Overview
Emergency Medicine Residency (PGY2)
The Emergency Medicine Residency is a one-year specialized residency that prepares its residents to assume positions in emergency medicine as clinical specialists. Residents will be provided a strong foundation to establish comprehensive pharmaceutical care to adult and pediatric patients in all aspects of emergency medicine. The program will prepare the resident to work independently and collaboratively with medical personnel through evaluation, decision-making, and pharmacologic management of patient cases, integrated drug distribution, drug information, clinical consultation, research and teaching.
Residents in this program will have active participation in all code/emergency response (full arrest, trauma, stroke, myocardial infarction, rapid sequence intubation, procedural sedation, cardioversion), bedside clinical consultation, ED culture callback review, medication order verification, review of discharge medications, patient education, drug information, medication histories, care of boarded patients, and committee participation. Residents will have the opportunity to precept APPE students and PGY1 residents.
Required experiences include longitudinal experiences in emergency medicine, resuscitation, precepting/ presentations, leadership and research along with a 4 week rotation in medical intensive care. Elective experiences include infectious disease, surgical intensive care, obstetrics/neonatal intensive care, and cardiology. Other elective opportunities may be available based upon preceptor and site availability. Pharmacist preceptors are available for all rotations listed. The resident will represent the pharmacy department within the Emergency Medicine Performance Improvement Committee and the Emergency Services Institute Pharmacy Governance Committee/Emergency Department Pharmacy and Therapeutics Committee.
Residents will complete a research project, manuscript and present at the following venues: resident conference, emergency department performance improvement committee, emergency services institute pharmacy governance committee, emergency medicine journal club series, and APPE student lecture series. To assist with building research skills, the residents will participate in the residency research curriculum that takes place throughout the residency year. Optional Experience: Residents can choose to complete a leadership certificate which is a 12-month training program that focuses in 4 key areas: essentials of leadership, leading yourself, leading others, and leading the profession of pharmacy.
Fairview Hospital
Fairview Hospital, founded in 1892, is a community teaching hospital on the western border of Cleveland, Ohio and is committed to world-class patient care. Fairview Hospital is fully accredited by The Joint Commission with a Level II Trauma Center and a Level III NICU. Fairview Hospital is nationally ranked in Cardiology and Heart Surgery, Gastroenterology and GI Surgery, Geriatrics and Pulmonology. The hospital conducts residency training programs in family medicine, general surgery, internal medicine, and pharmacy. In 2018, the PGY2 Emergency Medicine Pharmacy Residency was established along with continued recruitment for the PGY1 Pharmacy Residency Program.
Fairview Hospital Emergency Department
Fairview Hospital Emergency Department is a Level II Trauma Center with a census of approximately 85,000 emergency department visits annually. The Emergency Department consists of 2 main adult patient care areas, a split flow/urgent care, and a pediatric emergency department. Pharmacist services are provided 7 days per week from 7 a.m.-1 a.m. on Monday thru Friday and 9 a.m.-9 p.m. on Saturday and Sunday.
Department of Pharmacy
The Department of Pharmacy consists of approximately 85 dedicated total staff and provides 24-hour services. An electronic medical record/CPOE supports the pharmacy services. Pharmacy department description and services as follows:
- Central and satellite pharmacy distribution.
- Sterile and non-sterile compounding.
- Computerized intravenous admixture and unit dose dispensing.
- Advanced technology support, including networked remote devices, automated dispensing devices (Pyxis) and clinical decision support tools.
- Decentralized pharmacist practice.
- Patient education programs.
- Clinical pharmacy specialist practices.
- In-service education.
- Pharmacy and Therapeutics Committee participation.
- Investigational drug studies.
- Utilization of a computer-based provider order entry program (EPIC) that integrates data from pharmacy, admissions, laboratory, radiology, nursing, medicine and microbiology.
