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Pharmacy Residency Programs 2001 West 86th Street, Indianapolis, IN 46260 1 Tab title repeated here The philosophy of the Pharmacy residency programs is to provide residents with the opportunity to expand their knowledge and skills in providing comprehensive pharmaceutical care to patients. This opportunity will be provided through active participation in evidence-based disease state management; patient, family and medical staff education; medication safety and outcomes-based research. Experiences will provide residents the ability to function independently as specialists, while optimizing drug therapy for patients. The St.Vincent Post Graduate Year 1 (PGY-1) Residency is a one-year commitment designed to provide post-graduate practical experience demonstrating the ability to manage patient care and achieve optimal drug therapy outcomes. The Pharmacy Department has Post Graduate Year 2 (PGY-2) residencies in the areas of ambulatory care, critical care and pediatrics. Thank you for your interest in the Pharmacy Residency Programs at St.Vincent Our residency programs provide the necessary structure and support for each resident to develop himself or herself into a confident and capable pharmacy practitioner. The residency programs provide experiences in diverse patient populations throughout the continuum of care settings. During the course of the training period the resident will build on those patient care and practice management skills formed while completing coursework and introductory and advanced pharmacy practice experiences. Additionally, the resident will be involved in developing and administering educational opportunities for various groups including future and current pharmacists, other healthcare providers, and patients. The resident benefits from practicing in a nationally recognized tertiary care center and alongside a large, dynamic, and accomplished group of pharmacists. The pharmacy resident develops his or her skills together with those in other postgraduate programs including advanced practice nurses, medical, surgical, and podiatry residents and fellows. The academic atmosphere in a community hospital setting provides a truly remarkable environment for the resident to grow and develop an independent style of pharmacy practice. Please use our website to learn more about our pharmacy residency programs, our staff, and our institution. Do not hesitate to contact us should you have any additional questions. Thank you again for your interest in our programs. Jennifer McCann, PharmD, BCPS Critical Care Clinical Pharmacy Specialist Critical Care (PGY-2) Pharmacy Residency Director 317.338.3316 • [email protected] Karie Morrical-Kline, PharmD, BCACP Primary Care Clinical Pharmacy Specialist Ambulatory Care (PGY-2) Pharmacy Residency Director 317.338.7590 • [email protected] Colleen Scherer, PharmD, MPA, BCPS Pediatric Clinical Pharmacy Specialist Pharmacy (PGY-1) Residency Director 317.338.8961 • [email protected] J. Maria Whitmore, PharmD Pediatric Critical Care/Emergency Department Clinical Pharmacy Specialist Pediatric (PGY-2) Pharmacy Residency Director 317.338.3682 • [email protected] St.Vincent Indianapolis • 2001 W. 86th Street, Indianapolis IN 46260 1 table of contents About the Hospital............................................................................................ 3 Clinical Pharmacy Specialists............................................................................5 Post Graduate Year 1 Pharmacy Residency.......................................... 11 Ambulatory Care...............................................................................................17 Critical Care.........................................................................................................25 Pediatrics..............................................................................................................33 Application and Employment Information.............................................. 41 1 2 pharmacy residency Tab title repeatedprograms here St.Vincent Indianapolis St.Vincent is dedicated to spiritually-centered, holistic care that sustains and improves the health of individuals and communities. St.Vincent Indianapolis is a major tertiary and quaternary regional referral hospital and the centerpiece of St.Vincent Health — providing superior service in The Spirit of Caring to people across Indiana. Here are just a few awards to acknowledge the excellence found at St.Vincent: • St.Vincent Indianapolis has been named to the list of “100 Hospitals with Great Neurosurgery and Spine Programs” by Becker’s Hospital Review. • St.Vincent Indianapolis has been named a 2012 Leapfrog Group Top Hospital. • 2013 U.S. News & World Report Best Hospitals: St.Vincent Indianapolis — which includes St.Vincent Women’s — is ranked the #2 hospital in Indiana. It is Nationally Ranked in two specialties: ear, nose and throat (#39) and gynecology (#41). • Achieved Magnet® recognition as a reflection of our nursing professionalism, teamwork and superiority in patient care. • St.Vincent was the only health provider in Indiana to be recognized in the Teaching Hospital category. • Achieved disease specific certification for 10 distinct care programs. the Pharmacy Department about the hospital 3 The pharmacy department provides 24-hour inpatient services through the central, surgery and oncology pharmacies. Inpatient pharmacies support distributive and clinical pharmacy services provided by staff pharmacists, clinical pharmacy specialists and pharmacy technicians. The inpatient pharmacies provide 24 hour-service to more than 500 inpatient beds and provide decentralized unit pharmacist coverage in the following areas: • Behavioral Health • Cardiology • Critical Care • Medicine • Neurology • Obstetrics • Oncology • Orthopedics • Pediatrics/Neonatology • Surgery Clinical pharmacy services are provided for inpatients and outpatients at all St.Vincent Indianapolis Regional Hospitals. There are a total of 27 clinical pharmacy specialists who work closely with medical teams to provide quality cost effective pharmacotherapeutic recommendations; minimize and prevent adverse drug reactions and interactions; and provide patient education and counseling. Additional services offered through collaborative drug therapy management agreements with the medical staff include: • Pharmacokinetic dosing and therapeutic drug monitoring services • Total Parenteral Nutrition dosing and monitoring • Tikosyn assessment, dosing and monitoring • Renal drug dosing recommendations and adjustments • Conversion from intravenous to oral medication therapy to facilitate transitions in care • Pain management and medication reconciliation consult services • Anti-infective therapy recommendations and monitoring • Inpatient and outpatient anticoagulation dosing, monitoring, and education services • Wellness outpatient services By the Numbers 2 Retail pharmacy locations (Associate and Primary Care Clinic locations) 4 Outpatient Anticoagulation clinics 5 Hospital locations represented by Indianapolis domain Department of Pharmacy 16 Number of mission trips in which pharmaceutics were provided through support of Mission Services 136 St.Vincent Medical Group physician practices receiving vaccines and pharmaceuticals from pharmacy department 284 Total number of associates providing pharmacy services at St.Vincent Indy domain locations 945 Number of ‘near miss’ events documented by pharmacy associates 11,873 Number of mail order prescriptions filled by Associate Pharmacy 13,098 Outpatient visits to Anticoagulation clinics 34,335 Documented clinical interventions by Carmel pharmacists 63,246 Total number of prescriptions filled by Associate Pharmacy 75,038 Total number of prescriptions filled by Primary Care Clinic Pharmacy 5,132,495 Total doses dispensed by five hospital locations Clinical pharmacist specialists lead the development, implementation, evaluation, and enforcement of drug use guidelines, policies, procedures, and protocols. They help to ensure appropriate use of high risk medications, serve on quality improvement committees, and initiate quality improvement projects. 