SAINT JOSEPH HOSPITAL

Special points of interest:Special points of interest:Special points of interest:Special points of interest:

• Seven Required RotationsSeven Required RotationsSeven Required RotationsSeven Required Rotations

• Three Elective RotationsThree Elective RotationsThree Elective RotationsThree Elective Rotations

• Longitudinal Management Ex-Longitudinal Management Ex-Longitudinal Management Ex-Longitudinal Management Ex-

periencesperiencesperiencesperiences

• Multiple Teaching Opportunities Multiple Teaching Opportunities Multiple Teaching Opportunities Multiple Teaching Opportunities

• In House OnIn House OnIn House OnIn House On----Call ProgramCall ProgramCall ProgramCall Program

Inside:

About the Program 2

Rotations: Required and Elective 2

Longitudinal Experiences 2

Staffing / ON-Call/Chief Resident 3

Presentations / Research/Teaching

3

Community Service / Resident Fun / Lexington

4

Benefits / Application Require-ments

4

PHARMACY DEPARTMENT

The pharmacy staff is comprised of hospital based pharmacists, clinical pharma-cists, four PGY1 pharmacy practice residents, one PGY2 cardiology resident and techni-cal staff. Members of the pharmacy staff provide both centralized and decentralized phar-maceutical care and patient education through the institution to assure safe, accurate, rational and cost-effective medication therapy.

Work activities focus on the provision of pharmaceutical care within the depart-ment’s clinical role in assuring patient-centered, rational drug therapy. Clinical pharmacy services are offered in collaboration with health care professionals for the cure and pre-vention of disease and/or symptoms of disease.

Technology for bar-coded unit-dose packaging and centralized distribution is util-ized within the pharmacy department. The pharmacy is fully automated with the McKes-son suite of products such as STAR navigator for prescription order entry, Robot-Rx, Med-Carousel, PacMed and the NarcStation. McKesson AcuDose technology is utilized via unit-based dispensing cabinets throughout patient care areas.

August 1, 2008

Cardiology Residency

Founded in 1877 as Lexington’s first hospital, Saint Joseph is a 468-bed acute, medical, and surgical facility in Central Ken-tucky. Also, known as Lexington's "heart hospital", Saint Joseph has pioneered many first in the health care community along with performing more heart procedures than any-one in the state. A wide variety of critical care, cardiology, and other specialty services are provided by the department of pharmacy at Saint Joseph Hospital. The inpatient pharmacy at SJH in-cludes a Central Pharmacy and a Critical Care Satellite Pharmacy that provides ser-vices to 22 operating rooms and 50 intensive care unit beds (22-bed cardiothoracic and vascular unit, a 12-bed coronary care unit, and a 16-bed medical/surgical intensive care unit). The facilities also provide 158 teleme-try unit beds, including a 28-bed heart failure unit, a 33-bed CT surgery step down unit, and a 34-bed interventional cardiology care unit.

For years, SJH has been nationally recognized for outstanding patient care. SJH has been recognized by Solucient as one of the nation’s Top 100 Hospitals, by HealthGrades as Lexington’s highest-rated hospital for cardiac care, and by U.S. News & World Report as a Top 50 Hospital for Heart and Heart Surgery. In 2006 the pharmacy program received the ASHP Best Practice Award, the KSHP Institution of the Year Award, and the KSHP Pharma-cist of the Year Award. The Joint Commis-sion presented Saint Joseph Health Sys-tem with its prestigious Ernest Amory Cod-man Award for excellence in the use of outcomes measurement to achieve im-provements in the quality and safety of health care. Saint Joseph is being recog-nized for a patient safety program de-signed to decrease the number of adverse events related to the use of anticoagulants medicine. These and other distinctions acknowledge a strong commitment to out-standing service and premier pharmaceuti-cal care.

Integrity

IntegrityExcellence

Excellence

Compassion

CompassionReverence

Reverence

Saint Joseph

Hospital

1877

Integrity

IntegrityExcellence

Excellence

Compassion

CompassionReverence

Reverence

Saint Joseph

Hospital

1877

The PGY2 Cardiology Residency is a postgraduate training program that focuses on the

development of the knowledge, attitudes and skills needed to provide pharmaceutical care

in cardiovascular pharmacy practice.

