Memphis PGY1 Pharmacy Residency

Accredited by ASHP since 1992, the PGY1 pharmacy residency program at Baptist Memorial Hospital-Memphis is comprised of the following major elements: direct patient care, teaching/precepting, staffing, medication safety and optimization, and pharmacy practice based research. The goal of this program is to provide the resident with a variety of high-quality learning experiences and opportunities to enhance clinical and leadership skills of a pharmacist in a large community based hospital.

Click here for more information about the PGY1 program from current and former residents and some of the preceptors.

Resident positions available:9
Application deadline: January 1
Baptist Memphis Residency Match #: 112013
Start date: Late June
Program length: 12 months
Estimated annual salary: $46,000
Benefits:

  • Health, Vision, & Dental insurance provided as a full–time employee of Baptist Memphis
  • Personal time off (20 days)
  • Professional leave for ASHP Mid-year Clinical Meeting (MYCM) & Mid-South Residency Conference (MSRC)
  • Stipend for MYCM expenses
  • Personal office space with a desktop computer & iPad
  • Free parking
  • Onsite gym/fitness center access

The PGY1 pharmacy residency program at Baptist Memphis was recognized in 2018 by the Tennessee Society of Health-System Pharmacists (TSHP) as the “Health-System Pharmacy Residency Program of the Year” for showing continued service and contributions to health-system pharmacy practice through changes in practice, research, and/or resident publications. Read more about the recognition here.

The Baptist Memphis pharmacy department was recognized in 2018 by the American Society of Health-System Pharmacists (ASHP) Foundation with the “2018 Award for Excellence in Medication Safety” for their help in the transition of the Baptist Memphis emergency department to an “opioid-light” patient care environment. This endeavor focused on pain management alternatives for patients.

ASHP PGY1 Residency Program Purpose

In accordance with ASHP guidelines, the residency program at Baptist Memphis functions under the following purpose:

PGY1 pharmacy residency programs build on a resident's Doctor of Pharmacy (PharmD) education and outcomes to contribute to the development of a clinical pharmacist responsible for medication-related care of patients with a wide range of conditions, eligible for board certification, and eligible for postgraduate year two (PGY2) pharmacy residency training.

Baptist Memphis PGY1 Pharmacy Residents

Residents in our PGY1 pharmacy program come from different educational and geographical backgrounds, adding to the rich experience offered through our program.

Learn more about our PGY1 Pharmacy Residents

Clinical and Longitudinal Preceptors

Residents are provided the opportunity to train alongside clinical pharmacy preceptors who have expansive educational backgrounds and diverse experiences to enrich their learning and hands-on experiences.

Residents select a professional mentor from the preceptor group. Mentors assist the resident with establishing a plan for the year based on career goals, previous clinical experiences, strengths, and areas for growth and progression throughout the year. The mentor is available to help guide the resident as needed throughout the resident year relating to projects, presentations or career choices.

Learn more about our clinical and longitudinal preceptors

Training Site Information

Baptist Memorial Hospital-Memphis

  • Flagship hospital for Baptist Memorial Health Care, a system of 22 hospitals in Tennessee, Mississippi and Arkansas
  • 700+ bed tertiary care community hospital located in Memphis, Tennessee
  • Average ~2,300 hospital admissions/month
  • Second largest hospital in Tennessee
  • Comprehensive care facility with diverse specialty patient care services and a particular focus on intensive care, cardiology, neurology and oncology

Baptist Memphis Pharmacy Department

  • Decentralized practice model with pharmacists stationed in patient care areas to enhance direct patient care and improve interdisciplinary interaction with hospital staff
  • CPOE (Epic) and decision support software (Theradoc) to assist in appropriate, efficient medication monitoring
  • ASHP accredited residency training site since 1992

Our department mission is to provide direct quality medication-related health care to patients in a responsible manner while creating and applying innovative new pharmacy practices. We are committed pharmacy leaders in education, training and lifelong learning.

