PGY-2 Internal Medicine Pharmacy Residency

Purpose

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.

Additional Program Description

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.

Program Design

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 a 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.

Required Rotations (6 months):

  • Internal Medicine - 4 months (divided into 1-2 month blocks)
  • Infectious Diseases - 1 month
  • Pulmonary Medicine/Transitions of Care - 1 month

Elective Rotations (5-6 months):

  • Advanced Heart Failure
  • Emergency Medicine
  • Critical Care (MICU, MSICU, CTICU, CVICU, NSICU, STICU)
  • Solid Organ Transplant
  • Psychiatry
  • Cardiology
  • Malignant Hematology
  • Family Medicine

Clinical Staffing Service

Residents will gain clinical experience providing service throughout the year as a clinical pharmacist. PGY2 residents staff every 4th weekend in one of the inpatient pharmacies (Ashley River Tower or University Hospital). Residents will be scheduled in a variety of central and decentralized roles so they gain experience providing a wide range of services. Activities include, but are not limited to, order verification, sterile product verification, completing pharmacokinetic monitoring, providing therapeutic consults, attending emergency codes, and delivering patient education.

24-Hour In-house On-Call

Residents participate in a Clinical Pharmacy on-call service for daytime, evening, weekend, and holiday coverage. Residents provide 24-hour in-house availability of clinical pharmacy services and patient-specific drug therapy issues to all MUSC Health care team members. Clinical pharmacy specialists serve as a clinical back-up for the residents. Weekend on-call responsibilities count towards the 32 monthly service hours.

Research Project

Each resident will complete a major service or research project during the residency year. Project ideas will be generated by care team members of MUSC Health to address clinical and operational needs for Pharmacy Services and patients at MUSC Health. The resident will present the results of their project at a local, state, regional, or national meeting, and they must write a manuscript suitable for publication describing the results of their project.

Seminar

Each resident will present one ACPE-accredited seminar during the residency program. The goal of the seminar is to expand the resident’s communication skills, presentation techniques, and knowledge in a topic of their choosing.

Committee and Workgroup

Each resident will serve on at least one major committee on a longitudinal basis throughout the year. Resident responsibilities include, but are not limited to, minutes documentation, departmental education, and development or revision of at least one clinical pathway/protocol/guideline.

Core Preceptors

  • Wendy Bullington, PharmD, BCPS - Pulmonary Medicine
  • Tracie Delay, PharmD, BCPS - Internal Medicine
  • Lindsay Deloney, PharmD, BCPS - Internal Medicine
  • Krutika Mediwala Hornback, PharmD, BCPS, BCIDP - Infectious Diseases/Antimicrobial Stewardship
  • Christian Leppert, PharmD, BCPS - Internal Medicine

Current Residents

PGY2 Internal Medicine Pharmacy Residents

Requirements for Program Completion

See Appendix A in our Residency Manual.