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Postgraduate Year One (PGY1)

The PGY1 residency program at Nebraska Medicine offers a unique and stimulating learning environment which provides outstanding training to contribute to the development of highly skilled pharmacists responsible for the care of patients with a wide range of disease states. The 12-month program is designed to prepare each resident to enter a postgraduate year two residency or a practice position in an acute care setting in addition to fostering the development of leadership skills applicable throughout a lifetime.

Residents participate in all aspects of our comprehensive pharmacy services including:

  • Antimicrobial, anticoagulation and diabetes stewardship
  • Code and trauma response team
  • Education and precepting of pharmacy students
  • Education of patients and healthcare professionals
  • Experience with clinical pathways, protocols and core measures
  • Multidisciplinary medical team rounding
  • Participation in the resident in-house on-call program
  • Pharmacokinetic services

Benefits

Salary and Paid Time Off (PTO)

  • PGY1 residents will receive a stipend of $47,476
  • PGY1 residents will be given 10 days for vacation and sick time during their 12-month program

Benefits

  • Health insurance: comprehensive medical, dental and vision care coverage
  • Basic life insurance and long term disability coverage
  • Residents will each receive one complimentary lab coat

Funding for Professional Meetings

  • Financial support will be provided to each resident to attend all program required professional meetings and activities. Funding for additional meetings may be provided at the discretion of the Director of Pharmaceutical and Nutrition Care.

Educational Leave

The program provides educational leave days which are not deducted from the resident’s Paid Time Off (PTO) allotment.

  • Program-required Professional Leave
    • PGY1 and PGY2 Residents
      • ACLS training and certification
      • Resident Fall Retreat
      • Midwest Pharmacy Residents Conference
  • Program Professional Leave (at the discretion of the residency program director)
    • PALS training and certification
    • Residency recruitment activities (career fairs, showcases, personal placement service)
    • ASHP Midyear
    • Vizient University Health System Consortium and/or ASHP Poster Presentation
    • Any other professional meetings/poster or podium presentations

Nebraska Medicine PGY1 Certificate of Residency Requirements

The residency program is a minimum of twelve months in duration and a full-time practice commitment. Residents will be required to perform and participate in a number of activities throughout the year. These activities are designed to assure compliance as outlined in the ASHP Required Competency Areas, Goals, and Objectives for Postgraduate Year One (PGY1) Pharmacy Residencies and the ASHP Accreditation Standard for Postgraduate Year One (PGY1) Pharmacy Residency Programs.

In addition to the expectations outlined in the accreditation standards, the residents are expected to be able to:

  • Display professionalism on a daily basis
  • Uphold and adhere to all standards of the pharmacy profession
  • Demonstrate effective verbal and written communication skills
  • Demonstrate the ability to educate, teach and lead other healthcare providers
  • Demonstrate the ability to educate patients

The following activities are designed to achieve these outcomes and are required for successful completion:

  • Residents shall complete residency orientation and training in July
  • Residents shall obtain and maintain active pharmacist licensure (without restriction) in Nebraska
  • Residents shall successfully complete BLS and ACLS certification (PALS is optional)
  • Residents shall complete all service commitment required duties (including staffing and on-call program)
  • Residents shall participate in all patient required documentation activities
  • Residents shall complete all required, elective and longitudinal rotations
  • Residents shall attend assigned department and Nebraska Medicine meetings
  • Residents shall participate in medication safety initiatives or projects
  • Residents shall participate and present in the residency Leadership Development Series
  • Residents shall participate and present in journal clubs
  • Residents shall present and attend Pharmacy Grand Rounds (PGR) seminars
  • Residents shall attend the annual Residency Fall Retreat
  • Residents shall attend ASHP’s Midyear Clinical Meeting (at the discretion of the program director)
  • Residents shall participate in all residency recruitment activities (at the discretion of the program director)
  • Residents shall participate in the teaching of P4 pharmacy students on clinical rotations
  • Residents shall participate in teaching activities at the UNMC College of Pharmacy
  • Residents shall complete a research project designed to improve the services of the department and/or contribute knowledge to the pharmacy profession
  • Residents shall present their research project at the Midwest Pharmacy Residents Conference
  • Residents shall complete a research project manuscript
  • Residents shall complete a teaching certificate program

Staffing

PGY1 residents are required to fulfill the service commitment (staffing) designed to ensure that residents gain experience and can function as competent clinical practitioners. Each resident will train with preceptors and basic training will take place during the first month of residency. At the conclusion of the basic training period, the designated preceptors and the resident will mutually determine if the resident is ready to function independently as a pharmacist.

