- Academic Medical Center
- Level I Trauma Center
- 50-plus Adult ICU beds
- Level III Neonatal Intensive Care Unit
- ED Clinical Pharmacy Services
- 3 Satellite Pharmacies
PGY1 pharmacy residency programs build on Doctor of Pharmacy (Pharm.D.) education and outcomes to contribute to the development of clinical pharmacists 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. This program will center on developing a core skill set in medication therapy management, teaching, team functioning, communication, clinical research, literature evaluation, time management, presentation development and delivery, and direct patient interaction in an academic medical center setting. This program offers the resident the opportunity and stimulus to develop, to the highest degree obtainable, his/her professional expertise as a practitioner. Graduates of this program will be highly qualified to practice as pharmacist clinicians in patient care positions, adjunct faculty positions, or for PGY2 training in their area of choice.
Salary & Benefits
PGY1 residents will receive a salary of $45,000/year with comprehensive medical, dental and vision care coverage. Life insurance, short and long term disability coverage is also available.
CHI Health Creighton University Medical Center-Bergan Mercy residency schedule consists of 12, one-month rotation blocks. Rotations are available in many areas of specialization to offer experience in the provision of direct patient care. Additionally longitudinal rotations are used for continual focus in key areas including health system management and inpatient pharmacy staffing. The schedule also allows for up to five months of elective rotations.
Required Clinical Rotations:
- Acute Care-Internal Medicine
- Acute Care-Family Medicine
- Critical Care
- Infectious Disease
Required Longitudinal Rotations:
- Health System Management
- Inpatient Pharmacy Staffing
- Research Project
Elective Rotations Offered:
- Ambulatory Care
- Antimicrobial Stewardship
- Critical Care/ICU Staffing
- Drug Information
- Emergency Medicine
- Trauma-Critical Care
- Neonatal Intensive Care
- Pharmacy Management
- Specialty Pharmacy
All residents are strongly encouraged to pursue licensure in Nebraska prior to beginning the residency training program. The process must be initiated with the National Association of Boards of Pharmacy and continued with the Profession and Occupational Licensure Division, Nebraska Department of Health.
It is expected that the resident will be licensed by August 1st so as to start the requirements for the longitudinal staffing component and be able to work on direct patient care activities independently while on rotations also. If the resident fails to obtain licensure prior to August 1st, the resident will be expected to obtain licensure as soon as capable and be required to make up their missed staffing hours after licensure is procured to keep the number of hours staffed consistent between all residents.
As a minimum requirement for employment the resident must obtain licensure as a pharmacist with the state of Nebraska within 90 days from the start of the residency. Failure to obtain licensure within 90 days from the start date will result in termination from the program.
The goal of the operational pharmacy practice experience is to ensure that each resident can function independently as a pharmacist. Each resident will train with a preceptor(s) as assigned. Basic training will take place during the first month of the residency. Once the resident is deemed competent, he/she will be assigned to patient care units or central pharmacy for the remainder of the residency. Residents will be evaluated on their staffing experiences on a quarterly basis.
Required Staffing Commitment: Each resident will be expected to staff in the pharmacy every 3rd weekend and approximately one evening shift per week during the year as a patient care pharmacist. Weekend staffing will be scheduled for Saturday and Sunday day shifts or midday/evening shifts (0700-1530 or 1200-2030) and will rotate between days/evenings throughout the residency year to provide a broad range of experience/opportunities while staffing. Evening shifts will be weekdays, 1630-2100.
Holidays: Residents are expected to work on two designated holidays. Recognized holidays include: Labor Day, Thanksgiving, Christmas Eve, Christmas, New Years Day, and Memorial Day. Holiday assignments will be determined at the beginning of the residency year and decided upon by the residents themselves. It is the responsibility of the resident to arrange for a trade for a different holiday assignment if needed. Residents will not be assigned to work on Independence Day.
Professional Development Funds
Each PGY1 resident will be provided up to approximately $1500 for professional development funds. Residents are encouraged to use these funds to cover registration fee/airfare/hotel to attend the ASHP Midyear Clinical Meeting, registration fee for Midwest Pharmacy Residents Conference, and any other educational endeavors wanting to be pursued by the resident (i.e. ACLS, PALS, other professional meeting, professional reference book(s), lab coats, etc.).
Paid Time Off
Each resident will have 14 days of paid vacation, sick, and/or interview leave available for the residency year.
- Professional leave: In addition to the 14 days of general PTO, the residents will be allowed professional leave for attendance at professional meetings. This includes a maximum of four work days for ASHP Midyear and two work days for Midwest Pharmacy Residents Conference (MPRC).
- Educational Leave: Residents are allowed and encouraged to partake in educational opportunities throughout the residency year. If the educational opportunity requires time off from the residency rotation, unless a preceptor requires attendance as part of their current rotation – the resident will be required to use PTO/vacation time to attend as this will fall outside of the days already provided for professional leave.
- Interview days: The resident can use any of their 14 PTO days for pursuing future employment opportunities in the spring of the residency year. If more than 5 days will be missed during a single rotation month due to interviews, the resident is required to meet with the rotation preceptor and Residency Director to coordinate a plan for making up the missed rotation time.
