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Department of Pharmacy

Critical Care

Program Type: ASHP Accredited PGY2 Residency
ASHP Match Number: 536652

PGY2 Program Purpose

PGY2 pharmacy residency programs build on Doctor of Pharmacy (PharmD) education and PGY1 pharmacy residency programs to contribute to the development of clinical pharmacists in specialized areas of practice. PGY2 residencies provide residents with opportunities to function independently as practitioners by conceptualizing and integrating accumulated experience and knowledge and incorporating both into the provision of patient care or other advanced practice settings. Residents who successfully complete an accredited PGY2 pharmacy residency are prepared for advanced patient care, academic, or other specialized positions, along with board certification, if available.

Program Overview

The PGY2 Critical Care Pharmacy residency at The Johns Hopkins Hospital is a twelve-month, ASHP-accredited program of training and experience based upon the ASHP Accreditation Standard for PGY2 Pharmacy Residency and the ASHP Required Competency Areas, Goals, and Objectives for PGY2 Critical Care Pharmacy Residency Programs (2017). The program provides flexibility to meet the needs and interests of the individual resident while ensuring the achievement of foundational skills for high-quality critical care pharmacy practice.

Please refer to the “Program Overview” section of the Department of Pharmacy, Johns Hopkins Medicine website.

Program Goals

Residents who complete this program will be able to:

  • Practice as competent, independent, and highly qualified critical care pharmacists with an advanced degree of proficiency and expertise who provide optimal care to critically ill patients as a fully integrated member of the interdisciplinary team in a variety of critical care environments
  • Serve as critical care pharmacy leaders who accept responsibility for developing a personal plan for professional development, provide education related to critical care drug therapy, contribute to the body of critical care pharmacotherapy research, and conduct their practice with a high level of professional maturity and integrity
  • Manage of a wide variety of critical illnesses to ensure broad, foundational, evidence-based critical care pharmacotherapy knowledge and skills
  • Utilize strong medical literature writing and evaluation skills
  • Conduct critical care pharmacy research
  • Precept and teach health care professionals and those in training to become healthcare professionals
  • Serve as a leader in critical care pharmacy practice within a health system

Orientation

The Pharmacy Residency Orientation experience provides a comprehensive and coordinated training program designed to provide incoming residents with an understanding of policies, procedures, and expectations for the pharmacy residency experience. During orientation, residents will participate in hospital, department, and division orientation, and will be exposed to department policies and resources.

Hospital and pharmacy department orientation is required for all new pharmacist hires at Johns Hopkins Hospital. The resident is expected to interact with members of the pharmacy department throughout orientation and to attend assigned orientation and training sessions.

Prior to the start of the residency program, residents will be given a full, detailed orientation itinerary.

Rotations

Required Rotations (1 month per rotation)

  • Orientation* (see Orientation section above)
  • Cardiology Care Unit (CCU)
  • Cardiovascular Surgical Intensive Care (CVSICU)
  • Emergency Medicine (ED)
  • Medical Intensive Care (MICU) I
  • Medical Intensive Care (MICU) II
  • Neurosciences Intensive Care (NCCU)
  • Research
  • Surgical Intensive Care (SICU) I
  • Surgical Intensive Care (WICU) II

*For residents new to the institution, or returning residents new to the Adult Medicine, Emergency and Surgery Pharmacy Division

A one-month rotation will be completed at Johns Hopkins Bayview Medical Center (JHBMC), which is an academic medical center within the Johns Hopkins Health System. Specific details will be determined in collaboration with the preceptor group at JHBMC and the incoming resident, factoring in specific interests and prior experiences. The JHBMC rotation fulfills the general rotation requirement based on unit type (e.g., the required ED rotation could be completed at either JHH or JHBMC).

Elective Rotations (1 month per rotation)

2 electives will be completed for residents who are required to complete orientation and 3 electives for residents who are not required to complete orientation)

Elective learning experiences may be developed based on resident interest and preceptor availability.

Education Components

  • Pharmacotherapy Rounds
    • All residents will provide a 30-minute presentation that is APCE-accredited.
    • Please refer to the “Learning Opportunities” section of the Department of Pharmacy, Johns Hopkins Medicine website.
  • Journal Clubs and/or Topic Discussions
    • Journal Clubs and/or Topic Discussions
    • The resident will participate in critical care pharmacy-based topic discussions, case presentations, and journal clubs on a regular basis. Other participants include critical care residency preceptors, clinical pharmacists, other pharmacy residents (including those on a critical care rotation), and pharmacy students.
    • The resident may also enter a lottery to participate as a presenter for Society of Critical Care Medicine (SCCM) Clinical Pharmacy and Pharmacology Journal Club or other national society journal club.
  • Teaching Requirements
    • Each Hopkins resident is required to provide educational sessions.
    • The resident will provide a 1-hour departmental continuing education presentation that is ACPE-accredited.
    • Please refer to the “Learning Opportunities” section of the Department of Pharmacy, Johns Hopkins Medicine website.

Requirements for Acceptance to the Program

The qualified candidate will have a Doctor of Pharmacy degree from an ACPE-accredited school of pharmacy. Prior to the beginning of a PGY2 residency, PGY2 residents must have successfully completed an ASHP-accredited PGY1 pharmacy residency program.

Licensure and Certification Requirements

All residents are required to obtain a Maryland State Pharmacy License by August 1st.

The resident will arrive at the program already ACLS-certified, or will complete certification during the residency year.