PGY1 Pharmacy Resident Responsibilities

  • Improve patient care, drug safety and economic impact relating to medication use in multiple hospital settings
  • Actively participate in multidisciplinary patient care rounds (unit based and medical teaching service)
  • Assess and improve medication appropriateness through utilization of evidence based medicine
  • Manage physician-initiated pharmacy consults including:
    • Nutrition support/TPNs
    • Pharmacokinetics (Vancomycin, Aminoglycosides)
    • Renal dosing
    • Patient education
    • Anticoagulant monitoring
    • Drug information
  • Assist in precepting students on rotations and through didactic and application-based educational opportunities
  • Attend and provide medication-related support during emergency response
  • Identify medication errors and assess for practice change and improvements
  • Assess for practice improvements in drug distribution services
  • Display professional, ethical responsibility for one’s own practice

PGY1 Pharmacy Residency Learning Experience Overview

Residents begin their PGY1 training year with hospital, department and residency orientation. These first six weeks include EPIC training, ACLS/BLS certification, consult training/education and competency completion. Throughout the year, residents will complete five (5) required rotation blocks including Cardiology, Critical Care, Infectious Diseases, Practice Management, and Internal Medicine. Additionally, residents have the opportunity to choose up to four (4) elective learning experiences or repeat a required rotation in an advanced format. Longitudinal experiences are completed intermittently throughout the 12 month program.

Required Learning Experiences

  • General Orientation
  • Cardiology (Acute or Critical Care)
  • Critical Care (Medical or Neuro)
  • Internal Medicine
  • Practice Management and MUE/Drug Safety

Concentrated Learning Experiences

  • Resident Run Clinical Service Weeks (2 weeks at the end of the residency year)
  • Infectious Diseases and Antibiotic Stewardship

Longitudinal Learning Experiences (12 months)

  • Ambulatory Care Clinic
    • Consultative pharmacy services related to anticoagulation, diabetes, hypertension, and COPD management at Church Health, an adult general medicine clinic in Crosstown Concourse one afternoon (1-5pm) every 2 weeks for the entire year.
  • Teaching and Precepting including Teaching Certificate Program through the University of Tennessee Health Science Center – College of Pharmacy
    • Didactic Lecture, facilitating Applied Therapeutics and precepting students on rotation
    • Learn more about the Teaching and Learning Program here
  • Other Education
    • Journal Club (1); ACPE Accredited Continuing Education Program (2); Pharmacy Newsletter and Clinical Writing Requirement
  • Pharmacy Practice Based Research Project – 3 weeks dedicated project time provided

Elective Rotational Learning Experiences (Resident chooses 4)

  • Critical Care (Medical, Neuro, Cardiac, or Advanced)
  • Transitions of Care Heart Failure Clinic
  • Emergency Medicine
  • Hematology/Bone Marrow Transplant
  • Neurology/Neuro ICU
  • Oncology (Solid Tumors)
  • Pediatric Emergency Medicine
  • Solid Organ Transplant (Heart)
  • Pain Management/ERAS

Learning Experiences

Learning experiences are clinical rotations with a strong patient care focus. These form the basis of structured resident daily activities and take priority in workflow. 

Learning Experience Opportunities

Required:

  • Internal Medicine

    Facilitators: Allison Brunson, PharmD, BCPS; Kelsey Krushinski, PharmD, BCPS, BCGP, CPE; and Allie Crawford, PharmD

    The resident completing this required rotation experience is involved in providing comprehensive pharmaceutical care to a variety of patients within the hospital by participating in multidisciplinary rounds with a medicine teaching service team. Throughout the rotation, the resident will develop skills in the disease state management of both acute and chronic conditions. Commonly managed patient conditions include hypertension, heart failure, pneumonia, COPD and asthma, infectious diseases, diabetes mellitus, and stroke. Additionally, residents collaborate and interact with other health care providers including physicians, nurses, and case managers, to assist in the total pharmaceutical care of general medicine patients. A wide range of activities during the rotation are performed including medication review, antibiotic surveillance, pharmacokinetic dosing, anticoagulation management, medication education to patients and their families, drug information assistance to physicians and nurses, medication reconciliation, and educational in-services for health care providers. Topic and patient problem list discussions are conducted frequently.

