Internal Medicine Specialty Residency

Paul Hansen, TOC Director

Paul Hansen, PharmD, BCACP

Thank you for your interest in the newly developed University of California (UC), San Diego Health PGY2 Internal Medicine specialty residency program! All of our residency programs at UC San Diego Health are either ASHP-accredited or in the process of seeking ASHP accreditation and are fully committed to providing residents with a supportive learning environment and opportunities for professional growth in evidence-based patient care, teaching and research while also encouraging the resident’s sense of clinical responsibility and scholarly curiosity. Residents accepted into the UC San Diego Health PGY2 Internal Medicine residency program will have the benefit of participating within established clinical services to treat adult medicine patients in both an inpatient and outpatient setting as well as opportunities to incorporate transitions of care services to new or previously established services. This flexible program offers a wide variety of established electives as well as opportunities to implement new or update existing clinical rotations with a focus in adult medicine. As expected at an academic medical center, residents will also have many teaching opportunities both within a didactic setting at the UC San Diego Skaggs School of Pharmacy and Pharmaceutical Sciences and as a preceptor to other pharmacy residents and pharmacy students while on clinical rotations. Graduating residents will be described as advanced practitioners who are equipped to be fully integrated members of the interdisciplinary team while providing exemplary healthcare to adult medicine patients in both the inpatient and ambulatory care setting.

Program Summary

  • Residency Positions Available Per Year
    2 residents are accepted each year
  • Stipend
    The current annual stipend is approximately $52,000.
  • Beginning Date
    August 1st (matched residents must be licensed pharmacists in the State of California before starting the residency year and no later than November 1st)
  • Application Procedure 
    1. Applicants must apply using PhORCAS at http://www.ashp.org/phorcas.
    2. Applicants must participate in the ASHP Match (administered by National Matching Service, Inc - https://natmatch.com/ashprmp/
    3. Eligible applicants must have graduated from an accredited school of pharmacy with a Doctor of Pharmacy degree and successfully completed an ASHP accredited PGY1 pharmacy practice residency. 
  • Application Deadline
    December 31

Program Contact

Paul Hansen, PharmD, BCACP
PGY2 Residency Program Director, Internal Medicine
Clinical Pharmacist - Advanced Heart Failure, Transitions of Care
p1hansen@ucsd.edu

Resident Contacts

Program Overview

Program Overview Internal Medicine

Residency Program Purpose

The UC San Diego Health PGY2 Internal Medicine Pharmacy Practice Residency is designed to elevate PGY1 graduates from a general skill level to a specialized practice with expertise in both direct patient care and pharmaceutical care coordination amongst a broad spectrum of patients. Graduates of this specialized program will be highly skilled and dynamic practitioners prepared for career opportunities in any health system.

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Required Learning Experiences

  • Orientation / Staffing Training: 2-4 weeks (based on previous experiences)
  • Internal Medicine 1 (teaching service): 5 weeks
  • Internal Medicine 2 (emphasis in Hem/Onc/BMT): 5 weeks
  • Internal Medicine 3 (non-teaching service): 5 weeks
  • Advanced Heart Failure / Cardiomyopathy: 5 weeks
  • HIV / Infectious Disease: 5 weeks
  • Ambulatory Care Clinics: 5 weeks
  • ICU: 5 weeks
  • Research/Projects/Admin: 2-3 weeks
  • Electives: 5 weeks (2 blocks)