4 about the hospital clinical pharmacy specialists and Pharmacy Management 5 clinical pharmacy specialists at st.vincent Amber Cummins, PharmD, BCPS Emergency Medicine Clinical Pharmacy Specialist Emergency Medicine Residency: Huntington Memorial Hospital Pharmacy Practice Residency: Centennial Medical Center Doctor of Pharmacy: Butler University Toni Eash, PharmD, BCACP Primary Care Clinical Pharmacy Specialist Ambulatory Care Residency: St.Vincent Indianapolis Pharmacy Practice Residency: St.Vincent Indianapolis Doctor of Pharmacy: Butler University Scott Freeland, PharmD Cardiology/Transplant Clinical Pharmacy Specialist Bachelor of Pharmacy: Butler University Doctor of Pharmacy: Purdue University Sarah Hittle, PharmD, BCPS Critical Care Clinical Pharmacy Specialist Critical Care Residency: IU Health (formerly Clarian Health) Pharmacy Practice Residency: IU Health (formerly Clarian Health) Doctor of Pharmacy: Purdue University Beth Johnston, PharmD, BCPS Surgery Clinical Pharmacy Specialist Pharmacy Practice Residency: St.Vincent Indianapolis Doctor of Pharmacy: West Virginia University Kena Lanham, PharmD, BCPS Cardiovascular Clinical Pharmacy Specialist Assistant Professor of Pharmacy Practice. Butler University Cardiology Residency: University of Kentucky Pharmacy Practice Residency: St.Vincent St.Joseph Kokomo Doctor of Pharmacy: University of Kentucky Bachelor of Arts: Eastern Kentucky University 6 clinical pharmacy specialists and Pharmacy Management Jennifer McCann, PharmD, BCPS Critical Care Clinical Pharmacy Specialist Critical Care (PGY-2) Pharmacy Residency Director Critical Care Residency: IU Health (formerly Clarian Health) Pharmacy Practice Residency: IU Health (formerly Clarian Health) Doctor of Pharmacy: Duquesne University Jennifer McKee, PharmD, BCPS Neonatal Clinical Pharmacy Specialist Pediatric Critical Care Fellowship: Children’s Hospital Central California Pharmacy Practice Residency: Cincinnati Children’s Hospital Medical Center Doctor of Pharmacy: Ohio Northern University Amy McManness, PharmD, BCPS Internal Medicine Clinical Pharmacy Specialist Critical Care Residency: St.Vincent Indianapolis Pharmacy Practice Residency: St.Vincent Indianapolis Doctor of Pharmacy: Butler University Karie Morrical-Kline, PharmD, BCACP Primary Care Clinical Pharmacy Specialist Ambulatory Care (PGY-2) Pharmacy Residency Director Pharmacy Practice Residency: St.Vincent Indianapolis Doctor of Pharmacy: Butler University Melissa Neglia, PharmD Women’s Health Clinical Pharmacy Specialist Pharmacy Practice Residency: Baptist Memorial Hospital Memphis Doctor of Pharmacy: Purdue University Carol E. Nolan, PharmD Anticoagulation Services Clinical Pharmacy Specialist Family Practice Residency: IU Health (formerly Clarian Health) Pharmacy Practice Residency: IU Health (formerly Clarian Health) Doctor of Pharmacy: Butler University Amanda Place, PharmD, BCACP Primary Care Clinical Pharmacy Specialist Doctor of Pharmacy: Butler University 1 clinical pharmacy specialists and Pharmacy Management Tab title repeated here 7 David Reeves, PharmD, BCOP Oncology Clinical Pharmacy Specialist Assistant Professor of Pharmacy Practice, Butler University Oncology Residency: Karmanos Cancer Center Pharmacy Practice Residency: William Beaumont Hospital Doctor of Pharmacy: Wayne State University Karen Hamrick Samaan, PharmD, BCNSP Trauma-Neuro Critical Care and Nutrition Support Clinical Pharmacy Specialist Critical Care and Nutrition Support Residency: University of Tennessee Memphis Doctor of Pharmacy: University of Illinois at Chicago Lindsay Saum, PharmD, BCPS, CGP Internal Medicine Clinical Pharmacy Specialist Assistant Professor of Pharmacy Practice, Butler University Geriatric Residency: Charleston Area Medical Center/West Virginia University Pharmacy Practice Residency: IU Health (formerly Clarian Health) Doctor of Pharmacy: Butler University Colleen Scherer, PharmD, MPA, BCPS Pediatric Clinical Pharmacy Specialist Pharmacy (PGY-1) Residency Director Pediatric Residency: Medical University of South Carolina Pharmacy Practice Residency: Pitt County Memorial Hospital Doctor of Pharmacy: Drake University Cindy Selzer, PharmD, BCPS Medication Management Services Clinic Pharmacist Internal Medicine Clinical Pharmacy Specialist Pharmacy Practice Residency: Clarian Health Partners Doctor of Pharmacy: University of Mississippi Suellyn Sorensen, PharmD, BCPS, FASHP Director of Clinical Pharmacy Services Pharmacy Practice Residency: Indiana University Medical Center Doctor of Pharmacy: Purdue University Bachelor of Pharmacy: Butler University Judy Stover, RPh Medication Use and Safety Coordinator Bachelor of Sciences: Butler University 1 8 clinical pharmacy specialistsTab andtitle Pharmacy Management repeated here Jennifer Tobison, PharmD Pediatric Outpatient Clinical Pharmacy Specialist Pediatric Residency: St.Vincent Indianapolis Pharmacy Practice Residency: St.Vincent Indianapolis Doctor of Pharmacy: Butler University Karen Wall, PharmD, BCPS Clinical Pharmacy Specialist, Carmel Pharmacy Practice Residency: The Health Alliance, St. Luke Hospitals Doctor of Pharmacy: Purdue University Alison Walton, PharmD, BCPS Primary Care Clinical Pharmacy Specialist Assistant Professor of Pharmacy Practice, Butler University Family Medicine Residency: IU Health (formerly Clarian Health) and Butler University Pharmacy Practice Residency: Deaconess Hospital Doctor of Pharmacy: Ohio Northern University Russell White, PharmD Renal Transplant Clinical Pharmacy Specialist Solid Organ Transplant/Immunology Residency: University of Tennessee Doctor of Pharmacy: West Virginia University J. Maria Whitmore, PharmD Pediatric Critical Care/Emergency Department Clinical Pharmacy Specialist Pediatric (PGY-2) Pharmacy Residency Director Pediatric Residency: Riley Hospital for Children/Purdue University Pharmacy Practice Residency: Indiana University Medical Center Doctor of Pharmacy: University of Kentucky Bachelor of Pharmacy: University of Toledo Jessica Wilhoite, PharmD, BCACP Primary Care Clinical Pharmacy Specialist Assistant Professor Pharmacy Practice, Butler University Ambulatory Care Residency: St.Vincent Indianapolis Pharmacy Practice Residency: St.Vincent Indianapolis Doctor of Pharmacy: Purdue University clinical pharmacy specialists and Pharmacy Management 9 Pharmacy Management Tony Antonopoulos, RPh, MBA Executive Director of Pharmacy, Indianapolis Wendy LeMasters, PharmD Director of Ambulatory Services Mike Mendenhall, RPh Director of Operations, Carmel Alana Washington, PharmD Director of Operations, Indianapolis Lori Skwarcan, RPh Director of Operations, Women’s Suellyn Sorensen, PharmD, BCPS, FASHP Director of Clinical Pharmacy Services 10 clinical pharmacy specialists and Pharmacy Management Post Graduate Year 1 pharmacy Residency 11 PGY-1 Pharmacy Residency Program Overview PGY-1 Residency Purpose Pharmacists completing the St.Vincent Indianapolis Residency Program will be competent clinical practitioners, confident in multiple patient care settings. Upon successful completion, the resident will also be prepared for post-graduate second year training programs. The twelve-month intensive program requires residents to be an integral part of the interdisciplinary team. The residents are accountable for providing evidence-based, patient-centered medication therapy. Resident responsibility extends to identifying, managing and improving medication use processes. By utilizing medical informatics, residents will help expand and improve pharmacy services. They will build upon their interpersonal and communication skills to provide leadership in pharmacy practice. Residents will obtain skills to provide pharmacy-related education to other health care professionals, patients, and the community. They will demonstrate professional maturity by developing a personal philosophy of practice. Residency Outcomes • Manage and improve the medication-use process • Provide evidence-based, patient-centered medication therapy management with interdisciplinary teams • Exercise leadership and practice management skills • Demonstrate project management skills • Provide medication and practice-related education/training • Utilize medical informatics Year 1 Pharmacy 1 12Post GraduateTab title repeatedResidency here Program at a glance The PGY-1 Resident will be given the opportunity to gain experience in the following areas: Required Rotations Elective Rotations Residency Experiences • • • • • • Academic Experience • Anticoagulation • Administration • Bariatric Surgery •Cardiology • Clinical Community • Emergency Medicine •Geriatrics • Infectious Diseases • Nutrition Support •Oncology • Pediatric Ambulatory Care • Pediatric Specialties •Psychiatry • Solid Organ Transplant •Surgery • Women’s and Infant’s Services • Clinical Rotations • Quality Improvement and Practice Management Projects • Research • Teaching Certificate Opportunities • Committee Involvement • Service Commitment • Recruitment • ACPE Education Ambulatory Care Critical Care (adult) Internal Medicine Pediatrics/Neonatology Practice Management/ Medication Safety Post Graduate Year 1 Pharmacy Residency 13 pgy-1 pharmacy required roTaTion descripTions Required Experiences Required Rotations • Four required clinical rotations are