  • Cardiology

    Facilitators: Ginger Burton, PharmD, BCCP and Sarah Beth Moore, PharmD, BCCP

    During this required rotation, residents have the opportunity to develop clinical skills and concepts of application in cardiovascular patients. The rotation provides practical experience in managing all aspects of the cardiac patient’s pharmacotherapy with a focus on acute care cardiology. Residents can choose between managing patients on the AMI/ACS and CHF units with a focus on chronic disease state management or on the Cardiovascular ICU managing post cardiothoracic surgery patients. Daily activities include monitoring for core measure compliance relating to cardiology and anticoagulation management, developing daily treatment plans for consult services, participating in multidisciplinary rounds and utilizing evidenced based medicine to optimize patient management. Residents provide patient education on anticoagulants, insulins, and other medications as requested. This rotation also heavily focuses on optimal blood glucose management post operatively. Additional educational opportunities during the month include topic discussions, precepting students and nursing/staff development education, as needed. Opportunities to interact with recently discharged patients with CHF in the outpatient Baptist Transitional Care clinic is also available based on resident interest and availability.

  • Critical Care (MICU/SICU, and/or NICU)

    Critical Care - Medical/Surgical (MICU/SICU)

    Facilitator: Maria Zhorne, PharmD, BCCCP and Meghan Vail, PharmD, BCPS

    A resident on this core, required rotation will become familiar with the pharmaceutical aspects of critically ill patients by overseeing & managing the care of patients in the 38-bed medical/surgical ICU units. Residents participate in MD led inter-professional rounds five days a week in the ICU. Minimally, a resident is responsible for monitoring continually changing drug therapy and completing pharmacy consults including those for nutrition support, pharmacokinetics, anticoagulation and drug information. The resident is required to read and participate in key ICU topic discussions with the preceptor throughout the month as well as complete a critical care journal club with ICU preceptors and staff.

    Critical Care - Neurology (NICU)

    Facilitator: Kristie Newsom Mitchell, PharmD, BCPS, BCCCP

    Residents will have the opportunity to develop skills in the pharmaceutical care of neurology patients in an ICU/critical care setting during this learning experience. Clinical patient care is provided for patients with acute ischemic stroke, hemorrhagic stroke, spinal cord injury, seizure disorders, neurosurgical interventions, and general neurological disorders. Residents also provide pharmaceutical care in the management of all general critical care issues and antimicrobial management. The resident will participate in daily multidisciplinary rounds and one-on-one table rounds with the neuro-intensivist. Other daily responsibilities include completing pharmacy consults for pharmacokinetics, anticoagulation, nutrition support, and stroke core measures, optimizing drug therapies, and researching drug information questions on neuro ICU and general neuro floor patients. The resident will participate in various topic discussions with the preceptor and has the opportunity to lead selected topic discussions as the rotation progresses.

  • Practice Management

    Facilitator: Dawn Waddell, PharmD, BCPS

    Residents gain insight into pharmacy administration in the setting of a 700+ bed, flagship hospital in a 22-hospital health system during this learning experience. Time management, organizational skills and open communication with preceptors are key in maximizing this learning opportunity. The resident is responsible for drug information requests, participation in patient safety activities, communication with pharmacy administrative staff and developing and presenting materials for P&T Committee and/or Service Line(s). Rotation project(s) relating to medication usage, appropriateness and or quality measure compliance are the emphasis of this learning experience. Residents will learn to enhance and refine skills in researching drug information and gain experience in presentation skills for multiple audience types. Residents are the lead preceptor for APPE institutional pharmacy students also. This rotation is self-directed and the resident is required to drive the assigned project(s), as well as, any APPE student managed projects. The Medication Use Evaluation (MUE) and drug safety component of residency will overlap with this learning experience.

  • Infectious Diseases and Antimicrobial Stewardship

    Facilitator: Dawn Waddell, PharmD, BCPS

    Residents will further develop their knowledge and understanding of the pharmacotherapy of patients with infectious diseases during this condensed, required rotation. The focus of this rotation is appropriate overall infective disease state management of patients as well as clinical application of pharmacokinetics /pharmacodynamics with regards to antimicrobials. Residents will be expected to actively participate in infectious disease related daily topic discussions and prepare a mini topic discussion for presentation to the group. Evaluation of patients for appropriateness on high risk antibiotic therapy will also be emphasized during this learning experience.

Elective:

  • Pain Management / ERAS

    Facilitator: Elizabeth Mills, PharmD, BCPS

    This elective learning experience will expose the resident to management of post-op patients, with a focus on pain management. The resident will attend daily bedside patient care rounds with a multi-disciplinary team including an NP & anesthesiologist. Residents will provide medication recommendations including supportive care and opioid sparing pain control options to the team. The resident will also have the opportunity to participate in various data collection projects for presentation to the hospital based pain committee as needed. Residents actively participate in various topic discussions with the preceptor throughout the rotation block.

