Program Type: ASHP Accredited PGY2 Residency
ASHP Match Number: 538161
This position has been filled for the 2023-2024 residency year
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
This one-year program is designed to provide advanced clinical training in the areas of pediatric and neonatal pharmacotherapy and pharmaceutical care. The resident will gain practical clinical experience by contributing to clinical pharmacy services such as therapeutic drug monitoring, nutrition support, pediatric rapid response services, and pediatric specialty clinics. The resident will also participate in a variety of multidisciplinary activities within the Children’s Center: Pediatric Grand Rounds, daily work rounds, pediatric noon conferences and core lectures, morbidity and mortality conferences, pediatric oncology case conferences, pediatric nutrition advisory meetings, pediatric infectious disease conferences, and various journal clubs.
The resident is required to design, conduct and complete a major research project and health-systems drug class review. The major research project will be presented at the Pediatric Pharmacy Association (PPA) Spring Annual meeting; and the health-system class review will be presented to the Johns Hopkins Health System Pharmacy and Therapeutics Committee. The research project should be completed in a publishable form. Many teaching opportunities are available as the resident will contribute to the education of the medical, nursing and pharmacy staffs on an on-going basis throughout the year. Additionally, precepting and didactic teaching of pharmacy students; and peer review of journal manuscript submissions are incorporated into the curriculum.
The Johns Hopkins Children’s Center consists of approximately 190 inpatient beds and a variety of outpatient specialty clinics. Inpatient clinical units within the Children’s Center include: General Pediatrics/Adolescents, Infants, Neonatal Intensive Care, Pediatric Intensive Care, Pediatric Cardiac Intensive Care Unit, Pediatric Oncology, Pediatric Psychiatry and Pediatric Clinical Research. Several sub-specialty rotations in Pediatrics are also available. The Children’s Center serves as the training site for pediatric medical students, residents and fellows from the Johns Hopkins University School of Medicine. Pharmacy services provided by the Pediatric Pharmacy are comprised of a computerized unit dose drug distribution system, complete IV admixture service, pediatric rapid response service, and a total parenteral nutrition service. Current pharmacy-based clinical services include a drug-drug interaction program, therapeutic drug monitoring, a renal DUE program, nutrition consultation, staff in-services, drug information and continuing education programs. The pharmacy staff practices in an integrated clinical-distributive system with opportunities to participate in quality assurance, policy development and clinical research activities.
Please refer to the “Program Overview” section of the Department of Pharmacy, Johns Hopkins Medicine website.
Program Goals
This one-year program is designed to provide advanced clinical training in the areas of pediatric and neonatal pharmacotherapy and pharmaceutical care. The primary emphasis of the residency is to develop independent problem-solving skills in pediatrics pharmacotherapy. This includes the establishment of a firm knowledge base in pediatric/neonatal pharmacology and pharmacokinetics; and the ability to provide nutrition support, rapid response services, and therapeutic interventions to enhance the management of pediatric patients.
Residents who complete this program will be able to:
- Practice as a clinical specialist in Pediatrics
- Pass the Pediatric Pharmacy specialty board exam (BCPPS)
- Be eligible for advanced fellowship training
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
Core Rotations (1 month per rotation)
- Pharmacy Operations/Distribution (exempted if completed PGY1 pharmacy practice residency at JHH with competent staffing in the Pediatric area)
- General Pediatrics
- Neonatal Intensive Care Unit
- Pediatric Intensive Care Unit
- Pediatric Oncology
- Pediatric Nutrition
- Pediatric Infectious Diseases
- Investigational Drug Services
- Pediatric Emergency Department
- Maternal Child Health
Longitudinal Rotations (for the entire year)
- Pediatric Cystic Fibrosis Clinic (minimum for the first six months with an option to switch to another Pediatric sub-specialty clinic for the last six months depending on resident interest and preceptor availability)
- Pediatric Medication Safety
- Pediatric On Call
Elective Rotations (1 month per rotation)
Elective learning experiences may be developed based on resident interest and preceptor availability. Early committed residents trained in the Pediatric pharmacy will have 3 electives and all others will have 2 electives.
Example Rotation Schedule
July: Pharmacy Operations/Distribution
August: Pediatric Infectious Diseases
September: Pediatric Nutrition
October: General Pediatrics
November: Pediatric Intensive Care Unit
December: Investigational Drug Service
January: Elective #1
February: Pediatric Oncology
March: Neonatal Intensive Care Unit
April: Elective #2
May: Pediatric Emergency Department
June: Maternal Child Health
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
- Weekly Pediatric Pharmacy Education Sessions
- Variety of Pediatric and Pediatric Subspecialty Grand Rounds, Case Conferences, and Journal Clubs
- Various topic discussions as determined by rotational preceptor
- Teaching Requirements
- Each Hopkins resident is required to provide educational sessions.
- Monthly participation to the Weekly Pediatric Pharmacy Education Sessions by providing either an Evidence Based Presentation, Case Study, Organized Game, Therapeutic Debate, or Journal Club. Basic biostatistics reviews are incorporated into each presentation when applicable.
- Pediatric Didactic 1-hour lecture at the University of Maryland School of Pharmacy Pediatric Elective course.
- Precept pharmacy students.
