Overview

Overview

Emergency Medicine Residency (PGY2)

The Emergency Medicine Residency is a one-year specialized residency which 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 history, care of boarded patients, and committee participation. Residents will also have the opportunity to work directly with emergency medicine pharmacy technicians and precept APPE students and PGY1 residents.

Required experiences include longitudinal experiences in emergency medicine, resuscitation, precepting/presentations/teaching, leadership/management and research/MUE along with 4 week rotations in medical intensive care, and trauma. Elective experiences include infectious disease, surgical intensive care and cardiac intensive care. 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.

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 and our PGY1 Pharmacy Residency Program expanded from 2-4 residents.

Fairview Hospital Emergency Department

Fairview Hospital Emergency Department is a Level II Trauma Center with a census of approximately 95,000 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 9 a.m. – 9 p.m. Monday thru Friday and 10 a.m. – 8 p.m. Saturday and Sunday along with pharmacy technician services Monday – Friday from 11 a.m. – 7:30 p.m.

Department of Pharmacy

The Department of Pharmacy consists of approximately 80 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

About Emergency Medicine Residency

Required rotations: Longitudinal experiences in emergency medicine, resuscitation, precepting/presentations/teaching, leadership/management and research/MUE along with 4 week rotations in medical intensive care, and trauma.

Elective rotations: Infectious disease, cardiac 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

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), in addition to:

  1. 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 and comment on a minimum of 7 of the 13 listed candidate characteristics.
  2. 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. Reflecting on your PGY1 residency rotations, please provide a piece of critical feedback you have received from one of your preceptors on a direct patient care rotation. Explain how you have incorporated this feedback into your practice and/or worked to improve in this area.

Contact Information

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

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

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. 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. Moonlighting is highly discouraged, but may be permitted under special circumstances pending approval of the residency program director.

How much excused time is available?
Residents are limited to 10 days off per residency year for illness and personal time. Additionally, residents are provided 2 professional days and 2 interview days.

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 on a daily basis.

What teaching opportunities are available at Fairview Hospital?
The resident may participate in an optional teaching certificate program through Northeast Ohio Medical University (NEOMED), depending on availability. Additionally, opportunities are available to present to medical staff members, nursing and pharmacy staff throughout the year. The resident will also take advantage of the opportunities afforded by the active community outreach programs at Fairview Hospital.

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 in candidate status 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 on-site 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 and will end in June of the following year.

How are residents evaluated?
Residents are evaluated utilizing the PharmAcademic system. Snapshot evaluations are completed during each rotation. 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.

Will the residency program be showcased at the ASHP Midyear Clinical Meeting?
Yes, the residency is showcased at the ASHP Midyear Clinical Meeting. The Fairview Hospital Residency Program will be showcased with all other Cleveland Clinic Residency Programs.

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 an excellent preparation for the pharmacotherapy specialist certification (BCPS) exam or critical care specialist certification (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) and pediatric advanced life support (PALS).

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. 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. Residents will have at least 10 hours free of duty between scheduled hours. Moonlighting is highly discouraged, but may be permitted under special circumstances pending approval of the residency program director.

How much excused time is available?
Residents are limited to 10 days off per residency year for illness and personal time. Additionally, residents are provided 2 professional days and 2 interview days.

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.

Do I attend professional conferences throughout the residency?
Yes, the PGY2 resident will attend the ASHP Midyear Clinical Meeting and a selected residency conference to present their research project.

Does Fairview Hospital support travel to conferences?
Fairview Hospital will reimburse pharmacy residents for travel to and from the ASHP Midyear Clinical Meeting and selected residency conference. 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 on a daily basis.

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 in candidate status 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 on-site 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 and will end in June 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.

Will the residency program be showcased at the ASHP Midyear Clinical Meeting?
Yes, the residency is showcased at the ASHP Midyear Clinical Meeting. The Fairview Hospital Residency Program will be showcased with all other Cleveland Clinic Residency Programs.

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 an excellent preparation for the pharmacotherapy specialist certification (BCPS) exam or critical care specialist certification (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

Program Personnel

Cristal Exline, RPh, PharmD, BCPS
Clinical Specialist – Internal Medicine
Residency Program Coordinator
exlinec@ccf.org
216.889.6775

Dave Shifrin, RPh, PharmD, BCPS
Pharmacist - Emergency Medicine
shifrid2@ccf.org
216.476.7400

Judy Ashe, RPh, PharmD, BCOP
Pharmacy Manager
PGY1 Residency Program Director
ashej@ccf.org
216.889.6399

Lori Rose, RPh, PharmD, BCPS
Fairview Hospital
Clinical Specialist – Critical Care
lorose@ccf.org
216.889.6495

Maria Kahle, RPh, PharmD, BCPS
Pharmacist - Emergency Medicine
PGY2 Emergency Medicine Residency Program Director
kahlem@ccf.org
216.476.7400

Rebecca Taylor, PharmD, MBA, BCPS
Director of Pharmacy
taylorr3@ccf.org
216.476.7177

Jen Markle, PharmD, BCPS
Clinical Specialist – Critical Care
marklej2@ccf.org
216.889.6468

Ellen Immler, PharmD, BCCCP
Clinical Specialist – Critical Care
hazelee@ccf.org
216.889.6066

Kelly Fargo, PharmD, BCPS
Investigation Drug Services Pharmacist
fargok@ccf.org
216.476.7177