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Pharmacotherapy

Overview

The PGY2 Pharmacotherapy Residency Program is designed to develop practitioners who have the knowledge, skills and attitudes necessary to provide pharmacotherapy services across diverse patient populations and in different practice settings as a member of multidisciplinary teams. The residency program is designed to fulfill the learning objectives identified in the ASHP Supplemental Standard and Learning Objectives for Residency Training in a Specialized Area of Pharmacy Practice.

The primary training goal of the program is to ensure that the graduate can apply decision-making skills, literature evaluation abilities and pharmacotherapy knowledge base to deliver safe, efficacious and cost-effective medication management to patients across a variety of practice areas, including acute care, ambulatory care and critical care. The primary teaching goal of the program is for the resident to develop comfort and expertise in provision of pharmaceutical education to health care providers, students, patients and the community at large. The primary professional development goal of the program is for the resident to cultivate a commitment to the profession of pharmacy, as well as personal and professional growth, as a self-directed, autonomous learner and a leader within the profession as a clinician, educator and researcher.

The graduating PGY2 Pharmacotherapy Resident will be prepared to enter clinical practice as a pharmacotherapy specialist in acute care, ambulatory care or critical care environments. The graduate will be proficient in working as a member of multidisciplinary teams toward a common goal of stellar patient care. The resident will also have the baseline level of skills and experience to execute meaningful point-of-care research and to design and execute teaching activities in affiliation with a school of pharmacy.

Rotations

With the exception of a longitudinal clinic experience and staffing experience, patient care activities are designed as month-long rotations. All rotations are tailored to the resident’s interests, career goals, and prior experience, with effort made to maintain relative balance between acute and ambulatory care experience.

Required:*

*Should allow for one preceptor to evaluate resident on two separate occasions

*May overlap from PGY1 to PGY2 year for returning PGY2

•Acute Care Medicine (3 months) – should cover 2 services on at least one of these rotations

•Family Medicine Inpatient Service

•General Internal Medicine (e.g., nephrology, hepatology/geriatrics, pulmonology)

•Ambulatory Care Clinics (2 months plus longitudinal clinic one ½ day per week)

•Family Medicine

•General Internal Medicine

•Cardiology

•Endocrinology

•Geriatrics

• Critical Care (1 month)

•Administration/research (December)

•Orientation (July)

Elective:

•Acute Care Medicine (e.g., cardiology, pulmonology, hepatology/geriatrics, nephrology)—1 additional month

•Ambulatory Care Clinics (e.g., pain, HIV/ID, hematology/oncology, transplant, BMT)—1 month

Selective:

•Resident’s selection (e.g., psychiatry, pediatrics, ID consults, pharmacogenomics, CAMP, etc.)—2 months

Explanation of the Calendar Year

•July – Orientation

•August – Internal Medicine or Family Medicine Introductory experience (Acute Care)

•September – Ambulatory Care (location of longitudinal clinic)

•October / November – required, elective, or selective rotations

•December – Research

•January through April – required, elective, or selective rotations

•May / June

•Internal Medicine or Family Medicine precepting experience (Acute Care or Ambulatory Care)

•Internal Medicine or Family Medicine Advanced experience (Acute Care)

Preceptors

Since the mission of Pharmacotherapy is to provide breadth of experience across a variety of therapeutic areas and patient care settings, all of the preceptors at UNC are potential preceptors for the Pharmacotherapy residency. Some of the core preceptors are listed here:

•Maurice Alexander

•Stacy Campbell-Bright

•Jamie Cavanaugh

•Jonathan Cicci

•Paul Dombrower

•Suzanne Francart

•Emily Hawes

•Ian Hollis

•Teresa Kam

•Jesica Mangun

•Lauren McKnight

•Caron Misita

•Brian Murray

•Kamakshi Rao

•Kristen Tasca

Staffing Component

Residents will receive training and orientation to the department's services during the first few weeks of the program. Pharmacy practice responsibilities involve staffing in decentralized pharmacist positions for three 1-week staffing blocks and every third weekend. Activities include, but are not limited to, verifying patient-specific orders and medications, providing pharmacokinetic consults when requested, answering in-depth drug information questions, attending all adult codes as the pharmacy member of the code team, providing patient education and solving pharmacotherapy situations as they arise. Additionally, residents staff during one of three major holiday blocks (Thanksgiving, Christmas, or New Year’s) and one minor holiday (Labor Day, MLK, or Memorial Day). Residents will also participate in the after-hours pharmacy clinical on-call program.

Seminars/Professional Meetings

The resident may attend weekly case conferences (depending on prior knowledge in topic area). The resident is required to attend and evaluate a number of pharmacy student seminar presentations throughout the year. The resident is expected to attend the American Society of Health-System Pharmacists Midyear Clinical Meeting (December). Financial compensation will be provided for this educational experience. Financial compensation may also be provided for additional meetings (e.g., American College of Clinical Pharmacy Annual Meeting). Participation in resident poster sessions is encouraged at these meetings.

Additional Requirements

In addition to the major residency research project, the resident is required to contribute to the work of an organizational committee related to medication use or policies / procedures surrounding medication use or pharmacy services.

RPD Contact Information

Caron Misita, PharmD, BCPS, CDE, CPP

Residency Program Director, PGY-2 Pharmacotherapy Residency

Clinical Pharmacist Practitioner, Diabetes Care and Endocrinology

For more information on our Pharmacy Residency Program contact 

Stephen F. Eckel, PharmD, MHA, BCPS, FAPhA, FASHP, FCCP,  Associate Director of Pharmacy, Director, Pharmacy Residency Programs, Clinical Associate Professor, UNC Eshelman School of Pharmacy

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