PGY2 Cardiology Pharmacy Residency

Philadelphia College of Pharmacy at The University of the Sciences in Philadelphia
In conjunction with The Hospital of the University of Pennsylvania

Introduction

The Philadelphia College of Pharmacy (PCP) at The University of the Sciences in Philadelphia (USP) in conjunction with The Hospital of the University of Pennsylvania (HUP) offers a one-year PGY2 Cardiology Pharmacy Residency. The cardiology residency is designed to provide clinical expertise in cardiac therapeutics, and understanding of the practical and administrative considerations of providing pharmaceutical services to cardiac patients, teaching experience, and experience in clinical research.

By the end of the one-year residency program, the resident will have gained experience, knowledge, and skills in cardiology pharmacy practice and will be prepared to provide clinical pharmacy services to cardiac patients.

The Goals and Objectives of the program are those of the ASHP-accredited Cardiology Pharmacy Residency program.

In addition to the ASHP Goals and Objectives, the following Objectives are required, to:

Complete the Resident and Fellow Teaching Certificate Program.
Prepare and submit an abstract research report for presentation at Eastern States Residency Conference.
Present interim or final results of the research at Eastern States Residency and Preceptor Conference.
Give a presentation of research results to the Department of Pharmacy Practice and Pharmacy Administration Faculty.
Prepare and submit an abstract research report of residency project results for presentation at a national meeting such as ASHP, ACCP, ACC, AHA or HRS.
Prepare and submit at least one manuscript for publication in a refereed biomedical journal. Options include a case report, review article or research results.

Faculty

Residency Program Director and Preceptor

Sarah A. Spinler, PharmD, FCCP, BCPS, AQ (Cardiology)
Professor of Clinical Pharmacy
Philadelphia College of Pharmacy
Adjunct Professor of Pharmacy in Medicine
Cardiovascular Division, Department of Medicine
University of Pennsylvania

Additional Preceptors

Tyan Frazier, PharmD, BCPS
Assistant Professor of Clinical Pharmacy
Philadelphia College of Pharmacy

Brooke E. Baetz, PharmD
Clinical Pharmacy Specialist, Cardiology
Penn Presbyterian Medical Center, and
Adjunct Assistant Professor of Clinical Pharmacy
Philadelphia College of Pharmacy

Facilities

The primary training site for the PCP Cardiology Pharmacy Practice Resident is HUP.

Hospital of The University of Pennsylvania

The Hospital of the University of Pennsylvania (HUP) holds the distinction of being the first teaching hospital built for a medical school in the United States. In the 1870’s, when the University of Pennsylvania moved from downtown Philadelphia to its present campus west of the Schukyll River, the medical faculty persuaded the trustees to build a hospital for the faculty of the School of Medicine; HUP was build in 1874.

The School of Medicine itself was established much earlier. The University of Pennsylvania School of Medicine was the first and only medical school in the thirteen original colonies when it was developed in 1765. In those pre-revolutionary days, its was known as the College of Philadelphia.

The founder of the School of Medicine was John Morgan, a Philadelphia physician who earned his medical degrees at the University of Edinburgh in Scotland. He, and other faculty members who had trained abroad, brought the medical teaching methods from Edinburgh to the United States, and put them into practice in our early School of Medicine. This became the model for most schools of medicine established thereafter.

In the years after the hospital was built, during the late nineteenth and early twentieth centuries, the School of Medicine was one of the first to encourage the development of specialties such as neurosurgery, ophthalmology, dermatology, and radiology.

By the twentieth century, American medicine had caught up with European medicine and was making important contributions to the biomedical sciences. The University of Pennsylvania School of Medicine and HUP were at the forefront of this movement and continue to be world renowned for their devotion to medical research, teaching, and the care of patients.

In 1987, the School of Medicine and the HUP incorporated and became know collectively as the University of Pennsylvania Medical Center. In July of 1993, in direct response to the dramatic change associated with health care reform, the University of Pennsylvania Health System (UPHS) was developed.

The UPHS is currently comprised of:

The flagship quaternary care Hospital of the University of Pennsylvania (HUP)
Presbyterian Medical Center and Pennsylvania Hospital
Penn Care Primary Care Network
Three off-site multispecialty ambulatory care Penn Medicine satellite facilities at Rittenhouse in Philadelphia, PA, Radnor, PA, and Cherry Hill, NJ
A wholly owned home infusion center, PENN Home IT, and

The HUP continues to be a leader, ranked 12th in the 2007 U.S. News and World Reports rating of Hospitals. It is currently ranked 19th in the U.S. for Heart and Heart Surgery. The University of Pennsylvania Cancer Center is one of the 35 Comprehensive Cancer Centers designated by the National Institutes of Health (NIH). Research is one of the distinguishing factors of the UPHS, which is currently ranked #3 in the country for NIH funded research.

The HUP is located on the University of Pennsylvania campus in the University City area of West Philadelphia. The University of Pennsylvania School of Medicine established the hospital in 1874. Today, the hospital is a 700-bed, quaternary care, private university teaching and research institution, and is staffed by more than 3,400 employees, 1,000 physicians and 300 volunteers.

