Geriatric Pharmacy Practice Residency

PHARMACY PRACTICE RESIDENCY (PGY-1)

Kingsbrook Jewish Medical Center

And

Arnold & Marie Schwartz College of Pharmacy and Health Sciences

Long Island University, Brooklyn, New York

Pharmacy Practice Residency Goals

The Kingsbrook Jewish Medical Center and the Arnold & Marie Schwartz College of Pharmacy and Health Sciences, Long Island University, offer a one-year ASHP-accredited Pharmacy Practice Residency Program. The primary goals of this residency program are to develop, hone, and maximize the resident’s pharmacotherapy skills, and to develop basic competencies in teaching, lecturing, presenting, writing and publishing. The resident will receive comprehensive, intense, and individualized training in all aspects of pharmacy practice from dedicated, passionate, and expert pharmacy faculty.

Pharmacy Residency Position Description

The resident will be responsible for providing comprehensive medication therapy management for patients in the following settings: acute care, emergency medicine, critical care (medical, surgical, and cardiac), surgery, cardiac-, neurologic-, and orthopedic-rehabilitation, long-term care, psychiatry, neurology, and a variety of ambulatory care clinics. The resident will complete a rotation in wound care, which includes experience in hyperbaric medicine. The resident will perform pharmacotherapy and pharmacokinetic consultations, and approve restricted antimicrobials. He/she will intensely participate in medication use evaluations, quality assurance reports, adverse drug event and medication error reporting. The resident will perform admission histories and medication reconciliation, and drug discharge counseling. The resident will receive BCLS and ACLS training and certification, and participate in codes. There is a faculty appointment with the Arnold & Marie Schwartz College of Pharmacy and Health Sciences, Long Island University.

Employment Information and Fringe Benefits

Number of PGY-1 Positions:4 – 5 positions

Total PGY-1 & PGY-2 Class:8 residents

Total Faculty:11 preceptors

Start Date:July 1

Application Deadline:January 5

Estimated Stipend:$41,000

Benefits:Health insurance, meal stipend, 10 days paid vacation, 7 paid holidays, parking, educational travel stipend, personal computer, and modern office space

Required Conferences:ASHP Midyear, ACCP Spring Practice and Research Forum, Eastern States,

NY State Council of Health-System Pharmacists Annual Assembly

Residency Coordinator:Antonia Alafris, Pharm.D., CGP

Residency Director:Henry Cohen, MSc., Pharm.D., FCCM, BCPP, CGP

The Kingsbrook Jewish Medical Center

The pharmacy residency program will take place at Kingsbrook Jewish Medical Center, an 864-bed teaching, medical and pharmacy university-affiliated, non-profit, private community institution, comprised of a 326-bed acute care hospital and a 538-bed adult and pediatric skilled nursing long-term care facility. KJMC has a 10-bed medical/surgical and 10-bed cardiac intensive care unit, a step-down cardiac care telemetry unit, a 30-bed ventilator unit, a 20-bed traumatic brain injury and coma recovery unit, a 30-bed psychiatry unit, a pain management and treatment center, wound care and hyperbaric medicine center, a renal dialysis unit, a vascular laboratory, a cardiology suite, an endoscopy suite, a 911 receiving emergency department, surgical services including urology, orthopedics, vascular, gynecology, and ophthalmology, and multiple specialty ambulatory care clinics. The Rutland Nursing Home is a 538-bed facility offering skilled nursing, rehabilitation and post acute care services. The nursing home operates an Adult Day Health Care Center. The Department of Medicine maintains an independent medical residency program of over 50 medical residents and many board certified faculty. The surgical teaching program is affiliated with the SUNY Health Science Center Brooklyn Medical College. Other medical residency programs include orthopedics, podiatry, physical medicine and rehabilitation, and dentistry.

Pharmacy Services & Medication Safety through Advanced Technology

The Department of Pharmacy is fully computerized, provides 24-hour pharmacy services and utilizes a robotic dispensing system. The Pharmacy Department employs over 40 professional and support personnel. The pharmacy department dispenses over 10,000 unit dose medications daily. The hospital has a closed loop technologic drug distribution and administration system. Prescribers utilize the Computerized Physician Order Entry (CPOE) system, medication orders simultaneously interface into the Pharmacy Computer System, Pharmacists validate these orders, the Pharmacy Robot dispenses medications using barcode technology, and Nurses administer medications using barcode scanners. Computer terminals are located throughout the hospital, and on medication carts. An Emergency Medicine Satellite Pharmacy plus several profiled automated dispensing cabinets supply medications; a Satellite Clinical Pharmacist provides medication management services to the Emergency Department.

Pharmacotherapy Services

The 18-member Pharmacotherapy Team employs highly skilled Clinical Pharmacists, who have completed either postgraduate Pharm.D. Degree with a pharmacotherapy specialty residency; a 6-year Pharm.D. Degree with 2 years of pharmacy residency training; or extensive equivalent experience. Clinical Pharmacists specialize in all of the following settings: Critical Care, Surgery & Nutrition, Emergency Medicine, Internal Medicine, Infectious Diseases, Cardiology, Psychiatry, Geriatrics, Long Term Care, Wound Care, and Ambulatory Care. The department has two ASHP accredited specialty residency programs in Critical Care Pharmacotherapy, and Geriatric Pharmacotherapy, one ASHP-pending accreditation specialty residency program in Internal Medicine, and a Medication Safety Pharmacy Fellow. The Pharmacotherapy team is highly respected, and is an elite healthcare team within the medical center. A summary of annual Pharmacotherapy Services highlights is listed in the table below.