scheduled throughout the year highlighting areas that will help the residents meet the residency outcomes and allow the resident to experience and learn various patient populations, from pediatrics to geriatrics and ambulatory to critical care. • The resident will have the opportunity to select five unique elective activities that tailor to their individual career goals. Practice Management/Medication Safety • The resident will actively participate on the Medication Safety Committee and the Pharmacy and Therapeutics Committee. • Residents will also have the opportunity to participate in continuous quality improvement projects throughout the year. • Other projects the resident will be required to complete include, but are not limited to, drug class review, drug monograph development, journal club presentations, and in-services. Service Commitment • The resident will staff every other weekend, splitting time between anticoagulation services and pharmacokinetic/TPN clinical monitoring. • Residents will also staff every 4th Friday evening in our main pharmacy experiencing IV room work and triaging phone calls. Residency Project • The resident will complete a residency project tailored around his/her interests as well as the needs of the organization. This research project will be presented at the Great Lakes Pharmacy Residency Conference and will be developed into a manuscript suitable for publication. Poster presentation at the St.Vincent Research Symposium is also strongly encouraged. Teaching • Residents will be required to participate in the teaching certificate program offered through Butler and Purdue Universities. • The resident is required to present two ACPE-accredited lectures to pharmacy staff. • Pharmacy residents will also be able to participate in case conference and other teaching opportunities through Butler University. • The resident will have multiple opportunities for precepting PharmD students from Butler and Purdue Universities. 14Post Graduate Year 1 Pharmacy Residency PGY-1 Pharmacy Past Residents Where Are They Now? Year Resident Name School Current Position Meghan Dahlke University of Iowa 2009 – 2010 Jennifer Tobison Butler University Ambulatory Care Clinical Pharmacist, Bob Michel VA Outpatient Clinic Ashton Beggs St. Louis College of Pharmacy Assistant Professor/Ambulatory Care Clinical Pharmacist, Belmont University College of Pharmacy 2010 – 2011 Lindsay Landgrave University of South Carolina Pediatric Pulmonary Clinical Pharmacist, Nationwide Children’s Hospital Ranita Patel Pacific University Clinical Staff Pharmacist, Texas Health Resources Janna Fett Butler University Ambulatory Care Clinical Pharmacist, Beaumont Health System 2011 – 2012 Teresa Kam Purdue University Stem Cell Transplant Clinical Pharmacist, UNC Health Care Amy McManness Butler University Internal Medicine Clinical Pharmacist, St.Vincent Emily Bain Butler University Drug Safety Surveillance Scientist, Eli Lilly and Company Ryan Balmat Butler University 2012 – 2013 Andrew Noda University of Iowa Pharmacist, Cleveland Clinic Sam Schwarm Pharmacist, St. Louis University Hospital Southern Illinois University Edwardsville Pediatric Ambulatory Care Clinical Pharmacist, St.Vincent Pediatric Clinical Pharmacist, Chippenham Pediatrics Sarah Flaherty Butler University PGY-2 Administration, Jesse Brown VA Medical Center 2013 – 2014 Allison Jones Purdue University PGY-2 Pediatrics, UF Health Shands Hospital Vishal Ooka Butler University PGY-2 Critical Care, St.Vincent Kaylene Peric University of Hawaii at Hilo Clinical Pharmacist, Flagstaff Medical Center Post Graduate Year 1 Pharmacy Residency 15 PGY-1 Current Pharmacy Residents Emily Christenberry, PharmD completed her Doctor of Pharmacy degree at Butler University in 2014. Emily is evaluating the correlation between CIWA scores, lorazepam use and adverse drug reactions at St.Vincent for her research project this year. Next year, she plans to pursue a PGY-2 residency in internal medicine. Her current areas of interest include teaching and working to better utilize the electronic health record. Matt Heinsen, PharmD completed his Doctor of Pharmacy degree at Butler University in 2014. His current interests include ambulatory care pharmacy and leadership development. Matt is researching the utility of vitamin D monitoring and supplementation in pediatric asthmatic patients this year and plans on pursing a PGY-2 in management next year. Katherine Kielts, PharmD completed her Doctor of Pharmacy degree at Butler University in 2014. Next year, Katherine plans to pursue a PYG2 residency position in critical care or solid organ transplant. Her research project this year is investigating the use of corticosteroids in COPD exacerbations and patient’s clinical outcomes. Lauren Turner, PharmD completed her Doctor of Pharmacy degree at Purdue University in 2014. This year Lauren is researching correlations between PFTs, COPD and medication use and the effects of these parameters on patient outcomes. Lauren plans to continue her career by pursuing a PGY-2 in an underserved ambulatory care setting. Year 1 Pharmacy 1 16Post GraduateTab title repeatedResidency here Ambulatory care Post Graduate Year 2 Pharmacy Residency 17 Ambulatory Care Pharmacy Residency Program Overview Philosophy The philosophy of the ASHP accredited ambulatory care pharmacy specialty residency at St.Vincent Indianapolis and the St.Vincent Joshua Max Simon Primary Care Center is to provide the resident with the opportunity to expand his/her knowledge and skills to provide comprehensive pharmaceutical care to ambulatory patients. This opportunity will be provided through active participation in evidence-based disease state management, patient/family and medical staff education, medication safety, primary and preventive care, outcomes-based research, educational and scholarly activities, and collaborative drug therapy management. Experiences will provide the resident the ability to function independently as a specialist by conceptualizing, integrating, and transforming accumulated experience and knowledge into optimal drug therapy for patients. Purpose Statement The purpose of the ASHP-accredited PGY-2 ambulatory care residency at St.Vincent is to build on the competencies achieved in a PGY-1 residency and develop clinical pharmacists who provide competent, safe, evidence-based, cost effective and highly reliable pharmacotherapy to ambulatory care patients. Achievement of a teaching certificate along with required multidisciplinary educational activities will provide the foundation upon which the resident can further develop his/her teaching skills in diverse didactic and clinical settings. Upon completion of the PGY-2 ambulatory care pharmacy residency program, the resident will be prepared to attain board certification and secure an ambulatory care position that incorporates both teaching and clinical components. Residency Outcomes • • • • • • 18 Establish a collaborative interdisciplinary practice. In a collaborative interdisciplinary ambulatory practice provide efficient, effective, evidence-based, patient-centered treatment for chronic and/or acute illnesses in all degrees of complexity. Demonstrate leadership and practice management skills. Promote health improvement, wellness, and disease prevention. Demonstrate excellence in the provision of training or educational activities for health care professionals and health care professionals in training. Service as an authoritative resource on the optimal use of medications. ambulatory care St.Vincent Joshua Max Simon Primary Care Center The St.Vincent Joshua Max Simon Primary Care Center is a medical residency training facility where physicians provide optimal outpatient care to more than 13,500 patients, accounting for more than 72,000 patient visits/year. Patient demographics are diverse and include the uninsured, underinsured and insured; English and non-English speaking individuals; literate and illiterate. The Primary Care Center is located on the St.Vincent Indianapolis campus. Features • Psychiatric services provided by clinical psychologist and psychiatrist • Training site for medical residents and fellows • Internal Medicine residents • OB/GYN residents • Family Medicine residents • Pediatric residents • Internal Medicine/Family Medicine combined residents • Cardiology fellows • Podiatry residents • Dermatology fellow • Geriatric fellow • Specialty clinics • Asthma clinic • Attention Deficit Hyperactivity Disorder (ADHD) clinic • Cardiology clinic • Dermatology clinic • Hand clinic • Hematology /Oncology clinic • Orthopedic clinic • Podiatry clinic • Renal clinic • Sports medicine clinic • Surgery clinic • Other specialty services • Centered pregnancy classes • Annual