Pediatric PGY2 Residency
Peyton Manning Children's Hospital at Ascension St. Vincent
Purpose
PGY2 residency programs build upon Doctor of Pharmacy (PharmD) education and PGY1 pharmacy residency training to develop pharmacist practitioners with knowledge, skills, and abilities as defined in the educational competency areas, goals, and objectives for advanced practice areas. Residents who successfully complete PGY2 residency programs are prepared for advanced patient care or other specialized positions, and board certification in the advanced practice area, if available.
Program Description
The purpose of the ASHP-accredited PGY2 Pediatric Residency at Ascension St. Vincent is to build on the
competencies achieved in a PGY1 residency and develop clinical pharmacists who provide competent, safe, evidence based, cost effective and highly reliable pharmacotherapy to infants and children. Achievement of a teaching
certificate along with required multidisciplinary educational activities will provide the foundation upon which the
resident can further develop his/her teaching skills in diverse didactic and clinical settings. Upon completion of the
PGY2 Pediatric Pharmacy Residency Program, the resident will be prepared to attain board certification and secure a
hospital-based position in pediatrics or an affiliated academic position with a College of Pharmacy.
Practice Sites
The primary pediatric teaching sites are Peyton Manning Children’s Hospital at Ascension St. Vincent and Ascension St. Vincent Women’s. The hospital is a mission-based organization dedicated to the care of children from infancy to age 18 and to providing educational experiences to medical and pharmacy residents and students. Providing exceptional patient care is the primary focus at our institution.
Peyton Manning Children's Hospital at Ascension St. Vincent
Peyton Manning Children’s Hospital at Ascension St. Vincent is a non-profit, four-story pediatric hospital dedicated to the care of children and offers all private rooms, overnight accommodations for parents, and a child-friendly setting designed to allow caregivers and families to work together to improve children’s health.
Features
- 47-bed Pediatric Inpatient Unit with 24/7 hospitalist coverage
- 20-bed Pediatric Intensive Care Unit (PICU) with 24/7 board certified intensivists
- 17-bed Hilbert Pediatric Emergency Department
- Level 1 trauma and burn center
- 18 comprehensive outpatient clinics
- ECMO services
Ascension St. Vincent Women's Hospital
St. Vincent Women’s is the largest free-standing comprehensive women’s health service hospital in Indiana and physicians deliver more multiples and high-risk babies than any other hospital in the state. Special features: maternal fetal medicine, labor and delivery services for high-risk mothers and babies as well as uncomplicated pregnancies, newborn intensive care, breast, gynecological, urological and plastic surgeries and full-service diagnostic imaging (ultrasound, MRI). The Center for Women's Health provides services and education to women of all ages.
Construction for the new Women and Children's tower is ongoing and is expected to open in 2024.
Features
- 7 obstetrical triage rooms
- 16 labor, delivery and recovery rooms
- 26 high-risk antepartum care unit rooms
- 97-bed Level IV Neonatal Intensive Care Unit
- 48-bed family care unit (postpartum and newborn care)
- 13-bed medical surgical unit
- 7 operating room suites
- Neonatal and Pediatric Critical Care Transport
Learning Experiences
Required Experiences
- Orientation
- Pediatric Critical Care
- Neonatal Critical Care
- General Pediatrics
- Infectious Diseases
1 month long experiences
Elective Experiences
- Emergency Medicine
- Gastroenterology
- Hematology/Oncology
- Nephrology
- Neurology
- Pulmonology
- Surgery- General, Orthopedic, ENT, Neuro
- Psychiatry
- Women's Health
1 month long experiences
Longitudinal Experiences
- Ambulatory Care (weekly for 6 months)
- Practice Management
- Didactic and Experiential Teaching
- Research
- Staffing and On-call Program
Required Learning Experiences Descriptions
Orientation Learning Experience
The orientation rotation is designed to allow the resident to become comfortable in the pharmacy and the hospital by providing them with the opportunity to participate in daily staffing responsibilities of both a distributive and clinical nature. The resident will have the opportunity to observe preceptors modeling effective patient monitoring and education as well as ordering, validating in the electronic health record and dispensing medications. The resident will also have sessions of a didactic nature focusing on various clinical topics including antimicrobial stewardship, kinetics, nutrition, anticoagulation and code participation.
Pediatric Critical Care Learning Experiences
The PICU learning experiences are designed to provide the resident with the opportunity to develop the knowledge and skills about the clinical course, manifestations, and therapy of common pediatric critical care diseases. Residents will provide recommendations to attending physicians during multi-disciplinary team rounds and actively participate in code/ECMO situations. Focused projects such as formal drug information responses and educational in services to nursing and physicians may also be required.
