Developing the future emergency medicine clinical pharmacist
After completing the 12-month PGY-2 Pharmacy Residency in Emergency Medicine at Mayo Clinic Hospital — Rochester, residents will be proficient independent practitioners capable of providing advanced pharmaceutical care in emergency medicine and toxicology.
The purpose of the PGY-2 Pharmacy Residency in Emergency Medicine at Mayo Clinic Hospital — Rochester is to build on doctor of pharmacy education and PGY-1 pharmacy residency programs to contribute to the development of clinical pharmacists in specialized areas of practice. This PGY-2 residency provides 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 that improves medication therapy. Residents who successfully complete an accredited PGY-2 pharmacy residency should possess competencies that qualify them for clinical pharmacist and/or faculty positions and position them to be eligible for attainment of board certification in the specialized practice area (when board certification for the practice area exists).
The program provides the high-quality didactic and clinical experiences needed to create a well-rounded, fully competent clinical pharmacist. PGY-2 emergency medicine pharmacy residents:
- Develop expertise, knowledge and skills in an emergency department environment
- Contribute to an interdisciplinary health care team by participating in all resuscitation team activations, including trauma, stroke, shock, overdose, acute coronary syndrome, cardiopulmonary resuscitations and procedural sedation
- Recommend patient-specific therapeutic interventions to treat emergent and urgent situations
- Efficiently and effectively provide accurate, reliable and evidence-based drug information to the interdisciplinary emergency department team, patients and families
- Evaluate patients' home medication regimens as a possible contributing factor to the emergency department visit
- Facilitate the procurement, dosing and administration of medications in the emergency department
- Help provide a seamless transition from home medications to inpatient medical treatment through medication reconciliation
- Enhance skills in conducting clinical research
- Strengthen communication skills by presenting formal and informal lectures, writing a professional manuscript, and leading interdisciplinary discussions
The PGY-2 emergency medicine residency provides opportunities for advanced training in all areas related to emergency medicine, including critical care, toxicology and emergency preparedness. During each learning experience, residents work closely with their preceptors, highly qualified pharmacists, emergency department physicians and other allied health care professionals.
The PGY-2 Pharmacy Residency in Emergency Medicine at Mayo Clinic Hospital — Rochester was accredited by the American Society of Health-System Pharmacists (ASHP) in 2008 and has produced respected clinicians who practice across the U.S. The residency program is continuously evaluated for improvement opportunities to ensure graduates make a seamless transition into clinical practice. One candidate a year is selected on a competitive basis.
Preceptors for the PGY-2 emergency medicine residency provide direct patient care and are actively involved in resident teaching and other scholarly activities. The preceptors come from diverse backgrounds and share numerous years of experience, clinical knowledge and research interests. Residents have direct access to preceptors and mentors to optimize the learning experience.
More than 100 pharmacists at Mayo Clinic are certified by the Board of Pharmacy Specialties in various practice areas. All residency program preceptors meet the qualifications outlined by the ASHP.
Education for this residency occurs primarily at the Mayo Clinic Hospital, Saint Marys Campus a 1,265-bed hospital. The institution is fully verified as a Level I Trauma Center and Level I Pediatric Trauma Center by the American College of Surgeons, and as a Comprehensive Stroke Center.
The emergency department is staffed by nearly 50 staff emergency physicians, 25 emergency medicine physician residents, and more than 200 nurses and allied health care staff. The department's pharmacy team consists of emergency department clinical pharmacists, a clinical pharmacy specialist and the emergency medicine pharmacy resident.
Currently, emergency department pharmacy services are provided 16 hours a day during the week with some double-coverage and overlapping shifts, and 12 hours a day on weekends.
The newly renovated emergency department consists of 74 beds, with universal rooming. All rooms are equipped to handle all levels of patient acuity, and to perform intubations and procedures. The emergency department is divided into seven functional areas, including center, east, west, pediatrics, north (observation), south (psychiatry) and resuscitation bays.
Approximately 80,000 patients from a wide geographical area are seen annually, with a significant geriatric and pediatric population. Patients present to the emergency department from the local community, states in the region, and around the country and the world. Patient acuity and complexity are high; greater than 30 percent of patients are admitted, of which half go to the intensive care unit. Emergency department throughput is consistently the fastest among all teaching hospitals in the country, with a median length of stay of approximately 3.5 hours.
Nov. 10, 2016