flu clinic • Super Shots evening Vaccine Clinic • Pharmacy Services • Outpatient pharmacy including 340 B plus patient assistance programs • Clinical services • Daily patient chart review • Collaborative drug therapy management • Medication therapy management 1 Ambulatory Care Tab title repeated here 19 Program at a glance The ambulatory care pharmacy resident will actively participate in longitudinal, perennial and annual learning experiences. The residency preceptors will provide written learning objectives for each learning experience. These objectives specify the skills and knowledge the resident will gain upon successful completion of each experience. The resident will be provided a training plan to help guide performance and expectations, track achievements and progress in obtaining individualized and program goals. These training plans will be updated quarterly and will coincide with quarterly resident evaluations. In addition, the resident will be expected to evaluate themselves, preceptors, and the strengths and weaknesses of each aspect of the residency program. Required Learning Experiences Elective Experiences (2 per 6month interval required) Other Required Experiences • Internal medicine • Family medicine • Anticoagulation clinic • Disease-state management • Diabetes / Pre-Diabetes • Heart failure • Hyperlipidemia • Hypertension • MTM • Immunization clinic • Post-discharge clinic • Academia • Asthma Clinic • Center for Healthy Aging (Geriatrics) • Emergency Medicine •Pediatrics • Women’s Health • Practice management • Medication safety • Outpatient pharmacy (staffing) •Research • Teaching • ACPE approved pharmacy CE lectures • Teaching certificate program • Didactic lectures • PharmD student precepting 20Ambulatory Care Longitudinal Learning Experiences Medicine Experience: The Medicine experience will incorporate Family Medicine (FM), Internal Medicine (IM), and Post-discharge (PDC) clinics, and is designed to provide the resident with the foundational knowledge about common acute/ chronic disease state management of adults and children through direct instruction, observation and modeling by the preceptors. Residents will have the opportunity to apply this knowledge through participation in multidisciplinary patient care at the St.Vincent Joshua Max Simon Primary Care Center (PCC), working with various healthcare providers in managing social and medical aspects of total patient care. Activities include: • Daily patient chart review and care plan development • Adherence evaluations and medication histories • Provide drug information resources and pharmacotherapy treatment recommendations to medical residents and staff • Patient/provider education Collaborative Drug Therapy Management: The longitudinal Disease State Management experience is designed to provide the resident with the foundational knowledge of pharmacy-driven clinics for the following disease states (adult focus): diabetes, pre-diabetes, hypertension, heart failure, medication therapy management, anticoagulation and hyperlipidemia. The resident will be responsible for providing care to patients per the drug therapy management practice agreement one-half day per week throughout the year and will document all activities and provide recommendations to the primary care provider and/or staff physician if changes in pharmacotherapy are warranted. The resident will participate in ongoing outcomes-based research by evaluating the outcomes of these pharmacy-driven disease-state management clinics. Immunization clinic: The longitudinal immunization clinic experience is designed to provide the resident with the foundational knowledge of pharmacy-driven adult immunization services. The resident will be required to obtain APhA Immunization Certification and will have the opportunity to apply this knowledge through leadership and participation in an immunization service targeting two adult vaccines: Zostavax® and Gardasil®. The resident will provide pharmacy-driven services as defined by the PharmD Immunization Clinic Protocol to ensure appropriate procurement of vaccine, administration and documentation. Practice management / Medication Safety: The practice management longitudinal experience is designed to provide the resident with the foundational knowledge about the medication use process, practice management skills, medication safety, and medical informatics through participation in hospital and clinical committees such as PCC operations, residency committees and business meetings. The resident will be given dedicated administrative time to fulfill practice management expectations throughout the residency. Activities include, but are not limited to: • Publication preparation and submission • Quality improvement projects; monograph/drug class reviews • Prior authorization approvals; journal clubs; drug interaction updates • Wellness initiatives • Formal drug information questions. 1 Ambulatory Care Tab title repeated here 21 Teaching / Education Experiences Residents will participate in St.Vincent Indianapolis and St.Vincent Joshua Max Simon Primary Care Center (PCC) lectures and other teaching opportunities to physicians, medical residents, medical students, pharmacists, pharmacy technicians, nurses and other healthcare providers. Residents will also have the opportunity to mentor PGY-1 pharmacy residents and pharmacy students, and participate in elective small group teaching experiences at Butler University College of Pharmacy and Health Sciences (COPHS). Additionally, the resident will participate in the Indiana Pharmacy Resident Teaching Certificate (IPTeC) Program through Purdue and Butler universities, if not already completed. Required teaching activities include: • Providing a minimum of three lectures for the Family Medicine physicians, a minimum of one lecture to the Primary Care Center nursing staff, and a minimum of one lecture to the Indiana University Junior Medical Students. • Providing at least one ACPE-accredited lecture to the pharmacy staff, and one CE program for pharmacy technicians. • Serving as co-preceptor for pharmacy students during clinic activities and primary preceptor for one pharmacy student rotation during the second six months of the residency experience. • Facilitating monthly student standing topic discussions • Serving as a co-facilitator for therapeutics case conference at Butler University College of Pharmacy and Health Sciences • Completing a minimum of three preceptor development activities as made available by the preceptor development committee Residency Project The resident will be expected to complete a residency project to be presented at the Great Lakes Pharmacy Resident Conference and St.Vincent Research Symposium, and submitted for publication. The project must be approved by the Primary Care Center Operations committee and the St.Vincent Investigational Review Board. The project will be tailored around the interests of the resident as well as the needs of the organization. Service Commitment The resident will be required to staff every other Wednesday afternoon from 1-5 p.m. in the Primary Care Center Pharmacy. The outpatient pharmacy staffing experience is designed to provide the resident an opportunity to develop skills in a retail setting while working with a closed formulary and qualifying patient population. The resident will have the opportunity to problem-solve with patients and providers, dispense prescriptions, provide patient education, utilize patient assistance programs, and participate in formulary decisions. 