  1. As part of the service commitment for postgraduate year one (PGY1) residents, the following staffing requirements apply:
    1. Residents will begin staffing and on-call training in July. All training shifts will be completed under supervision by a licensed pharmacist/residency preceptor.
    2. Residents will not be allowed to staff or participate in the on-call program independently until they are licensed in Nebraska and have successfully completed their training in July.
    3. Residents will staff at a minimum of one weekend per month (this includes on-call weekends).
    4. Residents will staff evenings on a rotating basis.
    5. Residents will participate in the in-house on-call program on a rotating basis.
    6. PGY1 residents are responsible for switching with other PGY1 residents any scheduled shifts they are unable work due to either illness, not being licensed in August or other reasons throughout the residency year.
    7. Residents may not use PTO for regularly scheduled weekend shifts (these must be switched with another resident).
  2. Holidays
    1. Residents are not granted compensation time for working legal holidays recognized by Nebraska Medicine.
    2. Residents will not accrue a floating holiday (e.g. birthday).
    3. Holidays recognized by the Nebraska Medicine include: (New Year’s Day, Memorial Day, Independence Day, Labor Day, Thanksgiving and Christmas).
    4. Holidays are divided up and chosen by residents during orientation and approved by the residency program director and manager.
    5. PGY1 residents must work two holidays with all holidays divided among all PGY1s:
      1. First holiday: (Christmas or New Year’s Day)
      2. Second holiday: (Labor Day, Memorial Day or Thanksgiving)
    6. PGY1 residents will divide up the week of Christmas and New Year’s and staff (including on-call) a minimum of 40 hours (without extra monetary compensation). PGY1 residents will not be required to be on hospital grounds around the holiday week (Christmas or New Year’s) to which they were not assigned to staff.
  3. PGY1 residents will not be required to fill vacant shifts from pharmacists’ unscheduled absences, but may be asked to work shifts above and beyond normal residency staffing requirements while following duty hour and internal moonlighting requirements/policy.
    1. Each resident that is asked to work any shift (including on-call) above and beyond normal residency program staffing requirements must inform and obtain approval from the resident’s preceptor, program director and manager of the assigned area.
    2. Residents are eligible for pay at the Nebraska Medicine casual pharmacist rate if they work any shift that is not part of the resident’s staffing or on-call obligation or rotational obligation only after approval by the resident’s program director and manager of the assigned area. Residents may only work up to a maximum of 16 hours for extra pay in any two week pay period. PGY1 resident shifts for extra pay will typically consist of working extra on a weekend or a weekday evening shift.
    3. As employees of the pharmacy department, residents may be asked to staff by management/leadership in certain circumstances to assist the department in delivering seamless patient care. When this occurs, managers, program directors and residents will convene to determine the appropriate plan.
    4. Other circumstances not listed in this policy may necessitate a resident receiving extra pay and these will be determined only on a case-by-case basis working with the resident’s program director, manager and if needed, their director.

Resident On-Call Program (In-House)

Pharmacy residents are required to participate in an in-house on-call program throughout the residency year. The purpose of the on-call program is to further develop each resident’s training, knowledge, expertise, confidence, application, and critical thinking skills in patient care management. The program focuses on residents developing an autonomous practice, participating in medical emergencies, providing clinical pharmacy services, and serving as a drug information resource to physicians throughout our institution.

