Pharmacy Postgraduate Year One Residency Program

St. Vincent’s Postgraduate Year One (PGY-1) Pharmacy Residency Program is designed to develop advanced knowledge and skills for pharmacy clinicians to practice independently and to excel in clinical service, teaching, and research in the acute care setting. The 12-month program is based on the American Society of Health-System Pharmacists Residency Learning System (RLS), which emphasizes learning outcomes and skill development in clinical, operational, drug information, management and research areas of pharmacy practice.

Residents who successfully complete the program are capable practitioners of pharmaceutical care in adult medicine. Their skill level is advanced several years through their intensive study. Graduates are prepared to provide pharmacy services with multi-disciplinary responsibilities in an acute care hospital, and they have acquired the skills necessary to adapt to new clinical and operational environments.

Residents also educate other healthcare professionals, students and patients in the hospital and in the community on drug related topics. In addition, residents demonstrate professional maturity by following a personal philosophy of supporting advances in pharmacy practice, exhibiting commitment to the profession and serving as a leader in improving the safety and effectiveness of the medication-use system.

The residency program is customized for each resident, based on their individual goals, interests, and experience. Each resident is required to complete core rotations essential to the pharmacy practitioner. A variety of elective rotations are available, allowing residents to pursue their professional goals. Upon successful completion of the residency program, residents will receive a certificate of completion.

Learning Experiences

The rotation schedule for the 12-month PGY-1 Residency Program includes:

• Orientation (5 week duration)

• Five Core Rotations (4 week duration each)

• Six Elective Rotations (4 week duration each)

• Research Block

• ASHP Mid-Year Clinical Meeting

• Year End Wrap-Up Block

Required Rotations

• Orientation

• Internal Medicine I

• Internal Medicine II

• Critical Care

• Drug Information

• Pharmacy Management

Electives (6 Rotations)

• Cardiology

• Emergency Medicine

• Family Medicine

• Infectious Disease

• Medication Therapy Management

• Oncology

• Pharmacy Informatics

• Quality Management

• Surgery

• Repeat any rotation once

• Pediatrics, Psychiatry, Toxicology, and Clinical Research are potential electives at other local healthcare facilities based on availability.

Longitudinal Rotations

• Pharmacy Practice (one evening a week, every third weekend, one major and two minor holidays)

• Pharmacy Management

Two months focusing on each of the following management areas:

•pharmacy administration

•clinical services/drug information

•pharmacy education

•pharmacy operations

• personnel and quality management

• Research

Additional Learning Opportunities

• Cardiac and Stroke Code Responder

• Adverse Drug Reaction (ADR) Hotline

• Pharmacy Grand Rounds

• Resident Interactive Teaching Experience (RITEs)

• Community Service Projects

• One project per quarter (ie: brown bag events for local parishes, food pantry and Mobile Health Outreach Ministries)

• Cardiopulmonary Rehabilitation Classes

• Pharmacy Technician and Nursing Continuing Education Programming

• Pharmacy Week

• ASHP Midyear Meeting

• Florida Residency Conference

Curriculum

Required Rotations

Internal Medicine I

Internal Medicine involves the provision of pharmaceutical care on internal medicine/telemetry units within the hospital. The resident will review medication profiles daily to ensure appropriate indications for use, appropriate dosing, monitor for adverse effects, prevent drug interactions, and ensure proper laboratory monitoring.

Daily responsibilities will also include providing pharmacokinetic dosing and management, parenteral nutrition management, ensuring medication safety, properly documenting patient care activities, and effectively communicating with healthcare providers and patients. The resident will provide drug information and education for healthcare providers, patients, and students. In addition, the resident will observe medical procedures as available to gain a better understanding and knowledge base.

