Program Type: ASHP Accredited PGY2 Residency
ASHP Match Number: 538161

This position has been filled for the 2024-2025 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

This one-year program is designed to provide advanced clinical training in the areas of pediatric and neonatal pharmacotherapy and pharmaceutical care. The resident will gain practical clinical experience by contributing to clinical pharmacy services such as therapeutic drug monitoring, nutrition support, pediatric rapid response services, and pediatric specialty clinics. The resident will also participate in a variety of multidisciplinary activities within the Children’s Center: Pediatric Grand Rounds, daily work rounds, pediatric noon conferences and core lectures, morbidity and mortality conferences, pediatric oncology case conferences, pediatric nutrition advisory meetings, pediatric infectious disease conferences, and various journal clubs.

The resident is required to design, conduct and complete a major research project and either a quality improvement (QI) or pharmacoeconomic project. The major research project will be presented at the Pediatric Pharmacy Association (PPA) Spring Annual meeting; and the QI or pharmacoeconomic project will be presented to the respective institutional committees. The research project should be completed in a publishable form. Many teaching opportunities are available as the resident will contribute to the education of the medical, nursing and pharmacy staffs on an on-going basis throughout the year. Additionally, precepting and didactic teaching of pharmacy students; and peer review of journal manuscript submissions are incorporated into the curriculum.

The Johns Hopkins Children’s Center consists of approximately 200 inpatient beds and a variety of outpatient specialty clinics. Inpatient clinical units within the Children’s Center include: General Pediatrics/Adolescents, Infants, Neonatal Intensive Care, Pediatric Intensive Care, Pediatric Cardiac Intensive Care Unit, Pediatric Oncology, Pediatric Psychiatry and Pediatric Clinical Research. Several sub-specialty rotations in Pediatrics are also available. The Children’s Center serves as the training site for pediatric medical students, residents and fellows from the Johns Hopkins University School of Medicine. Pharmacy services provided by the Pediatric Pharmacy are comprised of a computerized unit dose drug distribution system, complete IV admixture service, pediatric rapid response service, and a total parenteral nutrition service. Current pharmacy-based clinical services include a drug-drug interaction program, therapeutic drug monitoring, a renal DUE program, nutrition consultation, staff in-services, drug information and continuing education programs. The pharmacy staff practices in an integrated clinical-distributive system with opportunities to participate in quality assurance, policy development and clinical research activities.

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

Program Goals

This one-year program is designed to provide advanced clinical training in the areas of pediatric and neonatal pharmacotherapy and pharmaceutical care. The primary emphasis of the residency is to develop independent problem-solving skills in pediatrics pharmacotherapy. This includes the establishment of a firm knowledge base in pediatric/neonatal pharmacology and pharmacokinetics; and the ability to provide nutrition support, rapid response services, and therapeutic interventions to enhance the management of pediatric patients.

Residents who complete this program will be able to:

• Practice as a clinical specialist in Pediatrics
• Pass the Pediatric Pharmacy specialty board exam (BCPPS)
• Be eligible for advanced fellowship training

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

Core Rotations (1 month per rotation)

• Pharmacy Operations/Distribution (exempt if completed PGY1 residency at JHH with competent staffing in the Pediatric area)
• General Pediatrics
• Neonatal Intensive Care Unit
• Pediatric Intensive Care Unit
• Pediatric Oncology
• Pediatric Nutrition/Nephrology
• Pediatric Infectious Diseases
• Investigational Drug Services or Pharmacy Informatics
• Pediatric Emergency Department
• Maternal Child Health

Longitudinal Rotations (for the entire year)

• Pediatric Cystic Fibrosis Clinic (minimum for the first six months with an option to switch to another Pediatric sub-specialty clinic for the last six months depending on resident interest and preceptor availability)
• Pediatric Medication Safety
• Pediatric On Call and Rapid Response

Elective Rotations (1 month per rotation)

Elective learning experiences may be developed based on resident interest and preceptor availability. Early committed residents trained in the Pediatric pharmacy will have 3 electives and all others will have 2 electives.

