CoxHealth PGY2 Critical Care Pharmacy ResidencyASHP-Accredited since: 2014ASHP Program Code: 64017National Matching Service Code: 682252ScopeCoxHealth 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 CoxHealth PGY2 Critical Care Pharmacy Residency learning experiences are primarily located at Cox Medical Center South, which is a 600-bed Level 1 Trauma, Level 1 Stroke, and Level 1 STEMI Center, in Springfield, Missouri. Additional learning experiences are available at Cox Branson and Mercy Hospital Springfield. Additional learning experiences are available at Cox Branson. 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 PGY2 Program Purpose: PGY2 residency programs build upon Doctor of Pharmacy (PharmD) education and PGY1 pharmacy residency training to develop pharmacist practitioners with knowledge, skills, and abilities as defined in the educational competency areas, goals, and objectives for advanced practice areas. Residents who successfully complete PGY2 residency programs are prepared for advanced patient care or other specialized positions, and board certification in the advanced practice area, if available.In addition to the ASHP PGY2 Program Purpose, this program provides the resident with advanced clinical training in critical care pharmacotherapy, as well as opportunities for research, teaching, and scholarship. Upon completion of this residency, the pharmacist will be a competent clinical pharmacy practitioner in critical care that engages in multidisciplinary collaboration, demonstrates advanced critical thinking skills, and is able to design and implement complex medication recommendations in a variety of critical care environments. Number of Residency Positions Available: 1Duration of Appointment: 54-week appointmentSalary: Approximately $57,900 for a 54-week appointmentStaffing RequirementsCode Blue coverage throughout the residency year.Resident(s) are required to work one major and one minor holiday. Those holidays will be determined during orientation and after assessment of the department needs. The resident(s) must take ETO for any non-worked holidays.PGY-2(s) will have approximately four staffing days per month which will be determined after assessment of department and team needs. 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 encouraged for all residents who did not receive one during their PGY1 but is not a requirement of the residency. Cost will be covered by the residency program should a resident choose to enroll.Required Learning ExperiencesPGY2 residents will gain the skills to function as the primary ICU pharmacist during their required learning experiences with the expectation that the resident will handle all aspects of the medication process from ordering to administration and follow up. Because required ICU experiences will focus on developing the skills necessary to effectively be the lead ICU pharmacist, they will primarily be assigned in the first half of the residency year. Rather than focusing on a specific team, the PGY2 resident will be expected to identify medication-related issues and manage the therapeutic plan of every patient in the unit, regardless of the primary service. The resident will be expected to build relationships with each medical team in the ICU and work proactively with other disciplines (i.e., physicians, nurses, respiratory therapists, dietitians, social workers, and case managers) to achieve efficient workflow and medication delivery. Daily activities will include participation in rounds, Code Blue and emergency response, comprehensive patient profile reviews for effective and proactive medication management, performing pharmacokinetic monitoring on all therapeutically monitored drugs (TDM), validating pharmacy orders on ICU patients, and overseeing and directing PGY1 resident and pharmacy student activities. This integration of staffing and clinical services prepares residents for any type of practice environment they may encounter in their future jobs by emphasizing the development of essential skills required for an advanced pharmacy practitioner: independent practice skills, multi-tasking and prioritization. Concentrated Learning Experience Duration Concentrated Learning Experience Core learning experiences completed in the first half of the year Duration Concentrated Learning Experience Orientation (length depends on resident’s previous experience) Duration 4-6 weeks Concentrated Learning Experience Intensive Care: Cardiovascular Surgery Duration 2-3 weeks Concentrated Learning Experience Medical Intensive Care I Duration 5 weeks Concentrated Learning Experience Neurology Intensive Care Duration 5 weeks Concentrated Learning Experience Emergency Medicine I Duration 4-5 weeks Concentrated Learning Experience Core learning experiences completed in the second half of the year Duration Concentrated Learning Experience Core repeat - Medical Intensive Care II Duration 4 weeks Concentrated Learning Experience Rural Intensive Care - Branson Duration 4 weeks Concentrated Learning Experience Trauma/Surgical Intensive Care with Nutrition Support Duration 5 weeks Concentrated