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Practice Residency: PGY-1
The Post Graduate Year 1 (PGY-1) pharmacy residency program at NewYork-Presbyterian Hospital is an ASHP accredited 12-month rotational program that begins in July. It is designed to provide pharmacy professionals with the knowledge and skills required to become leading clinicians in a dynamic healthcare field. Residents will have the opportunity to work alongside leading researchers and clinicians at the forefront of pharmacy practice and medicine.
This tertiary care facility, consisting of two primary centers affiliated with the medical colleges of Columbia and Cornell University and flagship for the 30 institutions comprising the NYPH Healthcare Network, offers four PGY-1 pharmacy residency positions. We offer a flexible program customized to each resident through our extensive clinical practice programs in adults and pediatrics including administration, ambulatory care, critical care, drug information, infectious diseases, internal medicine, nutrition, oncology, and solid organ transplantation (heart, lung, liver, kidney, pancreas). Competitive salary, benefits, and subsidized housing are provided.
The program consists of exposure to varying specialties through required and elective rotations. Residency rotations include:
Required Rotations - 32 weeks total
Orientation & Training - 4 weeks
Drug Information - 6 weeks
Internal Medicine - 6 weeks
Critical Care - 4 weeks
Infectious Diseases - 4 weeks
Pediatrics - 4 weeks
Practice Management - 4 weeks
Ambulatory Care - 1/2 day/wk for 10 weeks
Elective Rotations - 12 weeks total
Burn Unit - 4 weeks
Emergency Medicine - 4 weeks
HIV/AIDS - 4 weeks
Neonatal Intensive Care - 4 weeks
Nutrition Support - 4 weeks
Oncology/BMT - 4 weeks
Pediatric Critical Care - 4 weeks
Research - Liver Transplantation - 4 weeks
Solid Organ Transplantation - 4 weeks
(lung, liver, kidney, pancreas)
Time Off
Vacation - 10 days
Project Preparation - 5 days
Professional Days - 5 days
Holidays - 9 days
Rotations in Detail
Required Rotations (Intro)
Pharmacy Practice Residents will complete a 32-week mandatory rotational program in varying specialties. The rotations include Critical Care, Drug Information, Infectious Diseases, Internal Medicine, Pediatrics, Practice Management and Ambulatory Care.
Critical Care
This rotation is designed to allow for the development of the pharmaceutical approach to the critically ill patient. This will be accomplished by designing therapeutic regimens that incorporate the principles of evidence based medicine, implementing evidence based monitoring plans that effectively evaluate the patient's response to therapy, establishing a collaborative relationship with physicians and other health-care providers in the hospital, and participating in continuous adherence to the health-systems' medication use guidelines, policies, and procedures. The critical care rotation is offered in any of the following areas: Medical ICU, Surgical ICU, Cardiothoracic ICU, or Neurosciences ICU.
Drug Information
This rotation is designed to educate the resident on the function and role of a Drug Information Center in the setting of a large tertiary-care institution. The resident will be trained in effective methods of providing appropriate and applicable drug information to various members of the hospital community. Additionally, the resident will be oriented to the hospital network of committees and subcommittees overseeing the safe and appropriate use of medications and medication related issues. Upon completion of the rotation, the resident should be able to achieve proficiency in the use of all electronic and non-electronic resources for application in later rotations as well as understand the concepts of adverse drug reaction reporting and medication use evaluations.
Infectious Diseases
This rotation will provide the resident with a general understanding of the etiology, pathophysiology, treatment, and prognosis of common infectious diseases. The resident will be working with the adult infectious disease consult service. The objective of this rotation is to develop the skills and competencies needed to provide quality pharmaceutical care in patients with infectious diseases. This will be accomplished by demonstrating a general knowledge of the anti-infective agents and their roles in the treatment of infectious diseases, by understanding the relationship between pharmacokinetics and pharmacodynamics of anti-infectives and how each relates to the selection of an appropriate drug therapy regimen, and by designing therapeutic regimens that incorporate the principles of evidence based medicine with a special emphasis on rational use and monitoring of anti-infective agents.
