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About the Pharmacy Residency Program: On Call

The primary goals of the residency on-call program are to enhance the resident's practice responsibilities and experiences as well as to assist the second shift pharmacy staff with clinical/operational support.


I. Responsibilities

An on-call resource guide has been developed to help assist the resident perform routine activities. In an attempt to provide additional support to the second shift, the following activities will be provided by the on-call resident:

  1. Code and Trauma Pager Coverage
    - respond to in-house code and rapid response calls and provide the
      required assistance

  2. Drug Information
    - provide answers to drug information questions that require
      in-depth research

  3. Administrative/Operational Support
    - assist in obtaining medications needed urgently from other area 
    - provide administrative/operational assistance as needed

  4. Other/Miscellaneous
    - assist pharmacy staff with any patient-care related activities that
      arise during shift

 II. Coverage

The on-call resident shift covers 4:00 PM to 11:00 PM weekdays, and 11:00 AM to 11:00 PM on weekends and holidays. The on call rotation will provide 7 days coverage (approximately one - two evening shifts per month and two-three weekends per year.

Service will be provided to all areas of the hospital, the Johns Hopkins Outpatient Center, and the Emergency Department.

It is the responsibility of the resident to arrange for coverage if he/she cannot work the designated on-call shift. The weekend and holiday on-call shifts will be assigned to residents that are staffing on those days. Residents that opt to work extra shifts on weekday evenings will not be allowed be on-call simultaneously.

The resident will be available by pager and will round twice during the shift through each satellite to assist with any issues.

III. On-Call Scheduling


  • Residents will be on-call approximately every three weeks with shifts rotating between residents so that weekend shifts are divided equally.
  • Following the staffing or on call weekend PGY-1’s will have a compensatory day off.


  • PGY-2’s new to the Johns Hopkins Hospital will have the same weekend on-call schedule as PGY-1’s for their first 3 months.
  • After 3 months the PGY-2 residents will transition to working every third weekend.

IV. Resident Back-Up

- clinical specialists
- administrator on call

V. Resident Impact

The resident will serve as the in-house contact for medication-related issues during his/her on-call shift. This additional responsibility will:

  1. jhh
    Assist in the resident's development of his/her clinical autonomy.
  2. Meet the following residency goals:
    a. Take personal responsibility for attaining excellence in one's own ability to provide pharmaceutical care.
    b. Demonstrate ethical conduct in all activities related to pharmacy practice.
    c. Communicate clearly when speaking or writing.
    d. Work harmoniously with others in the health system.
    e. Accept responsibility for accurate evaluation of one's own work.
    f. Manage time effectively to fulfill practice responsibilities.
    g. Conduct direct patient-care activities using a consistent approach that reflects the philosophy of pharmaceutical care and that is performed with the efficiency and depth of experience characteristic of an experienced pharmacist.
    h. Recommend pharmacotherapeutic regimens and corresponding monitoring plans.
    i. Document pharmaceutical care activities appropriately.
    j. Participate in the management of medical emergencies.
    k. Provide concise, applicable, and timely responses to requests for drug information from health care providers and patients.
  3. Provide the resident with the experience of being the primary clinical reference.

VI. Documentation

The resident will be responsible for documenting his/her activities for the shift and providing a sign out note that will be kept in both a central filing location and as an electronic file.

VII. Evaluation/Feedback

Evaluation will be performed by the resident's facilitator based on combination of staff (pharmacist, nursing and physician) comments and resident activity documentation. Individualized feedback will also be provided to the resident by a clinical specialist assigned to review the on-call signouts.