UC San Diego Health is a university-affiliated teaching hospital which provides the unique capability to engage each of our residents in direct patient care activities, research, administration and project management, and teaching. PGY2 Internal Medicine residents will gain the skills necessary to function as the primary internal medicine pharmacist during their required core internal medicine learning experiences, with the expectation that the resident will handle all aspects of the medication process as well as the facilitation of safe and effective discharges. Outside of the core internal medicine learning experiences, other learning experiences that will be required to broaden the resident’s experiences and scope of practice include the continuation of care transitions, management of patient populations at high risk for readmission (advanced heart failure, cardiology, HIV/ID) and management of critically ill patients.
Primary clinical responsibilities will include rounding with assigned teams, validating pharmacy orders, performing pharmacokinetic monitoring, as well as designing, recommending, monitoring, and evaluating patient-specific therapeutic regimens that incorporate the principles of evidence-based medicine. When opportunities are available, the resident will also be expected to assume oversight and responsibility for pharmacy trainees (including fourth-year pharmacy students and PGY1 pharmacy residents). Additionally, residents will assume responsibility for all medication management activities for their service, including transitions between different areas or levels of care. The resident will become proficient at resolving medication system issues when appropriate to assure safe transition to community pharmacies and providers. The resident will also become skilled in providing education to multiple audiences: patients, caregivers, providers, and other members of the multidisciplinary health care team.
Teaching activities may include presentations (grand rounds, clinical forums, journal clubs, topic discussions, etc.), involvement with UC San Diego SSPPS courses (e.g. conference leader for third year therapeutics course), and clerkship preceptorship of PGY1 pharmacy practice residents and fourth-year pharmacy students on clinical rotations. The ability to work independently and to supervise pharmacy students and residents will be emphasized. The resident will also be involved in a research project where scientific writing is strongly emphasized and the preparation of a manuscript suitable for publication will be expected.
Requirements of Residents Prior to Starting the Program:
Applicants for appointment to the post-graduate year 2 (PGY2) education training programs sponsored by UCSDH must meet the following criteria:
Education?requirement?
Graduate of an ACPE-accredited school of pharmacy; or
Graduate of an international school of pharmacy who meets the following qualifications:
Holds a current, valid Visa, that extends through the entire residency appointment and does not require sponsorship, and
Holds a valid, full and unrestricted pharmacist license in the State of California
Participates in PhORCAS electronic application tool and the ASHP Pharmacy Resident Matching Program or accepts a position offered through the early commitment process (see below).
Residency requirement
Successfully completed an ASHP-accredited PGY1 pharmacy residency
Upon receipt of application to the program, the RPD will reach out to the PGY1 program director to assess good standing in the program
Prior to beginning the residency program, a signed residency certificate will be required. If pharmacy resident cannot provide PGY1 certification of completion prior to starting, or within 30 days of starting, they will be dismissed from the residency
Pharmacist Licensure requirement
Prior to beginning the residency program, the resident is licensed as a pharmacist in the state of California (in addition to requirement for licensing for international SOP graduates above)
The residency is expected to begin on the last Monday of July, or first Monday of August, depending on the Human Resources orientation schedule. However, the pharmacy resident must have obtained their California pharmacist license prior to beginning residency (absolute deadline to start is November 1st)
If the pharmacy resident is not licensed by November 1st, they will be dismissed from the residency. The residency offer may be rescinded if the pharmacy resident does not take the California Board of Pharmacy law exam prior to August 1st or does not pass the California Board of Pharmacy law exam on the first attempt.
All applicants hired by UCSDH will be required to provide and undergo the following:?
Provide proof of United Sates citizenship or eligibility/authorization to work in the United States through the duration of the appointment year
Provide PGY1 certificate of completion?
Complete a full verification and criminal background screen?
Attend new employee orientation (NEO)??