HUP serves as a major teaching site for the University of Pennsylvania Schools of Medicine, Dentistry, and Nursing, as well as the University of the Sciences in Philadelphia (formerly known as the Philadelphia College of Pharmacy and Science). The Children’s Hospital of Philadelphia (CHOP) is located adjacent to HUP, and utilizes HUP’s Neonatal Intensive Care Unit.

HUP is primarily a tertiary referral center, which provides general medicine and surgical services along with extensive subspecialty consultation services. HUP has a 12 bed cardiac intensive care unit (CCU) and a 30 bed cardiac intermediate care unit (CICU). The Cardiovascular Division is composed of sixty-three full time cardiology faculty members and twenty-six cardiology fellows based at the HUP and Penn Presbyterian Medical Center. The Penn Cardiovascular Medicine program is nationally recognized for state-of-the-art clinical programs including heart failure and transplantation, cardiac electrophysiology and cardiac arrhythmia management, interventional cardiology, non-invasive cardiac imaging (echocardiography and cardiac MRI) , preventive cardiology, and vascular medicine. Clinical investigators and physician scientists in the Penn Division of Cardiovascular Medicine are internationally renown for pioneering research in molecular cardiology, translational and patient-oriented cardiovascular research and clinical epidemiology.

The HUP Department of Pharmacy provides services 24 hours a day through centralized and decentralized programs, drug information, clinical programs and unit dose drug distribution. Staff pharmacists provide pharmaceutical care from 6 decentralized roving teams of pharmacists interacting with patients, physicians and nurses on their respective units (2-4 patient care units per pharmacists). Medication orders are entered on the patient care units allowing for the prompt profiling and delivery of medications from the centralized pharmacy to the nursing unit and then to the patient. The department uses a combination of robotic unit dose cart filling and unit based cabinet dispensing for the distribution of most medications.

The department consists of more than 100 full time equivalents (FTEs) and has an ASHP accredited pharmacy residency PGY1 program and PGY2 programs in the specialty areas of critical care, oncology and infectious diseases.

The pharmacy administrative staff is composed of the director, two associate directors, and six supervisors. The Department actively participates in numerous administrative and medical staff committees, including the Medical Board, Pharmacy and Therapeutics Committee, the Committee on Studies Involving Human Beings or IRB, Drug Use and Effects Committee, Quality Assurance Committee, Infection Control Committee, Medical Records Committee, Antibiotic Subcommittee, Pharmacokinetics Quality Assurance Committee, Transfusion Committee, Hematology/Oncology Inpatient Unit Committee, Risk Management Committee, and other ad hoc committees. Areas with clinical pharmacy services include drug information, infectious disease, nutrition support, pharmacokinetics, medical critical care, surgical critical care, and oncology. PCP faculty and students provide clinical pharmacy services in two hospitalists’ medicine services, as well as cardiology intensive care and acute heart failure.

Philadelphia College of Pharmacy

The Philadelphia College of Pharmacy is the oldest College of Pharmacy in the United States. Since its origin in 1821, the College has continued to be a leader in pharmacy education providing Entry-Level Doctor of Pharmacy degree, and Flexible Doctor of Pharmacy degree programs. Other pharmacy-related baccalaureate programs are offered in the areas of pharmaceutical technology and pharmaceutical marketing and management. The College also offers graduate degrees in Pharmaceutics, Pharmacology and Toxicology, and Pharmacy Administration. Additional post-graduate pharmacy training programs offered by the College include clinical residencies or fellowships in ambulatory care, critical care, managed care, pediatrics, and cardiology.

Proposed Schedule

It is anticipated that the resident will spend a minimum of 2000 hours annually in program-related activities. An individualized schedule will be tailored to the needs and interests of the resident. Goals and objectives are provided for each rotation.

Clinical practice experiences will include:

Cardiac Care Service (CCU and CICU)
Acute Heart Failure/Heart Transplantation
Anticoagulation Clinic (one half-day per week)
Research
Teaching

Elective practice experiences may include:

Electrophysiology Service
Cardiothoracic Surgery Service
Outpatient Cardiology Clinic
Outpatient Heart Failure Clinic

Evaluation and Residency Completion

All goals and objectives as set forth by the ASHP Residency Standards the additional objectives listed above must be achieved by the resident in order to successfully complete the residency.

Based upon a survey of incoming skills and experience, the resident will receive a modified set of residency goals and objectives by the end of the first month of the program. Some ASHP Residency goals and objectives may have already been met based upon prior experience and some additional residency goals and objectives may be added depending on resident interest and program requirements. This Customized Training Plan (CTP) and residency goals and objectives, will be assessed quarterly by a Residency Advisory Committee (RAC) composed of preceptors and faculty advisors to the resident and residency program director (RPD) and updated based upon a review of the residents narrative of progress towards goal and objective completion as well as preceptor evaluations. The CTP may be revised to include remedial work if required by the RAC or RPD to assist the resident with goal and objective completion.

All goals and objectives for the CTP must be achieved by the resident in order to successfully complete the residency. At the discretion of the RPD, the resident may be granted an extension of 6 months (until December 31st) without pay to complete any outstanding goals and objectives pertaining to manuscript submission and research project completion.

A certificate of residency completion will be awarded upon successful completion of the residency.

More Information

Qualifications

Application - This residency participates in the ASHP Resident Matching Program. This residency site agrees that no person at this site will solicit, accept, or use any ranking-related information from any residency applicant.

10/09