- 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 expected 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. We expect the PGY2 Pediatric pharmacy resident to be Pediatric Advance Life-Support (PALS) certified (if not completed, certification will be completed during the residency year) and complete our in-house Pediatric Therapeutic Drug Monitoring Certification program by November 1.
Program-specific Experiences
- Pediatric Medication Policy Review
- Primary preceptor for two P-4 pharmacy students during the residency year.
- Peer review of journal manuscript submissions by serving as a journal reviewer
Attendance at Professional Meetings
The department will support the resident (expense and leave time) to attend the ASHP Midyear Clinical Meeting and Pediatric Pharmacy Association (PPA) Annual Meeting. 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.
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 the secretary to the Pediatric Pharmacy Policy Committee and will have opportunities to participate in other Pediatric pharmacy related committees.
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 code response, drug information question responses, pharmacokinetic assessments, 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 18 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.
Residency Program Director
Carlton K.K. Lee, Pharm.D., MPH, FASHP, FPPAG, BCPPS
Clinical Pharmacy Specialist, Pediatrics and Program Director, Pediatric Pharmacy Residency
Department of Pharmacy
The John Hopkins Hospital
Department of Pharmacy
600 North Wolfe Street, Carnegie 180
Baltimore, MD 21287-6180
Phone: 410-614-2949
Fax: 410.367.3166
Email: [email protected]
Core Residency Preceptors
Sara Choi, Pharm.D., BCPPS
Clinical Specialist, Pediatric Emergency Medicine
Alice Jenh Hsu, Pharm.D., BCPS, AQ-ID
Clinical Specialist, Pediatric Infectious Disease
Taylor Imburgia, Pharm.D., BCPPS
Clinical Specialist, Pediatric Cystic Fibrosis
Carlton K.K. Lee, Pharm.D., MPH, FASHP, FPPAG, BCPPS
Clinical Specialist, Pediatrics
Caroline Liang, Pharm.D., BCPS, BCPPS
Clinical Specialist, Maternal and Child Health
LeAnn McNamara, Pharm.D., BCPPS
Clinical Specialist, Pediatric Intensive Care
Blair Nuoffer, Pharm.D., BCPPS
Clinical Specialist, Pediatric Oncology
Dorela Priftanji, Pharm.D., MBA, BCPS
Operations Manager, Pediatrics
Meghan Rowcliffe, Pharm.D., BCPPS
Pediatric Medication Safety Officer
Bethany Sharpless, Pharm.D., BCPPS
Clinical Specialist, Neonatal Intensive Care
Laura Wachter, Pharm.D.
Investigational Drug Service Pharmacist
Program Director
Title: Clinical Specialist - Pediatrics, Department of Pharmacy,
The Johns Hopkins Hospital
Associate Professor - Pediatrics, School of Medicine,
Johns Hopkins University
Clinical Professor, School of Pharmacy, University of Maryland
Carlton K.K. Lee is the Clinical Pharmacy Specialist in Pediatrics for The Johns Hopkins Hospital, Associate Professor in Pediatrics for The Johns Hopkins University School of Medicine and Clinical Professor with the University of Maryland School of Pharmacy. Dr. Lee developed and continues to serve as the Residency Program Director for the PGY-2 Pediatric Pharmacy Specialty program.
Dr. Lee received his Doctor of Pharmacy degree from the University of the Pacific and Masters in Public Health from The Johns Hopkins University Bloomberg School of Hygiene and Public Health. He completed a General Hospital Pharmacy residency at The Johns Hopkins Hospital and Pharmacokinetics/Pharmacodynamics Fellowship at The Johns Hopkins Sidney Kimmel Comprehensive Cancer Center.
Dr. Lee began his career at Johns Hopkins as a Neonatal clinical pharmacist. He became the Senior Clinical Pediatric and Pediatric Clinical Coordinator in 1988 and 1990, respectively, at Hopkins. Dr. Lee has over 37 years of Pediatric Clinical Pharmacology experience with teaching responsibilities to pharmacy and medical residents and students. His clinical research experience have been in drug development studies in Cystic Fibrosis, Perinatal, HIV/AIDS, Pediatric Anti-infectives; and developing safe tools for Pediatric Outpatient Prescribing.
Dr. Lee has published several articles and medical text chapters; most notably, he is the editor to the Formulary section to the Harriet Lane Handbook for the past 32 years. He has lectured in numerous forums on Cystic Fibrosis and Pediatric Clinical Pharmacology on the local, national and international levels. Dr. Lee has been honored to have mentored 29 PGY-2 Pediatric Pharmacy residents. Recognition of his efforts includes:
- Fellowships in the American Society of Health System Pharmacists and Pediatric Pharmacy Advocacy Group
- Who’s Who in America, the East, Medicine & Healthcare, Science & Engineering,
and the World
Dr. Lee has served on the Board of Directors to the Pediatric Pharmacy Advocacy Group. He had also established a non-profit Pediatric Pharmacy continuing education corporation entitled the Mid-Atlantic Pediatric Pharmacotherapy Specialists.
Contact
Carlton K.K. Lee, Pharm.D., MPH, FASHP, FPPAG, BCPPS
Program Director, Pediatric Pharmacy Residency
Department of Pharmacy
Location: The Johns Hopkins Hospital
600 North Wolfe Street, Carnegie 180
Baltimore, MD 21287-6180
Phone: (410) 614-2949
Email: [email protected]