The PGY-2 Psychiatric Pharmacy Residency at MUSC is designed to develop essential knowledge and skills for contemporary health-system pharmacy practice at a major academic medical center, community-based hospital or other mental health facility (e.g. VA, state hospital, community mental health center). The training is provided through challenging concentrated clinical rotations and longitudinal experiences where residents acquire the knowledge necessary for treatment of mental health diagnoses, refine their clinical problem solving skills, strengthen their clinical judgement, and advance their teaching skills.
Specifically, this residency program is designed to develop psychiatry specialists who are qualified to excel in practice in a variety of mental health environments including, but not limited to: inpatient psychiatry (acute, general adult, addictions, geriatric, child/adolescent), emergency psychiatry, consult liaison psychiatry and various outpatient clinics. As part of the extensive training they will receive as residents, they will also be able to identify, prevent, and resolve medication-related problems, participate as active members of a multidisciplinary healthcare team, demonstrate leadership skills, and provide education to various healthcare professionals and trainees. The residency program provides the flexibility to adapt to the resident’s specific learning needs and career goals. Last, following completion of the program, residents will be well equipped to become board certified in psychiatric pharmacy.
PGY2 pharmacy residency programs build on 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 or other advanced practice settings. Residents who successfully complete an accredited PGY2 pharmacy residency are prepared for advanced patient care, academic, or other specialized positions, along with board certification, if available.
There are 8 required inpatient psychiatry learning experiences plus the mandatory orientation month for residents coming from PGY1 programs outside MUSC:
General Adult Psychiatry – 2 months
Acute Psychiatry – 1 month
Geriatric Psychiatry – 1 month
Child/Adolescent Psychiatry – 1 month
Addictions – 1 month
Psychiatry Emergency Department – 1 month
Consult Liaison Psychiatry – 1 month
Orientation (July of each year if PGY1 at outside institution) – 1 month
Additionally, there are required longitudinal outpatient psychiatry learning experiences which may include the PharmD Injection Clinic, Comprehensive Pain Management Program Clinic, ReVisions Day Treatment Program, and HIV-Psychiatry Clinic (including recovery clinic for substance use disorders). The program is flexible in its design to offer additional rotations in the above learning experiences depending on the resident’s interests and needs. Additionally, the above rotations can be designed as teaching rotations throughout the year for residents to co-precept P4 students on rotation.
Other required experiences include teaching, resident research project, medication use evaluation, and manuscript preparation/submission. Specific teaching requirements include lectures for PGY1 and PGY3 psychiatry residents (1 hour each), ACPE-accredited seminar (1 hour), and monthly topic discussions and small group facilitation for pharmacy trainees on psychiatry rotation. Additional opportunities for teaching are often available including through the MUSC College of Pharmacy. MUSC also offers optional teaching certificate (Academician Preparation Program) and research certificate programs.
Each clinical preceptor will be responsible for the coordination of their own learning experience, and be able to modify accordingly with the assistance of the RPD should the resident need remediation to accomplish residency goals. The residency preceptor will exhibit the characteristics and aptitude necessary for residency training including the mastery of the four preceptor roles fulfilled when teaching clinical problem solving (direct instruction, modeling, coaching and facilitation). The residency preceptor will guide and monitor the resident’s activity and service throughout the learning experience. The residency preceptor will provide ongoing formative and summative evaluations of the resident’s performance, with the goal of advancing the resident’s competency on the specific goals assigned to the experience.
The specific responsibilities are to:
- Understand the resident’s responsibilities to the residency teaching experience and to ongoing activities such as projects, topic discussions, clinic responsibilities, student discussions, and manuscript preparation.
- Develop and maintain goals and objectives for the specific residency teaching learning experience(s).
- Review the resident’s development plan and resident’s previous performance and modify the learning experience accordingly.
- Orient the resident to the rotation’s expectations, and monitor/evaluate/critique the resident’s performance during the experience.
- Provide the resident with both a verbal and written midpoint evaluation, and be able to complete the final summative PharmAcademic evaluation by month’s end as outlined in the residency manual.
- Advise the RPD of any appropriate interventions that may be needed relevant to the resident’s performance.
- Actively participate in an annual feedback session in which preceptors and the RPD consider overall program changes based on evaluations, observations, and direct resident feedback and surveys.
Amy Hebbard, PharmD, BCPP
Stephanie Kirk, PharmD, CDE, BCACP
Dan McGraw, PharmD, BCPP
Sophie Robert, BPharm, PharmD, BCPP
Clint Ross, PharmD, BCPP
The resident’s role is that of a novice practitioner and emerging clinician. The resident is to participate in ongoing clinical and administrative services with the assistance of the residency preceptor and develop their skill set into a competent clinical practitioner. The resident must accept and apply constructive criticism in addition to performing honest and thoughtful self-evaluations on their performance.
