Overview

Overview

Psychiatry Residency (PGY-2)

The Lutheran Hospital Psychiatry Residency (PGY-2) is a one-year postgraduate training program that prepares residents to become integral members of interdisciplinary teams treating patients with psychiatric disorders. Residents will refine their communication skills through leading daily medication education groups for psychiatric inpatients and participating in daily interdisciplinary treatment rounds. Residents will identify and implement opportunities to improve the medication-use system in psychiatric practice areas. Upon completion of the program, residents will be adequately prepared to pursue board certification in psychiatric pharmacy (BCPP) and establish clinical psychiatric pharmacy services. All learning experiences occur in the adult inpatient setting unless otherwise noted. Required experiences include outpatient psychiatry, mood disorders, severe mental illness I and II, and longitudinal staffing. Elective experiences include child and adolescent psychiatry, geriatric psychiatry, alcohol and drug rehabilitation, consultant liaison, administration, forensics, and longitudinal teaching. Other required activities include a longitudinal research project, delivery of didactic lectures for Cleveland Clinic Health System (CCHS) Adult Psychiatry residents and medical students, drug use evaluation(s), participation in several CCHS committees, and precepting APPE students and PGY1 residents. Residents will present posters at the following meetings: ASHP Midyear Clinical Meeting, Vizient Consortium Pharmacy Network Meeting, and College of Psychiatric and Neurologic Pharmacists (CPNP) Annual Meeting. A platform presentation on residency project methodology at the Ohio College of Clinical Pharmacy (OCCP) Fall Meeting is also required.

Department of Pharmacy

The Department of Pharmacy consists of 22 staff members. EPIC is the electronic medical record/CPOE that supports pharmacy services across all Cleveland Clinic hospitals. The department utilizes decentralized automation cabinets (Pyxis MedStation) as its primary method of medication dispensing. Other technologies utilized within the department include Pharmogistics inventory management and PharmacyKeeper medication workflow system.

Residency Training Program Site

Lutheran Hospital is a 203-bed community teaching hospital that encompasses the primary adult inpatient psychiatric units of the Cleveland Clinic Department of Psychiatry. The psychiatric inpatient units consist of two severe mental illness units, two mood disorder units, one geriatric unit, and one alcohol/drug rehabilitation unit. Lutheran supports medical residencies in adult psychiatry and orthopedic surgery. Lutheran Hospital was awarded the 2016 Bernard A. Birnbaum, MD, Quality Leadership Award as the top community hospital affiliated with an academic medical center.

About Pharmacy Practice Residency

About Pharmacy Practice Residency

Required Rotations: outpatient psychiatry, mood disorders, severe mental illness I and II, longitudinal staffing

Elective Rotations: child and adolescent psychiatry, geriatric psychiatry, alcohol and drug rehabilitation, consultant liaison, forensics, administration, longitudinal teaching

Presentations

The resident will complete formal presentations on a variety of pharmacotherapy topics to pharmacy staff, CCHS Adult Psychiatry residents, and other health care professionals at Lutheran Hospital. Informal topic discussions and in-services to nursing staff, medical students, and pharmacy students will be conducted by the resident. Residents will prepare and present at least one formulary review monograph or medication use evaluation for either local or enterprise-wide Pharmacy and Therapeutics committees. 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).

Meetings and Conferences

The resident will have the opportunity to participate in a variety of local and CCHS (enterprise-wide) pharmacy department and interdisciplinary committees. Residency project results will be presented in poster format at the ASHP Midyear Meeting and Vizient Consortium Pharmacy Network Meeting in the winter and the College of Psychiatric and Neurologic Pharmacists (CPNP) Annual Meeting in the spring. A platform presentation on residency project methodology at the Ohio College of Clinical Pharmacy (OCCP) Fall Meeting is also required. Accommodations and travel expenses will be reimbursed for all required meetings.

Study Completion

The resident will complete a longitudinal research project culminating in the form of a publishable manuscript. Residency project methodology and results will be presented at the meetings mentioned in the above section. Project results may be presented to the pharmacy department and other health care professionals at Lutheran Hospital as appropriate. Attendance at the Residency Research Lecture Series through Cleveland Clinic for additional assistance with research methods and biostatistics is optional.

Evaluations

Upon fulfillment of each rotation, the resident will complete formal preceptor-, rotation-, and self-evaluations through PharmAcademic. The preceptor will complete a resident evaluation in a similar fashion, as well as periodic formative snapshot evaluations. All written evaluations will be accompanied by direct verbal feedback. Additional formal and informal evaluations may be incorporated upon resident request.

Application

Application

Requirements for Application

Applicants to the Lutheran Hospital Psychiatric Pharmacy Residency Program will be processed through the Pharmacy Online Residency Centralized Application Service (PhORCAS).

