The Postgraduate Year Two (PGY-2) Internal Medicine Residency Program is a one-year post-graduate training program designed to build upon competencies achieved in a PGY-1 Pharmacy Practice Residency developing specialized areas of practice providing care for a variety of complex acutely ill patients. PGY-2 Internal Medicine residency provides 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 or other advanced practice settings. Residents who successfully complete the program are prepared to successfully practice as an internal medicine pharmacy specialist or subspecialist in an area of interest as an integral member of an interprofessional health care team. Residents will also be prepared to pursue a career in a health system or academia and engage in educational or scholarly pursuits.
As an ASHP-accredited training program, the following outcomes are required. Additional elective outcomes set forth in the ASHP description of PGY2 residencies in internal medicine or selected by the individual resident, may be included.
- In collaboration with the health care team, provide safe and effective patient care to internal medicine patients following a consistent patient care process.
- Ensure continuity of care during internal medicine patient transitions between care settings.
- Demonstrate ability to manage formulary and medication-use processes for internal medicine patients, as applicable to the organization.
- Demonstrate ability to conduct a quality improvement or research project.
- Demonstrate leadership skills for successful self-development in the provision of care for internal medicine patients.
- Demonstrate management skills in the provision of care for internal medicine patients.
- Provide effective medication and practice-related education to internal medicine patients, caregivers, health care professionals, students, and the public (individuals and groups).
- Effectively employ appropriate preceptor roles when engaged in teaching students, pharmacy technicians, or fellow health care professionals in internal medicine.
Residents not completing a PGY1 at MUSC will receive orientation and training during the month of July. Residents matching from within the MUSC PGY1 program will be assigned to a clinical rotation in July. Rotations will generally be sequenced to begin with Internal Medicine for 1-2 month block. The resident will have additional internal medicine rotations interspersed throughout the year as 1 month experiences or blocks. During at least 1 IM rotation, the resident is expected to follow 2 teams (3rd month or later). Closely precepted subspecialty areas of interest will be scheduled prior to December to the greatest extent possible. Areas with a less well-defined pharmacy presence will not be assigned until the RPD and preceptor judge that the resident is able to accurately identify knowledge gaps and an appropriate learning experience description has been developed. The resident may select a research or academia experience during the month of December. Overall, the sequence and elective experiences are scheduled based on the resident’s interests and needs.
Additional experiences will include delivering an ACPE-accredited seminar and optional RITE, completing longitudinal research project and MUE with the mentorship of one or more research advisors, participating in the adult inpatient pharmacy on-call service, and be actively involved in precepting, teaching, and committees. The resident(s) will be responsible for coordinating the Medicine Journal Club and Medicine Team Teaching experiences. The resident may also elect to participate in the Academician Preparation Program and Research Certificate Program.
|Rotations and Learning Experiences||Length||Preceptors|
|Internal Medicine*||4 months (divided into 1-2 month blocks)||Kathryn Noyes, PharmD, BCPS
Tracie Delay, PharmD, BCPS
|Infectious Disease*||1 month||Krutika Mediwala, PharmD, BCPS, BCIDP
Brian Raux, PharmD, BCPS
|Pulmonary Medicine*||1 month||Wendy Bullington, PharmD, BCPS|
|ACPE accredited Seminar*||Concentrated||Varies as appropriate|
|Adult Inpatient On Call Service*||Longitudinal||Varies as appropriate|
| Clinical Operations* (Ashley River Tower or University
|Longitudinal (16 hours monthly)||Sarah Harrison, PharmD, BCCCP
Holly Meadows, PharmD, BCPS
Kathryn Noyes, PharmD, BCPS
|Research Project*||Longitudinal||Varies as appropriate|
|MUE||Concentrated||Varies as appropriate|
|Research/Academia||December Elective||Varies as appropriate|
|Cardiology, Heart Failure||Elective|| Holly Meadows, PharmD, BCPS
Jean Nappi, PharmD, FCCP, BCPS AQ Cardiology
Barbara Wiggins, PharmD, CLS, BCPS, BCCCP, FNLA, FAHA, FCCP, FACC
|Emergency Medicine||Elective||Kyle Weant, PharmD, BCPS, FCCP|
| Critical Care (Medical, Medical Surgical,
Neurocritical, or Cardiovascular Intensive Care)
|Elective|| Jaclyn Hawn, PharmD
Carolyn Magee, PharmD, BCCCP
Joe Mazur, PharmD, BCPS, BCNSP
Ron Neyens, PharmD
Barbara Wiggins, PharmD, CLS, BCPS, BCCCP, FNLA, FAHA, FCCP, FACC
|Solid Organ Transplant||Elective|| Holly Meadows, PharmD, BCPS
Neha Patel, PharmD, BCPS
|Psychiatry||Elective|| Sophie Robert, BPharm, PharmD, BCPP
Clint Ross, PharmD, BCPP
*Required. **Additional elective rotations may be available after appropriate development and review of the learning experience description.
