About the Pharmacy Residency Program

Information about Brigham and Women’s Hospital

Brigham and Women’s Hospital, located in Boston’s Longwood Medical Area, is a 793-bed nonprofit teaching affiliate of Harvard Medical School and a founding member of Partners HealthCare, Inc.  BWH has consistently been named one of the best hospitals in the United States by US News & World Report’s Honor Roll of America’s Best Hospitals. The Department of Pharmacy provides services to inpatient, outpatient, and satellite clinic locations throughout the Metro Boston area. The department is regarded as an innovator and leader in medication safety technology, clinical information systems, and clinical pharmacy services at the local and national level.

BWH Department of Pharmacy

The BWH Department of Pharmacy Services is dedicated to patient care and safety, promoting research and education, and integrating technology innovation with clinical services.

The department is composed of approximately 200 employees providing services to a several areas, including:

  • Inpatient services: intensive care, medical, surgical units
  • Outpatient Services: renal and heart transplant clinics, infectious disease clinic, anticoagulation management clinic, multiple sclerosis center, immunization clinic, dialysis
  • Investigational Drug Services
  • Operating Room
  • Emergency Department
  • Over 70 pharmacy and hospital committees

 

PGY-1 Residency Rotation Descriptions

Medical Intensive Care Unit

Preceptors: Jeremy Degrado, PharmD, BCPS

This is a 4 to 6 week rotation for PGY1 pharmacy practice residents that focuses on the overall pharmacological care of critically ill medical patients. The Pulmonary and Critical Care Medicine Division at Brigham and Women's Hospital is a world leader in clinical and academic respiratory disorders. There are two, 10-bed medical ICUs at BWH, each with a multidisciplinary team consisting of ICU attendings, pulmonary fellows, medicine residents and interns, critical care nurses and clinical pharmacists. Throughout this rotation, the resident will be involved in all aspects of patient care in the medical ICU. Time will be spent rounding on a daily basis with the MICU pharmacist, developing a daily pharmacological care plan for each patient in the MICU, answering drug information questions, working on clinical and quality improvement research, and learning how to effectively utilize and critique primary literature.

Goals of the rotation are tailored to each individual resident dependant on needs and interests but will include key topics in medical intensive care. Residents will also have the opportunity to participate in research, precept students, and lead topic discussions during BWH pharmacy department clinical meetings. At the conclusion of the rotation, the pharmacy resident should be able to actively participate in the pharmaceutical care of medical ICU patients and effectively communicate with the medical ICU team and nursing staff to optimize medication use.

Burn-Trauma Intensive Care Unit

Preceptor: Krystina Geiger, PharmD, BCPS

This 4 to 6 week rotation focuses on the overall pharmacological care of critically ill trauma, burn and surgical patients. The resident is expected to be involved in all aspects of patient care in intensive care unit (ICU). Time will be spent developing a pharmacological care plan for every patient, participating in daily rounds, providing education and drug information to the ICU team, contributing to clinical and quality improvement research and learning how to effectively evaluate and utilize primary literature. At the conclusion of the rotation, the pharmacy resident should be able to actively participate in the pharmaceutical care of trauma, burn and surgical ICU patients and effectively communicate with the ICU team and nursing staff to optimize medication use.

Emergency Medicine

Preceptors: Sarah Culbreth, PharmD, BCPS; Dave Nickerson, PharmD

The Emergency Medicine rotation is a 4-6 week learning experience for PGY1 Pharmacy practice residents. The rotation involves the provision of pharmaceutical care for patients in Emergency Departments. The emergency department at BWH has 43 beds, carries a level one trauma designation, and serves patients for ~60,000 visits annually. The Emergency Medicine team consists of one attending physician 2- 3 resident physicians per section, 3-4 nurses per section and the clinical pharmacist. The resident is exposed to a variety of patients and disease states and is expected to provide active pharmaceutical care under the ED pharmacist. Goals of the rotation are tailored to each individual resident dependant on needs and interests. Residents may participate in the care of patients with cardiovascular emergencies including cardiac arrest, neurologic emergencies including stroke, toxicology emergencies, pulmonary emergencies, infectious processes, and many non-emergent patient care topics. Residents will be interacting with nurses, physicians, physician assistants, and students daily during the EM rotation. Residents will have opportunity to review orders, participate in research, precept students, participate in discharge patient education as requested, answer consult requests from EM providers, provide in-services and present pertinent EM patient cases during BWH pharmacy department clinical meetings.