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 January 2, 2018 by 11:59 p.m. 

For the PGY-2 residency programs (Ambulatory Care, Cardiology, Critical Care, Emergency Medicine, Drug Information, Infectious Diseases, Informatics, Oncology, and Psychiatry), a Pharmacy (PGY-1) Residency or equivalent experience is required.

Cleveland Clinic Health-System Residency sites agree that no person at these sites will solicit, accept, or use any ranking-related information from any residency applicant.

Note:
1. Cleveland Clinic Pharmacy does not provide employment-based non-immigration visa sponsorship for pharmacy residency programs.
2. Appointments of applicants to residency positions may be contingent upon the applicants satisfying certain eligibility requirements [e.g., graduating from accredited college of pharmacy, obtaining pharmacist license in Ohio (for Ohio sites) or Florida (for Florida site) by September 1, and successful completion of a pre-employment physical and drug screen, including testing for cotinine.

(Updated December 28, 2017)

Contact Information

For more information, please contact the Residency Program Director:
Ashley Tewksbury, PharmD, BCPP
Cleveland Clinic Lutheran Hospital
1730 West 25th Street.
Cleveland, Ohio 44113
Phone: 216.363.2359
Fax: 216.696.7499
Email: tewksba@ccf.org

Benefits, Travel & Compensation

Benefits, Travel & Compensation

The Psychiatric Pharmacy Practice 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 the 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 paired with a pharmacist mentor 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 Lutheran 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 vacation time is available?

Residents are provided 10 days of paid time off during the resident year. Residents are encouraged to utilize days in late January and February to interview for future positions.

What other educational opportunities are available?

The resident will precept students from various pharmacy schools throughout the Northern Ohio area. Residents will have the opportunity to attend a wide variety of leadership and employee engagement activities during the residency year. Lutheran Hospital has an active psychiatric residency program that affords the pharmacy resident an opportunity to not only learn and teach medical residents but it also presents an opportunity to meet and network with these medical professionals on a daily basis.

What teaching opportunities are available at Lutheran Hospital?

The resident may participate in an optional teaching certificate program through Northeast Ohio Medical University (NEOMED) depending on availability .The resident will assist in precepting an average of one APPE pharmacy student per month and at least four PGY1 Pharmacy Practice residents from various CCHS hospitals during the residency year. Residents will deliver several didactic lectures to CCHS Adult Psychiatry Residents and informal topic discussions to medical students. Additional opportunities to create and deliver presentations for other health care professionals will manifest throughout the residency year. The resident may also take advantage of the opportunities afforded by the active community outreach programs at Lutheran 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.

Is the residency accredited?

The residency program currently has candidate status. Accreditation status will be voted on in 2018.

How many residents are selected?

Currently, Lutheran Hospital selects one resident each year.

Does this program participate in the match?

Yes, Lutheran Hospital participates in the match.

When is the application deadline?

All application materials must be received by January 2, 2018.

Is an interview required?

Yes, an on-site interview is required.

When does the residency begin and end?

The residency begins on July 1 of each year. Residents must go through Cleveland Clinic orientation. The resident may be required to attend a system orientation the Monday before July 1, if July 1 is not on a Monday. The residency will end on June 30 of each year or the Friday prior if June 30 falls on a weekend.

How will I be evaluated?

The resident is evaluated using PharmAcademic. Summative evaluations are expected to be submitted within three days of completing a rotation. The resident will also be evaluated quarterly by the program director.

Will the residency program be showcased at the ASHP Midyear Clinical Meeting?

Yes, the residency is showcased at the ASHP Midyear Meeting. The Lutheran Hospital Residency Program will be showcased with all other Cleveland Clinic Residency Programs.

Program Personnel

Program Personnel

Ashley Tewksbury, RPh, PharmD, BCPP
Lutheran Hospital
Clinical Specialist II
tewksba@ccf.org
216.363.2359

Laurel Brown, RPh, 
BPharm, PharmD, BCPS
Fairview Hospital
Clinical Specialist I
brownl1@ccf.org
216.889.6783

Jessica L. Brennan, RPh, PharmD, BCPP
Marymount Hospital
Clinical Specialist I
brennaj3@ccf.org
216.644.8952

Betsy Walters-Burkey, RPh, PharmD, BCPS 
Fairview Hospital
Clinical Specialist II
bewalt@ccf.org
216.889.6783

Michael R. Hoying, RPh, MS 
Lutheran Hospital
Director of Pharmacy
mihoyi@ccf.org
216.476.4897

Alan Pires, RPh, MNO, MS
Director of Pharmacy Services
alan.pires@mha.ohio.gov

Thomas Kahle, RPh, PharmD, BCPS
Clinical and Staff Pharmacist
kahlet@ccf.org