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Pharmacy Practice – Post Graduate Year One Programs

Accelerate your growth beyond entry-level professional competence in direct patient care and in practice management at Wolfson Children’s Hospital and Baptist Health.

Program Application
Application Instructions
  • The 12-month Post Graduate Year One (PGY-1) Residency Program at Wolfson Children's Hospital/Baptist Health provides residents with the skills and knowledge required to become competent pharmacy practitioners. We offer two residency programs – PGY1 or PGY1 with an emphasis in pediatrics.

    • The program of each resident varies based upon his or her goals, interests, and experience
    • Each resident is required to complete core rotations essential to the pharmacy practitioner
    • A variety of elective rotations are available, allowing residents the opportunity to pursue individual goals
    • Residents are required to develop and complete a major research project, which will be presented at the Florida Residency Conference
    • Residents will have the opportunity to develop oral and written communication skills and participate in various leadership and practice management committees
    • Upon successful completion of the residency program, residents will receive a Certificate of Completion

    Our Residents Are Expected to:

    • Provide pharmaceutical care to patients in various settings
    • Develop independent learning skills
    • Function as an integral member of the healthcare team
    • Promote and support a safe and effective medication use process
    • Provide drug information to healthcare providers
    • Maintain a professional ethic

Pharmacy Practice – Post Graduate Year One (PGY-1)

  • Duration:

    12 months

    Rotations

    • 1 month in length
    • 1 month orientation
    • 6 required and 4 electives (PGY1) or
      7 required and 3 electives (PGY1-pediatric emphasis)
    • November/December combined extended experience

    Number of Positions:

    3 for PGY1 and 3 for PGY1-pediatric emphasis

    Application Deadline:

    January 6th; completed application must be received by this date

    Start Date:

    June 18 or June 25

    Stipend:

    $47,840

    Interview Required:

    Yes

    Staffing

    • One evening per week and every third weekend
    • One major and two minor holidays

    Qualifications/Licensure

    • Applicants must possess the Doctor of Pharmacy Degree from an ACPE-accredited program.
    • Applicants should be licensed in the state of Florida within 60 days from beginning of the residency program.
    • Applicants are required to participate in the ASHP Matching Program.

    Benefits

    • Health Insurance, Dental Insurance
    • Paid Time: 16 days (includes holidays, vacation, sick days)
    • Other Benefits
      Travel allowance for required Professional Meetings
      Laptop computer to be used for duration of residency
  • Internal Medicine

    The resident will participate in daily patient care activities including collaborating with Physicians, Nurse Practitioners, Physicians Assistants, Nurses, Nurse Managers and Social Workers. The goals for all activities are to optimize drug therapy, deliver high quality pharmacy services to patients including drug and disease state counseling and function as a member of the health care team. Furthermore, residents will be able to monitor efficacy and toxicity of medications and identify and manage adverse drug reactions thereby contributing to increased patient satisfaction and quality of life.

    Cardiovascular Medicine

    The resident will gain experience in the pharmacotherapeutic care required by cardiology patients. The resident will participate in daily patient care monitoring and a variety of interdisciplinary activities. The resident will develop an understanding of the management of hypertension, heart failure, cardiac arrhythmias, acute myocardial infarctions, interventional cardiac care and surgical cardiac care.

    Critical Care

    The resident will gain experience in rendering pharmaceutical care to critically ill patients and patients who are technology dependent. The resident shall become proficient in recognizing the appropriate drug therapy for this patient population. The resident will become familiar with common medical emergencies and critical illnesses. Also, the resident will be exposed to post- operative care of surgical patients. The resident will meet with multidisciplinary members of the critical care team daily to discuss patient care.

    General Pediatrics

    The resident will gain experience and proficiency in the clinical care required by the general pediatric patient. The resident will participate in daily patient care rounds and a variety of interdisciplinary activities. The goal of this rotation is to facilitate and increase the therapeutic knowledge and development of practice skills necessary for the provision of pediatric pharmaceutical care.

    Psychiatry

    The resident will participate in daily rounds with the psychiatrist and other disciplines as needed. The resident will offer pharmaceutical care for both psychiatric and medical issues. Additionally, the resident will initiate patient interviews to discuss the patient's treatment regimen and monitor the patient using several verified scales. The main areas of focus are depression, bipolar, schizophrenia, anxiety, and personality disorders.

    Drug Information

    The resident will gain experience in providing drug information to health care professionals and patients. The resident will be involved in various activities including literature retrieval and evaluation, formulary management, policy development, investigational drug services, and writing and editing drug information publications. The resident will participate in Pharmacy and Therapeutics Committee activities including medication use evaluation and adverse drug reaction reporting.

