Memphis PGY1 Pharmacy Practice Residency

The Baptist Memphis PGY1 pharmacy residency is a 12-month program which is composed of five week learning experiences (8 blocks) following the six week orientation period. This PGY1 pharmacy residency at Baptist Memphis is comprised of the following major elements: direct patient care, longitudinal requirements including committee involvement, teaching/precepting activities, completion of a yearlong research project and staffing.

Resident positions available: 8
Application deadline: January 1
Baptist Memphis Residency Match #: 112013
Start date: 3rd Monday of June
Program length: 12 months
Estimated annual salary: $46,000
Benefits:

  • Health, Vision, & Dental insurance provided as a full–time employee of Baptist Memphis
  • Personal time off (18 days)
  • Professional leave for ASHP Mid-year Clinical Meeting (MYCM) & Mid-South Residency Conference (MSRC)
  • Stipend for MYCM expenses
  • Personal office space with a desktop computer & iPad
  • Free parking; free onsite gym/fitness center access

The PGY1 pharmacy residency program at Baptist Memphis was recognized in 2018 by the Tennessee Society of Health-System Pharmacists (TSHP) as the “Health-System Pharmacy Residency Program of the Year” for showing continued service and contributions to the health-system pharmacy practice through changes in practice, research, and/or resident publications. Read more about the recognition here.

The pharmacy department was also recognized for the “2018 Award for Excellence in Medication Safety” from the Tennessee Pharmacists Association (TPA) for their help in the transition of the Baptist Memphis emergency department to become “opioid-light.” This endeavor focused on pain management alternatives for patients. Read more about the award here.

ASHP PGY1 Residency Program Purpose

In accordance with ASHP guidelines, the residency program at Baptist Memphis functions under the following purpose:

PGY1 pharmacy residency programs build on a resident's Doctor of Pharmacy (Pharm.D.) education and outcomes to contribute to the development of a clinical pharmacist responsible for medication-related care of patients with a wide range of conditions, eligible for board certification, and eligible for postgraduate year two (PGY2) pharmacy residency training.

Baptist Memphis PGY1 Pharmacy Residents

Residents in our PGY1 pharmacy residency program come from different educational and geographical backgrounds, adding to the rich experience offered through our program.

Learn more about our PGY1 Pharmacy Residents

Clinical and Longitudinal Preceptors

Residents are provided the opportunity to train alongside clinical pharmacy preceptors who have expansive educational backgrounds and experience to enrich their learning and hands-on experiences.

Learn more about our clinical and longitudinal preceptors

Training Site Information

Baptist Memorial Hospital-Memphis

  • 706 bed tertiary care hospital located in Memphis, Tennessee
  • Flagship hospital for Baptist Memorial Health Care, a system of 22 hospitals in Tennessee, Mississippi and Arkansas
  • Second largest hospital in Tennessee
  • Comprehensive care facility with diverse specialty patient care services and a particular focus on intensive care, cardiology, neurology and oncology

Baptist Memphis Pharmacy Department

  • Practices through a decentralized model to enhance patient care and improve interdisciplinary interaction with hospital staff
  • Utilizes decision support software (EPIC and Theradoc) to assist in appropriate medication monitoring
  • Serves as an ASHP accredited resident practice site since 1992
  • Established a PGY1 community residency program in 2018 to encompass retail, mail order and specialty pharmacy services
  • Our department mission is to provide direct and quality medication-related health care to patients in a responsible manner while creating and applying innovative new pharmacy practices. We are committed pharmacy leaders in education, training and lifelong learning.

Resident Responsibilities

  • Assess medication appropriateness through chart review and interdisciplinary rounds
  • Manage physician-initiated pharmacy consults
    • Nutrition support
    • Pharmacokinetics
    • Renal dosing
    • Patient education
    • Anticoagulant monitoring
    • Drug information
  • Lead patient presentations and topic discussions
  • Assist in medication-related core measure compliance practices based on patient disease state (ACS, stroke, vaccines, etc.)
  • Participate in multidisciplinary patient care rounds
  • Assist in precepting students on rotations and through didactic and application-based classes
  • Attend and provide medication-related support during an emergency response
  • Identify medication errors and assess for practice change
  • Improve patient care, safety and economic impact relating to medication use

PGY1 Pharmacy Residency Learning Experience Overview

  • Six week general pharmacy orientation including hospital orientation, EPIC training, ACLS/BLS certification and competency completion
  • Five required learning experiences with the opportunity for three elective rotations based on the resident's areas of interest
  • Five week rotations
  • Two weeks dedicated project time
  • Two longitudinal rotation experiences

Learning Experiences

Learning experiences are clinical rotations with a strong patient care focus. These form the basis of structured resident daily activities and take priority in work flow.

