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Reports to (job title): Nicholas Palisano, Residency Program Director, Infectious Diseases
Job/Program Summary: The PGY2 resident is a registered pharmacist pursuing a second one-year post-graduate experience in acute care clinical practice. Provides comprehensive pharmaceutical care through integrated drug distribution, clinical services and teaching. Provides services consistent with other services provided by pharmacists at BIDMC and additional clinical services aligned with the specialty residency. The residency training program is jointly supported by the Massachusetts College of Pharmacy and Health Sciences University (MCPHS University) and BIDMC. A program designed to transition PGY1 residency graduates from generalist practice to Infectious Diseases specialized practice. Residency graduates are equipped to participate as integral members of interdisciplinary teams caring for patients with infectious diseases, assuming responsibility for their pharmaceutical care eventually as an independent practitioner. Practical experiences include general and immunocompromised inpatient consultation services, an outpatient HIV clinic, Infection Control, Microbiology, Outpatient Antimicrobial Therapy services and antimicrobial stewardship benchmarking. The resident is responsible for conducting at least one research project. A range of elective rotations allows the residents to customize their program to match their interests. Flexibility within the program allows residents to select elective rotations to maximize their exposure to their areas of interest. BIDMC’s affiliation with MCPHS and Northeastern University provides the resident with a number of teaching opportunities including facilitation of therapeutic seminars/patient case discussions and didactic teaching opportunities. Access to Clinical Decision Support through EPIC allow for integrated post-prescriptive reviews. Mentorship in Informatics allows residents to participate in practice defining support for dosing by clinical indication and estimated renal function. Residents are trained to update and validate the antibiogram, to participate in discussions with Clinical Microbiology and Lab Services, and build upon process improvement. Residents learn alongside the Infectious Diseases fellows, particularly those in our Antimicrobial Stewardship track and Infection Control, to build clinical patient management skills and institutional surveillance skills. Access to high-level didactic lectures daily including a Harvard Medical Curriculum, Intercity Conferences and specialty programming in HIV, immunocompromise and local preceptor-run sessions afford an abundance of learning.
2. PGY2 Critical Care Pharmacy Resident
Reports to (job title): Pansy Elsamadisi, Residency Program Director, Critical Care
Job/Program Summary: Building upon PGY1 pharmacy residency training, the PGY2 critical care program at BIDMC provides the residents with opportunities to develop and refine their skills in the provision of clinical and operational services within the acute care setting and ultimately function independently as practitioners in various intensive care units including but not limited to the medical ICU, neurological ICU, surgical/ liver transplant ICU, trauma ICU, cardiovascular ICU, and the emergency department. Additionally, we offer elective rotations in Medication Safety, Hematology/Stem Cell Transplant, and Infectious Diseases. Furthermore, to expand the residents' portfolio, the resident will be involved in numerous longitudinal activities designed to expand their experiences in pharmacy and health-system leadership such as participation in hospital-wide committees, the formulary and medication use process, drug policy, code response, clinical-on-call and medication safety. Lastly, we offer a number of teaching responsibilities including seminar facilitation, precepting pharmacy students and PGY1 residents, and/or participation in review sessions at MCPHS University. At BIDMC, we work with the resident to ensure elective rotations and experiences align with their interests and career plans. We hope by offering and integrating unique experiences throughout the PGY2 residency, the critical care resident will not only be equipped with an above-average knowledge base but also exposure to a plethora of critical care experiences. Residents who complete the PGY2 critical care residency are prepared for advanced patient care, academic, or other specialized positions, along with board certification.
3. PGY2 Cardiology Pharmacy Resident
Reports to (job title): Sonia Kothari, Residency Program Director, Cardiology
Job/Program Summary: Building upon PGY1 pharmacy residency training, the PGY2 cardiology program at BIDMC provides the residents with opportunities to function independently as practitioners in various cardiology settings, including but not limited to cardiac medicine, cardiac ICU, cardiac surgery ICU, and ambulatory cardiology. We hope by offering and integrating unique experiences throughout the PGY2 residency, the cardiology resident will not only be equipped with an above-average knowledge base but also exposure to a wide variety of cardiology experiences. Residents who complete the PGY2 cardiology residency are prepared for advanced patient care, academic, or other specialized positions, along with board certification.
