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 DescriptionPGY1 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: 3Duration 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 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 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 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 StrokeResidents 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.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 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 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. 2023-2024 Required Learning Experiences Concentrated Learning Experience Duration Concentrated Learning Experience Orientation Duration 5 weeks Concentrated Learning Experience Internal Medicine I Duration 5 weeks Concentrated Learning Experience Critical Care Duration 5 weeks Concentrated Learning Experience Emergency Medicine Duration 5 weeks Concentrated Learning Experience Oncology Duration 4 weeks Concentrated Learning Experience Internal Medicine II Duration 4 weeks Concentrated Learning Experience Administration Duration 4 weeks Concentrated Learning Experience Infectious Diseases Duration 4 weeks Longitudinal Learning Experience Duration Longitudinal Learning Experience Research Duration July – June Longitudinal Learning Experience Administration Duration Aug – May Longitudinal Learning Experience Teaching and Education Duration Aug – June Longitudinal Learning Experience Practice Management Duration July – June Elective Learning Experience Duration Elective Learning Experience Academia with UMKC Faculty Duration 4 weeks Elective Learning Experience Ambulatory Care - Faith Community Health Duration 4 weeks Elective Learning Experience Critical Care II Duration 4 weeks Elective Learning Experience Emergency Medicine II Duration 4 weeks Elective Learning Experience Rural Medicine - Monett Duration 4 weeks Requirements for Completion of the Program and Certification Requirements for Residency Completion Duration Requirements for Residency Completion CoxHealth System Onboarding Duration June Requirements for Residency Completion Residency Orientation Duration June/July Requirements for Residency Completion Department / Clinic Orientation Duration June/July Requirements for Residency Completion Sterile Support Competencies Duration June/July Requirements for Residency Completion Medication History Competency Duration June/July Requirements for Residency Completion Patient Counseling Competency Duration June/July Requirements for Residency Completion Kinetics Competency Duration June/July Requirements for Residency Completion Pharmacist Orientation Checklist Duration June/July Requirements for Residency Completion Missouri Pharmacist Licensure - Medication Therapy Services Duration Within 90 days of start Requirements for Residency Completion Basic Life Support Duration Within 90 days of start Requirements for Residency Completion Advanced Cardiac Life Support Duration Within 90 days of start Requirements for Residency Completion Complete 52 weeks (PGY1) Duration June – June Requirements for Residency Completion Present 1 Case Presentation Duration Fall Requirements for Residency Completion Present 1 Journal Club Presentation Duration Fall Requirements for Residency Completion Present 1 Grand Rounds (1 hr CE) Duration Spring Requirements for Residency Completion Present 1 Additional Formal Presentation Duration Spring Requirements for Residency Completion Complete and Present a Poster locally and/or regionally or nationally Duration Dec and/or Spring Requirements for Residency Completion Complete and Present a MUE, Formulary Review, Protocol Review, and Drug Monograph Duration July – June Requirements for Residency Completion Complete and Present a Research Project Duration May Requirements for Residency Completion Complete a Manuscript Acceptable for Publication Duration May Requirements for Residency Completion Complete a Certificate Program (e.g. teaching certificate) Duration May Requirements for Residency Completion Achieve 90% of all Required ASHP Objectives Duration End of year – June Requirements for Residency Completion Participate in Monthly Leadership Meetings Duration Monthly Requirements for Residency Completion Code Blue Coverage – Minimum of 10 Weeks Duration Longitudinal Requirements for Residency Completion Participate in Assigned Committees Duration Longitudinal Requirements for Residency Completion Complete Staffing Expectations Duration Longitudinal Requirements for Residency Completion Complete All PharmAcademic Evaluations Duration End of year – June Requirements for Residency Completion Participate in Residency Recruitment / Interview Process Duration Jan/Feb Requirements for Residency Completion Not to Exceed 17 Days ETO and 10 Days Professional Leave and 37 total days off of rotation Duration Longitudinal Requirements for Residency Completion Upload All Required Documents in Resident Binder Duration End of year – June