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Pharmacy Residency: Infectious Disease

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Infectious disease is a relatively popular PGY2 residency program, offered by large and prestigious institutions including Johns Hopkins, Duke, and UC Irvine.

Overview

A PGY2 Infectious Disease pharmacy residency program will develop pharmacists into independent practitioners, who have a range of knowledge and experience specific to infectious diseases. As such, any program will build upon knowledge already established in the first year of residency. Training will therefore focus on the entire range of infectious diseases and their associated states and disorders, and delve in depth into the literature that accompanies best practice regarding the medical management of these. Rotations will work across infectious disease, paediatric infectious disease and antimicrobial management. Residents will conduct research and work independently, and also be expected to teach others – both across interdisciplinary teams and within pharmacy itself. Upon completion, pharmacists may either seek board certification or further training. Excellence in PGY2 Infectious Disease is achieved through the following areas:

  • Demonstrating accountability for patient care
  • Modelling excellence in infectious diseases pharmaceutical care
  • Serving as professional role models for pharmacy students and PGY1 residents
  • Participating in clinical research and performance improvement projects focused on infectious diseases pharmacotherapy and antimicrobial stewardship
  • Facilitating and leading infectious diseases/ antimicrobial stewardship pharmacotherapy discussions
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Programs

A number of institutions offer this program, including UC Irvine Health in California, UC Davis Medical Center and County of Santa Clara Health System (both also California), Yale (Connecticut) and many others across the US. You can find the full list on NMS.

Requirements

In order to apply, you must have completed a Doctor of Pharmacy degree from an ACPE accredited school of pharmacy. You must have completed an ASHP-accredited PGY1 pharmacy residency program before beginning the PGY2. Application requires three letters of recommendation, a letter of intent, full transcripts, and CV. You will then need to interview.

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Outcomes

The following outcomes are high-level; you can find the detailed outcomes through the ASHP:

Goal 1.1: In collaboration with the health care team, provide comprehensive medication management to patients with infectious diseases following a consistent patient care process.

Goal 1.2: Ensure continuity of care during infectious diseases patient transitions between care settings.

Goal 1.3: Manage antimicrobial stewardship activities.

Goal 2.1: Demonstrate ability to manage formulary and medication-use processes for infectious diseases patients, as applicable to the organisation and antimicrobial stewardship program.

Goal 2.2: Demonstrate ability to conduct a quality improvement or research project.

Goal 2.3: Manage and improve anti-infective-use processes.

Goal 3.1: Establish oneself as an organisational expert for infectious diseases pharmacy-related information and resources.

Goal 3.2: Demonstrate leadership skills for successful self-development in the provision of care for infectious diseases patients.

Goal 3.3: Demonstrate management skills in the provision of care for infectious diseases patients.

Goal 4.1: Provide effective medication and practice-related education to infectious diseases patients, caregivers, health care professionals, students, and the public (individuals and groups).

Goal 4.2: Effectively employ appropriate preceptor roles when engaged in teaching students, pharmacy technicians, or fellow health care professionals) about care of patients with infectious diseases.

Life as a Resident

An infectious disease PGY2 residency will be designed to provide wide exposure to the clinical care of those with infectious disease, program management, and research of infectious disease. Typical rotations can be seen below, and will likely span inpatient, outpatient and consultative work. There will typically be a range of paediatric work, and a focus on transplant infectious disease. You should expect to take on a significant amount of work as part of a multidisciplinary team, and to be responsible for the education of pharmacists, medical students, medical residents, and others – including physician assistants and advanced nurse practitioners.

Required rotations are likely to cover each of the following areas (taken from Johns Hopkins’ Infectious Disease PGY2 schedule):

  • Adult Antimicrobial Stewardship Program – 2 months
  • Adult General Infectious Diseases Consult Service – 2 months
  • Adult Inpatient AIDS/HIV Service – 1 month
  • Adult Oncology/Transplant Infectious Diseases Consult Service – 1 month
  • Pediatric Infectious Diseases Consult Service -1-2 months
  • Foundations in Microbiology Laboratory – 1-2 weeks
  • Adult Antimicrobial Stewardship/Infectious Disease Consult – off campus rotation – 1 month
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