PGY2 residents will gain the skills necessary to function as the primary internal medicine pharmacist during their required core internal medicine learning experiences as well as the primary pharmacist within the other core learning experiences (Advanced Heart Failure / Cardiomyopathy, HIV / Infectious Disease, ICU and various Ambulatory Care Clinics that regularly see patients for post-discharge clinic visits). The resident will also be expected to handle all aspects of medication management from admission through discharge (and beyond when applicable). The resident will be expected to build relationships with each interdisciplinary team in a variety of settings and work proactively with the nurses, case managers, social workers, transition coaches, physicians and physician extenders to help manage patients during hospital admission and to successfully transition patients from the hospital to the home or another healthcare setting. Daily activities will include: attending daily multidisciplinary rounds, managing patients across the continuum of care, performing medication reconciliation at both admission and discharge, collaborating with physicians and other health care providers to discuss optimal pharmacotherapy, participating in patient education/consultation, performing pharmacokinetic monitoring on all therapeutically monitored drugs, and overseeing and directing PGY1 resident and pharmacy student activities. This integration of staffing and clinical services prepares residents for any type of practice environment they may encounter in their future jobs by emphasizing the development of essential skills required for an advanced pharmacy practitioner including independent practice skills as well as the ability to multi-task and prioritize duties and responsibilities.

Supplemental experiences: Electives

There are a variety of elective learning experiences from which the resident can choose. This will allow the resident the flexibility to tailor their PGY2 experience to an area of interest. Elective learning experiences will be scheduled in the second half of the residency year (after the majority of the core rotations are completed).

  • Cardiothoracic Transplant
  • Abdominal Transplant
  • Ambulatory Care Block (clinic experiences not obtained during core ambulatory care learning experience)
  • Cardiology
  • Emergency Department
  • Psychiatry
  • Infectious Disease
  • Oncology / Hematology
  • Specialty ICU (Burn, Surgical, Neonatal, Neuro, Cardiovascular; must complete core ICU rotation first)

Teaching

Teaching is a large component of our program. The residents will give many educational lectures to their professional colleagues and patients throughout their residency year. Required presentations will include a 1-hour Grand Rounds CE lecture to the Pharmacy staff regarding a topic of choice, three in-services (including one that is specifically aimed at pharmacy technicians known as a “tech talk”), three clinical forums and three formal journal club presentation. Additionally, the resident will be given the opportunity to give CE lectures to the nursing staff and educational presentations for select patient support groups.

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.

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 completed and presented at the Western States Conference or an equivalent conference. If time allows, the resident will be involved with the initiation of a second project. This initiation phase will involve defining the study design, writing up the protocol and beginning the IRB approval phase. The purpose of starting a second project is to facilitate subsequent internal medicine residents who can then finish the projects that were started the previous year. 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 provides the opportunity for PGY2 residents to cover patients followed by the transitions of care program as well as incorporation into the traditional weekend staffing model. The PGY2 residents will be required to staff 16 weekends, which includes 1 minor holiday weekend AND 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. Please refer to House Officer Policy and Procedure Document for more detailed information about vacation.

Professional Meetings

The residents will have the opportunity to attend various professional meetings throughout the year. The annual travel stipend is variable based on 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. Attendance at ASHP’s Midyear Clinical Meeting and Western States Conference (or an equivalent conference to present their research) is mandatory.

Program Outcomes

PGY2 Internal Medicine Pharmacy residents completing this program will be advanced practitioners proficient in the areas of:

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Patient Care

Graduating residents will have gained valuable experiences as 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 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 and ensuring continuity of care during patient transitions between care settings. Residents will understand and have had practice experience in all aspects of the distribution process to support safe and effective drug therapy.

Advancing Practice and Improving Patient Care

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. Graduating residents will have engaged in a practice-related investigation project utilizing project management skills. Residents will have gained experience with the IRB process as well as designing data collection and analysis tools. Residents will have 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 a manuscript format suitable for publication and presented their project at a professional meeting.

Leadership and Management

Graduating residents will have effectively strengthened their knowledge, skills, and abilities in key areas of pharmacy practice management and leadership. 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. Additionally, residents will have participated in organizational committees and will have improved their understanding and application of decision-making processes.

Teaching, Education, and Dissemination of Knowledge

Graduating residents will have become proficient in educating health care professionals, students and patients on medication-related topics and will have become leaders as drug information resources, specifically in the field of adult medicine and transitions of care.