Overview
Psychiatric Residency (PGY-2)
The PGY2 Psychiatry resident will practice at Lutheran Hospital and within the Cleveland Clinic Health-System. Lutheran Hospital encompasses the primary adult inpatient psychiatric units of the Cleveland Clinic Department of Psychiatry which consists of two severe mental illness units, one mood disorder unit, one general adult psychiatry unit, one geriatric psychiatry unit, and one alcohol and drug recovery unit. Required rotations include severe mental illness I and II, mood disorders I, chemical dependency, and outpatient psychiatry. Required longitudinal rotations include research, teaching, and operations/distribution. Elective rotations include mood disorders II, severe mental illness III, child/ adolescent psychiatry, geriatric psychiatry, consultant liaison, forensics, and emergency psychiatry. All clinical experiences are in the adult inpatient setting unless otherwise noted.
The resident will complete a research project, manuscript, and present the results locally and nationally. To assist with building research skills, the residents will participate in the residency research curriculum that takes place throughout the residency year. The resident has many opportunities for teaching including didactic lectures for psychiatry residents, weekly patient education groups, staff in-services, and pharmacy student and resident preceptorship. Optional experiences include a teaching certificate and leadership certificate. The leadership certificate is a 12 month training program that focuses in 4 key areas: essentials of leadership, leading yourself, leading others, and leading the profession of pharmacy.
About Pharmacy Practice Residency
Required Rotations:
- Orientation
- Outpatient psychiatry
- Mood disorders I
- Severe mental illness I
- Severe mental illness II
- Chemical dependency
- Longitudinal staffing
- Longitudinal teaching
- Longitudinal research
Elective Rotations:
- Child and adolescent psychiatry
- Geriatric psychiatry
- Consultant liaison
- Forensics
- Emergency psychiatry
- Mood disorders II
- Severe mental illness III
Presentations
The resident will complete formal presentations on a variety of pharmacy topics to pharmacy staff, 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 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 health-system level pharmacy department and interdisciplinary committees. Residency project results will be presented in poster format at the ASHP Midyear Meeting and the College of Psychiatric and Neurologic Pharmacists (CPNP) Annual Meeting in the spring (subject to change). Additional opportunities for conference participation may be encouraged depending on the residency project topic and rate of resident progress. 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. Project results may be presented to the pharmacy department and other health care professionals at Lutheran Hospital as appropriate. Participation in the Cleveland Clinic Residency Research Lecture Series provides additional assistance with research methods and biostatistics.
Evaluations
Upon fulfillment of each rotation, the resident will complete formal evaluations through PharmAcademic. The preceptor will complete a resident evaluation in a similar fashion. All written evaluations will be accompanied by direct verbal feedback.
Application
Interested applicants must be Doctor of Pharmacy (PharmD) graduates of an accredited college of pharmacy, eligible for licensure in the state of Ohio, have successfully completed a pharmacy (PGY-1) residency or equivalent experience, and submit the standard application materials through the Pharmacy Online Residency Centralized Application Service (PhORCAS). This includes submission of a letter of intent, curriculum vitae (CV), official college transcripts, and three letters of recommendation.
A minimum of one (two is preferred) of the three references should be 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 management skills. All reference writers should use the standard PhORCAS template for their recommendation. If more than three letters of recommendation are submitted, only the first three submitted letters will be reviewed.
In addition to the standard PhORCAS application, a response to the following essay statement is required. The essay response should be separate from the letter of intent and no longer than one page in length. Applications missing this essay component will not be reviewed. 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.
Contact Information
For more information, please contact the Residency Program Director:
Audrey Kivlehan PharmD, BCPS, BCPP
Cleveland Clinic Lutheran Hospital
1730 West 25th Street
Cleveland, Ohio 44113
Phone: 216.218.3454
Email: kivleha@ccf.org
Benefits, Travel & Compensation
The Psychiatric Pharmacy 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
- Office supplies
- iPhone
- 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
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 minimum 8 hours free of duty between scheduled hours.
How much paid time off (PTO) is available?
- Residents are provided 14 days (flat, not accrued per pay-period) during the resident year. These days may be used as sick, vacation, or personal days.
