PGY2 Pediatric Pharmacy Residency

The University of Virginia Health System (UVAHS) offers an American Society of Health-System Pharmacists (ASHP) accredited PGY2 Pediatric Pharmacy Residency. The program is designed to transition pharmacists who have completed PGY1 generalist training into specialized practice focusing on the care of infants, children, and adolescents. Graduates of this residency program will be qualified for positions in clinical or academic positions.  They will be prepared to serve as an integral part of interprofessional teams caring for pediatric patients, incorporating evidence-based care in decisions made by the team and providing leadership in medication-related issues. Residents of the program will have the opportunity to provide care in a wide variety of settings, including pediatric and neonatal intensive care, as well as subspecialties such as pediatric cardiology, hematology/oncology, nephrology, endocrinology, solid organ transplant, and emergency care. Pediatric pharmacy residency graduates will be prepared to manage pediatric pharmacy operations, including supervision of staff and optimization of technology to aid in medication preparation and administration. Graduates will also possess skills in delivering effective training to health care professionals and conducting research, patient safety, and quality improvement initiatives.

Residency Benefits

Current benefits include: Stipend of $53,770 12 days paid vacation/personal leave 8 days paid holidays Up to fourteen sick days Premium medical/dental insurance A travel stipend and professional leave and for

meetings as well as professional leave for employment interviews

Application Requirements

Applicants must: Have completed an ASHP-accredited PGY1

pharmacy residency Be a graduate of an ACPE-accredited advanced

pharmacy program Be a licensed pharmacist in the Commonwealth

of Virginia by 9/1/19

Applicants must upload the following application materials into PhORCAS by January 1, 2019: Curriculum vitae Letter of intent Three references † Official college of pharmacy transcript† Must be able to speak to clinical problem solving in direct patient care experiences

For questions, please contact:

Marcia L. Buck, PharmD, FCCP, FPPAG, BCPPS Clinical Pharmacy Coordinator, PediatricsDirector, PGY2 Pediatric Pharmacy Residency Program University of Virginia Health SystemDepartment of Pharmacy Services Box 800674 1215 Lane Road Charlottesville, VA 22908 phone 434-760-4844 e-mail mlb3u@virginia.edu

University of Virginia Health System

The University of Virginia Health System (UVAHS), located in Charlottesville, Virginia, embodies the leadership and inventiveness personified by its founder, Thomas Jefferson. Two centuries ago in 1819, Jefferson established the nation’s 10th medical school, which has since grown into a nationally renowned academic medical center committed to providing outstanding patient care, educating tomorrow’s health care leaders and discovering better ways to treat disease. The Health System, which includes the UVA Medical Center, Children’s Hospital, School of Medicine, and School of Nursing, provides integrated care for patients in Charlottesville and throughout Virginia, as well as health education, research, and public service. In addition, the Health System serves as a satellite campus of the Virginia Commonwealth University School of Pharmacy for P3 and P4 students.

The Health System has received national recognition in U.S. News & World Report “Best Hospitals” guide as the top hospital in Virginia for the past three years. Earlier this year, U.S. News recognized the UVA Children’s Hospital in its 2018-2019 “Best Children’s Hospitals” guide. Six specialties: neonatology, pediatric diabetes and endocrinology, pediatric neurology and neurosurgery, pediatric cardiology and heart surgery, pediatric urology and pediatric gastroenterology and GI surgery, were rated in the top 50 nationally.

The Department of Pharmacy

The Department of Pharmacy has a progressive practice model with clinical coordinators and clinical pharmacists that provide a wide range of clinical services while working on highly integrated interprofessional teams throughout the health system. These efforts are supported by extensive automation in pharmacy operations, state-of-the-art sterile products facilities, barcode medication scanning, and smart pump technology, including interoperability with the electronic health record. Additional services include the Medication Use Policy and Investigational Drug Services, outpatient infusion centers, and several outpatient pharmacies.

MissionThe UVAHS Department of Pharmacy Services will provide superlative patient-centered care focused on safe medication practices and innovative education and training.

VisionThe UVAHS Pharmacy Department is a vital member of the patient care team dedicated to expanding patient care services and leading initiatives to maximize patient safety and improve outcomes. We are a collaborative group focused on providing superlative patient care in the setting of ongoing professional development by all employees, a productive, innovative work environment in which staff are engaged and motivated, and nationally-recognized clinical services and educational/ training programs.

