Pharmacy residency program

Our residency program follows the HCA Healthcare mission statement that “Above all else, we are committed to the care and improvement of human life.” At HCA Healthcare, we put our patients first and affirm the unique worth of each individual. Exceptional healthcare is built on a foundation of inclusion, compassion and respect for our patients and for each other.

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This year two PGY1 Pharmacy Residency positions are being offered. The program starts on June 24, 2024 and end on June 30, 2025. Residents complete 6 required concentrated rotations and choose 4 elective rotations (listed below) for a total of 10 concentrated rotations.

Number of PGY1 positions offered: 2

Standard rotation length: 5 weeks

Required longitudinal rotations

• Code Blue Emergencies
• Continuing Education Seminar
• Drug Information/Clinical Management
• Medication Use Evaluation
• Operational Pharmacy Practice – Chippenham
• Operational Pharmacy Practice – Johnston Willis
• Project

Required rotations

• Adult Psychiatry
• Critical Care (Selective Rotation- Cardiology, Medical Critical Care – Chippenham, or Medical/Surgical Critical Care – Johnston Willis)
• Infectious Diseases
• Internal Medicine (Chippenham or Johnston Willis)
• Orientation
• Practice Management

Elective rotations available

• Cardiology (if not picked for critical care selective)
• Cardiovascular Surgery
• Emergency Medicine – Chippenham
• Emergency Medicine – Johnston Willis
• Family Medicine
• Infectious Diseases Consult Service or Stewardship
• Medical Critical Care – Chippenham (if not picked for critical care selective rotation)
• Medical/Surgical Critical Care – Johnston Willis (if not picked for critical care selective rotation)
• Neonatal Intensive Care
• Neuroscience Critical Care
• Oncology and Hematology
• Pediatrics
• Pharmacy APPE Student Teaching (required if completing TLC)
• Psychiatry - Pediatric/Adolescent or Geriatrics
• Teaching and Learning Certificate (longitudinal)
• Trauma/Surgical Critical Care

Longitudinal rotations

Code Blue emergencies

• 53-week rotation duration
• The resident is responsible for responding to all Code Blue responses during the hours of 0800-1630 Monday through Friday on their assigned block. The assigned block is contingent on the concentrated rotation schedule. The resident will be provided the code blue coverage block schedule for the year at the beginning of the residency year.
• The expected amount of time in assigned blocks is 36 weeks, interspersed over the residency year and co-occurring with other concentrated and longitudinal rotations.

Continuing education seminar

• 53-week rotation duration
• The resident is responsible for creating and presenting a CE seminar.
• The cumulative amount of time expected for this rotation is 12 weeks, interspersed over the residency year and co-occurring with other concentrated and longitudinal rotations. There is not a specific time scheduled on a recurring basis.

Drug information/Clinical Management rotation

• 53-week rotation duration
• Drug information/Clinical Management rotation will meet every third Friday morning prior to operational practice. Changes to this schedule will be clearly communicated by the preceptor to the resident.
• Longitudinal projects are required including but not limited to adverse drug reaction reporting and minute-taking for clinical pharmacy-related meetings. An additional four weeks is required to complete these longitudinal projects, interspersed over the residency year and co-occurring with other concentrated and longitudinal rotations.

Medication use evaluation

• 53-week rotation duration
• The resident is responsible for designing, creating, and presenting an MUE at ASHP Midyear Clinical Meeting.
• The cumulative amount of time expected for this rotation is 26 weeks, interspersed over the residency year and co-occurring with other concentrated and longitudinal rotations. There is not a specific time scheduled on a recurring basis.

Operational pharmacy practice – Chippenham

• 26-week rotation duration
• Residents will staff an 8-hour shift (1200-2030) every third Friday. This schedule will be provided during orientation of the residency year.
• Residents will staff an 8-hour shift (1000-1830) every third Saturday. This schedule will be provided during orientation of the residency year.
• Residents will staff an 8-hour shift (1000-1830) every third Sunday. This schedule will be provided during orientation of the residency year.
• The expected amount of time for this rotation is 4 weeks, interspersed over 26 weeks of the residency year and co-occurring with other concentrated and longitudinal rotations.
• The resident must complete at least 40 operational practice shifts between Chippenham and Johnston-Willis Campuses by the end of the residency year.
• The annual service commitment includes three holidays
• Thanksgiving and the day after Thanksgiving: 11/28/2024 + 11/29/2024
• Memorial Day: 5/26/2025
• Residents may choose to take PTO (as per Human Resources requirements) for non-required holidays or may volunteer to work

Operational pharmacy practice – Johnston-Willis

• 26-week rotation duration
• Residents will staff an 8-hour shift (1200-2030) every third Friday. This schedule will be provided during orientation of the residency year.
• Residents will staff an 8-hour shift (1000-1830) every third Saturday. This schedule will be provided during orientation of the residency year.
• Residents will staff an 8-hour shift (1000-1830) every third Sunday. This schedule will be provided during orientation of the residency year.
• The expected amount of time for this rotation is 4 weeks, interspersed over 26 weeks of the residency year and co-occurring with other concentrated and longitudinal rotations.
• The resident must complete at least 40 operational practice shifts between Chippenham and Johnston-Willis Campuses by the end of the residency year.
• The annual service commitment includes three holidays:
  • Thanksgiving and the day after Thanksgiving: 11/28/2024 + 11/29/2024
  • Memorial Day: 5/26/2025
  • Residents may choose to take PTO (as per Human Resources requirements) for non-required holidays or may volunteer to work

Project

• 53-week rotation duration
• The resident is responsible for designing, creating, and presenting a project at a regional residency conference. The resident is also required to develop a manuscript eligible for publishing.
• The expected amount of time for this rotation is 48 weeks, interspersed over the residency year and co-occurring with other concentrated and longitudinal rotations. There is not a specific time scheduled on a recurring basis.