In order to promote an effective and productive residency experience, the relationship between a resident and rotation preceptor must be highly communicative, and a meaningful dialogue must be achieved. Specifically, the resident will:
- Sign off on the learning experience introduction on the first day of each new clinical rotation.
- Complete PharmAcademic evaluations in a timely manner – outlined in the current MUSC residency manual. This involves project work, MUE work, seminar preparation, and any other lecture or inservice/presentation that will require preceptor feedback. All evaluations should be completed by the last day of the learning experience, but no later than 72 hours after the completion of the learning experience.
- Understand the preceptor’s expectations for daily activities, services provided and preceptor contact.
- Maintain the disease-state appendix for review each quarter through discussion with the RPD.
- Participate in pharmacy functions (e.g. rounds, patient care conferences, lectures, departmental meetings, and seminars) in accordance to the MUSC residency manual.
- As outlined by the clinical preceptor, provide a detailed account of activities as they relate to the goals and objectives of the learning experience.
- Maintain active communication with the preceptor and RPD concerning any planned off-service activities (eg. meetings, seminars, projects, staffing, on-call commitments) that the resident will be participating in during the rotation.
The PGY-2 Psychiatric Pharmacy resident will participate in the Psychiatric PharmD on-call program approximately one week per month, and will also be required to staff up to 24 hours per month in the IOP pharmacy. These experiences will augment not only their learning during the year, but also make them capable pharmacy practitioners upon graduation. The exact determination of what shifts they will work (4 hours in duration for the staffing component) will be disseminated during the orientation month of July each year. The resident will be evaluated by the operational coordinator for the area each quarter after gathering appropriate feedback from pharmacists working alongside the resident.
In addition to verbal evaluations, residents and preceptors will use PharmAcademic to complete evaluations throughout the year for all learning experiences. The resident is expected to successfully complete and achieve 95% of required objectives according to ASHP Educational Outcomes, Goals and Objectives for PGY2 Psychiatric Pharmacy Residency as assessed by the RPD at the last quarterly evaluation. Specifics regarding residency evaluation responsibilities can be found in the Residency Manual. There can be no “needs improvements” on any goals or objectives for the residency year in order to successfully graduate from the program. The resident will first observe, learn, act, and then master a particular activity, which will deem them having achieved that objective.
For each learning experience, the resident completes a summative self-evaluation of applicable RLS goals and objectives, an evaluation of the learning experience, and an evaluation of the preceptor. The preceptor completes an initial learning experience introduction, a midpoint formative evaluation, and a final evaluation that details the resident’s performance related to the identified learning objectives that correlate with the learning experience as well as any additional areas of pharmacy practice.
Qualified applicants must have completed a PGY1 residency or receive documentation of equivalent experience through ASHP. The MUSC Heath Pharmacy Residency Program uses the PhORCAS Application System through ASHP. All application materials must be submitted through the applicant portal on ASHP’s website. The deadline for receipt of a complete application packet is December 31.
Completed applications include:
- Letter of intent (uploaded with application)
- Curriculum vitae (uploaded with application)
- Three references completed by healthcare professionals in PhORCAS who can attest to the applicant’s practice abilities and aptitudes, including their clinical problem solving, time management, and willingness to accept constructive criticism
- At least one reference must be from a clinical preceptor
- At least one reference must be from an immediate supervisor
The application, letter of intent, and curriculum vitae should be submitted via the PhORCAS applicant portal. References should be submitted via PhORCAS Reference Portal using the ASHP Reference Template directly from the authors no later than December 31.
Interviews will be offered to candidates based on the information submitted through PhORCAS. Approximately 3 to 6 candidates will be interviewed per available position. On site interviews will occur at the middle of January through end of February.
Internal candidates may apply for early commitment. If early commitment is appropriate, the candidate will be notified prior to ASHP Midyear Clinical Meeting. Internal candidates may also be referred to the regular match process at the discretion of the RPD or based upon early commitment decision.
- PGY1 residency certificate on file.
- 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.
- Participate in medication use evaluation. 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.
- Complete disease-specific appendix
- Prepare and present an ACPE-approved continuing education seminar.
- Complete all Psychiatric Pharmacy On-call Service requirements as assigned.
- Complete all staffing requirements as assigned.
- Present project at an approved local, national, regional or state meeting.
- Evaluate 4 student Grand Rounds presentations throughout the year