The University Community

Charlottesville is a modern, progressive city nestled in the foothills of the Blue Ridge Mountains. Charlottesville is famous for its distinctive architecture and small city sophistication, with an estimated population of 235,096 residing in the greater Charlottesville area. Charlottesville has received extensive recognition for its first class hospitality and unique setting including being ranked #5 Best Place to Live (Livability 2017 and 2018) and #5 Healthiest, Happiest Cities in the US (The Today Show, 2018), as well as being one of the Best Small Cities in the US (National Geographic Travel 2018), and as one of America’s Best Cities (Resonance 2017). It has been included in the Most Beautiful Colleges in the South (Best Colleges Online, Make It Better), as well as being chosen as one of the Best Places to Live (Money) and Healthiest Places to Live in America (Kiplinger's Personal Finance). The University of Virginia is consistently ranked in the top 25 of the U.S. News & World Report Best National Universities. Charlottesville has been recognized for its extensive variety of cultural, social, and recreational opportunities, as well as the presence of a thriving art, music, and theater community.

Program Overview

The 2019-2020 residency year will begin on July 1, 2019 and end on June 30, 2020. During the month of July, residents will develop the skills needed to provide the clinical and distributive services provided by the department. Residents will additionally undergo competency evaluations in select areas such as use of the electronic health record (Epic®), the medical emergency response program, and PALS training.

RotationsRotations begin on the last Monday in July and are each 5 weeks in duration. Residents will work with the Program Director to create a residency plan that meets the program requirements as well as their own residency goals. At least two required rotations must be completed in the first half of the year. All required and at least one recommended rotation must be completed by the end of the residency year.

Required Rotations Ambulatory Care Pediatrics General Pediatrics Neonatal Critical Care (NICU) Pediatric Critical Care (PICU) Pediatric Hematology/Oncology

Elective Rotations Pediatric Cardiology Pediatric Emergency Medicine Pediatric Endocrinology Pediatric Gastroenterology

Pediatric Nephrology Pediatric Neurology Pediatric Pharmacy Operations and Administration Pediatric Pulmonology Advanced Pediatric Hematology/Oncology Advanced Neonatal Critical Care Advanced Pediatric Critical Care

Mini-rotationsBetween the third and fourth rotation blocks (November and December), residents will have a mixture of research days and mini-rotations. The mini-rotations are abbreviated experiences held over a period of 13-16 days. The resident may select up to three mini-rotations for that period. These abbreviated experiences provide residents with an opportunity for a concentrated experience in a practice area they have not chosen or one not available as a full rotation. Additional clinical practice areas include:

Developmental and Behavioral Pediatrics Pediatric Infectious Diseases/Antimicrobial Stewardship Adolescent Health Toxicology Women’s Health Pediatric Sedation Service

Longitudinal Learning ExperiencesIn addition to clinical rotations, residents will have the following longitudinal experiences:

Pediatric Pharmacy Practice Managemento This longitudinal experience incorporates aspects of professional development and preparation

for a career in pediatric clinical pharmacy practice. Residents are required to serve on at least one committee within the University of Virginia Children’s Hospital, write a newsletter for the institution, and prepare a medication guideline. In addition, residents will participate in the Residency Core Curriculum with residents of other programs to further their understanding of practice-related issues. Each resident will be responsible for organizing and leading one session.

o Residents are also expected to attend Pediatric Resident Noon Conference, Pediatric Grand Rounds, Pharmacy Grand Rounds, and the pediatric clinical pharmacy team’s monthly conference and journal club when clinical responsibilities permit.

Pediatric Solid Organ Transplant o Residents will provide care throughout the year for patients admitted for pediatric heart, kidney,

or liver transplants, in conjunction with the clinical staff and the PGY2 Solid Organ Transplant resident.

o In addition to patients admitted for transplantation, residents will gain experience in completing pre-transplant pharmacy assessments and medication education for patients and families during admission and clinic visits.

Seminars/Case Conferences/Presentationso Residents are required to provide a platform presentation on the results of their residency

research project at a national meeting of a professional organization, such as the annual meeting of the Pediatric Pharmacy Association (PPAG), and/or the University of Virginia Children’s Hospital Research Symposium.

o Required presentations include: a seminar, a Pediatric Resident Noon Conference, and a presentation to the public (such as a patient/family support group) related to the safe and effective use of medications in infants, children, and adolescents. The seminar is ACPE-accredited to provide continuing education (CE) to pharmacists. In addition, residents are invited to give a presentation for the pediatric clinical pharmacy team’s monthly conference and frequently provide presentations to their medical team during rotations.

o Residents will assist with precepting pharmacy students and PGY1 residents. Service

o Experience in the distributive and clinical functions of the Pediatric Pharmacy provides necessary training for the resident and is a requirement of the ASHP residency accreditation standard.

