Program Type: ASHP-Accredited PGY2 Residency
ASHP Match Number: 707676

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 PGY2 Solid Organ Transplant (SOT) residency program at The Johns Hopkins Hospital provides experiences in kidney, pancreas, liver, heart and lung and pediatric transplantation. Residents will be exposed to transplant patients and living donors throughout all phases of the transplant process including pre-transplant multidisciplinary selection committees, post-donation care immediately after surgery and post-transplant care during the index hospitalization immediately after surgery, in the ambulatory care clinics and during hospital readmissions.

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

Program Goals

• To train confident, independent transplant clinical pharmacists that will serve as transplant pharmacotherapy experts and leaders in the pharmacy profession
• Develop expertise in identifying medication related issues in SOT patients and effectively communicating evidence-based recommendations to address these concerns
• Utilize the American Society of Health-System Pharmacists (ASHP) Competency Areas, Goals and Objectives (CAGOs) for PGY2 SOT Residencies and create an individualized training program incorporating the resident's interests, customized development plan and available job opportunities

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, departmental, divisional and PGY2 specific orientation.

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.

Required Learning Experiences

• Orientation (1 calendar month)
• Kidney/Pancreas Transplant Surgery (1 calendar month)
• Liver Transplant Surgery (1 calendar month)
• Heart Transplant and Heart Failure (1 calendar month)
• Lung Transplant (1 calendar month)
• Transplant Nephrology (1 calendar month)
• Transplant and Oncology Infectious Diseases (1 calendar month)
• Critical Care - Surgery (1 calendar month)
• Transplant Research (longitudinal 3 months; half day every week)
• Liver Transplant Surgery Clinic (longitudinal 3 months; half day every week)
• Kidney/Pancreas Transplant Surgery Clinic (longitudinal 3 months; half day every week)
• Pediatric Nephrology & Renal Transplant Clinic (longitudinal 3 months; half day every week)
• Transplant Discharge Medication Education (longitudinal 4 months; corresponds with Kidney/Pancreas Transplant Surgery, Liver Transplant Surgery, Heart Transplant and Lung Transplant calendar month learning experiences)
• Transplant Pharmacy Professional Development (longitudinal, August to June)
• Staffing in Adult Medicine, Emergency & Surgery Division (longitudinal, August to June)
• On-Call Program (longitudinal, July to June)

Elective Learning Experiences (each 1 calendar month)

• Advanced Kidney/Pancreas Transplant Surgery
• Advanced Liver Transplant Surgery
• Advanced Heart Transplant and Heart Failure
• Advanced Lung Transplant
• Advanced Cardiothoracic Transplant
• Advanced Transplant Nephrology
• Advanced Transplant Ambulatory Care Clinics
• Pediatric Transplant
• Other elective learning experiences may be developed based on resident interest and preceptor availability

Education and Didactic Presentations

• Pharmacotherapy (PT) Rounds
  • All residents will provide a 30-minute presentation that is ACPE accredited.
  • Please refer to the “Learning Opportunities” section of the Department of Pharmacy, Johns Hopkins Medicine website.
• Journal Clubs and/or Topic Discussions
  • Lead routine journal clubs and topic discussions with the transplant pharmacist preceptor group focusing on the SOT Appendix from the ASHP PGY2 SOT Pharmacy Residencies CAGOs.
  • Participate in topic discussions for other programs and during learning experiences as appropriate (e.g. infectious diseases, pediatrics)
• Teaching Requirements
  • Each Hopkins resident is required to provide educational sessions.
  • The PGY2 SOT resident is required to provide a 60-minute departmental continuing education (CE) presentation that is ACPE accredited (in addition to PT Rounds)
  • A Teaching and Learning Certificate Program is available as an optional learning experience.
  • The PGY2 SOT resident will have opportunities to educate patients, caregivers, pharmacy learners, other pharmacists and other healthcare professionals in a variety of different settings.
  • Please refer to the “Learning Opportunities” section of the Department of Pharmacy, Johns Hopkins Medicine website.

