Paul Hansen, Transition of Care Director
Thank you for your interest in the University of California (UC), San Diego Health PGY2 Transitions of Care (TOC) specialty residency program. All of the residency programs at UC San Diego Health are ASHP-accredited and 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 TOC residency program will have the benefit of participating within established clinical services in both an inpatient and outpatient setting as well as developing and establishing new and unique TOC programs throughout the health system. This flexible program offers a wide variety of established electives as well as opportunities to implement new or update existing clinical rotations with an emphasis in TOC. 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 TOC services in both the inpatient and ambulatory care setting.
Residency Positions Available Per Year
2 residents are accepted each year
The current annual stipend is approximately $52,000.
August 1st (matched residents must be licensed pharmacists in the State of California
before starting the residency year and no later than November 1st)
Applicants must apply using PhORCAS at http://www.ashp.org/phorcas.
Applicants must participate in the ASHP Match (administered by National Matching Service, Inc -
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.
Paul Hansen, PharmD, BCACP
PGY2 Residency Program Director, Transitions of Care
Clinical Pharmacist - Advanced Heart Failure, Transitions of Care
Program Overview Transitions of Care
Residency Program Purpose
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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- Orientation/training/research: 2-4 weeks (duration determined by the resident’s previous work experience)
- Core rotations (4-6 weeks in length): Heart Failure/Cardiomyopathy, Cardiothoracic Transplant, Abdominal Transplant, HIV, Anticoagulation and Ambulatory Care Clinics/Discharge Pharmacy
- (2) Electives: 4 weeks each (may repeat any of the core rotations or other electives)
- Longitudinal clinic: (2) 6-month blocks
- Staffing: 16 weekends throughout the year (~1 shift/month) including 1 major and 1 minor holiday
- Research project and publication
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, Anticoagulation and Ambulatory Care Clinics/Discharge Pharmacy), with the expectation that the resident will handle all aspects of medication management from admission to approximately 30 days 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 nurses, case managers, social workers, transition coaches 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).
- Bone Marrow Transplant
- General Cardiology
- Family Medicine
- Ambulatory Care Clinics
- OK to repeat any required rotation
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:
- 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 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.
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.
Our Transitions of Care (PGY2) Pharmacy residents completing this program will be advanced practitioners proficient in the areas of:
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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.