PGY2 Specialized Residency: Solid Organ Transplant

Pre-Candidate Status for American Society of Health-System Pharmacists (ASHP) residency program accreditation

Purpose

The UCSF PGY2 residency in solid organ transplant is designed to train a pharmacist for a clinical specialist role in managing organ transplant recipients in both an inpatient and outpatient setting. Program graduates will possess necessary skills to function as an advanced practitioner in clinical and academic settings.

Description

UCSF is home to one of the largest kidney and liver transplant programs in the nation. The heart and lung transplant programs are also steadily growing with impressive success. UCSF consistently has been the most active kidney transplant program in the United States, performing approximately 350 kidney transplants annually. The Liver transplant program has a one-year survival rate of 92%, which is above the national average of 87% even when adjusted for high-risk patients, and is also one of the largest, with about 160 liver transplants performed each year. UCSF also has a large living kidney and liver donor program, and is one of few centers that perform transplants in HIV positive individuals for all four organs (liver, lung, kidney, and heart). UCSF has one of the most successful lung transplant programs in the nation with UCSF achieving significantly better than expected survival at both 1 year and 3 years following transplant. According to the Scientific Registry of Transplant Recipients (SRTR) database, UCSF has the highest one-year survival of 96% compared to 84% nationally for lung transplant recipients. Adult transplant services are based on the Parnassus campus of UCSF Medical Center, and pediatric transplants are performed at UCSF Medical Center at Mission Bay (Benioff Children’s Hospital).

The PGY2 Solid Organ Transplant Pharmacy Specialty Residency is a one-year appointment that is designed to develop specialized clinical skills in managing the pharmacotherapy of adult and pediatric solid organ transplant recipients. The resident will gain practical knowledge by providing comprehensive and collaborative multidisciplinary care to heart, lung, kidney, pancreas, and liver transplant recipients in inpatient and outpatient settings, as well as experiences in viral hepatitis management, clinical research, and transplant pharmacy administration. Teaching is an integral component of the program, as UCSF Medical Center is affiliated with the UCSF School of Pharmacy. The resident will have opportunities to provide didactic lectures to Doctor of Pharmacy students in various therapeutics courses, as well as co-precept Doctor of Pharmacy students and PGY1 residents on transplant rotations. The resident will also have the option to complete a teaching certificate program. Required, elective, and longitudinal learning experiences in a variety of inpatient and outpatient settings will enable the resident to develop clinical decision making skills, foster problem solving, work collaboratively in a multidisciplinary environment, and function independently as a solid organ transplant pharmacist.

Structure

At a minimum, each resident will spend 75% of his/her time involved in direct patient care activities.

Required learning experiences

  • Kidney Transplant Service (minimum 4 weeks)
  • Liver Transplant Service (minimum 4 weeks)
  • Heart and Lung Transplant Service (minimum 4 weeks)
  • Pediatric Transitional Care Unit/Dialysis and Organ Transplant Services (minimum 4 weeks)
  • Post-transplant clinics (Kidney/Liver/Heart/Lung) (minimum 5 weeks)
  • Viral Hepatitis Clinic (minimum 4 weeks)
  • Transplant Infectious Diseases (minimum 4 weeks)

Required longitudinal learning experiences

Administrative

  • Regularly attend and participate in Transplant Quality Improvement Committee meetings
  • Medication use evaluation and participation in quality improvement initiatives

Operational

Manage medication verification, production and distribution

Research project

  • Complete clinical research project focusing on transplant pharmacotherapy
  • Present research at a national pharmacy or transplant conference and prepare a manuscript suitable for publication

Teaching

  • Provide lecture(s) in UCSF School of Pharmacy Curriculum
  • Provide lecture(s) to medical/surgical residents
  • Precept students and PGY1 residents on rotations
  • Deliver ACPE-accredited continuing pharmacy education seminar
  • Complete Journal Club Presentation

Elective learning experiences

  • Critical Care (minimum 2 weeks)
  • Bone Marrow Transplant Service (minimum 2 weeks)
  • Investigational Drug Services (minimum 2 weeks)

How to apply

Applications for the 2017-2018 year will be accepted beginning fall 2017 using PhORCAS, a centralized application service for applying to multiple pharmacy residency programs. All applicants must register for The Match-ASHP Resident Matching Program AND submit an application through PhORCAS. The deadline for applications and all special requirements for acceptance is Saturday, December 31, 2016.

Interested applicants should have a PharmD or MS/BS with clinical experience, be eligible for California pharmacist licensure, have completed a PGY1 pharmacy residency by the program start date, and submit the standardized application materials through PhORCAS.

Special requirements for acceptance

When submitting a letter of recommendation through PhORCAS, the letter writer must comment on at least 7 of the 13 characteristics. Applicant must also include a cover letter stating why he/she decided to pursue specializing in solid organ transplant and how a PGY2 Specialty Residency in solid organ transplantation at UCSF will aid in his/her career goals.

Appointment period

July 5, 2017 to July 4, 2018

Number of positions

1

Stipend

Approximately $54,000 per year (paid monthly)

Benefits

Vacation

10 days paid vacation leave

Professional Leave

10 days paid professional leave

Travel Stipend

Amount is determined each year for professional leave and may not cover all travel expenses.

Insurance

Medical/Dental/Vision Plan and Professional Liability Insurance

Program director

David Quan, PharmD, BCPS
University of California, San Francisco
533 Parnassus Ave Rm U585
San Francisco CA 94143
415-353-9942
david.quan@ucsf.edu