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)