Application:
All applicants must be enrolled in the Resident Matching Program. To facilitate this enrollment process and for further information, please visit the following website: http://www.natmatch.com/ashprmp. Applications will be accepted when PhORCAS opens and are due by January 2nd. Applications should be submitted through PhORCAS and include the following:
Letter of intent
Please address your vision of an internal medicine pharmacist practicing at the top of their license and your own personal goals
Current Curriculum Vitae with all experiential completed and anticipated rotations as well as pharmacy work experience.
Three electronic references are required from preceptors who can directly comment on your clinical and practice skills.
Note: Please have recommendation writers complete the electronic reference form within PhORCAS with detailed characteristic and narrative comments. One to two areas of improvement or constructive feedback that the recommender feels the candidate should continue to work on as a PGY2 resident should be identified. A separate letter of recommendation is NOT required and discouraged.
Letter of endorsement from PGY1 Residency Program Director (if RPD is not one of the three preceptors references mentioned above)
On-site or virtual interviews will be held during late January-February.
Program Structure:
2-4 weeks of orientation/training/research (duration determined by the resident’s previous experience)
Required learning experiences: (4 weeks each)
Internal Medicine Hillcrest
Internal Medicine La Jolla
Internal Medicine Hematology/Oncology
Family Medicine
Advanced Heart Failure
HIV & Infectious Disease
Cardiovascular ICU or General Cardiology
If Cardiovascular ICU is chosen, another elective learning experience will be available as the core cardiology topics will be covered during this ICU
If General Cardiology is chosen, another ICU learning experience will be selected to ensure resident have experience in caring for critically ill patients
Residents may choose to have both rotations and one will be counted as an elective rotation
Longitudinal learning experiences (half-day per week block)
Therapeutics Conference (10 weeks)
Cardiomyopathy Clinic or equivalent elective clinic longitudinal (20 weeks)
Committee Participation (alternate MERP La Jolla 6 months and MERP Hillcrest 6 months)
Practice Management (MUE, order set review, monograph/drug class review)
Internal Medicine Appendix
Effective Education (Longitudinal, 12 months)
Journal club presentations (3 required, may choose to facilitate PGY1 journal club or present at ACCP Internal Medicine Journal Club for one of the three)
Clinical forum presentation (3 required)
In-service (3 required, nursing, provider/MD, and one audience of choice)
Grand Rounds (1 required, may be completed with co-resident)
Located in "America's finest city" of San Diego, our academic Health System serves as a primary teaching site of UC San Diego Skaggs School of Pharmacy and Pharmaceutical Sciences IPPE and APPE students, UC San Diego School of Medicine and other professional programs in the health sciences. Residents may rotate at the UCSD Medical Center in Hillcrest, Jacobs Medical Center in La Jolla, Moores Cancer Center, an NCI designated Comprehensive Cancer Center, and the Sulpizio Cardiovascular Center, all of which support a full range and scope of medical and surgical specialties as well as general medicine and surgery units. We have over 25 electives to offer residents, with extensive critical care, transplant, oncology, psychiatry, transitions of care, and internal medicine experiences available. We offer residents a wonderful learning environment that will help them prepare for advanced specialty PGY2 residencies and for career paths in academia, hospital practice (teaching and community), transitions of care, internal medicine, ambulatory care, IT, administration, critical care and more. Residents are an integral and active member of multidisciplinary teams that provide direct patient c...are. Residents participate in the San Diego Pharmacy Residency Leadership Teaching Certificate program and attend CSHP Seminar, ASHP Midyear and the UC Collaborative Pharmacy Research Conference. We have dedicated, supportive preceptors and a foundation of required and elective rotations to help the resident find their niche and pursue their passion in areas of interest. Our preceptors, administrators and staff support the resident as they develop and apply clinical patient care and research skills; confidence builds over the course of the year along with a strong clinical foundation and independence. The residents' post-residency marketability is one of our primary goals and we believe that our core requirements, electives, staffing component and teaching certificate program prepare the resident to be highly competitive in the pharmacy job market - a strong contender regardless of the career path that the resident chooses.