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PGY2 - Infectious Diseases Program

The UC Irvine Health Pharmacy Department offers a one-year specialty residency in infectious diseases.

The PGY2 Infectious Diseases Pharmacy Residency at UC Irvine Health is designed to develop in-depth knowledge and skills in both clinical laboratory medicine and infectious diseases.

Residents work closely with the Adult Infectious Diseases Consult Service and other clinical services. They will strengthen their knowledge and enhance the skills needed to deliver effective pharmacotherapy for patients with infectious diseases by working directly with patients who have or are at risk for infections.

In addition, residents will:

  • Learn, establish and perform evidence-based antimicrobial stewardship strategies to ensure that patients receive the right antibiotic, at the right dose and for the right duration when they need them
  • Participate in evaluating outcomes of stewardship efforts

Pharmacists completing this residency may be eligible to become a board-certified pharmacotherapy specialist (BCPS) with added qualifications in infectious diseases and may effectively initiate and/or participate in antimicrobial stewardship efforts in acute care settings.

We have the candidate status for accreditation by the American Society of Health-System Pharmacists (ASHP). The program code for the PGY2-ID program at UC Irvine Medical Center is 7452.

Program Purpose

PGY2 pharmacy residency programs build on Doctor of Pharmacy (PharmD) education and PGY1 pharmacy residency programs to contribute to the development of clinical pharmacists in advanced or specialized practice.

PGY2 residencies provide residents with opportunities to function independently as practitioners by conceptualizing and integrating accumulated experience and knowledge and incorporating both into the provision of patient care that improves medication therapy.

Residents who successfully complete an accredited PGY2 pharmacy residency should possess competencies that qualify them for clinical pharmacist and/or faculty positions and position them to be eligible for board certification in the specialized practice area (when board certification for the practice area exists).

Application Deadline

The application deadline is Tuesday, Jan. 3, 2017.

Benefits & Requirements

Benefits

The benefits of being a pharmacy resident at UC Irvine Medical Center include:

  • Salary: $53,949 for the year 
  • Two weeks paid vacation, 13 paid holidays and sick leave
  • Professional leave and travel expense budget to attend select pharmacy or infectious disease conferences
  • Medical, dental and vision insurance through a UC Irvine Health-sponsored plan

Requirements

Applicants for the UC Irvine Health PGY2-ID Pharmacy Residency Program must be enrolled in or have completed an ASHP-accredited PGY1 pharmacy residency program or one in the ASHP accreditation process. Applicants must be graduates of an Accreditation Council for Pharmacy Education (ACPE) accredited degree program (or one in process of pursuing accreditation). Applicants must be licensed or eligible for licensure in the state of California.

Candidates must apply through the American Society of Health-System Pharmacists (ASHP) Residency Matching Program. The program code for the PGY2-ID Pharmacy Residency Program at UC Irvine Medical Center is 7452.

Selection is based on professional competence, scholastic achievement, motivation, extracurricular activities, communication skills, letters of recommendation and overall understanding of the pharmacy profession.

To be considered for admission to the PGY2-ID program, all applicants must meet the general requirements for PGY1 pharmacy residency program:

  • Be a PharmD graduate from an ACPE-accredited pharmacy school or college
  • Complete a personal, on-site interview with the residency program director, select preceptors and residents
  • Have a valid, current pharmacist intern license and BLS or ACLS certification from American Heart Association before employment start date
  • Be licensed to practice pharmacy in California (licensing is expected by the start of the residency year to maximize learning, but no later than September of the residency year)
  • Successfully complete a background check
  • Successfully complete the pre-employment process, which includes, but is not limited to, verification of all required licenses and certifications, including meeting the U.S. Office of Inspector General requirements and proof of a legal right to work in the United States
  • Successfully complete a post-offer physical exam, which includes a drug and alcohol screen, a physical and a TB test

UC Irvine Health is an equal opportunity employer that is dedicated to fostering diversity in the workplace and offering a variety of opportunities for growth and development.

UC Irvine Health adheres to state and federal equal employment opportunity laws and University policy, which prohibits discrimination based on a variety of characteristics. In addition to race and sex, these characteristics include color, national origin, religion, physical or mental ability, medical condition (cancer-related or genetic characteristics), pregnancy, ancestry, marital status, age, sexual orientation, gender identity, status as a covered veteran, service in the uniformed services and citizenship.