Other elective experiences could potentially be developed based on resident interest and preceptor availability (i.e. Advanced Transplant or Advanced Neurology).

Learning Experience Opportunities

Required:

  • Internal Medicine

    The resident completing this internal medicine experience will be involved in providing comprehensive pharmaceutical care to a variety of patients within the hospital by participating in multidisciplinary rounds with a medicine teaching service team. Throughout the rotation, the resident will develop skills in the disease state management of both acute and chronic conditions. Topics will include hypertension, heart failure, pneumonia, COPD and asthma, infectious diseases, diabetes mellitus, stroke, and other diseases. During the Internal Medicine rotation, the resident will interact with other health care providers including physicians, nurses, and case managers, to assist in the total pharmaceutical care of patients requiring general medical care. A wide range of activities during the rotation will be performed including medication review, antibiotic surveillance, pharmacokinetic dosing, anticoagulation dosing, medication education to patients and their families, drug information assistance to physicians & nurses, medication reconciliation, and educational in-services for health care providers. Topic discussions and patient problem list discussions will be conducted frequently.

  • Cardiology

    Facilitators: Ginger Burton, PharmD and Amy Brewster, PharmD, BCPS

    During this rotation, residents will have the opportunity to develop skills and concepts of application in cardiovascular patients. The rotation will provide practical experience in managing all aspects of the cardiac patient's pharmacotherapy with a focus on acute care cardiology. Residents will be stationed on the AMI/ACS and CHF units primarily. Daily activities include monitoring of patients for core measure compliance relating to cardiology and anticoagulation management, developing daily treatment plans, participating in multidisciplinary rounds & utilizing evidenced based medicine to optimize acute and chronic disease state management. Educational opportunities during the month include topic discussions on provided readings, precepting of students & nursing/staff development education as needed. Residents will also provide patient education on anticoagulants, insulins, and other medications as requested. There are additional opportunities to see recently discharged patients with CHF in the outpatient Baptist Transitional Care clinic based on resident interest and availability.

  • Critical Care (MICU/SICU)

    Facilitator: Maria Zhorne, PharmD, BCCCP

    A resident on this rotation will become familiar with the pharmaceutical aspects of critically ill patients by overseeing & managing the care of patients in the 38-bed medical/surgical ICU's. Residents participate in MD led inter-professional rounds five days a week in the ICU. Minimally, a resident will be responsible for monitoring continually changing drug therapy and completing pharmacy consults including those for nutrition support, pharmacokinetics, anticoagulation and drug information. The resident will be required to read and participate in key ICU topic discussions with the preceptor throughout the month as well as complete a critical care journal club with ICU preceptors and staff.

  • Practice Management

    Facilitator: Dennis Roberts, DPH

    The practice management experience is designed to provide a “real world experience“ in the life of pharmacy administration. Time management, organizational skills and open communication with preceptors will be key in maximizing this learning opportunity. The resident will be responsible for drug information requests, the development and presentation of related materials for P&T Committee, its subcommittees and/or Service Line(s), participation in patient safety activities, and communication with pharmacy administrative and managerial staff daily. Rotation project(s) will be assigned and the resident will be expected to complete them in a timely manner based on request and direction from the Director of Pharmacy. Residents will be the lead preceptor for the APPE institutional pharmacy students. Many projects will require a short turnaround time that will be dependent upon the presentation venue. Residents will learn to enhance and refine skills in researching drug information questions and gain experience in presentation skills for multiple audience types. This rotation is self-directed and the resident will be required to drive the project(s) they are assigned, as well as, any APPE student projects. The Medication Use Evaluation (MUE) longitudinal will in part overlap with this learning experience.

  • Infectious Diseases/Antimicrobial Stewardship

    Facilitator: Athena Hobbs, PharmD

    A resident on this rotation at Baptist Memorial Hospital Memphis will further develop their knowledge and understanding of the pharmacotherapy of patients with infectious diseases. The resident will perform daily pharmacy antimicrobial stewardship rounds with the infectious disease pharmacist. The focus of this rotation will be appropriate overall infective disease state management of patients as well as clinical application of pharmacokinetics/pharmacodynamics with regards to antimicrobials. The rotation is designed to provide the resident with interaction with various physicians and services throughout the entire hospital rather than one rounding team. The resident will also be involved in other activities on an as-needed basis throughout the rotation, which will include at least one rotation project (e.g. physician/nurse/pharmacy education and/or projects for the Antimicrobial Stewardship Committee).

