutic Conferences

Residents will participate in the P-3 Therapeutics Course sequence of the SSPPS as facilitators in their Case Conferences. Residents facilitate the same students for an entire quarter, allowing opportunity and time for the Resident’s teaching skills to develop.  Each resident prepares a case which is reviewed and edited by preceptors, with input from other residents during a pre-conference. As facilitators, residents are responsible for encouraging discussion and enhancing the learning experience by assuring that the students participate and provide an effective analysis of the case focusing on the areas of clinical importance. One of the primary functions of the case conferences is to help develop the ability of the student to apply the information learned in the basic and applied sciences to patient care.

Projects and problem-solving

Each resident helps design and complete one major project during the academic year under the guidance and in collaboration with a pharmacist preceptor/project PI. This project may be a Medication Use Evaluation (MUE), a Continuous Quality Improvement (CQI) project, pharmacokinetic evaluation, or another type of residency project. Residents gain experience in preparing IRB submissions, creating data collection tools, and analysis design. Projects are presented at a professional meeting. The project will be written in manuscript format and those suitable for publication will be submitted. Residents are encouraged to participate in the University Health System Consortium Resident Poster Session held immediately preceding the ASHP Midyear. Problem-solving skills are also developed through day to day activities and a variety of other projects.

Operations

Residents complete a concentrated training rotation. During training the resident will work with members of the Pharmacy Staff in the Central Dispensing Area, as well as with several of the floor pharmacists to gain an insight into the clinical and distribution functions of the central and floor based practitioners. The resident will learn to manage and supervise the medication dispensing and delivery activities of the pharmacy technicians. During the training rotation the resident will be taught how to prepare and dispense medications following UC San Diego Health System standards of practice, policies and procedures. The resident will be trained how to critically evaluate a medication order to interpret its appropriateness prior to preparing or permitting the distribution of the first dose, and when appropriate, incorporate P&T authority to adjust a dose. Emphasis will be placed on helping the resident to take ownership of and responsibility for the welfare of the patient by performing all necessary aspects of the medication-use process. Residents also complete a longitudinal distribution and staffing rotation which averages one and a half weekends per month plus two minor and one major holiday. Residents receive instruction regarding automation and related technology as well as how to use information technology to reduce errors and improve medication safety. Once licensed, the resident will staff in the central pharmacy, on the medicine-surgery floors, and the medical and intensive care units. During the operations longitudinal rotation, the resident, under the guidance and supervision of preceptors and staff pharmacists, will develop their skills in supervising technicians, evaluating the appropriateness of medication orders, and understanding the department’s policies and procedures that govern the safe use of medications, including the preparation and dispensing of medications. The resident will review patient medication orders, prevent, identify and resolve medication-related issues, and validate appropriate medication orders via Computerized Prescriber Order Entry (CPOE) using the Epic system. The resident will develop medication regimens and monitoring plans, including pharmacokinetically monitored medications using Therapeutic Drug Monitoring (TDM) software and will communicate and document recommendations appropriately. The resident will develop their communication skills as they work with other practitioners, respond to drug-information questions and make evidence-based, patient-specific decisions regarding the medication management of their patients.

Professional meetings

Residents will be required to attend various professional meetings throughout the year, which may include CSHP’s (California Society of Health System Pharmacists) Seminar and/or ASHP’s (American Society of Health-System Pharmacists) Midyear meeting at which they will participate in recruitment efforts. Residents will present their residency project at a professional meeting.

Presentations

Residents are required to give educational lectures to pharmacists, faculty, preceptors, residents and students throughout their residency year as well as to other health care professionals as assigned while on rotations:

  • Grand Rounds:

    Residents will present a 1-hour continuing education lecture to pharmacists, faculty, preceptors, residents, students and technicians based on a current or controversial drug-related topic, new drug or new drug application in which there is current literature for evaluation and discussion. Allied health professionals are welcome to attend. Presentations are accredited for continuing education through California Accreditation for Pharmacy Education (CAPE). This Grand Rounds presentation is offered once at the Hillcrest Medical Center and once in La Jolla.

  • Journal Club:

    Residents are required to critique and present an article regarding a current or controversial drug therapy topic.

  • M&M / Medication Safety Related Topic:

    Residents are required to provide one medication safety related topic presented to pharmacists, faculty, preceptors, residents, students, and technicians. The resident will be assigned a topic and present during their Administration rotation. Topics will be assigned by the M&M preceptor, Medication Safety Specialist.

  • Outreach Presentation:

    Residents participate in a community outreach program addressing the public regarding an area of disease prevention and wellness promotion.

  • In-services:

    Residents are required to provide several medication and/or disease state in-services to medical teams, students, pharmacy preceptors and pharmacy staff as assigned. Topics will be based on requests by the nursing or medical staff, recommendations from the resident or as assigned by the preceptor.

Program Outcomes

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PGY1 Acute Care Pharmacy residents completing this program will be proficient in the areas of:

Managing and improving the medication use process

By consistently using an efficient and comprehensive pharmacy practice methodology, graduating residents are leaders in medication safety and have enhanced patient outcomes by integrating patient- and disease-specific pharmacotherapy. Residents will have identified areas for improvement of the medication-use system and will have participated in the design and implementation of improvement recommendations. Residents will have become proficient in preparing and dispensing medications according to the organization’s policies and procedures and will have demonstrated responsibility for the welfare and medication-related outcomes of the patient.

Providing evidence-based, patient-centered medication therapy management with interdisciplinary teams

Graduating residents will have been active members of health care teams and will have provided patient-centered, evidence-based, pharmacy care to their patients. They will have developed skills in creating patient-specific medication regimens and will have completed necessary medication and patient monitoring plans to obtain optimal outcomes. Residents will have become proficient in documenting and communicating medication-related matters to appropriate team members and will have assisted other health care professionals in ensuring appropriate follow-up care.

Exercising leadership and practice management skills

Graduating residents will have effectively strengthened their knowledge, skills, and abilities in key areas of pharmacy practice management and leadership. These areas include an understanding of medication distribution systems, and the medication use processes, including financial implications as a part of their Administrative Rotation. Residents will have participated in organizational committees and will have improved their understanding and application of decision-making processes. Residents will have attended an Administration and Medication Safety Topics Seminar which will have introduced key aspects of pharmacy administration and safe medication practices from departmental leaders.

Demonstrating project management skills

Graduating residents will have engaged in a formal practice-related investigation project utilizing project management skills.  Residents will gained experience with the IRB process, designing data collection, and analysis tools. Residents will worked with their preceptors and project PI’s to develop critical thinking skills when evaluating and discussing project results. Residents will have documented their work in manuscript format and presented their project at a professional meeting. Residents will have developed time management skills and familiarity of technology systems to support this experience.

Providing medication and practice-related education and training

Graduating residents will have become proficient in educating health care professionals, students and patients on medication-related topics. Residents will have become leaders as drug information resources. Residents will have participated in the San Diego Pharmacy Residency Leaders Teaching Certificate Program, which will cultivated their teaching, precepting and facilitation skills. Residents will have attended a Teaching Skills Development Lecture series and created an introspective personal teaching philosophy.

Utilizing medical informatics

Graduating residents will be proficient in utilizing information technology to enhance efficiency, improve patient safety and provide optimal patient outcomes. UC San Diego Health System has received the “Most Wired” and “Most Wireless” Awards by Hospitals and Health Networks, a publication of the American Hospital Association. Residents will have become proficient in using web-based resources for supporting all patient-care, teaching and research activities.

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