Residency Program

Solid Organ Transplant (PGY2)

Introduction

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.

Duke was one of the first institutions in the country to successfully establish a kidney transplant program in 1965. Since then, Duke's transplantation programs have achieved many more national and regional milestones, including the state's first successful liver and heart transplants. Annually DUH performs over 250 solid organ transplants including heart, intestine, kidney, liver, lung, and pancreas transplants in pediatric and adult recipients. Clinical pharmacy services are provided to all of the organ groups via a multidisciplinary approach.

The PGY2 residency in solid organ transplant pharmacy at DUH consists of 12 months of training and experience working with the various transplant disciplines. Due to the diverse experiences at DUH, the residency year is tailored to adapt to the needs and interests of the individual resident while still producing a clinical pharmacist with the knowledge required to care for a solid organ transplant recipient.

Purpose

The purpose of the Postgraduate Year Two (PGY2) Solid Organ Transplant Pharmacy Residency Program is to prepare the resident to practice in the area of solid organ transplant as a clinical pharmacy specialist, as a 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. The resident will excel in the care of solid organ transplant patients in any setting.

Excellence will be achieved by:

• Demonstrating accountability for patient care
• Modeling excellence in transplant pharmaceutical care
• Serving as professional role models for pharmacy students and PGY1 residents
• Participating in clinical research and performance improvement projects focused on solid organ transplant pharmacotherapy
• Facilitating and leading transplant pharmacotherapy discussions in the Solid Organ Transplant 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.

  1. Serve as an authoritative resource on the optimal use of medications in recipients of a solid organ transplant.
  2. Optimize the outcomes of transplant patients by promoting and/or providing evidence-based medication therapy as an integral member of an interdisciplinary team in acute and ambulatory care settings.
  3. Manage and improve the medication-use process in transplant patient care areas.
  4. Demonstrate leadership and practice management skills.
  5. Demonstrate excellence in the provision of training or educational activities about transplant related medications for health care professionals and health care professionals in training.
  6. Conduct transplant research.
  7. Publish on transplant-related topics.

The Residency Experience

This residency experience provides intensive training in the care of organ transplant patients. Opportunity exists for the resident to work collaboratively with transplant healthcare providers and clinical pharmacists in transplant, critical care, and infectious diseases in both the pediatric and adult population. The resident will be responsible for participation in clinical pharmacy rounding services with direct patient care responsibilities in heart, kidney, liver, lung, pancreas, and small bowel transplantation. Additional responsibilities include the management of end stage organ diseases, immunosuppression, acute and chronic complications of immunosuppressants, and the common comorbid conditions associated with transplant. The resident will also be involved with education of healthcare providers, participation in weekly conference, participation in transplant grand rounds, completion of transplant focused projects, education of transplant recipients and their caregivers, and development of research protocols.
 

Learning Experiences

Orientation (includes orientation to inpatient staffing)  1 month
Adult and Pediatric Inpatient Solid Organ Abdominal Transplant   2 months
Adult Inpatient Solid Organ Heart Transplant   2 months
Adult Inpatient Solid Organ Lung Transplant       2 months
Transplant Infectious Diseases      1 month
Outpatient Solid Organ Lung Transplant 1 month
Electives (SICU, CTICU, MICU, PICU, Pediatrics, Nutrition, offsite abdominal transplant at UNC) 2 months (1 month each)
Advanced Solid Organ Transplant (Abdominal, Heart or Lung)     1 month
Transplant Pharmacy Conference   12 months
Transplant Research 12 months
Transplant Pharmacy Practice Management 12 months
Transplant Publication 12 months
Staffing Experience 12 months

                                                                                                                                                                                                                                                                                                                                                      Teaching

• Didactic lectures on transplant related topics in area schools of pharmacy
• In-services to pharmacy, medical, and nursing staff
• Continuing education lectures to pharmacy staff
• Co-preceptor of Pharm.D. students and PGY1 residents on elective transplant rotations
• Presentations at transplant conferences, retreats, and national/local meetings

 

Text:

-A A +A