o Residents will provide service in distributive/clinical areas for a total of 416 hours over the duration of the year. Service requirements will be: two 8 hour shifts every fourth weekend, one 4-day block associated with one major holiday (Thanksgiving and the day after, Christmas Eve and Christmas Day, or New Year’s Eve and New Year’s Day and the associated weekend), one 4-day block on the night shift, and 4 hour evening shifts no more than once weekly.

o Research and Quality Improvement Projects

o Completion of a research project is a requirement of the residency. In addition to submitting an abstract for presentation as described above, a written manuscript must be submitted for publication prior to completion of the residency.

o Each resident will also complete a Quality Improvement project. Completed projects will be presented to the University of Virginia Children’s Hospital Operations and Outcomes Committee, faculty from the Department of Pediatrics involved in the project, and the pediatric clinical pharmacist team and leadership.

Teaching and Learning Certificateo Residents who have not completed a structured teaching certificate program have the

opportunity to complete the department’s program.

PGY2 Pediatric Pharmacy Residency Preceptors

Winston Ally, PharmD, BCPS

Dr. Ally is the Pharmacy Clinical Coordinator in solid organ transplantation, serving as the team leader for the transplant clinical pharmacy team. He provides care along with the other transplant clinical pharmacists across liver, kidney, pancreas, heart, and lung transplant patient populations in both the inpatient and outpatient setting. Additionally, he provides care to the pediatric transplant patients and serves as the residency program director for the PGY2 Solid Organ Transplant Pharmacy Residency Program. Dr. Ally earned his PharmD degree from Rutgers University and completed ASHP-accredited PGY1-Pharmacy and PGY2 Solid Organ Transplantation residencies at Methodist University Hospital in Memphis, TN.

Patricia-Ann Betts, PharmD

Dr. Betts is a Pediatric Clinical Pharmacist. She received her PharmD from the Ernest Mario School of Pharmacy at Rutgers University in 2007 and completed an ASHP-accredited PGY1 Pharmacy Residency at The Children’s Hospital of Philadelphia. After completing her residency, she remained on staff there until joining the University of Virginia Health System in 2015. Her practice areas include General Pediatrics and Pediatric Endocrinology, Gastroenterology, Hematology/ Oncology, and Neurology. Dr. Betts is a member of the UVA Children’s Hospital Ketogenic Diet Program.

Marcia L. Buck, PharmD, FCCP, FPPAG, BCPPS

Dr. Buck is Program Director, PGY2 Pediatric Pharmacy Residency Program and the Clinical Coordinator for Pediatric Pharmacy Services. She also holds an appointment as Associate Professor of Pediatrics in the Schools of Medicine and Nursing. Her primary practice site is the Pediatric Intensive Care Unit. Dr. Buck received her

BS Pharmacy and PharmD degrees from Purdue University. She completed her ASHP-accredited Pediatric Residency and a fellowship in Pediatric Pharmacotherapy at the Medical University of South Carolina. Her research interests include pediatric sedation and analgesia, traumatic brain injury, and extracorporeal membrane oxygenation. Dr. Buck is a Fellow in both the American College of Clinical Pharmacy (ACCP) and the Pediatric Pharmacy Association (PPAG). Dr. Buck served as President of ACCP during the 2016-2017 academic year and is currently the ACCP appointee to the ASHP Commission on Credentialing.

Derek Burden, PharmD, BCPS

Dr. Burden is the Clinical Coordinator for Emergency Medicine. He earned his PharmD from the University of Kentucky and completed ASHP-accredited PGY1 Pharmacy and PGY2 Critical Care Residencies at Grady Health System.

Emily Chen, PharmD, BCPPS

Dr. Chen is a Pediatric Clinical Pharmacist and serves as Clinical Assistant Professor at the Virginia Commonwealth University School of Pharmacy. She serves as a preceptor for the Neonatal Intensive Care Unit, General Pediatrics, and Pediatric Endocrinology, Gastroenterology, Hematology/ Oncology, and Nephrology rotations. She is a member of the Pediatric Antimicrobial Stewardship Team and the Pediatric Sepsis Alert Task Force. Dr. Chen received her BS in Pharmacy and Doctorate of Pharmacy from the Ernest Mario School of Pharmacy at Rutgers University and completed an ASHP-accredited PGY1 Pharmacy Residency at Robert Wood Johnson University Hospital. She has been at the University of Virginia Health System since 2004. She is a member of the Pediatric Pharmacy Advocacy Group (PPAG).

