PGY-2 UPMC St Margaret Geriatric Medicine Residency Program: University of Pittsburgh School of Pharmacy

PGY-2 UPMC St Margaret Geriatrics


The postgraduate year two (PGY2) Geriatric Pharmacy Residency at UPMC St. Margaret offers a two-year residency program in which the UPMC St. Margaret PGY1 Pharmacy Practice Residency continues to a PGY2 specialty residency in geriatrics. Continuity in learning environment and interdisciplinary relationships built in the first year allows for a rich and independent practice during the second year.

Residents will provide direct patient care in the various levels of the health systems in which older adults are cared for and live in, including: inpatient, outpatient, personal and skilled nursing care, rehabilitation and home visits. UPMC St. Margaret is a 250-bed community teaching hospital with a diverse patient population, including a large geriatric contingent. The resident will be based out of one of the two outpatient UPMC St. Margaret Geriatric Care Centers where they will provide longitudinal care along side the interprofessional team including the pharmacist, physician, geriatric psychiatrist, neuropsychologist, licensed clinical social worker, as well as geriatric trained nurses and support staff. The PGY2 resident will also provide longitudinal care at the Presbyterian SeniorCare Campus, which includes The Willows (skilled nursing facility), Westminster Place (personal care), and Woodside Place (personal care – dementia). As our older adults transition through various levels of care (home to hospital, hospital to skilled nursing facility, hospital to home), our PGY2 resident is part of the well-established collaborative team at UPMC St. Margaret, with a truly impactful direct patient care role. Our team is eager to work together to educate eager learners and provide excellent patient care.

Practice-based research experiences are numerous and afford high-quality outcomes with the expectation for presentation at a national meeting for the primary research project as well as peer-reviewed publication of other scholarly activities. The Faculty Development Fellowship Program at UPMC St. Margaret is a longitudinal curriculum in which family medicine physicians and pharmacy residents collaboratively learn teaching strategies, leadership, mentorship, and research design. In addition to our core faculty at St. Margaret, fellowship sessions are led by local experts from Carnegie Mellon University and the University of Pittsburgh in communication and teaching design along with national figures in areas such as health-system advocacy and leadership. Pharmacy residents at UPMC St. Margaret also have numerous opportunities to give formal and informal presentations to health care professionals, precept PGY1 pharmacy residents and pharmacy students, and teach at the University of Pittsburgh, School of Pharmacy.

Application Requirements

Residents come to the University of Pittsburgh School of Pharmacy programs from far and wide, representing more than 25 US States and foreign countries.

All residents must be eligible for pharmacist licensure in the Commonwealth of Pennsylvania. Applications for Pharmacist License and Intern Registration are available.

Application Process

Eligible candidates will have completed an ASHP accredited PGY1 pharmacy residency program and must submit the standard application requirements via PhORCAS by January 7th. An on-site interview is required.

This residency site agrees that no person at this site will solicit, accept, or use any ranking related information from any residency candidate.

The purpose of the Geriatric Pharmacy Residency is to train highly motivated, team-oriented pharmacy residents on advanced patient care skills, teaching techniques, and practice-based research methods, preparing them to be leaders of change in the medical and academic community. The focus is on independent pharmacy practice, allowing the specialty resident advanced practice opportunities in the areas older adults receive care including the hospital, skilled and personal care home sites, and outpatient clinics.

Duration/Type: 12 months
Number Positions: 2
Starting Date: July 1
Salary: $ 49,055
Benefits include:

  • 20 paid-time-off (PTO) days including vacation, sick, and personal days
  • 10 Professional development and learning days for conference attendance
  • Continuing education stipend
  • Chief of Policy and Chief of Scheduling stipend
  • Board certification: Application and examination fully covered.
  • Relocation allowance: up to $2,500
  • Work laptop and computer
  • Health insurance (medical, dental, vision, and prescription coverage)
  • Disability benefits
  • Life insurance
  • Malpractice insurance
  • Supplemental retirement annuities
  • Tax-sheltered annuity plan
  • SMMH Federal Credit Union
  • ACLS/BCLS provider courses
  • ATLS/PALS/NALS/ALSO courses
  • Annual allotment or meal allowance
  • Free on-site parking

Training Site: Hospital, Skilled Nursing Facility, Personal Care Homes, Outpatient Geriatric Care Centers
Owner/Affiliates: Private
Model (type): Teaching, Community
Total Beds: 249

Longitudinal Experiences

  • Geriatric Care Center Outpatient
  • Skilled Nursing Facility Clinical Rounds
  • Faculty Development Fellowship
  • Research
  • Palliative Care
  • Medication Safety

Block Core Rotations

  • Orientation
  • Inpatient Geriatrics
  • Teaching and Learning
  • Geriatric Psychiatry
  • Transition

Electives

  • Global health
  • Medication Safety
  • Cardiovascular Risk Reduction
  • Pharmacist Practice Development

Additional time in required sites depending on the resident’s career goals.

