Overview

Overview

Pharmacy Residency Program

Fairview Hospital is a 488-bed community teaching hospital on the west side of Cleveland which is now ranked as the No. 4 hospital among Cleveland-area hospitals and the No. 5 hospital in Ohio, according to U.S. News & World Report's 2020-21 Best Hospitals. Fairview Hospital also supports medical residencies in internal medicine, family practice and general surgery as well as a PGY2 in Emergency Medicine.

The PGY1 Pharmacy Residency Program is ASHP accredited and focuses on the development of general pharmaceutical patient care expertise. The residency provides exposure to many different acute and ambulatory care patient populations. Fairview Hospital’s PGY1 residency is uniquely positioned to provide training for residents in both an inpatient and clinic setting to allow a resident to fully evaluate future career options.

Department of Pharmacy

The Department of Pharmacy consists of approximately 104 dedicated total staff and provides 24-hour services. An electronic medical record/CPOE supports pharmacy services. Pharmacy department description and services as follows:

  • Central 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
  • Fairview Hospital utilizes 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
  • Patients Enrolled: Not applicable
  • Tax Status: Non Profit
  • Pharmacist Staff: 50
  • Support Staff: 54
  • Total Beds: 488
  • Average Daily Census: 380
Program Personnel

Program Personnel

PGY1 Residency Preceptors

Bernadette Clark, RPh, PharmD, BCPS, BCOP
Clinical Specialist – Oncology
beclar@ccf.org
216-476-4338

Catherine Cappetto, RPh, PharmD, BCPS
Clinical Pharmacist – Pharmacy Practice
cappetc2@ccf.org
216-889-6775

Cristal Stoll, RPh, PharmD, BCPS
Clinical Specialist – Internal Medicine
stollc3@ccf.org
216-296-5287

Dave Shifrin, RPh, PharmD, BCPS
Clinical Pharmacist – Emergency Medicine
shifrid2@ccf.org
216-408-9344

Ellen Immler, RPh, PharmD, BCCCP
Clinical Specialist – Medical Intensive Care Unit
hazelee@ccf.org
440-396-3300

Jennifer Markle, RPh, PharmD, BCPS
Clinical Specialist – Surgical Intensive Care Unit
marklej2@ccf.org
216-218-1244

Jessica Zebrowski, RPh, PharmD, BCPS
Clinical Pharmacist – Oncology
zebrowj2@ccf.org
216-287-8443

Judy Ashe, RPh, PharmD, BSCSP
Inpatient Pharmacy Manager
PGY1 Residency Program Director
ashej@ccf.org
216-379-9715

Kelly Fargo, RPh, PharmD, BCPS
Clinical Pharmacist – Investigational Drug Services
fargok@ccf.org
216-618-1280

Kevin Krivanek, RPh, PharmD
Clinical Pharmacist – Pharmacy Practice and Operations
krivank3@ccf.org
216-385-1160

Lori Rose, RPh, PharmD, BCPS
Clinical Specialist – Coronary Care Unit
lorose@ccf.org
216-889-6495

Maria Kahle, RPh, PharmD, BCPS
Clinical Pharmacist – Emergency Medicine
PGY2 Residency Program Director – Emergency Medicine
kahlem@ccf.org
216-217-6277

Michael Leon, RPh, BPharm, BCPS
Clinical Pharmacist – Operations
mileon@ccf.org
216-476-7177

Morgan King, RPh, PharmD, BCPPS
Clinical Specialist – Pediatrics/NICU
kingm11@ccf.org
216-379-9421

Rachel Stulock, RPh, PharmD, BCACP
Clinical Specialist – Ambulatory Care
stulocr@ccf.org
216-688-4429

Rebecca Taylor, RPh, PharmD, MBA, BCPS, FASHP
Director of Pharmacy
taylorr3@ccf.org
216-476-7177

Shannon Prater, RPh, PharmD, BCPS
Clinical Pharmacist – Pharmacy Practice
praters@ccf.org
216-385-5739

Zachary Pentoney, RPh, PharmD, BCPS, BCIDP
Clinical Specialist – Infectious Disease
pentonz@ccf.org
216-440-2439

Requirements

Requirements

Fairview Hospital’s PGY1 residency program is a 12 month residency starting in the middle of June. Licensure is strongly encouraged within two weeks of starting the residency.