Attendance at Professional Meetings

The department will support the resident (expense and leave time) to attend the Society of Critical Care Medicine Annual Congress, ASHP Midyear Clinical Meeting, and the Eastern States Conference for Pharmacy Residents and Preceptors. Any additional travel that is to be supported by the department is evaluated on a case-by-case basis.

Please refer to the “Meetings and Conferences” section of the Department of Pharmacy, Johns Hopkins Medicine website.

MUE Project

The resident must complete a self-directed research or quality improvement project. The scope, magnitude, and type of project will vary according to individual interests but must be completed in a manner suitable for presentation and publication.

Please refer to the “Projects” section of the Department of Pharmacy, Johns Hopkins Medicine website.

Health System Formulary Management Project

The resident will complete a drug class review or other health system formulary management project (e.g., health system policy development) as part of the formulary management process. This may be achieved through assisting in the determination of formulary additions/deletions by assessing therapeutic merits, safety, redundancies, and the estimated cost impact on the JHHS.

Institutional Service (Committee Participation)

The resident will be assigned to departmental, hospital, or health-system committee(s) over the course of the year. Possibilities include but are not limited to: MICU Clinical Practice Committee, Pharmacy Resident On-Call Committee, and Pharmacy & Therapeutics Anesthesia and Analgesia Specialty Panel.

Staffing Component

Each resident will practice as a pharmacist in a designated area throughout the residency year.

Please refer to the “Staffing Requirements” section of the Department of Pharmacy, Johns Hopkins Medicine.

On-Call Coverage

The resident will participate in clinical on-call services. On-call duties include adult and pediatric code response, trauma and stroke calls, administrative assistance, and other duties. On-call hours are from 4 PM to 10 PM on weekdays and 8 AM to 8 PM on weekends and holidays. The frequency of on-call coverage depends upon the number of residents in the entire program and averages about 15 shifts per year.

Please refer to the “On Call Program” section of the Department of Pharmacy, Johns Hopkins Medicine website.

Paid Time Off (PTO)

Please refer to the “Benefits” section of the Department of Pharmacy, Johns Hopkins Medicine website.

Preceptors

Please refer to the “Preceptors” section of the Department of Pharmacy, Johns Hopkins Medicine website.

Core Residency Preceptors:

Stephanie Davis, PharmD, BCCCP, CNSC
Clinical Pharmacy Specialist, Cardiovascular Surgical Intensive Care and Clinical Nutrition

Salia Farrokh, PharmD, BCCCP, FNCS
Clinical Pharmacy Specialist, Neurosciences Critical Care

Traci Grucz, PharmD, BCCCP
Clinical Pharmacy Specialist, Surgical Intensive Care

Gianna Iantosca, PharmD
Clinical Pharmacy Specialist, Medical Intensive Care

John Lindsley, PharmD, BCCP, BCCCP
Clinical Pharmacy Specialist, Cardiac Intensive Care

Finnella Morgan, PharmD
Clinical Pharmacy Specialist, Emergency Medicine (JHBMC)

Umbreen Murtaza, PharmD, BCPS
Clinical Pharmacy Specialist, Emergency Medicine

Stephanie Seto, PharmD, BCCCP
Clinical Pharmacy Specialist, Weinberg Surgical Intensive Care

Program Coordinator

Jessica Crow

Jessica R. Crow, PharmD, BCCCP, BCPS-AQ Cardiology, CNSC, CCM
Title: Clinical Pharmacy Manager
Education: Doctor of Pharmacy, Texas Tech University Health Sciences Center School of Pharmacy; Master of Public Health, Johns Hopkins University Bloomberg School of Public Health
Training: PGY1 Pharmacy Residency, Barnes-Jewish Hospital; PGY2 Critical Care Pharmacy Residency, Detroit Receiving Hospital.

In addition to her leadership role at Johns Hopkins Bayview Medical Center, Dr. Crow maintains a practice site as a clinical pharmacy specialist in cardiovascular surgical intensive care at The Johns Hopkins Hospital. Her passion is to improve patient outcomes through interdisciplinary creation of best practice policies and protocols that can be applied broadly. She has received several national and local awards for her work in pharmacy practice and has extensive research and publication experience in critical care, nutrition, and hematology. Dr. Crow is an active member of the Society of Critical Care Medicine and currently serves as the Baltimore Chapter President.

Contact Information

Jessica R. Crow, PharmD, BCCCP, BCPS-AQ Cardiology, CNSC, FCCM
Clinical Pharmacy Manager
Program Coordinator, Critical Care Pharmacy Residency
Johns Hopkins Bayview Medical Center – Department of Pharmacy
4940 Eastern Avenue
Baltimore, MD 21224
Phone: 410-550-9851
Email: [email protected]

Program Director

Traci

Traci M. Grucz, PharmD, BCCCP
Title: Clinical Pharmacy Specialist, Surgical Intensive Care
Education: Doctor of Pharmacy, Wayne State University Eugene Applebaum College of Pharmacy and Health Sciences – Detroit, MI
Training: PGY1 Pharmacy Residency, The Johns Hopkins Hospital - Baltimore, MD; PGY2 Critical Care Residency, The Johns Hopkins Hospital – Baltimore, MD

Contact Information

Traci M. Grucz, PharmD, BCCCP
Clinical Pharmacy Specialist, Surgical Intensive Care
Program Director, Critical Care Pharmacy Residency
The Johns Hopkins Hospital – Department of Pharmacy
600 N Wolfe St, Carnegie 180
Baltimore, MD 21287
Phone: 410-614-4443
Email: [email protected]