PGY2 - Emergency Medicine

Program Director Contact Information

Program Description

The Boston Medical Center PGY2 Emergency Medicine pharmacy residency is among the oldest programs accredited through ASHP. This program offers specialized training in emergency medicine pharmacotherapy in one of the busiest emergency departments in the United States and largest level 1 trauma center in the Northeast region. After orientation to the department, the resident begins a series of rotations and other activities designed to meet the goals and objectives of the PGY2 residency in emergency medicine. Rotation options include emergency medicine, emergency department administration, pediatric emergency medicine & pediatric intensive care, medical intensive care, trauma intensive care, and cardiac intensive care. Longitudinal activities include completion of a research/quality improvement project, drug policy development and teaching opportunities. In addition, the resident meets the objectives for hospital practice by participating in the on-call program and independent practice in the Emergency Department.

Learn more about Boston Medical Center's Emergency Medicine Services

Learn more about Boston Medical Center's Critical Care Medicine Services

Program Purpose

PGY2 pharmacy residency programs build on Doctor of Pharmacy (PharmD) 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.

Program Outcomes

1. Patient care
2. Advancing practice and improving patient care
3. Leadership and management
4. Teaching, education, and dissemination of knowledge
5. Management of medical emergencies
6. Management of toxicology patients

Core Rotations

• Orientation (4 weeks)
• Emergency Medicine I (5 weeks)
  • May include co-precepting an APPE student
• Emergency Medicine II (5 weeks)
  • May include co-precepting an APPE student and/or PGY1 resident
• Emergency Medicine - Evenings (5 weeks)
  • May include co-precepting an APPE student and/or PGY1 resident
• Emergency Medicine - Overnight (1 week x2)
• Pediatric Emergency Medicine & Pediatric ICU (5 weeks)
• Toxicology (4 weeks)
• Emergency Department Administration (4 weeks)
• Emergency Medical Services (1 week)
• Trauma ICU (4 weeks)
• Medical ICU (4 weeks)
• Cardiac ICU (4 weeks)

Elective Rotations (4 Weeks - Choice of 1)

• Pediatrics
• Cardiology
• Infectious Disease
• Surgical ICU

Longitudinal Responsibilities

• 24/7 at home clinical on-call program
• IHI quality improvement project supported by the scholarship committee
  • Receive an IHI Basic Certificate in Quality and Safety
  • Final manuscript submission
• Research Project
• Medication guideline development or revisions
• Information systems support (e.g. CPOE, smartpump, ADC, Lexi-Comp) improvements
• Medication Use Evaluations (MUE)
• Formulary management committee participation
• Completion of the Institute for Healthcare Improvement basic certificate in quality and safety
• Participation in emergency responses (e.g. code blue, code stroke, rapid response, and trauma room care)
• Emergency Department Policies and Procedures Committee participation
• Code Committee participation
• Emergency Department Executive Committee participation
• Participation in a BMC residency committee

Teaching Responsibilities

• 1 Resident case conference
• 1 Case conference as preceptor to PGY1 resident
• 1 ACPE-Accredited Continuing Education (CE) lecture
• 3 In-services to nurses, physicians, and/or pharmacists
• 1 Emergency medical services lecture
• 1 Emergency medicine conference lecture (Grand Rounds)
• Code blue simulation participation
• Co-precepting APPE students on rotation

Additional Opportunities

• Resident Teaching Certificate
• Resiliency Training
• Development or revisions of monographs, policies, or guidelines
• Code blue simulation participation 
• Emergency preparedness training at the Center for Domestic Preparedness
• American Academy of Clinical Toxicology journal club webinar (30 minutes, if selected)
• American Academy of Clinical Pharmacy ED PRN online journal club (60 minutes, if selected)
• Pharmacy technician continuing education
• ASHP Midyear emergency medicine clinical pearls (5 minutes, if selected)
• Emergency Neurological Life Support (ENLS) certification
• Completion of HarvardX PH556x - Practical Improvement Science in Health Care: A Roadmap for Getting Results
• Chief Resident opportunity

Pharmacy Practice (Staffing) Responsibilities

• Weekly staffing of an evening shift in the ED for the first quarter, followed by every other week staffing thereafter
• Staffing a weekend shift in the ED every third weekend
• Holiday assignments
  • 1 major (Thanksgiving Day, Christmas Eve, Christmas Day, New Year's Eve, New Year's Day)
  • 1 minor (Memorial Day, Labor Day, Martin Luther King Day)

Benefits

• Estimated Salary: $55,000
• Vacation time: 12 days
• Office space with computer
• Travel/CE allowance (~$2,300/year): ASHP Midyear Meeting, SCCM, or other opportunities for additional national specialty meetings (e.g. North American Congress of Clinical Toxicology, American College of Emergency Physicians, Society of Academic Emergency Medicine, or American College of Medical Toxicology)
• $750 cafeteria allowance per academic year
• $1000 move/licensure bonus
• Lease guarantee available to minimize security deposit requirements
• Insurance Benefits: health (100% employer-paid option), dental, vision, disability, accidental death and dismemberment, life insurance