Example Rotation Schedule

• July: Pharmacy Operations/Distribution
• August: Pediatric Infectious Diseases
• September: Pediatric Nutrition/Nephrology
• October: General Pediatrics
• November: Pediatric Intensive Care Unit
• December: Investigational Drug Service
• January: Pediatric Emergency Department
• February: Pediatric Oncology
• March: Neonatal Intensive Care Unit
• April: Maternal Child Health
• May: Elective #1
• June: Elective #2

Education Components

• Pharmacotherapy Rounds: All residents will provide a 30-minute APCE accredited presentation
• Please refer to the “Learning Opportunities” section of the Department of Pharmacy, Johns Hopkins Medicine website.
• Journal Clubs and/or Topic Discussions
• Weekly Pediatric Pharmacy Education Sessions
• Variety of Pediatric and Pediatric Subspecialty Grand Rounds, Case Conferences, and Journal Clubs
•  Various topic discussions as determined by rotational preceptor

Teaching Requirements:

• Each Hopkins resident is required to provide educational sessions.
• Monthly participation to the Weekly Pediatric Pharmacy Education Sessions by providing either an Evidence Based Presentation, Case Study, Organized Game, Therapeutic Debate, or Journal Club. Basic biostatistics reviews are incorporated into each presentation when applicable.
• Pediatric Didactic 1-hour lecture at the University of Maryland School of Pharmacy Pediatric Elective course.
• Precept pharmacy students.
• 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 1^st.

The resident will arrive at the program already ACLS certified, or will complete certification during the residency year. We expect the PGY2 Pediatric pharmacy resident to be Pediatric Advance Life-Support (PALS) certified (if not completed, certification will be completed during the residency year) and complete our in-house Pediatric Therapeutic Drug Monitoring Certification program by October 1.

Program-specific Experiences

• Pediatric Medication Policy Review
• Primary preceptor for one P-4 pharmacy students during the residency year.
• Peer review of journal manuscript submissions by serving as a journal reviewer

Attendance at Professional Meetings

The department will support the resident (expense and leave time) to attend the ASHP Midyear Clinical Meeting and Pediatric Pharmacy Association (PPA) Annual Meeting. Any additional travel that is to be supported by the department is evaluated on a case-by-case basis.

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

Main Research (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.

Quality Improvement or Pharmacoeconomic Project

The resident will complete a pediatric quality improvement or pharmacoeconomic project. This may be achieved through assisting the Pediatric Pharmacy Administrators and Clinical Pharmacy Specialists in the determination of specific projects which may impact on the efficiency, safety and/or costs for provision of care to our Pediatric patients at Johns Hopkins.

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 secretary to the Pediatric Pharmacy Policy Committee and will have opportunities to participate in other Pediatric pharmacy related committees.

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 code response, drug information question responses, pharmacokinetic assessments, administrative assistance, drug policy approvals, 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 14 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

Carlton K.K. Lee, Pharm.D., MPH, FASHP, FPPAG, BCPPS

Clinical Pharmacy Specialist, Pediatrics and Program Director, Pediatric Pharmacy Residency
Department of Pharmacy
The John Hopkins Hospital
Department of Pharmacy
600 North Wolfe Street, Carnegie 180
Baltimore, MD 21287-6180

Phone: 410-614-2949
Fax: 410.367.3166
Email: [email protected]

Core Residency Preceptors

Alex Barany, Pharm.D., MBA, BCPS
Operations Manager, Pediatric Pharmacy

Sara Choi, Pharm.D., BCPPS
Clinical Specialist, Pediatric Emergency Medicine

Lisa Hutchins, Pharm.D., BCPPS
Clinical Specialist, Pediatric Float

 

Richard Ewusie-Monney, Pharm.D., BCSCP
Operations Manager, Pediatric Pharmacy

 

Cambree J. Fillis, Pharm.D., BCOP
Clinical Specialist, Pediatric Oncology

 

Elizabeth Goswami, Pharm.D., BCPS, BCPPS
Clinical Specialist, Pediatric Nephrology

 

Christopher Hartley, Pharm.D.
Clinical Specialist, Pediatric Liver Transplant, Gastrointestinal/Hepatology, Parenteral Nutrition