  • Administration

    The resident will be introduced to and receive experiences in all aspects of Pharmacy Administration including Budgeting, Human Resources issues, Committee responsibilities, inter and intra departmental relationships, and extra-hospital responsibilities. The business aspects of the Pharmacy Department will be a primary focus of this rotation.

    Ambulatory Care/Transitions of Care

    Ambulatory care will be provided as a longitudinal experience through one of the available clinics at Baptist Health. The resident will attend clinic 3-4 times per month and follow the assigned patients throughout the year. The ambulatory care experience will also be offered as a one month elective rotation.

    Education

    The resident will be given opportunities to provide education to physicians, nurses, pharmacists, pharmacy technicians and pharmacy students. At a minimum each resident will provide one Pharmacy Grand Rounds, one CE for pharmacy technicians, and five journal clubs presented to the pharmacy department. They will also assist with precepting pharmacy students.

    Administration/Drug Information

    The combined administration and drug information longitudinal rotation allows the resident to work on quality improvement, process improvement adverse event reporting and other projects that require more time than what can be accomplished in the one-month experiences.

    Research

    Each resident must complete a research project. This learning experience will guide the resident through project development, proposal writing, IRB submission, data collection, data analysis and presentation of the project to the hospital and the residency conference. A final manuscript suitable for publication is required. A timeline/guideline is provided to each resident. A mentor will guide the resident throughout the year.

    Service

    This experience provides the resident experience covering the central pharmacy on the weekend and deployed in the evening. The resident will service as the pharmacist for their assigned area. Weekend coverage may include the IV room as well as the distribution processes for both the adult and children’s hospital. Evening coverage is deployed for several adult medical units.

  • Emergency Medicine

    This rotation will provide the resident with a unique and challenging experience, structured to combine didactic knowledge with practical applications within the emergency department. Pharmacy practice in this environment will require rapid, accurate retrieval of information. More importantly, the communication skills of the resident will be essential, as physician, nursing and patient interactions are vital. Residents will be exposed to a broad range of topics including but not limited to critical care, internal medicine, neurology and psychiatry.

    Adult Neurology (Critical Care)

    This rotation will provide the resident with drug therapy management of hemorrhagic and ischemic stroke patients in a primary certified stroke center. The resident will be required to follow the patient from the Emergency Department throughout hospitalization until discharge to rehabilitation or long-term care facility. The resident will attend and contribute to various stroke meetings and gain experience in writing drug therapy protocols. The resident will monitor efficacy and toxicity of medications and identify and manage adverse drug reactions. The resident will be exposed to a broad range of neurology topics.

    Adult Oncology

    The resident will participate in daily management of drug therapy and pharmaceutical care of adult oncology patients. The resident will become familiar with common chemotherapy regimens and supportive care. Areas to be covered include pain management, antiemetic therapy, infectious diseases, and nutritional support.

    Infectious Disease

    The resident will gain experience and proficiency in the clinical care required by the complex nature of bacterial and viral infections observed in the hospital setting. The resident will learn and implement Antimicrobial Stewardship principals. The resident will participate in daily patient care rounds and a variety of interdisciplinary activities. The resident will develop an understanding of infectious organisms, antibiotic combinations and pharmacokinetics.

    Clinical Toxicology/Poison Information

    The rotation will focus on and familiarize the resident with pharmacy practice in the Emergency Department and Poison Information Center. Urgent and emergent therapeutics, clinical toxicology, and the provision of poison information will be emphasized allowing the resident to discuss pathophysiologic entities and formulate therapeutic and monitoring protocols for patients on a case-by-case basis.

    Additional Elective Rotations

    Residents have the opportunity to repeat a required rotation twice during the residency year. Other electives may be available at other sites in the city as well as new electives may be developed. In addition, residents may elect to complete any of the following pediatric rotations.

    • Neonatal Intensive Care
    • Pediatric Critical Care
    • Pediatric Hematology/Oncology
    • Pediatric Nutrition
    • Pediatric Infectious Disease

    Investigational Drug Management

    This rotation will provide residents with a working knowledge of investigational drug management and familiarize them with basic principles of clinical research. Practical experience in investigational drug management will be provided. Activities and involvement will be based upon the control and regulation of investigational drugs throughout the institution.

