PGY2 Solid Organ Transplant Pharmacy Residency

 

Required Rotations (~9 months):

• Orientation (2-4 weeks)
• Abdominal Transplant I and II (4-6 weeks each)
• Advanced Heart Failure and Heart Transplant I and II (4-6 weeks)
• Advanced Lung Disease and Lung Transplant I and II (4-6 weeks each)
• Ambulatory Abdominal Transplant Clinic (4-6 weeks each)

Elective Rotations (up to 3 may be selected, 2-4 weeks each)

• Transplant Nephrology
• Transplant Hepatology
• Cardiothoracic Transplant Clinic
• Abdominal Transplant III
• Cardiothoracic ICU
• Off site: Transplant Infectious Diseases - University of Texas Southwestern (Dallas, TX)

Longitudinal Experiences

• Research and MUE/Quality Improvement Projects
• Transplant Practice Management
• Education and Teaching
• Staffing (decentralized clinical staffing)

Teaching requirements include:

• ACPE-accredited CE for system pharmacists
• CME-accredited CE for Transplant Grand Grounds
• Preceptor Development Session (completed with residency class)
• Precept students and PGY1 residents

Residents will have the opportunity to present journal clubs/case presentations, quarterly transplant nursing orientation, and participate in/lead multidisciplinary staff education.

Our multifaceted multidisciplinary teaching is provided during formal rounds, didactic sessions, and weekly transplant related conferences with invited lecturers, where residents also have the opportunity to present. These include but are not limited to:

• Abdominal Transplant Grand Rounds
• Advanced Heart Failure/Heart Transplant Grand Rounds
• Advanced Pulmonary Grand Rounds
• Hepatology Grand Rounds
• Cardiology Grand Rounds
• Nephrology Grand Rounds

The resident will serve in a lead role for a research project throughout the year. Transplant research projects are vetted by the Transplant Research Committee and approved under an umbrella IRB, which expedites the process for IRB approval. Residents have free access to RedCap and statistician support from the transplant department.

The goal is to submit an abstract to and present at a transplant or other applicable conference, such as:

• ISHLT Annual Meeting
• ATC Annual Meeting

Subsequently, at least 1 manuscript will be prepared and submitted to an applicable journal.

Other projects include but are not limited to policy or guideline development and a medication use evaluation or quality improvement project.

Staffing:

Longitudinal staffing approximately every third weekend in the internal medicine/cardiology/transplant evening clinical staffing shift.

On-Call Requirements:

Residents also serve as Manager On-Call as part of leadership development. Each resident participates in this program approximately every 7 weeks with 7 residents.

Medication Safety:

The resident will be expected to conduct 2 transplant related error reviews per on-call week.

Policy/Guideline Development:

The resident will be required to write or update at least 1 transplant protocol, guideline, or policy.

Committee Involvement:

The resident will participate in select hospital and transplant committees throughout the year. This will include:

• Transplant Selection committees for each organ
• Transplant Quality committees
• Transplant System Governance committees: manage and optimize EPIC related enhancements for all 3 transplant centers within BSWH
• Transplant research committees
• Heart Immunology Committee
• Drug Shortage Committee
• BUMC Antibiotic Stewardship Committee
• BUMC Residency Recruitment Committee
• Others based on resident’s interests

Active participation and contribution to at least one committee or workgroup within national organizations impacting transplant pharmacy practice, such as ACCP IMTR PRN, AST, ISHLT, or ASHP, as per resident’s interests, will be highly encouraged. Residency preceptors will guide the resident in determining optimal and feasible opportunities that will benefit resident's learning and facilitate networking opportunities.

Conference Travel:

The resident will have the opportunity to attend various professional meetings throughout the year as outlined in the structure requirements form. Residents receive an annual travel stipend supported by both the pharmacy and transplant departments (e.g. ASHP Midyear Clinical Meeting, ALCALDE Southwest Leadership Conference, and American Transplant Congress or International Society of Heart and Lung Transplantation Annual Meeting). Attendance at the AST Fellows Symposium will also be encouraged.