Learning Experiences

Required Rotations
(4 weeks unless noted)
Elective Rotations
(4 weeks unless noted)
Longitudinal
Rotations
Meetings/
Trips
Orientation (5 weeks) Oncology Family Medicine Clinic The Ohio College of Clinical Pharmacy (Fall/Spring – 2 days total)
Internal Medicine 1 Critical Care (MICU or SICU - to be completed in opposite location of required rotation) Projects OSHP Residency Showcase (October – 1 day)
Internal Medicine 2 Family Medicine - Inpatient Elective Resident Research Vizient (December – 1 day)
Critical Care (MICU or SICU) Investigational Drug Services Staffing ASHP Midyear/PPS participation (December – 5 days)
Emergency Medicine Emergency Medicine- Elective   Ohio Pharmacy Resident Conference (Spring – 1 days)
Obstetric and Neonatal care Inpatient Trauma    
Infectious Disease/ Antimicrobial Stewardship Child and Adolescent Psychiatry    
Pharmacy Practice      
Cardiology      
Pharmacy Leadership (3 weeks)      

Presentations

Effective communication skills are critical as a pharmacy practitioner. Many opportunities exist to refine these skills in each rotation.

  • Formal presentations on disease states or other topics of interest will be presented to preceptors, students, Fairview Hospital pharmacy staff and other individuals at Fairview Hospital. In addition, residents will have the opportunities to prepare regular journal club and/or case presentations.
  • Residents will be required to give a PowerPoint presentation at OCCP’s fall meeting and poster presentations at Vizient Mid-Year meeting, and OCCP’s spring meeting.
  • The residents' major project will be presented to preceptors at Fairview Hospital and at the Ohio Pharmacy Residency Conference. The presentation is 15 to 20 minutes, with an additional 5 to 10 minutes allotted for questions.

Meetings and Conferences

Travel to pharmacy professional meetings is an important component of the Fairview Hospital pharmacy residency. All residents are required to attend the Vizient and ASHP Midyear meetings, during which residency recruitment occurs. Residents formally present their projects at the Ohio Pharmacy Residency Conference. Accommodations, travel and expenses will be reimbursed for local, state and national meetings.

Medication Use Evaluation and Study Completion

Residents will complete a medication use evaluation during the residency year. The resident will also be required to complete a year-long research project. The goal is to expose the resident to the research process. A mentor will be assigned to help the resident with the project. The resident must provide a manuscript suitable for publishing before graduation from the program.

Staffing Requirements

Our goal is that any resident graduating from our program will feel confident to staff in all distribution and clinical generalist positions. As a result, we will assure residents have ample pharmacist practice experience throughout their residency.

Residents will gain proficiency in staffing both centralized and decentralized pharmacist positions. Staffing requirements are as follows:

  • Rotational responsibilities will generally be during the day shift Monday through Friday. In addition, staffing responsibilities will be on weekends and holidays and could be for any shift (primarily day or evening shift).
  • Residents are required to staff every other weekend and one evening per week. Residents will also staff on three of the six major holidays.
  • Pharmacists in the assigned practice areas are resources for the resident and will be queried by the preceptor for the practice (staffing) rotation for quarterly evaluations.

Evaluations

During the year, residents will be evaluated by rotation preceptors, the program director, and themselves. Residents are required to complete evaluations and provide specific feedback so that they, our program and preceptors can improve. Evaluation types that are required for each rotation:

  • Evaluation of the rotation
  • Evaluation of the preceptor

Residents and preceptors will complete the evaluations separately and then meet to discuss the evaluations. Completed evaluations will be available in PharmAcademic.

PGY1 Pharmacy Residency Graduation Requirements

  • Pharmacist license in the State of Ohio is required within 90 days of the start of the program
    • Failure to obtain license by August 1st may impact resident’s staffing and clinical rotations and may extend the residency program length to meet program requirements
    • Failure to pass Ohio State Board of Pharmacy Licensure requirements within first 90 days of start date or two failed attempts of the same examination occurring within first 90 days of start date will result in termination from the program. Exceptions will be considered on an individual basis.
  • Completion of a residency research project;
  • Presentation of at least one formulary monograph and/or other P&T presentation
  • Written manuscript (in publishable form) and submitted to the residency director and journal selected (during your project defense) prior to the end of the residency year
  • Present 3 journal clubs
  • Present 3 patient case presentations
  • Present topic at Noon Conference or comparable venue
  • Podium presentation at Fall OCCP Meeting
  • Poster Presentation at Vizient Midyear
  • Podium presentation at Ohio Pharmacy Residency Conference
  • Poster presentation at Spring OCCP Meeting
  • Complete MUE and present results to appropriate subcommittee
  • Successful completion of all rotations
  • No objective marked as needs improvements
  • All R1.1 and R1.3 objectives rated as Achieved for Residency
  • No more than three R1.2, R2.1, R2.2, R3.1, R3.2, R4.1and R4.2 objectives rated as Satisfactory Progress as final rating
  • Complete staffing requirement of every other weekend and three holidays. The minimum required number of weekend shifts is 20.
FAQs

