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Program Design

PGY1 Rotations

  • Orientation (1 month)
  • Family Medicine Inpatient Service (1 month)
  • Acute Care Medicine (1 month)
  • Ambulatory Care (1 month)
  • Critical Care (1 month)
  • Emergency Medicine (1 month)
  • Pediatrics (2 months)
  • Pharmacy Administration (1 month)
  • Drug Information (1 month)
  • Elective (2 months; may include 1 Research month)

PGY2 Rotations

  • Orientation (1 month)
  • Family Medicine Inpatient Service (1 month)
  • Infectious Diseases (1 month)
  • Ambulatory Care Medicine (2 months)
  • Critical Care (1 month)
  • Hematology/Oncology (2 months)
  • Elective (4 months, may include 1 Research month)
  • Longitudinal Ambulatory Care Clinic (one half-day per week for the full year)

Clinical Staffing

The pharmacotherapy resident must complete an average of 400 hours of staffing during the course of each residency year. This commitment is fulfilled by staffing every third weekend and for three concentrated weeklong blocks distributed over the course of each year. The weekend staffing component will occur in the Pediatric Decentralized Pharmacy in the PGY1 year. Additionally, residents are responsible for staffing during one of three major holiday blocks (Thanksgiving, Christmas, or New Year’s) and one minor holiday (Labor Day, MLK, or Memorial Day).

In the PGY2 year, weekend staffing will shift to clinical pharmacist specialist positions. The specific staffing areas will vary somewhat year to year based on departmental needs. Staffing activities during both years include, but are not limited to, verifying patient-specific orders and medications, providing pharmacokinetic consults according to departmental policy, answering drug information questions, attending codes as the pharmacy member of the code team, providing patient education, and performing transitions of care responsibilities.

Research and Publication

The pharmacotherapy resident is required to complete one group flipped research project in the PGY1 year as well as an individual longitudinal research project conducted over the course of the 24-month combined program. The flipped project is conducted via a 2-step model. During the summer, PGY1 residents are assigned to an IRB approved research project and focus on collecting and summarizing data, analyzing results, and presenting findings at a regional or national meeting. During the second half of the residency year, residents prepare results of their project for publication while also developing a research question that is proposed to the Research Committee. Approved projects for the next PGY1 class will go through the IRB process. Feedback from the Research Committee is provided at each stage of the year. Parts of these research projects will be presented at the Vizient Annual Meeting, the Research in Education and Practice Symposium (REPS) or at specified sub-specialty meetings as determined by the project advisor. In addition to conducting and presenting research, residents are required to submit a manuscript for publication by the end of the year.

The longitudinal research project spans both years of the program, with a usual duration of 18 months. The expectations for this extended project are to develop a research question and data collection plan, achieve approval from the hospital IRB, collect data, analyze results, and present findings at either REPS or an appropriate subspecialty societal meeting. Additionally, the proposed methodology for the project may be presented at the ASHP Midyear Clinical Meeting during the PGY1 year. As with the PGY1 year, PGY2 residents are required to submit a manuscript for publication by the end of the year. The publication usually stems from research results but may be substituted with another article or textbook chapter as deemed appropriate by the resident and RPD.

Formulary Management

The pharmacotherapy resident will complete a drug monograph or drug class review during the PGY1 year as a component of the required Drug Information rotation. Development or revision of a departmental treatment guideline, protocol, or policy is required in the PGY2 year and is typically identified during a clinical rotation or via participation in departmental committees. The finalized guideline, protocol, or policy will be presented at the Acute Care Services Pharmacy Practice Counsel for approval and inclusion on the intradepartmental Clinical Resources webpage. The anticipated length of time to complete development or review of a treatment guideline, protocol, or policy is 10 hours.

Professional Education

Required professional education includes two 60 minute ACPE-approved continuing education presentations, one delivered during each year of the program, and one 60 minute case conference presentation in the PGY1 year. Case conferences are interactive, didactic, and case-based weekly educational sessions presented by PGY1 residents to an audience consisting of their peers.

Each case conference session has a designated clinical specialist to provide guidance and topic expertise. The PGY1 resident is also required to attend weekly case conferences throughout the year. Each case conference session requires approximately 8 hours of preparation, and the average time to prepare each CE presentation is 20 hours.

Both PGY1 and PGY2 residents are incorporated into a layered learning practice model with student pharmacists, coresidents, and clinical specialists, which affords residents the opportunity to enhance their precepting skills. Precepting expectations vary by rotation and are determined by the primary preceptor based on each learner’s relative experience.

Other educational opportunities include multidisciplinary teaching in the outpatient and inpatient settings, POD discussions, and lecture opportunities with the Schools of Pharmacy and Nursing. POD discussions are group topic discussions held among learners on rotation in similar practice areas and are led either by residents or a preceptor specializing in that topic.

