PGY2 Emergency Medicine

Purpose

The PGY2 emergency medicine (EM) pharmacy residency program at Massachusetts General Hospital (MGH) builds on Doctor of Pharmacy (PharmD) education and PGY1 pharmacy residency programs to contribute to the development of clinical pharmacists in advanced or specialized practice. A PGY2 residency provides residents with opportunities to function independently as practitioners by conceptualizing and integrating accumulated experience and knowledge and incorporating both into provision of patient care that improves medication therapy. Residents who successfully complete the accredited PGY2 EM pharmacy residency at MGH will possess competencies that qualify them for clinical pharmacist and/or faculty positions and prepare them to be eligible for attainment of board certification in emergency medicine.

Description

The ASHP-Accredited PGY2 EM Pharmacy Residency at MGH began in 2017. Residents learn the skills to establish an area of specialty in emergency medicine, critical care, infectious diseases, toxicology, trauma management, and education. Mass General offers a dynamic learning environment including a close partnership with the Harvard Affiliated Emergency Medicine Residency program (HAEMR) and the regional poison center. The resident plays an active role in clinical and administrative EM initiatives. Teaching experience is provided through the Department of Pharmacy and EM conferences/symposia, didactic teaching in the HAEMR program, pharmacy student and resident preceptorship, and a teaching certificate program at Northeastern University Bouvé School of Pharmacy (optional). Finally, residents contribute to local and system-wide interdisciplinary committees pertaining to stroke care, sepsis management, emergency preparedness, and quality and safety.

We currently offer one position for the PGY2 EM Pharmacy Residency.

Program Goals

The resident will complete the following ASHP-established outcomes:

• Demonstrate leadership and practice management skills
• Optimize the outcomes of EM patients by providing evidence-based medication therapy as an integral part of an interdisciplinary team
• Demonstrate excellence in the provision of training, including preceptorship, or educational activities for health care professionals and health care professionals in training
• Demonstrate the skills necessary to conduct an EM pharmacy research project
• Develop an evidence-based approach when providing EM medication-related information
• Participate in the management of medical emergencies
• Describe the role of the poison center or medical toxicologist in the care of the toxicology patient
• Demonstrate the ability to provide appropriate evidenced based recommendations for the patient in need of toxicologic intervention in the ED setting

Learning Experiences

The first month of residency is an orientation to the Department of Pharmacy, after a 1.5-day hospital orientation. Activities include competency lectures on basic clinical skills, training on the Mass General computerized order entry system, and side-by-side decentralized training with clinical pharmacy preceptors. Additionally, residents will understand the structure of the Residency Learning System, which is the backbone of how residency training is put into action.

Core Learning Experiences:

• Orientation
• Adult EM
• Medical ICU
• ED Administration
• Toxicology
• Pediatric ICU/Emergency Medicine
• ED Observation
• Emergency Medical Service
• Emergency Medicine Precepting

Elective Learning Experiences:

• Infectious Diseases
• Surgical ICU
• Neuroscience ICU
• Burn ICU
• Cardiology ICU

Longitudinal Experiences:

• Emergency response
• EM Pharmacist Forum
• Pharmacy practice experience: ED decentralized clinical operations
• Research project and manuscript development
• Medication Use Evaluation
• Residents Teaching Seminar/Certificate at Northeastern University Bouve College of Health Sciences (optional)
• Resident officer positions

How to Apply

To be eligible to apply for the PGY2 Emergency Medicine Pharmacy Residency Program, applicants must be graduates of an ACPE-accredited school of pharmacy with a Doctor of Pharmacy (PharmD) degree and have completed or are in the process of completing an ASHP-accredited PGY1 residency program. Applications must be submitted via PhORCAS and include the following to be complete:

• Formal letter of intent
• Curriculum Vitae
• Official pharmacy school transcripts and undergraduate transcripts (if applicable)
• Three standardized references completed through PhORCAS

The deadline for receipt of a completed PhORCAS application is January 7th, 2024. Upon completion of applications review, qualified candidates will be contacted regarding interviews. The PGY2 Emergency Medicine Pharmacy Residency Program participates in the ASHP Resident Matching Program.

Contact Information

Jenny Koehl, PharmD, BCPS
Clinical Pharmacy Specialist - Emergency Medicine
Director, PGY2 EM Pharmacy Residency
JKoehl@mgh.harvard.edu

Emily Porter, PharmD, BCPS, BCEMP
Clinical Pharmacy Specialist - Emergency Medicine
Coordinator, PGY2 EM Pharmacy Residency
eporter5@mgb.org