Online Survey Software | Qualtrics Survey Solutions

Thank you for completing this supplemental application for our PGY2 Critical Care Pharmacy residency. Your answers will be used to supplement the application materials uploaded to PhorCas. We appreciate your time!

Email PGY2 Critical Care RPD Wan-Ting Huang at wah007@health.ucsd.edu if you have any questions.

I currently:

Am completing a PGY1 Pharmacy residency
Work as a staff pharmacist in an inpatient setting
Work as a staff pharmacist in an ambulatory setting

The ASHP Code for my PGY1 residency is/was (can be found via https://accreditation.ashp.org/directory/#/program/residency)

Please enter the ASHP code
My PGY1 residency is in candidate status
My PGY1 residency is/was unaccredited

Type of hospital or hospital system where I am completing (or previously completed) my PGY1 residency or currently work is:

Academic
Community

Location of hospital or hospital system where I am completing (or previously completed) my PGY1 residency or currently work is:

Urban
Suburban
Rural

Please describe the pharmacy practice model at your PGY1 hospital or current institution.

Centralized order verification by operational pharmacists. Centralized clinical pharmacy services by clinical pharmacists/specialists.
Decentralized order verification by floor/unit pharmacists. Centralized clinical pharmacy services by clinical pharmacists/specialists.
Decentralized order verification by floor/unit pharmacists. Decentralized clinical pharmacy services by clinical pharmacists/specialists.
Decentralized order verification and clinical pharmacy services by clinical pharmacists/specialists.
Other, please describe

Please select all the pharmacist medication management protocols implemented at your institution (i.e. pharmacists have the independent prescribing authority to adjust/initiate medication orders). [multiple select]

Pharmacokinetic monitoring of antiinfectives
Pharmacokinetic monitoring of antiepileptics
TPN
Insulin/glucose management
Analgesia, sedation, and/or paralytics
Renal dosing
Anticoagulation
Medication reconciliation activities
Immunosuppression

When you staffed independently (excludes rotation experiences), what were your responsibilities? (select all that apply)

Order verification
Medication preparation or distribution
Clinical pharmacy services, e.g. PK dosing, per protocol management, consults
Interdisciplinary rounding
Other

Please describe the ICU model (open/closed) at your PGY1 hospital or current institution.

Closed ICU definition: only one service admits and writes orders on patients
Open ICU definition: multiple services have admitting privileges for ICU patients
Some ICUs were open and some were closed

Are ICU pharmacists at your PGY1 hospital or current institution service or unit-based?

Service-based: Follow a team-based service for a specific specialty. Provide recommendations and consultations. Typically, do not verify medication orders.
Unit-based: Cover a variety of patient types or services in a specific location. Verify medication orders and optimize medication therapies
Hybrid: Follow a team-based service, as well as cover a variety of patient types in a specific location. Verify orders, as well as provide consultations and optimize medication therapies
We do not have dedicated ICU pharmacists

How many different types of ICU units/services are provided at your PGY1 hospital or current institution? e.g. Trauma ICU, Neonatal ICU, Burn ICU, Cardiac ICU, etc

My institution has 1 mixed ICU that houses all ICU patients
2 - 4 specialized ICU units/services
5 - 8 specialized ICU units/services
More than 8 specialized ICU units/services

Which specialized ICU devices are available at your PGY1 institution or current institution

What type formalized code response teams exist at your PGY1 hospital or current institution that pharmacists are considered part of the code team?

Are pharmacists at your PGY1 hospital or current institution required to respond to cardiac arrest codes?

Yes
No
Yes, but only during certain hours

Please tell us the name of the EMR system you use at your current institution.

Epic
Cerner
CPRS
Other

Did your PGY1 program have a formal program aimed at improving your pharmacy precepting and teaching skills (sometimes called a teaching certificate program)?

Yes
No

During your PGY1 or working experience, how many students have you precepted/co-precepted?

1 student
Multiple students on the same rotation
2 students during separate rotations
>= 3 students during separate rotations
I haven't precepted students