The residency provides ten to eleven rotations which can be tailored to the interests, career goals, and experience of the resident. A variety of established practice settings are available throughout the University of North Carolina Hospitals and Clinics.
Required rotations are foundational cardiovascular clinical experiences. These are considered to be areas wherein the resident cannot successfully complete the PGY2 residency without acceptable mastery.
The following clinical rotations are required for successful completion of the residency:
- UNCMC Department of Pharmacy Orientation - 1 month (July)
- General Cardiology (Intermediate and floor care areas) – 1 month
- General Cardiology with Cardiac Intensive Care Unit – 1 month
- Advanced Heart Failure/LVAD/Heart transplant – 1 month
- Cardiac Surgery (ICU, intermediate, and floor care areas) - 1 month
- Advanced Heart Failure/Cardiac Surgery (combined experience) – 1 month
- Cardiovascular Ambulatory Care Clinic - 1 month
- Cardiovascular Ambulatory Care Clinic –½ day per week longitudinal, approximately 5 months of the residency year. This half day per week will be completed in one of the following clinic areas: heart failure, hyperlipidemia, hypertension, transitions of care, electrophysiology, or general cardiology.
- Heart Transplant/LVAD Ambulatory Care Clinic – ½ day per week longitudinal, approximately 5 months of the residency year. This half day per week will be completed in the heart transplantation and LVAD post-discharge follow-up clinic.
The resident may opt to repeat any of the above rotations during any calendar months that remain after selection of their desired elective months, to a maximum of 3 total months per required rotation.
Elective rotations are designed to broaden the resident’s experience in patient populations with unique problems related to cardiovascular diseases or to enhance the resident’s ability to perform in a faculty position after residency.
The following rotations are elective and are optional for successful completion of the residency:
- Elective rotations include, but are not limited to:
- Medicine Intensive Care Unit (MICU) – 1 month
- Electrophysiology –1 month
- Heart Transplant/LVAD Ambulatory Care Clinic – 1 month
- College of Pharmacy Academic Rotation – 1 month
- Hematology Consults – 2 weeks
- Emergency Department – 2 weeks
- Pediatric Cardiac ICU – 2 weeks
The residency year will be scheduled such that required rotations comprise the entirety of the first 6 months of the year. Elective rotations and repeated required rotations will generally be scheduled in the second 6 months of the residency year.
Process Improvement Project(s)
The Cardiology PGY2 resident will be expected to take a leadership role in the improvement of one or more cardiovascular medication-related processes, such as electronic medication order management (order sets, order panels, clinical pathways), medication safety activities, creation of (or updates to existing) cardiovascular medication usage guidelines, and evaluation of new cardiovascular medications for formulary inclusion via Pharmacy & Therapeutics committee approval. Appropriate activities in this category will be identified with the assistance of the RPD and appropriate goals and deadlines will be set for the resident.
Residency Writing Project
The resident will lead the completion of a manuscript comprising a comprehensive review of a relevant cardiovascular pharmacotherapeutic area. This experience will involve idea generation, outline creation, acquisition of collaborators, subsection compilation, manuscript submission, response to reviewer comments, and manuscript re-submission.
Each resident will earn an appointment as a Clinical Instructor with the University of North Carolina Eshelman School of Pharmacy. Residents are required to participate as a teaching assistant (TA) for at least one Eshelman School of Pharmacy (ESOP) class for both the Fall and Spring Semesters. These classes will usually be directed toward second or third year student pharmacists, with a planned emphasis on CV medication education where possible. Successful completion of 1 semester of each of the above TA responsibilities is required for completion of the residency.
Teaching experiences are also integrated with patient care experiences as part of precepting responsibilities on clinical rotations. Residents will be given the opportunity to serve as intermediate preceptor of 2nd, 3rd, and/or 4th year ESOP students who are completing the same rotation as the resident. Emphasis will be placed on educating the resident on the core precepting principles of teaching, modeling, coaching and facilitating. Successful completion of > 2 precepting months is required for completion of the residency.
Opportunities to lead small-group recitation sessions and participate in didactic lectures in a variety of venues are encouraged. Various teaching opportunities exist within the School of Medicine, Dentistry, Physician Assistant and Nursing curricula; the resident and preceptors will work to identify specific didactic teaching experiences for which the resident may assume responsibility.
Seminars and Professional Meetings
All residents will present a 60-minute ACPE-approved continuing education (CE) seminar once during the year. The ACPE-approved CE presentation is held once on a Thursday evening and is open for the public to attend. Each resident may choose to attend the ASHP Midyear Clinical Meeting (December) and is encouraged to attend a national cardiology meeting (e.g., American College of Cardiology). Participation in poster sessions is encouraged at these meetings. Successful completion of the above CE is required for completion of the residency.