Residency Program

Emergency Medicine (PGY2)

Introduction

Duke University Hospital (DUH) is an academic learning center and serves as the flagship for the Health System. In addition to Duke Hospital, Duke University Health System (DUHS) includes two community hospitals, Durham Regional Hospital and Duke Health Raleigh Hospital, as well as affiliations with other hospitals in the region, community based primary care practices, home care, infusion services and hospice care.

A tertiary and quaternary care hospital, the 943-bed DUH is consistently rated as one of the top hospitals in the United States. It offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 31 operating rooms; an endosurgery center; the Ambulatory Surgery Center with nine operating rooms; an Eye Center with five operating rooms; and an extensive diagnostic and interventional radiology area. The facility also functions as a research hospital where medical advances are achieved and applied, and as a teaching hospital for students of medicine, nursing, and the allied health sciences.

The Department of Pharmacy (DOP) at DUH provides a broad range of modern pharmacy services. Our mission is to care for patients by assuming responsibility for the medication use process.  Research and education are integral parts of this process.  Patient wellness is the endpoint and focus of our collective efforts. The DOP is comprised of 240 full time employee positions, employing over 300 professionally and technically skilled individuals.

The emergency medicine residency is a specialized program consisting of 12 calendar month rotations in various critical care settings.  The program is designed to include several core experiences necessary for the establishing a foundation of emergency medicine knowledge.  As core experiences are completed, the program allows for flexibility in designing a year long experience that will allow the resident to develop into an exceptional emergency medicine pharmacy clinician. 

 

Purpose

The purpose of the Postgraduate Year Two (PGY2) Emergency Medicine Pharmacy Residency Program is to prepare the resident to excel in the care of all emergency medicine patients including critically ill patients in any emergency environment as a clinical pharmacy specialist, clinical faculty member, or to continue post graduate training (e.g., another residency or fellowship).  Further, the resident will be prepared to take and pass the BCPS certification examination Excellence will be achieved by:

  • Demonstrating accountability for patient care
  • Modeling excellence in critical care pharmaceutical care
  • Serving as professional role models for pharmacy students and PGY1 residents
  • Participating in clinical research and performance improvement projects focused on emergency medicine pharmacotherapy
  • Facilitating and leading critical care pharmacotherapy discussions in Critical Care/Emergency Medicine Pharmacy Conference

 

Outcomes

A resident specific customized plan will be created with aid from the residency program director based on the resident’s prior experience and interests. This will guide the development and achievement of an individualized set goals and educational outcomes. 

 

Required Outcomes

  • Demonstrate leadership and practice management skills.
  • Optimize the outcomes of emergency medicine patients by providing evidence-based medication therapy as an integral part of an interdisciplinary team.
  • Demonstrate excellence in the provision of training, including preceptorship, or educational activities for health care professionals and health care professionals in training.
  • Demonstrate the skills necessary to conduct an emergency medicine pharmacy research project.
  • Develop an evidence-based approach when providing emergency medicine medication-related information.
  •  Participate in the management of medical emergencies.

 

Elective Outcomes

Identify opportunities for improvement of aspects of the medication-use process in the emergency department setting.

 

The Residency Experience

This residency experience provides intensive training in the care of emergency medicine patients. Opportunity exists for the resident to work collaboratively with emergency medicine and critical care healthcare providers and clinical pharmacists in emergency medicine, pediatrics, critical care, transplant, cardiology, and infectious diseases.  The resident will be responsible for participation in the treatment of all emergency medicine patients (including psychiatry, observation medicine, adult, and pediatrics) as well as clinical pharmacy rounding services with direct patient care responsibilities in a variety of critical care settings.  The resident will also be involved with education of healthcare providers, participation in journal clubs, participation in critical care/emergency medicine pharmacy conference, completion of emergency medicine focused projects, and will serve as an emergency medicine reference for pharmacy staff.

 Learning Experiences

Orientation (includes orientation to inpatient staffing)

1 month

General Emergency Medicine

  • Includes concentrated time in observation medicine & psychiatric emergency medicine

5 months

Pediatric Emergency Medicine

1 month

Resuscitation Medicine

1 month

Medical ICU

1 month

Pediatric ICU

1 month

Surgical/Trauma ICU

1 month

Inpatient Staffing

Longitudinal

Research Project

Longitudinal

Practice Management

Longitudinal

Electives

  • May repeat any core experience or select from a variety of other opportunities including, but not limited to,  CCU, Neuroscience ICUS, Cardiothoracic ICU, Internal Medicine, Anticoagulation, Transplant, Psychiatry, and Burn ICU at UNC Hospitals

1 months  

 

Teaching Activities

  • Didactic lectures at local schools of pharmacy on emergency medicine related topics
  • In-services to pharmacy, medical, and nursing staff
  • Continuing education lectures to pharmacy staff
  • Co-preceptor of Pharm.D. students and PGY1 residents on multiple rotations

 

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