Elective:

  • Malignant Hematology, Bone Marrow Transplant

    Facilitator: Amy Evans, PharmD

    During this elective learning experience, residents will manage drug therapy necessary for the treatment of complex hematology/oncology patients and that undergoing stem cell transplant. Specifically, residents will become familiar with chemotherapy regimens used in the treatment of acute leukemia, lymphoma, multiple myeloma and conditioning regimens utilized for transplants. Appropriate supportive care medications, monitoring parameters, and therapeutic endpoints for efficacious drug use as it relates to the oncology patient will be a focus of this experience. Residents will have the opportunity to participate in daily MD led, bedside rounds in addition to interacting with the multi-disciplinary patient care team in the myelosuppression unit. Topics discussions relating to a variety of oncologic disease states, chemotherapy agents and supportive care issues in this patient population will be conducted throughout the rotation.

  • Solid Organ Transplant (Heart)

    Facilitator: Mallory Taylor Baird, Pharm.D.

    This rotation focuses on end stage heart failure patients requiring heart transplant and/or ventricular assist device (VAD) therapy. The cardiac transplant floors include a 12 bed intensive care unit (ICU) and a 12 bed stepdown unit. A total of 11 patients received a heart transplant at Baptist Memphis in 2016, and 20 patients have been transplanted so far in 2017. Additionally, a total of 33 patients received an LVAD in 2016, and 32 have been implanted so far in 2017. The cardiac transplant ICU also includes patients receiving extracorporeal membrane oxygenation (ECMO) and a variety of temporary mechanical circulatory support (MCS) devices. Residents will be involved with patient care in the acute setting as well as the transplant/MCS outpatient clinic. Residents will participate in multidisciplinary rounds, assess patients and develop medications treatment plans, monitor immunosuppression and other medication therapies, manage pharmacy consults, provide medication information to other healthcare professionals, assist in evaluating patients for transplant and VAD selection committee meetings, and participate in topic discussions. Patient interaction and medication counseling are also important aspects of this rotation. Additional required activities and assignments will be done as indicated by the needs of the transplant team.

  • Cardiovascular Intensive Care Unit (CVICU)

    Facilitator: Sarah Beth Moore, Pharm.D.

    During this rotation, residents will have the opportunity to develop patient care skills related to drug therapy and disease state management in patients post cardiothoracic surgery. Daily activities include, active participation in multidisciplinary rounds, completing pharmacy consults for pharmacokinetics, anticoagulation, nutrition support, and drug information, optimizing drug therapy, and collaborating with other healthcare providers. This rotation also heavily focuses on optimal blood glucose management post operatively. Daily multi-disciplinary rounds are also required. The resident will also have the opportunity to participate and lead various topic discussions with the preceptor.

  • Neuro ICU (NICU)

    Facilitator: Kristie Newsom, Pharm.D., BCPS, BCCCP

    During this rotation, residents will have the opportunity to develop skills in the pharmaceutical care of neurology patients in an ICU/critical care setting. Clinical patient care with be provided for patients with acute ischemic stroke, hemorrhagic stroke, spinal cord injury, seizure disorders, neurosurgical interventions, and general neurological disorders. Residents will also provide pharmaceutical care in the management of all general critical care issues and antimicrobial management. The resident will participate in daily multidisciplinary rounds and one-on-one table rounds with the neuro-intensivist. Other daily responsibilities, for this rotation include the following: completing pharmacy consults for pharmacokinetics, anticoagulation, nutrition support, stroke core measures, optimizing drug therapies, and providing feedback for drug information questions on neuro ICU and general neuro floor patients. The resident will participate in various topic discussions with the preceptor and be given the opportunity to lead selected topic discussions as the rotation progresses.

  • Oncology (Solid Tumor)

    Facilitator: Elizabeth Mills, PharmD, BCPS

    The resident completing this elective rotation will be responsible for managing drug related therapy for patients with cancer and hematological disorders. Specifically, residents will become familiar with various chemotherapy regimens used in the treatment of cancer through review of chemotherapy orders for completeness, accuracy, appropriate doses, and appropriate supportive care medications. Residents will also determine monitoring parameters and therapeutic endpoints for efficacious drug use as it relates to the oncology patient. Resident will actively participate in daily patient rounds on the oncology unit. Topics discussions relating to a variety of disease states and supportive care issues in the oncology patient population will be conducted throughout the rotation.

  • Emergency Medicine

    Facilitators: Zack Brent, PharmD, BCPS and Julie Bennett, PharmD, BCPS

    This rotation is designed to give residents an introduction to the provision of pharmacy services in an emergency medicine setting. Following completion of this rotation, the resident should be able to demonstrate an understanding of the skills necessary to provide pharmacy services in a high-volume, fast-paced emergency medicine setting. During the course of this rotation the resident is expected to actively participate in the care of all emergency department patients. This will include, but is not limited to: order processing and medication delivery, participation in medical emergencies at bedside, providing medication information to various other healthcare professionals, care for boarded patients, and follow-up care of patients discharged from the ED. In addition to direct patient care, the resident is expected to participate in the education of pharmacy students as well as department physician and nursing staff. The resident will also participate in the further advancement and development of pharmacy services within the emergency department.