FAQs

How much orientation is provided?

You will be welcomed into Cleveland Clinic family through an enterprise-wise 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 five 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, inclusive of all hospital-based activities and any additional work time (”moonlighting”). Duty hours do not include reading, studying, academic preparation time for presentations and journal clubs, travel time to and from conferences or meetings or hours that are not scheduled by the residency program director or preceptor The resident will be provided at least one day in seven free of duty averaged over a 4 week period. In general, the resident will have 10 hours free of duty time between scheduled duty (from time leave one day till time needed to return to work).

How much excused time is available?

Residents are provided 10 days of paid excused time during the resident year. In addition to two interview and two professional days for licensure examinations.

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 presentations to various levels of Hospital staff, and case presentations.

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.

Does Fairview Hospital support travel to conferences?

Fairview Hospital will reimburse pharmacy residents for travel to and from the ASHP Midyear Meeting and a Residency Conference.

What other educational opportunities are available?

Pharmacy residents will have the opportunity to precept students from various pharmacy schools. 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?

Opportunities to make presentations to the medical staff members of the hospital will be available throughout the year. The resident will also take advantage of the opportunities afforded by the active community outreach programs at Fairview Hospital. The resident may participate in the teaching certificate program available through Northeast Ohio Medical University (NEOMED).

Will I need an Ohio pharmacy license?

Yes, you are required to be licensed by the Ohio State Board of Pharmacy to practice as a pharmacist in the State of Ohio or to have completed the Board licensure examination at the time of application. Failure to achieve Ohio licensure will result in dismissal from the residency program (within 90 days of your start). It is strongly encouraged for you to be licensed prior to the start of your residency.

Is the residency accredited?

The residency program is fully accredited by the American Society of Health System Pharmacists.

How many residents are selected?

Currently, Fairview Hospital selects four residents each year.

Does this program participate in the match?

Yes, Fairview Hospital participates in the match.

When is the application deadline?

All application materials are due the first day of January. Please refer to the ASHP Residency Program Directory for specific date. 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 in the middle of June of each year. Residents must go through Cleveland Clinic orientation. Our residency is 12 months long and will be completed at the end of June the following year.

How are residents evaluated?

Residents are evaluated utilizing the PharmAcademic system. 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 such as staffing and Family Medicine Clinic.

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 PGY1 residency offer an excellent preparation for the pharmacotherapy specialist certification (BCPS) exam. 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 PGY1 year.

Application

Application

Interested applicants must be PharmD graduates of accredited college of pharmacy, be eligible for licensure in the State of Ohio (or Florida if applicable), and submit the standard application materials through PhORCAS (i.e. Letter of Intent, CV, the three standard reference forms in PhORCAS, official college transcripts), along with:

  1. 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 an APPE 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 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.
  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 APPE 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.

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 the first day of January by 11:59 p.m.

Mission Statement

The PGY1 pharmacy residency programs build on Doctor of Pharmacy (Pharm.D.) education and outcomes to contribute to the development of clinical pharmacists responsible for medication-related care of patients with a wide range of conditions, eligible for board certification, and eligible for postgraduate year two (PGY2) pharmacy residency training.

Research

Research

Residents are required to complete a research project in a pharmacy related topic. The resident will have the opportunity to complete Institutional Review Board training in addition to writing and submitting a research protocol to the IRB. The research project will entail several months of work culminating with the creation of a manuscript suitable for publication. The resident will present the proposal for research at the Ohio College of Clinical Pharmacists and selected Residency conference.

Each resident is required to complete one major project relating to a specific aspect of pharmacy practice. The project may be: original research, quality research, development or enhancement of pharmacy services. The resident must adhere to the approved timeline for research to insure ultimate success. Final research results will be presented at a Residency Conference and/or appropriate national meeting.