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UNC REX PGY2 Residency in Cardiology

PGY2 Pharmacy Residency Program in Cardiology Purpose Statement

NC Heart & Vascular Hospital procedure room

PGY2 pharmacy residency programs build on Doctor of Pharmacy (PharmD) 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.


PGY2 Program Description

UNC REX Healthcare is the largest community hospital in the UNC Healthcare system. We are an accredited primary stroke and chest pain center, and a Bariatric Center of Excellence as well as a comprehensive community Cancer Center. We are the only hospital in Wake County to earn an above average rating for heart attack survival and the only hospital in the Triangle region to earn a 5-star rating from the Centers of Medicare Services. UNC REX Healthcare is a premier hospital for acute cardiac care and the main regional referral center. We have a full-spectrum of emergency cardiac care programs, such as IABP, PVAD, CABG, adult ECMO, as well as structural heart disease procedures, TAVR, Mitral clip, WATCHMAN, and state-of-the-art cardiac catheterization labs, diagnostic, and screening technology. UNC REX’s N.C. Heart & Vascular Hospital was named to Fortune and IBM Watson Health’s 2021 list of the nation’s top 50 Cardiovascular Hospitals. It was the fourth straight year UNC REX made the list.  The Heart & Vascular Hospital has also been the recipient of the prestigious Chest Pain Registry Platinum Performance Achievement Award for two consecutive years granted by National Cardiovascular Data Registry (NCDR).

The PGY2 resident in cardiology at UNC REX Healthcare will provide cardiovascular pharmacy services within inpatient critical care, intermediate care, and procedural patient care areas. In the outpatient setting, the PGY2 resident in cardiology will work within the Clinical Pharmacist Practitioner model by providing daily service in the areas of cardiovascular medication management and monitoring.


About the Site

NC Heart & Vascular Hospital collage of building and patients

he new North Carolina Heart & Vascular Hospital opened in March 2017. This eight-story, 306,000 square foot building will bring together UNC REX Healthcare's Heart and Vascular services in one location.

Every aspect of the facility was designed with the comfort of patients and their families in mind. The design is based on research, best practices and input from UNC REX Healthcare patients, physicians, clinicians and caregivers.

In addition, the hospital has the latest technology for patient care and procedures, as well as a state of the art learning institute and demonstration kitchen. Dedicated education space will make it easier for UNC REX Healthcare physicians to continue providing education to other physicians throughout the world, add educational programs for patients and the community, and increase in-house training and education for staff. Highlights of the heart and vascular hospital include:

  • 114 Private patient rooms
  • 72 Intermediate/telemetry beds
  • 22 Cardiovascular surgery intensive care beds
  • 20 Cardiovascular intensive care beds
  • 22 Acuity adaptable beds
  • 8 Cardiac catheterization (cath), vascular and interventional radiology labs
  • 2 Electrophysiology labs
  • 2 Hybrid procedure rooms
  • 10-bed post-acute care unit (PACU)
  • 48-bed prep and recovery unit
  • Cardiology, vascular medicine and surgery, and cardiac surgery clinics
  • Inpatient dialysis care
  • Cardiac rehabilitation facility

PGY2 Program Design

The following schedule represents an overview of the expected rotations and an approximation of the time commitment for each area. Please see individual rotation experience documents for specific duties and outcomes, goal, and objectives that will be evaluated.

Required Rotations: (9 months)

  • Orientation (1 month)
  • General Cardiology (2 months)
  • Cardiothoracic surgery ICU (1 month)
  • Cardiac Medicine ICU (2 months)
  • Vascular medicine/Cardiology Ambulatory care (2 months)
  • Research Project/TOC (1 month)

Elective Rotations: (choose 3)

  • Cardio-Oncology (1 month)
  • MSICU (1 month)
  • Neurosurgery ICU(NSICU) (1 month)
  • Emergency Medicine (1 month)
  • Admin (1 month)
  • Advanced HF/Transplant/VAD (UNC MC) ( if available)

Longitudinal Experiences:

  • Research Project( 3 weeks of project in December)
  • Transition of Care/Structural Heart (every Thursday of the week and one week in December on 6HV/TOC)
  • Code Blue Longitudinal Experience
  • Heparin Induced Thrombocytopenia (HIT) on-call management program
  • Inpatient Cardiology Quality Assurance:
        • Fall-Anticoagulation monitoring service
        • Spring-Antiarrhythmic/EP monitoring service
    NC Heart & Vascular Hospital procedure monitor


    Staffing Experience

    • The resident will staff every 4th weekend in the clinical critical care and cardiology patient care areas, and be on-call for vascular service when on ambulatory care rotation. The resident will staff every Thursday from 1pm-8pm (12hr shift) in the Heart Failure clinic and complete structural heart disease patient follow up visits. The resident will also participate in the HIT on-call management program.

