PGY2 Emergency Medicine

Download the PGY2 Pharmacy Residency in Emergency Medicine brochure

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.

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 718 beds. The main campus has a 48-bed emergency department (with flex capacity of up to 59) with over 55,000 emergency room visits per year, Comprehensive Stroke Center, and Comprehensive Level One Trauma Center. Nebraska Medicine is an ECMO and cardiac cath lab capable facility. Additionally, Nebraska Medicine houses a new psychiatric emergency services unit that works closely with the emergency department. As the main referral center for the area, Nebraska Medicine sees a multitude of complex and highly acute patient cases, lending well to residents’ education. 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.

Bellevue Medical Center is the sister hospital to Nebraska Medicine and is located just 15 minutes from the main campus facility. Bellevue Medical Center is regarded as a community hospital and has 98 total licensed beds in the hospital. Bellevue Medical Center has a 21-bed emergency department (with flex capacity of up to 26) with over 26,000 emergency room visits per year.

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.

Rotations

Required Rotations

  • Orientation (July)

Longitudinal Rotations

  • Research
  • Pharmacy Grand Rounds
  • Emergency Management and Disaster Preparedness
  • Emergency Medical Services/Pre-hospital Care (Omaha Fire Department and LifeNet Air Medical Transport)
  • Integrated Patient Care Services (staffing and resident on-call experience)
  • Community Health Care Services (Bellevue Medical Center emergency department staffing)
  • Medical Use Evaluation
  • Leadership Development Series (if not completed during PGY1)

Core Rotations

  • Intro to Emergency Medicine (8 weeks)
  • Toxicology (4 weeks)
  • Pediatrics/Women's Health (4 weeks)
  • Advanced Emergency Medicine (12 weeks)
    • ED focus (4 weeks)
    • Precepting focus (4 weeks)
    • Nocturnal ED focus (4 weeks)
  • Trauma/Surgical Critical Care (4 weeks)
  • Medical ICU (4 weeks)
  • Cardiology (4 weeks)

Elective Rotation Options (one, 2-week block)

  • Cardiovascular ICU
  • Neuro ICU
  • Psych Emergency Services
  • Infectious Disease/Antimicrobial Stewardship
  • Anticoagulation Stewardship
  • Diabetes Stewardship
  • Cardiology Subspecialty (ie. Heart failure, LVAD, heart/lung transplant, EP cardiology)

Additional Experiences

  • LifeNet Air Ambulance Ride Along (1-2 times per year)
  • Omaha Fire Department Ride Along (monthly)
  • Emergency Medicine Education Conference (weekly)
  • Omaha Metropolitan Healthcare Coalition (OMHCC)
  • Sports/Event Medicine
  • Multi-disciplinary simulations with emergency medicine residents/staff

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. One Friday evening Bellevue ED shift per 6 week schedule
    2. Two weekends per 6 week schedule (one main campus weekend on day shift and one main campus weekend on evening shift)
    3. Two holiday shifts (based on schedule need and RPD/ARPD discretion, typically one summer holiday and one winter holiday)
  3. Staffing will occur in the resident’s specialty area of training

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. There are also many opportunities for the PGY2 resident to teach within a multi-disciplinary setting including: monthly education to EM medical residents, nursing in-services, etc. In all circumstances, each resident will work under the guidance of a preceptor.

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)

 

Contact

Leigh Gomez, PharmD, BCCCP
Emergency Medicine Pharmacist Specialist
PGY2 Emergency Medicine Residency Program Director
Nebraska Medicine
981090 Nebraska Medical Center
Omaha, NE 68198-1090
Phone: (402) 559-2876
Email: legomez@nebraskamed.com

Hannah Stonewall, PharmD
Emergency Medicine Pharmacist Specialist
PGY2 Emergency Medicine Assistant Residency Program Director
Nebraska Medicine
981090 Nebraska Medical Center
Omaha, NE 68198-1090
Phone: (402) 559-2876
Email: hstonewall@nebraskamed.com

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