Learning Experience Mercy: Burn Duration 2 weeks Concentrated Learning Experience Mercy: ECMO Duration 1 week Concentrated Learning Experience Administration Duration 4 weeks Longitudinal Learning Experiences Duration Longitudinal Learning Experiences Practice Management - Operations Duration July - July Longitudinal Learning Experiences Personal and Professional Growth Duration Aug–July Longitudinal Learning Experiences Metabolic Support Duration Aug–July Longitudinal Learning Experiences Teaching and Education Duration Aug–July Longitudinal Learning Experiences Research Duration Aug–July Longitudinal Learning Experiences COVID – 19 (If applicable) Duration Aug–July Elective Learning ExperiencesThere are a wide variety of learning experiences the resident can choose their electives from. Electives can be selected from the list below and any of the required ICU learning experiences may be repeated again as a general elective. Elective learning experiences (except repeat core) generally allow the PGY2 resident to learn about being a service-based pharmacist. This will allow the resident the flexibility to tailor their PGY2 experience to an area of interest. Elective learning experiences will generally be scheduled in the second half of the residency year (after the required ICU learning experiences are completed). New experiences may be created on a case-by-case basis if the resident has an interest in a practice area not covered by the elective learning experiences below. Learning Experience Duration Learning Experience Emergency Medicine II Duration 3-5 weeks Learning Experience Intensive Care Elective: Pediatrics Duration 1-3 weeks Learning Experience Intensive Care Elective: Infectious Disease Duration 1-3 weeks Learning Experience Intensive Care Elective: Cardiology Duration 1-3 weeks Learning Experience Intensive Care Elective: Nephrology Duration 1-3 weeks Learning Experience Intensive Care Elective: Trauma Services Duration 1-3 weeks Learning Experience Intensive Care Elective: Intensivist/Pulmonology Duration 1-3 weeks Requirements for Completion of the Program and Certification Requirements for Residency Completion Requirements for Residency Completion CoxHealth System Onboarding July Requirements for Residency Completion Signed PGY1 Certificate, Curriculum Vitae, CoxHealth Acceptance letter Uploaded to Pharmacademic July Requirements for Residency Completion Completed ASHP Entering Interest Form through Pharmacademic July Requirements for Residency Completion Residency Orientation July/August Requirements for Residency Completion Department / Clinic Orientation July/August Requirements for Residency Completion Medication History Competency July/August Requirements for Residency Completion Patient Counseling Competency July/August Requirements for Residency Completion Kinetics Competency July/August Requirements for Residency Completion Pharmacist Orientation Checklist July/August Requirements for Residency Completion PGY2 Critical Care Residency Orientation Checklist July/August Requirements for Residency Completion Missouri Pharmacist Licensure + Medication Therapy Services Within 90 days of start Requirements for Residency Completion Basic Life Support Within 90 days of start Requirements for Residency Completion Advanced Cardiac Life Support Within 90 days of start Requirements for Residency Completion Pediatric Advanced Life Support Within 90 days of start Requirements for Residency Completion Complete 54-weeks. (PGY2) Twelve months minimum is allotted to successfully complete the core requirements. If a core learning experience must be repeated, then elective time shall be used. July-July Requirements for Residency Completion Present 1 Journal Club Presentation Fall Requirements for Residency Completion Present 1 Grand Rounds (1 hr CE) Within 12 months Requirements for Residency Completion Present 1 Additional Formal Presentation Spring Requirements for Residency Completion Complete and Present two Scholarly Projects (research, MUE, QA/QI, etc.) Dec and/or Spring Requirements for Residency Completion Complete a Manuscript Acceptable for Publication June Requirements for Residency Completion Achieve 90% of all Required ASHP Objectives End of year–June Requirements for Residency Completion Participate in Monthly Leadership Meetings Monthly Requirements for Residency Completion Code Blue/Emergency Response Coverage Longitudinal Requirements for Residency Completion Participate in Assigned Committees Longitudinal Requirements for Residency Completion Complete Staffing Expectations (Holiday coverage expectation is 1 Major/1Minor) Longitudinal Requirements for Residency Completion Complete All PharmAcademic Evaluations End of year–July Requirements for Residency Completion Participate in Residency Recruitment / Interview Process Nov (Early Commit) or Jan/Feb Requirements for Residency Completion Upload All Required Documents in Resident Binder End of year – July ASHP MCM – American Society of Health-System Pharmacists Midyear Clinical MeetingMPRC – Midwest Pharmacy Residents ConferenceSCCM – Society of Critical Care MedicineMSHP