22Ambulatory Care Pgy-2 ambulaTory care PasT residenTs – Where are They noW? Marne Rapp, PharmD, BCPS, is a clinical pharmacy specialist at Chalmers P. Wylie VA Ambulatory Care Center in Columbus, Ohio. During her residency at St.Vincent, Marne evaluated changes in insulin requirements in newly diagnosed patients with type 2 diabetes from hospitalization to an outpatient setting. Jessica Wilhoite, PharmD, BCACP, is a primary care clinical pharmacy specialist at St.Vincent Joshua Max Simon Primary Care Center and an Assistant Professor of Pharmacy Practice at Butler University of Pharmacy and Health Sciences in Indianapolis. During her residency, she implemented and evaluated a health literacy workshop for medical residents. Ashton Beggs, PharmD, BCACP, is an Assistant Professor of Pharmacy Practice at Belmont University College of Pharmacy in Nashville, Tennessee. During her residency, Ashton developed and implemented a new medication screening tool based on Beers Criteria and STOPP/START Criteria for use in elderly outpatients. Lauren Pence, PharmD is an ambulatory care clinical pharmacist at Eskenazi Health in Indianapolis, Indiana. Her research project focused on the development and expansion of the Pharmacist-Managed Heart Failure clinic at the primary care center, and assessing its impact on medication adherence. current resident Katee Lira, PharmD is the current PGY-2 Ambulatory Care Pharmacy Resident at the Joshua Max Simon Primary Care Center. Katee completed her PharmD degree at Butler University in 2013 prior to completing a PGY-1 pharmacy residency at Saint Joseph East in Lexington, KY. She is looking forward to continuing her career in ambulatory care after the completion of her residency, and her current areas of interest include geriatrics, public health, medical missions, and academia. Her research project for her PGY-2 year will be focused on evaluating new clinical pharmacy services provided at the primary care center. Ambulatory Care 23 Primary PrecePTors for The sPecialTy residency in ambulaTory care Karie Morrical-Kline is a board certified clinical pharmacist specializing in primary care. Karie is the current PGY-2 ambulatory care pharmacy residency program director and was the PGY-1 pharmacy practice residency program director from 1999-2006. Karie received her PharmD degree from Butler University in 1996 prior to completing a PGY-1 pharmacy practice residency at St.Vincent Indianapolis. Karie’s current areas of interest include diabetes, pain management, and patient/resident education. Toni Eash is a board certificed ambulatory care pharmacist who serves as a primary care clinical pharmacist at the St.Vincent Joshua Max Simon Primary Care Center in a part-time role. Toni completed her bachelor's degree in Pharmacy and Doctor of Pharmacy degree at Butler University in 2000 and 2001, respectively. She went on to complete a PGY-1 pharmacy practice residency at St.Vincent Hospital and a PGY-2 Ambulatory Care residency at the St.Vincent Primary Care Center. Toni’s current areas of interest include anticoagulation and diabetes education and management. Amanda Place is a board certified ambulatory care clinical pharmacist. She received her PharmD degree in 2000 from Butler University. Following graduation, she practiced in a Family Practice clinic, providing lipid and asthma management and managing the onsite outpatient pharmacies. She transitioned to co-owner and pharmacist of an independent community pharmacy. Her areas of focus include medication safety, quality improvement, developing adherence, and transitions of care programs. Alison Walton is an Ambulatory Care Clinical Pharmacy Specialist at St Vincent Health and assistant professor of Pharmacy Practice at Butler University College of Pharmacy and Health Sciences. Alison received her Doctor of Pharmacy at Ohio Northern University in 2006. She completed a PGY-1 Pharmacy Practice residency at Deaconess Hospital in Evansville, IN, and PGY-2 Family Medicine Specialty Residency at IU Health and Butler University in Indianapolis, IN. Alison is a Board Certified Pharmacotheray Specialist and current areas of interest include heart failure, diabetes and asthma/COPD. Jessica Wilhoite is a clinical pharmacist specializing in primary care and an assistant professor of pharmacy practice at Butler University College of Pharmacy and Health Sciences. Jessica completed her PharmD degree at Purdue University in 2008 prior to completing a PGY-1 pharmacy residency at St.Vincent Hospital and a PGY-2 Ambulatory Care residency at the St.Vincent Joshua Max Simon Primary Care Center. Jessica is a Board Certified Ambulatory Care Pharmacist and her current areas of interest include medication adherence and health literacy. 24Ambulatory Care Critical Care Post Graduate Year 2 Pharmacy Residency 25 Critical Care Pharmacy Residency Program Overview Philosophy The philosophy of the critical care pharmacy specialty residency at St.Vincent Indianapolis is to provide the resident with the opportunity to expand their knowledge and skills to provide comprehensive pharmaceutical care to critical care patients with an emphasis in emergency medicine. This opportunity will be provided through active participation in evidence-based disease state management, medical staff education, medication safety, and outcomes based research. Experiences will provide the resident the ability to function independently as a specialist by conceptualizing, integrating, and transforming accumulated experience and knowledge into optimal drug therapy for patients. Purpose Statement The purpose of the PGY-2 critical care residency at St.Vincent Indianapolis is to build on the competencies achieved in a PGY-1 residency and develop clinical pharmacists who provide competent, safe, evidence‐based, cost effective and highly reliable pharmacotherapy to both the critically ill and emergency medicine patient populations. Achievement of a teaching certificate along with required multidisciplinary educational activities will provide the foundation upon which the resident can further develop his/her teaching skills in diverse didactic and clinical settings. Upon completion of the PGY-2 Critical Care Pharmacy Residency Program, the resident will be prepared to attain board certification and secure a hospital based position in critical care or emergency medicine or an affiliated academic position with a College of Pharmacy. Residency Outcomes • • • • • 1 26 Demonstrate leadership and practice management skills. Optimize the outcomes of critically ill patients by providing evidence based medication therapy as an integral part of an interdisciplinary team. Demonstrate excellence in the provision of training, including preceptorship, or educational activities for health care professionals and health care professionals in training. Demonstrate the skills necessary to conduct a critical care pharmacy research project. Participate in the management of medical emergencies. critical Care Tab title repeated here About the Hospital St.Vincent Hospital and Health Services is a community teaching hospital with over 500 beds and is the largest health care facility among the Ascension Health organization. The hospital system is comprised of St.Vincent Indianapolis, Peyton Manning Children’s Hospital at St.Vincent and St.Vincent Women’s. There are more than 100 intensive care unit beds among the medical, neuroscience, pediatric, trauma and cardiovascular units which will provide the resident with a wide range of experience in caring for the critically ill patient. Additionally, with our emergency department servicing over 60,000 visits per year and Level II Trauma Center certification, the resident’s exposure to emergency medicine will compliment their training in critical care pharmacotherapy. The hospital has an active Medical Education Department supporting medical residents and fellows in Cardiology, Family Practice, Internal Medicine, Pediatrics, Obstetrics/Gynecology, transitional medicine, podiatry, and general surgery. The pharmacy department provides post graduate training programs for pharmacists and maintains affiliations with Butler and Purdue universities. Critical Care Features • • • • • • • • 40 bed Medical Intensive Care Unit 32 bed Cardiovascular and Thoracic Intensive Care Unit 32 bed Neuroscience, Surgical, and Trauma Intensive Care Unit 15 bed Pediatric Intensive Care Unit 24/7 in hospital Critical Care Unit coverage by medical residents and students in training Multidisciplinary team approach to patient care Code response 24/7 by pharmacy staff Rapid Response Team services board certified intensivists Emergency Medicine Features • • • • 39 bed Adult Emergency Department 17 bed Pediatric Emergency Department St.Vincent StatFLIGHT air transportation providing 24/7 services within 150 mile radius Emergency Response Team services critical care 27 program at a glance Residency Program The critical care pharmacy resident will actively participate in rotational, longitudinal and annual learning experiences. The residency preceptors will provide written learning objectives for each learning experience that specify the skills and knowledge the resident will gain upon successful completion of each experience. The resident will be evaluated regularly throughout the year. In addition, the resident will be expected to evaluate themselves, preceptors and the strengths and weaknesses of each aspect of the residency program. Required Rotations Elective Rotations Longitudinal Learning Experiences • • • • • • • • Academic Experience • Administration • Advanced rotation in any required area • Bariatric Surgery • Hematology and Oncology • Neonatal Critical Care • Nutrition support •Research • • • • • 1 28 Orientation – 2-3 weeks Cardiovascular Critical Care – 4 weeks Emergency Medicine – 8 weeks Infectious Diseases – 4 weeks Medical Critical Care – 6 weeks Neuroscience/Trauma Critical Care – 4 weeks Pediatric