Learning Experiences

Learning experiences are offered in practice areas to allow the resident to further strengthen skills to effectively manage patients with infectious diseases by:
  • Collaborating with infectious diseases attending physicians and fellows in training
  • Caring for a patient population at high risk for infections

The PGY2-ID resident will work closely with the Residency Program Director and the Antimicrobial Stewardship Medical Director throughout the year. 

Our preceptors provide expert training to our residents, and nearly half are board-certified pharmacotherapy specialists (BCPS).

Required block learning experiences

  • Orientation
  • Infectious Diseases (4 blocks)
  • Clinical Microbiology
  • Critical care — Neuro
  • Oncology
  • Transplant Inpatient

Elective block learning experiences

  • Critical Care — Medical
  • Critical care — Surgical

Required longitudinal learning experiences

  • Antimicrobial Stewardship Practices
  • Transplant Clinic
  • HIV/AIDS Clinic
  • Staffing
  • ID Research Project

Program Overview

The University Of California Irvine Medical Center offers one Post-Graduate Year Two Pharmacy Resident in Infectious Diseases position, which is on candidate status for accreditation by ASHP and is sponsored by UC Irvine Medical Center. Download this program overview (PDF) ›

Period of Appointment: July 10, 2017 (New Employee Orientation) through July 6, 2018

Salary: Approximately $53,949 annually

Health Insurance: Medical, dental, and vision coverage through UC Irvine sponsored plans

Vacation: 21 days accrued over the year. In order to maximize residency training, residents will be allowed two weeks of paid vacation leave for the residency year

Paid Professional Leave: Two weeks (10 working days) are allowed to attend professional meetings (Infectious Diseases Society of America’s annual meeting, ASHP Mid-Year and Western States Conference)

Learning experience descriptions

UC Irvine Medical Center offers a number of infectious diseases specialty rotations, in addition to general rotations. A brief description of learning experiences that the PGY2-ID resident will participate is included. For general learning experiences that both PGY1 and PGY2 residents participate, additional information is found in PharmAcademic®.

Infectious diseases (required)

The PGY2-ID pharmacy resident will actively participate as an integral member of interdisciplinary ID consult team caring for adult patients with infections and gradually assume responsibility for their pharmaceutical care and serve as the ultimate resource for information about anti-infectives and for decision making affecting the care of these patients. The resident will participate in managing infectious diseases for patients in various areas such as general medicine, critical care, oncology, surgical or HIV/AIDS patients.

The resident will have the opportunity to precept third or fourth year pharmacy students and or PGY1 pharmacy residents. The resident is expected to gradually increase in the level of independence over the course of the residency year and the sequence of the ID Consult for Adult Learning Experiences will promote the progressive independence.

  • Infectious Diseases 1 (four weeks): This is the first and introductory learning experience during which the PGY2-ID resident will get acquainted with the organization’s electronic medical record system and workflow of the Infectious Diseases Consult Service. The residency program director (RDP) will provide direct instruction on core topics as needed, modeling during multi-disciplinary rounds and coaching the resident to start assuming the responsibility of the care of patients with Infections.
  • Infectious Diseases 2A (six weeks): This is an intermediate learning experience with an emphasis on APPE student precepting. The RPD continues to provide direct instruction as needed, modeling during multidisciplinary rounds during the first half, coaching the resident to assume the responsibility of the care of at least half of the patients staffed by ID consult service. The resident will have hands-on experience precepting students by providing topic discussions and modeling the role of ID pharmacist/ID resident pharmacist for the students.
  • Infectious Diseases 2B (six weeks): This is an intermediate learning experience with an emphasis on Infection Prevention Practices. The RPD prioritizes on coaching and facilitating the resident’s provision of patient care activities on patients staffed by ID consult service. The resident will have an opportunity to collaborate with the Epidemiology and Infection Prevention (EIP) Team through weekly work meetings and collaborate with the EIP team on infection prevention policies and/or strategies to prevent transmission of infections as opportunities are identified.
  • Infectious Diseases 3 (four weeks): This is the final and independent learning experience for the resident to assume the comprehensive role of Infectious Diseases Pharmacist and Antimicrobial Stewardship Pharmacist. The RPD prioritizes on facilitation of the resident’s provision of patient care activities on patients staffed by ID consult service and respond inquiries by pharmacists and other health care providers. The resident will carry the infectious diseases pharmacist's pager during this learning experience.

