Emergency Medicine Pharmacy

The PGY2 Emergency Medicine (EM) Pharmacy Residency is designed to build upon a resident’s past learning experiences to become a highly knowledgeable, evidence based, and functional clinical pharmacist in the emergency department (ED).  The one-year specialty residency program is designed to provide residents with advanced training in emergency medicine, with a focus on adult & pediatric critical care and urgent care, toxicology, pre-hospital care, emergency medicine practice management, research, teaching, and emergency preparedness. 

The resident will be integrated as a core member of the ED pharmacy team in our Level 1 Trauma Center, serving adult, pediatric, and psychiatric patient populations.  In this capacity, the resident will work closely with EM physicians, residents, mid-level practitioners, respiratory therapists, and nurses to ensure patients receive the best possible care while in the ED.  Training will focus on prioritizing patient care needs and utilization of resources, understanding and applying evidence based recommendations, becoming comfortable with stat bedside medication therapy decisions, and monitoring a patient’s clinical course to ensure goals of therapy are met. 

Upon completion of the program, residents will be well-equipped to serve as an integrated member of the interdisciplinary emergency medicine team for both adult and pediatric patients.  Training will also ensure the resident will be ready for board certification, teaching, precepting, and managing an emergency department pharmacy practice and/or satellite.  


Emergency Departments at Michigan Medicine

Michigan Medicine is a Level 1 Trauma Center featuring three emergency services departments – Adult Emergency Services (AES), Children’s Emergency Services (CES), and Psychiatric Emergency Services (PES). With over 100,000 patient visits per year, there is a diversity of patient populations served and medical problems managed.  The emergency departments include 24/7 pharmacist coverage, with pharmacists serving as integral members of the patient care team in both adult and pediatric settings.  AES includes 99 treatment beds, 5 trauma/resuscitation bays, and an 8-bed Emergency Critical Care Center.  CES includes 31 treatment rooms and 2 trauma/resuscitation bays. Both adult and pediatric emergency departments also utilize the dedicated Psychiatric Emergency Services (PES).

Program Structure

 Required Rotations (1 month each)

  • Orientation
  • Adult Emergency Medicine I
  • Adult Emergency Medicine II
  • Pediatric Emergency Medicine I
  • Pediatric Emergency Medicine II
  • Adult ICU: can choose 1 of the following
    • Medical
    • Surgical
    • Trauma/Burn
    • Pediatric
  • Adult Emergency Medicine- Resuscitation Bay and EC3 (Emergency Critical Care Center)
  • Adult Emergency Medicine- Urgent Care Focus
  • Emergency Medicine Pharmacy Practice Management
  • Research

Elective Rotations (1 month each, select 1)

  • Emergency Department- Community Hospital
  • Detroit Medical Center (DMC) Poison Control 

Longitudinal Experiences

  • Pre-hospital care (EMS Ride-Along)
  • Research project
  • Writing project and Continuing Education (CE) presentation
  • Teaching opportunities with the following groups:
    • University of Michigan College of Pharmacy
    • Interdisciplinary in-services and seminars
    • Assisting with precepting of IPPE/APPE students with the layered-learning model
  • Medication use evaluation
  • Pharmacy committee involvement

Staffing Component

The resident will staff in the emergency department about 15 weekends throughout the residency year.

Other Scholarly Activities

  • Present 1 ACCP Emergency Medicine PRN Journal Club
  • Emergency Medicine Medical Resident Teaching Seminar (attendance and present a seminar)
  • Monthly CES Trauma Simulation
  • Publish 1 article on EM Blog
  • EM-related professional organization involvement
  • Certification in the following areas (as available)
    • Advanced Cardiac Life Support (ACLS)
    • Pediatric Advanced Cardiac Life Support (PALS)
    • Advanced Wilderness Life Support (AWLS)

Conference Attendance

  • ASHP Midyear Clinical Meeting
  • Great Lakes Pharmacy Resident Conference
  • One emergency medicine related professional conference
    • American College of Clinical Pharmacists (ACCP) Annual Meeting
    • American College of Emergency Physicians (ACEP)
    • Society of Critical Care Medicine Annual Congress (SCCM)

Residency Program Director Information

Liz VanWert, PharmD, BCPS
Residency Program Director – PGY2 Emergency Medicine Pharmacy
Pharmacy Team Lead – Adult and Children’s Emergency Services
College of Pharmacy Adjunct Clinical Assistant Professor
Department of Pharmacy Services and College of Pharmacy
Michigan Medicine
phone: (734) 763-7331
email: vanwerte@med.umich.edu