    Teaching Experience:

    • Primary preceptor for 2 advanced practice students on cardiology rotations and critical care cardiology (general cardiology second month and CICU second month).
    • The PGY2 resident in cardiology will co-precept PGY1 residents on Cardiology I (general cardiology second month) and Critical Care II (CICU second month) rotations if available. Precepting PGY1 means being the first phone call, topic discussion leader, etc.
    • Teaching opportunities at the school of pharmacy (Campbell or UNC) will be available as small and large group teaching sessions for the skills lab.
    • A teaching certificate program is available through Campbell and UNC for those who have not completed one.
    • The resident will present continuing education on cardiology topics to interdisciplinary teams, including providers, nursing, pharmacy and pharmacy technicians. Education of patients and family members on disease states and therapy plans is offered as a core experience on multiple rotations, including primary care.

    Leadership:

    • The resident will select and lead initiatives for cardiovascular services at UNC REX Healthcare, be involved in quality assurance and education of pharmacy department, and participate and present at the cardiovascular service line meetings.

    Meetings:

    • The PGY2 cardiology resident will attend local pharmacy meetings (e.g. NCAP), health system meetings, as well as 2 national meetings, including ASHP Midyear and either ACC, ACCP, HFSA, or SCCM meeting. The resident may participate in recruiting events for PGY1 and PGY2 residencies and attend residency showcases as needed.

    Benefits:

    Leave Availability

    The resident earns Paid Time Off (PTO) at the same rate as a new co-worker. PTO is earned every two weeks, coinciding with pay periods. If time off from the residency is taken for any reason except funeral leave, (holiday, vacation, absence), PTO will be used.

    The resident may be granted up to 10 days of education leave for the ASHP Midyear and SCCM meetings.

    Health Insurance

    Residents are eligible for a comprehensive benefits package including Medical, Dental, Vision, Flexible Spending Accounts/Health Savings Account, 403(b), 529 Plan, Life Insurance, Tuition Assistance, Paid Time Off, EAP, as well as a travel stipend for meetings.

    Parking

    Onsite complimentary parking is available on the hospital campus.

    Other Benefits

    • Complimentary and required Advanced Cardiac Life Support (ACLS) and Basic Life Support (BLS) training
    • Dedicated office space
    • Monogrammed lab coats
    • Vocera wireless badge phones
    • UNC-issued laptop
    • Complimentary access to the Wake AHEC Digital Library
    • Complimentary mobile access to Lexicomp and Pharmacist’s Letter
    • Opportunities to participate in select Learning and Organizational Effectiveness classes
    • Discounted access to our comprehensive Rex Wellness Centers
    • Discounted meals from our award winning chefs!
    • Merchandise discounts at select retailers

    Qualifications:

    • Doctor of Pharmacy degree from ACPE accredited school of pharmacy, AND
    • Completed ASHP-accredited PGY-1 residency in pharmacy practice, AND
    • License to practice pharmacy in the state of North Carolina as of July 1
    • On-site interview

    How to Apply

    The application deadline is January 1, 2022. Complete applications include the following:

    • An application form submitted through the PhORCAS Application Portal
    • Letter of intent
    • Curriculum Vitae
    • Pharmacy college transcripts
    • Three PhORCAS Standardized Recommendations

    All applicants much be registered with the National Matching Service. Employment application will be required after match results are posted.

    Contact Information for PGY2 Cardiology Program:

    Oksana Kamneva, PharmD, BCPS, BCCP, BCCCP
    Critical Care and Cardiovascular Pharmacy Clinical Coordinator
    Director of PGY-2 Pharmacy Residency in Cardiology
    Department of Pharmacy
    UNC REX Healthcare
    4420 Lake Boone Trail, Raleigh, NC 27607
    (919) 784-3274

    For more information contact:

    Oksana KamnevaOksana Kamneva, PharmD, PharmD, BCPS, BCCP, BCCCP

    Critical Care and Cardiovascular Pharmacy Clinical Coordinator
    PGY2 Program Director