Pharmacy Residency Program: Infectious Diseases

JHH

Program Type: ASHP Accredited PGY2 Residency
ASHP Match Number: 603255

NOTE: This position has been filled for the 2023 – 2024 residency year.

PGY2 Program 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

Over the course of the year, the resident will 1) gain experience in the management of common and uncommon infectious diseases in a variety of patient populations; 2) develop a solid understanding of clinical microbiology and pharmacokinetics/pharmacodynamics of antimicrobial therapy; 3) strengthen his/her communication skills through formal and informal presentations and interactions with other healthcare providers in a variety of settings; 4) participate in an infectious diseases and pharmacy related interdisciplinary committee; and 5) enhance his/her teaching skills by precepting pharmacy students on infectious disease rotations and instructing 3rd year pharmacy students in the infectious diseases elective at the University of Maryland, School of Pharmacy. Rotational experiences will be tailored to the entering resident’s knowledge, experience, and interests.

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

Program Goals

  • To prepare highly qualified infectious diseases clinical pharmacists to successfully serve healthcare organizations as the ultimate resource for antimicrobial pharmacotherapy.
  • To train future pharmacy leaders in antimicrobial stewardship who will work to improve antimicrobial use within an organization and optimize antimicrobial therapy in patients with infectious diseases
  • To develop clinical research skills in the area of antimicrobial stewardship and infectious diseases pharmacotherapy
  • To enhance residents’ presentation, writing and teaching skills for anticipated job responsibilities that will include precepting pharmacy students and residents, providing education on antimicrobial therapy to various healthcare professionals, delivering formal and informal presentations and contribute to the development of guidelines for antimicrobial use

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 – 0-1 month
  • Adult Antimicrobial Stewardship Program - 2 months
  • Adult General Infectious Diseases Consult Service - 2 months
  • Adult Inpatient AIDS/HIV Service - 1 month
  • Adult Oncology/Transplant Infectious Diseases Consult Service - 1 month
  • Pediatric Infectious Diseases Consult Service -1-2 months
  • Foundations in Microbiology Laboratory – 1-2 weeks
  • Adult Antimicrobial Stewardship/Infectious Disease Consult at Johns Hopkins Bayview Medical Center (JHBMC), off campus rotation – 1 month

Required Longitudinal Experiences

  • Longitudinal Infectious Diseases Leadership Experience - 1 year
  • Longitudinal Education and Teaching Experience - 1 year
  • Residency Research Project - 1 year
  • On-call Experience - 1 year
  • Staffing Experience - 1 year

Elective Rotations

  • Adult Outpatient Parenteral Antimicrobial Therapy (OPAT) - 1 month rotation or longitudinal once a month for 3-6 months
  • Adult Outpatient HIV Clinic - longitudinal once a month for 3-6 months
  • Pediatric Antimicrobial Stewardship - 1 month

Education Components

  • Pharmacotherapy Rounds
    • All residents will provide a 30-minute presentation that is APCE accredited.
    • Please refer to the “Learning Opportunities” section of the Department of Pharmacy, Johns Hopkins Medicine website.
  • Journal Clubs and/or Topic Discussions
    • The resident is involved in a semi-formal topic discussion series prepared and presented by ID Preceptors and the ID Resident. These one-hour long topic discussions occur weekly and are advertised to the Department of Pharmacy for attendance by pharmacists, students, residents, and preceptors.
  • Teaching Requirements
    • Each Hopkins resident is required to provide educational sessions.
    • The PGY-2 ID resident is required to deliver a second ACPE-accredited Continuing Education (CE) presentation, which is a one-hour presentation given three times during a month to the Department of Pharmacy staff. The focus of this presentation is to provide a general overview on an ID topic that is useful and practical for any pharmacist.
    • Please refer to the “Learning Opportunities” section of the Department of Pharmacy, Johns Hopkins Medicine website.

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 expected to obtain a Maryland State Pharmacy License by August 1st.

