Postgraduate Year Two (PGY2) Emergency Medicine

The ASHP-Accredited PGY2 Pharmacy Residency in Emergency Medicine at Nebraska Medicine offers a unique and stimulating learning environment that provides comprehensive clinical training in emergency medicine pharmacy practice. A resident completing this program will become a competent practitioner in the care of emergency medicine pharmacy by gaining knowledge, expertise, confidence, time management, complex problem solving, and critical thinking skills in patient care. The goals and objectives for this program are aligned with the ASHP Emergency Medicine PGY2 Accreditation Standards.

The resident will be integrally involved with health-care professionals throughout the continuum of patient care, including patient education, assessment and therapeutic recommendations. Working with experienced pharmacy clinicians, the resident also will gain experience serving as a preceptor for pharmacy students and PGY1 pharmacy residents. Residents will provide compassionate, evidence-based, progressive medical care. The program allows tailored instruction for the individual based on interest and past experiences.

Benefits

Salary and Paid Time Off (PTO)

  • PGY2 residents will receive a stipend of $48,900
  • Residents will be given 12 days for vacation and sick time during their 12-month program.

Benefits

  • Health insurance: comprehensive medical, dental and vision care coverage effective July 1.
  • 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 attending the Fall Resident Retreat, ASHP’s Midyear Clinical Meeting, the Society of Critical Care Medicine's Annual Congress, and a resident research conference. Funding for additional meetings may be provided at the discretion of the director of Pharmaceutical and Nutrition Care.

Educational Leave

The program provides the following days of required educational leave which are not deducted from the resident’s PTO allotment.

  • Advanced Cardiac Life Support (ACLS) training and testing (two days, if not already certified)
  • Pediatric Advanced Life Support (PALS) training and testing (two days, if not already certified)
  • Neonatal Resuscitation Program (NRP) training and testing (one day, if not already certified)
  • Resident Fall Retreat (two weekdays)
  • ASHP Midyear Clinical Meeting (up to four weekdays)
  • ACEP Scientific Assembly (up to three weekdays)
  • Resident Research Conference (one or two weekdays)

Nebraska Medicine PGY2 General Residency Requirements

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 Two (PGY2) Pharmacy Residencies and the ASHP Accreditation Standard for Postgraduate Year Two (PGY2) 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
  • Participate in quality improvement initiatives

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 successfully complete or maintain BLS, ACLS, PALS, and NRP certifications. 
  • Residents shall complete all service commitment required duties (e.g., staffing, on-call)
  • Residents shall participate in all patient required documentation activities
  • Residents shall successfully complete all required, longitudinal, and selective rotations
  • Residents shall attend assigned meetings
  • Residents shall participate and present in the resident leadership development series (if a similar one was not completed as a PGY1 resident)
  • Residents shall participate and present in assigned journal clubs and case conferences
  • Residents shall present and attend Pharmacy Grand Rounds (PGR) seminars
  • Residents shall attend PGY2 program specific seminars and topic discussions
  • Residents shall attend the Fall Residency Retreat
  • Residents shall attend ASHP’s Midyear Clinical Meeting
  • Residents shall participate in all residency recruitment activities
  • Residents shall participate in the teaching of pharmacy students and PGY1 residents 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 complete a medication use evaluation (MUE) and disseminate the results to the appropriate audience as required by their specific PGY2 program
  • Residents shall (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 publish periodic newsletters or bulletins for health-care providers on timely medication-related matters and medication policies as required by their specific PGY2 program
  • Residents shall prepare medication therapy monographs based on an analytical review of pertinent biomedical literature as required by their specific PGY2 program

Staffing

PGY2 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.

As part of the service commitment for PGY2 residents, the following staffing requirements apply:

  1. The PGY2 emergency medicine resident will cover approximately 18-22 overnight on-call shifts
  2. The PGY2 emergency medicine resident will staff approximately 30-40 shifts in the emergency department
    1. Approximately one weekend (Saturday and Sunday, 8-10 hours) every two to three weeks
    2. Two holiday shifts (8-10 hours) - one summer and one winter holiday
  3. Staffing will occur primarily in the resident’s specialty area of training

Leadership Development Series

Residents are future leaders in the profession. Residents are required to attend leadership development meetings if not already completed as a PGY1. Residents will lead article discussions regarding leadership philosophies from many aspects of life. Residents will read and discuss selected essays from the Harvey Whitney Award Lectures. Residents are encouraged to assess their own leadership philosophy/style and use the residency year as a way of further developing their leadership skills.