Residency Program Training Site
Type: Hospital, Acute Care
Owner/Affiliate: Cleveland Clinic
Model Type(s): Community/Tertiary Care
Tax Status: Non-Profit
About Emergency Medicine Residency
Required longitudinal rotations: 30 weeks of emergency medicine divided into 4 blocks throughout the residency year along with continuous evaluation of resuscitation, precepting/presentations, leadership and research after the conclusion of orientation.
Required 4 week rotations: orientation, medical intensive care.
Elective 4 week rotations: infectious disease, cardiology, obstetrics/neonatal intensive care and surgical intensive care.
Presentations: The resident will complete formal presentations on a variety of emergency medicine topics to pharmacy staff and other health care professionals at Fairview Hospital. Informal topic discussions and in-services to nursing staff, medical students, and pharmacy students will be conducted by the resident as opportunities become available. Residents will prepare and present a research project and medication use evaluation.
Application
Interested applicants must be PharmD graduates of accredited colleges of pharmacy, be eligible for licensure in the State of Ohio and submit the standard application materials through PhORCAS (i.e. Letter of Intent, CV, three standard reference forms and official college transcripts), along with:
- We request a minimum of one (two is preferred) of your three references should come from a preceptor who you have worked with in a clinical setting, related to a PGY1 rotation in acute or ambulatory care. The clinical preceptor should be able to comment on your scope of responsibility, total patient load, level of autonomy, clinical abilities, and organizational and time management skills. All 3 reference writers should use the standard PhORCAS template to submit their candidate recommendation
- A response to the following essay statement is required for acceptance. The essay response should be no longer than one page in length. An application will not be reviewed if this statement is missing. Please note that the essay is separate from your letter of intent.
- You’re a pharmacy resident starting a new rotation in a practice area where you initially felt confident in your clinical skills and knowledge base. You should be following 6 patients by the end of week one. However, by the end of week one, you are only able to fully follow and manage 4 patients. How do you handle this situation? Describe the steps you would take to improve performance.
Please submit all application materials via Pharmacy Online Residency Centralized Application Service (PhORCAS). Deadline for receipt of these materials to be considered for an on-site interview is January 2, by 11:59 p.m. For this PGY-2 Emergency Medicine Residency Program, a Pharmacy (PGY-1) Residency or equivalent experience is required.
Contact Information
Residency Program Director
Maria Kahle, RPh, PharmD, BCPS
Cleveland Clinic - Fairview Hospital
18101 Lorain Ave
Cleveland, OH 44111
Phone: 216.476.7400
Fax: 216.476.7205
Email: kahlem@ccf.org
Benefits, Travel & Compensation
The Emergency Medicine Residency Program provides a wide array of benefits to you during your experience as a resident.
General
- Free, on-site parking.
- Laptop.
- Lab coats.
- Fitness facilities.
- Business cards.
- Licensure reimbursement.
- Reimbursement for all required meetings.
Health Benefits
- Standard medical comprehensive coverage.
- Prescription drug coverage.
- Life Insurance available.
- Disability plan.
- Dental plan available.
- Vision plan available.
FAQs
How much orientation is provided?
You will be welcomed into Cleveland Clinic family through a system orientation on your first day of employment. Soon thereafter, you will be afforded time to complete a variety of online educational modules vital for successful completion of the residency and attend an enterprise resident orientation. You will be trained by a pharmacist for an orientation period at the start of the residency to learn and understand the wide variety of daily duties of a practicing pharmacist at Fairview Hospital.
How many hours will I be “on duty”?
Duty hours are limited to 80 hours per week, averaged over a four-week period. Internal and external moonlighting is available as long as the per week duty hour maximum is not reached and resident performance is not hindered.
How much excused time is available?
Residents are limited to 14 days off per residency year for illness and personal time including interviews or reciprocity. Additionally, 5 wellness days are provided.
What projects or presentations are required in addition to daily clinical activities?
Residents will be responsible for a medication use evaluation (MUE) and research project, as well as completion of drug information questions, journal club presentations, formal and case presentations and in-services to various levels of hospital staff.
