PGY2 Infectious Disease

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

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 nine 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. 

Sample Resident Schedule

Note: rotations frequently overlap across months

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 

UCSF Medical Center 

4 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 

4 weeks 

Residents assume greater responsibility for clinical care and precepting 

Antimicrobial Stewardship Administration 

UCSF Medical Center 

4 weeks 

  

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 

 

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 throughout 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 in 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. 

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 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 

Virtual Open House

An annual open house event is offered in the fall for interested applicants. Attendees will have the opportunity to meet and ask questions of current and former residents, preceptors, and the Residency Program Director.

The Open House has already occurred. Dates for next year’s event will be announced in early fall.