Fall Retreat

Each year a resident retreat is arranged to provide each resident the opportunity to participate in team building. Lectures will be provided on various topics including but not limited to the following: communication, leadership, personal growth, ethics, finance, stress management and personality traits. This is a very rewarding experience and is an overnight event..

Research Project

Residents are required to develop and complete a research project. Residents will select a research topic with the PGY2 RPD based on their clinical interests and departmental needs. 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 and/or poster presentation at an RAC-approved appropriate resident research venue (to be determined on a yearly basis), and final written manuscript are required for successful completion of the project.

Pharmacy Grand Rounds

Each resident will present one formal Category 1 Continuing Medical Education (CME) accredited seminars during the residency program. Grand Rounds are scheduled between August through June (excluding portions of December and February). PGY2 residents are typically expected to present during the first half of the residency year. 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.

Resident on-Call Case Conference

Residents will formally present one case presentation to faculty and staff during their residency year. The ED PGY2 resident is typically expected to present during the first half of the year. These cases revolve around pharmacotherapy topics, include primary literature and be a case in which the resident was directly involved.

Teaching Certificate Program

This is voluntary for PGY2 residents, but strongly encouraged if the PGY2 resident did not complete a teaching certificate program as a PGY1. 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 pharmacy students and PGY1 residents 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.

Chief Pharmacy Resident

The chief pharmacy resident is a specialty pharmacy resident (PGY2) who coordinates and keeps track of activities associated with all concurrent pharmacy residents. The chief resident also provides leadership, support and encouragement to all residents as a peer in clinical practice. The chief pharmacy resident serves as the secretary on the Residency Advisory Committee (RAC) and works closely with all program directors.

Rotations

Required Rotations

  • Orientation (July)
  • Research (December)

Longitudinal Rotations

  • Research
  • Service (Staffing and On-Call)
  • Emergency Management/Preparedness
  • Pre-Hospital Care/Emergency Medical Service (EMS) 

Core Rotations

  • Emergency Medicine - Intro (2 months)
  • Emergency Medicine - Advanced (3 months)
  • Emergency Medicine - Community-Based ED (1 month)
  • Trauma/Surgical Critical Care (1 month)
  • Critical Care Medical (1 month)
  • Emergency Medicine - Pediatrics, Neonatal, and Women's Health (1 month)
  • Toxicology (1 month)

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 3,600 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 licensed for 809 beds. The main campus is a 48-bed emergency department with over 64,000 emergency room visits per year, has 36 operating rooms, Comprehensive Stroke center, and is a Comprehensive Level One trauma center. Additionally, opening Fall of 2020, Nebraska Medicine will house a new psychiatric emergency services unit that works closely with the emergency department. 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 also has the one of the only biocontainment units in the United States and is the largest of all biocontainment units in the US. 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 clinical preceptors and the flexibility to modify the program to individual needs. In addition, the residency provides many opportunities for educating and precepting students. The end result is pharmacy training that actively involves the resident in patient care, education and research.

Qualifications of Resident Applicants

Qualifications for participation in Nebraska Medicine PGY2 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.
  • Residents applicants must be participating in, or have completed, an ASHP -- accredited PGY1 pharmacy residence or one in the ASHP accreditation process (i.e., one with candidate or preliminary accreditation status).
  • 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 Process.

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 Krysta Baack, PharmD, BCPS. 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.

Applicant 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

Krysta Baack, PharmD, BCPS
Emergency Medicine Pharmacy Clinical Coordinator
PGY2 Emergency Medicine Pharmacy Residency Program Director
Nebraska Medicine
981090 Nebraska Medical Center
Omaha, NE 68198-1090
Phone: (402)-559-8857; Fax: (402) 559-3132
Email: krbaack@nebraskamed.com