  • Ambulatory Care (coming Spring 2020)
  • Pediatric Emergency Medicine (coming Fall 2020)

Concentrated Learning Experiences

  • Resident run clinical service weeks (2 weeks at the end of the residency year)
    •  Allows residents to independently cover all clinical consults and services for the last two weeks of residency
  • Drug use and safety include MUE, Formulary work (2 months)

Longitudinal:

  • Pharmacy practice based research project
  • Teaching and Precepting
    • Includes the Teaching Certificate Program through the University of Tennessee Health Science Center
    • Required educational activities include, but are not limited to:
      • Presentation of two ACPE accredited Ces as a staff development module
      • Facilitating Applied Therapeutics for the University of Tennessee College of Pharmacy students
        • This class meets weekly in the fall and the spring (10 weeks/semester). Students meet at the hospital and focus on patient case presentations and note writing skills.
      • Precepting pharmacy students on clinical rotations (University of Tennessee, University of Mississippi, Union University and Samford University)
      • Leading group discussion of two Journal Club articles
      • Providing education to staff during department huddles with clinical information presentations
      • Educating staff about department activities and clinical areas of interest or importance in the monthly department newsletter

Staffing Requirements

Each resident is required to work every third weekend. These weekend assignments will alternate between coverage of clinical consults with a specialist and working in the main pharmacy. The resident will work an eight hour shift on Saturday and Sunday during their assigned weekend. Additionally, each resident will be required to complete a weekly evening shift (5-9 p.m.) of order verification in the emergency department, or assist the discharge medication reconciliation pharmacist. The resident that works the weekend shift will not be required to complete the evening staffing component the week before or the week following the weekend shift. Residents will also be expected to carry the 24 hour clinical pharmacy pager in rotation with fellow residents during the week of weekend coverage.

Program Completion Requirements

For successful completion of this PGY1 pharmacy residency program, signified with the awarding of a certificate of achievement at the end of the 12 month period, the resident must successfully complete the following program requirements and be in compliance with Baptist Memphis policies for employment.

The following criteria that must be satisfied no later than the last day of the residency include:

  • Licensure by the deadline determined yearly based on the calendar year
  • Complete all required Baptist Memphis assigned employee competencies in Health Stream and all clinical pharmacist competencies including being signed off by a preceptor
  • Complete all required staffing shifts as assigned (2 -8hr shifts every 6th weekend, 4hr weeknight shift on non-staffing weeks = ~4 nights/6 weeks)
  • Provide on call (every 3rd weekend) and holiday coverage as assigned (1 major & 2 minor holidays)
  • Satisfactorily complete all required longitudinal education assignments (JC, CE, clinical writing component, newsletter, Med Safety Project) as defined in the description for each activity
  • Satisfactorily complete a residency research project and present the final results to the hospital staff associated with the data (Service line, etc.) and develop a final manuscript suitable for publication
  • Attend MYCM, MSRC & actively participate with the presentation of resident research material (poster, platform presentation)
  • Complete all required and elective learning experiences and earn "SP" or "ACH" on 80% of identified objectives per rotation as defined in the learning description syllabus on at least 7 of the 8 learning experiences and all longitudinals by the end of the 12 month residency
  • Earn an achieved for residency ("ACHR") on 80% of the required & selected elective ASHP competency objectives for residency as evaluated in learning experiences and longitudinals
  • Abide by the standards set forth by Baptist Memphis for ALL employees with no disciplinary action requiring termination
  • Complete all Pharmacademic evaluations
  • Compile and save ALL documents relating to projects, longitudinal activities & presentations in the resident's electronic folder on the Shared Drive
  • Return keys, ID badge, pager, iPad and any other Baptist Memphis property on the last day of the residency

How to Apply

Students eligible for a Doctor of Pharmacy degree from an ACPE accredited school are required to submit all requested documents through the PhORCAS application system. Required documents include a letter of intent, a curriculum vitae, Doctor of Pharmacy transcript and 3 PhORACAS professional letters of recommendation. The candidate must also be eligible for licensure in the state of Tennessee, have U.S. citizenship or a permanent VISA and be available for an on-site interview.

PGY1 Pharmacy Practice Residency Contact Information

Amy G. Evans, Pharm.D., Residency Program Director
Lead Clinical Pharmacy Specialist, Oncology

Baptist Memorial Hospital-Memphis
6019 Walnut Grove
Memphis, TN 38120

901-226-0954

amy.evans@bmhcc.org