Since the first graduating class in 1974, Nebraska Medicine continues the rich tradition and commitment of advancing our profession through the training and education of pharmacy residents as future leaders. Through excellence and innovation, we strive to evolve our program and provide the best training environment possible. We are genuinely vested in the success of each resident and our unique family atmosphere contributes to the professional and personal development of all residents. The goal of the 12-month program is to equip each resident with the skills needed to enter a postgraduate year two residency or a practice position in an acute care setting.
It is an honor for the PGY1 program to have been the recipient of the 2016 ASHP Foundation Pharmacy Residency Excellence Award and is testimony to the outstanding commitment of residents, program directors, preceptors, technicians, students, nurses, providers, and pharmacy leadership at Nebraska Medicine. We remain committed to making each resident’s experience second to none and one of the most memorable times of their lives.
PGY1 Program Purpose: Our PGY1 pharmacy residency program builds on the Doctor of Pharmacy (Pharm.D.) education and outcomes to contribute to the development of clinical pharmacists responsible for medication-related care of patients with a wide range of conditions, eligible for board certification, and eligible for postgraduate year two (PGY2) pharmacy residency training.
Residents participate in all aspects of our comprehensive pharmacy services including:
- Antimicrobial, anticoagulation, and diabetes stewardship
- Code, trauma, and rapid response teams
- Education and precepting of pharmacy students
- Education of patients and health care professionals
- Experience with clinical pathways, protocols, and core measures
- Multidisciplinary medical team rounding
- Pharmacokinetic services
- Resident on-call program (in-house)
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 ensure 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, residents are expected to be able to:
- Uphold and adhere to all standards of the pharmacy profession
- Uphold and adhere to the iTEACH Values and policies of Nebraska Medicine
The following activities are required for successful PGY1 program completion:
- Residents shall complete required residency orientation and training
- Residents shall complete a minimum of two-thirds (2/3) of the residency as a pharmacist licensed to practice pharmacy in the state of Nebraska
- Residents shall successfully complete BLS and ACLS certification (PALS is optional)
- Residents shall complete service commitment required duties (including staffing and on-call)
- Residents shall participate and complete patient required activities (e.g., documentation, pharmacokinetics, counseling)
- Residents shall complete evaluations in PharmAcademic, quarterly development plans and other evaluations as assigned in a timely manner
- Residents shall complete rotational requirements
- 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 (at the discretion of their RPD) will present their research project (poster or podium) at a RAC approved venue determined on a yearly basis
- Residents shall complete a research project manuscript
- Residents shall complete a teaching certificate program
PATIENT CARE STAFFING EXPERIENCE
Residents are required to fulfill the service commitment (staffing) designed to ensure that residents gain experience and can function as competent independent practitioners. Each resident will be paired up with a staffing preceptor for the entire residency year. Basic training will take place during the first month of the residency. At the conclusion of the basic training period, the designated preceptor and the resident will mutually determine if the resident is ready to function independently as a pharmacist.
PGY1 residents will carry a code blue and a rapid response pager when they are staffing weekday evenings or weekends and during their on-call experience. This is meant to provide extra opportunities for PGY1s to gain experience in management of medical emergencies.
Residents are permitted to work additional shifts within the pharmacy department for additional compensation. Theses shifts may not interfere with any of the resident’s rotation or residency requirements, must be approved by the RPD, and associated clinical manager. Residents must obtain approval from the RPD and preceptor prior to working extra shifts for compensation to assure that it does not interfere with any of the resident’s rotational experiences.
HOW OFTEN WILL I STAFF AS A PGY1 RESIDENT AT NEBRASKA MEDICINE?
- About three weekday evenings per month from 1630-2200
- One weekend (Sat and Sun) every-other-month from 1330-2200
RESIDENT ON-CALL EXPERIENCE
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 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. The on-call sleep room is located among other medical resident on-call rooms.
HOW OFTEN WILL I PARTICIPATE IN THE ON-CALL EXPERIENCE AS A PGY1 RESIDENT AT NEBRASKA MEDICINE?
- One weekend every-other-month (Fri and Sat) from 2200-0600
- One to three on-call shifts (Mon-Fri)/month from 2200-0600
- PGY1 residents will complete approximately 27-29 on-call shifts throughout the year
- Resident in-house on-call hours are 2200-0600.
- 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™.
ON-CALL ACTIVITIES WITHIN SCOPE
- Respond to all medical emergencies
- Provide medication information and medication management optimization recommendations to providers, fellow pharmacists, and nursing staff
- Physician consults
ON-CALL MORNING REPORT
- Each resident will develop a “morning on-call summary report” and disseminate to pharmacy staff by 0800 each morning
HOW MANY HOLIDAYS WILL I WORK AS A PGY1 RESIDENT AT NEBRASKA MEDICINE?
- PGY1 residents must work two holidays (either as staffing or as on-call)
- First holiday: (Christmas or New Year’s Day)
- Second holiday: (Labor Day, Memorial Day or Thanksgiving)
- Holidays are divided up and chosen by residents during orientation and approved by the residency program director and manager
- 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
Residents are required to develop and complete a major research project. Residents will select a research topic based on their clinical interests. Preceptors will present project ideas during orientation. An appropriate associated preceptor will guide and supervise the resident throughout the year. Following approval of the research topic and preceptor by the Residency Advisory Research Committee (RAC Research), residents will develop a formal research proposal. The resident will submit the protocol for IRB approval. A completed research project form, formal proposal, completed IRB, and final written manuscript are required for successful completion of this longitudinal experience.
