1. Implementing a PGY-2 Residency Program Critical Care Pharmacy Practice Case Study Kimberly Zammit, PharmD, BCPS

2. Advantages of PGY2 Residency Program Program Recognition ▫PGY1 Recruitment ▫Publication Leadership /Preceptor Development ▫Clinical and Mentoring skills Departmental Goals ▫Projects ▫Expand clinical programs and increase pharmacy visibility ▫Recruit clinical practitioners

3. ASHP Recognized PGY-2 Programs Ambulatory care Cardiology Critical care Drug information Emergency medicine Geriatrics Infectious diseases Informatics Internal medicine Managed care pharmacy systems Medication safety Nuclear pharmacy Nutrition support Oncology Pediatrics Pharmacotherapy Health-system pharmacy administration practice management Psychiatric pharmacy Solid organ transplant

4. Kaleida Health Overview Largest not-for-profit health care provider in Western New York Sites for Critical Care Residency ▫Primary Site:  Buffalo General Hospital ▫Secondary Sites:  Millard Fillmore Gates Hospital  Millard Fillmore Suburban Hospital  Women and Children’s Hospital of Buffalo

5. Buffalo General Hospital

6. Internal & Family Medicine Intensive Care Medicine Cardiac Surgical Cardiac Surgery Step-down Cardiology Chest Pain Center Cardiac Catheterization Lab Neurology Psychiatry Gastroenterology/ Urology Surgery General Cardiac Orthopedic Vascular Interventional Radiology Nephrology / Dialysis Solid Organ Transplantation Rehabilitation medicine Hospice Largest hospital within Kaleida Health Founded in 1855 511-bed acute care medical center Patient Care Services

7. Program Goal Successful completion of this program will produce an individual with the knowledge, skills and confidence necessary for a challenging and rewarding career as a critical care pharmacy practitioner

8. Program Design

9. Residency Program Overview Clinical Practice Experiences Core Rotations ▫Medical ICU (16 weeks) ▫Surgical ICU (8 weeks) Elective Rotations (20 weeks) ▫Neurosurgical ICU ▫Coronary Care ▫Toxicology ▫Emergency Medicine ▫Pediatric ICU ▫Neonatal ICU ▫Cardio-thoracic ICU

10. Residency Program Overview Longitudinal Requirements Committee Participation ▫Critical Care ▫Code Blue Drug Information ▫MUE ▫P&T: Selected critical care topics Project Process implementation

11. Residency Program Overview Responsibilities Hospital Practice Responsibilities ▫Every 3 rd weekend (PK/ MAS) ▫Code Blue response Educational Responsibilities ▫Critical Care Pharmacotherapeutics (UB) ▫PGY1 Residents ▫Students (Multiple schools) ▫Pharmacist competencies ▫Nursing Grand Rounds Research Responsibilities ▫Process evaluation / MUE ▫Therapeutic intervention evaluation

12. Resources ASHP: ▫http://www.ashp.org/Import/ACCREDITATION /ResidencyAccreditation/RegulationsStandards.a spx Accredited programs Consultants

13. http://www.ashp.org/Import/ACCREDITATION/ResidencyAccreditation/RegulationsStandards.aspx

15. Recruiting Residency Showcase Pre-accreditation ▫Recruit from local programs/ graduates ▫Guarantee spot to qualified candidates prior to the match ▫Contact unmatched candidates Matching Program ▫ASHP-accredited, provisionally-accredited, and application-submitted residency programs only

17. Self-Assessment Questions

18. 1.Which of the following are considered benefits of a PGY-2 Residency program? a.Increase PGY-1 program recruitment b.Increase project development and implementation c.Expand professional staff development d.Improve clinical pharmacy services e.All of the above

19. 2.Important resources to consult when considering development of a PGY-2 program include all of the following except: a.ASHP Website b.Established PGY-2 program directors c.Paid Consultants d.CMS website e.None of the above

20. 3. Which of the following is not currently an ASHP recognized PGY-2 residency program? a.Neurology b.Medication Safety c.Pharmacotherapy d.Critical Care e.Infectious Disease

21. Answers to self assessment questions 1.E 2.D 3.A