Scope of Practice/Shifts and Hours of coverage

Shifts

  • PGY1 residents will complete approximately 25-28 on-call shifts/year with one on-call holiday shift
  • PGY1 residents will rotate on-call shifts
  • It is the responsibility of all residents to work with their resident colleagues to find coverage due to illness or leave

Hours and Duty Hours

  • Resident in-house on-call hours will be 2200-0700
  • Pre-call: In order to comply with duty hours, residents will be expected to leave the hospital at 1400 the day of their on-call shift and return by 2200. The only exception to this is when residents have a rotation that rounds in the afternoon, whereby they will be expected to finish rounds and utilize the on-call sleep room for strategic napping prior to their on-call shift
  • Post-call: Residents will be expected to leave the hospital at 1400 the day they are post- call and not return until the following morning. Exceptions are the following: 1) when residents are post-call on Saturday and Sunday mornings and 2) when residents are post-call having rounded in the afternoon on their pre-call day, they are expected to go home immediately after their on-call shift is completed preferably by 0730, and no later than 0800
  • Residents are expected to report any deviations from duty hours immediately to the program director and will complete duty hour compliance documentation on a quarterly basis in PharmAcademic

Activities Within Scope

  • Respond to all code blue, trauma code 99s, stroke, stat intubations and rapid responses (RRTs)
  • Response to pediatric codes are optional to attend with staff pharmacist
  • Provide medication information and medication management optimization recommendations to providers, fellow pharmacists, and nursing staff
  • Therapeutic drug monitoring on pass-off items located in the resident on-call in-basket
  • Continuous renal replacement (CRRT) medication dosing adjustments
  • Physician consults
  • Patient monitoring as instructed in resident on-call in-basket

On-Call Morning Report

  • Each resident will develop a morning “on-call summary report” and disseminate to pharmacy staff by 0800 each morning

Leadership Development Series

Throughout the year each resident leads the discussion of selected articles focusing on leadership philosophies and principles from politics, military, history, coaching, to pharmacy and medicine. All residents are required to contribute their thoughts about each article and explain how they plan to incorporate leadership philosophies, practices and principles as a pharmacist part of a multidisciplinary team taking care of patients at the bedside or in the ambulatory care setting. This strategy is used to assist residents in taking the first step in the development of their own leadership style. During the last part of the residency year, residents are educated on a brief history of the pharmacy profession by leading discussions on selected Harvey A.K. Whitney Award lectures. One lecture is selected from each decade dating back to the 1950s and ending with a reading and discussion of the most recent Harvey A. K. Whitney Award recipient. After each session, residents discuss the vision of leaders of the past and relate that vision to the present and describe how challenges the profession faces today can be overcome. Residents are encouraged to imagine what their legacy will be and what they would want future leaders to say about them twenty to thirty years from now. At the end of each leadership session, residents will read out loud a “Letter to a Young Pharmacist” and at the end of the year each resident will write and present their own “Letter to a Young Resident.”

Fall Retreat

For over 20 years, the annual residency fall retreat continues to be one of the many highlights of the residency year. The two day retreat occurs each September at the Lied Lodge in Nebraska City, NE and is nestled on picturesque grounds once owned by J. Sterling Morton, founder of Arbor Day. The retreat focuses on the development of effective teambuilding skills by uniting residents, building trust, addressing areas of improvement and highlighting strengths in order to provide exceptional patient care. The retreat is a venue for residents to learn more about each other and gain information on topics not generally covered in a traditional residency curriculum. Experts from various fields are invited to speak on the following topics: pharmacy leadership, StrengthsFinder® assessment, the power of constructive criticism, ethical issues in pharmacy, staying current with medical literature, resident personal finance 101, generations in the work force, and crew resource management. Residents attending the retreat participate in a half-day ropes-based challenge course that enhances their trust in each other as they complete the physically demanding course. Through the challenge course, residents learn how to utilize their strengths (physically and mentally), facilitate communication skills, develop an increased self-awareness, and work together to evolve into a cohesive group. Residents are encouraged to understand more about their strengths and utilize them throughout the residency year in order to achieve program objectives and personal goals.

Research Project

Residents are required to develop and complete a research project. Residents will select a research topic based on their clinical interests. Faculty and clinical staff will present project ideas during orientation. An appropriate preceptor will be selected to guide and supervise the resident. Residents will develop a formal research proposal. If necessary, the resident will submit the proposal for IRB approval. A completed research project form, formal proposal, completed IRB (if required), oral presentation at the Midwest Pharmacy Residency Conference and final written manuscript are required for successful completion of the project.

