Rotation Schedule

At a minimum, each resident will spend two thirds or more of their time involved in direct patient care activities. PGY2 Pediatric residents must complete 5 core rotations which can be customized to accommodate a longer experience and may be repeated as "Part II" to incorporate advanced learning experience elements. Multiple electives may be selected based on the amount of time available after initial customization of core rotations. Repeat rotation electives for additional clinical focus are variable in length with a minimum of 2 - 3 weeks.

Specialty pathway residents (Critical Care or Oncology) will spend at least 50% of their year focused on their specialty field, and projects will be tailored (as possible) to focus on the specialty field.

• PGY2 Pediatrics with added Critical Care specialty pathway will include a minimum of 26 weeks in critical care areas including PICU, CICU, NICU (ICN) and Emergency Medicine as required rotations.  Additional required rotations include Gen Peds (3 weeks), Heme/Onc (3 weeks), Admin/Med Use Projects (7 weeks) with additional time for electives or rotation extension.
• PGY2 Pediatrics with added Oncology specialty pathway will include a minimum of 26 weeks in oncology areas including Heme/Onc I/II, BMT I, II, and Oncology Ambulatory Care as required rotations. Additional required rotations include Gen Peds (3 weeks), PICU (4 weeks), Admin/Med Use Projects (7 weeks) with additional time for electives or rotation extension.

Sequencing of Learning Experiences

Initial rotation sequencing is based on resident rotation preferences. Sequencing and scheduled learning experiences are modified and customized during the year based on resident interest and performance. Final elective rotation at the end of the year can be decided later in the year based on resident preference.

Core Rotations (PGY2 Pediatrics)

• General Pediatrics (4-5 weeks)
• Neonatal Intensive Care Nursery-ICN I (4 weeks)
• Pediatric Intensive Care Unit-PICU I (4 weeks)
• Cardiac Intensive Care Unit-CICU I (4 weeks)
• Hematology/Oncology I (5-6 weeks)
• Hospital Administration & Medication Use Projects (7 weeks)
• Pediatric Ambulatory Care Clinics (Cystic Fibrosis, Renal Transplant, Liver Transplant, Neurology) (5 weeks)

Longitudinal

• Pharmacy Operations (52 weeks)
• Education (Teaching & Precepting) (52 weeks)
• Research (52 weeks)
• Leadership Excellence (52 weeks)

Elective Rotations

• Bone Marrow Transplant I (4-5 weeks)
• Pediatric Infectious Disease I, II (3-4 weeks)
• Solid Organ Transplant/Transitional Care - Kidney, Liver, Heart (4 weeks)
• Emergency Medicine (5-6 weeks)
• Labor & Delivery and Obstetrics (2-4 weeks)
• Critical Care - PICU II, CICU II, ICN II
• Oncology/BMT - Heme/Onc II, BMT II
• Transitions of Care (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.

Staffing Areas

Operational staffing occurs longitudinally and takes place approximately every third weekend spanning throughout the residency year for a total of 16 weekends. Residents staff in the main pharmacy. Residents interested in additional chemotherapy satellite training may be trained and can staff in this area in addition to the main pharmacy. 

Project Selection

The Residency Program Director collects project proposal submissions from clinical pharmacists for consideration as a resident research project on an annual basis in the Spring. Projects are reviewed for feasibility, appropriateness of timeline, potential value that may focus on clinical pharmacist services, quality improvement initiatives such as drug safety, optimal medication use, cost effective drug use, and efficient, safe and effective medication preparation, delivery and administration. The Residency Program Director will reach out to the residents in early summer to start discussion of project selection.

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. Residents will participate in a research certificate whereby they attend structured research sessions throughout the year in guiding the successful completion of the research project.

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 residency session that precedes the ASHP Midyear Clinical Meeting. The final presentation occurs in spring as a platform presentation at the Spring PPA National meeting. Final research project write up should be in a format suitable journal submission.

Previous PGY2 Pediatrics Resident Research Projects

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:

• Precepting of PGY1, APPE, and IPPE students on clinical rotations and project-based work
• Large group teaching
  • Pediatric Elective Lecture
  • Continuing Pharmacy Education, UCSF Health
• Small group teaching
• Interprofessional education to nursing & physician groups
• Conference Leader for Pediatric Elective & Therapeutics courses
• Community outreach - Poison Prevention 

Overview

PGY2 Pediatric Pharmacy residents are integral members of the interprofessional emergency response care team. All PGY2 Pediatric Residents will become certified in Pediatric Advanced Life Support (PALS) and receive hands-on pediatric & adult code training. Residents respond to Code White (Pediatric), Code Blue (Adult), Seizure Rescue and participate in adult and pediatric stroke responses. During emergent response, residents ensure appropriate drug selection and administration, timeliness of medication retrieval and preparation, adjusting medication dosages and monitoring for response.

Simulation

PGY2 Pediatric Residents will participate in multidisciplinary mock codes throughout the year in both pediatric and adult clinical practice areas to practice their skills.