Pharmacy Practice – Post Graduate Year One (PGY-1) with Pediatric Emphasis

  • Duration:

    12 months

    Rotations

    • 1 month in length
    • 1 month orientation
    • 6 required and 4 electives (PGY1) or
      7 required and 3 electives (PGY1-pediatric emphasis)
    • November/December combined extended experience

    Number of Positions:

    3 for PGY1 and 3 for PGY1-pediatric emphasis

    Application Deadline:

    January 6th; completed application must be received by this date

    Start Date:

    June 18 or June 25

    Stipend:

    $47,840

    Interview Required:

    Yes

    Staffing

    • One evening per week and every third weekend
    • One major and two minor holidays

    Qualifications/Licensure

    • Applicants must possess the Doctor of Pharmacy Degree from an ACPE-accredited program.
    • Applicants should be licensed in the state of Florida within 60 days from beginning of the residency program.
    • Applicants are required to participate in the ASHP Matching Program.

    Benefits

    • Health Insurance, Dental Insurance
    • Paid Time: 16 days (includes holidays, vacation, sick days)
    • Other Benefits
      Travel allowance for required Professional Meetings
      Laptop computer to be used for duration of residency
  • General Pediatrics (2 months)

    The resident will gain experience and proficiency in the clinical care required by the general pediatric patient. The resident will participate in daily patient care rounds and a variety of interdisciplinary activities. The goal of this rotation is to facilitate and increase the therapeutic knowledge and development of practice skills necessary for the provision of pediatric pharmaceutical care.

    Pediatric Intensive Care

    The resident will participate in daily cardiothoracic rounds, daily critical care rounds, and unit sign-out rounds. The resident will gain experience in rendering pharmaceutical care to critically ill patients and patients who are technology dependent. The resident shall become proficient in recognizing the appropriate drug therapy for this patient population. The resident will become familiar with common pediatric emergencies and critical illnesses. Also, the resident will be exposed to post-operative care of cardiothoracic patients. Introduction to the common congenital heart lesions and their pharmacological or operative management is an integral part of this rotational experience.

    Neonatal Intensive Care

    The resident will gain experience in caring for the unique needs of critical neonates on both a clinical and practical basis. This will be accomplished by gaining proficiency in neonatal pharmacotherapy and dealing with the day to day challenges of providing care to a variety of patients including very low birth weight neonates and infants with various congenital malformations, such as genetic disorders, neural tube defects and congenital heart defects. A significant goal of this rotation will be development of an integral knowledge of all technology and equipment used in the neonatal population that may require special skills and/or knowledge to safely and effectively provide medications to neonates and infants of various ages.

    Pediatric Hematology/Oncology

    The resident will participate in daily hematology/oncology patient rounds. The resident will gain experience in providing pharmaceutical care to pediatric hematology, oncology, and stem cell transplant patients. The resident will become familiar with common pediatric chemotherapy regimens and supportive care. Areas to be covered include pain management, antiemetic therapy, infectious diseases, and nutritional support.

    Psychiatry

    The resident will participate in daily rounds with the psychiatrist and other disciplines as needed. The resident will offer pharmaceutical care for both psychiatric and medical issues. Additionally, the resident will initiate patient interviews to discuss the patient's treatment regimen and monitor the patient using several verified scales. The main areas of focus are depression, bipolar, schizophrenia, anxiety, and personality disorders.

    Drug Information

    The resident will gain experience in providing drug information to health care professionals and patients. The resident will be involved in various activities including literature retrieval and evaluation, formulary management, policy development, investigational drug services, and writing and editing drug information publications. The resident will participate in Pharmacy and Therapeutics Committee activities including medication use evaluation and adverse drug reaction reporting.

  • Administration

    The resident will be introduced to and receive experiences in all aspects of Pharmacy Administration including Budgeting, Human Resources issues, Committee responsibilities, inter and intra departmental relationships, and extra-hospital responsibilities. The business aspects of the Pharmacy Department will be a primary focus of this rotation.

    Ambulatory Care

    Ambulatory care will be provided as a longitudinal experience through the pulmonology clinic at Nemours Children's Clinic. The resident will follow cystic fibrosis patients throughout the residency year by attending clinic 3-4 times per month.

    Education

    The resident will be given opportunities to provide education to physicians, nurses, pharmacists, pharmacy technicians and pharmacy students. At a minimum each resident will provide one Pharmacy Grand Rounds, one CE for pharmacy technicians, and five journal clubs presented to the pharmacy department. They will also assist with precepting pharmacy students.

    Administration/Drug Information

    The combined administration and drug information longitudinal rotation allows the resident to work on quality improvement, process improvement adverse event reporting and other projects that require more time than what can be accomplished in the one-month experiences.

    Research

    Each resident must complete a research project. This learning experience will guide the resident through project development, proposal writing, IRB submission, data collection, data analysis and presentation of the project to the hospital and the residency conference. A final manuscript suitable for publication is required. A timeline/guideline is provided to each resident. A mentor will guide the resident throughout the year.

