PGY1 Pharmacy Residency - Branson

ASHP-Accredited since 2015 
ASHP Program Code:  64039
National Matching Service Code: 256813

Scope

CoxHealth is the region’s only locally owned, not-for-profit health system, serving a population of over 1 million. Our 6-hospital organization has facilities in Springfield, Branson, Monett, and Lamar, and more than 80 physician clinics in the region.

The PGY1 Pharmacy Residency – Cox Medical Center Branson learning experiences are primarily located at Cox Medical Center Branson, a full-service hospital caring for residents and visitors to Stone and Taney Counties; and Cox Monett Hospital, a full-service Level 4 stroke and STEMI center.

Please refer to the CoxHealth About Us page for additional information and specific facts regarding our facilities.

Residency Overview

Please refer to the CoxHealth Pharmacy Residencies Manual.

Program Description

PGY1 residency programs build upon Doctor of Pharmacy (PharmD) education and outcomes to develop pharmacist practitioners with knowledge, skills, and abilities as defined in the educational competency areas, goals, and objectives. Residents who successfully complete PGY1 residency programs will be skilled in diverse patient care, practice management, leadership, and education, and be prepared to provide patient care, seek board certification in pharmacotherapy (i.e., BCPS), and pursue advanced education and training opportunities including postgraduate year two (PGY2) residencies.

In addition to the ASHP PGY1 Program Purpose, this program provides residents the opportunity to advance the practice of rural pharmacy and become proficient in rapid response situations.

• Number of Residency Positions Available: 3
• Duration of Appointment: 56-week appointment (first Monday in June to last Friday the following June)
• Salary: $46,500 for 56-week appointment

Staffing Requirements

• Residents will staff 2 x 8 hour shifts every third weekend in addition to staffing 1 x 4-hour evening shift per week. Shifts will primarily occur in central pharmacy.
• Residents will not be required to work any holiday shifts.

Training Experiences

Resident Emergency Response

Residents will attend codes, level one strokes, and rapid responses throughout the hospital while on duty. The residents must obtain BLS, ACLS, and attend “Code Blue for Pharmacists” prior to attending codes. For level one stroke response, residents should complete the credentialing process for pharmacists and demonstrate knowledge of the alteplase procedures and the anticoagulation reversal protocol.

Code Blue/Rapid Response

Residents will attend all codes and rapid responses for patients that are on their service during normal rotation hours. At least one resident should respond for patients who are not on either resident’s service. The resident will initially serve as a back-up pharmacist, then assume lead-pharmacist responsibilities once competencies are met*. A preceptor will serve as a back-up pharmacist on codes until the resident has shown complete independence in managing codes. During emergency medicine learning experiences, the resident will respond with the Emergency Medicine Pharmacist to all rapid responses and code blues throughout the house from 3:30 to 9:30 PM Monday through Friday.

Code Stroke

Residents will respond to all level 1 strokes between the hours of 8:00 AM and 1:00 PM Monday through Friday. The resident will be responsible for assessing the patients for inclusion/exclusion criteria, going with the patient to CT, assessing the home medication list, and dosing/mixing alteplase in coordination with the medical team. If a bleed is identified on CT, the resident should coordinate with the physicians and central pharmacy for urgent reversal if indicated. The resident should remain with the patient until a decision is made about whether or not to treat.

Weekend response*

On weekends, the resident staffing will be responsible for attending all codes, rapid responses, and level 1 strokes throughout the hospital for the 8 hours the resident is staffing. In addition, the resident should report to the emergency department upon request to assist with critical patients.

Debriefing

Residents should participate in team debriefing sessions following each code, if one is offered, in order to improve team performance. In addition, the resident should review each patient case with the attending pharmacist for the current rotation if applicable, or the Critical Care or Emergency Medicine Pharmacist. Residents should be prepared to discuss what went well during the code and areas for improvement.

*Residents must demonstrate competence prior to any independent response. This may include discussions with the Emergency Medicine Pharmacist, Critical Care Pharmacist, and the Clinical Coordinator, and completion of the Emergency Medicine I and/or Critical Care I learning experience. Final determination of competence will be made by the Critical Care or Emergency Medicine Pharmacist.

Program Structure

Note: All learning experience durations may be modified at the discretion of the Residency Program Director to best meet the needs of the individual resident. Any changes from the typical duration will be documented in the quarterly Resident Development Plan.

Teaching Certificate Program

A teaching certificate program through the University of Missouri-Kansas City is available and encouraged for all residents but is not a requirement of the residency. Cost will be covered by the residency program should a resident choose to enroll.