Infectious Disease

Preceptor: Dave Kubiak, PharmD., BCPS

The infectious disease rotation focuses on critically ill patients with severe bacterial, viral, and/or fungal infections. Time will be spent rounding on a daily basis with the infectious disease consult service, answering drug information questions, learning how to effectively utilize and critique primary literature, and attending Infectious disease clinical conferences. At the conclusion of the rotation, the pharmacy resident should feel comfortable dealing with the medical treatment and management of these unique patient populations.

Abdominal Transplant

Preceptor: Steve Gabardi, PharmD., BCPS

Brigham and Women’s Hospital is a recognized leader in transplant services. TheKidney Transplant Program at Brigham and Women’s Hospital is the oldest established renal programs in the country.The first identical twin kidney transplant was performed here in 1954 by Dr. Joseph Murray, who was later awarded the Nobel Science Prize for his pioneering work with immunosuppressants. Pre and post kidney transplant care is provided by a multidisciplinary team of specialists. The PGY1 resident (“the resident”) provides consultative services to physicians, physician’s assistants, nurses, care coordinators and other healthcare personnel in both inpatient and outpatient renal/pancreas transplant patient care areas. The resident will have responsibilities to both the transplant services and the pharmacy. The resident will be working in the inpatient and outpatient settings with the transplant teams. Within each clinical setting, the resident is responsible for documentation of the cost-effectiveness and quality of his/her therapeutic interventions.

General Medicine

Preceptors: Kevin Day, PharmD; Joan Dang, PharmD

The General Medicine rotation is a 4-6 week learning experience for PGY1 or PYG2 Pharmacy practice residents. The goal of the experience is to increase the resident’s knowledge and skills in general medicine and therapeutics. The resident plays a role in optimizing outcomes of internal medicine patients by providing evidence-based, medication therapy as an integral part of an interdisciplinary team. The GMS team is comprised of an attending physician, 2 residents, 2 interns, a medical or international student, a care coordinator, and the clinical pharmacist. The resident participates in the care of patients with a wide range of diseases (asthma, diabetes, chronic obstructive pulmonary disease, cirrhosis, hypertension, and hypercholesterolemia). Residents assist in the optimization of medical therapy for all patients on the medical team, and provide educational topic presentations for the group as needed. General medicine residents also play a role in obtaining accurate medication histories, medication reconciliation, and medication counseling for patients as needed. They will also precept general medicine students during the rotation. The resident’s knowledge and skills are enhanced by successful completion of the rotation objectives, daily activities, therapeutic discussions, patient case discussions, topic presentations, journal clubs, and research and writing opportunities.

Acute Care Cardiology – Coronary Care Unit

Preceptors: Bryan Cook, PharmD, BCPS; Danielle Carter, PharmD, BCPS, CACP

The Cardiac Intensive Care Unit (CCU) rotation is a 4-6 week learning experience for PGY1 or PYG2 Pharmacy practice residents. The goals of the experience are to integrate and apply the principles of therapeutics, clinical pharmacology and pathophysiology of disease processes in the management of patients with cardiovascular disorders and to enhance oral and written communication skills with multidisciplinary health care professionals. The CCU team is comprised of an attending physician, a fellow, 2 residents, 4 interns, and the clinical pharmacist. The resident participates in the care of patients with acute myocardial infarction, cardiogenic shock, heart failure, arrhythmias, pulmonary hypertension, and more. Residents assist in the optimization of medical therapy for all patients on the medical team, and provide educational topic presentations for the group as needed. They will also assist in precepting cardiology students during the rotation. The resident’s knowledge and skills are enhanced by successful completion of the rotation objectives, daily activities, therapeutic discussions, patient case discussions, topic presentations, journal clubs, and research and writing opportunities.

Medical Cardiology Acute Coronary Syndromes Rotation

Preceptors: Marjan Sadegh, PharmD, BCPS

The Acute Coronary Syndromes Cardiology rotation is a 4-6 week learning experience for PGY1 or PYG2 Pharmacy practice residents. The goal of the experience is to increase the resident’s knowledge and skills in cardiovascular disease and therapeutics. The Cards1 team is comprised of an attending physician, a fellow, 1-2 residents, 2 interns, a medical or international student and the clinical pharmacist. The resident participates in the care of patients with coronary artery disease (acute myocardial infarction, unstable angina, stable angina). Residents are also exposed to a variety of other cardiovascular disease states including but not limited to heart failure, atrial fibrillation and flutter, ventricular arrhythmias, hypertension, and hypercholesterolemia. Residents assist in the optimization of medical therapy for all patients on the medical team, and provide educational topic presentations for the group as needed. They will also precept cardiology students during the rotation. The resident’s knowledge and skills are enhanced by successful completion of the rotation objectives, daily activities, therapeutic discussions, patient case discussions, topic presentations, journal clubs, and research and writing opportunities.