Preceptor: Helen S. Lee, PharmD-AQ-ID

Clinical microbiology (required; two weeks)

The PGY2-ID pharmacy resident will be trained in the fundamentals of diagnostic clinical microbiology.

The experience consists of active participation in the laboratory diagnosis of bacterial, mycobacterial, fungal, parasitic and viral infections and educational activities through lectures and small group discussions. The PGY2-ID pharmacy resident is usually paired with a PGY4-ID Medical Fellow for this learning experience.

Preceptors: Cassiana Bittencourt, MD and Helen Lee, Pharm.D.

Antimicrobial stewardship practices (Longitudinal, required; 12 months)

The PGY2-ID pharmacy resident will have opportunities to work closely with the antimicrobial stewardship medical director and the RPD in various stewardship efforts in order to ensure judicious use of antimicrobial agents.

The resident will participate in various stewardship strategies including, but not limited to: blood culture review using rapid diagnostic technologies, prospective review and feedback, tracking of antimicrobial use, developing/updating of clinical guidelines for infectious diseases, antimicrobial formulary management and conducting medication utilization reviews. The resident will support Antimicrobial Stewardship Subcommittee meetings by conducting relevant literature review and preparing written summaries on requested topics and guidance documents on appropriate antimicrobial usage by indication, etc.

Preceptors: Steven Park, MD, PhD and Helen Lee, PharmD-AQ-ID

Critical care — neurocritical (required; four weeks)

This required learning experience is designed to provide the PGY2-ID pharmacy resident with the opportunity to further develop his/her knowledge and expertise in the management of critically ill patients with infections. This will be achieved through rounding with the neurocritical care team, active participation in the management of patients, and performing medication order interventions with emphasis on antimicrobial therapy. Much emphasis will be placed on developing the resident's thought process. Residents will be challenged to critically evaluate drug regimens and to act both reactively and proactively to drug issues.

Common disease states encountered within the Neuroscience ICU include, but are not limited to: status epilepticus, intracranial hemorrhage, ischemic stroke, cerebral vasospasm, spinal cord injury, brain tumors, and infection (meningitis/ventriculitis, pneumonia, Clostridium difficile, etc.). General critical care-related topics that will be covered include: management of pain, agitation and delirium, sepsis, intensive insulin therapy, stress ulcer prophylaxis and anticoagulation reversal.

Preceptor: Steven Atallah, Pharm.D., BCPS, BCCCP

Critical care — medical (elective; three weeks) 

This elective learning experience is designed to provide the PGY2-ID pharmacy resident with the opportunity to further develop knowledge and expertise in the management of critically ill patients with infections.

MICU is managed by the pulmonary medicine division with attending physicians board-certified in critical care and pulmonology. The MICU is a closed unit so the critical care service manages all admissions. The rounding team includes the attending physician, two residents (second/third year), two interns, a clinical pharmacist and medical students. Case manager, social worker, respiratory therapist and bedside nurse may also participate in patient care rounds.

The PGY2-ID resident is responsible for identifying and resolving medication therapy issues with emphasis on antimicrobial therapy for patients and will work toward assuming care of all patients in the unit throughout the rotation.

Preceptor: Lan Vu, Pharm.D., BCPS

Critical care — surgical (elective; three weeks) 

This elective learning experience is designed to provide the PGY2-ID pharmacy resident with the opportunity to further develop his/her knowledge and expertise in the maangement of critical ill surgical or trauma patients with infections.

In following critically-ill trauma patients and through direct interaction with physicians, nurses, and other members of the interdisciplinary team, residents will witness and gain valuable insight into the clinical use of drugs in particular antimicrobial agents and both their efficacy/toxicity.

Much emphasis will be placed on developing the resident's thought process, and residents will be challenged to critically evaluate drug regimens and to act both reactively and proactively to drug issues.

