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PDF of PGY2 transitions of care program overview
Pharmacy residents completing the UC San Diego Postgraduate Year Two (PGY2) Transitions of Care Pharmacy Practice Residency will be described as advanced practitioners who are equipped to be fully integrated members of the interdisciplinary team in both the inpatient and ambulatory care setting. This program is designed to facilitate growth in the area of transitions of care pharmacy practice which are requisite skills for an advanced practice pharmacist. These include communication, critical assessment and management of pharmaceutical treatment, and leadership in team-based projects. Graduates of this PGY2 residency will possess intense, focused and marketable job skills that should prepare them for career opportunities in transitions of care for any health care organization.
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PGY2 residents will gain the skills necessary to function as the primary transitions of care pharmacist during their required core rotations (heart failure/cardiomyopathy, Cardiothoracic transplant, Abdominal Transplant, HIV, Nephrology and Ambulatory care clinics), with the expectation that the resident will handle all aspects of medication management from admission to post discharge. The core rotations will have both an inpatient and ambulatory care component and the resident will focus on developing the skills necessary to effectively lead a transitions of care pharmacy program. The resident will be expected to build relationships with each interdisciplinary team in a variety of settings and work proactively with the nurses and physicians to help the patient transition from the hospital to the home setting. Daily activities will include: attending daily multidisciplinary rounds, managing patients across the continuum of care, attending ambulatory care clinic 1-2 afternoons per week for post discharge clinic visits, making post discharge telephone calls, performing medication reconciliation, collaborating with physicians and discussing optimal pharmacotherapy, participating in patient education/consultation, and overseeing and directing PGY1 resident and pharmacy student activities. This integration of inpatient and ambulatory care activities prepares residents for any type of practice in transitions of care pharmacy that they may encounter in future jobs by emphasizing the development of the essential skills required for an advanced pharmacy practitioner in this area.
There are a variety of rotations that the resident can chooses their electives from. The electives can be selected from the list below and any of the core rotations listed above may be repeated again. This will allow the resident the flexibility to tailor their PGY2 experience to an area of interest. Elective rotations will generally be scheduled in the second half of the residency year (after the majority of the core rotations are completed).
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 relevant topic. Allied health professionals are welcome to attend. Presentations are accredited for continuing education through California Accreditation for Pharmacy Education (CAPE).
Skagg’s School of Pharmacy and Pharmaceutical Sciences: Involvement with UCSD’s School of Pharmacy will vary but the resident will be a conference leader for one of the 3rd year therapeutics courses, present lecture(s) and/or create patient case presentations. The resident may be asked to write cases for therapeutics conference based on real patients and prepare exam questions based on the lectures presented. Residents will also have multiple opportunities to directly precept 4th year pharmacy students who are currently on rotation with the resident.
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.
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 resident is expected to select a project during the first month of the residency year.
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:
Staffing will be incorporated into the residency experience with weekend shifts that provide the opportunity for PGY2 residents to cover patients followed by the transitions of care program. The PGY2 residents 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.
Our Critical Care (PGY2) Pharmacy residents completing this program will be advanced practitioners proficient in the areas of:
Our resident’s will actively participate in a comprehensive medication management program for patients as they transition from the hospital to home setting for a variety of disease states/patient populations. This full complement of medication management includes managing patient throughout their inpatient stay, medication reconciliation as part of the transition from acute care to ambulatory care as well as patient/family education and post discharge follow-up.
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 inpatient and ambulatory care settings.
Our graduating residents will become proficient in educating health care professionals, patients, and students on a variety of topics. Our residents will also be able to provide concise and accurate responses to requests drug information from health care providers.
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.
Our graduating residents will be engaged in multiple transitions of care related projects 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.
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