The PGY2 cardiology program at BIDMC provides the resident with in-depth training and practice experience in the core rotations (General Cardiology, Advanced Heart Failure/Cardiac Transplant, Cardiac ICU, Cardiovascular Surgery ICU, and Ambulatory Cardiology) as well as with elective rotations (Cardiometabolic Clinic, Anticoagulation Clinic, Complex Hypertension, Emergency Medicine, and Medical Intensive Care Unit). At BIDMC, we work with the resident to ensure elective rotations and experiences align with their interests and career plans. Additionally, the resident will be involved in numerous longitudinal activities during the residency designed to expand the resident's experiences in pharmacy and health-system leadership, the formulary and medication use process, drug policy, code response, and medication safety. These longitudinal experiences include involvement in a medication use evaluation and research, code blue coverage, clinical on-call coverage, participation in hospital-wide committees, teaching responsibilities via MCPHS University, etc. Additionally, residents will develop and refine their skills in the provision of clinical and operational services within the acute care setting.
4. PGY2 Ambulatory Care Pharmacy Resident
Reports to (job title): Katelyn Smith, Residency Program Director, Ambulatory Care
Job/Program Summary: The PGY2 Pharmacy Residency in Ambulatory Care at BIDMC is designed to transition PGY1 residency graduates from generalist practice to specialized practice focused on the care of ambulatory patients. Upon successful completion of the program, residents will have achieved the following required educational outcomes, goals, and objectives for the PGY2 Pharmacy Residency in Ambulatory Care:
Serve as an authoritative resource on the optimal use of medications in ambulatory patients
Provide efficient, effective, evidence-based, patient-centered treatment for chronic and/or acute illnesses in all degrees of complexity
Demonstrate leadership and practice management skills
Promote health improvement, wellness, and disease prevention
Demonstrate excellence in the provision of training or educational activities for health care professionals and health care professionals in training
Demonstrate the ability to secure the agreements necessary for the establishment of a collaborative interdisciplinary ambulatory practice
5. PGY2 Oncology Pharmacy
Reports to (job title): Sarah Smalec, Residency Program Director, Oncology
Job/Program Summary: The BIDMC PGY2 in Oncology program provides the resident the opportunity to gain foundational knowledge and skills important for a specialized practice in hematology/oncology pharmacy. The program offers a diverse set of opportunities aimed at preparing the resident for a range of careers within the hematology/oncology landscape. The core rotations in inpatient medical oncology, inpatient malignant hematology, inpatient cellular therapy, a variety of outpatient clinics, our infusion center, and investigational pharmacy, all serve to establish a foundation in common disease states seen in oncology. We then work with residents to identify elective rotations that align with their goals and interests. Additionally, longitudinal practice management and research activities serve to prepare the resident to be leaders in their field. Residents who complete the PGY2 oncology pharmacy residency are prepared for advanced patient care, academic, or other specialized positions, along with board certification.
Required Qualifications:
PharmD from an accredited program.
Completion and certificate from an accredited PGY1 Pharmacy Residency Program
Licensed by the Commonwealth of Massachusetts as a Registered Pharmacist from the Board of Registration in Pharmacy within 3 months of residency start.
Experience with computer systems required, including web-based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint and Access.
