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Pharmacy Residency Program: PGY2 Solid Organ Transplant

Program Type: ASHP-Accredited PGY2 Residency

ASHP Match Number: 707676

Purpose: The PGY2 Solid Organ Transplantation Residency is designed to prepare expert clinical pharmacists in the field of transplantation and immunology. Inpatient and ambulatory care experiences are available to foster knowledge and refine clinical skills in immunology, transplant medicine, and general medicine which is required for acute and long term care of transplant patients. Graduates of this program will be highly qualified independent practitioners, with an advanced degree of proficiency and expertise in the delivery of pharmaceutical care for transplant patient population. Pharmacists who complete this program can be expected to be inpatient or outpatient clinical pharmacy specialists in academic or community-based practice settings, clinical faculty members at a college of pharmacy, perform practice-related research, and serve patients, providers, and institutions as an authoritative resource in transplant medicine.

Program Overview: The PGY2 Solid Organ Transplantation Residency is designed to provide advanced training in clinical transplant pharmacy practice focusing on patient care, clinical research, and education. Comprehensive transplant pharmacy services are emphasized to develop clinical skills in a variety of practice areas including kidney, pancreas, liver, heart, and lung transplantation. Infectious disease and post-transplant surgical complications are also an emphasis of the program. Other learning opportunities in longitudinal ambulatory care clinics, outpatient medication therapy management, and clinical research are also required. Precepting and didactic teaching are incorporated into the structure of the program. Staffing requirements will be fulfilled in the Critical Care and Surgery (CCS) pharmacy division.

During the program, the resident must complete a self-directed research project in order to demonstrate proficiency.The scope, magnitude and type of project may vary according to individual interests, but must be completed in a manner suitable for presentation and manuscript publication.

A teaching certificate program is available through the University of Maryland School of Pharmacy, but is not required.

Training Experience:

  • Development of patient care skills in both the inpatient and outpatient care settings
  • Presentation of clinical research at professional meetings
  • Teaching experiences, both didactic and student precepting opportunities, through affiliation with multiple colleges of pharmacy
  • Completion of a medication utilization evaluation and/or research project
  • Participation in interdisciplinary committees and pharmacotherapy topic discussions

Rotations:

  • Required
    • Core Experiences (each rotation is 4 weeks in duration)
      • Orientation – Critical Care & Surgery Pharmacy Division
      • Kidney & Pancreas Transplant
      • Liver Transplant
      • Heart Transplant and Advanced Heart Failure
      • Lung Transplant
      • Transplant Nephrology
      • Transplant & Oncology Adult Infectious Diseases
      • Critical Care – Surgical Intensive Care Unit
      • Pediatric Transplant (with one of the two services listed below)
        • Pediatric Nephrology & Renal Transplant
        • Pediatric Cardiac Intensive Care & Heart Transplant Clinic
    • Longitudinal Experiences:
      • Ambulatory Care Transplant Clinics
        • Resident will participate in three different clinic settings; each experience is 12 weeks in duration and each experience will be evaluated upon completion
      • Outpatient Transplant Pharmacy
        • Resident will be involved in discharge medication education responsibilities while on all core experiences (except Transplant Infectious Diseases and Critical Care)
        • Duration is 12 months and evaluated quarterly
      • Transplant Research Project/Medication Use Evaluation (MUE)
        • Duration is 12 months and evaluated quarterly
      • Transplant Pharmacy Professional Practice
        • Duration is 12 months and evaluated quarterly
      • Staffing (Critical Care & Surgery Division)
        • Duration is 12 months and evaluated quarterly
      • On-Call Experience
        • Duration is 12 months and evaluated quarterly
          • Responsibilities include on-call coverage once or twice per month on weeknights (4pm-11pm) and two weekends per year (11am-11pm)
      • Drug Class Review (DCR)
        • Duration is 3 months and evaluated once at completion of review
  • Electives:
    • Research (4 weeks in duration)
    • Advanced core experience (each experience will be 4 weeks in duration)

Benefits: http://www.hopkinsmedicine.org/pharmacy/residents/benefits/index.html

Staffing: http://www.hopkinsmedicine.org/pharmacy/residents/about/staffing.html

On-Call: http://www.hopkinsmedicine.org/pharmacy/residents/about/on-call.html

Application Information:
All applications will be accepted through PhORCAS.

Pre-requisites for the Solid Organ Transplant PGY2 program:

  • Doctor of Pharmacy degree from an ACPE accredited school or college
  • Successful completion of an ASHP accredited PGY1 Pharmacy residency or an exemption based on equivalent experience. An exemption from a PGY1 Pharmacy residency may be granted to applicants interested in PGY2 training who have not completed a PGY1 residency. To be considered for an exemption, applicants must have practiced at least three years as a pharmacist, be licensed to practice as a pharmacist in the US, and must apply directly to the ASHP for a special exemption. Information may be found at https://www.ashp.org/-/media/assets/professional-development/residencies/docs/pgy1-residency-exemption-criteria.ashx

Program Director

Lindsey Toman

Lindsey (Pote) Toman, PharmD, BCPS

Title: Clinical Pharmacist Practitioner, Solid Organ Transplant
Education: Doctor of Pharmacy, Philadelphia College of Pharmacy
Training:

  • Pharmacy Practice Residency at The Hospital of the University of Pennsylvania
  • Specialty Residency in Transplant Pharmacotherapy at The Hospital of the University of Pennsylvania

Dr. Toman is a clinical pharmacist practitioner with the liver transplant service at the Johns Hopkins Hospital. She also serves as the Director of the PGY2 Solid Organ Transplant Residency Program at the Johns Hopkins Hospital. Dr. Toman received her Doctor of Pharmacy degree from the Philadelphia College of Pharmacy and has her Board Certification in Pharmacotherapy. She completed her Pharmacy Practice Residency and her Specialty Residency in Transplant Pharmacotherapy at the Hospital of the University of Pennsylvania (HUP) in Philadelphia. Following completion of her post-doctoral training, Dr. Toman has practiced as a Transplant Clinical Pharmacist at Indiana University Health and the University of Chicago Medicine.

Dr. Toman is an active member of the American Society of Transplantation (AST), American College of Clinical Pharmacy (ACCP), and American Society of Health-System Pharmacists (ASHP). She served as a past Secretary/Treasurer for the
Immunology/Transplant Practice and Research Network of ACCP. Dr. Toman has published and presented on topics in transplant pharmacy.

Contact

Lindsey (Pote) Toman, PharmD, BCPS
Program Director, PGY2 Solid Organ Transplant Pharmacy Residency
Location:
The Johns Hopkins Hospital
Department of Pharmacy
600 North Wolfe Street, Carnegie 180
Baltimore, MD 21287-6180
Phone: 410-955-5179
Email: lpote1@jhmi.edu