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PGY2 Residency - Critical Care

Program Director Contact Information

will-vincent

William R. Vincent III, PharmD, BCCCP
Clinical Specialist, Critical Care - SICU
Director, PGY2 Critical Care
617.414.4224

For general residency questions, please email [email protected].

Program Description

Boston Medical Center's PGY2 critical care pharmacy residency was the first in the Commonwealth of Massachusetts to gain ASHP accreditation in 2004. During that time, critical care pharmacy services have expanded to include dedicated specialists in medical, trauma, cardiac, and surgery critical care, and emergency medicine. Additionally, the resident staffs New England’s busiest emergency department, which has grown to be the only ED in the Commonwealth to provide 24/7 de-centralized pharmacy services. Our program offers a challenging, fast-paced rotation environment desired by candidates interested in pursuing a future in critical care and provides opportunities to complete a research or quality improvement project and medication use evaluation, serve on the Antithrombotic Task Force, lead continuing education seminars, pharmacy case conferences, and therapeutics seminars, and precept APPE pharmacy students from local schools and colleges of pharmacy. The unique combination of our strong history, high quality specialist preceptors and learning experiences, quality improvement focus, and exemplary commitment to our diverse patients, makes BMC one of the best places for critical care pharmacy residency training in the Northeast.

Our PGY-2 critical care residents work closely with physician training programs in:

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, if available.

Competency Areas (2016)

  1. Patient care (required)
  2. Advancing practice and improving care (required)
  3. Leadership and management (required)
  4. Teaching, education, and dissemination of knowledge (required)
  5. Academia (elective)
  6. Added leadership and practice management skills (elective)
  7. Mass casualty (elective)

Required Core Rotations (5 weeks)

  • Orientation - 2-4 weeks (duration may depend on resident experience and progress)
  • Medical ICU I
  • Medical ICU II - may include co-precepting a PGY1 resident
  • Trauma ICU 
  • Surgical ICU
  • Cardiac ICU
  • Emergency Medicine I
  • Infectious Diseases

Elective Rotations (5 weeks unless otherwise specified)

  • Pediatric and neonatal ICU - 2.5 weeks
  • Nutrition support team - 2.5 weeks
  • Palliative care - 2.5 weeks
  • Neurocritical care - 5 weeks
  • Trauma ICU II
  • Surgical ICU II
  • Cardiac ICU II
  • Emergency Medicine II

Longitudinal Responsibilities

  • On-Call Program
  • Quality improvement project with submission of a final manuscript per the SQUIRE 2 guidelines
  • Medication guideline development or revisions
  • Information systems support (e.g. CPOE, smartpump, ADC, Lexi-Comp) improvements
  • Formulary management committee participation
  • Antithrombotic task force participation
  • Executive critical care committee participation
  • Completion of the Institute for Healthcare Improvement basic certificate in quality and safety
  • Participation in emergency responses (i.e. code blue, code stroke, brain code, rapid response, and trauma room care)
  • Participation in a BMC residency committee

Teaching Responsibilities

  • 2 case conferences (30 minutes each)
  • 2 continuing education lectures (60 minutes each)
  • 1 clinical pearl presentation at the Annual New England Critical Care Symposium (5 minutes)

Additional Opportunities

  • Monograph
  • Policy development or revisions
  • Completion of HarvardX PH556x - Practical Improvement Science in Health Care: A Roadmap for Getting Results
  • Society of Critical Care Medicine Clinical Pharmacy & Pharmacology Section online journal club (20 minutes, if selected)
  • Journal club/patient-oriented evidence that matters (POEMs) presentations
  • Pharmacy technician continuing education
  • Emergency department teaching
  • Code blue simulation participation

Pharmacy Practice (Staffing) Responsibilities

  • Weeky staffing of an evening shift in the ED or ICUs for the first quarter, followed by every other week staffing thereafter
  • Every third weekend staffing of an AM ED or ICU shift for the entire year
  • 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 Stipend: $53,000
  • Insurance Benefits: Health, dental, vision, disability, accidental death and dismemberment, life insurance
  • Vacation time: 12 days
  • Office space with computer
  • Travel/CE allowance ($2,200/year): ASHP Midyear Meeting, opportunities for additional national specialty meetings

Requirements for Acceptance

  • Doctor of Pharmacy degree from an ACPE-accredited college of pharmacy
  • Certificate from PGY1 program (or equivalent)
  • Eligible for licensure in the Commonwealth of Massachusetts on July 1st 
  • U.S. citizenship or carry a U.S. permanent resident visa ("green card")
  • Personal on-site interview

Applications

  • BMC Pharmacy Residency candidates should complete an electronic residency application using the ASHP PhORCAS centralized application system. The following materials must be received through PhORCAS by January 2, 2018 at 11:59 PM EST.
    • Completed residency application
    • Verified PharmD transcripts
    • Letter of intent (including goals)
    • Curriculum Vitae (CV)
    • Three completed standardized reference forms
  • All applicants to ASHP-accredited pharmacy residencies must participate in the Match process sponsored by the National Matching Service (NMS). Applicants to our programs must register with NMS to obtain a match number. Information about applications and deadlines for the Match can be found on the NMS website.
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