General Cardiology

Preceptor: Judy Cheng, PharmD., MPH, FCCP, BCPS

The Cardiology Rotation is a 4 week learning experience for PGY1 Pharmacy practice residents as well as PGY2 Cardiology Resident. The rotation involves the provision of pharmaceutical care for patients on one of the general cardiology service (Cardiology Team 3). Residents will become familiarize with a broad spectrum of cardiovascular diseases, including but not limited to cardiovascular risk factors management (hypertension, hyperlipidemia…etc), acute coronary syndromes, decompensated heart failure, arrhythmias, and valvular heart diseases. The inpatient general cardiology team 3 consists of one attending physician, one medical resident, two medical interns, and the clinical pharmacist. The residents will be interacting with members of the team to facilitate medication use for patients and to provide drug information as requested. Residents will also have the opportunity to co-precept pharmacy students and provide therapeutic topic discussion to the team and to the pharmacy department. If interested, the resident will also be provided the opportunity to submit manuscript for publication.

Cardiology – Heart Failure

Preceptor: Judy Cheng, PharmD., MPH, FCCP, BCPS

The Heart Failure Rotation is a 4 week learning experience for PGY1 Pharmacy practice residents as well as PGY2 Cardiology Resident. The rotation involves the provision of pharmaceutical care for patients on the inpatient Heart Failure service. Residents will become familiarize with the pathophysiology and pharmacotherapy of heart failure as well as cardiac hemodynamics. The inpatient Heart Failure team consists of one attending physician, one cardiology fellow specializing in heart failure, one medical resident, two medical interns, a nurse practitioner and the clinical pharmacist. The Pharmacy Resident will have the opportunity to provide care to patients with deompensated heart failure, those with end-stage heart failure waiting for heart transplant, and those who develop post heart transplant complications. The residents will be interacting with members of the team to facilitate medication use for patients and to provide drug information as requested. Residents will also have the opportunity to co-precept pharmacy students and provide therapeutic topic discussion to the team and to the pharmacy department. If interested, the resident will also be provided the opportunity to submit manuscript for publication.

Administration, Leadership, Medication Safety

Preceptor:  John Fanikos, Rph, MS, Tom Cooley, Rph, MBA, Mike Cotugno, Rph; Caryn Belisle, PharmD; Heather Dell’Orfano, PharmD, BCPS, CACP; Lina Matta, PharmD, MPH, BCPS

The pharmacy leadership rotation is aimed at exposing the resident to pharmacy leadership through direct interaction with the executive director of pharmacy services. The resident will gain knowledge and insight on the broad scope of pharmacy leadership practice through interactive discussion with the director, attendance at daily activities, committee meetings and meetings with senior executives from BWH as well as outside entities and corporations. In addition the resident will be exposed to a great deal of confidential information regarding pharmacy business performance, human resource management, strategic planning, innovation, mentoring and coaching, and compliance management. In addition the resident will get actual hands on participation in projects and tasks normally undertaken by the executive director or his/her designees. The pharmacy resident will also prepare two 30 minute oral presentations on leadership topics as assigned by the executive director.

Ambulatory Anticoagulation Management Service

Preceptor: Amy Levesque, PharmD, CACP; Andrea Lewin, PharmD, CACP

This 4 to 6 week rotation focuses on inpatient and outpatient anticoagulation management services.   Throughout this rotation, the resident will be involved in all aspects of anticoagulation management. Time will be spent evaluating patients anticoagulation management plan, developing a anticoagulation management plan, discussing recommendations with patients, providing education and drug information to new anticoagulation management patients, contributing to clinical and quality improvement research and evaluating primary literature and current clinical practice guidelines as they apply to anticoagulation patients.  At the conclusion of the rotation, the pharmacy resident should be able to actively develop a anticoagulation management plan of AMS patients and effectively communicate with patients to ensure safe and optimal medication use. 