Internal Medicine II

On Internal Medicine II, the resident will participate in rounds with the Medicine Team for the Family Medicine Residency Program. The resident will be responsible for identifying and resolving pharmacotherapy issues for the patients admitted to the hospital under the care of Family Medicine. This includes an appropriate review of outpatient and admission medications for indication, interactions, dose, and duration and providing therapeutic drug monitoring. The resident will serve as the drug information specialist to the team and will provide at least one in-service presentation. The resident will also assist the medical residents with the medication reconciliation process upon discharge of a patient from the service and will provide discharge counseling to the patients.

The resident will follow-up with the patient two days after discharge to see if the patient is having any adverse effects or has any questions or concerns.

Critical Care

The critical care learning experience is intended to provide an opportunity for the resident to apply didactic learning with clinical experience, to further knowledge of critical care medicine and to develop skills in providing pharmaceutical care to the critically ill. The resident will participate in pharmacokinetic dosing, parenteral nutrition consults, and respond to medical emergencies. The resident is expected to monitor patient labs and culture and sensitivity reports, review patient medical records and participate in interdisciplinary morning rounds. The resident will participate in teaching sessions pertaining to disease states or medications, education of medical and hospital personnel and attend multidisciplinary team conferences.

Longitudinal Experiences

Drug Information

Drug Information is a two-month longitudinal rotation with a concentrated one month rotation that involves gathering and organizing information in order to assist or directly identify ongoing drug-related problems, root cause analyses and formulary issues. This rotation entails evaluating and analyzing the medication-use system against current best practices to ensure optimal outcomes. The learning experience is devised to establish a working foundation for providing pharmaceutical care to patients and pharmaceutical information to healthcare professionals and the general public. The resident will participate in a drug class review, medication use evaluation, journal clubs, and will formulate a drug monograph. The resident will also be required to participate and interact with select medical professionals and hospital committees including the Pharmacy and Therapeutic Committee.

Pharmacy Management

Pharmacy Management is a longitudinal rotation with a concentrated one month rotation involving the management of the pharmacy department services in the hospital environment. The longitudinal experience is for five, two month rotations focusing on pharmacy administration, pharmacy operations and personnel, pharmacy education, quality management and drug-information/ clinical services. The resident participates with the pharmacy managers in all aspects of the department management. The resident will be introduced to basic principles of pharmacy financial management, human resource management, clinical performance measures, regulatory requirements and professional strategic planning.

Pharmacy Practice

Pharmacy Practice is a longitudinal rotation intended to provide the resident the opportunity to develop necessary skills to function as an independent, confident practitioner while providing pharmaceutical care to patients. The resident will complete pharmacy practice shift assignments one evening a week and every third weekend. In addition, the resident will staff one major holiday (Thanksgiving, Christmas, or New Year’s Day) and two minor holidays (the day after Thanksgiving, Christmas Eve or New Year’s Eve and Labor Day, Good Friday or Memorial Day). Staffing assignments will be sufficient to provide the practice experience necessary to function as a competent practitioner. Responsibilities will include both distributive functions utilizing established systems and procedures and clinical pharmacy services for the physicians, nursing staff and patients. The depth of the resident’s level of responsibility will increase during the residency year as the resident develops further knowledge and competency with distributive and clinical services. Shifts requiring increasing professional independence will be assigned progressively to the resident during the course of the residency year.

Research

One of the outcomes of the residency program is the completion of a research project. It requires the resident to identify a pharmacy practice-related issue that needs to be investigated and design, execute, and report the results of the investigation. The resident will present the research results at the Florida Residency Conference. The completed project should include a written paper suitable for publication. The objective of this activity is for the resident to gain skills in study design, the IRB approval process, data collection, presentation of research data and publication. The resident may choose the research project from a list of ideas from the pharmacy department or from an idea of their own. The Research Council will give final approval of the research project idea, oversee the progress of the research project and will serve as a resource for the resident. The resident will work closely with a primary co-investigator and reviewer that will be assigned based on the research project.