PGY-2 ID Program-specific Experiences

Through our affiliation with the University of Maryland School of Pharmacy, the PGY-2 ID resident will have the opportunity to participate in the instruction of 3rd year pharmacy students in the Case Based Management in ID elective course.

Attendance at Professional Meetings

The department will support the resident (expense and leave time) to attend the ASHP Midyear Clinical Meeting and Eastern States Conference. Any additional travel that is to be supported by the Department is evaluated on a case-by-case basis (e.g., ID week).

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

MUE Project

The resident must complete a self-directed 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.

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

Drug Class Review (DCR) or Formulary Management Project

The resident will complete a drug class review 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.

Committee Participation

The resident will be assigned to departmental, hospital, or health-system committee(s) over the course of the year.

  • Antimicrobial Stewardship Subcommittee of the Clinical Practice Council (CPC) (monthly) – ID resident will serve as Secretary for the year and take meeting minutes and send out the agenda
  • JHH Antimicrobial Stewardship Committee (quarterly)
  • JHHS ID panel (every other month) – ID resident will take minutes
  • Micro/ASP/HEIC meeting (monthly)

Staffing Component

Each resident will practice as a pharmacist in a designated area throughout the residency year.

Please refer to the “Staffing Requirements” section of the Department of Pharmacy, Johns Hopkins Medicine.

On-Call Coverage

The resident will participate in clinical on-call services. On-call duties include adult and pediatric code response, trauma and stroke calls, administrative assistance, and other duties. On-call hours are from 4 PM to 10 PM on weekdays and 8 AM to 8 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.

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

Paid Time Off (PTO)

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

Preceptors

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

Residency Program Director

Alice Jenh Hsu, Pharm.D., BCPS, AQ-ID
Clinical Pharmacy Specialist, Pediatric Infectious Diseases
Co-Director, Pediatric Antimicrobial Stewardship Program
The Johns Hopkins Hospital
1800 Orleans Street, Bloomberg 7234
Baltimore, MD 21287
Phone: 443-287-4574
Email: [email protected]

Dr. Hsu is the Pediatric Infectious Diseases Clinical Pharmacy Specialist and the Co-Director of the Pediatric Antimicrobial Stewardship Program at The Johns Hopkins Hospital. She received her Doctor of Pharmacy degree from the Ernest Mario School of Pharmacy at Rutgers University in New Jersey. She completed her Pharmacy Practice and Infectious Diseases Specialty Residencies at The Johns Hopkins Hospital.

Dr. Hsu’s clinical practice and research interests include antimicrobial stewardship, optimal management of infectious diseases in the pediatric population, pharmacokinetics/pharmacodynamics of antimicrobials, and pediatric/adolescent HIV. Dr. Hsu is one of the authors of the Pediatric Antibiotic Guidelines: Treatment recommendations for hospitalized children. She has presented at national meetings on a variety of infectious diseases topics and has authored numerous peer-reviewed publications in various journals.

Core Infectious Diseases Preceptors

The Johns Hopkins Hospital (JHH)

Kate Dzintars, Pharm.D., BCPS, AQ-ID
Adult Antimicrobial Stewardship Program, ID Consult Services

Lauren Buzzalino, Pharm.D.
Adult Antimicrobial Stewardship Program, ID Consult Services

Leigh Cervino, Pharm.D., BCPS
Adult Inpatient AIDS/HIV Service

Johns Hopkins Bayview Medical Center (BMC)

Funnce Liu, Pharm.D.
Antimicrobial Stewardship, ID Consult Service

Elaine Liu, Pharm.D.
Antimicrobial Stewardship, ID Consult Service

Adult Outpatient HIV Clinic (Bartlett)

Christin Kilcrease, Pharm.D. AAHIVP, BCACP
Outpatient HIV Treatment and Prevention/Primary Care service

Adult Outpatient Parenteral Antimicrobial Therapy (OPAT) Service (JHH-BMC)

Jessa Brenon, Pharm.D., BCPS, BCIDP
OPAT Program

Caitlin Soto, Pharm.D.
OPAT Program