PGY2 Critical Care Pharmacy Residency

Philadelphia College of Pharmacy at the University of the Sciences in Philadelphia
in conjunction with Cooper University Medical Center

Introduction

The Philadelphia College of Pharmacy (PCP) at the University of the Sciences in Philadelphia (USP) in conjunction with affiliated teaching hospitals located in the Philadelphia area offers a one-year post-graduate year 2 residency program in critical care pharmacy practice.

The PGY-2 critical care residency at PCP is designed to further refine skills attained during a PGY-1 pharmacy practice residency – specifically skills in (1) providing direct patient care in a critical care setting; 2) conducting critical care related research, and (3) educating doctor of pharmacy students. Resident activities will include participation as a member of a multidisciplinary team in a variety of critical care settings, completion of a longitudinal research project, as well as participating in didactic and experiential education for doctor of pharmacy students and by attending teaching seminars given by faculty at the Philadelphia College of Pharmacy. In addition the resident will complete a teaching certificate program.

Faculty

Craig Whitman, PharmD, BCPS Assistant Professor of Clinical Pharmacy	Quinn Czosnowski, PharmD, BCPS Assistant Professor of Clinical Pharmacy
Michael Cawley, PharmD, RRT, CPFT Associate Professor of Clinical Pharmacy	Jomy George, PharmD, BCPS Assistant Professor of Clinical Pharmacy
Laura Bio, PharmD Visiting Professor of Clinical Pharmacy	Trent Towne, PharmD, BCPS Assistant Professor of Clinical Pharmacy
Lindsay Palkovic, PharmD, BCPS Assistant Professor of Clinical Pharmacy
Sarah Spinler, PharmD, FCCP, FAHA, BCPS (AQ Cardiol) Professor of Clinical Pharmacy

Facilities

The primary training site for the PCP Critical Care PGY-2 resident is Cooper University Hospital. Other available training sites include Mercy Fitzgerald Hospital, Hospital of the University of Pennsylvania, and Crozer Chester Medical Center. Practice sites will be selected based upon the resident’s rotation schedule and preceptor’s schedule.

Philadelphia College of Pharmacy

The Philadelphia College of Pharmacy is the oldest College of Pharmacy in the United States. Since being founded in 1821, the College has been a leader in pharmacy education. In addition to the Doctor of Pharmacy, 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 pharmacy practice, pediatrics, ambulatory care, and cardiology.

Cooper University Hospital

Cooper University Hospital is a 554-licensed bed, not for profit academic center. Cooper offers 76 adults specialty services, including centers of excellence in Cancer, Cardiology, Critical Care, Neurological Care, Orthopaedics and Trauma. Cooper is a core teaching hospital for the Robert Wood Johnson Medical School/University of Medicine and Dentistry of New Jersey. It is home to the only level 1 trauma center in southern New Jersey dedicated to the treatment of the critically ill and critically injured patient. In addition the medical/surgical ICU serves as a referral center for all of southern New Jersey. Our critical care trainees are exposed to the spectrum of critical illness and critical injury and are fortunate to have among the faculty some of the world’s leading academic intensivists, including three recent past presidents of the Society of Critical Care Medicine, a 10,000 member medical organization for critical care practitioners worldwide. The medical center serves the needs of a broad patient population consisting of primary, secondary and tertiary medical care. There are 81 critical care beds divided among the Medical/Surgical ICU (30), Intermediate ICU (10), Pediatric ICU (5), Trauma ICU (16), Trauma Stepdown Unit (10), CCU (12), and Stroke Unit (4). Visit http://www.cooperhealth.org/content/

Components of the Program

Professional Skill Development

Patient care-related responsibilities will vary according to the rotation but shall be directed toward providing clinical pharmacy services at affiliated teaching medical centers. These may include development of rational drug therapy, conducting patient interviews and physical assessment, prospective evaluation of drug therapy for efficacy, toxicity, and drug interactions, and assessment of need for and development of new critical care clinical pharmacy services. These activities will involve approximately 50-60% of the resident's time.

Instructional Activities

The resident will receive an appointment as Resident and Clinical Instructor in the Department of Pharmacy Practice/Pharmacy Administration at USP. Required instructional activities are individualized and may include precepting Doctor of Pharmacy students on introductory (P1) or advanced experience (P4) rotations, lecturing in entry level Doctor of Pharmacy therapeutics courses (P2 or P3), serving as a clinical pharmacy skills (P1) or therapeutics laboratory/case studies instructor (P2 or P3). In addition, the resident will assist in teaching the Critical Care Therapeutics elective (P3). The resident will also complete the Residency Teaching Certificate Program.

