Purpose
The UCSF PGY2 residency program builds upon Doctor of Pharmacy (PharmD) education and PGY1 pharmacy residency training to develop pharmacist practitioners with knowledge, skills, and abilities as defined in the educational competency areas, goals, and objectives for advanced practice areas. Residents who successfully complete PGY2 residency programs are prepared for advanced patient care or other specialized positions, and board certification in the advanced practice area, if available.
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, opportunistic infections, and conduct clinical research. The resident will also have the opportunity to manage pediatric abdominal transplant recipients. 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 and research certificate program.
UCSF is home to one of the largest kidney and liver transplant programs in the nation. UCSF consistently has been one of the most active kidney transplant programs in the United States, performing over 400 kidney transplants annually. The liver transplant program has a one-year survival rate of 96%, which is above the national average of 92% even when adjusted for high-risk patients, and is also one of the largest, with about 200 liver transplants performed each year. UCSF also has a large living kidney and liver donor program and is one of the few centers that perform transplants in HIV positive individuals. 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, performing about 80 transplants each year. The heart transplant program is growing, performing about 50 heart transplants each year, including combined heart and kidney transplants. 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
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 4 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
- Orientation (3 weeks)
- Heart Transplant I (4 weeks)
- Lung Transplant (8 weeks)
- Kidney Transplant I (4 weeks)
- Liver Transplant I (4 weeks)
- Outpatient Clinics (4 weeks)
- Transplant Infectious Diseases (3 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 Transplant II (4-6 weeks)
- Kidney Transplant II (4-6 weeks)
- Liver Transplant II (4-6 weeks)
- Pediatrics (TCUP/DOTS) (4 weeks)
- Adult Stem Cell Transplant and Cellular Therapy (4 weeks)
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 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 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 focuses 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 have the option to 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 can enroll in the Designing Clinical Research (DCR) 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. Residents with research experience have the option of enrolling into the Introduction to Statistical Computing in Clinical Research Course for using STATA in lieu of the DCR 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. 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
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 |
Jose Lazo | Genotyping Predicts Osteoporosis Risk after Lung Transplant |
Thu Le | Tolerability of De Novo and Conversion Belatacept Regimen in Kidney Transplantation |
Rachael Gordon | Evaluation of Crushed Posaconazole Delayed Release Tablets in Lung Transplant Recipients |
Mariam Ali | Impact of Pre-Transplant Pharmacist Evaluations on Hepatitis B and Herpes Zoster Vaccination Rates |
Ashley Hua | Evaluating the influence of active cytomegalovirus infection on donor-derived cell-free DNA levels and gene expression profiling in heart transplant recipients |
Lauren Richey | Outcomes of basiliximab induction in simultaneous liver/kidney transplantation |
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
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 preceptors and the Residency Program Director.
The Open House has already occurred. Dates for next year’s event will be announced in early fall.
Contact
David Quan, PharmD, BCPS
Residency Program Director, PGY2 Solid Organ Transplant
Solid Organ Transplant Pharmacist Specialist, UCSF Medical Center
Health Sciences Clinical Professor of Pharmacy, UCSF School of Pharmacy
Education and post-graduate training
Doctor of Pharmacy, University of California, San Francisco (1991)
PGY1 Pharmacy Practice, UCSF Medical Center (1992)
Contact
UCSF Box 0622
505 Parnassus Ave
San Francisco CA 94143
tel: 415-353-9942
[email protected]
Althea Han, PharmD, BCPS
PGY2 Solid Organ Transplant Residency Program Coordinator
Transplant Clinical Pharmacist, UCSF Medical Center
Assistant Clinical Professor, UCSF School of Pharmacy
Practice area: Adult Liver, Kidney, and Pancreas Transplant Inpatient Service
Education and Post-Graduate Training
Doctor of Pharmacy, University of California, San Diego (2018)
PGY1 Pharmacy, University of California, San Francisco (2019)
Contact
533 Parnassus Avenue, Box 0622, San Francisco, California 94143
Phone: 415-353-4452