Program Type: ASHP-Accredited PGY2 Residency
ASHP Match Number: 707676

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

The PGY2 Solid Organ Transplant (SOT) residency program at The Johns Hopkins Hospital provides experiences in kidney, pancreas, liver, heart and lung and pediatric transplantation. Residents will be exposed to transplant patients and living donors throughout all phases of the transplant process including pre-transplant multidisciplinary selection committees, post-donation care immediately after surgery and post-transplant care during the index hospitalization immediately after surgery, in the ambulatory care clinics and during hospital readmissions. The resident's staffing requirement, departmental on-call responsibility, research project and discharge medication education learning experiences will be longitudinal throughout the year.

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

Program Goals

• To train confident, independent transplant clinical pharmacists that will serve as transplant pharmacotherapy experts and leaders in the pharmacy profession
• Develop expertise in identifying medication related issues in SOT patients and effectively communicating evidence-based recommendations to address these concerns
• Utilize the American Society of Health-System Pharmacists (ASHP) Competency Areas, Goals and Objectives (CAGOs) for PGY2 SOT Residencies and create an individualized training program incorporating the resident's interests, customized development plan and available job opportunities

Successful completion of the residency requires a resident to:

• Be licensed as a pharmacist in the state of Maryland as described in the JHH Pharmacy Residency Manual
• Provide one ACPE-accredited Pharmacotherapy Rounds activity and assess evaluations submitted
• Complete a residency project
  • Formal oral presentation at a local, regional, or national conference
  • Final evaluation by the residency project advisor
  • Written manuscript that meets guidelines for submission to a journal
• Obtain an "achieved for residency" on at least 80% of all program objectives. In addition, residents must obtain “achieved for residency” for 100% of required objectives in Goal R1.1.
• Complete deliverables required by the program’s Competency Areas, Goals and Objectives (CAGOs) and 100% of the Appendix
  • Write 10 clinical transplant progress notes
  • Prepare or revise at least one drug class review, monograph, treatment guideline or protocol.
  • Successfully complete a residency project as outlined above
  • Participate as the secretary for the Inpatient & Outpatient Transplant Pharmacy Collaboration Meeting
  • Prepare lecture slides and effectively present two pharmacy continuing education (CE) presentations related to solid organ transplant
    • Pharmacotherapy (PT) Rounds – 30 minutes
    • Monthly Pharmacist CE – 60 minutes
  • Prepare written communication to disseminate solid organ transplant specific knowledge such as a newsletter, written drug information or presentation
  • Assess effectiveness of education related to solid organ transplant provided by the resident by collecting and reviewing evaluations from audience participants for the Pharmacotherapy Rounds and Monthly CE 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, departmental, divisional and PGY2 specific orientation.

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.

Core Learning Experiences (each rotation is one month in duration)

• Orientation
• Kidney/Pancreas Transplant Surgery
• Liver Transplant Surgery
• Heart Transplant and Heart Failure
• Lung Transplant
• Transplant Nephrology
• Transplant and Oncology Infectious Diseases
• Critical Care - Surgery
• Pediatric Transplant (with one of the three services listed below)
  • Pediatric Nephrology and Renal Transplant
  • Pediatric Cardiac Intensive Care and Heart Transplant
  • Pediatric Liver Transplant, GI/Hepatology and Nutrition

Core Longitudinal Learning Experiences (durations vary, see below)

• Ambulatory Care Transplant Clinics (each experience will be 3 months in duration)
  • Liver Transplant Surgery Clinic
  • Kidney/Pancreas Transplant Surgery Clinic
  • Pediatric Transplant Clinic – Nephrology & Renal Transplant
• Transplant Discharge Medication Education (9 months)
• Transplant Pharmacy Professional Development (12 months)
• Transplant Research Project (12 months)
• Staffing – Adult Medicine, Emergency & Surgery Division (12 months)
• Resident On-Call Program (12 month)

Elective Learning Experiences

• Advanced Kidney/Pancreas Transplant Surgery
• Advanced Liver Transplant Surgery
• Advanced Heart Transplant and Heart Failure
• Advanced Lung Transplant
• Advanced Cardiothoracic Transplant
• Advanced Transplant Nephrology
• Advanced Transplant Ambulatory Care Clinics
• Pediatric Transplant
• Other elective learning experiences may be developed based on resident interest and preceptor availability

Education Components

• Pharmacotherapy (PT) Rounds
  • All residents will provide a 30-minute presentation that is ACPE accredited.
  • Residency Manual: Please see the "Pharmacotherapy Rounds" section of the Residency Manual for additional information.
  • Please refer to the “Learning Opportunities” section of the Department of Pharmacy, Johns Hopkins Medicine website.
• Journal Clubs and/or Topic Discussions
  • The PGY2 SOT resident will participate in routine journal clubs and topic discussions with the transplant pharmacist preceptor group focusing on the SOT Appendix from the ASHP PGY2 SOT Pharmacy Residencies CAGOs.
• Teaching Requirements
  • Each Hopkins resident is required to provide educational sessions in a variety of formats.
  • The PGY2 SOT resident will provide a 60-minute continuing education (CE) presentation for the pharmacy department as part of the monthly CE offerings. Additionally, the PGY2 SOT resident will have opportunities to teach patients, caregivers, pharmacy learners, other pharmacists and other healthcare professionals.
  • Residency Manual: See the "Teaching Requirements" section of the Residency Manual for additional information.
  • Please refer to the “Learning Opportunities” section of the Department of Pharmacy, Johns Hopkins Medicine website.

