Resident Projects

Each resident is required to complete one resident project. The project may apply to specific medications, drug classes, disease states or conditions, parts of the medication-use system, workflows, technology implementation, policies and procedures, or outcome measures. The overall goal of a project is to increase the resident's knowledge of project design and management, data analysis, and improve patient care.

Pharmacy Resident Project Leadership Committee

In order to ensure resident projects are successful, the Resident Project Leadership Committee oversees all resident project activities throughout the year. Support from this committee includes establishing timelines, assistance with project idea generation and selection, formal review of resident project proposals, IRB assistance, data acquisition, teaching statistical analysis courses for residents, teaching manuscript writing, formal review of poster and platform presentations, and oversight for implementation.

Project Idea Generation

In May/June of each year, preceptors are surveyed to generate a list of ideas for potential projects. Proposed resident projects must satisfy ASHP requirements for resident projects and support the strategic plan of the Department of Pharmacy. Members of the Department review and approve all projects prior to the resident initiating work on the project. Ideas are vetted by the Pharmacy Resident Project Leadership Committee and departmental leadership to ensure appropriateness and feasibility as well as value to patient care and the institution.

Project Idea Selection

A list of approved projects is distributed to residents in July. PGY2 residents collaborate with their RPD and project advisors to select a project from the list based on their interests. For the remaining projects, PGY1 residents will have the opportunity to meet with project advisors to learn more about each project and rank their preferred projects. A matching process is conducted by the Resident Project Leadership Committee to assign projects based on rank submitted by the residents. In order to balance workload and ensure successful completion of the resident project, most PGY1 residents are paired with another PGY1 to complete the project. The two residents serve as co-primary authors on presentations and publications.

Resident Project Team

The resident will work with a primary project advisor and project team to ensure success of the project. This team generally includes multi-disciplinary stakeholders and representation from each JHHS site that is included in the project.

Project Management

The resident will be responsible for developing a formal project proposal, which will then be reviewed by the project advisor. Each resident is required to gain approval of the project proposal from their project team and the Pharmacy Resident Project Leadership Committee. As applicable, residents will also submit for IRB approval, perform manual data collection and/or coordinate data acquisition from the electronic health record, perform statistical analysis, and summarize results and recommendations.

Project Implementation

In order to ensure resident projects will result in meaningful and sustained improvements to patient care, residents will present their project findings to stakeholders and relevant committees and implement systems change as appropriate. Resident project teams will coordinate implementation steps, which may include electronic health record changes, policy changes, staff education, and workflow changes.

Project Presentation and Manuscript Development

The final results of the project will be presented as a platform or poster presentation, either at the Eastern States Residency Conference or another professional meeting. Practice sessions for project presentations will be scheduled prior to the conference. There is also an optional opportunity to present results at the JHHS Pharmacy Scholarship Symposium. A manuscript which summarizes the findings of the project and is suitable for publication in a peer-reviewed journal will be developed.

Examples of Recent Resident Publications

Chow K, Trollinger B, Blum M, Alasfar S, Monroy-Trujillo JM, Brown D. Implementation of a pharmacist-driven protocol to improve screening and treatment of iron deficiency in hospitalized patients with chronic kidney disease. Hosp Pharm. 2024. https://doi.org/10.1177/00185787241267730

Eibye E, Waldfogel JM, Ross PA, Banks, C, Chou J, Russo K, Merrey J. Implementation of pharmacist driven gabapentinoid titration for diabetic peripheral neuropathy in a primary care setting. J Pain Palliat Care Pharmacother. 2024. https://doi.org/10.1080/15360288.2024.2421527

Fribance H, Liang C, Lee CKK, Azia K, Parkinson C, Gauda EB, Northington FJ, Chalk BS, Chavez-Valdez R. Oral clonidine-based strategy to reduce opiate use during cooling for neonatal encephalopathy: an observational study. J Pediatr. 2024. https://doi.org/10.1016/j.jpeds.2024.114158

Skoloda D, Newman M, Norman H, Ziggas JE, Ambinder RF. Impact of prophylactic trimethoprim-sulfamethoxazole on clearance of high-dose methotrexate in adult patients. JCO Oncol Pract. 2024. https://doi.org/10.1200/op.23.00792

Soto CL, HSU AJ, Lee JH Dzintars K, Choudhury, Jenkins TC, McCreary EK, Quartuccio KS, Stohs EJ, Zimmerman M, Tamma PD. Identifying effective durations of antibiotic therapy for the treatment of carbapenem-resistant Enterobacterales bloodstream Infections: a multicenter observational study. Clin Infect Dis. 2024. https://doi.org/10.1093/cid/ciad476

Resident Project Coordinator

Jessica R. Crow, PharmD, MPH, BCCCP, FCCM

Title: Clinical Pharmacy Manager, Johns Hopkins Bayview Medical Center

Education: PharmD, Texas Tech University Health Sciences Center; B.S. Biochemistry, The University of Texas at Austin; MPH, Johns Hopkins Bloomberg School of Public Health

Jessica Crow earned a Bachelor of Science degree in biochemistry from The University of Texas at Austin, a Doctor of Pharmacy degree from Texas Tech University, and a Master of Public Health degree at Johns Hopkins Bloomberg School of Public Health (BSPH). She has also completed certificate programs from Johns Hopkins BSPH in Quality, Patient Safety and Outcomes Research, as well as Health Finance and Management. She completed PGY1 pharmacy residency at Barnes-Jewish Hospital, followed by PGY2 critical care pharmacy residency at Detroit Receiving Hospital. Dr. Crow currently serves as the Clinical Pharmacy Manager at Johns Hopkins Bayview Medical Center, where she is responsible for overseeing and advancing inpatient and ambulatory clinical pharmacy services. In addition to her leadership role at Johns Hopkins Bayview Medical Center, she maintains a practice site as a clinical pharmacy specialist in cardiovascular surgical intensive care at The Johns Hopkins Hospital. She currently serves as the Resident Project Coordinator for pharmacy residents at The Johns Hopkins Hospital, Johns Hopkins Bayview Medical Center, and Johns Hopkins Care at Home and chairs the Pharmacy Resident Project Leadership Committee.

Dr. Crow’s passion is to improve patient outcomes through research and interdisciplinary creation of best practice policies that can be applied broadly. She has received several awards in pharmacy practice including the MSHP Excellence Award, MSHP Preceptor of the Year Award, ASPEN Clinical Nutrition Team of Distinction Award, STS First Place Research Poster Award, Johns Hopkins Medication Safety Star Award, Texas Tech University Distinguished Alumni Research Award, and was inducted as a fellow in the American College of Critical Care Medicine. She is active in the Society of Critical Care Medicine and currently serves as SCCM Baltimore Chapter Immediate Past-President.