Internal Medicine
This rotation is designed to allow for the development of the pharmaceutical approach including understanding the etiology, pathophysiology, treatment, and prognosis of common internal medicine disease states. This will be accomplished through designing therapeutic regimens that incorporate the principles of evidence-based medicine and implementing evidence based monitoring plans that effectively evaluate the patient's response to therapy. The resident will be assigned to the care of patients followed by the adult internal medicine service.
Pediatrics
The pediatric rotation is designed to allow for the development of the pharmaceutical approach to the general pediatric patient. Pediatric and adolescent patients have special pharmaceutical care needs because of the changes that occur as they mature. This is further complicated by the unavailability of reliable information regarding appropriate dosing. More than 75% of medications carry the FDA warning, safety and efficacy in children have not been established. Ethical, logistical and technical difficulties hamper conducting well-designed pediatric trials. This often times forces a clinician to extrapolate information from results obtained from adult trials. The need for adjustments in the dose and dosage interval changes as the child matures, resulting in the need for careful drug therapy and monitoring. These challenges and limitations will be discussed. Common pediatric disease states and drug therapy topics (such as the pharmacokinetic and pharmacodynamic differences between children and adults) will also be reviewed. Emphasis will be placed upon the rational use of drug therapy in the patient treatment plan.
Practice Management
The goal of this rotation is for the resident to gain an understanding in various administrative roles and management theories within a large teaching institution. The resident will be exposed to practice management, drug policy, drug acquisition, and pharmaceutical outcomes. Within these areas, concepts such as organizational structure, quality assurance, developing goals and strategies, evaluation of pharmacy services, and performance improvement will be reviewed. Other activities include budget and financing, purchasing and contracts, and compliance with regulatory agencies.
Ambulatory Care - Hematology & Oncology
This rotation is designed to provide an introductory experience to the care of ambulatory hematology/oncology patients comprising of acute and chronic leukemia, lymphomas, and various solid tumors with the goal of developing the skills and competencies needed to provide good pharmaceutical care. The resident will choose which area of hematology/oncology that they would prefer to spend their time and based on that, the resident will be assigned to a particular clinic time one-half day per week. The resident will provide direct care to patients seen in clinic by optimizing their drug therapy.
Ambulatory Care - Pediatric Pulmonology
This rotation is designed to provide an introductory experience to pediatric pulmonology. The clinic, located at the Morgan Stanley Children's Hospital offers care to a large pediatric asthma population. The resident will be responsible for provision of drug information to nursing/pharmacy/physician staff, patient/family education, drug therapy monitoring, and creating computerized medication lists for pediatric outpatients seen during the resident's clinic day. The resident will be assigned to a specific clinic time one-half day per week for 10 weeks.
Ambulatory Care - Solid Organ Transplant
This rotation is designed to provide an introductory experience to the care of ambulatory solid organ transplant recipients. All adult solid organ transplant recipients (heart, lung, liver and kidney) are seen in the comprehensive transplant clinic pre and post transplantation. The Beverly and Arthur Shorin Comprehensive Outpatient Transplant Center, located in the Presbyterian Hospital, is comprised of 12 examination rooms, an infusion suite, a biopsy suite, an infusion pharmacy and several counseling rooms. At the Weill Cornell Center, residents will see patients at The Jack Dreyfus Clinic of the Rogosin Institute, where the pre- and post-kidney and pancreas transplant recipients are seen. Residents will participate in the management of the transplant patients' medication regimens, observe visits with the transplant physicians, provide patient counseling, and provide drug information services to the transplant clinic team. The resident will be assigned to a specific clinic time one-half day per week for 10 weeks.
Elective Rotations (Intro)
In addition to 32 weeks of mandatory rotations, residents also gain exposure to 12 weeks of elective rotations from pharmacy specialties including the Burn Unit, Emergency Medicine, Hematology/Oncology, HIV/AIDS, Neonatal Intensive Care, Pediatric Intensive Care, Solid Organ Transplant and Specialized Nutritional Support.
Burn ICU
This rotation offers the resident the opportunity to develop knowledge and skills necessary to provide pharmaceutical care to burn patients. The resident will round daily with a multidisciplinary team that offers comprehensive treatment for the three phases of burn-injury care: burn shock, wound care/surgery, and rehabilitatation/reconstruction. The William Randolph Hearst Burn Center at NewYork-Presbyterian Hospital/Weill Cornell Medical Center is a 45-bed unit that treats more than 1,300 adult and pediatric inpatients annually.
