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PGY2 Residency - Emergency Medicine

Program Director Contact Information

natalija-farrell

Natalija Farrell, PharmD, BCPS, DABAT
Clinical Specialist Lead, Emergency Medicine and Toxicology
Director, PGY2 Emergency Medicine
617.638.5863

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

Program Description

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 (formal CE lectures, leading case conferences, co-precepting students from local colleges of pharmacy). 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, if available.

Program Outcomes

  1. Demonstrate leadership and practice management skills
  2. Optimize the outcomes of emergency medicine patients by providing evidence-based medication therapy as an integral part of an interdisciplinary team
  3. Demonstrate excellence in the provision of training, including preceptorship, or educational activities for health care professionals and health care professionals in training
  4. Demonstrate the skills necessary to conduct an emergency medicine pharmacy quality improvement and/or research project
  5. Develop an evidence-based approach when providing emergency medicine medication-related information
  6.  Participate in the management of medical emergencies

Required Core Rotations (5 weeks unless otherwise specified)

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

Elective Rotations (4 weeks, choice of 2)

  • Pediatrics
  • Toxicology
  • Infectious Disease
  • Neonatal ICU
  • Emergency Preparedness
  • Neurocritical Care
  • Trauma ICU
  • Surgical ICU

Longitudinal Responsibilities

  • On-Call Program
  • Quality improvement project with submission of a final manuscript per the SQUIRE 2.0 guidelines
  • Medication guideline development or revisions
  • Information systems support (e.g. CPOE, smartpump, ADC, Lexi-Comp) improvements
  • Medication use evaluations
  • Formulary management 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)
  • Emergency Department Policies and Procedures Committee participation
  • Code Committee participation
  • Pediatric STARS Committee participation
  • Emergency Department Executive Committee participation
  • Participation in a BMC residency committee

Teaching Responsibilities

  • 2 case conferences (30 minutes each)
  • 1 case conference as preceptor to PGY1 resident
  • 2 continuing education lectures (60 minutes each)
  • 3 in-services to nurses, physicians, and/or pharmacists (15 minutes each)
  • 1 emergency medical services lecture (60 minutes each)
  • 1 emergency medicine conference lecture (60 minutes each)
  • Code blue simulation participation (120 minutes, various sessions throughout the year)
  • Co-precepting APPE students on rotation

Additional Opportunities

  • Code blue simulation participation 
  • Society of Critical Care Medicine Clinical Pharmacy & Pharmacology Section online journal club (20 minutes, if selected)
  • American Academy of Clinical Toxicology journal club webinar (30 minutes, if selected)
  • American Academy of Clinical Pharmacy EMED PRN online journal club (60 minutes, if selected)
  • Journal club/patient-oriented evidence that matters (POEMs) presentations
  • Pharmacy technician continuing education
  • ASHP Midyear emergency medicine clinical pearls (5 minutes, if selected)
  • Co-precepting PGY1 residents on the emergency medicine rotation (during Emergency Medicine II and III only)
  • Assistance with maintenance of the residency program
  • Emergency Neurological Life Support (ENLS) certification
  • Monograph
  • Policy development or revisions
  • Completion of HarvardX PH556x - Practical Improvement Science in Health Care: A Roadmap for Getting Results

Pharmacy Practice (Staffing) Responsibilities

  • Weeky 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 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 (e.g. North American Congress of Clinical Toxicology, American College of Emergency Physicians, Society of Academic Emergency Medicine, or American College of Medical Toxicology)

Requirements for Acceptance

  • Doctor of Pharmacy degree from ACPE-accredited school 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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