Thoracic Intensive Care Unit

Preceptor: Gaspar Hacobian PharmD 

The Thoracic Intensive Care Unit is a ten-bed unit specialized in caring for post-surgical thoracic patients. This includes patients with lobectomy, pneumonectomy, extrapleural pnemonectomy, and lung transplantation. The ICU team is comprised of an attending, two fellows (anesthesia, pulmonary, or surgical), two anesthesia residents, one surgical resident, and a clinical pharmacist. The pharmacy resident's responsibilities in the course of four to six weeks include participation on daily rounds, development of a pharmacological care plan for all the patients, presentations to the pharmacy staff, and providing educational material for the ICU team. The objective of the rotation is made to fit each resident based on his or her interests, but will also include major topics in intensive care, as well as all aspects of post-surgical thoracic patient care. Residents will have the opportunity to participate in research and to co-precept pharmacy students during their clinical rotation.

Hematology/Oncology and Hematopoietic Stem Cell Transplant

Preceptor: Anne McDonnell PharmD, BCOP; Daniel Voit, PharmD, 

The Hematology/Oncology rotation is a four to six week learning experience for PGY1 and PGY2 pharmacy practice residents. The rotation involves the provision of pharmaceutical care for patients admitted to the hematology/oncology services at Brigham and Women's Hospital, which includes the Dana Farber/Brigham and Women's Cancer Center (DFBWCC).The DFBWCC has 120 beds dedicated to the management of patients with a hematologic or oncologic diagnosis. In all, there are eight medical teams that service patients admitted to the hematology/oncology and hematopoietic stem cell transplant services. Medical teams are composed of an attending physician and either house staff physicians or physician assistants. Goals of the rotation are tailored to each individual resident dependant on needs and interests. The resident is exposed to a variety of patients and disease states, depending on rotation. The resident is expected to provide active pharmaceutical care under the oncology pharmacist. Residents are expected to integrate into the medical team, participate in daily rounds and assist in the supportive care of patients. Additionally, residents may have the opportunity to review orders, participate in research, precept students, and participate in discharge counseling as requested. Residents will also be expected to present at clinical staff meetings, in-service members of the medical and nursing team and participate in weekly topic discussions, when appropriate.

Neuroscience Intensive Care Unit

Preceptor: Patricia Krause PharmD, BCPS

The Neuroscience Intensive Care Unit (ICU) rotation is a 4-6 week learning experience for PGY1 Pharmacy Practice Residents. The rotation involves provision of pharmaceutical care for patients in the Neuroscience ICU.

The Neuroscience ICU at BWH has 20 beds, consisting of mixed Neurology and Neurosurgical services.  The Neurology team consists of one attending, one fellow, 2 residents and the clinical pharmacist.  The Neurosurgical team consists of one attending, one fellow, one physician's assistant, one nurse practitioner, and an intern (with clinical pharmacist consulting).  The resident is exposed to a variety of patients and disease states and is expected to provide active pharmaceutical care under the Neuroscience pharmacist. Goals of the rotation are tailored to each individual resident and depend on needs and interests.  Residents may participate in care of patients with ischemic or hemorrhagic stroke, meningitis, encephalitis, seizures or status epilepticus, Guillain-Barré, myasthenia gravis, hyponatremia, brain trauma, and post-neurosurgical patients (AVM, tumor resections, traumatic evacuation, spine fusion, etc). Residents will interact with nurses, physicians, physician assistants, and students during the rotation.  Residents will have the opportunity to review orders, participate in research, precept students, answer consult requests from the Neuro teams, provide education, and present patient cases during BWH pharmacy department clinical meetings. Time-permitting, the resident may observe a neurosurgical case or cerebral angiography pertaining to a patient they are providing care for. 

Heart & Lung Transplant

Preceptor: Keri Townsend PharmD; Miae Kim, PharmD

For patients with end stage cardiac and/or lung disease, transplantation is often considered the most effective treatment available. This rotation will focus on the pathophysiology and pharmacotherapy surrounding both heart and lung transplantation.  In addition, emphasis will be placed on management of non-pulmonary/cardiac diseases influenced by the presence of transplantation. Specific activities will include monitoring the acute and chronic care of patients, pharmacotherapeutic decision making, pharmacokinetic consulting, searching the literature in order to answer drug information questions, and patient counseling. At the conclusion of the rotation the resident should be able to independently and effectively work with the heart and lung transplant teams, maximizing patient care. 

