PGY2 Specialized Residency: Infectious Disease

Welcome

Positions for the 2024-2025 residency year have been filled through early commitment. 

Aileen Lu

Purpose

PGY2 pharmacy residency programs build on Doctor of Pharmacy (Pharm.D.) education and PGY1 pharmacy residency programs to contribute to the development of clinical pharmacists in specialized areas of practice. PGY2 residencies provide residents with opportunities to function independently as practitioners by conceptualizing and integrating accumulated experience and knowledge and incorporating both into the provision of patient care or other advanced practice settings. Residents who successfully complete an accredited PGY2 pharmacy residency are prepared for advanced patient care, academic, or other specialized positions, along with board certification, if available.

Description

The UCSF PGY2 residency program in infectious diseases is designed to train highly-motivated pharmacists to become experts in infectious diseases pharmacotherapy and antimicrobial stewardship, with a special focus on learning the tools of effective, evidence-guided education. Graduates of the program will be well-prepared to serve as clinical infectious diseases specialists, leaders of antimicrobial stewardship programs, and full-time or volunteer teaching faculty.

Learning Experiences

Rotations

Rotation Schedule

At a minimum, each resident will spend two thirds or more of their time involved in direct patient care activities. Learning experiences include block and longitudinal experiences. Blocked experiences are 2 to 6 weeks in duration. Residents complete eight blocks of core adult infectious diseases pharmacotherapy content in four domains, with the second iteration of each rotation requiring more responsibility and greater expectations. Residents select 4-5 elective inpatient learning experiences. Ambulatory care experiences include the UCSF HIV/AIDS Ambulatory Care Clinics (required) and the Cystic Fibrosis Clinic (elective).

Sequencing of Learning Experiences

Learning experiences are sequenced to build a foundation for effective practice. Trainees begin with orientation and training including brief immersion with the microbiology laboratory. They then begin development of their longitudinal research project, and are then introduced to antimicrobial stewardship and infectious diseases consult activities at UCSF Medical Center. This culminates in a 2-week advanced infectious diseases early capstone experience at the midpoint of the year. The latter half of the year includes a greater focus on evidence-based teaching techniques, HIV clinic experience, and clinical electives with time for completion of research and QI projects. The year culminates in a final capstone advanced infectious diseases experience for the resident to demonstrate ability for independent practice.

Learning Experiences Offered

Learning Experience

Location

Length

Additional Information

Core Block Rotations (Required)

Orientation and Training

UCSF Medical Center

3 weeks

Includes microbiology laboratory experience

Antimicrobial Stewardship I at UCSFMC

UCSF Medical Center

3 weeks

 

General Infectious Diseases Consult Service I

UCSF Medical Center

3 weeks

 

Immunocompromised Host Infectious Diseases Consult Service I

UCSF Medical Center

3 weeks

 

Antimicrobial Stewardship II

UCSF Medical Center

3 weeks

Residents assume greater responsibility for clinical care and precepting

General Infectious Diseases Consult Service II

UCSF Medical Center

3 weeks

Residents assume greater responsibility for clinical care and precepting

Immunocompromised Host Infectious Diseases Consult Service II

UCSF Medical Center

3 weeks

Residents assume greater responsibility for clinical care and precepting

Advanced Infectious Diseases Consult Service I

UCSF Medical Center

2 weeks

Midyear capstone experience - resident serves as primary pharmacist and preceptor for one consult service.

Advanced Infectious Diseases Consult Service II

UCSF Medical Center

2 weeks

End-of-year capstone experience – resident serves as primary pharmacist and preceptor for both consult services.

Core Rotations (Longitudinal Required)

Operational Staffing

UCSF Medical Center

11 months

Resident provides operational support for inpatient pharmaceutical services.

Research Project

UCSF Medical Center

11 months

This longitudinal experience provides a framework covering the resident’s experiences in precepting and direct teaching. Dedicated research time is concentrated in winter.

Practice Administration and Quality Improvement

UCSF Medical Center

11 months

This longitudinal experience provides a framework covering committee service and quality improvement projects.

Teaching Experience

UCSF Medical Center/UCSF School of Pharmacy

11 months

This longitudinal experience provides a framework covering the resident’s experiences in precepting and direct teaching. Course-associated teaching occurs primarily in winter.

Medication Event Incident Report (IR) Review UCSF Medical Center 1 month The resident participates in the medication safety system by reviewing an incident report and identifying opportunities for improvement of the medication-use process.