  • Hematology, Bone Marrow Transplant

    Facilitator: Amy Evans, PharmD

    During this elective learning experience, residents will manage drug therapy necessary for the treatment of complex hematology patients including those undergoing stem cell transplantation. Specifically, residents will become familiar with chemotherapy regimens used in the treatment of acute leukemia, lymphoma, multiple myeloma and conditioning regimens utilized for stem cell transplants. Appropriate supportive care medications, monitoring parameters, and therapeutic endpoints for efficacious drug use as it relates to the oncology patient will be a focus of this experience. Residents will have the opportunity to participate in daily MD led, bedside rounds in addition to interacting with the multi-disciplinary patient care team in the myelosuppression unit. Topics discussions relating to a variety of oncologic disease states, chemotherapy agents and supportive care issues in this patient population are conducted throughout the rotation.

  • Solid Organ Transplant (Heart)

    Facilitator: Mallory Taylor Baird, PharmD, BCCP

    This elective rotation focuses on end stage heart failure patients requiring heart transplant and/or ventricular assist device (VAD) therapy. The cardiac transplant floor includes a 12-bed intensive care unit (ICU) and a 12-bed stepdown unit, and also includes patients receiving extracorporeal membrane oxygenation (ECMO) and a variety of temporary mechanical circulatory support (MCS) devices. Residents are involved with patient care in the acute setting as well as the transplant/MCS outpatient clinic. Residents participate in multidisciplinary rounds, assess patients and develop medications treatment plans, monitor immunosuppression and other medication therapies, manage pharmacy consults, provide medication information to other healthcare professionals, assist in evaluating patients for transplant and VAD selection committee meetings, and participate in topic discussions. Patient interaction and medication counseling are also important aspects of this rotation. Additional required activities and assignments as indicated by the needs of the transplant team may be included.

  • Oncology (Solid Tumor)

    Facilitator: Elizabeth Mills, PharmD, BCPS

    The resident completing this elective rotation is responsible for managing drug related therapy for patients with cancer and hematological disorders. Specifically, residents become familiar with various chemotherapy regimens used in the treatment of cancer through review of chemotherapy orders for completeness, accuracy, appropriate doses, and appropriate supportive care medications. Residents will also determine monitoring parameters and therapeutic endpoints for efficacious drug use as it relates to the oncology patient with emphasis on nutrition support, pharmacokinetic monitoring and anticoagulation support. Resident actively participate in daily patient rounds on the oncology unit. Topics discussions relating to a variety of disease states (lung, breast, colon cancers) and supportive care issues in the oncology patient population are conducted throughout the rotation.

  • Emergency Medicine

    Facilitators: Cassidy Ruckel, PharmD and Sarah Harlan, PharmD

    This elective rotation gives residents insight into the provision of pharmacy services in an emergency medicine (EM) setting. Residents will develop an understanding of the skills necessary to provide pharmacy support in a high-volume, fast-paced environment. During the course of this rotation experience the resident is expected to actively participate in the care of all EM patients including order processing and medication delivery, participation in medical emergencies at bedside, providing medication information to other health care professionals, and follow-up care of patients discharged from the ED. In addition to direct patient care, the resident is expected to participate in the education of pharmacy students as well as EM physicians and nursing staff. The resident will also participate in the further advancement and development of pharmacy services within the ED.

  • Pediatric Emergency Medicine

    A resident completing this elective learning experience will provide pharmacist presence in the pediatric emergency department at Baptist Women’s Hospital located adjacent to Baptist Memphis. This rotation seeks to develop skills in the management of medication dosing and monitoring for pediatric patients seen in the ED. Patient education and policy development will be important components of this experience. Prior ED and CC exposure & proficiency is a requirement for this elective.

  • Infectious Diseases/Antimicrobial Stewardship

    Facilitator: Athena Hobbs, PharmD, BCIDP

    A resident on this rotation will further develop their knowledge and understanding of the pharmacotherapy of patients with infectious diseases. The resident will perform daily pharmacy antimicrobial stewardship rounds with the infectious disease pharmacist. The focus of this rotation is appropriate overall infective disease state management of patients as well as clinical application of pharmacokinetics /pharmacodynamics with regards to antimicrobials. The rotation is designed to provide the resident with interaction among various physicians and services throughout the entire hospital rather than one rounding team. The resident will also be involved in other activities as appropriate throughout the rotation including at least one rotation project (e.g. physician/nurse/pharmacy education and/or projects for the Antimicrobial Stewardship Committee).

