Rotations are generally 1 month long and are open for adjustment based on the resident’s wants and needs. July is reserved for orientation and a month of dedicated time for research, typically in October, allows for completion of a research project suitable for submission to national transplant meetings. Additionally, residents have the opportunity to see transplant experiences at another transplant center by completing a month of rotation at Duke.
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 during the academic year. These classes will usually be directed toward second or third year student pharmacists, with a planned emphasis on transplant medication education where possible.
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.
Opportunities to lead small-group recitation sessions and participate in didactic lectures in a variety of venues are incorporated throughout the year through a transplant POD (pharmacy students and residents on transplant rotations) as well as other venues.
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 transplant meeting (e.g., American Transplant Congress or ISHLT Annual meeting). Participation in poster sessions is encouraged at these meetings. Successful completion of the above CE is required for completion of the residency.
Quality Assurance/Process Improvement
One of the most unique aspects of any transplant program is the requirement for a multidisciplinary quality assurance/process improvement program. At UNC, the transplant program boasts a robust QAPI program which the resident will participate in throughout the year. This may include involvement with medication use evaluations, root cause analysis events, transplant metric assessment and tracking, among others.
The transplant resident will participate in our flipped research model, where the incoming resident will join a project with a timeline successful for completion within the fall, and then will develop a research idea, IRB approval, and data collection sheet for the subsequent years’ resident. This unique model allows for completion of project in time for presentation at an annual transplant meeting as well as manuscript preparation for publication within the year. In addition to the research manuscript, there are opportunities for the transplant resident to engage with further scholarship opportunities, as desired.
- Inpatient abdominal transplant I and II
- Inpatient heart transplant
- Inpatient lung transplant
- Ambulatory transplant clinic: abdominal
- Ambulatory transplant clinic: cardiothoracic
- Immunocompromised Infectious Diseases Consult Service
Elective Rotations (3 months)
- Advanced ambulatory transplant clinic
- Longitudinal transplant clinic
- Inpatient pulmonary
- Inpatient nephrology
- Surgical ICU
- Medical ICU
- Cardiothoracic ICU
- Off-site Transplant Rotation Experience (Duke)
- Hepatology (2 weeks)
- HLA Lab (2 weeks)
Requirements for Program Completion:
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 a one year research project or a pre-specified part of a multi-year research project, including all of the following: data retrieval, data analysis, formal presentation (poster OR platform) at a local/regional/national forum, creation of a draft manuscript in publishable quality, project proposal submission, creation of a data collection tool, and IRB submission (if appropriate)
- 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