Does Fairview Hospital support travel to conferences?
Fairview Hospital will reimburse pharmacy residents for travel to and from designated conferences. Residents are also reimbursed for miles driven for travel to and from local events.
What other educational opportunities are available?
PGY2 pharmacy residents will have the opportunity to precept students from various pharmacy schools throughout the Cleveland area along with Fairview Hospital PGY1 residents. Residents will have the opportunity to attend a wide variety of leadership and employee engagement activities during the residency year. Fairview Hospital has an active medical residency program that affords the pharmacy resident an opportunity to not only learn and teach medical residents but also presents an opportunity to meet and network with these medical professionals.
What are the requirements for acceptance?
An Ohio pharmacist license, Doctor of Pharmacy (PharmD) degree, and completion of a PGY1 Pharmacy Practice Residency or equivalent experience, are required for acceptance into the program. It is strongly encouraged for you to be licensed in Ohio prior to the start of your residency. Additionally, the resident must have successful completion of a pre-employment physical and drug screen, including testing for cotinine.
Is the residency accredited?
The residency program is accredited through the American Society of Health System Pharmacists.
How many residents are selected?
Currently, Fairview Hospital selects one resident each year for the PGY2 in emergency medicine.
Does this program participate in the match?
Yes, Fairview Hospital participates in the match.
Is an interview required?
Yes, an interview is required.
When will interviews take place?
Interviews take place as scheduled. Candidates that are offered an interview will be contacted in January.
When does the residency begin and end?
The residency begins in July of each year. Residents must go through Cleveland Clinic orientation. Our residency is 12 months long (52 weeks) and will end June 30 of the following year.
How are residents evaluated?
Residents are evaluated utilizing the PharmAcademic system. Learning Experience, Preceptor and Summative evaluations, and Self-evaluations (if applicable) should be completed and discussed by the final day of the rotation. Residents will also be evaluated quarterly by the program director, and by preceptors who are working with residents in longitudinal experiences.
How will this residency prepare me for board certification?
In addition to the critical thinking skills you develop during patient care, the required rotations of Fairview Hospital's PGY2 residency offer excellent preparation for board certification in emergency medicine (BCEMP), pharmacotherapy (BCPS), or critical care (BCCCP). Fairview Hospital also offers a number of continuing education opportunities throughout the year on a wide variety of topics which help reinforce the resident’s general range of knowledge and experience acquired in your PGY2 year such as basic life support (BLS), advanced cardiac life support (ACLS), pediatric advanced life support (PALS), and Emergency Neurological Life Support (ENLS).
Program Personnel
Lauren Bajbus, PharmD, BCPS
Clinical Pharmacist
Residency Coordinator
bajbusl@ccf.org
Kelly Fargo, PharmD, BCPS
Investigation Drug Services Pharmacist
Resident Research Committee Chair
fargok@ccf.org
Jennifer Harklerode, PharmD, BCEMP
Clinical Specialist – Emergency Medicine
harklej2@ccf.org
Ellen Immler, PharmD, BCCCP
Clinical Specialist – Critical Care
hazelee@ccf.org
Maria Kahle, PharmD, BCPS
Clinical Specialist – Emergency Medicine
PGY2 Emergency Medicine Residency Program Director
kahlem@ccf.org
Morgan King, PharmD, BCPPS
Clinical Specialist - Women and Children's Health
kingm11@ccf.org
Brian Kurish, PharmD, BCCCP
Clinical Specialist – Critical Care
kurishb@ccf.org
Ashley Lorenz, PharmD, MPH
Clinical Specialist – Infectious Disease and Antimicrobial Stewardship
lorenza3@ccf.org
Jennifer Misencik, PharmD
Clinical Specialist – Critical Care
misencj@ccf.org
Lori Rose, PharmD, BCPS
Clinical Specialist – Critical Care
lorose@ccf.org
Sara Shuss, PharmD, BCPS
Clinical Specialist – Emergency Medicine
shusss@ccf.org