• Clinical Pharmacists perform > 18,000 pharmacotherapy interventions
• Pharmacotherapy interventions lead to > $5 million in costs savings

• Clinical Pharmacists approve over 8,000 restricted antibiotics

• Over 700 ADEs are detected, reported, and managed

• All Aminoglycoside orders require a Clinical Pharmacist’s review, written note, and follow up

• Physicians request formal written pharmacotherapy consults

• All Oxandrolone orders require a written pharmacotherapy consult to determine feasibility of use and monitoring

• Pharmacist-lead clinics are provided for anticoagulation (warfarin), diabetes, and smoking cessation

• Pharmacotherapy interventions have helped decrease the length of stay by 2 – 3 days

Clinical Rotations

The resident will have the unique opportunity to practice in acute, critical care, ambulatory and long-term care settings. The resident will participate in morning report, daily patient-care teaching rounds, daily formal medical grand round lectures, and pharmacy-led clinical pharmacology rounds.

Our 11-member Pharmacy Residency Faculty, allow us to offer a diverse variety of clinical clerkships, and one-to-one faculty-to-resident training. Two month clinical rotations in Internal Medicine, Geriatrics, and other rotations allow the resident to develop a higher level of pharmacotherapy experience and skill. The resident in collaboration with the Residency Director can design a one year residency that focuses on areas of personal interest by choosing elective rotations and certain clerkships for 2-month rotations; while maintaining adequate clerkship diversity.

Kingsbrook University – Courses for Pharmacy Residents

In order to strengthen the Pharmacy Residents fundamental skills in Physical Assessment, Clinical Pharmacokinetics, Biostatistics, and Pharmacotherapy, we offer a condensed 2 week course on these subjects. Courses, workshops, and laboratory sessions are taught by Pharmacy Faculty. Residents are expected to develop a minimal skill set prior to beginning their clinical rotations.

Faculty Appointment at Long Island University and Teaching Responsibilities

The resident will receive a university faculty appointment at the Clinical Instructor or Assistant Professor of Pharmacy Practice rank with the Division of Pharmacy Practice at the Arnold & Marie Schwartz College of Pharmacy and Health Sciences, Long Island University. At the university, the resident will teach pharmacotherapy recitations or physical assessment laboratory. At the hospital, the residents will precept Pharm.D. students during their clerkships. The Resident will lead Clinical Pharmacology Rounds for Pharmacy Students as the Attending Pharmacotherapist and teach pharmacotherapy to Pharm.D. students both in the class room and bedside settings.

Lecture Opportunities

The resident will be taught oral communication and presentation skills, and Power Point slide development. Throughout the residency program, residents will formally present to faculty and colleagues’ journal clubs with comprehensive disease or drug reviews, and reviews of pharmacotherapy topics. There will be ample opportunity to lecture at professional society meetings, medical, nurse practitioner and physician assistant programs in the tristate area, the universities active continuing education programs, and the hospital’s pharmacy, nursing, and medical staffs.

Residency Project and Publishing Requirements

The resident is required to complete one scholarly pharmacy practice project for poster presentation and publication. The resident will prepare an abstract and poster for both state and national presentation, usually in the form of a drug-induced adverse effect or a research project. The resident will then submit the case report and literature review, or research project for publication in a peer-reviewed journal.

Pharmacy Practice Management

The resident will have opportunities to provide off-hour clinical pharmacy services including responding to codes, infectious disease approvals, clinical pharmacology consultations, medication regimen review, renal dosing, and drug information. On off-hours, the residents will hold supervisor responsibilities including overseeing the pharmacy operation and clinical pharmacy services.

Qualifications and Application Procedure

In order to apply for this ASHP-accredited pharmacy practice residency program (PGY-1), you must be a graduate of an ACPE accredited college of pharmacy, and you should possess a Pharm.D. degree, or a Post-BS Pharm.D. degree or equivalent experience. Pharmacy licensure or eligibility for licensure in NY State is required.

Applicants must submit the following:

1. Complete the “KJMC Application for Admission – Pharmacy Practice and Specialty Residency Programs Form.”
2. Curriculum vitae (6 copies), which includes your education history, employment history, a list of pharmacy clerkships and preceptors, publications and presentations.
3. All official college transcripts.
4. Three letters of recommendation – two from primary preceptors from recent pharmacy clerkships. Provide a list with names, addresses, E-mail addresses and telephone numbers of the individuals sending recommendations on your behalf. Please note that the ASHP Residency Applicant Recommendation Request Form must be completed in addition to the letter of recommendation.
5. A brief letter of intent describing why you want to complete a Pharmacy Practice Residency and why you want to complete it at Kingsbrook Jewish Medical Center.
6. A succinct essay describing three clinical pharmacy scenarios in which you intervened and provided medication therapy management that had impact.

Application data is due by January 5, and should be submitted to: Henry Cohen, M.S., Pharm.D., FCCM, BCPP, CGP, Chief Pharmacotherapy Officer, Department of Pharmacy, Kingsbrook Jewish Medical Center, 585 Schenectady Avenue, Brooklyn, New York, 11203. An on-site interview at the applicant’s expense and participation in the ASHP Residency Match Program is required. For more information please call Dr. Cohen at 718-604-5373 or E-mail him at:

Kingsbrook Jewish Medical Center is committed to the directives of the Equal Employment Opportunity and Affirmative Action programs and policies in conformance with the principles of the Equal Employment Opportunity Commission.

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