Poster Presentation at the Vizient University HealthSystem Consortium

Residents will have an opportunity to present a poster on their research topic at the Vizient University HealthSystem Consortium (UHC) meeting held in conjunction with the ASHP Midyear Clinical Meeting.

Attendance/Presentation at the Midwest Pharmacy Residents Conference (MPRC)

Each resident is required to attend and present research findings at the MPRC held each spring. Each resident will make a brief presentation on their project which will be evaluated by a preceptor from within or outside of the program.

Pharmacy Grand Rounds

Each resident will present two formal Category 1 Continuing Medical Education (CME) accredited seminars during the residency program. Grand Rounds are scheduled between September through June (excluding portions of December and February). The goal of the seminar is to improve the resident’s communication skills and techniques, literature evaluation, and understanding of the continuing education process. The topic will be selected by the resident with guidance from at least one pharmacist or faculty member.

Journal Club

Residents will formally present one journal club during the residency year to staff and faculty. This will include a self-evaluation and a formal evaluation. Residents may be asked on rotations to formally present journal articles.

Teaching Certificate Program

The Teaching Certificate Program will allow the resident to participate in a wide-variety of activities related to pharmacy education and explore the external forces that impact the educational process. The focus is to introduce pharmacy residents to the many aspects involved in teaching including both didactic and clinical instruction. Residents will gain a broad understanding of pharmacy education on an institutional and national level. Residents will develop their own teaching portfolio and teaching philosophy.

Participation in teaching activities

Resident involvement in all teaching activities fosters the development and refinement of the resident’s communication skills and knowledge base. This experience can build confidence and promote the effectiveness of the resident as a teacher. Residents will serve as co-preceptors for P-4 pharmacy students on clinical rotations and are expected to act as role models for our future practitioners. In addition, residents will collaborate with the UNMC College of Pharmacy by participating in activities including inservices, didactic lectures, case studies and small group discussions throughout the year. In all circumstances, each resident will work under the guidance of a preceptor.

Rotations

Rotations are designed to integrate clinical practice, teaching and research. Throughout the year, residents participate in several longitudinal experiences to further enhance their training.

Required Rotations (each one month)

  • Orientation (July)
  • Ambulatory Care
  • Critical Care
  • Drug Information
  • Internal Medicine I
  • Management
  • Research (December)

Elective Rotations (5 months)

  • Adult Stem Cell Transplant
  • General Medical Oncology
  • Cardiovascular ICU
  • Medical ICU
  • Neuro ICU
  • Trauma ICU
  • Acute Care Cardiology
  • Heart Failure/Heart Transplant
  • Adult or Pediatric Liver Transplant
  • Internal Medicine II
  • Infectious Diseases
  • Antimicrobial Stewardship
  • Kidney/Pancreas Transplant
  • Neonatal Intensive Care
  • Emergency Medicine
  • Toxicology
  • Anesthesia/OR Pharmacy
  • Geriatrics

Longitudinal Rotations

  • Leadership Development Series
  • Pharmacy Grand Rounds
  • Journal Club
  • Medication Safety
  • Research
  • Resident On-Call Program (In-House)
  • Patient Care Staffing Experience
  • Teaching Certificate Program

Practice Area

Nebraska Medicine is the clinical partner of the University of Nebraska Medical Center (UNMC), which includes the Colleges of Medicine, Pharmacy, Nursing, Dentistry and Allied Health. UNMC, with an enrollment of approximately 3,800 students, is the only public academic health science center in Nebraska and is internationally recognized as a leader in patient care, research and education. The not-for-profit hospital is known for excellence and innovation in medicine.

Nebraska Medicine is a 676 bed, Comprehensive Level trauma center with approximately 59,000 emergency room visits per year. As the primary teaching hospital for UNMC, Nebraska Medicine is a respected leader in solid organ transplantation, cardiology, blood and marrow transplantation, oncology and neurosciences.

Nebraska Medicine brings together the expertise of private practice medicine with the strengths of an academic health center. The many areas of specialization give each resident a variety of experiences, from the critically ill neonate to the cancer patient undergoing blood and marrow transplantation. By combining state-of-the-art research, education and exceptional patient care, we offer the best of both worlds.