The primary emphasis of the residency program is to develop the resident’s practitioner expertise. An integral part in the development of the resident is an appreciation of research methodology. Provisions will be made for the resident’s participation in a clinical research project activity or a self-directed investigation in an appropriate pharmacotherapeutic area. The project undertaken, by mutual agreement of the resident, primary preceptor, Residency Director, and participating co-investigators, will be of suitable quality for publication in a peer-reviewed journal and presentation at a major scientific meeting and the Midwest Pharmacy Resident Conference. All projects must be mentored by a Creighton University Medical Center-Bergan Mercy core preceptor. View a list of former PGY1 Pharmacy Resident Research Projects.
The residency research project should provide an experience and/or appreciation of clinically oriented research. This will include the following:
- IRB training
- Study design and protocol development
- IRB submission of protocol
- Data collection and organization
- Statistical analysis
- Summary of results
- Project written in manuscript format
- Formal presentation of work
Residents of CHI Health Creighton University Medical Center-Bergan Mercy will participate in educational activities of the Creighton University School of Pharmacy Department of Pharmacy Practice. The purpose of such activities is to foster development and refinement of the resident’s communication skills and effectiveness as a teacher and to provide the students with a resident role model.
Residents will assist with Pharmacotherapeutics Case Studies discussions in the fall and spring semester. Residents will be required to prepare one comprehensive case, per semester, in advance with a faculty preceptor and help facilitate the student presentation and discussion/questions, in addition to grading the student performance on the day of the case presentation. Other requirements for assisting with case studies may exist but vary from year to year.
Each resident is also able to participate in providing a lecture to P1 students if interested, however this is not a requirement of our program. Didactic teaching for the Doctor of Pharmacy program will be discussed and mutually agreed upon by the resident, preceptor, and course coordinator. This would provide great experience for presenting formal classroom lectures.
Rotation teaching responsibilities will be at the discretion of individual preceptors and based on whether students have been assigned during the resident’s rotation month. Primarily, these responsibilities will include patient care discussions, evaluation of patient case presentations, and examining drug information reviews. These responsibilities may also include acting as instructor in the preceptor’s absence. The resident will always be under close supervision by their preceptor. Residents will be asked to participate in the evaluation of P4 students on rotation during patient case presentations.
Other educational activities during the residency year will include the presentation of drug therapy talks and the provision of drug information resources to the medical teams on a formal or informal basis.
Each PGY1 resident at CUMC-Bergan will be responsible for preparing and delivering two CE quality grand rounds presentations that can be in the categories of case report, literature review/current controversy topic, or therapeutic update. Each presentation will be 45-50 minutes in length with 10-15 minutes allowed for questions after the presentation. Each resident will be assigned a faculty mentor for each of the presentations. Grand rounds will be held most commonly on the 3rd/4th/5th Thursdays of each month at 12 PM in the CUMCBergan EDU 21214 Conference Room.
The resident will ideally pick a topic at least eight weeks before the date of their presentation. A list of previous topics will be provided to ensure the resident avoids a recently presented topic.
The resident will be required to adhere to the following timeline*:
- Submit the CE Grid to their grand rounds preceptor 45 days prior to presentation date for review/feedback
- Finalize the CE Grid and submit to Creighton Continuing Education Office 30 days prior to presentation date (at the latest)
- Submit a COMPLETE first draft of presentation slides to the RPD and grand rounds preceptor 3 weeks prior to presentation
- COMPLETE first draft must include the following: all slides completed (no placeholders or plans for what will be finished later, all citations/audience questions included)
- Grand Rounds Practice Presentation Dates subject to resident and preceptor schedules – schedule as appropriate
Requirements for Program Completion
In order to successfully complete the residency program and receive a certificate of completion, the resident must complete the following requirements:
- The resident must obtain their Nebraska Pharmacist Licensure by no later than 90 days after their start date – expectations are outlined in the residency manual. Failure to become licensed within 90 days will result in dismissal from the PGY1 pharmacy residency program.
- The resident must successfully complete all required learning experiences with no Needs Improvement evaluations remaining at the completion of the residency.
- The resident must have 80% of the required competency areas, goals and objectives for the residency program evaluated to be "Achieved for the Residency" by the end of the residency year as determined by the Residency Advisory Committee.
- The resident must have completed all components of their longitudinal research project, as determined by the primary preceptor and the residency director. Failure to complete components of this project as outline below will result in disciplinary action (unless special exemption is given for outstanding circumstances beyond the resident control).
- IRB protocol submission by November 1st of the residency year (at the latest)
- Data collection completed by March 1st of the residency year (at the latest)
- Formal written research report in accepted manuscript style and approved by the primary preceptor prior to the end of the residency year, unless specific exemption is granted by the primary preceptor for circumstances that would warrant delay of report preparation (i.e. project will continue past the end of the current residency year)
- The resident must present their research project at the Midwest Pharmacy Residents Conference.
- The resident must present two Grand Rounds presentations and receive no more than one "Needs Improvement" as evaluated by their assigned faculty mentor on the last of the presentations. Required timeline and expectations for each grand rounds presentation will be agreed upon by the resident and preceptor in advance of the presentation (see residency manual for details). Failure to comply with this required expectation will result in disciplinary action.
- The resident must complete a drug monograph and/or class review and Medication Use Evaluation (MUE) as assigned by the primary preceptor within the timeline given. Failure to adhere to project deadlines can result in disciplinary action.
- The resident must be present at all Grand Rounds sessions unless the absence is excused by the Residency Program Director.
- The resident must complete the teaching certificate program, as described in the manual.
- The resident must complete all didactic teaching assignments/requirements, as described in the manual.
- The resident must complete all clinical service/staffing hours and duties, as described in the manual.