Preceptor: Mark Baje, Pharm.D., BCPS

HIV/AIDS clinic (Longitudinal, required; three months)

The PGY2-ID pharmacy resident will complete a three-day training in HIV/AIDS care through Pacific AIDS Education and Training Center at UC Irvine.

Subsequently, the resident will have the opportunity to provide pharmaceutical care to individuals affected by HIV/AIDS in ambulatory care clinics. The lead preceptors for this learning experience are non-pharmacist preceptors; therefore, it is designed to take place during the second half of the residency year.

The division of Infectious Disease here at UC Irvine Health maintains an outpatient clinic located adjacent to the medical center. Patients are referred to this clinic for the management of complicated infections, including HIV. Learners in this clinic may include infectious disease fellows, internal medicine residents and students. The attending physicians in the clinic are internal medicine teaching program faculty members who have fellowship training in infectious diseases.

Preceptors: Catherine Diamond, MD, Geeta Gupta, MD, and Helen Lee, Pharm.D.

Oncology (required; four weeks)

The PGY2-ID Pharmacy Resident will have the opportunity to work with the oncology team to optimize pharmaceutical care of inpatients on this service. Typical expectations of residents include the following:

  • Working up approximately 5-10 oncology patients each day
  • Interacting with the nurse practitioners, physician assistants, nurses, physicians, and oncologists to identify and resolve medication-related problems for these patients
  • Attending rounds every morning
  • Discussions with the preceptors on a variety of oncology topics
  • Formal patient presentations to the preceptor and responding to drug information requests from the providers.

The primary emphasis will be the management of inpatient oncology patients with infections or at risk for infections. The resident will provide and document therapeutic drug monitoring services for patients on the oncology team receiving drugs requiring monitoring including vancomycin and aminoglycosides.

Preceptor: Cham Nguyen, Pharm.D., BCOP

Transplantation — Inpatient (required; four weeks), Clinics (required; three months)

The transplant rotation is a required learning experience that will focus on kidney and pancreas transplantation. Both an inpatient block rotation and ambulatory longitudinal rotation are offered.

The inpatient block rotation will expose the PGY2-ID pharmacy resident to immediate post-transplant care and acute post-transplant complications including transplant rejection and infection. The PGY2-ID pharmacy resident is responsible for attending daily rounds and identifying and resolving medication therapy for patients with the emphasis in management of infections in this immunocompromised patient population.

The resident may participate in providing medication teaching to the patient prior to discharge, emphasizing the importance of medication compliance of antimicrobial agents for treatment of prophylaxis in this immunocompromised patient population. The resident will attend weekly selection committee meetings and surgical grand rounds when appropriate. The resident will attend transplant clinics one half day per week to follow up on post-transplant patients, assess compliance and educate patients on new medications with focus on antimicrobial agents.

Preceptor: Cynthia Chan, Pharm.D., BCPS

Staffing (required; 10 months)

The PGY2-ID resident will staff every third weekend to fulfill pharmacists’ shifts after completing the initial orientation and training in IV room and unit dose areas. The resident will have the opportunity to learn and practice medication order reviews and dispensing processes.

In IV room, the PGY2-ID resident will get acquainted with the sterile compounding and dispensing processes of parenteral medications including antimicrobial agents. The goal is for the PGY2-ID resident to understand the perspective of the staff pharmacist through participation in staffing functions, to function effectively in the staff pharmacist role and to formulate pharmaceutical care plans for patients with infections consistent with the institution’s pharmacy practices on clinical learning experiences.

The resident will initially be assigned to distribution shifts in IV room and unit dose areas with the task to complete the antimicrobial stewardship activity of positive blood cultures review and interventions. The resident will also be assigned to fulfill clinical shifts providing pharmaceutical care such as therapeutic drug monitoring of antimicrobial agents and anticoagulation per pharmacy in conjunction with distribution activities.

Preceptors: Eunice Rhee, Pharm.D., BCPS and Quyen Bui, Pharm.D.

Download this program overview (PDF) ›

For more information, contact:
Helen S. Lee, PharmD, AQ-ID
PGY2 - ID Pharmacy Residency Program Director
714-456-5514
ansh@uci.edu