The working relationship between Nebraska Medicine and the UNMC College of Pharmacy provides a solid foundation for a quality pharmacy residency program. The program provides an excellent mixture of clinical experiences, one-on-one interaction with faculty and preceptors, and the flexibility to modify the program to meet each resident’s needs. In addition, the residency provides many opportunities for educating and precepting students. The end product is pharmacy training that actively involves the resident in patient care, teaching and research.

Qualifications of Resident Applicants

Qualifications for participation in Nebraska Medicine’s PGY1 Residency Program are in accordance with criteria set forth by the American Society of Health-System Pharmacists (ASHP).

  • Resident applicants shall be graduates of an Accreditation Council for Pharmacy Education (ACPE)-accredited Doctor of Pharmacy degree program
  • Resident applicants must be licensed or eligible for licensure as a pharmacist in the state of Nebraska
  • Licensure must be obtained by July 31
  • Resident applicants shall participate and adhere to all rules of the ASHP Resident Matching Program

Application Information

Candidates are required to complete and submit an online electronic application through PhORCAS. No hardcopy applications will be accepted. Please review the application agreement below to proceed to the PhORCAS website.

Please refer to PhORCAS for the application deadline.

Required application materials include the following:

  • letter of intent (addressing program specific questions)
  • curriculum vitae
  • pharmacy school transcripts
  • three PhORCAS standardized references

Program specific application information for PhORCAS are as follows:

Letter of Intent

A one page letter of intent addressed to Dr. Patrick D. Fuller. In this letter, please address the following:

  1. Why would you like to pursue a residency at Nebraska Medicine?
  2. Why are you choosing to complete a pharmacy residency and how do you feel this experience will influence your career?
  3. Describe one situation in which you influenced a patient’s medical therapy.

Curriculum Vitae

Your curriculum vitae must include (if applicable) a minimum of:

  • Work experience
  • Leadership experience
  • Organizational involvement and positions held
  • Philanthropy/community service
  • Presentations
  • Honors/awards
  • Research experience/publications
  • Rotational experiences

PhORCAS Standardized References

  • Three standard references are required through PhORCAS
  • Two of the references must be from clinical preceptors who can attest to your abilities as a pharmacy professional, commenting on your character, personality, dependability, professionalism and clinical abilities

After receipt of all application materials above, applicants will be reviewed and a select number of candidates will be invited for a required onsite interview.

Application Agreement

The applicant applying through the Pharmacy Online Residency Application Service (PhORCAS) acknowledges and agrees to the following:

I certify that the information contained in the PhORCAS application is true to the best of my knowledge and belief. I understand that any omission of facts or misrepresentation is cause for denial of employment and/or dismissal (if hired) regardless of when discovered.

I grant permission for the authorities of Nebraska Medicine to investigate my work references and release them and any former employer from any and all liability resulting from such investigation. Upon my termination, I authorize the release of reference information on my work.

I agree to submit to a post-offer physical, including drug and/or alcohol screening and recognize employment is contingent upon successfully meeting physical requirements.

I further agree that if I’ve been convicted of a crime, the authorities of Nebraska Medicine may obtain the details of my conviction to determine its relationship to the position I’m applying for as a condition of my employment.

In consideration of my employment, I agree to conform to the rules and regulations of Nebraska Medicine. My employment may be terminated, with or without cause, at any time, at the option of Nebraska Medicine or myself. I certify that the information submitted in this application is complete and correct to the best of my knowledge and belief. I grant Nebraska Medicine permission, if necessary, to request additional information from previous schools and employers concerning my academic record and professional ability.

You will be required to obtain a Nebraska license by July 31.

Federal law requires evidence of identity and employment eligibility upon hire.

Nebraska Medicine is an EOE/AA Employer

Continue to the PhORCAS website

Contact

Patrick D. Fuller, Pharm.D., BCPS
Pharmacy Staff Development Coordinator
PGY1 Pharmacy Residency Program Director
Adjunct Associate Professor, UNMC College of Pharmacy
Nebraska Medicine
981090 Nebraska Medical Center
Omaha, NE 68198-1090
Office (402) 559-8253
Fax: (402) 559-4907
Email Patrick Fuller

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