Neonatal Critical Care Learning Experiences
The NICU Learning Experiences provide exposure to the entire spectrum of neonatal care, from the well newborn to infants born extremely preterm and who are critically ill. The resident will have the opportunity to learn about disease states seen only in babies, as well as those chronic conditions which can affect patients throughout childhood and beyond. Residents work very closely with the attending neonatologists and other members of the healthcare team to provide high-level, evidence-based, family-centered care.
General Pediatric Learning Experiences
The General Pediatrics Learning Experiences are designed to provide the resident with the opportunity to develop the knowledge and skills required to care for patients from birth to age 18. These Learning Experiences will focus on the clinical course, manifestations and therapy of common pediatric disease states through active participation on daily resident-run, multi-disciplinary rounds, and will require the completion of mini-projects related to pediatrics.
Infectious Diseases Learning Description
The resident will take part in care of patients being followed on the pediatric infectious diseases inpatient rounding service and at the outpatient pediatric infectious disease clinic. This experience is designed to allow the resident to gain knowledge and experience in caring for patients with various infectious diseases. Additionally, residents will gain experience application of various antimicrobial stewardship principles in the neonatal and pediatric patient population. The resident will have the opportunity to apply the knowledge gained through multidisciplinary interactions other members of the healthcare team and participation in focused projects and discussions relating to infectious disease and antimicrobial stewardship with direct instruction, observation, facilitation and coaching by the preceptors. The resident will gain experience in the development of a pediatric focused antibiogram.
Longitudinal Learning Experiences Descriptions
Practice Management
The resident will be required to:
- Facilitate a committee or work-group
- Actively participate in the activities of the Pediatric
Pharmacy and Therapeutic Committee as well as ad hoc
participation with other relevant groups - Develop and/or update a neonatal/pediatric policy, order
set, and drug shortage plan - Will gain technology experience with electronic health records, order sets, and Alaris pumps technology
- A quality improvement project as related to pediatric pharmacy operations
- Actively participate in the therapeutic initiatives for an Ascension National Pediatric Committee such as Pediatric and Maternal Expert Review Panel or Ascension Health Antimicrobial Stewardship Committee.
Didactic and Experiential Teaching
- If not achieved during Pharmacy Practice (PGY-1)
Residency, the resident will participate in the Indiana Teaching
Certificate Program - The resident will have opportunities to teach in small group
facilitation and lectures through Butler, Manchester and Purdue
universities - The resident will develop an educational legacy project for pharmacists, pharmacy residents, and pharmacy students. Past legacy projects include Pharmacokinetic Monitoring and Training Guide for Vancomycin and Aminoglycosides and Parenteral Nutrition Monitoring and Training Guide.
- The resident will be required to:
- Give one formal noon conference and one interactive conference to pediatric medical residents
- Precept at least one month of PharmD students/residents with the potential to precept more if desired
- Present a variety of presentations including patient cases, therapeutic dilemmas, journal clubs and nursing in-services
- Create a preceptor development activity
Residency Project
The resident will have the opportunity to complete and present a residency project and poster to a local, regional or national meeting. The project will be tailored around the interests of the resident as well as the organization.
Ambulatory Clinic
During the ambulatory care experience, the resident will spend half a day each week for six months in a clinic of the resident’s interest. Residents will have the opportunity to apply common acute/chronic pediatric disease state knowledge through participation in multidisciplinary patient care at the pediatric outpatient clinics, including working with various healthcare providers in managing social and medical aspects of patient care.
Service Commitment
- The resident will be required to staff one evening every four weeks and one weekend every three weeks. Responsibilities will include both distributive and clinical. In addition, the resident will participate in the on-call program.
- The resident will actively participate in two volunteer activities, one which must be pharmacy related, during the residency.
- The resident will participate in interdisciplinary pediatric mock code simulations once a quarter.
Past Residents- Where are they now?
Patricia Burch, PharmD, BCPPS completed her PharmD at the University of Nebraska. She completed her PGY-1 and PGY-2 residencies at Ascension St. Vincent and Peyton Manning Children's Hospital. Patricia is currently a general pediatrics clinical pharmacy specialist at Peyton Manning Children's Hospital.
Kaylee Poole, PharmD, BCPPS completed her PharmD at the University of Southern Illinois Edwardsville. She complete both her PGY-1 and PGY-2 residencies at Ascension St. Vincent and Peyton Manning Children's Hospital. Kaylee is currently working as a pediatric outpatient clinical pharmacy specialist at Riley Hospital for Children at Indiana University Health.
Kasia Spyrka Los, PharmD, BCPPS completed her PharmD at Drake University. She complete both her PGY-1 and PGY-2 residencies at Ascension St. Vincent and Peyton Manning Children's Hospital. Kasia is currently a pediatric clinical pharmacist at the University of California Davis Children's Hospital.