Elective Rotations

Cardiology

Cardiology involves the provision of pharmaceutical care on interventional cardiology and telemetry units within the hospital. The resident will review medication profiles daily to ensure appropriate indications for use, appropriate dosing, monitor for adverse effects, prevent drug interactions and ensure proper laboratory monitoring. The resident will participate in heart failure rounds to ensure optimal care is provided to this high-risk patient population. In addition, the resident will assist the anticoagulation service with daily monitoring and dosing patients on warfarin and provide warfarin counseling. The resident will also observe cardiac procedures to gain a better understanding and knowledge base.

Emergency Medicine

The resident will review admission and non-admission patient medication orders to ensure appropriate indications for use, appropriate dosing and the avoidance of potential drug interactions in order to provide pharmaceutical care for patients in the Emergency Medicine Department. The resident will be responsible for identifying patients presenting with adverse drug events, including overdoses, sub- or supra-therapeutic laboratory parameters and allergic or other drug-related events. Daily responsibilities will include initiation of pharmacokinetic dosing consultations, response to medical emergencies, ensuring medication safety, properly documenting patient care activities and effectively communicating with healthcare providers and patients. The resident will also provide drug information and education for healthcare providers, patients and students.

Family Medicine

The Family Medicine rotation involves the provision of pharmaceutical care for patients in the Family Medicine outpatient clinic. The pharmacy resident will be responsible for identifying and resolving pharmacotherapy issues for patients including reviewing outpatient medications for appropriate indication, interactions, dose, duration and appropriate monitoring to evidence based medicine. The resident will obtain medication histories, assess patient compliance and provide counseling for inhalers, insulin administration and all new medications. One patient home visit with an attending physician and medical resident will be required. The resident will also provide patient education classes for cardiac medications, pulmonary medications and warfarin. Finally, the resident will serve as a drug information resource for Family Medicine and will provide one formal presentation.

Infectious Disease

The Infectious Disease rotation involves the evaluation of empiric as well as definitive antibiotic therapy. The resident will gain experience and proficiency in a diverse patient population and will develop problem solving skills through a variety of patient care experiences including antibiotic dose optimization and antibiotic surveillance. The resident will also participate in a variety of interdisciplinary activities in the inpatient setting such as lab rounds and the Antibiotic Stewardship Program. The ultimate goal is to facilitate and increase the therapeutic knowledge and development of practice skills in the infectious disease setting.

Medication Therapy Management

The goal of the Medication Therapy Management (MTM) Residency Learning Experience is to provide opportunities for residents to build on knowledge and skills acquired through didactic education and practical pharmacy practice experiences and apply them in direct patient care activities. Resident responsibilities will include; actively participate in direct patient care which includes obtaining patient medical and medication histories, evaluating and optimizing drug therapies, developing pharmacy care plans, monitoring patients' therapeutic outcomes, consulting with physicians and non-physician providers and providing education to patients. Residents will learn about federal guidelines for reimbursement and pharmacist roles in achieving core measures and outcomes. Residents will work directly with an interdisciplinary team and develop skills to achieve patient care outcomes and increase patient awareness of health conditions.

Oncology

On the oncology rotation, the resident will become part of the Oncology team which includes the Oncologist, patient care coordinator (PCC), oncology pharmacist and oncology nurse in order to provide direct patient care to patients on St. Vincent’s two oncology units. The resident will assume the responsibility for all aspects of patient drug therapy including advising physicians, nurses and patients on appropriate drug use, participating in formal morning oncology rounds, monitoring patient labs, monitoring culture and sensitivity reports, pharmacokinetic and parenteral nutrition consulting and medication-use assessment. Other responsibilities include patient education, drug information consults, contributing to the pharmacy oncology monthly newsletter, reviewing chemotherapy medications and cancer disease states, attending oncology educational meetings and providing lectures on drug therapy to medical and nursing staff.

Pharmacy Informatics

Pharmacy Informatics involves the management and development of pharmacy technology and informatics in the hospital environment. The resident will work on technology projects at each of our three hospital campuses and contribute to meetings with the health system’s Information Technology Department. In addition, the resident will participate in topic discussions including principles of process analysis and automation, clinical decision support, clinical documentation in the electronic medical record, evidence based protocols for CPOE, automated dispensing, workload statistics and clinical reporting and medication integration in the electronic medical record.