- A maximum of five PTO days may be taken in a row and on a single rotation.
- Unused PTO benefits are not paid out upon completion of the residency year.
What are the staffing requirements?
The resident will work one weekend every four weeks (two 8-hour shifts). Weekend shifts comprise both distribution and clinical duties.
The resident is also required to work two holidays.
What teaching opportunities are available?
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 pharmacy students and PGY-1 residents. Residents will deliver several didactic lectures to Cleveland Clinic 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.
Is the residency accredited?
Yes, the residency program received initial ASHP accreditation in September 2016.
How many residents are selected?
Currently, Lutheran Hospital selects one resident each year.
Is an interview required?
Yes.
Is early commitment available?
No.
Will the residency program be showcased at the ASHP Midyear Clinical Meeting?
Yes.
What are the pre-employment requirements?
- Pre-employment health evaluation, including TB test
- Background check
- The offer will be rescinded if the candidate has any convictions not disclosed on the application.
- Urine drug screen, including cotinine (nicotine metabolite)
- The offer will be rescinded if the candidate tests positive for cotinine per Cleveland Clinic policy.
- Copy of pharmacy residency (PGY-1) graduation certificate must be sent to residency program director during orientation.
What are the requirements for successful completion of the residency program?
As stated in Successful Completion of Residency Policy, the requirements are:
- Obtain pharmacist license in the state of Ohio within 90 days of the residency start date
- Failure to obtain licensure by this date will result in termination from the program
- Completion of requirements outlined on Graduation Tracking Form including:
- Documentation of completion of PGY1 requirements prior to starting PGY2 and validation of PGY1 residency certificate
- BLS and ACLS certification maintained during residency
- All required Cleveland Clinic competencies completed in intranet electronic learning center
- Successful completion of all required learning experiences
- Monthly documentation of duty hours
- Assigned committee participation
- All required evaluations completed by resident in PharmAcademic™.
- Completion of assignments and projects including:
- Residency research project and conference presentations as determined by Residency Program Director and Residency Advisory Committee
- Written manuscript in publishable form submitted to residency program director prior to the end of the year
- Completion of a medication use evaluation
- Present at least one journal club
- Present at least two case presentations
- Present at least one in service
- Completion of at least one formal drug information question write-up
- Complete at least one newsletter
- Present two lectures to psychiatry interns
- Present two lectures to medical students
- Present BCPP preparation topic discussions
- Compliance with enterprise and local residency policies as provided prior to the start of the residency
- Scheduled shifts every fourth weekend (Saturday and Sunday) and 2 holidays (Thanksgiving and Memorial Day); subject to change
- Completion of disease state activities in direct patient care or topic discussion format as defined in ASHP PGY-2 CAGO appendix
- Successfully completes 80% of residency objectives as ‘Achieved for Residency’ with none marked as needs improvement
Program Personnel
Audrey Kivlehan, PharmD, BCPS, BCPP
Lutheran Hospital
PGY-2 Psychiatry Residency Program Director
Clinical Specialist
kivleha@ccf.org
Joshua Maline, PharmD, BCPP
Lutheran Hospital
Clinical Specialist
malinej@ccf.org
Katherine Knudsen, PharmD, BCPS
Lutheran Hospital
Clinical Specialist
knudsek@ccf.org
Jamie Buczek, PharmD
Lutheran Hospital
Lead Pharmacist
buczekj@ccf.org
Laura Kroon, PharmD, MS
Lutheran Hospital
Pharmacy Director
kroonl@ccf.org
Betsy Walters-Burkey,
PharmD, BCPS, BCPPS
Fairview Hospital
Clinical Specialist
bewalt@ccf.org
Morgan King PharmD, BCPPS
Fairview Hospital
Clinical Specialist
kingm11@ccf.org
Dayna Gewolb, PharmD, BCPP
Akron General Hospital
Clinical Specialist
gewolbd@ccf.org
Alan Pires, RPh, MNO, MS
Northcoast Behavioral Health
Director of Pharmacy Services
alan.pires@mha.ohio.gov