Core Rotations (Ambulatory Care)

HIV Clinics (360 Wellness Center, Women's HIV Program)

UCSF Medical Center

12 weeks

Depending on schedule and availability may be either or both of UCSF’s HIV clinics (360 Wellness Center and Women’s HIV Program)

Electives (Direct Patient Care)

Cystic Fibrosis Clinic

UCSF Medical Center

6 weeks

Ambulatory care clinic

Pediatric Infectious Diseases

UCSF Benioff Children’s Hospital

3-4 weeks

 

Emergency Medicine

UCSF Medical Center

3-4 weeks

 

ZSFGH Infectious Diseases

Zuckerburg San Francisco General Hospital

3-4 weeks

 

Heart & Lung Transplant

UCSF Medical Center

3-4 weeks

 

Hematology/Oncology

UCSF Medical Center

3-4 weeks

 

Pediatric Infectious Diseases

Stanford Lucille Packard Children’s Hospital

3-4 weeks

 

Critical Care

UCSF Medical Center

3-4 weeks

 

Sample Resident schedule

Note: rotations frequently overlap across months

Staffing

Operational Training

All residents receive comprehensive training in each of the operational areas during orientation, including formalized training in sterile compounding and aseptic technique. At the beginning of the residency year, residents are paired with an experienced preceptor who will oversee their operational staffing learning experience through the year and provide residents with summative feedback. Residents staff in conjunction with a clinical pharmacist until they are licensed at which point they will staff independently, typically starting in September.

Staffing Areas

Operational staffing occurs longitudinally and will consist of 15 weekends total. This is inclusive of 1 major holiday and 2 minor holiday weekends. Staffing shifts will encompass both operational and clinical responsibilities and may occur during the day or evening.

Research

Project Selection

The PGY-2-ID resident selects a major research project based on their interests and prior training and the needs and capabilities of the institution. Discussions for topic ideas begin from the beginning of the program and are finalized by the time of the resident’s participation in the UCSF Research Certificate Program (see below).

Research Training

PGY2 residents participate in the UCSF Research Certificate Program and will gain skills in: adhering to a research timeline, creating an appropriate study design and methodology, completing data collection and analysis and summarizing research findings. Residents are enrolled in the Designing Clinical Research course that is part of the Summer Clinical Research Workshop. This interprofessional curriculum within the Department of Epidemiology & Biostatistics guides residents through modification of their research proposal and creation of a version suitable for submission to the UCSF Institutional Review Board. For projects requiring more advanced statistics, residents also receive support to work with the Clinical and Translational Science Institute (CTSI) in order to complete analysis.  For PGY2 residents who have previously completed the Designing Clinical Research course, an alternative research course may be substituted, such as the Introduction to Statistical Computing in Research course.

Poster & Platform Presentations

All projects are of a scope suitable for publication. Projects are presented as posters at the UCSF Department of Clinical Pharmacy Spring Research Poster Session. As appropriate, residents are encouraged to submit their research for consideration at national pharmacy and/or infectious diseases meetings.

Recent Resident Research Projects

Stephanie Ho

Guideline Adherence in the Treatment of Bacterial Skin Infections in the Emergency Department

Lynn Nguyen

Comparison of predicted nephrotoxicity risk of AUC- vs. trough-based vancomycin dosing

Joshua Garcia

Prediction of bacterial and fungal infections in end-stage liver disease patients

Katherine Gruenberg

Learning endurance and tactics used to reinforce education

Tracy Trang

Assessing the impact of MALDI-TOF MS with antimicrobial stewardship in patients with Gram-negative bacteremia

Amanda Roy Impact of weight on valganciclovir dosing and adverse effects
Emily Kaip National trends in antifungal utilization in United States teaching hospitals
Annie Kim

Comparison of antibiograms across solid organ transplant services within a medical center

Pablo Lapetina

Evaluation of electrocardiogram (ECG) monitoring practice with new start azole antifungal therapy

Teaching

Teaching Instruction

Teaching is a focus of the residency at UCSF, and residents receive a Teaching Certificate upon program completion if they complete the required elements of the program. The certificate recognizes the significant contributions and skills that are attained during the residency year. Residents receive training in teaching methodology, precepting and small group conference facilitation through a variety of educational seminars that are planned during the year.

Teaching Experiences

Teaching opportunities may include the following:

  • Large group teaching to pharmacy students in Infectious Diseases integrated courses
  • Interprofessional education to Infectious Diseases fellows, Microbiology staff, and Nurse Practitioners
  • Small group facilitation in Therapeutics courses
  • Precepting IPPE and APPE students and PGY1 residents on clinical rotations and project-based work

Salary & Benefits

Salary

$63,525 annually, paid biweekly

Insurance

Medical/Dental/Vision Plan and Professional Liability Insurance

Vacation / Professional / Sick leave

All residents will participate in the UCSF Health Paid Time Off (PTO) program. Residents accrue PTO and Extended Sick Time (EST) based on the appointment type, number of hours on pay status, and years of qualifying service. Residents will earn approximately 21 days of PTO per year and approximately six days of EST. Additionally, residents receive 10 days of paid professional leave which may be used to attend professional meetings or professional job interviews.

Travel Stipend

All residents are provided with a stipend to support travel, lodging, and registration fees for the purposes of professional conferences. The amount of the travel stipend is determined each year and may not cover all travel expenses.

