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! 
I currently:
The ASHP Code for my PGY1 residency is/was (can be found via https://accreditation.ashp.org/directory/#/program/residency)
Type of hospital or hospital system where I am completing (or previously completed) my PGY1 residency or currently work is: 
Location of hospital or hospital system where I am completing (or previously completed) my PGY1 residency or currently work is: 

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

Please describe the ICU model (open/closed) at your PGY1 hospital or current institution.
Are ICU pharmacists at your PGY1 hospital or current institution service or unit-based?
<span style="font-size:19px;"><span style="font-family:Arial,Helvetica,sans-serif;">At your PGY1 site (or most current practice site if you are a current practicing (non-resident) pharmacist), please check all the responsibilities that ICU pharmacists are responsible for. Please also designate all the activities you have observed, or actively completed, for ICU patients.</span></span><o:p></o:p>
ICU Pharmacist Responsibility
Personally Observed or Completed Not an ICU Pharmacist Responsibility at my Hospital  
Please select all that apply Please select all that apply Please select all that apply
 
 
 
 
 
 
 
 
 
 Which specialized ICU devices are available at your PGY1 institution or current institution (e.g. CRRT, ECMO, VADs, etc.)
What type formalized code response teams exist at your PGY1 hospital or current institution? 
Are pharmacists at your PGY1 hospital or current institution required to respond to cardiac arrest codes?
Please tell us the name of the EMR system you use at your current institution.