PGY2 Internal Medicine Pharmacy Residency - VA St. Louis Health Care System
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VA St. Louis Health Care System

 

PGY2 Internal Medicine Pharmacy Residency

 

PGY2 Internal Medicine Pharmacy Residency
NMS: 598256  ASHP Code: 64450

Purpose Statement:
PGY2 Program Purpose: PGY2 pharmacy residency programs build on the Doctor of Pharmacy (Pharm.D.) education and PGY1 pharmacy residency progrmas to contribute to the developement of clinical pharmacists in advanced or specialized practice.  PGY2 residencies provide residents with opportunities to function independently as practitioners by conceptualizing and integrating accumulated experience and knowledge and inforporating both into the provision of patient care that improves medication therapy. Residents who successfully complete an accredited PGY2 pharmacy residency should possess competencies that qualify then for clinical pharmacist and/or faculty positions and position them to be eligible for attainment of board certification in the specialized practice area (when board certification for the practice area exists).

Program Brief Description:
The St. Louis College of Pharmacy/VA St. Louis Health System PGY2 Internal Medicine Pharmacy Residency has the primary purpose of developing independent practitioner who will be able to provide optimal pharmaceutical care in the inpatient medical setting.  Additionally, the Residency Program provides sufficient academia opportunies to provide a foundation for entry into a faculty position.  This is accomplished through the development of the knowledge, skills, and attitudes necessary to perform a variety of duties including: care of the patient in the inpatient setting and specialty clinics, sitting on hospital committees, providing didactic and experiential training of pharmacy students, participating in scholarly activity, and the dissemination of knowledge for the betterment of pharmacy and health care.  The graduate will be provided a foundation to further progress as a practice leader through specialty certification and independent self-study.

Program Overview:
The PGY2 Internal Medicine pharmacy residency program further building on knowledge and skills to:
   - Serve as an authoritative resource on the optimal use of medications
   - Optimize the outcomes of internal medicine patients by providing evidence-based, patient-  
      centered medication therapy as an integral part of an interdisciplinary team
   - Demonstrate excellence in the provision of training and educational activities for health
      care professionals and health care professionals in training
   - Demonstrate leadership and practice management skills
   - Contribute to the body of pharmacy knowledge in internal medicine
   - Evaluate, manage, and improve the medication-use process

VA Mission Statement:
To fulfill President Lincoln's promise "To care for him who shall have borne the battle, and for his widow, and his orphan" by serving and honoring the men and women who are America's Veterans.

VA Core Values:

VA’s five core values underscore the obligations inherent in VA’s mission: Integrity, Commitment, Advocacy, Respect, and Excellence. The core values define “who we are,” our culture, and how we care for Veterans and eligible beneficiaries. Our values are more than just words – they affect outcomes in our daily interactions with Veterans and eligible beneficiaries and with each other. Taking the first letter of each word—Integrity, Commitment, Advocacy, Respect, Excellence—creates a powerful acronym, “I CARE,” that reminds each VA employee of the importance of their role in this Department. These core values come together as five promises we make as individuals and as an organization to those we serve.

Integrity: Act with high moral principle. Adhere to the highest professional standards. Maintain the trust and confidence of all with whom I engage.
Commitment: Work diligently to serve Veterans and other beneficiaries. Be driven by an earnest belief in VA’s mission. Fulfill my individual responsibilities and organizational responsibilities.
Advocacy: Be truly Veteran-centric by identifying, fully considering, and appropriately advancing the interests of Veterans and other beneficiaries.
Respect: Treat all those I serve and with whom I work with dignity and respect. Show respect to earn it.
Excellence: Strive for the highest quality and continuous improvement. Be thoughtful and decisive in leadership, accountable for my actions, willing to admit mistakes, and rigorous in correcting them.

St. Louis College of Pharmacy, Division of Pharmacy Practice Mission Statement:
Our primary purpose is to make a meaningful difference in student learning, patient care, and pharmacy education.  To achieve this end, we are committed to:
-Developing an assessment-driven curriculum that provides students with the necessary knowledge, skills, and attitudes to succeed in the future
- Supporting role model faculty practitioners that impact on patient outcomes and achieve high levels of credibility with other members of the health care team
- Creating opportunities for all faculty to engage in purposeful research and scholarship that address questions related to pharmacotherapy, education, or patient care
- Achieving effective collegial and mentoring relationships with students, trainees, and faculty peers
We are professionals educating professionals:  through excellence in teaching, practice and scholarship, we endeavor to inculcate in our students the attitudes of an exceptional health care provider.