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. Residents are required to offer their insight and perspective about each article. Residents are encourages to deepen their self-reflection skills throughout the year. Residents are expected to contemplate and explain how they plan to incorporate leadership philosophies, practices and principles as a pharmacist in various future settings (e.g., as part of a multidisciplinary team taking care of patients at the bedside, as a future coordinator, residency program director, manager, director, or chief pharmacy officer). This strategy is used to assist residents in taking the first step in continuous leadership development.
Residents will read one book (selected by the RPD) and discuss key takeaways from the book and describe how lessons learned will be utilized to develop leadership skills.
Letter to a Young Resident
At the end of the year (June) each resident will write and present their own insight and wisdom in the form of a “Letter to a Young Resident” that they will hand off to the incoming residency class (the next generation of leaders).
ANNUAL RESIDENCY 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 October 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 team building 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, feedback, ethical issues in pharmacy, crucial conversations, culture conversations, communication styles, and resident personal finance.
Residents attending the retreat participate in a half-day ropes-based challenge course that builds their trust as they complete the mentally and physically demanding course. Through the challenge course, residents learn how to utilize their strengths (physical and mental), facilitate communication skills, develop an increased self-awareness, and work together to evolve into a cohesive group. Residents are encouraged to utilize their strengths throughout the residency year in order to achieve program objectives and personal goals.
PHARMACY GRAND ROUNDS (PGR)
PGR presentations consist of Category One CME approved continuing education provided to faculty, staff, students, physicians, physician assistants, nurses, and advance registered nurse practitioners. PGRs are scheduled between August and June (excluding portions of December through March). The goal of each PGR is to improve the resident's communication skills, literature evaluation techniques, and gain an understanding of the continuing education process. Topics will be selected by the resident with guidance from their PGR residency preceptor and should involve a therapeutic or practice management controversy. PGY1 residents will present one PGR in the fall and one PGR in the spring.
TEACHING CERTIFICATE PROGRAM
PGY1 residents are required to complete a teaching certificate program (affiliated with Creighton University) which 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 residents to the many aspects involved in teaching including 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.
UNMC COLLEGE OF PHARMACY TEACHING ACTIVITIES
Resident involvement in all teaching activities fosters the development and refinement of the resident’s teaching skills and knowledge base. These teaching opportunities complement the teaching certificate program, allowing the resident to enhance their teaching portfolio and utilize their knowledge from this course.
Residents will serve as co-preceptors for 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 in-services, didactic lectures, case studies and small group discussions throughout the year. In all circumstances, each resident will work under the guidance of a preceptor.
UNMC College of Pharmacy teaching activities that PGY1 residents will participate in throughout the year include the following:
- Pharmacotherapy lab facilitation (fall and spring)
- The student-patient interview evaluation portion of the physical assessment class
- The P3 rotational boot camp (spring)
CONCENTRATED ROTATIONAL EXPERIENCES
All rotational experiences are designed to integrate clinical practice, teaching and research. All required and elective rotations are one month in length.
- Internal Medicine I
- Drug Information
- Management/Medication Safety
- Ambulatory Care
- Critical Care
- Research/Project (December)
- Acute Care Cardiovascular
- Adult or Pediatric Liver Transplant
- Adult Stem Cell Transplant
- Anesthesia/Surgical Pharmacy
- Anticoagulation Stewardship
- Antimicrobial Stewardship
- Diabetes Stewardship
- Emergency Medicine
- General Medical Oncology
- Heart Failure/Heart Transplant
- ICU - Cardiovascular
- ICU - Medical
- ICU - Neurology
- ICU - Trauma
- Internal Medicine II
- Infectious Diseases
- Kidney/Pancreas Transplant
- Neonatal Intensive Care
Residents have the opportunity to volunteer at the Sharing Clinic, which is a student run clinic serving the underserved of the Omaha community. The clinic is staffed by medical, pharmacy, physician assistant, physical therapy, and lab students, and is overseen by a physician, pharmacist and any other licensed providers in attendance. Residents electing to participate will fill a position as the supervising PharmD and will oversee pharmacy students as they interview and examine patients with the medical students. Participating residents can use this opportunity to gain additional precepting experience.
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 more than 4,000 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 an 809 bed, Comprehensive Level trauma center with approximately 63,000 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.
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
Candidates are required to complete and submit an online electronic application through PhORCAS. No hard copy applications will be accepted. Please review the application agreement below prior to proceeding to the PhORCAS website.
Application Deadline: Please refer to PhORCAS for Nebraska Medicine’s application deadline.
Required application materials include the following:
LETTER OF INTENT
It is a requirement for applicants to submit a letter of intent (maximum 1.5 pages, 12 point font, 0.8 inch margins) addressing the following three questions:
- Why are you choosing to complete a pharmacy residency and how do you feel this experience will influence your career?
- Why would you like to pursue a residency at Nebraska Medicine?
- Describe one situation in which you influenced a patient’s medication therapy.
Your curriculum vitae should include (if applicable) a minimum of:
- Work experience
- Leadership experience
- Organizational involvement and positions held
- Philanthropy/community service
- 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
PHARMACY SCHOOL TRANSCRIPTS
- Please submit your pharmacy school transcripts through PhORCAS.
- After receipt of all application materials above, applications will be reviewed and a select number of candidates will be offered an interview.
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.
I understand that I will be required to obtain a Nebraska license to practice pharmacy by July 31 of my residency year.
Federal law requires evidence of identity and employment eligibility upon hire.
Nebraska Medicine is an EOE/AA Employer
Patrick D. Fuller, Pharm.D., BCPS, FASHP
Inpatient Pharmacy Clinical Supervisor
PGY1 Pharmacy Residency Program Director
Adjunct Associate Professor, UNMC College of Pharmacy
981090 Nebraska Medical Center
Omaha, NE 68198-1090
Email Patrick Fuller