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PGY2 Internal Medicine Residency

The PGY2 Internal Medicine Pharmacy Residency is an American Society of Health System Pharmacists (ASHP) accredited twelve-month program within the specialized practice area of internal medicine. The program provides structured experiences in a variety of internal medicine related-areas designed to develop the knowledge, skills, leadership, and attitudes to competently participate with a contemporary interdisciplinary internal medicine team. The internal medicine resident will also participate quality improvement projects, institutional committees, didactic lectures and other educational activities designed to prepare the resident for a practice with adjunct faculty responsibilities.

Qualifications

Applicants must be Doctor of Pharmacy graduates from an ACPE-accredited school or college of pharmacy; have completed an accredited PGY1 Pharmacy Practice Residency; be licensed or eligible for pharmacist licensure in Virginia; and possess requisite patient care training or experience. The successful applicant must possess exceptional knowledge, clinical problem solving, communication skills, and leadership qualities.

Purpose

The PGY-2 Internal Medicine pharmacy residency at VCUH is designed to transition the PGY-1 residency graduate to a specialist practitioner who is focused on the care of patients with multiple medical problems, primarily in the inpatient setting, although additional experience is provided in the care of patients in the ambulatory setting. At the successful completion of the residency, the graduate should have achieved the characteristics as set forth by the ASHP PGY-2 internal medicine pharmacy residency standards that define a specialty pharmacy practitioner in internal medicine.

Graduates of this PGY-2 internal medicine residency exhibit characteristics of practice leaders. They gain skills in writing and presenting on internal medicine related pharmacy topics. They are effective advocates for the needs of internal medicine patients and in transitions of care. Upon completion of this PGY-2 program, the resident will be prepared for an internal medicine pharmacist position with adjunct faculty responsibilities. Residents who have completed this program are prepared to sit for board certification in Pharmacotherapy.

Residency Goals

  • To develop expert skills and competency in an internal medicine patient centered practice.
  • To develop teaching, assessment and communications skills necessary to provide education to pharmacy trainees, health care professionals and patients.
  • To develop proficiency in institutional policies, systems, and internal medicine pharmacy practice.
  • To provide experience with quality improvement and research.

Recruitment

The Internal Medicine Pharmacy Residency Program Director or program preceptors and residents from VCUHS will be interviewing at the ASHP Midyear Personnel Placement Service. Candidates are encouraged to interview at the ASHP Midyear Personnel Placement Service and apply for the program. On site interviews are by invitation only.

Program Structure

The program is comprised of seven required, and three elective rotations. The rotations are generally five weeks in duration; however, the staffing/operation rotation is longitudinal over the course of the year and occurs in three critical care pharmacy satellite locations. Other longitudinal projects required to meet the ASHP accreditation standards include service on an institution committee, completion of one medication use evaluation project (MUE), one drug monograph and a newsletter article. In addition, 20 weeks of ambulatory care experience is required and is completed longitudinally in conjunction with the required and elective rotations. The elective rotations are based on the resident's professional interest.

Required Rotations (7)

Internal Medicine I
Internal Medicine II (Faculty Attending Service Rotation)
Internal Medicine III (Teaching Rotation I)
Internal Medicine IV (Teaching Rotation II)
Internal Medicine V (Preceptor of Record Teaching Rotation)
Medical/Respiratory Intensive Care Unit
Staffing/Operations (longitudinal, approximately every third weekend)

Ambulatory Clinic

(longitudinal, 20 weeks total, comprised of 2 rotations of 10 weeks, day in length)

Anticoagulation
Infectious Disease (HIV focused)
Psychiatric (adult or pediatrics)
Pain
Oncology

Elective Rotations (3)

Adult Internal Medicine
Antimicrobial Stewardship Program
Bone Marrow Transplant (Inpatient or Clinic)
Cardiology
Cardiac Surgery or Coronary Care ICU
CHF/LVAD/Transitions of Care
Clinical Toxicology
Coronary Care ICU
Digestive Health
Emergency Medicine
Infectious Disease Consults
Neonatal Intensive Care Unit
Neurology
Neuroscience Intensive Care Unit
Oncology, Adult Inpatient
Oncology, Pediatrics
Pediatrics, General
Pediatric Intensive Care
Pharmacy Informatics
Psychiatry
Solid Organ Transplant
Surgical/Trauma/Burn Intensive Care Unit

Teaching

PGY2 Internal Medicine Residents are given an academic faculty appointment as a Clinical Instructor in the VCU School of Pharmacy and have opportunities to provide didactic instruction (e.g., lectures, team-based learning sessions, case conferences) and experiential training (e.g., APPEs) for Doctor of Pharmacy students from the Virginia Commonwealth University School of Pharmacy. Residents may participate in an elective teaching and learning certificate program.

Research

Each resident is responsible for initiating and successfully completing a research project, with presentation at an internal residency research symposium. Residents are encouraged to submit their projects for publication. An advisor and additional support guide the resident through the process. Potential internal medicine research projects are presented to the residents at the start of the residency program.

Accreditation

This program is accredited by the American Society of Health-System Pharmacists and participates in the ASHP/NMS PGY2 Matching Program and PhORCAS. For application instructions, please visit the Application Process section of this website.