Additional Benefits

Residents will be provided with a UCSF white coat, scrubs, personal pager, iPad and access to the resident office workspace. Meal cards are provided with a value determined by the number of staffing hours assigned.

Application

General Information

Appointment

Monday, July 8, 2024 to Friday, July 11, 2025 (53 weeks)

Positions Available

PGY2 Infectious Diseases (NMS 92156) – 1 position

Recruitment

The Residency Program Director and residents recruit potential residency applicants at the following events:

  • American Society of Health-System Pharmacists (ASHP) Midyear Clinical Meeting
    • Residency Showcase

Requirements

Requirements for Admission

Applicants must be a graduate of an ACPE-accredited college of pharmacy or otherwise be eligible for licensure in California. Additionally, applicants must be participating in, or have completed, an ASHP-accredited PGY1 pharmacy residency program or one in the ASHP accreditation process (i.e., one with candidate or preliminary accreditation status).

Non-US and US Citizens from Foreign Schools of Pharmacy

Non-US citizens must be eligible to work and live in the US by obtaining an appropriate visa and must be eligible to work as a licensed pharmacist in California. We do not sponsor visas for foreign pharmacy residency applicants. Non-US and US citizens who graduate from a foreign school of pharmacy must first be certified by examination before the process of licensure in the US can begin. The Foreign Pharmacy Graduate Equivalency Committee ™ (FPGEC®) certificate program operates under the auspices of the National Association of Boards of Pharmacy®. The NABP® provides the FPGEC Certification Program as a means of documenting the educational equivalency of a candidate's foreign education, as well as the license and or registration to practice pharmacy. More information about this entire process is provided in these NABP® links: nabp.pharmacy.

How to Apply

  1. Match: All applicants must register for The Match – ASHP Resident Matching Program.
  2. PhORCAS: Applications will be accepted through PhORCAS (Pharmacy Online Residency Centralized Application Service), a web-based pharmacy residency application system. The application deadline is Saturday, December 31st, 2022.
  3. Cover Letter: A cover letter describing the elements of the program that most interest you and how each element relates to your personal goals is also required.
  4. Letters of Recommendation: We request a minimum of one (two is preferred) of your three references should come from a preceptor who you have worked with in a clinical setting, related to an APPE in acute or ambulatory care. The clinical preceptor should be able to comment on your scope of responsibility, total patient load, level of autonomy, clinical abilities, and organizational and time management skills. All 3-reference writers should use the standard PhORCAS template to submit their candidate recommendation. An uploaded letter of recommendation is optional and not required.

Interviews

Application Reviews

Each PGY2 applicant packet is screened and scored by a member of the PGY-2-ID Resident Selection Committee. Screeners assess the following: communication skills, clinical experience (breadth, performance, scope of activity), personal/environmental factors (maturity, confidence, motivation, and adaptability), work experience, aggregate letters of recommendation, leadership/initiative, teaching (interest and/or experience), research (interest and/or experience), and interest in and suitability for a career in infectious diseases. The screening score is used to determine if an on-site interview will be granted. On-site interviews are offered to approximately 4-6 applicants each year.

Interviews

The interview process consists of panel and personal interviews with pharmacists and infectious diseases physicians, and a personal interview with the Residency Program Director. Lunch is provided with select current residents and clinical pharmacists, in addition to a campus and medical center tour.

PGY2 Infectious Disease interviews will be held on the following dates for the upcoming interview cycle:

  • N/A for 2023 recruitment cycle

Contact

Conan MacDougall, PharmD, MAS, BCPS, BCIDP

Residency Program Director, PGY2 Infectious Disease
Professor of Clinical Pharmacy, UCSF School of Pharmacy
Infectious Disease Pharmacist Specialist, UCSF Medical Center

Education and post-graduate training

Doctor of Pharmacy, University of California San Francisco (2002)
PGY1 Pharmacy Practice, Duke University Medical Center (2003)
PGY2 Infectious Disease, University of California San Francisco (2004)
Fellowship in Infectious Diseases – Virginia Commonwealth University (2005)
Master’s of Advanced Study in Clinical Research, University of California San Francisco (2008)

Contact

UCSF UC Hall Box 0622
533 Parnassus Ave
San Francisco CA 94143
FedEx only: use zip 94122

tel: 415-502-9573
[email protected]

Emily Kaip, PharmD, BCIDP, BCPS

Residency Program Coordinator, PGY2 Infectious Disease
Assistant Professor of Clinical Pharmacy, UCSF School of Pharmacy
Infectious Disease Pharmacist Specialist, UCSF Medical Center

Education and post-graduate training

Doctor of Pharmacy, University of Michigan College of Pharmacy (2019)
PGY1 Pharmacy Practice, University of California San Francisco (2020)
PGY2 Infectious Disease, University of California San Francisco (2021)
 

Contact

UCSF UC Hall Box 0622
533 Parnassus Ave
San Francisco CA 94143
FedEx only: use zip 94122

[email protected]