Quality Management

Quality Management entails quality and patient safety issues that involve the pharmacy department services in the hospital environment. The resident will participate with the department manager in all aspects of quality management and patient safety issues such as adverse drug reaction investigation, medication error reporting, Joint Commission readiness and root cause analyses. The resident will be given an opportunity to participate in projects that address quality improvement and patient safety.

Surgery

On the surgery rotation, the resident will be responsible for identifying and resolving pharmacotherapy issues for patients in the operating suites, holding, recovery, endoscopy and labor and delivery units. The resident will work with anesthesiologists, surgeons, perfusionists, CRNA’s, operating room nurses and staff---- and students to ensure appropriate drug therapy, administration and drug utilization. Daily responsibilities will include dispensing and reconciling controlled substances, providing drug information quickly to care providers and monitoring drug utilization in the OR and associated areas. The resident will provide and document therapeutic drug monitoring of all pre-operative, peri-operative and post-operative medications in selected cases according to evidence based medicine. The resident may also be responsible for discharge teaching including warfarin therapy in the orthopedic units and Lap-Band consults. In addition, the resident will provide drug information and education for healthcare providers, patients and students.

Other Electives

Pediatrics, psychiatry, toxicology and clinical research are potential electives at other local healthcare facilities based on availability.

Curriculum Development

St. Vincent’s Medical Center Riverside’s Department of Pharmacy Services is committed to developing and maintaining high quality learning experiences and opportunities. Changes may be made to the curriculum and other learning activities in order to ensure excellence in the training program.

Program Specifics

Pharmacy Director: Charzetta James, PharmD, MBA, MHA, FACHE

Residency Director: Michele Loudy, PharmD, BCPS Year

Program Established: 2006

Accreditation Status: Accredited Program Duration: 12 months

Number of Positions: 6

Application Deadline: January 6, 2016 (Completed application through PhORCAS must be received by this date)

Starting Date: June 2016

Stipend: $40,500 T

raining Site: Hospital Owner/Affiliate: Ascension Health Model Type: Tertiary, Community, Teaching Hospital

Practice Settings: St. Vincent’s Medical Center Riverside, St. Vincent’s Family Medicine Center, St. Vincent's Medical Center Southside

Tax Status: Not-For-Profit

Professional Staff: 35 pharmacists Non-professional

Staff: 30 technical, support and clerical

Total beds: 528

Department of Pharmacy Services

The Department of Pharmacy Services is committed to delivering high quality pharmaceutical care by providing a broad scope of services which are sensitive to the needs of the patient, the St. Vincent’s medical community and the institution.

It is our belief that the establishment of patient-oriented pharmacy services provided by skilled pharmacy practitioners must be an integral part of the medical care rendered at St. Vincent’s. The department assumes its inherent responsibility for establishing and maintaining comprehensive, accurate and efficient drug distribution services. Pharmacy seeks to ensure the rational, safe and judicious use of medications through professional vigilance, an active Pharmacy and Therapeutics Committee--- and the provision of drug information and educational services to the professional staffs of St. Vincent’s.

The department is staffed with approximately 70 employees including pharmacists, technicians, residents, interns and clerical support. The department utilizes automation technology and profile dispensing machines throughout the hospital.

Comprehensive pharmaceutical services include:

• Unit dose distribution

• Sterile and non-sterile compounding

• Total parental nutrition

• Chemotherapy

• Advanced technology support

• Drug order review

• Drug information

• Drug interaction monitoring

• Pharmacokinetic monitoring

• Renal dosing

• IV to PO conversion

• Therapeutic interchanges

• Antibiotic stewardship

• Patient counseling

St. Vincent's is a favorite teaching facility for pharmacy students from University of Florida, Palm Beach Atlantic University, LECOM School of Pharmacy, Florida A&M University, NOVA Southeastern University and South University. The full-time staff offers 20-plus years of preceptor experience and clinical training. In total, approximately 100 student rotations are offered per year.