Critical Care – 4 weeks Adult Emergency Medicine Teaching Practice Management Residency Project Service Commitment critical Care Tab title repeated here PGY-2 Critical Care Required Rotation Descriptions Cardiovascular ICU The CVICU rotation provides an experience in caring for a variety of surgical and medical populations, including cardiothoracic and vascular surgical patients, and those with myocardial infarctions, heart failure and arrhythmias. Residents will actively provide direct patient care as part of many multidisciplinary teams while simultaneously providing day to day informal medication education to physicians, physician assistants, nursing staff, patients and their caregivers. Emergency Medicine The emergency medicine rotation is designed to provide the resident with the opportunity to participate in the delivery of care to emergency patients and gain an appreciation for how the Emergency Department pharmacist can enhance the quality of care delivered. Residents will have the opportunity to provided direct bedside patient care in the Emergency Department, formulate drug therapy plans, provide drug information, screen for drug interactions, and counsel patients with coaching and facilitation occurring by the preceptor. Infectious Diseases The ID rotation is designed to provide the resident with the opportunity to develop the knowledge and skills about the clinical course, manifestations, and therapy of common infectious disease states through direct instruction, observation, and modeling by the preceptor. Additionally, the rotation is designed to provide insight into the design and operations of antimicrobial stewardship. Residents will apply this knowledge and insight through active participation in multi-disciplinary interactions and focused projects relating to ID and stewardship with the preceptor as a guide and mentor. Medical ICU The medical ICU rotation is designed to provide the resident with the opportunity to develop the foundational knowledge and skills about the clinical course, manifestations and therapy of common critical care disease states. The resident will accomplish this through active participation during rounds with our teaching service and other multidisciplinary activities during this extended learning experience. Pediatric Critical Care The PICU rotation is designed to provide the resident with the opportunity to develop the knowledge and skills about the clinical course, manifestations and therapy of common pediatric critical care diseases. Residents will provide recommendations to attending physicians during multi-disciplinary team rounds and actively participate in Code/ECMO situations. Focused projects such as formal drug information responses and educational in-services to nursing and physicians may also be required. Trauma/Neuro ICU The Trauma/Neuro Critical Care learning experience is designed to provide the resident an opportunity to build upon foundational knowledge of common prophylactic and supportive medication management for the adult critically ill patient. Through observation, modeling by the preceptor and readings, the resident will be introduced and develop a knowledge base of the clinical course and therapy of critically ill patients with traumatic injuries, stroke and other neurologic conditions, as well as surgical complications. Residents will have the opportunity to apply this knowledge through active participation with the multi-disciplinary team. critical care 29 Longitudinal Learning Experiences Adult Emergency Medicine • The resident will actively participate in a longitudinal experience in the Adult Emergency Department providing clinical services one evening per week over the course of the training year. Teaching • If not achieved during Post-Graduate Year 1 Pharmacy Residency (PGY-1), the resident will have an opportunity to participate in the teaching certificate program offered through Butler and Purdue Universities. • The resident will be required to: • Present two ACPE-accredited lectures to the pharmacy staff. • Present one noon conference lecture to medical staff. • Present a rapid case presentation on a quarterly basis. • Coordinate a monthly case conference and present on a bimonthly basis. Practice Management • • • The resident will provide formal and informal drug information in the form of newsletters and in-services to pharmacists, nurses and physicians. The resident will have the opportunity to submit and present a poster at a national meeting. The resident will actively participate in the Critical Care Department Committee, Pharmacy and Therapeutics Committee, the Emergency Medicine Quality and Process Improvement Committee and ad hoc participation with relevant committees. Residency Project • The resident will be expected to complete a residency project to be presented at the Great Lakes Pharmacy Residency Conference and develop a manuscript suitable for publication. The project will be tailored around the interests of the resident as well as the needs of the organization. Service Commitment • The resident will be required to staff the intensive care units every 3rd weekend. Responsibilities will include both operational and clinical. 30 critical care PGY-2 critical Care Past residents – where are they now? Amy McManness, PharmD was the first resident to complete the St.Vincent Indianapolis PGY-2 Critical Care/ Emergency Medicine residency in 2013. Amy completed her PharmD degree at Butler University in 2011 prior to completing a PGY-1 Pharmacy residency at St.Vincent. During her residency, Amy evaluated the impact of dexmedetomidine on the need for vasoactive support and mechanical ventilation outcomes in left ventricular assist device recipients. Amy is now a clinical pharmacist specializing in internal medicine at St.Vincent Indianapolis and her current areas of interest include pain management, neurology, and resident education. Current Resident Vishal Ooka, PharmD is the current PGY-2 Critical Care Practice Resident at St.Vincent Indianapolis and is serving as chief resident for the 2014-2015 residency year. Vishal completed his PharmD degree Butler University in 2013 prior to completing a PGY-1 pharmacy residency at St.Vincent Indianapolis. He is looking forward to continuing his career in critical care medicine after the completion of his residency, and his current areas of interest include cardiology, emergency medicine, and supportive care. Vishal’s research project for his PGY-2 year is evaluating catheter directed thrombolysis therapy treatment of pulmonary embolism and analyzing the EKOS® delivery system. critical care 31 Primary Preceptors for the specialty residency in critical care Jennifer McCann is a board certified clinical pharmacist specializing in critical care and is the current PGY-2 critical care pharmacy program director. Jennifer received her PharmD degree from Duquesne University in Pittsburgh, Pennsylvania prior to completing a PGY-1 pharmacy practice residency and a PGY-2 Critical Care residency, both at IU Health in Indianapolis, Indiana. Jennifer’s current areas of interest include pain and agitation management, sepsis, delirium, blood glucose management, and education. Amber Cummins is a clinical pharmacist specialized in Emergency Medicine. Amber completed her PharmD degree at Butler University in 2007. Upon completion, she traveled to Nashville, Tennessee to complete a PGY-1 at Centennial Medical Center, then to Pasadena, California to complete a PGY-2 in Emergency Medicine. Amber is a board certified clinical specialist and enjoys the ever-changing pace of the Emergency Department and her ability to interact with so many different healthcare providers and patients. Karen Hamrick Samaan serves as a clinical pharmacy specialist in the Trauma-Neuro Intensive Care Unit and provides consult based nutrition support services at St.Vincent, Indianapolis. She received her PharmD from the University of Illinois at Chicago in 1994 and completed a specialized residency in Critical Care / Nutrition Support at the University of Tennessee-Memphis in 1995. Karen is board certified in nutrition support and her professional experience includes a variety of direct patient care positions at Indianapolis area hospital systems in critical care, nutrition support, diabetes and neuroscience. Sarah Hittle is a board certified clinical pharmacist specializing in critical care. Sarah received her PharmD degree from Purdue University in West Lafayette, Indiana prior to completing a PGY-1 pharmacy practice residency and PGY-2 critical care specialty residency, both at IU Health in Indianapolis, Indiana. Sarah’s current areas of interest include pain, agitation, delirium, sepsis, and medication safety. Kena Lanham is a cardiovascular