ASHP-Accredited since 2015 ASHP Program Code: 64039National Matching Service Code: 256813ScopeCoxHealth 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 OverviewPlease refer to the CoxHealth Pharmacy Residencies Manual.Program DescriptionASHP PGY1 Program Purpose - PGY1 pharmacy residency programs build on Doctor of Pharmacy (Pharm.D.) education and outcomes to contribute to the development of clinical pharmacists responsible for medication-related care of patients with a wide range of conditions, eligible for board certification, and eligible for postgraduate year two (PGY2) pharmacy residency training.In addition to the ASHP PGY1 Program Purpose, this program provides residents the opportunity to advance the practice of rural pharmacy.Number of Residency Positions Available: 2Duration of Appointment: 56-week appointment (first Monday in June to last Friday the following June)Salary: $46,500 for 56-week appointmentStaffing RequirementsResidents will staff 2 x 10 hour shifts every other weekend. Shifts will primarily occur in central pharmacy. Residents will be allowed one compensatory (comp) day off around weekends worked. Compensatory time off shall be used the Friday before or the Monday after the worked weekend. Outside of that designated time will be considered earned time off (ETO). Residents will work one major holiday and one minor holiday per department policy. These will be decided at the beginning of the residency year. Training ExperiencesResident Emergency ResponseResidents 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 ResponseResidents 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 deemed competent*. A preceptor will serve as a back-up pharmacist on codes until the resident has shown complete independence in managing codes. During emergency medicine rotations, the resident will respond with the ED pharmacist to all rapid responses and code blues throughout the house from 3:30 to 9:30 PM Monday through Friday.Code StrokeResidents will respond to all level one 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 KCentra 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 one strokes throughout the hospital for the 10 hours the resident is staffing. In addition, the resident should report to the ED upon request to assist with critical patients.DebriefingResidents 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 ED 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 ED pharmacist, CC pharmacist, and the clinical coordinator, and completion of the EM I and/or CC I rotation. Final determination of competence will be made by the clinical coordinator.Program StructureNote: 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 ProgramA 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.All learning experience descriptions (LEDs) may be found in PharmAcademic.Rotation Structure (subject to change)Cox Medical Center Branson PGY-1 Pharmacy Residency Program 2022–2023Required Block Rotations**Orientation Internal Medicine ICritical CareEmergency MedicineOncologyRural Medicine- MonettInternal Medicine II ManagementInfectious Disease / Antimicrobial StewardshipLongitudinalManagementResearchEducationStaffingElective RotationsAmbulatory Care – Faith Community HealthCritical Care IIEmergency Medicine IIOthers by request and availability**Elective LongitudinalTeaching Certificate- UMKC online** One additional off-site rotation is allowed, depending on preceptor availability. The rotation should be an experience not available at Branson; RPD has final approval.