Teaching and Learning Certificate (elective rotation)

• 53-week rotation duration
• The expected amount of time for this rotation is 18 weeks, interspersed over the residency year.
• Residents are responsible for precepting an APPE student on the Pharmacy APPE Student Teaching rotation, which is a 5-week concentrated rotation. The schedule for this rotation will be provided to the resident prior to the end of the orientation rotation.
• Other rotation requirements are interspersed over the residency year and co-occurring with other concentrated and longitudinal rotations. There is not a specific time scheduled on a recurring basis.

Teaching opportunities

1. Residents have the option to participate in the Teaching and Learning Certificate (TLC) Program through Virginia Commonwealth University (VCU)
   • VCU On-site/virtual development days
   • Didactic lecturing at VCU
   • Facilitation of foundations labs for pharmacy students
2. Layered learning on clinical rotations
3. Nursing/pharmacy/other departmental inservices

CJW Medical Center PGY1 Pharmacy Residency Program requirements for successful program completion

1. Completion of a research project, including but not limited to:
   1. Completion of manuscript of research project, eligible for journal publishing
   2. Presentation of major project at a regional residency conference
   3. Presentation at Healthcare Corporation of America (HCA) enterprise-wide ACPE webinar
2. Presentation of a pharmacist continuing education seminar
3. Completion of a medication use evaluation, including poster presentation, at ASHP Midyear Meeting
4. Completion of a minimum of four formal presentations (journal clubs/case presentations/clinical pearls) (typically divided as one per quarter; at least two of the presentations must be a journal club)
5. Successfully obtained “Achieved for Residency” for a minimum of 80 percent of all required taught goals/objectives
6. Successfully obtained “Achieved for Residency” for 5 out of 6 (83.3 percent) for R1.1 (patient care)
7. Complete at least 40 operational practice shifts between Chippenham and Johnston-Willis Campuses
8. Complete 3 holiday operational practice shifts (including either Thanksgiving + Day after Thanksgiving or Christmas Eve + Christmas
9. Complete all required rotations
10. Complete BLS and ALS certifications.
11. Complete exit interview.
12. Return office key, iMobile phone, laptop, and badge
13. Closure of project within institutional review board

Applicants must:

1. Applicants to CJW Medical Center PGY1 Pharmacy Residency are required to be graduates or candidates for graduation of an Accreditation Council for Pharmacy Education (ACPE) accredited degree program (or one in process of pursuing accreditation) or have a Foreign Pharmacy Graduate Equivalency Committee (FPGEC) certificate from the National Association of Boards of Pharmacy (NABP)
2. Eligible for licensure in Virginia.
3. Residency applicants must be authorized to work in the United States at the time they apply for the residency. CJW is able to accept applicants with work VISAs that will last the duration of the residency program; CJW is unable to sponsor work VISAs.
4. Participate in the ASHP Resident Matching Program
5. Upload the following application materials to PhORCAS by January 2, 2024 at 11:59pm EST
   1. Curriculum vitae
      1. Include completed and anticipated advanced pharmacy practice experience rotations, including rotation length
      2. Include leadership and organizational involvement
      3. Employment if applicable
   2. Letter of intent
   3. Official college of pharmacy transcript
   4. A minimum of three references (letters of recommendation are not required)
      1. Require at least one reference from preceptor, preferably from a clinical rotation
      2. Require at least one reference from an employer (if not employed then an additional reference from a preceptor)

Licensure policy

• Residents must take the NAPLEX and Virginia MPJE within 60 days of residency start date or will be placed on a performance improvement plan.
• Residents must be a licensed pharmacist in Virginia within 90 days of residency start.
• Failure to gain Virginia pharmacist licensure within 90 days of residency start is grounds for dismissal from the residency program. Residents with non-licensure within 90 days will be evaluated on an individual basis by the RAC. The RAC will decide by simple majority vote to either dismiss the resident or to retain the resident and place on a performance improvement plan, up to a maximum extension of 30 days. If the resident is not licensed as a pharmacist in Virginia by the end of the extension (120 days after residency start date), then the resident will be dismissed from the program

• Stipend — $24.87/hr ($52,724.40 over 53 weeks)
• Premium medical/dental/vision/prescription insurance
• Employee Assistance Program
• Health reimbursement account
• Medical and daycare flexible spending accounts
• Student loan reimbursement services
• 401K matched contributions per human resources policy
• Life insurance
• Short- and long-term disability
• PTO accrual — Up to twenty days of PTO as per human resources policy
• Free parking
• Discounted meals
• Scrubs/white coat
• BLS, ALS, and PALS certification offered at no cost
• Professional leave for meeting attendance
  • ASHP Midyear Clinical Meeting
  • Regional residency conference, likely to be University of North Carolina Research in Education Symposium
• Additional benefits also apply, including reduced costs of movie passes, reduced fitness program fees at local fitness centers, annual free passes to area theme parks, and discounts on such things as cell phone plans and electronics from major computer companies. Refer to the website’s Human resources department for comprehensive listings of benefits.
• Please note, mileage and transportation costs for traveling between the Chippenham and Johnston Willis campuses are not compensated.