PGY2 Internal Medicine
The PGY2 pharmacy residency program in internal medicine builds upon the Doctor of Pharmacy (Pharm.D.) education and PGY1 pharmacy residency programs to contribute to the development of clinical pharmacists in specialized areas of practice. PGY2 residencies provide residents with opportunities to function independently as practitioners by conceptualizing and integrating accumulated experience and knowledge and incorporating both into the provision of patient care that improves medication therapy. Residents who successfully complete an accredited PGY2 pharmacy residency should possess competencies that qualify them for clinical pharmacist and/or faculty positions and position them to be eligible for attainment of board certification in the specialized practice area (when board certification for the practice area exists).
The Yale New Haven Hospital (YNHH) PGY2 internal medicine pharmacy residency program prepares its graduates to assume positions in adult internal medicine as clinical specialists employed by an institution or as assistant professors at a college of pharmacy. YNHH is a university teaching hospital providing residents unique rotation opportunities with specific service lines including geriatrics, end-stage liver disease, end-stage renal disease and cardiology. Our residents will have the opportunity for direct patient care activities, research, administration, project management and teaching skills.
The PGY2 Internal Medicine year consists of a series of learning experiences that span a 52-week period. Specific learning experiences and goals will be accomplished in discrete blocks of time, while others will occur longitudinally throughout the duration of the residency. Residency time will be generally structured as follows:
| Residency duration |
52 weeks |
| Orientation/Training |
2 weeks (internal candidate)
4 weeks (external candidate) |
| Attendance at two meetings of resident’s choice |
Interviews/Holidays/Time off
|
14 days plus 3 interview days
(not continuous) |
| Project days |
5 days (additional days can be approved upon request) |
| Residency Learning Experiences |
50 weeks (internal candidate)
48 weeks (external candidate) |
Required Rotational Experiences
|
1. Internal Medicine (inpatient)
- Internal Medicine I
- Internal Medicine II (Precepting)
- End Stage Renal Disease (Peters)
- End Stage Liver Disease (Klatskin)
- Sickle Cell and Pulmonology
- Geriatric Inpatient (Cooney)
- General Neurology
|
4 weeks each |
2. Infectious Diseases
|
4 weeks
|
3. Cardiology (Goodyear)
|
4 weeks
|
4. Psychiatry
|
4 weeks
|
Elective Rotational Experiences: 8 or 10 weeks
| Academia |
2 weeks |
| Addiction Medicine |
2 weeks |
|
Young Adult/Transitional Age Psychiatry
|
2 weeks |
| Pain/Palliative Care |
2 or 4 weeks |
Oncology
|
4 weeks |
| Geriatric Psychiatry |
4 weeks |
| Pharmacy Administration |
2 weeks |
| Sterile Products |
2 weeks |
| Transitions of Care |
2 weeks |
| Other rotations as approvedby the residency program director |
|
Longitudinal Experiences:
- Staffing* – Two shifts every third weekend 20 days of staffing over the course of the residency year
- Residency project – submit research project for state or national meeting and publication to a pharmacy journal
- Administrative reports/responsibilities
- Precept PGY-1 residents and students
- Participation in P&T and subcommittees as appropriate
- Drug Information/Education as defined below in requirements and expectations
- Non-formulary pager process
*Any staffing shift including night shift may be filled at discretion of residency director
PGY2 Internal Medicine Requirements for Successful Graduation
- Educational checklist complete
- Clinical case conference (1: 20-25 minutes)
- Pharmacy Grand Rounds presentation (1: 1 hour)
- University level lecture (1)
- Journal clubs (4)
- Nursing in-services (4)
- Physician in-services (4)
- Submit an abstract and present a project at a state or national meeting
- Manuscript appropriate for publication
- Medication Use Evaluation (1)
- Monograph (1)
- Longitudinal medication safety or quality improvement project (1)
- Community service (2)
- Portfolio complete (Completed documents for each checklist item uploaded to resident portfolio)
- Cost management and longitudinal project completed
- Achieved at least 80% of ASHP residency objectives achieved for residency (ACHR). ACHR is defined as a preceptor/RPC/RPD marking an objective "achieved" on at least two occasions or the resident has “achieved” the objective at least once WITH documentation demonstrating achievement of the objective as evaluated by the RPC/RPD.
- All required topic discussions completed (as designated in the APPENDIX of the ASHP PGY2 Internal Medicine Pharmacy competency areas, goals, and objectives guideline).
- Manuscript suitable for publication (Complete manuscript incorporating at least two rounds of preceptor feedback)
- Compliant with all pharmacist mandatory requirements (i.e. current pharmacist license in good standing on file, completion of all mandatory training)
The learning experiences will include a series of learning activities designed to expose the resident to many facets of pharmacy practice with guidance from the preceptor. An individual resident plan and calendar will be developed for each resident.
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