100 High Street
Buffalo, NY 14203
PGY2 Critical Care Pharmacy Practice - Curriculum
Following the completion of the orientation process to the hospital and Department of Pharmacy Services, the remainder of the year will be spent in various clinical pharmacy practice experiences (see Core and Elective Rotations below).
Concurrent with these practice experience periods will be experiences in research, teaching, and medication use evaluation.
The resident has a very close colleagueship with the medical and surgical house staff and is expected to play an important role in the therapeutic process and make clinical recommendations that are often vital to patient care outcomes. The resident will actively participate in daily work rounds five days a week, critical care teaching conference and other various multidisciplinary conferences.
Clinical research experience is gained through the development of a residency project. The preceptor will work with the resident to select a project which is important and scientifically worthy of their mutual efforts. The resident must submit a manuscript of their project for successful completion of the residency program. In addition, the resident will conduct a process, pathway or medication use evaluation.
The resident will have several required teaching responsibilities during the year. Participation in Clinical Pharmacy Conferences and Journal Clubs are important elements in developing formal presentation and teaching skills. The resident is expected to provide a minimum of four types of presentations throughout the year:
- Case Presentation
- Journal Club
- Final Project Presentation
The resident will also complete the University at Buffalo School of Pharmacy’s "Preparing Pharmacy Residents for Scholarship" course. This course provides residents a "crash course" on research and scholarly writing basics, in order to prepare them for their required residency project and scholastic pursuits.
The resident is expected to participate in the education and training of pharmacy students in the classroom and clinical settings. A minimum of one critical care topic and case study is required to be presented to University at Buffalo students during their final semester of Pharmacotherapeutics. The resident will also be responsible for supervising individual students from various pharmacy schools while on clinical rotation in the intensive care unit.
The resident will actively participate in nursing in-service education and is expected to contribute to the education of the medical and surgical house staff during patient care rounds and in regularly scheduled conferences. The resident is also involved in patient education where applicable.
The resident will have an opportunity to directly precept PGY-1 pharmacy practice residents during the final 12 weeks of the program. This is applicable for PGY-1 residents completing clinical practice experiences within the core rotation areas.
Weekend Coverage and On-Call
The PGY2 resident will round with a critical care team and provide assistance for the pharmacokinetic dosing service every other Saturday. In addition, the resident will be "on-call" every fourth week for aminoglycoside dosing.
Integral to the practice of critical care pharmacy is the ability to quickly and thoroughly review the medical literature for answers to complicated medication questions. The resident will be expected to meet this obligation early in the residency program and will also supervise this activity if conducted by PGY1 residents or students. The resident will also be required to review applicable drugs and drug classes for the Pharmacy and Therapeutics (P & T) Committee and present the same. A summary of such will be required for publication in the department’s P & T newsletter. The resident is also required to prepare criteria for a process, pathway or medication use evaluation and present the criteria to the P & T Committee.
16-Week Learning Experiences
- BGMC Medical ICU
8-Week Learning Experience
- BGMC Surgical ICU/Infectious Disease
4-Week Learning Experiences
- Emergency Medicine/Toxicology
- Neurosurgical Intensive Care
The resident may choose four elective rotations. Each elective is four weeks in length. Although additional time in the core rotations may be used to fulfill the elective requirements the resident is encouraged to choose from one of the options below:
- Cardiac Care Unit
- Cardio-thoracic Intensive Care
- Intermediate-Level Care Unit (ILCU)
- Neonatal Intensive Care
- Nutrition Support
- Pediatric Intensive Care
Longitudinal Learning Experiences
- Drug Information
- Medication use evaluation
- Pharmacokinetic Monitoring Service
- Research Project
- Western New York Society of Health-systems Pharmacists (WNYSHP) continuing education presentation