PGY2 Emergency Medicine Pharmacy Residency

Purpose and Program Overview

The ASHP-accredited residency in Emergency Medicine (EM) is a twelve month program of training and experience based upon the ASHP standards for PGY2 Pharmacy Residencies in Emergency Medicine. The program will begin in early July and finish at the end of June the following year. Upon successful completion of the residency requirements, the resident is awarded a certificate of program completion.

The PGY2 EM residency program at CaroMont Regional Medical Center (CRMC) strives to inspire and promote professional growth within the EM specialty through focusing the majority of rotations in the emergency department and allowing for independent practice with preceptor oversight. Following the completion of residency, the pharmacist will be recognized as a board certification eligible EM pharmacy clinician that provides evidence-based drug therapy management who is capable of establishing and advancing EM pharmacy practice.

The purpose of the PGY2 EM Pharmacy Residency is to build on Doctor of Pharmacy (Pharm.D.) education and PGY1 pharmacy residency programs to contribute to the development of clinical pharmacists in specialized areas of practice. PGY2 residencies provide residents with opportunities to function independently as practitioners by conceptualizing and integrating accumulated experience and knowledge and incorporating both into the provision of patient care or other advanced practice settings. Residents who successfully complete an accredited PGY2 pharmacy residency are prepared for advanced patient care, academic, or other specialized positions, along with board certification, if available.

The emergency department (ED) at CRMC is a 63-bed, Level 3 trauma center that has over 115,000 patient visits annually. The department includes designated areas for pediatric, pediatric psychiatry, and adult psychiatry patients. Clinical pharmacy services are provided by a decentralized emergency medicine pharmacist 24 hours a day, 7 days per week. The ED utilizes a bedside bar-coded drug administration system in combination with prospective pharmacy order verification to provide the highest quality care to our ED patients. CRMC is accredited by the Society of Cardiovascular Patient Care as a Chest Pain Center and is a recognized Primary Stroke Center. In addition to CRMC, CRMC Mount Holly is a 14-bed free-standing Emergency Department located 10 miles northeast of the main medical center which also provides emergency medicine clinical pharmacy services.

Throughout the PGY2 year, residents engage in a variety of clinical experiences tailored to their specific interests and goals. The resident will be part of the multidisciplinary team providing pharmaceutical care through prospective order review, antibiotic recommendations, service on the trauma/priority response team, provision of real-time drug information, and direct consultation with physicians.

Learning Experiences

Required Rotations:

Orientation (1 month)
Introduction to Emergency Medicine (2 months)
Critical Care (1 month)
Adult Emergency Medicine I- Trauma/Neurology (1 month)
Adult Emergency Medicine II- Cardiovascular/Pulmonary (1 month)
Adult Emergency Medicine III- GI/Renal/Endocrine (1 month)
Emergency Medicine Precepting (1 month)
Neonatal Intensive Care (1 week concentrated experience)
Pediatric Emergency Medicine (1 month)
Pre-Hospital Care (EMS) (2 week concentrated experience)
Toxicology at Carolinas Poison Center (1 month)

Elective Rotations (1 month):

Advanced Emergency Medicine Precepting
Advanced Infectious Diseases
Special Populations
Pharmacy Management
May repeat any on-site required rotation based on resident interest and preceptor availability

Longitudinal Requirements:

Antimicrobial culture follow-up
Code blue response
Residency leadership involvement
Committee involvement (Sepsis, Resuscitation, Stroke)
Edit and compile the ovERdose: The ER Pharmacy Newsletter (distributed internally on a monthly basis to ED providers, nurses, and all pharmacists)
Manuscript preparation and submission
Precepting (Paramedic students, pharmacy students, and PGY1 residents)
Teaching certificate program (optional: offered through High Point University, application required)
Presentations:
- Lunch and Learn
- Journal Club
- SERC research presentation
- CE Seminar presentations: 1 hour presentation in fall to the Gaston County Pharmaceutical Association (GCPA)
Professional conference attendance:
- American Society of Health-System Pharmacists Midyear Clinical Meeting (required)
- Southeastern Residency Conference (SERC) or similar residency conference for research presentation (required)
- American College of Emergency Physicians Scientific Assembly (strongly encouraged)
Staffing:
- Every other weekend staffing in the ED
- One weekday afternoon every other week in main pharmacy for first third of the residency year
- Holiday staffing
Research project
Monthly resident meeting attendance

Candidate Information

CRMC does not currently sponsor candidates for H-1B visa status to work as pharmacy residents.

Interested candidates may direct correspondence to the program director:
Kristin Eginger, PharmD, BCCCP
kristin.enginger@caromonthealth.org