One month of orientation: July

One month of research: December

Seven Required Rotations

• General Cardiology

• Heart Failure

• Acute Coronary Syndrome

• Acute Coronary Syndrome

• Coronary Care Unit

• Cardiothoracic Vascular Surgery

• Cardiothoracic Vascular Surgery

Three Elective Rotations

• Emergency Department

• Infectious Diseases

• Medicine Intensive Care Unit

• Cardiothoracic Vascular Surgery

• Heart Failure

• Stroke / Cerebrovascular

• Coronary Care Unit

• Acute Coronary Syndrome

• Advanced Cardiology

• Hospital Practice – Staffing

• Heart Failure Clinic

• Adult Cardiac Code Response “On-Call”

• Chief Resident Program

• Teaching Certificate Program

• Communication & Presentations

• Research Project

• EP & Dysrhythmias

• EKG 12-lead interpretation

ROTATIONS

The PGY2 Cardiology Resi-dency is a postgraduate training pro-gram that focuses on the develop-ment of the knowledge, attitudes and skills needed to provide pharmaceuti-cal care in cardiovascular pharmacy practice. The specialty residency is a coordinated educational experience that will assure the resident can pro-vide safe, efficacious and cost-effective cardiovascular pharmaco-therapy through patient care, teaching and project activities. Currently the program is a “Candidate for Ac-creditation” through ASHP.

The Residency Program at Saint Joseph Hospital is designed to provide broad exposure to patient-centered care in a dynamic and goal-oriented environment. Emphasis is placed on development of independent practice skills in cardiology, clinical and didactic teaching, research methodol-ogy, and self-evaluation.

Great importance is placed on the residents’ individual goals and ex-pectations thereby allowing program experiences and assessments to be regularly restructured tot keep pace with their development throughout the year. Upon completion of the program, each resident will be prepared to be

exceedingly competitive in both clinical or leadership opportunities within the profession.

A variety of rotational as well as longitudinal experiences help to refine in-depth knowledge and skills in inde-pendent practice. Rotations are offered in a variety of therapeutic areas and are tailored to the interests of the individual. While on clinical service, responsibilities of the resident include collaboration with healthcare team members and inde-pendent therapeutic drug monitoring to support optimal patient centered care.

RESIDENCY PROGRAM

Page 2 Cardiology Residency

LONGITUDINAL EXPERIENCES

• Community Service

• Anticoagulation Service

• Practice Management

• Drug Information

• Nutrition Support

• Pharmacokinetic / Toxicology Service

• Medical Writing

• Smoking Cessation Counseling

Our PYG2 staffing com-ponent is equivalent to 32 hours per month. This comprises of 2 four hour shifts on business eve-nings. The resident will not have scheduled weekend shifts, how-ever, they will be the back up if the PGY1 is unable to fulfill their weekend shift. The weekday eve-ning is spent in the central phar-macy, verifying physician orders, answering clinical questions from the floor, and attending all codes. The pharmacy practice residents PGY1 staff every other weekend.

The on-call program is a resident learning experience that exemplifies the critical role residents serve in providing pa-tient care. Residents are members of the Adult Cardiac Code team as well as the Medical Rapid Response team which pro-vide care during emergency scenarios. The resident on-call is required to stay later in the evening to cover consults to the phar-macy that require significant time to re-search or a specialized knowledge base not in the pharmacy at that time. Our residency pro-gram does not have an overnight on-call pro-gram.

The Chief Resident program allows each resident to cultivate strong leadership qualities while serving as the primary contact for the residency during alternating blocks of time. Re-sponsibilities of the Chief Resident in-clude coordinating the Pharmacy and Therapeutics committee meeting, at-tending medical staff meetings, coordi-nating the publication of “Pharmacy Focus” (the pharmacy department’s interdepartmental bulletin), and plan-ning residency events.

Multiple teaching opportunities exist for residents including stu-dent precepting on rotations, lecture experiences, laboratory instruction and assistance, fac-ulty development seminars through the “Scholarship of Teaching and Learning Certifi-cate program” through the Uni-versity of Kentucky, and clinical rotation teaching. The certificate program is designed to intro-duce participants to academic

literature, contemporary phar-macy/health professions educa-tion, teaching styles, and phi-losophies. The primary philoso-phy of the program is built upon the Carnegie Foundation’s work on teaching as scholarship. Through engagement in semi-nars, documentation of formal teaching experiences, and devel-opment of a teaching portfolio, participants can document their participation and experience

STAFFING

TEACHING

Each resident attends a weekly seminar where fellow residents and preceptors present current data on various topics. Each resident is expected to attend and speak at the Kentucky Society of Health-System Phar-macist (KSHP) Fall or Spring conference. Saint Joseph Hospital provides financial compensation to attend these meetings. Attendance of the ACCP annual meeting is also encouraged.