clinical pharmacy specialist and an assistant professor of pharmacy practice at Butler University College of Pharmacy and Health Sciences in Indianapolis, Indiana. Kena received her PharmD degree from University of Kentucky prior to completing a PGY-1 pharmacy practice residency at St. Joseph Hospital in Lexington, Kentucky and a PGY-2 cardiology specialty residency at the University of Kentucky. Kena is a board certified clinical specialist and her areas of interest include Supportive care in the cardiac surgery population, antiplatelet use in cardiovascular disease states, and transitions of care in the cardiovascular patient population. Maria Whitmore is a Pediatric Critical Care/Emergency Department Clinical Pharmacy Specialist at Peyton Manning Children’s Hospital at St.Vincent and a PGY-2 Pediatric Pharmacy Residency Director at St.Vincent Indianapolis. Maria received her Bachelor of Pharmacy from University of Toledo and Doctor of Pharmacy from University of Kentucky. She completed a PGY-1 Pharmacy Practice residency at Indiana University in Indianapolis, IN and a Pediatric PGY-2 Specialty Residency at Riley Children’s Hospital in Indianapolis, IN. Maria’s current areas of interests include analgesia and sedation, infectious disease, congenital heart disease and ECMO. 1 32 critical care Tab title repeated here pediatrics Post Graduate Year 2 Pharmacy Residency 1 Tab title repeated here 33 St.Vincent specialty residency in pediatric pharmacy practice (PGY-2) Philosophy The philosophy of the pediatric pharmacy specialty residency at Peyton Manning Children’s Hospital at St.Vincent and St.Vincent Women’s is to provide the resident with the opportunity to expand his/her knowledge and skills to provide comprehensive pharmaceutical care to neonatal and pediatric patients. These goals will be achieved through active participation in evidence-based disease state management, patient/family and medical staff education, medication safety, outcomes-based research and pediatric pharmacy operations. By the end of the training program, the resident will have the ability to function independently as a specialist by conceptualizing, integrating, and transforming accumulated experiences and knowledge into optimal drug therapy for patients. Purpose The purpose of the ASHP-accredited PGY-2 Pediatric Residency at St.Vincent Indianapolis is to build on the competencies achieved in a PGY-1 residency and develop clinical pharmacists who provide competent, safe, evidence-based, cost effective and highly reliable pharmacotherapy to infants and children. Achievement of a teaching certificate along with required multidisciplinary educational activities will provide the foundation upon which the resident can further develop his/her teaching skills in diverse didactic and clinical settings. Upon completion of the PGY-2 Pediatric Pharmacy Residency Program, the resident will be prepared to attain board certification and secure a hospital based position in pediatrics or an affiliated academic position with a College of Pharmacy. Residency Outcomes • • • • • • • 34 Demonstrate leadership and practice management skills in the pediatric patient care setting. Optimize the care of inpatient and outpatient pediatric patients by providing evidence-based, patient-centered medication therapy as an integral part of an interdisciplinary team. Serve as an authoritative resource on the optimal use of medications used to treat pediatric patients. Evaluate, manage, and improve the medication-use process in pediatric patient care areas. Demonstrate excellence in the provision of training or educational activities for pediatric health care professionals, health care professionals in training, and the public. Conduct pediatric pharmacy research. Demonstrate skills required to function in an academic setting. pediatrics About the Hospitals The primary pediatric teaching sites are Peyton Manning Children’s Hospital at St.Vincent and St.Vincent Women’s. The hospital is a mission-based organization dedicated to the care of children from infancy to age 17 and to providing educational experiences to medical and pharmacy residents and students. Providing exceptional patient care is the primary focus at our institution. Peyton Manning Children’s Hospital at St.Vincent (http://peytonmanning.stvincent.org) Peyton Manning Children’s Hospital at St.Vincent is a non-profit, four-story pediatric hospital dedicated to the care of children and offers all private rooms, overnight accommodations for parents, and a child-friendly setting designed to allow caregivers and families to work together to improve children’s health. Features • • • • • 40 bed Pediatric Inpatient Unit with 24/7 hospitalist coverage 15 bed Pediatric Intensive Care Unit (PICU) with 24/7 board certified intensivists 17 bed Hilbert Pediatric Emergency Department 18 Comprehensive outpatient clinics ECMO services St.Vincent Women’s (http://www.stvincent.org/Womens-Hospital/Default.aspx) St.Vincent Women’s is the largest free-standing comprehensive women’s health service hospital in Indiana and physicians deliver more multiples and high-risk babies than any other hospital in the state. Special features: maternal fetal medicine, labor and delivery services for high risk mothers and babies as well as uncomplicated pregnancies, newborn intensive care, breast, gynecological, urological and plastic surgeries and full-service diagnostic imaging (ultrasound, MRI). The Center for Women's Health provides services and education to women of all ages. Features • • • • • • • • 7 obstetrical triage rooms 16 labor, delivery and recovery rooms 26 high-risk antepartum care unit rooms 89 bed Newborn Intensive Care Unit (NICU) with 24/7 board certified neonatologists 10 bed continuing care nursery 48 bed family care unit (postpartum and newborn care) 13 bed medical surgical unit 7 operating room suites pediatrics35 Program at a Glance The pediatric pharmacy resident will actively participate in rotational, longitudinal and annual learning experiences. The residency preceptors will provide written objectives for each learning experience that specify the skills and knowledge the resident will gain upon successful completion of each experience. The resident will be evaluated regularly throughout the year. In addition, the resident will be expected to evaluate himself/herself, preceptors and the strengths and weaknesses of each aspect of the residency program. Required Rotation Learning Experiences Elective Rotational Learning Experiences (4 weeks each) Other Required Experiences • • • • •Gastroenterology • Hematology/Oncology • Infectious Diseases • Surgery – General/Ortho/ ENT/CV • Emergency Medicine • Neonatal Critical Care • Nephrology • Neurology •Pediatrics • Pediatric Critical Care •Pulmonary •Psychiatry • Women’s Health • Ambulatory Clinic (6 months longitudinal) • Administratvie/Medication Safety • Didactic & Experiential Teaching •Research • Staffing and On-Call Program 36 Orientation (4 weeks) Pediatric Critical Care (6 weeks) Neonatal Critical Care (6 weeks) Pediatrics (6 weeks) pediatrics PGY-2 Pediatric Required Rotation Descriptions Pediatric Critical Care Rotation The PICU rotation is designed to provide the resident with the opportunity to develop the knowledge and skills about the clinical course, manifestations and therapy of common pediatric critical care diseases. Residents will provide recommendations to attending physicians during multi-disciplinary team rounds and actively participate in Code/ECMO situations. Focused projects such as formal drug information responses and educational inservices to nursing and physicians may also be required. Neonatal Critical Care Rotation The NICU rotation provides exposure to the entire spectrum of neonatal care, from the well newborn to infants born extremely preterm and who are critically ill. The resident will have the opportunity to learn about disease states seen only in babies, as well as those chronic conditions which can affect patients throughout childhood and beyond. Residents work very closely with the attending neonatologists and other members of the healthcare team to provide high-level, evidence-based, family-centered care. Pediatric Rotation The general pediatrics rotation is designed to provide the resident with the opportunity to develop the knowledge and skills required to care for patients from birth to age 18. This rotation will focus on the clinical course, manifestations and therapy of common pediatric disease states through active participation on daily resident-run, multi-disciplinary rounds and will require the completion of mini-projects related to pediatrics. pediatrics37 Longitudinal Learning Experiences Administration/Medication Safety • The resident will be required to: • submit a case report or an article for a pharmacy/medical journal for publication. • submit and present a poster at a national/regional meeting. • co-chair a committee or workgroup. • actively participate in the activities of the Pediatric Pharmacy and Therapeutic Committee as well as ad hoc participation with other relevant groups. Didactic and Experiential Teaching • If not achieved during Pharmacy Practice (PGY-1) Residency, the resident will participate in the teaching certificate program offered through Butler University and Purdue University. • For the second six months, the resident will have opportunities to teach in Therapeutic Case Conference or pharmacy electives at Butler University. • The resident will be required to: • give one ACPE-accredited lecture to the pharmacy staff. • precept at least one month of PharmD students/ residents with the possibility to precept more if desired. • present a variety of presentations, including patient cases, lectures, therapeutic dilemmas and journal clubs, throughout the year. Residency Project • The resident will be expected to complete a residency project to be presented at the Pediatric Pharmacy Advocacy Group Conference. The project will be tailored around the interests of the resident as well as the needs of the organization. Service Commitment • The resident will be required to staff one evening every three weeks and one weekend every four weeks. Responsibilities will include both distributive and clinical. In addition, the resident will participate in the on-call program. Ambulatory Clinic During the ambulatory care experience, the resident will spend half a day each week for six months in a clinic of the resident’s interest. Residents will have the opportunity to apply common acute/chronic pediatric disease state knowledge through participation in multidisciplinary patient care at the pediatric outpatient clinics including working with various healthcare providers in managing social and medical aspects of patient care. 1 38 Tab title repeatedpediatrics here PGY-2 Pediatric Past residents – where are they now? Caitlin Crosley, PharmD completed her PharmD at Ferris State University in Big Rapids, Michigan and her PGY-1 residency at Intermountain Healthcare in Salt Lake City, Utah. She is currently a general medicine clinical pharmacist at Florida Children’s Hospital. Rabih Dabliz, PharmD, FISMP completed his PharmD at the Lebanese American University School of Pharmacy in Byblos, Lebanon and his PGY-1 residency at St. Michael’s Medical Center in Newark, New Jersey. He is currently the Quality and Medication Safety Officer at Cleveland Clinic Abu Dhabi in the United Arab Emirates. Quynh Bui, PharmD completed her PharmD at SUNY University of Buffalo School of Pharmacy and Pharmaceutical Sciences in Buffalo, NY and her PGY-1 residency at the University Medical Center of Southern Nevada in Las Vegas, NV. She is currently working as a PACU/OR clinical pharmacist at San Francisco General Hospital in San Francisco, California. Jennifer Tobison, PharmD completed her PharmD at Butler University in Indianapolis, IN. She completed both her PGY-1 pharmacy residency and PGY-2 pediatrics residency at St.Vincent Indianapolis. Jennifer is currently working as the pediatric outpatient clinical pharmacist at Peyton Manning Children’s Hospital at St.Vincent. Lindsay Landgrave, PharmD, BCPS, AE-C completed her PharmD at South Carolina College of Pharmacy in Columbia, South Carolina. She completed both her PGY-1 pharmacy residency and PGY-2 pediatrics residency at St.Vincent Indianapolis Hospital. Lindsay is currently working as a pulmonary clinical pharmacist at Nationwide Children’s Hospital in Columbus, Ohio. Andrew Noda, PharmD completed his PharmD at the University of Iowa. He completed both his PGY-1 pharmacy and PGY-2 pediatric pharmacy residencies at St.Vincent Indianapolis. Drew is currently working as a pediatric clinical pharmacist at Chippenham Hospital in Richmond, Virginia. Current Resident Heather Rodman, PharmD is the current PGY-2 Pediatrics resident at St.Vincent Indianapolis. She completed her PharmD degree at University of Buffalo in 2013 prior to completing a PGY-1 Pharmacy Practice Residency at Lancaster General Health in Lancaster, PA. She is looking forward to continuing her career in pediatrics after the completion of her residency, and her current areas of interest include hematology/oncology, pulmonology and cardiology. Her research project for her PGY-2 year is evaluating pain management and safety profiles of hydrocodone/acetaminophen and acetaminophen/codeine in post-op T&A patients. 1 pediatrics39 Tab title repeated here Primary PrecePTors for The sPecialTy residency in PediaTrics Maria Whitmore is a Pediatric Critical Care/Emergency Department Clinical Pharmacy Specialist at Peyton Manning Children’s Hospital at St.Vincent and a PGY-2 Pediatric Pharmacy Residency Director at St.Vincent Indianapolis. Maria received her Bachelor of Pharmacy from University of Toledo and Doctor of Pharmacy from University of Kentucky. She completed a PGY-1 Pharmacy Practice residency at Indiana University in Indianapolis, IN and a Pediatric PGY-2 Specialty Residency at Riley Children’s Hospital in Indianapolis, IN. Maria’s current areas of interests include analgesia and sedation, infectious disease, congenital heart disease and ECMO. Jennifer McKee is the Neonatal Clinical Pharmacy Specialist at St.Vincent Women’s. Jennifer received her Doctor of Pharmacy in 2005 from Ohio Northern University. She completed a PGY-1 Pharmacy Practice residency at Cincinnati Children’s Hospital Medical Center and Pediatric Critical Care Pharmacy Fellowship at Children’s Hospital Central California in Madera, CA. Jennifer is a Board Certified Pharmacotherapy Specialist and current areas of interest include maternal drug abuse and neonatal drug withdrawal. Colleen Scherer is a Pediatric Clinical Pharmacy Specialist at Peyton Manning Children’s Hospital at St.Vincent. Colleen received her Doctor of Pharmacy and Masters in Public Administration at Drake University in 2006. She completed a PGY-1 Pharmacy Practice Residency at Pitt County Memorial Hospital in Greenville, NC and a PGY-2 Pediatric Pharmacy Residency at the Medical University of South Carolina in Charleston, SC. Colleen is a Board Certified Pharmacotherapy Specialist and current areas of interest include general pediatrics, pediatric oncology and pharmacy IT. Jennifer Tobison is a Pediatric Ambulatory Care Clinical Pharmacy Specialist at Peyton Manning Children’s Hospital at St.Vincent. Jennifer received her Doctor of Pharmacy in 2009 from Butler University. She completed a PGY-1 Pharmacy Practice Residency at St.Vincent Indianapolis and a PGY-2 Pediatrics Pharmacy Residency at Peyton Manning Children’s Hospital at St.Vincent. Jennifer’s current areas of interest include pediatric nephrology, anticoagulation and the Ketogenic diet. 40 pediatrics Applicant and Employment Information Salary: $40,000/year Employment Benefits: • • • • • Medical/Dental/Vision/Life Insurance Paid Time Off Program Professional Development and National Meeting Attendance Affiliation with Butler University College of Pharmacy and Health Sciences ACPE provider of continuing pharmacy education Application Requirements • • • • • • Doctor of Pharmacy degree Eligible for licensure in Indiana Applications must be submitted through the PhORCAS system by December 29, 2014 Please ask reference writers to provide as many narrative comments as possible, specifically highlighting strengths and weaknesses, in addition to the PhORCAS evaluation PGY-2 candidates: Completion of ASHP-accredited PGY-1 residency PGY-2 Amb Care candidates: Completion of APhA Pharmacy-Based Immunization Delivery Training Program Certificate PGY-1 Candidate Information St.Vincent representatives will be available to answer questions during the ASHP Midyear Clinical Meeting Residency Showcase. Qualified candidates will be asked to do a short telephone interview and may be invited onsite for a formal interview. PGY-2 Candidate Information Screening interviews will be scheduled during the ASHP Midyear Clinical Meeting. Formal interviews for qualified candidates will be conducted onsite in Indianapolis and will include a short PowerPoint presentation on a pertinent topic to pharmacy and medical staff. An electronic copy of the presentation will be due three days prior to the interview. 1 applicant and employment information Tab title repeated here 41 of St.Vincent and lth, we are called to: White As a member of St.Vincent and Ascension Health, we are called to: Pharmacy Residency Programs 2001 West 86th Street, Indianapolis, IN 46260 White with 303 and 370 CMYK