Program Leadership

Program Director

Nancy Yunker, PharmD, FCCP, BCPS
Clinical Specialist, Internal Medicine
Assistant Professor of Pharmacy
     BS and Pharm.D., Purdue University
     Residency in Clinical Pharmacy, Virginia Co
mmonwealth University Health System

Coordinator, Pharmacy Residency Programs

Craig Kirkwood, PharmD
Assistant Director, Pharmacotherapy Services
Associate Professor of Pharmacy
     BS, University of Buffalo
     PharmD, University of Buffalo
     Residency in Hospital Pharmacy, Buffalo General Hospital
     Residency in Drug Information, North Carolina Memorial Hospital at University of North Carolina

Director, Department of Pharmacy Services

Rodney L. Stiltner, PharmD, MS
Director, Department of Pharmacy Services
Clinical Associate Professor of Pharmacy
     PharmD, Mercer University
     MS, University of Wisconsin
     Residency in Pharmacy Practice, Charleston Area Medical Center, West Virginia
     Residency in Management Pharmacy Practice, University of Wisconsin Medical Center Hospitals and Clinics

Program Preceptors

Lauren Cherry, PharmD, BCPS
Internal Medicine
HIV Clinic

Rachel Flurie, PharmD, BCPS
Internal Medicine

Patricia Fulco, PharmD, BCPS
Internal Medicine
HIV Clinic

Lindsay Hoffman, PharmD, BCPS
Internal Medicine
Anticoagulation Clinic

Katie Muzevich, PharmD, BCPS
Medical Respiratory Critical Care

Teresa Potter, PharmD, MPH, BCPS
Internal Medicine

Kenneth Snider, PharmD, BCPS
Internal Medicine

Bradley Wagner, PharmD, BCPS
Internal Medicine
Anticoagulation Clinic

Application Process

Application is made through the PhORCAS process. The application deadline is January 2, 2017. For application instructions, please visit the Application Process section of this website.

Required Characteristics to be Evaluated by Your Reference Writers:

1. Ability to organize and manage time

2. Ability to work with peers and communicate

3. Clinical problem solving

4. Dependability

5. Willingness to accept constructive criticism

6. Emotional stability and maturity

Number of Positions

2

Salary and Benefits

The salary for PGY2 pharmacy residents at VCU Health System is $49,816.

Duration of Appointment

The pharmacy resident's contract at VCU Health System will begin on July 1 of the program year. The pharmacy residency will be completed on June 30 of the subsequent year.

Vacation and Holiday Leave

Two weeks (10 days) are granted for paid vacation or personal leave. This may be taken during rotations throughout the year. At least 10 days of paid holiday leave are provided during the year. Discretionary leave (personal or vacation leave) is pre-approved by the resident's rotation preceptor, the residency program director, and the residency programs coordinator. In general, the resident will be absent no more than five days during any rotation.

Sick and Family Leave

Two weeks (10 days) of paid sick leave and one week (5 days) of family leave are provided as baseline leave. When either sick or family baseline leave is exhausted, extended sick/family leave is available for an additional 17 days. After complete use of extended sick/family leave, unpaid leave is utilized and the need to extend the residency is considered.

Educational and Professional Leave

Educational leave is provided for attendance at a national professional meeting (up to 5 days). For the national professional meeting, PGY2 pharmacy residents will attend the ASHP Midyear Clinical Meeting. PGY2 residents are provided an additional 5 days of educational leave to attend a specialty-specific meeting (e.g., ACCP, SCCM, HOPA, CPNP), upon approval by the program director and the residency programs coordinator. Financial assistance is provided in the form of a stipend toward travel, meals and lodging expenses at the national meeting and, for PGY2 residents, may be applied toward the additional educational meeting upon administrative approval. Professional leave (up to 5 days) is granted for interviews without the use of vacation days. Professional leave may be used for attendance at a professional meeting, in lieu of interviews, upon the permission of the program director.

Health Benefits

The VCU Health System provides a health insurance policy, to each pharmacy resident. Coverage includes outpatient physician visits and laboratory tests. Prescription, dental, vision, and family coverage are available through payroll deduction with the respective co-pay and vary with the level of coverage desired.

Liability Insurance

VCU Health System is self-insured and provides professional liability (malpractice) insurance, subject to policy limits, for each pharmacy resident. Insurance covers professional service when on-duty within the institution. It does not cover professional services (e.g., moonlighting or consulting activities) provided at other facilities or institutions. This malpractice insurance will cover all acts of alleged medical negligence while a resident is at VCU Health System. Residents may choose to enhance the professional liability insurance with a personal liability policy.

Moonlighting and Optional Staffing

Residents are permitted to seek additional, paid staffing as a pharmacist upon approval of their program director. For convenience, the staffing usually occurs within VCU Health System. Moonlighting, in general, will not extend to greater than eight hours weekly. Additional staffing which conflicts with residency requirements is not permitted.

Office Space and Resources

The Department of Pharmacy Services provides office space for the PGY2 residents in the Main Hospital. Residents access patient information and drug information throughout VCUHS and from home via the VCUHS Cerner information system.

Health and Recreation Facilities

Residents have access to VCU recreational facilities, including exercise equipment, weight rooms, aerobic activities, basketball courts and swimming pools, at a reduced membership fee.

Parking

Parking is provided on the VCU Medical Center campus through payroll deduction at the reduced, housestaff rate.