Program Type: ASHP Accredited PGY2 Residency
ASHP Match Number: 698067

Purpose

PGY2 pharmacy residency programs build on Doctor of Pharmacy (Pharm.D.) education and PGY1 pharmacy residency programs to contribute to the development of clinical pharmacists in specialized areas of 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 or other advanced practice settings. Residents who successfully complete an accredited PGY2 pharmacy residency are prepared for advanced patient care, academic, or other specialized positions, along with board certification, if available.

Program Overview

The Johns Hopkins Hospital Cardiology Pharmacy Residency is an ASHP accredited twelve-month program of training and experience. The program provides flexibility to meet the interests and needs of the individual resident while at the same time ensuring the achievement of foundational skills for high quality cardiology pharmacy practice. This residency provides experience to numerous patient populations within cardiology and strives to produce experts in the practice of cardiology pharmacy. The residency will emphasize the resident’s interests while achieving the goals and objectives for PGY2 Cardiology Residencies set forth by ASHP.

Training Experience

• Active participation in patient care rounds
• Participation in a cardiology related committee to impact policy
• Participation in education of pharmacy, nursing and medical staff
• Completion of a cardiology related research project
• Delivery of two ACPE accredited presentations

Orientation

The Pharmacy Residency Orientation experience provides a comprehensive and coordinated training program designed to provide incoming residents with an understanding of policies, procedures, and expectations for the pharmacy residency experience. During orientation, residents will participate in hospital, department, and division orientation, and will be exposed to department policies and resources.

Hospital and pharmacy department orientation is required for all new pharmacist hires at Johns Hopkins Hospital. The resident is expected to interact with members of the pharmacy department throughout orientation and to attend assigned orientation and training sessions.

Prior to the start of the residency program, residents will be given a full, detailed orientation itinerary.

Rotations

Required Rotations:

• Orientation (1 week to 1 month based on prior JHH experience, see above for more information)
• Cardiac Care Unit (CCU) (2 months)
• Cardiovascular Surgical ICU (CVSICU) (1 month)
• General Cardiology (1 month)
• General Cardiology with EP Focus (1 month)
• Advanced Heart Failure/Transplant (1 month)
• Johns Hopkins Bayview Medical Center Cardiology (1 month)
• Pediatric Cardiology (1 month)
• LVAD Anticoagulation Monitoring (longitudinal 11 months)
• Outpatient Heart Failure (longitudinal 3-4 months)
• Research (longitudinal 12 months; 1 month dedicated time; more information below)
• Education (longitudinal 12 months; more information below)
• Staffing (longitudinal 12 months; more information below)
• Resident on-call (12 months; more information below)
• Drug Class Review and Committee Involvement (12 months; more information below)
• Shadow experiences in the Cardiac Catheterization, Electrophysiology Lab and/or Cardiac OR will be provided

Elective Rotations:

• Other elective learning experiences may be developed based on resident interest and preceptor availability

Education Components

• Pharmacotherapy Rounds
  • All residents will provide a 30-minute presentation that is APCE accredited.
  • Website: Please refer to the “Learning Opportunities” section of the Department of Pharmacy, Johns Hopkins Medicine website.
• Journal Clubs and/or Topic Discussions
  • Twice monthly cardiology topic discussions with cardiology preceptor group and learners
• Teaching Requirements
  • Each Hopkins resident is required to provide educational sessions
    • Education may be provided to medical residents, fellows, and/or nursing colleagues
  • A one-hour ACPE accredited continuing education presentation to the Department of Pharmacy
  • Opportunity to perform didactic education at one of the school of pharmacy
  • Precepting of APPE students on rotations throughout the year

Requirements for Acceptance to the Program

The qualified candidate will have a Doctor of Pharmacy degree from an ACPE accredited school of pharmacy. Prior to the beginning of a PGY2 residency, PGY2 residents must have successfully completed an ASHP-accredited PGY1 pharmacy residency program.

Licensure and Certification Requirements

All residents are required to obtain a Maryland State Pharmacy License by August 1st.

ACLS Requirement

The resident will arrive at the program already ACLS certified, or will complete certification during the residency year.

Attendance at Professional Meetings

The department will support the resident (expense and leave time) to attend ASHP Midyear Clinical Meeting and the American College of Cardiology Meeting. Any additional travel that is to be supported by the department is evaluated on a case-by-case basis.

Research Project

The resident must complete a research or quality improvement project. The scope, magnitude, and type of project will vary according to individual interests but must be completed in a manner suitable for presentation and publication.

Drug Class Review (DCR) or Formulary Management Project

The resident will complete a project as part of the formulary management process. This may be achieved through assisting in the determination of formulary additions/deletions by assessing therapeutic merits, safety, redundancies, and the estimated cost impact on the JHHS.  Projects may include drug monograph development, drug class review, or medication policy development.

Committee Participation

The resident will be assigned to departmental, hospital, or health-system committee(s) over the course of the year. The resident will serve as the recording secretary for the Johns Hopkins Health-System Cardiology, Hematology, Pulmonology Subcommittee of the Formulary Management and Medication Use Policy Committee. 

Staffing Component

The PGY-2 Cardiology Resident will practice as a pharmacist in Adult Medicine, Emergency, and Surgery Division throughout the residency year.  Weekend expectations include order verification and clinical monitoring of patients.  The resident will perform in this role every 2 weeks for the first 90 days (with a compensatory day off) and then will transition to every 3rd weekend for the remainder of the year.

On-Call Coverage

The resident will participate in clinical on-call services. On-call duties include pediatric and adult code response, trauma and brain attack team response, drug information, patient education and other duties as needed. On-call hours are from 4 PM to 10 PM on weekdays and 7 AM to 7 PM on weekends and holidays. The frequency of on-call coverage depends upon the number of residents in the entire program and averages about 15 shifts per year.

Preceptors

Please refer to the “Preceptors” section of the Department of Pharmacy, Johns Hopkins Medicine website.

Program Director

John Lindsley, PharmD, BCCP, BCCCP, AACC

Title: Lead Clinical Pharmacy Specialist, Cardiac Care Unit
Assistant Director, Hemostatic and Antithrombotic Stewardship Program
Education: Doctor of Pharmacy, Rutgers, The State University of New Jersey
Training: PGY-1 Pharmacy Residency, University of Cincinnati Medical Center;
PGY-2 Cardiology Residency, The Ohio State University Medical Center

Contact Information

John Lindsley, PharmD, BCCP, BCCCP
PGY-2 Cardiology Program Director
Department of Pharmacy
The Johns Hopkins Hospital
600 North Wolfe Street, Carnegie 180
Baltimore, MD 21287-6180
Email: [email protected]