St. Louis College of Pharmacy Mission Core Values: 
 The Desire to Make a Difference: This value reflects attitudes of caring, commitment, and inquiry, mixed with a strong dose of altruism.  That is, the desire to make a difference in the lives of patients, students, colleagues, and trainees; to make a difference in pharmacy education (i.e.-the academy).  To affect outcomes: health/quality of life, personal success, career direction, and professional development.  The desire to make a meaningful impact on pharmacy education, especially clinical education and training.
 Commitment to Excellence: This value speaks to our unfailing dedication to high standards in all professional endeavors, including patient care, education, scholarship, and service to the community.  It compels us always to strive for and recognize excellence.  Indeed, to compromise such standards is unacceptable and would constitute an abrogation of our responsibility to patients, students, trainees, and colleagues.
 Professionalism:  This value is a necessary corollary of our fiduciary commitment to represent the best interests of patients, students, and trainees.  It draws upon ethical canons of both the pharmacy and teaching professions.  This value also emphasizes the critical roles of trust, honesty, and integrity in our interpersonal and professional interactions.  It underscores the importance of professional conduct and behavior as we care for patients, and teach/enculturate students and trainees in preparation for their entry into the profession.
 
Spirit of Inquiry: This value reflects attitudes of curiosity, a desire to learn, and the need to contribute new knowledge to our discipline.  It drives us to pursue research and scholarship in order to ask/answer questions related to pharmacotherapy, education, and patient care.  Our commitment to lifelong learning and self-directed learning is a direct application of this value.

Program Outcomes (ASHP 2017 Standards)
The PGY-2 Internal Medicine pharmacy residency program further builds knowledge and skills to:
-  Serve as an authoritative resource on the optimal use of medications
-  Optimize the outcomes of internal medicine patients by providing evidence-based, patient-centered
   medication therapy as an integral part of an interdisciplinary team
-  Demonstrate excellence in the provision of training and educational activities for health care
   professionals and health care professionals in training
-  Demonstrate leadership and practice management skills
-  Contribute to the body of pharmacy knowledge in internal medicine
-  Evaluate, manage, and improve the medication-use process
     For a complete list of the ASHP PGY-2 Internal Medicine Residency outcomes, goals, objectives and instructional objectives areas, goals, and objectives click here for details.

Requirements for Completion of Residency
- Successful completion of all residency rotations and longitudinal experiences
- Mastery of program outcomes, goals, and objectives
- Research Project/Pharmacy Project/Medication Use Evaluation, including results presentation
- Presentations
            - Seminar Presentation (1)
            - Formal Case Presentations (2)
            - Journal Club Presentation (1)
            - VA Continuing Education Day Presentation (1)
            - Pharmacotherapy Grand Rounds Presentation (1)
- Residency Education Academy Certificate (or PGY-1 equivalent)
- Manuscript preparation
- Didactic and experiential teaching
- Staffing Requirements: inpatient clinical weekends

Rotations
- Orientation
- Medicine Core I – II
- Medicine Consult
- Medicine Precepting
- Critical Care
- Infectious Disease
- Practice Management
- Medicine Elective I-II

Longitudinal Experience
- Weekly Infectious Disease Clinic
- Outpatient Parenteral Antimicrobial Therapy (OPAT) Monitoring
- Professional Development

Elective On-Site Experiences
- Infectious Disease
- Surgical Critical Care
- Medical Critical Care
- Emergency Department
- Hematology/Oncology
- Cardiology
- GI/Hepatitis C
- Nephrology
- Palliative/Hospice
-
Various off-site elective opportunities are available in at least five (5) surrounding area hospitals
   based
on resident interest.
- Past resident experience include but are not limited to cardiac critical care, neurology/stroke team, transplant, 
           infectious disease, community medicine, family medicine, and nephrology 
         
* limited to two (2), 4-week off-site experiences.

Teaching Requirements and Opportunities
- Completion of St. Louis College of Pharmacy Teaching Certificate Program (if equivalent not completed
   during PGY1)
- Required lecture to St. Louis College of Pharmacy students within the Pharm.D. curriculum
- Discussion Group Leader within the Pharm.D. curriculum
- St. Louis VA Clinical Pharmacist precept over 80 pharmacy students from multiple schools of pharmacy
   per year.

Salary and Benefits:
- Stipend: $48,000 (as of July 2019)
- Leave: See Residency Manual "Leave Policy"
              -Ten (10) days of leave
- Insurance: Offered medical, dental and life insurance policies
- Travel Stipend: Amount is determined each year and may have limited travel support
- Federal Holiday: Ten (10) federal holidays
- Centralized office work space with access to a personal computer. 

Positions: 1

Start Date: July 1st, 2020 (tentative)

Conferences:
- Gateway College of Clinical Pharmacy (GCCP) Meeting 
- ASHP Midyear Clinical Meeting (required)

Pharmacy Practice experiences:
Medication therapy management
Hospital administration including participation in departmental and committee meetings
Rounding with multidisciplinary health care team
Antimicrobial stewardship
Clinical intervention documentation

Program Director and Contact Information:Travis Linneman, Pharm.D, BCPS
PGY-2 Internal Medicine Pharmacy Residency Program Director
VA St. Louis Healthcare System, John Cochran Division
Associate Professor, St. Louis College of Pharmacy
Pharmacy Service (JC 0119)
915 N. Grand Blvd.
St. Louis, MO 63106
Phone: (314) 652-4100 ext. 53627
Fax: (314) 289-6400
Email:
Travis.Linneman@va.gov