Alice Jenh Hsu, Pharm.D., BCPS, AQ-ID
Clinical Specialist, Pediatric Infectious Disease

Taylor Imburgia, Pharm.D., BCPPS
Clinical Specialist, Pediatric Cystic Fibrosis

Carlton K.K. Lee, Pharm.D., MPH, FASHP, FPPA, BCPPS
Clinical Specialist, Pediatrics

Caroline Liang, Pharm.D., BCPS, BCPPS
Clinical Specialist, Maternal and Child Health

LeAnn McNamara, Pharm.D., BCPPS
Clinical Specialist, Pediatric Intensive Care

Blair Nuoffer, Pharm.D., BCPPS
Clinical Specialist, Pediatric Oncology

David Procaccini, Pharm.D., MPH, BCPS, BCCCP, BCPPS, CACP, C
Clinical Pharmacy Practitioner- Pediatric Heart Center

Meghan Rowcliffe, Pharm.D., BCPPS
Pediatric Medication Safety Officer

Bethany Sharpless, Pharm.D., BCPPS
Clinical Specialist, Neonatal Intensive Care

Michael Veltri, Pharm.D., MBA
Director, Pediatric Pharmacy Division

Laura Wachter, Pharm.D.
Investigational Drug Service Pharmacist

Ian Watt, Pharm.D.
Clinical Pharmacy Specialist, Pharmacy Informatics

Program Director

Title: Clinical Specialist - Pediatrics, Department of Pharmacy,
The Johns Hopkins Hospital
Associate Professor - Pediatrics, School of Medicine,
Johns Hopkins University
Clinical Professor, School of Pharmacy, University of Maryland

Carlton K.K. Lee is the Clinical Pharmacy Specialist in Pediatrics for The Johns Hopkins Hospital, Professor in Pediatrics for The Johns Hopkins University School of Medicine and Clinical Professor with the University of Maryland School of Pharmacy. Dr. Lee developed and continues to serve as the Residency Program Director for the PGY-2 Pediatric Pharmacy Specialty program.

Dr. Lee received his Doctor of Pharmacy degree from the University of the Pacific and Masters in Public Health from The Johns Hopkins University Bloomberg School of Hygiene and Public Health. He completed a General Hospital Pharmacy residency at The Johns Hopkins Hospital and Pharmacokinetics/Pharmacodynamics Fellowship at The Johns Hopkins Sidney Kimmel Comprehensive Cancer Center.

Dr. Lee began his career at Johns Hopkins as a Neonatal clinical pharmacist. He became the Senior Clinical Pediatric and Pediatric Clinical Coordinator in 1988 and 1990, respectively, at Hopkins. Dr. Lee has over 39 years of Pediatric Clinical Pharmacology experience with teaching responsibilities to pharmacy and medical residents and students. His clinical research experience has been in drug development studies in Cystic Fibrosis, Perinatal, HIV/AIDS, Pediatric Anti-infectives; and developing safe tools for Pediatric Outpatient Prescribing.

Dr. Lee has published several articles and medical text chapters; most notably, he is the editor to the Formulary section to the Harriet Lane Handbook for the past 34 years. He has lectured in numerous forums on Cystic Fibrosis and Pediatric Clinical Pharmacology on the local, national and international levels.

Dr. Lee has been honored to have mentored 31 PGY-2 Pediatric Pharmacy residents. Recognition of his efforts includes:

• Fellowships in the American Society of Health System Pharmacists and Pediatric Pharmacy Advocacy Group
• Who’s Who in America, the East, Medicine & Healthcare, Science & Engineering, and the World

Dr. Lee has served on the Board of Directors to the Pediatric Pharmacy Advocacy Group. He had also established a non-profit Pediatric Pharmacy continuing education corporation entitled the Mid-Atlantic Pediatric Pharmacotherapy Specialists.

Contact

Carlton K.K. Lee, Pharm.D., MPH, FASHP, FPPAG, BCPPS
Program Director, Pediatric Pharmacy Residency
Department of Pharmacy
Location: The Johns Hopkins Hospital
600 North Wolfe Street, Carnegie 180
Baltimore, MD 21287-6180
Phone: (410) 614-2949
Email: [email protected]