Program and Application Requirements

• Doctor of Pharmacy degree from an ACPE accredited school of pharmacy
• Successful completion of an ASHP-accredited PGY1 pharmacy residency program
• Eligible for pharmacist licensure in Maryland
• Application materials must be submitted through PhORCAS by January 2^nd each year
  • Completed application
  • Letter of intent
  • Curriculum vitae
  • Official university/college transcripts
  • PhORCAS standard recommendation form submitted by three references
• Interviews for qualified applicants in January/February

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 (if applicable).

Residency Manual: Please see the “Licensure Expense Reimbursement and Failure to Obtain Licensure” section of the Residency Program Manual for additional information.

Attendance at Professional Meetings

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

Residency Manual: Please see the "Travel and Pharmacy Association Involvement" section of the Residency Program Manual for additional information.

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

Research Project

The PGY2 SOT resident must complete a self-directed research project. The scope, magnitude, and type of project will vary from year to year and must be completed in a manner suitable for presentation and publication.

Residency Manual: Please see the “Residency MUE Project” section of the Residency Program Manual for additional information.

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

Committee Participation

The PGY2 SOT resident will serve as the secretary of the Inpatient and Outpatient Transplant Pharmacy Collaboration Committee.

Residency Manual: Please see the "Summary of Committee Participation and Involvement" section of the Residency Program Manual for additional information.

Staffing Requirement

• PGY2 residents new to Johns Hopkins Hospital will complete an orientation in July for the new satellite area. Residents will practice every other weekend beginning the first or second weekend in August. The resident’s practice performance will be evaluated at the conclusion of the hospital 90-day probationary period using the Pharmacist’s Performance Review and the orientation checklist. If the resident demonstrates a proficient level of performance (or greater) the resident’s practice component will be changed to every third weekend.
  • If a PGY2 resident is not proficient at the 90-day evaluation point, the resident will continue staffing every other weekend. The resident will receive an evaluation every 6 weeks. Once the resident demonstrates a proficient performance on evaluation, the staffing component will be changed to every third weekend.
  • For PGY2 residents that are proficient at 90 days, the specific date for beginning to work every third weekend will be updated and included in the residency manual every year.

Residency Manual: The PGY2 SOT resident will follow the staffing requirements as outlined in the Residency Program Manual.

Please refer to the "Staffing Requirements" section of the Department of Pharmacy, Johns Hopkins Medicine

Resident On-Call Program

The PGY2 SOT resident will participate in the resident on-call program. On-call responsibilities include adult and pediatric code and trauma response, brain attack team (BAT) calls, drug information question responses, administrative support, and other miscellaneous patient care related activities. 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.

Residency Manual: See the “On Call” section of the Residency Manual for additional information.

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

Paid Time Off (PTO)

Residency Manual: The PGY2 SOT resident will follow the requirements for “Paid Time Off (PTO)” as outlined in the Residency Program Manual.

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

Residency Program Director

Lindsey P. Toman, PharmD, BCPS, BCTXP
Clinical Pharmacy Specialist, Ambulatory Care Solid Organ Transplant
The Johns Hopkins Hospital
Department of Pharmacy
600 North Wolfe Street, Carnegie 180
Baltimore, MD 21287-6180
Email: [email protected]

Residency Program Coordinator

Brian Lindner, PharmD, BCPS
Clinical Pharmacy Specialist, Liver Transplant
The Johns Hopkins Hospital
Department of Pharmacy
600 North Wolfe Street, Carnegie 180
Baltimore, MD 21287-6180
Email: [email protected]

Core Residency Preceptors

Brandon Trollinger, PharmD, BCPS, BCTXP
Clinical Pharmacy Specialist, Kidney/Pancreas Transplant

Brian Lindner, PharmD, BCPS
Clinical Pharmacy Specialist, Liver Transplant

Christopher Hartley, PharmD 
Clinical Pharmacy Specialist, Pediatric Liver Transplant, GI/Hepatology, Nutrition

Elizabeth Goswami, PharmD, BCPS, BCPPS
Clinical Pharmacy Specialist, Pediatric Nephrology & Renal Transplant

Kate Dzintars, PharmD, BCPS
Clinical Pharmacy Specialist, Infectious Diseases

Laura Lees, PharmD, BCPS
Clinical Pharmacy Specialist, Kidney/Pancreas and VCA Transplant

Lindsey P. Toman, PharmD, BCPS, BCTXP
Clinical Pharmacy Specialist, Ambulatory Care Solid Organ Transplant

Ryan Whisler, PharmD, BCACP
Clinical Coordinator III, Solid Organ Transplant

Sara Strout, PharmD, BCPS, BCTXP
Clinical Pharmacy Specialist, Cardiothoracic Transplant

Traci Grucz, PharmD, BCCCP
Clinical Pharmacy Specialist, Surgical Intensive Care Unit