Benefits

When you become a part of St. Vincent's Pharmacy Residency Program, you get many benefits, including:

• Stipend of $40,500

• 15 days personal time off

• Medical, dental, and vision insurance*

• Short- and long-term disability insurance*

• Life insurance*

• Bereavement pay

• Reimbursement for ASHP Mid-Year Clinical Meeting and Florida Residency Conference

• ACLS training

• Business cards

Faculty

Bryan Allen, PharmD, BCPS

RITEs Coordinator, Research Preceptor

PharmD, University of Florida; PGY1 Residency, Mayo Clinic, Jacksonville, FL

Robin Bettman, RPh, BCOP

Oncology Clinical Pharmacist

B.S., University of Florida

Chad Cannon, PharmD, BCPS

Critical Care Clinical Pharmacist

PharmD, Campbell University; PGY1 Residency, St. Vincent's Medical Center, Jacksonville, FL

Kristal Cunningham, PharmD

Surgery Clinical Pharmacist

PharmD, Florida A&M University; Pharmacy Practice Residency, St. Vincent’s Medical Center, Jacksonville, FL

Florian Daragjiti, PharmD, BCPS Southside

Clinical Pharmacy Manager Infectious Disease Preceptor

PharmD, University of Florida

William Elliot, RPH

Pharmacy Operations and Personnel Manager Pharmacy Management Preceptor

B.S., Florida A&M University

Kevin Epps, PharmD, BCPS (AQ-ID), BCNSP

Infectious Disease Clinical Pharmacist

PharmD, Florida A&M University; Pharmacy Practice Residency with emphasize in Home Infusion, Florida A&M University/American Home Patient, Tallahassee, FL

Rochelle Forsyth, PharmD, BCPS

Internal Medicine Clinical Pharmacist

PharmD, Lake Erie College of Osteopathic Medicine Bradenton; PGY1 Residency, Mayo Clinic, Jacksonville, FL

Sarah Hayes, PharmD, BCPS

Emergency Medicine Clinical Pharmacist

B.S., University of Wisconsin - Madison; PharmD, University of Arkansas for Medical Sciences

Yasaman Homayouni, PharmD

Anticoagulation Pharmacist Cardiology Preceptor

PharmD, Howard University

Charzetta James, PharmD, MBA, MHA, FACHE

System Director of Pharmacy Pharmacy Management Preceptor

PharmD, Florida A&M University; Hospital Practice Residency, Jackson Memorial, Miami, FL; MBA, University of North Florida, Jacksonville, FL; MHA, University of North Florida, Jacksonville, FL

Totty Johnson, RPh, BCPS, BCNSP

Critical Care Clinical Pharmacist

B.S., Philadelphia College of Pharmacy; General Residency, Shands Hospital, Gainesville, FL

Katie Kamataris, PharmD, BCPS

Emergency Medicine Clinical Pharmacist

PharmD, University of Florida; PGY1 Residency, St. Vincent's Medical Center, Jacksonville, FL

Megan Keese, PharmD, BCPS

Internal Medicine Clinical Pharmacist

PharmD, University of South Carolina; PGY-1 Residency, St. Vincent's Medical Center, Jacksonville, FL

Michele Loudy, PharmD,BCPS

Pharmacy Professional Education Coordinator, Pharmacy Residency Director Internal Medicine II, Family Medicine, Pharmacy Management Preceptor

PharmD, University of Florida; Pharmacy Practice Residency, Columbus Regional Medical Center, Columbus, GA

Maryam Qazizada, PharmD, BCPS

Cardiology Clinical Pharmacist

Internal Medicine I, Cardiology Preceptor

PharmD, University of Florida; Pharmacy Practice Residency, St. Vincent’s Medical Center, Jacksonville, FL