Professional Meetings

All residents attend the North Carolina Association of Pharmacists (NCAP) Residency Conference in the summer and REPS in the spring. The majority of residents also elect to attend the ASHP Midyear Clinical Meeting in December, though they also have the option to attend an alternative professional meeting, such as the American College of Clinical Pharmacy (ACCP) Annual Meeting. A travel stipend is provided annually to assist with the cost of meeting registration and associated travel expenses.

Teaching

Each resident will earn an appointment with the UNC Eshelman School of Pharmacy as a Clinical Instructor and will serve as a teaching assistant for one or more selected School of Pharmacy courses. Course assignments will be based on school needs in combination with the resident’s interest areas. Residents spend an estimated 50 to 100 hours per semester on teaching assistant responsibilities, depending on the course.

Additionally, residents are offered the option to pursue completion of a teaching certificate during either the PGY1 or PGY2 year. An application process is necessary to join the teaching certificate program, and if accepted, residents will be provided guidance on lectures, portfolio development, and Pharmaceutical Care Lab participation to receive their certificate.

Leadership

Pharmacotherapy residents are offered the option to pursue completion of a leadership certificate via participation in the UNCH Pharmacy Residency Leadership Certificate Program. An application process is necessary to join the leadership certificate program, and if accepted, residents will be provided guidance on leading topic discussions, leadership in motion projects, mentorship, and other activities to receive their certificate. The Leadership Certificate Program may be completed in either the first or second year.

Community Outreach

Residents participate in activities involving community outreach through participation in Student Health Action Coalition (SHAC). The SHAC clinic is the oldest student-coordinated health service in the U.S., providing free multidisciplinary, comprehensive medical care to the underserved community of Chapel Hill. Our residents volunteer at the clinics an average of 1-2 times during the year, helping to provide care for the patients. Participation in the clinics provides an excellent opportunity for residents to help disadvantaged patients with medication-related issues, physicians with treatment decisions, and to precept students during the medication dispensing and counseling process.

Resident Evaluations

Evaluations are a large part of the residency process. At UNC, we use the ASHP-endorsed online evaluation system, PharmAcademic. Evaluations are built for each rotation as well as for presentations, research, staffing, and longitudinal components of the program. Additionally, quarterly evaluations are held with the program director and mentor to ensure progress toward longitudinal goals.

Requirements for Program Completion (PGY1 Year):

In order to receive a certificate of Residency completion, residents must:

  • Successfully complete all scheduled learning experiences
  • Receive an evaluation score of “Achieved for the Residency” (ACHR) for at least 85% of PharmAcademic objectives
  • Attend, participate, and/or present in all required educational activities, meetings, and conferences
  • Complete the data retrieval, data analysis, formal presentation (poster OR platform) at a local/regional/national forum, and manuscript preparation parts of an initially assigned research project. Then, propose, develop, and begin execution of an 18-month independent research project to continue into year 2 of the program
  • Prepare and submit for publication consideration a minimum of one manuscript based on work conducted during the residency year. The submission, if successful, should be subject to the peer-review process, so as to allow the resident to receive critical feedback on their manuscript
  • Complete all staffing requirements, inclusive of weekday  and weekend, day and evening responsibilities, to support the Department of Pharmacy's operational and clinical needs
  • Complete all evaluations in PharmAcademic, ASHP's approved tool
  • Provide a 30-60 minute (RPD determined) ACPE accredited CE program for pharmacists and pharmacy technicians within and outside the Department of Pharmacy

Requirements for Program Completion (PGY2 Year):

In order to receive a certificate of Residency completion, residents must:

  • Successfully complete all scheduled learning experiences
  • Receive an evaluation score of “Achieved for the Residency” (ACHR) for at least 85% of PharmAcademic objectives
  • Attend, participate, and/or present in all required educational activities, meetings, and conferences
  • Complete an 18 month longitudinal research project, including all of the following: research question development, project proposal submission, creation of a data collection tool, IRB submission (if appropriate), data retrieval and analysis, formal presentation (poster OR platform) at a local/regional/national forum, and creation of a draft manuscript in publishable quality.
  • Prepare and submit for publication consideration a minimum of one manuscript based on work conducted during the residency year. The submission, if successful, should be subject to the peer-review process, so as to allow the resident to receive critical feedback on their manuscript
  • Complete all staffing requirements, inclusive of weekday  and weekend, day and evening responsibilities, to support the Department of Pharmacy's operational and clinical needs
  • Complete all evaluations in PharmAcademic, ASHP's approved tool
  • Provide a 30-60 minute (RPD determined) ACPE accredited CE program for pharmacists and pharmacy technicians within and outside the Department of Pharmacy

For more information contact: Jesica Mangun

Residency Program Director, Combined PGY-1/PGY-2
Pharmacotherapy Residency
Clinical Specialist, Family Medicine