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.  

Program Structure

 Required Rotations (1 month each)

  • Orientation (July)
  • Adult Emergency Medicine I (6 weeks)
  • Pediatric Emergency Medicine I (6 weeks)
  • Adult ICU (medical, cardiology, neurology, trauma/burn, and cardiothoracic)
  • Research (December)
  • Pediatric ICU (medical, cardiothoracic surgery, neonatal, surgical)
  • Adult Emergency Medicine II
  • Adult Emergency Medicine III
  • ED Pharmacy Practice management

Elective Rotations (1 month each, select 2)

  • Community Hospital ED
  • Poison Center
  • Urban ED
  • Additional ED-related rotation at Michigan Medicine
  • Additional Adult or Pediatric ED rotation at Michigan Medicine

Longitudinal Experiences

  • Pre-hospital care (EMS Ride-Along)

Teaching

  • Faculty appointment as Adjunct Clinical Instructor at the University of Michigan College of Pharmacy
  • Didactic teaching opportunity for third-year Pharm.D. students at the College of Pharmacy through a lecture in the Introduction to Critical Care Elective
  • Instructing the Hospital-Based Pharmacist code training courses
  • Resident on-call facilitator
  • Experience in rotation-related precepting and teaching of PharmD students and PGY1 residents through a layered-learning model
  • Optional teaching certificate through the University of Michigan College of Pharmacy

Research and Publication Opportunities

  • Design and complete a research project
  • Complete a writing project (review article or secondary research project) suitable for publication
  • Seven major presentations:
    • Research protocol
    • Writing project (presented as a 1-hour CE to the department of pharmacy)
    • Research project results at Great Lakes residency conference
    • Research project results to the pharmacy department
    • Journal club presented to ACCP EMPRN Monthly National Journal Club
    • 2-3 major topic presentations to the critical care, cardiology, and emergency medicine preceptor groups. Other major topic presentations will be done in collaboration with the PGY2 Cardiology and Emergency Medicine pharmacy residents.

Staffing Responsibility

  • 15 weekends per year: Mix of adult and pediatric ED satellite staffing
  • Required to work one major and one minor holiday block

Other Requirements

  • ACLS and PALS certifications (to be completed during orientation month, if needed)
  • Pediatric Emergency Medicine Trauma Simulations
  • Publish 1 article on EM Blog (as available)
  • As available, attend Emergency Medicine Medical Resident Teaching seminars and formally present one seminar topic
  • Partial funding for travel to Midyear Clinical Meeting and one ED-related professional conference
  • Full support for travel to Great Lakes Pharmacy Residency Conference and resident trip to observe practice at other hospitals
  • Professional service on a professional committee (local, state, or national)
  • Service on a UMHS Residency Committee

Qualifications

Minimum qualifications include graduation from an accredited college of pharmacy with a Doctor of Pharmacy degree and completion of a PGY1 Pharmacy residency. 

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