Program and Application Requirements

• Doctor of Pharmacy degree from an ACPE accredited school of pharmacy
• Successful completion of an ASHP-accredited PGY1 pharmacy residency program
• Eligible for pharmacist licensure in Maryland
• Application materials must be submitted through PhORCAS by January 2^nd each year
  • Completed application
  • Letter of intent
  • Curriculum vitae
  • Official university/college transcripts
  • PhORCAS standard recommendation form submitted by three references
• Interviews for qualified applicants will take place in January & February

Licensure and Certification Requirements

All residents are expected to obtain a Maryland State Pharmacy License by August 1^st. The resident will arrive at the program already ACLS certified or will complete certification during the residency year (if applicable).

Residency Manual: Please see the “Licensure Expense Reimbursement and Failure to Obtain Licensure” section of the Residency Program Manual for additional information. 

Transplant Research

This is a longitudinal learning experience spanning August to June. The PGY2 SOT resident is required to complete a self-directed research or quality improvement project. The scope, magnitude, and type of project will vary according to 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.

Committee Participation

The PGY2 SOT resident is required to serve as the secretary of the Transplant Transitions of Care Multidisciplinary Meeting.

Residency Manual: Please see the "Summary of Committee Participation and Involvement" section of the Residency Program Manual for additional information.

Pharmacy Practice Requirement

• Each resident will practice as a pharmacist in a designated area throughout the residency year. This is a longitudinal learning experience spanning from August to June.

Please refer to the "Staffing Requirements" section of the Department of Pharmacy, Johns Hopkins Medicine

On-Call Program

The PGY2 SOT resident will participate in clinical on-call services. On-call dutiess include code response, brain attack team (BAT) calls, drug information question responses, pharmacokinetic assessments, administrative support, 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.

Attendance at Professional Meetings

The department will support the resident (expense and leave time) to attend ASHP Midyear Clinical meeting and the American Transplant Congress (ATC). Any additional travel that is to be supported by the department is evacuated on a case-by-case basis.

Please refer to the "Meetings and Conferences" 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.

Residency Program Director

Lindsey P. Toman, PharmD, BCPS, BCTXP
Clinical Pharmacy Specialist, Ambulatory Care Solid Organ Transplant
The Johns Hopkins Hospital
Department of Pharmacy
600 North Wolfe Street, Carnegie 180
Baltimore, MD 21287-6180
Email: [email protected]

Residency Program Coordinator

Brian Lindner, PharmD, BCPS
Clinical Pharmacy Specialist, Liver Transplant
The Johns Hopkins Hospital
Department of Pharmacy
600 North Wolfe Street, Carnegie 180
Baltimore, MD 21287-6180
Email: [email protected]

Core Residency Preceptors

Brandon Trollinger, PharmD, BCPS, BCTXP
Clinical Pharmacy Specialist, Kidney/Pancreas Transplant

Brian Lindner, PharmD, BCPS
Clinical Pharmacy Specialist, Liver Transplant

Christopher Hartley, PharmD 
Clinical Pharmacy Specialist, Pediatric Liver Transplant, GI/Hepatology, Nutrition

Elizabeth Goswami, PharmD, BCPS, BCPPS
Clinical Pharmacy Specialist, Pediatric Nephrology & Renal Transplant

Kate Dzintars, PharmD, BCPS
Clinical Pharmacy Specialist, Infectious Diseases

Laura Lees, PharmD, BCPS
Clinical Pharmacy Specialist, Kidney/Pancreas and VCA Transplant

Lindsey P. Toman, PharmD, BCPS, BCTXP
Clinical Pharmacy Specialist, Ambulatory Care Solid Organ Transplant

Ryan Whisler, PharmD, BCACP
Clinical Coordinator III, Solid Organ Transplant

Sara Strout, PharmD, BCPS, BCTXP
Clinical Pharmacy Specialist, Cardiothoracic Transplant

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