Staffing Requirements

Each resident is required to provide staffing coverage every third weekend. Weekend coverage alternates between coverage of clinical consults with a specialist and providing order verification/staffing in the main pharmacy. Residents work an eight hour shift on Saturday and Sunday during their assigned weekend. Additionally, each resident will be required to complete a weekly evening shift (5-9 p.m.) of order verification/staffing in the emergency department or provide decentralized clinical pharmacy coverage on a nursing unit. The resident working the order verification weekend shift will not be required to complete the evening staffing component the week before or the week following the weekend shift (~4 week night shifts over a 9 week period).

Residents also provide 24 hour/day clinical pharmacy “on call” pager coverage in rotation with fellow residents during the week preceding weekend coverage. While residents are not required to remain in-house while “on call”, they are expected to serve as a resource for clinical questions that arise after hours. Residents are assigned a back-up preceptor for ”on call” and weekend coverage.

Program Completion Requirements

For successful completion of this PGY1 pharmacy residency program, signified with the awarding of a certificate of achievement at the end of the 12-month period, the resident must successfully complete the following program requirements and comply with Baptist Memphis policies for employment.

Criteria include:

  • TN State licensure by the predetermined deadline established each calendar year.
  • Compliance with standards established for ALL Baptist-Memphis employees with no disciplinary action requiring termination.
  • Completion of all required, assigned hospital and department employee competencies
  • Completion of ALL required “on call” and staffing shifts as assigned (2 -8hr staffing shifts alternating with clinical coverage every 3rd weekend, 4hr weeknight shift on non-staffing weeks = ~4 nights/9 weeks).
  • Completion of clinical holiday coverage as assigned (1 major & 2 minor holidays)
  • “Satisfactory” completion of all required longitudinal education assignments as defined in the description for each activity in the residency manual
    • Journal Club, ACPE accredited continuing education x2, Clinical writing assignment, Newsletter, and Medication Safety Project
  • “Satisfactory” completion of a residency research project including IRB approval, data collection, presentation of the conclusion with proposed changes to the associated hospital staff (Service line, etc.) and development of a final manuscript suitable for publication.
  • Completion of all required and elective learning and longitudinal experiences
  • Documentation of achieved for residency (“ACHR”) on 85% of the required & selected elective ASHP competency objectives as evaluated in learning experiences and longitudinals by the end of the 12 month residency. The required number of “ACHs” needed per objective to obtain “ACHR” will be provided each year to the resident during orientation
  • Active participation in the University of Tennessee Teaching and Learning Program including facilitation of applied therapeutics, student precepting and presentation of a didactic lecture
  • Attendance at ASHP Mid-Year Clinical Meeting & Mid-South Residency Conference with active participation (presentation of resident research material as a poster at MYCM and assist with recruitment; platform presentation with conclusions/results at MRSC
  • Completion of all PharmAcademic evaluations
  • Maintain ALL documents relating to projects, longitudinal activities & presentations in the resident’s electronic folder on the Shared Drive. Complete Resident End of the Year Checklist.

APPLICANT REQUIREMENTS (CANDIDATES MUST MEET THE FOLLOWING REQUIREMENTS TO APPLY):

  1. Graduate from an Accreditation Council for Pharmacy Education (ACPE) accredited Doctor of Pharmacy program.
  2. Participate in the ASHP Resident Match Process.
  3. Submit all requested documents through the PhORCAS application system including:
  4.    • Letter of intent
       • Curriculum vitae
       • Doctor of Pharmacy transcript
       • 3 PhORCAS professional letters of recommendation (2 clinical preferred)

  5. Be eligible for pharmacist licensure in the state of Tennessee.
  6. Applicants without U.S. citizenship must provide documentation of a valid work permit that lasts the entire duration of the residency year.

PGY1 Pharmacy Residency Contact Information

Amy G. Evans, PharmD, Residency Program Director
Lead Clinical Pharmacy Specialist, Oncology

Baptist Memorial Hospital-Memphis
6019 Walnut Grove
Memphis, TN 38120

amy.evans@bmhcc.org