McKenzie Packard, PharmD, BCPPS completed her PharmD at Drake University. She completed her PGY-1 pharmacy practice residency at MercyOne Des Moines Medical Center and PGY-2 pediatric pharmacy resident at Peyton Manning Children's Hospital. McKenzie is currently a pediatric clinical pharmacist at Atrium Health Wake Forest Medical Center.
Emily Garries, PharmD completed her PharmD at Purdue University. She complete both her PGY-1 and PGY-2 residencies at Ascension St. Vincent and Peyton Manning Children's Hospital. Emily is currently a pediatric hematology/oncology pharmacy specialist at Peyton Manning Children's Hospital.
Current Resident
Kendyl Miller, PharmD is a current PGY2 Pediatric Pharmacy Resident at Ascension St. Vincent - Peyton Manning Children’s Hospital in Indianapolis, IN. She received her Doctor of Pharmacy degree from Purdue University in May of 2022 and her PGY1 Pharmacy Residency Certificate from Ascension St. Vincent, Indianapolis in 2023.
Preceptors
Maria Whitmore, PharmD, BCPPS is a Pediatric Critical Care/Emergency Department Clinical Pharmacy Specialist at Peyton Manning Children’s Hospital at St. Vincent. Maria received her Bachelor of Pharmacy from University of Toledo and Doctor of Pharmacy from University of Kentucky. She completed a PGY-1 Pharmacy Practice residency at Indiana University Health and a Pediatric PGY-2 Specialty Residency at Riley Children’s Hospital at Indiana University Health. Maria is a Board Certified Pediatric Pharmacotherapy Specialist and current areas of interest include analgesia and sedation, infectious disease, congenital heart disease and ECMO.
Maria is the current PGY-2 Pediatric Pharmacy Residency Director and will be transitioning out of this role in July 2024.
Maria is the current PGY-2 Pediatric Pharmacy Residency Director and will be transitioning out of this role in July 2024.
Jennifer Tobison, PharmD, BCPPS is a Pediatric Ambulatory Care Clinical Pharmacy Specialist at Peyton Manning Children’s Hospital at Ascension St. Vincent. Jennifer received her Doctor of Pharmacy from Butler University. She complete both her PGY-1 and PGY-2 residencies at Ascension St. Vincent and Peyton Manning Children's Hospital. Jennifer is a board-certified Pediatric Pharmacotherapy Specialist and current areas of interest include pediatric nephrology, anticoagulation and the Ketogenic diet.
Jamalyn Casey, PharmD, BCPPS is a Neonatal Clinical Pharmacy Specialist at Ascension St. Vincent Women’s. Jamalyn received her Doctor of Pharmacy from Butler University. She completed a PGY-1 Pharmacy Practice Residency at Community Health and a Pediatric PGY-2 Specialty Residency at Riley Children’s Hospital at Indiana University Health. After her residency, Jama worked as a Neonatal Clinical Pharmacist at Nationwide Children’s Hospital in Columbus, OH prior to coming to Ascension St. Vincent. Jamalyn is a board-certified Pediatric Pharmacotherapy Specialist and her current areas of interest include infectious disease, surgical disease states, nutrition, and pulmonary hypertension.
Jamalyn is the current PGY2 Pediatric Residency Coordinator. She will be transitioning into the role of PGY2 Residency Program Director in July 2024.
Patricia Burch, PharmD, BCPPS is a General Pediatrics Clinical Pharmacy Specialist at Peyton Manning Children's Hospital at Ascension St. Vincent. Patricia received her Doctor of Pharmacy from the University of Nebraska Medical Center. She completed her PGY-1 and PGY-2 residencies at Ascension St. Vincent and Peyton Manning Children's Hospital. Patricia is a board-certified Pediatric Pharmacotherapy Specialist and her current areas of interest include pain and sedation, surgical states, and transitions of care.
Emily Garries, PharmD is a Pediatric Oncology/Hematology Clinical Pharmacy Specialist at Peyton Manning Children’s Hospital at Ascension St. Vincent. Emily received her Doctor of Pharmacy in 2021 from Purdue University. She completed a PGY-1 Pharmacy Practice Residency at Ascension St. Vincent Indianapolis and a PGY-2 Pediatrics Pharmacy Residency at Peyton Manning Children’s Hospital at Ascension St. Vincent. Her areas of interest include pediatric oncology and infectious diseases.
Melissa Neglia, PharmD is a High Risk Obstetrics/ Women's Health Clinical Pharmacy Specialist at Ascension St. Vincent Women's Hospital. Melissa received her Doctor of Pharmacy from Purdue University. She completed her PGY-1 Pharmacy Practice Residency at Baptist Memorial Hospital in Memphis, TN. Her areas of interest include high risk maternal care and vaccine administration.