Preferred Qualifications:
Acute care and specialty rotations during PGY1 training and Advance Practice Educational experiences in Infectious Diseases, Oncology, Critical Care, Cardiology or Ambulatory Care depending on program
Beth Israel Deaconess Medical Center (BIDMC) is a 750-bed academic medical center located amongst multiple high-profile medical centers in the Longwood area of Boston, MA. As a teaching hospital of Harvard Medical School with affiliations with multiple Colleges and Universities across healthcare disciplines including Massachusetts College of Pharmacy and Health Sciences University, Northeastern University, Boston College and Simmons College in Pharmacy, advanced clinical nurse education, physician’s assistance programs, the center is a hub for dedicated training, teaching and research. The center consists of two primary campuses serving a broad range of inpatient and outpatient services across multiple medical and surgical services including Level 1 Trauma, Cardiovascular Medicine, Endocrinology, Hepatology, General Medicine including a robust Hospitalist program, Hematology/Oncology, Nephrology, Pulmonary/Critical Care, Solid Organ Transplant and Stem Cell Transplant and Infectious Diseases among many. In 2019, BIDMC became part of Beth Israel Lahey Health (BILH) – a new healthcare system that brought together fourteen academic medical centers and teaching, community, and specia...lty hospitals in a shared mission to expand access to exceptional healthcare for more than 1.3 million people in Eastern Massachusetts. BIDMC is also clinically affiliated with the Joslin Diabetes Center and Hebrew SeniorLife and is a research partner of Dana-Farber/Harvard Cancer Center and The Jackson Laboratory. BIDMC is the official hospital of the Boston Red Sox. In the area of diversity and inclusion, BIDMC was named LGBTQ Healthcare Equality Leader by the Human Rights Campaign Foundation for ten consecutive years and has been recognized by Boston Magazine, which named 190 physicians and surgeons from 45 medical specialties affiliated with BIDMC in its “Top Doctors” guide.
The Department of Pharmacy at BIDMC employs approximately 200 FTEs including both inpatient and outpatient services. This consists broadly of an administrative team, clinical pharmacy specialists, clinical pharmacists, pharmacy residents, pharmacy technicians, students, and other support personnel who provide comprehensive pharmacy services to patients and other members of the healthcare team.
Inpatient and outpatient pharmacy services are provided by clinical pharmacists/specialists in a team based practice model. Within this model, pharmacists collaborate with interdisciplinary teams in assigned patient care areas/clinics and are responsible for the pharmaceutical care and medication management of their patients. In addition to medication order verification, pharmacists are actively involved in providing drug information, performing pharmacokinetic evaluation and dosing for select medications, reviewing medications for renal dose adjustment, reviewing pertinent laboratory information and assessing the impact on the patient’s medication profile, and monitoring target medications. This spectrum of care includes provision of services to adult and geriatric patient populations as well as premature and full term infants. In addition to the team-based/clinic pharmacy practice, the pharmacy operates several specialty areas including: investigational drugs, ambulatory infusions, and oncology infusion clinic services.
Medication reliability and safety are integral to the provision of optimal pharmaceutical care and the pharmacy including the Medication Safety division continually reviews medication incident reports, adverse drug events and medication errors to identify potential areas for improvement of systems. Active involvement in multidisciplinary quality assurance programs, assist the pharmacy in evaluating the specific needs of its patients.
The Department of Pharmacy works with both subcommittees and the overarching Pharmacy and Therapeutics (P&T) committee to review medications for formulary status, to perform and review medication use evaluations, to develop medication use policies, and to contribute to clinical resource management activities of the medical center. The P&T Committee provides an interdisciplinary forum that facilitates consistent communication between the members of the Department of Pharmacy and physicians, nurses, and other allied health professionals.
BIDMC is a part of the larger, regional Beth Israel Lahey Health (BILH) network and collaborates across the system level to provide coordinated pharmacy services across the greater Boston community. Members of the BIDMC team are involved in guideline/policy work and contribute to medication policy committees including a BILH System P&T Committee, Ambulatory Care, Infectious Diseases/Antimicrobial Stewardship, and Hematology Oncology committees and a Clinical-Operations Workgroup to tackle harmonization as a network.
In addition to the provision of inpatient and outpatient pharmaceutical services, the pharmacy department also serves as an Advanced Pharmacy Practice Experience (APPE) site for pharmacy students for nearby schools of pharmacy including serving as a practice site for Clinical Faculty from both Boston-based schools of pharmacy, MCPHS University and Northeastern University.