Emergency Medicine Residency (PGY-2)
The Emergency Medicine Residency is a one-year specialized residency which provides the resident a foundation to establish comprehensive pharmaceutical care to Emergency Department patients (pediatric, adolescent, adult, and geriatric) and medical personnel through integrated drug distribution, drug information, clinical services, research and teaching. Required experiences include concentrated blocks in the emergency department along with urgent care, pediatrics, psychiatry, medical intensive care, inpatient trauma, longitudinal toxicology, and longitudinal staffing. Elective experiences include infectious disease and cardiac intensive care. The resident will represent the pharmacy department within the Emergency Medicine Performance Improvement Committee, Emergency Medicine Taskforce Committee, and Emergency Services Institute Pharmacy Governance Committee. Additional responsibilities include a longitudinal research project, medication use evaluation, and drug monograph.
Fairview Hospital is a 488-bed community teaching hospital on the west side of Cleveland which was nationally ranked in multiple adult specialties and identified nationally as one of the 2017-2018 “Best Hospitals” by U.S. News & World Report. Fairview Hospital supports medical residencies in internal medicine, family practice, and general surgery. Additionally, in 2018, the PGY-1 pharmacy residency program will be expanding from 2 to 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 patient care areas, a split flow/urgent care, and a pediatric emergency department. Pharmacist services are provided 7 days per week from 1 p.m. – 11:30 p.m. 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
Required rotations: concentrated blocks in the emergency department along with urgent care, pediatrics, psychiatry, medical intensive care, inpatient trauma, longitudinal toxicology, longitudinal staffing in the emergency department.
Elective rotations: infectious disease, cardiac intensive care, longitudinal teaching, leadership, repeat of any required rotation.
The resident will complete formal presentations on a variety of pharmacotherapy 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 formulary review monograph and medication use evaluation. The optional longitudinal teaching certificate program provides opportunities for presenting large didactic lectures to pharmacy students and facilitating small group discussions at Northeast Ohio Medical University (NEOMED).
Applicants to the Fairview Hospital Emergency Medicine Residency Program will be processed through the Pharmacy Online Residency Centralized Application Service (PhORCAS).
In addition to the standard PhORCAS application (i.e. Letter of Intent, CV, the three standard reference forms in PhORCAS, official college transcripts), the following is required:
- 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 PGY-1 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 man¬agement skills. All three 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.
- 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 PGY-1 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.
All application materials must be received by January 2, 2018 by 11:59 p.m. EST.
Maria Kahle, RPh, PharmD, BCPS
Cleveland Clinic Fairview Hospital
18101 Lorain Ave
Cleveland, OH 44111
Benefits, Travel & Compensation
The Emergency Medicine Residency Program provides a wide array of benefits to you during your experience as a resident.
- Free, on-site parking
- Lab coats
- Fitness facilities
- Business cards
- Licensure reimbursement
- Reimbursement for all required meetings
- Standard medical comprehensive coverage
- Prescription drug coverage
- Life Insurance available
- Disability plan
- Dental plan available
- Vision plan available
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 a four week 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 provided 10 days of paid excused time during the resident year. Residents are encouraged to utilize days in late January and February to interview for future positions.
What projects or presentations are required in addition to daily clinical activities?
Residents will be responsible for a medication use evaluation (MUE), research project, Pharmacy and Therapeutics Monograph as well as completion of drug information questions, journal club presentations, formal and case presentations and nursing in-services to various levels of Hospital staff.
Do I attend professional conferences throughout the residency?
Yes, pharmacy residents will attend the ASHP Midyear meeting and a Residency Conference. Residents are also highly encouraged to attend the Ohio College of Clinical Pharmacists meetings and Cleveland Society of Health-System Pharmacists. In addition, in the spring the Cleveland Clinic Health System pharmacy residents travel to other residency programs to be able to bring back suggestions for improvement to our resident structure and pharmacy services.
Does Fairview Hospital support travel to conferences?
Fairview Hospital will reimburse pharmacy residents for travel to and from the ASHP Midyear Meeting, Resident trip and a Residency Conference. Residents are also reimbursed for miles driven for travel to and from local events.
What other educational opportunities are available?
PGY-2 pharmacy residents will have the opportunity to precept students from various pharmacy schools throughout the Cleveland area along with Fairview Hospital PGY-1 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 the 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 pre-candidate status through the American Society of Health System Pharmacists.
How many residents are selected?
Currently, Fairview Hospital selects one residents each year for the PGY-2 in emergency medicine.
Does this program participate in the match?
Yes, Fairview Hospital participates in the match.
When is the application deadline?
All application materials must be received by 11:59 pm EST on January 2, 2018. All materials are submitted through PHORCAS. This includes letters of recommendation. All applicants are urged to allow enough time for persons writing letters of recommendation and to inquire about the timeliness in which letters are sent. Incomplete applications will not be considered.
Is an interview required?
Yes, an on-site interview is required.
When will interviews take place?
Interviews take place as scheduled. Candidates that are being offered an interview will be contacted in January.
When does the residency begin and end?
The residency begins July 1 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 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 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 PGY-2 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 PGY-2 year such as basic life support (BLS), advanced cardiac life support (ACLS) and pediatric advanced life support (PALS).
What is EPIC?
EPIC is a computer-based provider order entry system that Fairview Hospital and all Cleveland Clinic facilities utilize. The program integrates data from pharmacy, admissions, laboratory, radiology, nursing, medicine and microbiology and other disciplines. EPIC supports daily pharmaceutical care duties by providing:
- Patient demographic data
- Laboratory test results
- Microbiology results
- Medication order information
Additionally, patient daily progress notes, nursing care notes and all data pertinent to patient care is available on this computer system. Epic is used to document the pharmacist’s clinical activities, interventions and monitoring notes.
Brittany Harbert, RPh, PharmD
Pharmacist III – Emergency Department