Introduction
The Duke University Hospital Postgraduate Year Two (PGY2) Infectious Disease Pharmacy Residency Program is designed to develop independent practitioners that have the knowledge and accumulated experience necessary to provide excellent care in infectious diseases pharmacy practice. The Infectious Diseases Residency Program builds upon the general competencies achieved during a PGY1 residency; expanding the resident’s ability to provide care for complex infectious diseases. Training focuses on a full range of infectious disease states and disorders, along with the literature supporting medication management of such conditions. Rotations are designed to ensure experience is gained with the highest acuity patients in each sub-specialty area. In addition, residents are able to conduct research independently in the infectious diseases environment and should be confident educators in the multidisciplinary and pharmacy training environment. Graduates will be prepared to seek further training through fellowship and attain board certification (i.e. BCPS or BCIDP).
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, thus allowing for 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.
The goal of the Postgraduate Year Two (PGY2) Infectious Diseases Pharmacy Residency Program is to prepare the resident to excel in the care of complex patients with infectious diseases in any setting. Excellence will be achieved by:
- Demonstrating accountability for patient care
- Modeling excellence in infectious diseases pharmaceutical care
- Serving as professional role models for pharmacy students and PGY1 residents
- Participating in clinical research and performance improvement projects focused on infectious diseases pharmacotherapy and antimicrobial stewardship
- Facilitating and leading infectious diseases/ antimicrobial stewardship pharmacotherapy discussions
Outcomes
Required Outcomes
Goal R1.1: In collaboration with the health care team, provide comprehensive medication management to patients with infectious diseases following a consistent patient care process.
Goal R1.2: Ensure continuity of care during infectious diseases patient transitions between care settings.
Goal R1.3: Manage antimicrobial stewardship activities.
Goal R2.1: Demonstrate ability to manage formulary and medication-use processes for infectious diseases patients, as applicable to the organization and antimicrobial stewardship program.
Goal R2.2: Demonstrate ability to conduct a quality improvement or research project.
Goal R2.3: Manage and improve anti-infective-use processes.
Goal R3.1: Establish oneself as an organizational expert for infectious diseases pharmacy-related information and resources.
Goal R3.2: Demonstrate leadership skills for successful self-development in the provision of care for infectious diseases patients.
Goal R3.3: Demonstrate management skills in the provision of care for infectious diseases patients.
Goal R4.1: Provide effective medication and practice-related education to infectious diseases patients, caregivers, health care professionals, students, and the public (individuals and groups).
Goal R4.2: Effectively employ appropriate preceptor roles when engaged in teaching students, pharmacy technicians, or fellow health care professionals) about care of patients with infectious diseases.
The Residency Experience
The ID-PGY2 at DUH is designed to give broad exposure to clinical care, program management, and research in infectious diseases. Rotations will be offered in the inpatient, ambulatory care, and consultative settings. Inpatient rotations will include adult antimicrobial stewardship as well as general and transplant adult infectious diseases consulting services. Extensive pediatric experiences will be offered with specific pediatric rotations in antimicrobial stewardship, general infectious diseases, and transplant infectious diseases. For both the pediatric and adult antimicrobial stewardship rotations, the resident will participate in the activities of the Antimicrobial Stewardship Evaluation Team (ASET) including prior authorization, audit and feedback, penicillin skin testing, and handshake stewardship rounds. The adult and the pediatric infectious diseases rounding services are multidisciplinary and often include medicine and physician assistant student learners, providing ample opportunities for the resident to not only ensure comprehensive medication management and guide current therapy but provide teaching on rounds. Additional teaching opportunities are available with the UNC School of Pharmacy and the Duke Physician’s Assistant Program. The resident will have the unique opportunity to participate in consultant antimicrobial stewardship through a rotation with Duke Antimicrobial Stewardship Outreach Network (DASON). DASON provides assistance from liaison ID clinical pharmacists to community hospital sites throughout FL, GA, NC, and VA to guide local personnel in developing stewardship practices. The resident will gain exposure to how liaison pharmacists manage the antimicrobial stewardship needs of multiple sites that vary largely in size and patient population. In addition, due to the critical need for knowledge in both infection prevention and microbiology, experience in these areas will also be offered. Finally, additional elective rotations (e.g. solid organ transplant, critical care, bone marrow transplant) are possible and supported by the preceptorship depending on the specific interests of the resident.
Teaching
- Didactic lectures at local schools of pharmacy and physician assistant program on infectious diseases related topics
- In-services to pharmacy, medical, and nursing staff
- Continuing education lectures to pharmacy staff
Co-preceptor of pharmacy students and PGY1 residents on multiple rotations
PGY2 Infectious Diseases Timeline
PGY2 Infectious Diseases Brochure
Application Information
Applications for the PGY2 Infectious Diseases Residency are due January 5. For more information, please visit our Application Information page below.