Page 3

while earning a certificate of completion. Participants will receive handouts, bibliogra-phies, and web site informa-tion to encourage future learn-ing and development. The program was recognized as a 2004 winner of the American Association of Colleges of Pharmacy Teaching Innova-tions Award. http://www.mc.uky.edu/pharmacy/post_grad/tlcp.html

The resident will be provided a list of research projects upon the beginning of their year. The resident will use this list and interactions with mentors to select a suitable project by mid-August. The resident will present an overview of the re-search project to the residency research committee. This committee is composed of hospital individuals and they work to help guide the resident in study design, data collection, or statistical methodology. The resident will present the informa-tion for approval through our investigation review committee. Every two months, the resident will provide the committee with a status update. Also, the committee will help the resident assimilate the data for the research day at the University of Kentucky research day. In addition, the resident will need to submit a manuscript in publishable form prior to completing the year.

ON-CALL CHIEF RESIDENT

PRESENTATIONS RESEARCH

The Cardiology Residency is a one-year program beginning July 1 and ending June

30. It offers an annual stipend of ~$50,000, 10 days of pro-fessional leave to attend professional meetings or conduct interviews that must be approved by the program director, 7 paid holidays observed throughout the year and 10 vacation days. Individual health insurance is provided through the hospital.

For additional information, please contact: Marintha R. Short, PharmD, BCPS Clinical Pharmacy Specialist Cardio – Critical Care Saint Joseph Hospital Department of Pharmacy One Saint Joseph Drive Lexington, KY 40504 VM: (859) 313- 3444 Ext. 6953 MarinthaShort@sjhlex.org

Lexington, Kentucky is located in the heart of the Bluegrass Region and is known to many as the Horse Capital of the World. From horse races at Keeneland Race Course, to the impressive and legendary horse farms located in and around Lexington, Kentucky, it is simple to see why this area is a horse enthusiast’s dream. Also located in Lexington is the University of Kentucky. This prestigious university is a source of pride for the entire community. Everyone is welcome to attend sporting events such as football and basketball to cheer on the Wildcats to victory!

APPLICATION REQUIREMENTS

Other Preceptors: Heather Hesselson, PharmD Sarah Nordmeyer, PharmD Alissa Langley, PharmD, BCPS Lauren Cottingham, PharmD

Interested candidates must have completed a Doctor of Pharmacy program from an ACPE-accredited school or college of pharmacy and a pharmacy practice residency or equivalent pharmacy residency experience. The candidate must have ACLS certification prior to beginning on July 1st. The candidate must submit a pharmacy residency applica-tion form, letter of intent, curriculum vitae, official academic transcript and three letters of recommendation to be consid-ered for an on-site interview. Application form available at www.sjhlex.org—> search Pharmacy Residency Program. The application deadline is January 5, 2009.

RESIDENT TRIP/RESIDENT FUN

BENEFITS

LEXINGTON

COMMUNITY SERVICE As a means to integrate the practice of pharmacy into the community and encourage the patient/pharmacist rela-tionships, Saint Joseph Hospital encourages our residents to participate in community events. Saint Joseph provides our residents a unique opportunity to volunteer at a local Salvation Army free clinic approximately one time a month. Each clinic is staffed by a clinic coordinator (medical resident), medical students, an attending physicians, a pharmacy student and a pharmacist. This is an excellent opportunity to help disadvantaged patients, help the physicians with medication decisions and precept student during the dispensing and counseling process. The residents this year have participated in “Habitat for Humanity” and administered influenza vaccines in the community.

Another highlight of the year is the professional development experience (PDE), which allows the residents to visit 2-3 residency programs. The residents should choose institutions that are within driving distance. They contact the programs and set up tours, luncheons, etc. with the host institution. This is always a fun trip and it allows for resident bonding and creating new contacts at other institutions. They then report back to our program about the trip which helps enrich our residency program and our department of pharmacy. Members of the pharmacy staff regularly get together at social events to relax and have some fun.

Integrity

IntegrityExcellence

Excellence

Compassion

CompassionReverence

Reverence

Saint Joseph

Hospital

1877

Integrity

IntegrityExcellence

Excellence

Compassion

CompassionReverence

Reverence

Saint Joseph

Hospital

1877

†CATHOLIC HEALTHINITIATIVES Pharmacy Residency Program

Saint Joseph HospitalExcellence and Innovation in the Continuum of Pharmaceutical Care.®

†CATHOLIC HEALTHINITIATIVES Pharmacy Residency Program

Saint Joseph HospitalExcellence and Innovation in the Continuum of Pharmaceutical Care.®