    Service

    This experience provides the resident experience covering the central pharmacy on the weekend and deployed in the evening. The resident will service as the pharmacist for their assigned area. Weekend coverage may include the IV room as well as the distribution processes for both the adult and children’s hospital. Evening coverage is deployed for several adult medical units.

  • Pediatric Nutrition

    The purpose of the pediatric nutrition rotation is to provide an educational and training experience for a pharmacist in the fundamentals of pediatric nutrition therapy and management. Emphasis will be placed on developing the resident's communication skills in the field of nutrition support. The resident will participate in daily patient care monitoring and a variety of interdisciplinary activities. This rotation is designed to provide the resident with the basic tools needed to understand, rationally discuss and continue self-study in pediatric nutrition support.

    Pediatric Emergency Medicine

    The Children’s Emergency Center is a 23-bed unit with an 8 bed Fast Track unit which serves pediatric patients throughout the region. On this rotation, provision of safe and effective patient care for all patients is the most important responsibility of the pharmacist and resident. The learning experience will allow pharmacy residents to become familiar with the role of the pharmacist in the pediatric emergency department. Routine responsibilities include: Independent daily rounds, medication reconciliation, pediatric dosing recommendations, antimicrobial stewardship, pain/sedation monitoring, medication discharge counseling, IV medication preparation, participation in pediatric resuscitations/codes, and assuring appropriate pharmacotherapy on all pediatric ED patients. The pharmacist provides drug information and education to healthcare professionals as well as patients and caregivers.

    Pediatric Infectious Disease

    The resident will gain experience and proficiency in the clinical care required by the complex nature of bacterial and viral infections observed in pediatric patients. The resident will participate in daily patient care rounds and a variety of interdisciplinary activities. The resident will develop an understanding of infectious organisms, antibiotic combinations and pharmacokinetics. The resident will attend HIV/AIDS clinic through SHANDS Jacksonville Rainbow Clinic. Through this rotation, the resident will increase the therapeutic knowledge and development of practice skills necessary to make appropriate recommendations regarding drug therapy and pharmaceutical interactions observed in HIV/AIDS and infectious disease patients.

    Clinical Toxicology/Poison Information

    The rotation will focus on and familiarize the resident with pharmacy practice in the Emergency Department and Poison Information Center. Urgent and emergent therapeutics, clinical toxicology, and the provision of poison information will be emphasized allowing the resident to discuss pathophysiologic entities and formulate therapeutic and monitoring protocols for patients on a case-by-case basis.

    Additional Elective Rotations

    Residents have the opportunity to repeat a required rotation twice during the residency year. Other electives may be available at other sites in the city as well as new electives may be developed. In addition, residents may elect to complete any of the following PGY1 rotations.

    • Adult Cardiovascular Medicine
    • Adult Critical Care
    • Adult Oncology
    • Adult Neurology
    • Emergency Medicine
    • Internal Medicine
    • Adult Infectious Disease

    Investigational Drug Management

    This rotation will provide residents with a working knowledge of investigational drug management and familiarize them with basic principles of clinical research. Practical experience in investigational drug management will be provided. Activities and involvement will be based upon the control and regulation of investigational drugs throughout the institution.

  • The Pharmacy Department services both Wolfson Children’s Hospital and Baptist Medical Center. The Pharmacy provides 24-hour inpatient support for both facilities. The department is staffed with approximately 99 employees including technicians, centralized and decentralized pharmacists, pharmacy residents and interns, administrative personnel, and clerical support.

    The department utilizes automated drug delivery units and profile dispense throughout the hospital. A large percentage of our unit dose medications are packaged onsite.

    Pediatric and Adult decentralized clinical pharmacists provide clinical pharmacy services to their respective area of practice. Clinical services provided by the department include:

    • Chemotherapy order management, assisting with prescribing and regimen management
    • Medication history verification and clarification by consult
    • Patient education for complex medication regimens
    • Pain management and palliative care
    • Toxicology consults
    • IV to PO dose conversion
    • Renal dose adjustment
    • SCIP dosing management
    • Discharge counseling for complex medication regimens and warfarin
    • Pharmacokinetic dosing
    • TPN management
    • Antibiotic stewardship
    • Core measure assessment for VTE prophylaxis, MI and CHF medication goals
    • Anticoagulant monitoring
    • Duplicate therapy review and maintenance
    • Management of therapy related to drug shortages
    • Alaris guardrail compliance monitoring
    • Cardiac Rehab education programs
    • Formulary adherence
    • Working with colleagues to improve HCAPS scores
    • Work closely with physicians to guide them to affordable medication choices for patients
    • Participate in Code Blue and Code Stroke
    • Nursing education
    • Family education
    • Pediatric asthma education
    • Therapeutic management of medications on national backorder