PGY2 Specialized Residency: Solid Organ Transplant

 

Welcome

Purpose

The UCSF PGY2 Solid Organ Transplant Pharmacy Residency 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

The PGY2 Solid Organ Transplant Pharmacy Residency is an American Society of Health System Pharmacists (ASHP) accredited residency program. Graduates of the PGY2 Solid Organ Transplant Pharmacy Residency are prepared to manage heart, lung, kidney, pancreas, and liver transplant recipients in inpatient and outpatient settings, as well as patients with viral hepatitis infection, and conduct clinical research. Teaching is an integral component of the program, as UCSF Health is affiliated with the UCSF School of Pharmacy. The resident will also have the option to complete a teaching certificate program.

UCSF is home to one of the largest kidney and liver transplant programs in the nation. UCSF consistently has been the most active kidney transplant program in the United States, performing approximately 340 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 180 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 also has one of the most successful lung transplant programs in the nation 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 at the Parnassus campus of UCSF Health, and pediatric transplant services are performed at the UCSF Benioff Children’s Hospital.

Learning experiences

Rotations

Rotation schedule

Each resident will spend two thirds or more of their time involved in direct patient care activities. All residents receive orientation and training in July before embarking on clinical rotations. All residents will be assigned 7 core blocks, and may select from 6 elective learning experiences. Core rotation blocks are approximately 4 weeks in duration. Longitudinal administrative responsibilities and committee work extend throughout the year.

Sequencing of learning experiences

The PGY2 Solid Organ Transplant Pharmacy Resident receives orientation to solid organ transplant specific activities and operations in the first three weeks of the program. Core rotational learning experiences are preferred prior to elective courses. Sequencing and scheduled experiences are modified during the year based on changes in resident interest and customization based on interests and/or performance.

Core rotations

  • Heart-Lung Transplant I (4 weeks)
  • Kidney Transplant I (4 weeks)
  • Liver Transplant I (4 weeks)
  • Outpatient Clinics (4 weeks)
  • Transplant Infectious Diseases (3 weeks)
  • Pediatrics (TCUP/DOTS) (4 weeks)
  • Bone Marrow Transplant (4 weeks)

Longitudinal

  • Longitudinal Research Project (approximately 11 months)
  • Longitudinal Quality Improvement (approximately 11 months)
  • Longitudinal Teaching (approximately 11 months)
  • Longitudinal Operations (approximately 11 months)

Electives

  • Heart-Lung Transplant II (4 weeks)
  • Kidney Transplant II (4 weeks)
  • Liver Transplant II (4 weeks)
  • Investigational Drug Service (2 weeks)
  • Hepatitis C Clinic (2 weeks)

Staffing

Operational training

The PGY2 Solid Organ Transplant pharmacy resident receives comprehensive training in each of the operational areas during orientation, including formalized training in sterile compounding and aseptic technique.

Staffing blocks

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 PGY2 Solid Organ Transplant Pharmacy Resident will receive project proposal submissions from the transplant pharmacy preceptors and faculty for considerations as a research project. Projects are rigorously reviewed for feasibility, and appropriateness of timeline for the resident research process by the Residency Advisory Committee for Solid Organ Transplant. The list developed in this forum focus on clinical outcomes in the management of solid organ transplant patients, the value of clinical pharmacist services, and/or focus on quality improvement initiatives. The vetted projects will be presented to the resident during orientation and selected by the resident based upon interest.

Research training

PGY2 Solid Organ Transplant pharmacy 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. 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.

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. They are also presented as posters at the Vizient Consortium Pharmacy Network Meeting that precedes the ASHP Midyear Clinical Meeting. Residents will also submit their research for consideration at a national transplant conference.

Resident research projects (Class of 2018)

Erik Henricksen

Polymorphisms in the KCNJ11 Gene are Associated with New Onset Diabetes After Lung Transplantation

Allison Barnes

Influence of Genetic Polymorphisms of Mycophenolate Mofetil Dose Tolerance in Lung Transplant Patients

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
  • Interprofessional education
  • Small group facilitation
  • Precepting IPPE and APPE students on clinical rotations and project-based work

Salary & benefits

Salary

$57,000 per year, paid monthly

Insurance

Medical/Dental/Vision Plan and Professional Liability Insurance

Vacation / professional / sick leave

All residents will receive 10 days of paid vacation, and 10 days of paid professional leave. Professional leave may be used to attend professional meetings, and for post-graduate or professional job interviews. Additionally, all residents will receive up to 12 days of paid sick leave per academic year.

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

July 8, 2019 to July 7, 2020

Positions available

PGY2 Solid Organ Transplant (NMS 748276) – 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
    • Personnel Placement Services (PPS)

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: www.nabp.net.

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 December 31st.
  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 and comment on a minimum of 7 of the 13 listed candidate characteristics.

On-site interviews

Application reviews

Each PGY2 applicant packet is screened and scored by 2 members of the Solid Organ Transplant Pharmacy Team and the PGY2 Solid Organ Transplant Residency Program Director (RPD). Screeners assess the following: communication skills, clinical experience (breadth, performance, scope of activity), personal/environmental factors (maturity, confidence, motivation, and adaptability), and work experience, letters of recommendation, leadership/initiative, teaching (interest and/or experience), research (interest and/or experience), extracurricular involvement and academic performance. Invitations for an on-site interview will be sent out in January.

On-site interviews

The interview process consists of a panel interview and a personal interview with the PGY2 Solid Organ Transplant Residency Program Director. Applicants are asked to prepare in advance a 15-20 minute presentation on a solid organ transplant topic. Lunch is provided with select current residents and clinical pharmacists, in addition to a campus and medical center tour

PGY2 Solid Organ Transplant interviews will be held on the following dates for the upcoming interview cycle:

  • Friday, February 1, 2019
  • Friday, February 8, 2019
  • Monday, February 11, 2019
  • Friday, February 22, 2019
  • Tuesday, February 26, 2019

Contact

David Quan, PharmD, BCPS
Residency Program Director, PGY2 Solid Organ Transplant
Solid Organ Transplant Pharmacist Specialist, UCSF Medical Center
Associate Clinical Professor, UCSF School of Pharmacy

Education & Post-Graduate Training

Doctor of Pharmacy, University of California, San Francisco (1991)
PGY1 Pharmacy Practice, UCSF Medical Center (1992)

Contact

UCSF UC Hall Box 0622
533 Parnassus Ave
San Francisco CA 94143

tel: 415-353-9942
[email protected]