These activities will involve approximately 20% of the resident's time, or approximately 400 total instructional hours per year. For example, instructional hours will be counted as follows:

Advanced Pharmacy Practice Experience Precepting:
- Primary Preceptor for 2 rotations of 2 students per rotation annually (100 hours per rotation of 2 students)
Didactic Lectures:
- 2 hrs of lecture annually with 20 hrs of preparation time per lecture hour
Small Group Instructor/Discussion Leader:
- 2 hrs per week for 14 wks (2 semesters) with 2 hours of preparation time per hour of class time (Skills/Lab/Case Studies/Seminar)
- 2 hrs of teaching with 20 hrs of preparation time per hour of class time (Critical Care Elective)

Scholarly Activity / Research

The resident will prepare, complete and present (external to the College) an investigational protocol. The resident will prepare an abstract and manuscript of the research which is suitable for publication. Typically, the research project results will be presented at the Eastern States Residency and Preceptor Conference held in May. The resident may also submit their research for presentation at a national meeting for organizations such as the American College of Clinical Pharmacy, American Society of Health-System Pharmacists, or Society of Critical Care Medicine. In addition, the resident is required to present the results of the residency research project to the Department of Pharmacy Practice and Pharmacy Administration at the conclusion of the residency. Involvement in other research projects may be available during the year. The resident is also encouraged to submit an additional manuscript for publication which may be a case report or review article.

These activities will involve approximately 15-25% of the resident's time.

Professional Growth and Development

The resident is a member of the Department of Pharmacy Practice/Pharmacy Administration and will participate in departmental activities including faculty meetings, committees and exam proctoring. The resident is encouraged to attend professional meetings.

Proposed Schedule

It is anticipated that the resident will spend a minimum of 2000 hours annually in program-related activities. The resident will start July 1, 2009 and complete a two week orientation at PCP and Cooper University Hospital. There will be nine 5-week patient care rotations and one project rotation. An individualized schedule will be tailored to the needs and interests of the resident. Goals and objectives will be developed for each rotation. Due to the responsibilities of the resident to the college, there will be no staffing requirement throughout the residency year.

Required Clinical Rotations:

Medical/Surgical ICU (Dr. Czosnowski and Dr. Whitman) 20 weeks (10 weeks precepting)
Trauma ICU (Dr. Czosnowski and Dr. Whitman) 5 weeks
Infectious Diseases (Dr. George and Dr. Towne) 5 weeks
Residency Project (one 5-week experience devoted to designing, collecting and analyzing data for the required residency research project)

Elective Clinical Rotations (to be determined based upon resident’s interest and availability; maximum of 3 with no more than 2 outside of Cooper):

Medical ICU (Dr. Palkovic)
Pediatric ICU/Neonatal ICU (Dr. Bio)
Emergency Medicine (TBD)
Cardiac ICU (Dr. Spinler)
Burn ICU (Dr. Cawley)
Toxicology (TBD)

Evaluation

An advisory committee shall be named for the resident within the first month of the program. Membership for the committee shall consist of the primary preceptor(s), Residency and Fellowship Program Coordinator and all other preceptors. The function of the advisory committee is to review and approve the objectives of the residency program, review and approve the schedule of activities, meet to evaluate the data information in the quarterly reports, and provide verbal feedback to the preceptor and resident which can assist them in completing program objectives.

Within the first 2 weeks of beginning the program, the resident shall submit a copy of the residency objectives detailing rotations and preceptors, educational activities, and scholarly activities that were reviewed and approved by the advisory committee, to the Chair of the Department of Pharmacy Practice and Pharmacy Administration. For evaluation purposes, the resident will submit a written quarterly report to the advisory committee, which will meet with the resident quarterly. An evaluative summary, written by the preceptor, must accompany each report. Copies of the quarterly reports and evaluative summaries will be given to the Residency and Fellowship Program Coordinator and Department Chair.

At the end of the residency, a summary of accomplishments and an evaluation of the experience will be completed by the residency. After review by the advisory committee, this document should be submitted to the Chair of the Department by June 30.