Neonatal Intensive Care Unit

Preceptors: Brittini Allain, PharmD

This 3 to 4 week rotation focuses on the overall pharmacological care of critically ill and premature neonates.  This ICU rotation will include developing a pharmacological care plan for every patient, participating in daily rounds, attending daily intern lectures on NICU-related topics, providing education and drug information to the NICU team, contributing to clinical and quality improvement research and evaluating primary literature and current clinical practice guidelines as they apply to neonatal patients.  At the conclusion of the rotation, the pharmacy resident should be able to actively participate in the pharmaceutical care of neonatal ICU patients and effectively communicate with the neonatal ICU team and nursing staff to optimize medication use.  

Ambulatory Care - Pain Management Center

Preceptor: Michele Matthews, PharmD

The ambulatory care practice experience at the Pain Management Center (PMC) at the Brigham and Women's Hospital will emphasize the role of the pharmacist in both clinical and research settings as they relate to pain management. Residents will be exposed to various aspects of pain management, including chronic analgesic therapy, interventional procedures, and investigational therapies and will be provided with opportunities to partake in patient visits, research, quality improvement initiatives, and educational conferences. Residents will also be involved with the teaching and mentoring of pharmacy students from the Massachusetts College of Pharmacy and Health Sciences. The rotation experience at the PMC is designed to further develop the resident's knowledge of pharmacotherapy for patients within an ambulatory care setting with a focus on pain management. Communication skills, interactions with patients, physical assessment techniques, patient monitoring skills, and the provision of drug information to health care professionals, patients, and patients' families will be emphasized. After successful completion of this rotation, the resident will be able to: define pain and describe its pathophysiology, identify chronic pain syndromes based on patient presentation, assess pain through the use of various screening tools, develop an appropriate pharmacotherapeutic plan for patients experiencing chronic pain syndromes, provide effective and appropriate pain-related education to both patients and clinicians, analyze pertinent pain-related clinical literature, and understand the role of the pharmacist in pain management-related clinical research. 

Surgical Intensive Care Unit
The surgical intensive unit offers a 4-6 week rotation for PGY1 and 2 pharmacy practice residents that encompasses many aspects of critical care. The surgical intensive care unit is a ten bed ICU for patients requiring critical care pre/post surgical interventions. During the resident's rotation on the SICU he or she will actively participate in daily rounds with the SICU team, optimize and monitor pharmacological regimens, answer drug information questions, provide education to clinical staff and effectively apply evidence based medicine to patient care.  Each resident will be expected to conduct or contribute to a quality improvement project in order to provide and maintain the standard of care to all patients. Goals of the rotation are tailored to each individual resident dependant on needs and interests. Residents will also have the opportunity to participate in research, precept students, and lead topic discussions during BWH pharmacy department clinical meetings. At the conclusion of the rotation, the pharmacy resident should be able to actively participate in the pharmaceutical care of surgical ICU patients and effectively communicate with the ICU team and nursing staff to optimize medication use.
Investigational Drug Service
The Investigational Drug Service rotation is a 4 week learning experience for PGY1 Pharmacy practice residents. The rotation involves an expanded range of research activities to help ensure the delivery of high quality health care, while minimizing the risks associated with participation in an investigational drug trial. The Investigational Drug Service manages approximately 300 research studies for Brigham and Women’s Hospital and Dana Farber Cancer Institute. The Investigational Drug Service consists of seven research pharmacists, two technicians, and one co-op student (from Northeastern University). The resident is exposed to many diverse aspects of investigational pharmacy including protocol development and implementation, an introduction to the Partners’ Institutional Review Board (IRB), compliance with hospital policy, JCAHO, and state and federal standards, and appropriate storage, handling, drug accountability, and information access. Goals and expectations of the rotation are tailored to each individual resident. Residents may participate in a voting discussion at the Institutional Review Board meetings on the subject of clinical trial approval based on equipoise and safety. Residents will have the opportunity to learn Good Manufacturing Practice (GMP) through our compounding facilities, conduct Drug and Biologic reviews, answer clinician concerns about research design and pharmacy involvement, review and approve orders, dispense protocol specific medication, design pharmacy guidelines for dispensation of protocol specific supply, present clinical information on current on-going research, and learn a unique online research pharmacy software system.

PGY2 Critical CareLearn more

PGY-2 Critical Care Pharmacy Residency Information

PGY2 CardiologyLearn more

PGY-2 Cardiology Pharmacy Residency Information

Current ResidentsLearn more

PGY-1 Pharmacy Practice Residents 2017-2018

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