Overview

Overview

PGY 1 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. 3 hospital among Cleveland-area hospitals and the No. 4 hospital in Ohio, according to U.S. News & World Report's “2019-20 Best Hospitals.” Fairview Hospital supĀ­ports medical residencies in internal mediĀ­cine, 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.

Purpose 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.

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
  • 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: 38
  • Support Staff: 42
  • Total Beds: 517
  • Average Daily Census: 350
Requirements

Requirements

Fairview Hospital’s PGY1 residency program is a 12 month residency starting toward the end of June. Licensure is strongly encouraged within two weeks of starting the residency (before is ideal). Further details of time-line for licensure will be shared with interviewees.

Required Rotations

  • Orientation
  • Internal Medicine – 1
  • Internal Medicine – 2
  • Critical Care - MICU or Critical Care - SICU
  • Pharmacy Practice
  • Emergency Medicine
  • Infectious Disease/Antimicrobial Stewardship
  • Neonatal Intensive Care
  • Pharmacy Leadership

Elective Rotations

  • Family Medicine - Inpatient Elective
  • Oncology
  • Critical Care - MICU or Critical Care - SICU (Will be opposite completed as required rotation)
  • Emergency Medicine - Elective
  • Inpatient Trauma
  • Investigational Drug Services

Required Longitudinal Rotations

  • Staffing
  • Family Medicine Clinic
  • Resident Research
  • Projects

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. 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 our program, preceptors and their selves 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.