Overview

Overview

Psychiatric Residency (PGY-2)

The Lutheran Hospital Psychiatric Pharmacy Residency (PGY-2) is an ASHP-accredited 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, longitudinal teaching, and longitudinal staffing. Elective experiences include child and adolescent psychiatry, geriatric psychiatry, alcohol and drug rehabilitation, consultant liaison, forensics, and emergency psychiatry. Additional longitudinal elective experiences include a teaching certificate program offered through the Northeast Ohio Medical University (NEOMED) and a longitudinal leadership training program. Other required activities include a longitudinal research project, delivery of didactic lectures for Cleveland Clinic Adult Psychiatry residents and medical students, drug use evaluation(s), participation in pharmacy and multidisciplinary committees, monthly weekend staffing, staff in-services, and precepting pharmacy students and PGY-1 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 28 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 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 with a total of 84 licensed psychiatric beds. 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 2018 Bernard A. Birnbaum, MD, Quality Leadership Award as the top community hospital affiliated with an academic medical center. The Joint Commission has also recognized Lutheran Hospital as a Top Performer on Key Quality Measures.

About Pharmacy Practice Residency

About Pharmacy Practice Residency

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

Elective Rotations: child and adolescent psychiatry, geriatric psychiatry, alcohol and drug rehabilitation, consultant liaison, forensics, emergency psychiatry

 

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 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 health-system level 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. 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. 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. Participation in the Cleveland Clinic Residency Research Lecture Series is optional and provides additional assistance with research methods and biostatistics.

Evaluations

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

Application

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 to submit their recommendation and comment on a minimum of 7 of the 13 listed candidate characteristics. 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.

All application materials must be received by January 2, 2019.

Contact Information

For more information, please contact the Residency Program Director:

Ashley Tewksbury, RPh, PharmD, BCPP
Cleveland Clinic Lutheran Hospital
1730 West 25th Street
Cleveland, Ohio 44113
Phone: 216.906.5256
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
  • 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

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 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 paid time off (PTO) is available?

  • Residents are provided 10 days (flat, not accrued per pay-period) during the resident year. These days may be used as sick, vacation, or personal days.
  • In addition to the above 10 days, the resident will have 2 interview days and 2 professional days (to be used within the first 30 days of the residency start day and intended for obtaining licensure in Ohio). If the resident uses their 2 interview days and needs additional interview days, the time will be removed from their 10 days of PTO.
  • A maximum of five PTO days may be taken in a row and on a single rotation.
  • If the resident is at their rotation site for at least 4 hours out of the day, then it is not considered PTO.
  • 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 one major holiday. The required holiday will change each residency year because all pharmacists rotate through the holiday schedule.

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 an average of one APPE pharmacy student per month and at least four PGY-1 pharmacy residents from other Cleveland Clinic hospitals during the residency year. 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. The resident may also take advantage of the opportunities afforded by the active community outreach programs at Lutheran Hospital.

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, an on-site interview is required.

Is early commitment available?

Yes, residents from the Cleveland Clinic Fairview Hospital PGY-1 pharmacy residency program are eligible to early commit to the Cleveland Clinic Lutheran Hospital PGY-2 psychiatric pharmacy residency program.

In order to be eligible for early commitment, the resident must complete the adult psychiatry learning experience by the end of October. The resident is required to submit an updated curriculum vitae and letter of intent to the PGY-2 residency program director by November 10th. The program director will review all PGY1 residency application materials in PhORCAS. The candidate has the option of submitting up to two additional letters of recommendation from more recent preceptors and/or employers.

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.

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 prior to start date

What are the requirements for successful completion of the residency program?

  • 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
  • Obtain a minimum of 2,000 hours of training time over no less than 50 weeks
  • Complete all required evaluations in PharmAcademic
  • Submit residency research project manuscript in publishable format to the residency program director by the end of the residency year
  • Maintain an organized file of all assignments on a shared drive
  • Present a poster at the ASHP Midyear Clinical Meeting or CPNP Annual Meeting
  • Achieve 80% of all goals of the residency program with no goals marked as “needs improvement”
Program Personnel

Program Personnel

Ashley Tewksbury, RPh, PharmD, BCPP
Lutheran Hospital
Clinical Specialist
tewksba@ccf.org
216.906.5256

Laura Kroon, RPh, PharmD
Lutheran Hospital
Pharmacy Manager
kroonl@ccf.org
216.212.3418

Laurel Brown, RPh, PharmD, BCPS
Fairview Hospital
Clinical Specialist
brownl11@ccf.org
216.889.6783

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

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

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

Brittany Harbert, RPh, PharmD, BCPS
Lutheran Hospital
Pharmacist- Emergency Department
harberb3@ccf.org
216.906.5224