Program Type: PGY2 Residency 
ASHP Match Number: 634269

PGY2 Program Purpose

PGY2 pharmacy residency programs build on Doctor of Pharmacy (Pharm.D.) 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 ASHP accredited Residency in Emergency Medicine is a twelve-month program of training and experience based upon the American Society of Health-System Pharmacists (ASHP) standards for PGY2 Pharmacy Residencies in Emergency Medicine. The program provides flexibility to meet the interests and needs of the individual resident while at the same time ensuring the achievement of foundational skills for high quality emergency medicine pharmacy practice.

Upon completion of the Johns Hopkins Emergency Medicine Pharmacy Residency, individuals shall be highly qualified independent practitioners able to provide optimal pharmaceutical care in the emergency department setting. They should be viewed as integral members of the multi-disciplinary care team and be skilled at teaching other healthcare professionals about emergency medicine drug therapy. These individuals will take a leadership role in quality and safety improvement initiatives with respect to the medication use processes in the emergency department setting.

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

Program Goals

• To develop competent emergency medicine pharmacy specialists who are able to meet the needs of emergency medicine patients while acting as a fully integrated member of the interdisciplinary emergency medicine team.
• To expose the resident to a wide variety of emergency department chief complaints and illnesses and associated management in order to ensure broad foundational evidence-based pharmacotherapy knowledge and skills.
• To provide experiences which develop skills in teaching other health care professionals and those in training to become healthcare professionals.
• To provide opportunities for the resident to develop medical literature evaluation skills and medical literature writing skills.
• To provide the resident opportunities to develop skills necessary to conduct emergency medicine pharmacy research.
• To provide the experience necessary for the future clinical practitioner to exercise leadership in emergency medicine quality and safety improvement initiatives within a health system.
• Participate in the development or planning of organizational plans for the management of mass casualty events or other emergency scenarios that impact the 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.

Learning Experiences

Required Learning Experiences

• Department of Pharmacy Orientation (for residents new to the institution)
• Adult Emergency Medicine (AED) (minimum of 5 months throughout the residency year)
• Adult Emergency Medicine—Bayview Medical Center (1 month)
• Medical Intensive Care (MICU) (1 month)
• JHH Pediatric Emergency Medicine (PED) (1 month)
• Poison Center Toxicology – Maryland Poison Center (1 month)
• Clinical Toxicology- Longitudinal Experience (completed over 11 months)

Elective Learning Experiences

(1 month per rotation)

• Antimicrobial Stewardship 
• Surgical Intensive Care (SICU) 
• Pediatric Intensive Care (PICU) 
• Burn Intensive Care (BICU)—Bayview Medical Center
• Shock Trauma—University of Maryland Medical Center
• Pediatric ED II
• Other ICUs considered upon request

Sample Schedule

Schedule

July – Department of Pharmacy Orientation (AMES)
Aug- Adult Emergency Medicine
September – Poison Center Toxicology, Maryland Poison Center
October – Adult Emergency Medicine
November – Antimicrobial Stewardship (elective)
December – MICU
January – Adult Emergency Medicine (with Student)
February – Bayview Adult Emergency Department (Bayview ED)
March – PICU (elective)
April – Pediatric Emergency Medicine
May – Adult Emergency Medicine
June – Adult Emergency Medicine

Longitudinal

• Didactic Clinical Toxicology
• Communication and Teaching

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
  • Resident will complete all required topic discussions in the program Appendix
  • Completion of topic discussions will be attained by participation in a variety of collaborative, resident-led, and/or preceptor-led topic discussions
• Teaching Requirements
  • Each Hopkins resident is required to provide educational sessions. The EM resident will also provide 1-2 Toxicology Lectures to the JHH Emergency Medicine MD/PA Residents.
  • A Teaching and Learning Certificate program is available for residents who did not complete a teaching certificate during their PGY1 year.
  • Please refer to the “Learning Opportunities” section of the Department of Pharmacy, Johns Hopkins Medicine website.

Residency Research 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.  

Drug Class Review (DCR) or Formulary Management Project

The resident will complete a drug class review 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.

Committee Participation

The resident will be assigned to departmental, hospital, or health-system committee(s) over the course of the year. The resident will serve as co-chair to the Emergency Medicine Pharmacy Medication Safety Committee, a standing interdisciplinary committee meeting to discuss medication safety issues in the emergency department setting. In addition, the resident may participate in the following committees as appropriate to gain experience in quality improvement, leadership, education, and operational activities: Emergency Department Critical Care Committee, Pharmacy and Therapeutics Committee, Pharmacy Practice Management, Pharmacy Resident On-Call Committee, Pharmacy Division Operational Meetings, and Emergency Department Clinical Operations Committee.

Pharmacy Practice Component

Each resident will practice as a pharmacist in a designated area throughout the residency year. For the majority of the year, residents will work every third weekend in the Emergency Department.

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.

Attendance at Professional Meetings

• The department will support the resident (expense and leave time) to attend the ASHP Midyear Clinical Meeting (MCM) and either the Eastern States Conference for Residents and Preceptors or an alternative specialty conference. 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.

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 and PALS certified or will complete certification during the residency year.

Preceptors

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

Program Director

Sara Choi, PharmD, BCPPS 

Title: Clinical Pharmacy Specialist, Emergency Medicine
Education: Doctor of Pharmacy, Drake University College of Pharmacy
Training: PGY1 Pharmacy Residency, Children's Medical Center Dallas; PGY2 Pediatrics, Children's Medical Center Dallas
Location:
Department of Pharmacy
The Johns Hopkins Hospital
600 North Wolfe Street / Carnegie 180
Baltimore, MD 21287
Email: [email protected] 

Program Coordinator

Umbreen Idrees Murtaza, PharmD, BCEMP

Title: Clinical Pharmacy Specialist, Emergency Medicine
Education:Doctor of Pharmacy, University of Michigan
Training:Pharmacy Practice Residency- University of Pittsburgh Medical Center Specialty Residency in Emergency Medicine Pharmacotherapy- Detroit Receiving Hospital and University Health System
Location:
Department of Pharmacy
The Johns Hopkins Hospital
600 North Wolfe Street / Carnegie 180
Baltimore, MD 21287
Email: [email protected]

Core Residency Preceptors