Clinical preceptors are responsible for:
- Coordination of the learning experience, including development and maintenance of the rotation description
- Modification of the learning experience (with the assistance of the RPD) should the resident need to focus on a specific goal
- Documentation of expectations during the rotation orientation.
- Guiding and monitoring the resident’s activity and service
- Providing ongoing formative feedback
- Completing midpoint and final summative evaluations of the resident’s performance, with the goal of advancing the resident’s competency on the specific goals assigned to the experience and progress toward successful completion of the residency program
- Assessing the resident’s self-evaluation
- Soliciting feedback from the resident regarding the rotation experience and actively reviewing resident evaluations of the preceptor and rotation site
- Advising the RPD of any interventions that may be needed or substandard performance immediately.
- Providing relevant updates regarding resident performance and progress at the monthly internal medicine group meetings
- Actively participating in annual feedback session in which preceptors and the RPD consider overall program changes based on evaluations, observations, and direct resident feedback.
- Reviewing and fulfilling the requirements set forth in the residency manual
- Providing competent patient care and other performing other rotation-based activities
- Coordinating medicine journal club and team teaching
- Participating in designated committee activities
- Ensuring all evaluations are completed in a timely fashion
- Soliciting and incorporating feedback from preceptors
- Discussing any desired changes to the program, preceptor-requested projects, or newly identified deficiencies with the RPD (and advisor, if appropriate) as they arise
- Actively participating in medicine group activities and any designated projects
The resident is expected to make substantial progress or achieve all of the required outcomes according to ASHP Educational Outcomes, Goals and Objectives for PGY2 Pharmacy Residencies in Internal Medicine. Elective outcomes, goals, and objectives will be assigned based on the incoming resident’s experience and interests.
The resident will be oriented to each learning experience at the beginning of the experience. At that time, the resident and preceptor should discuss the preceptor’s expectations, the resident’s overarching goals for the year (development plan) and goals for the individual month, and the goals and objectives assigned for evaluation upon completion of the experience. The resident should provide and expect/solicit feedback throughout the experience. The resident should actively self-evaluate throughout the month and share those reflections with the preceptor at the midpoint and final evaluations at a minimum. The resident’s formal self, preceptor, and experience evaluations are due upon completion of the learning experience. The preceptor will complete a midpoint and final evaluation of the resident’s progress. Goals are assigned for evaluation in a particular learning experience based on whether the rotation is a required rotation or elective and the timing of the experience in the year. Generally, goals are assigned in the order in which it is anticipated they may be accomplished or achieved. The resident’s progress will be discussed with the RPD both informally throughout the year and formally at quarterly assessments. The resident is expected to upload any relevant documentation that occurs outside of Pharmacademic to their shared Box Folder.
Please refer to the residency manual for further details regarding the PGY2 Internal Medicine program.
Required Activities (to receive a residency certificate)
- All PGY2 residents have their PGY1 residency certificate on file.
- As is applicable to the specific residency program, residents will complete the ACLS/PALS curriculum and participate in medical emergencies.
- Attain an “achieved” on 95% of the RLS objectives as assessed by the RPD on the last quarterly evaluation (June).
No NI’s may be present upon graduation of the program.
- Complete all assigned evaluations
- Complete end-of-year self-assessment and review with RPD.
- If assigned, will participate in medication use evaluation(s). Provide a written document with methods, findings, and recommendations.
- Complete a service or research project designed to improve the services of the Pharmacy ICCE. Prepare a manuscript suitable for publication in a peer-reviewed biomedical journal. Editorial assistance by the preceptor is required.
- For PGY2 programs, complete disease-specific appendix.
- Prepare and present an ACPE-approved continuing education seminar.
- Complete all Pharmacy On-call Service requirements as assigned.
Complete all staffing requirements as assigned. PGY2s are required to work 16 hours per month.
- Present the project at an approved local, national, regional or state meeting.
- Evaluate 4 Grand Rounds presentations throughout the year.
Qualified applicants must have completed a PGY1 residency or receive documentation of equivalent experience through ASHP. Applications will be accepted through PhorCas.
Applicants will be evaluated based on communication skills, previous experiences and professional activities, and required application materials such as letter of intent and letters of recommendation. Approximately 3 to 6 candidates will be interviewed per available position.
Internal candidates may apply for early commitment. If early commitment is appropriate, the candidate will be notified prior to attending MCM, but the applicant will not be asked to commit until after the meeting. Internal candidates may also be referred to the regular match process at the discretion of the RPD or based upon early commitment interview results.