Emergency Medicine
The Emergency Medicine rotation offers the resident an opportunity to develop the knowledge and skills necessary to provide pharmaceutical care to patients in an emergent care situation. This will be accomplished through participation with the health care team by offering complete medication and allergy histories, drug and toxicology information, code participation, and medication selection.
Hematology/Oncology
This rotation is designed to provide an introductory experience to hematology/oncology patients comprising of acute and chronic leukemia, lymphomas, and various solid tumors, with the goal of developing the skills and competencies needed to provide good pharmaceutical care. The resident will be assigned to care for all of the patients on one of the Hematology/Oncology services while participating in daily rounds and managing the drug therapy of those patients.
HIV/AIDS
This rotation will provide the resident with an introduction to the care of patients infected with HIV including a general understanding of HIV disease, antiretroviral therapy, and opportunistic infections. It will allow for the development of the skills and competencies needed to provide quality pharmaceutical care in patients with HIV. This will be accomplished by demonstrating a general knowledge of the natural history and lifecycle of HIV, by understanding the pharmacology of individual antiretrovirals and their use in combination regimens, by understanding the etiology, treatment, and prophylaxis of opportunistic infections, by designing therapeutic regimens that incorporate the principles of evidence based medicine with a special emphasis on rational use and monitoring, and by understanding the etiology and treatment of secondary problems seen in HIV patients. The resident will be assigned to the care of patients followed by the inpatient infectious diseases/HIV service at NewYork-Presbyterian Hospital/Columbia University Medical Center.
Neonatal Intensive Care
This elective rotation is designed to provide an introductory experience to the pharmaceutical care of the critically ill neonate. The goal of this rotation is for the resident to develop the skills and competencies in pharmaceutical care as it relates to neonates, enabling the resident to effectively participate in therapeutic decision making, drug therapy selection, and monitoring of this patient population.
Pediatric Intensive Care
This rotation is designed to allow the resident to build on the knowledge achieved during the general pediatric rotation and gain experience and proficiency in the pharmaceutical care of critically ill children ranging from newborns to older adolescents. Residents will be exposed to a wide variety of diagnoses including but not limited to trauma, postoperative care, and critically ill oncologic patients.
Solid Organ Transplantation
This rotation is designed to provide an introductory experience to the pharmaceutical approach to solid organ transplant recipients. The resident will be assigned to care for patients on one of the transplant services (liver transplant or lung transplant services at Columbia University Medical Center; kidney/pancreas transplant service at Weill Cornell Medical Center) while participating in daily rounds and managing the drug therapy of those patients. Residents will become familiar with immunosuppressant pharmacotherapy as well as medical issues that surround a transplant patient. In addition, residents provide discharge counseling to transplant patients.
Specialized Nutrition Support
This rotation is designed to provide the resident with a basic understanding of the role of nutrition support in the clinical setting with an emphasis on the relationship of nutrition support to pharmaceutical and other therapies. The rotation will also illuminate the role of the pharmacy practitioner in specialized nutrition support. The resident will learn to analyze the nutrition therapy for neonatal, pediatric and adult patients receiving parenteral nutrition (PN) support as well as participating in rounds and managing the nutrition therapy of those patients.
Residency Requirements
Candidates must meet special requirements for acceptance into the residency program. All candidates must possess a Doctor of Pharmacy degree from an accredited institution, as well as obtain a New York State pharmacy intern permit prior to the start of the residency program. All residents must also be eligible for New York State licensure and sit for the New York State Boards, law and compounding exams in June prior to the start of the residency year. The candidate will need to provide a college transcript, curriculum vitae, three letters of recommendation, and participate in an on-site interview.
To Apply
To apply for a Pharmacy Residency at NewYork-Presbyterian Hospital, please see the related links on the right. (Applications are in PDF format)
Contact
- Adrianne Hewryk, Pharm.D.
- Program Director
- PGY-1- Pharmacy Residency Program
- Department of Pharmacy
- NewYork-Presbyterian Hospital/Weill Cornell
- 525 East 68th Street, Room K-04
- New York, NY 10065
- Phone: (212) 746-0744
- Fax: (212) 746-8506
- E-mail: adh9010@nyp.org