Kirsten Sandhu, PharmD, BCPS

Medication Safety Coordinator Quality Assurance, Pharmacy Management Preceptor PharmD, Florida A&M University; Pharmacy Practice Residency, Miami VA Medical Center, Miami, FL

Vaidehi Shelat, PharmD, BCPS

Internal Medicine Clinical Pharmacist

PharmD, University of Florida; PGY1 Residency, St. Vincent’s Medical Center, Jacksonville, FL

April Stefanell, PharmD

Medication Therapy Management Pharmacist

PharmD, University of Florida

Calvin Tucker, PharmD, BCPS

Clinical Pharmacy Manager Drug Information, Research Preceptor

PharmD, University of Florida; PGY1 Residency, Shands Jacksonville Medical Center, Jacksonville, FL; PGY2 Critical Care Residency, Jackson Memorial Hospital, Miami, FL

Richard Walthour, PharmD, BCPS

Critical Care Clinical Pharmacist

B.S., University of Georgia; PharmD, University of Florida Brent Zussy, PharmD Pharmacy Informatics Specialist PharmD, University of Florida

A Message From the Director Of Pharmacy Services

Charzetta James

Charzetta James, PharmD, MBA, MHA, FACHE


System Director of Pharmacy

The Department of Pharmacy Services is committed to delivering high quality pharmaceutical care by providing a broad scope of services that meet the needs of the patients, the medical community of St. Vincent's and the organization.

With the advancements in technology and the ever-changing medical field, it is our belief that the establishment of patient-oriented pharmacy services provided by skilled pharmacy practitioners is an integral part of the medical care provided at St. Vincent's.

The department assumes the inherent responsibility for establishing and maintaining comprehensive, accurate and efficient drug distribution services. Pharmacy seeks to ensure the rational, safe and judicious use of medications through professional vigilance, an active Pharmacy and Therapeutics Committee and the provision of drug information and educational services to the professional staff of St. Vincent's.

Finally, we are dedicated to the continual development of progressive and innovative pharmacy services beyond the currently acted standards of contemporary pharmacy practice. It is our goal to lead St. Vincent's HealthCare and the pharmacy profession into the future by establishing new benchmarks in healthcare.

I invite you to consider joining us in the pursuit of these goals of excellence by applying to the PGY-1 Residency Program.

How to Apply

All applicants to St. Vincent's PGY-1 Pharmacy Residency Program must be currently authorized to work in the U.S. for any employer (U.S. citizen or hold a permanent resident alien/Green Card status with a U.S. Social Security Card) and a graduate of an Accredited Council for Pharmacy Education (ACPE) accredited Doctor of Pharmacy degree program. Candidates must be fluent in written and spoken English, eligible for licensure in the state of Florida and employable as associates at St. Vincent's HealthCare. Prospective residents must pass a criminal background check and drug screen, and complete a health screening. Applicants should be licensed in the state of Florida prior to the start of the residency program.

Positions are offered through the ASHP Resident Matching Program. Visit: www.natmatch.com/ashprmp for more information on the National Matching Program. St. Vincent's agrees that no person from the residency program will solicit, accept or use any ranking-related information from any residency applicant. Learn more about applying with this exciting program today.

Application Process

All Application materials must be received by January 6, 2016.

• St. Vincent's only accepts applications through PHORCAS.

• Register for the National Matching Service 

• Only completed applications received by the deadline will be reviewed. Potential candidates will be invited for on-site interviews which will be conducted in January and February.

• Complete the ranking list for the National Matching Service by deadline

• St. Vincent's Medical Center PGY-1 ASHP Match Number: 121613

Contact the Pharmacy Residency Program Office

Michele "Missy" Loudy, PharmD, BCPS
Pharmacy Professional Education Coordinator
Residency Program Director
Department of Pharmacy Services
St. Vincent's Medical Center Riverside 
1 Shircliff Way
Jacksonville, FL 32204
904-308-8829 | Michele.Loudy@jaxhealth.com