J. Nate Hedrick, PharmD

As a member of the Emergency Medicine team, Dr. Hedrick provides clinical and bedside pharmacy services to patients in the Emergency Department. He received his BS and PharmD degrees from the University of North Carolina at Chapel Hill prior to completing ASHP-accredited PGY1 and PGY2 Critical Care residencies at UVA. Dr. Hedrick was recognized as the 2015-16 UVA Pharmacy Residency Preceptor of the Year.

Matthew Jenkins, PharmD, MS

Dr. Jenkins is Director of Acute Care Pharmacy Services at UVA. Dr. Jenkins earned is PharmD from Auburn University. He completed an ASHP-accredited combined Residency/Master’s Degree Program in Health System Pharmacy Administration at the UPMC Health system where he also received his Masters of Sciences in Health System Pharmacy Administration from the University of Pittsburgh. Prior to joining UVA, Dr. Jenkins was responsible for Clinical Operations at UF Health: Shands in Gainesville, FL. Dr. Jenkins has served as Operations Manager and Assistant Director of Clinical Operations for UF Health and as Operations Manager for the UVA Health System prior to his current role.

Kelly J. Lunsford, PharmD, BCPPS

Dr. Lunsford is a Pediatric Clinical Pharmacist. She received her PharmD degree from the University of North Carolina and completed both her ASHP-accredited PGY1 Residency and PGY2 Pediatric Residency at the University of Virginia Health System. Dr. Lunsford joined the UVA pediatric clinical pharmacy team in 2016.

Her interests include neonatal and pediatric intensive care, as well as pediatric emergency response management.

Kevin P. Lonabaugh, PharmD, BCACP, AAHIVP, AE-C

Dr. Lonabaugh is a Pediatric Clinical Pharmacist.  He received his PharmD from Shenandoah University and completed an ASHP-accredited PGY1 Pharmacy Residency at the University of Virginia Health System.   He then went on to complete a PGY2 in Ambulatory Care at the University of Oklahoma College of Pharmacy before returning to UVA in 2017.  Dr. Lonabaugh’s practice interests include Pediatric Ambulatory Care, Endocrinology, Pulmonology, and Infectious Diseases.  He also holds a strong interest in optimizing education for patients and their families.

Tara Miller, PharmD, BCPPS

Dr. Miller is a Pediatric Clinical Pharmacist, and holds an appointment as Clinical Assistant Professor at the Virginia Commonwealth University School of Pharmacy.  She serves as a preceptor for both the Hematology/Oncology and Pulmonary rotations.  Dr. Miller received her PharmD degree from Southern Illinois University Edwardsville School of Pharmacy in 2013. Following graduation, she completed an ASHP-accredited PGY1 Pharmacy Residency at the University of Mississippi Medical Center in Jackson, Mississippi and a PGY2 Pediatric Pharmacy Residency at the University of Arizona Medical Center-Diamond Children's Hospital in Tucson, Arizona.  She joined the University of Virginia Health System in 2015.

Donna M. Shuler, PharmD, BCPS, NHDP-BC

Dr. Shuler is an Emergency Medicine Clinical Pharmacist. She came to UVA in 2013 and holds appointment as a Clinical Assistant Professor at the Virginia Commonwealth University School of Pharmacy and Shenandoah University School of Pharmacy, serving as a preceptor for the Emergency Medicine rotation. Dr. Shuler obtained her PharmD degree from the University of the Sciences in Philadelphia and completed both her ASHP-accredited PGY1 and PGY2 Critical Care Pharmacy Residency at Baystate Medical Center. She is involved in both the Thomas Jefferson Medical Reserve Corps and the Community Emergency Response Team in Charlottesville. She currently serves on the VSHP Membership Committee, as well as the ACCP Emergency Medicine PRN research, media, and programming committees. Dr. Shuler recently served on the ACCP 2018 Global Meeting Planning Committee. Her professional interests include emergency preparedness and disaster response, trauma, transition of care, and quality improvement. In addition to being a board certified pharmacotherapy specialist, Dr. Shuler maintains certification as a National Healthcare Disaster Professional (NHDP-BC).

Clara Jane Snipes, RPh

Ms. Snipes received her BS in Pharmacy from Virginia Commonwealth University. She began her career at the University of Virginia Health System in 1983 and became one of the first pediatric clinical pharmacists at the University of Virginia Children’s Hospital. She serves as a preceptor for General Pediatrics as well as the Pediatric Ambulatory Care Clinics, Gastroenterology, and Hematology/Oncology rotations. She is a member of the Pediatric Pharmacy Association (PPAG) and the Virginia Society for Health-System Pharmacists.

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