Teaching Experiences

  • Presentations at the Geriatric Medicine Core Curriculum and noon conferences for geriatric fellows, medical students and residents, as well as nursing in-services, throughout the training program
  • Participate in Family Medicine Faculty Development Fellowship
  • Participate in the precepting of pharmacy and medical students
  • Teaching at the University of Pittsburgh School of Pharmacy; didactic, practical, and Silver Scripts lecture and precepting

Preceptors

Heather Sakely, PharmD, BCPS, BCGP Director
Amy Haver, PharmD, BCPS, BCGP
Jennifer A. Pruskowski, PharmD, BCPS, BGCP, CPE
Aaron Pickering, PharmD, BCPS
Patricia Klatt, PharmD
Elizabeth Cassidy, PharmD, BCPS
Marc Gutowski, PharmD
Gretchen Shelesky, MD, MS
Linda Hogan, PhD

Sites

UPMC St. Margaret
UPMC Geriatric Care Center – St. Margaret
UPMC Geriatric Care Center – Oakmont
Presbyterian Senior Care – The Willows, Westminster Place, Woodside Place
UPMC Seneca Place, Seneca Manor, Seneca Villages
UPMC Canterbury Place
Western Psychiatric Institute and Clinic

UPMC St. Margaret Pharmacy Residency Program

Haver A, Sakely H, Somma McGivney M, Thorpe C, Corbo J, Cox-Vance L, Klatt P, Schleiden L, Balestrino V, Coley K. Geriatrics Care Team Perceptions of Pharmacists Caring for Older Adults Across Health Care Settings. Annals of Long-Term Care: Clinical Care and Aging. 2017;25(4):20-26.

Bobrzynski E, D’Amico F, KrygerE, Sakely H. Clinical Pharmacist Practice in Alternative Payment Models: An Evaluation of Pharmacist Medication Interventions for Patients in Bundled Payment Episodes in a Skilled Nursing Facility. American College of Clinical Pharmacy (ACCP) Virtual Poster Symposium. May 2018.

Balick, R. (2019). Pharmacists help patients thrive at any age. Pharmacy Today, 25(6) 28-31. Retrieved from https://www.pharmacytoday.org/article/S1042-0991(19)30643-7/fulltextAnnotation: This article features the work of Heather Sakely, PharmD, Amy Haver, PharmD and the UPMC St. Margaret Geriatric Care Center.

Koperwas M, Manov N, Bobrzynski E. CMV Colitis in the Immunocompetent Patient with Recurrent Diarrhea. J Am Geriatr Soc. 67(suppl 1): S181, 2019.

Pruskowski J, Sakely H, HadlerS. Development of a required longitudinal residency experience focused on deprescribing. Am J Health-Syst Pharm. 2019; 76:236-41

Wilson E, Kryger E, Pickering A, D’Amico F, Haver A Resident Presentation, Encore Presentation Antibiogram-Based Antibiotic Algorithm for Treatment of Cystitis in a Nursing Facility. J Am Geriatr Soc. 67(suppl 1): S289, 2019.

Springer S, Wilson S, Schaffer M, Sakely H. Effects of COX2 Inhibitors on Rates of Bleeding in Older Adults Undergoing Hip and Knee Surgeries: A Meta-Analysis and Systematic Review. J Am Geriatr Soc. 65(suppl 1): S226, 2017.

Springer S, Cassidy E, Wilhelmy K, D’Amico F, Sakely H. Effects of an Interprofessional Geriatric Medical Service on Outcomes in Older Adults with Hip Fractures. J Am Geriatr Soc. 65(suppl 1): S217, 2017

Bobrzynski E, Sakely H, Kryger E, D’Amico. Evaluation of Statin use in Nursing Facility Patients with Diabetes given Goals of Care. J Am Geriatr Soc. 67(suppl 1): S125, 2019.

Bobrzynski E, D’Amico F, Kryger E, Sakely H. Evaluation of Statin Use in Nursing Home Patients given Patient-Centered Goals of Care. American College of Clinical Pharmacy (ACCP) Virtual Poster Symposium. May 2018.

Bobrzynski E, Cassidy E, Donihi A. Evaluation of a Geriatric Correctional Insulin Scale in Patients with Diabetes. J Am Geriatr Soc. 67(suppl 1): S288, 2019.

Felton MA, Jarrett J, Hoffmaster R, D’Amico F, Sakely H, Pruskowski J. Delirium in an inpatient geriatric palliative care population: Comparison of antipsychotic treatment strategies. J Am Geriatr Soc. 65(suppl 1):S130, 2017.

Felton M, Hoffmaster R, Pruskowski J, Sakely H. Implementing pharmacists through telepharmacy into outpatient, palliative care at a geriatric clinic. J Am Geriatr Soc. 65(suppl 1):S213-214, 2017.

Campbell A, Coley K, Corbo J, DeLellis T, Thorpe C, McGivney M, Klatt P, Cox-Vance L, Zaharoff J, Sakely H. Outcomes of coordinated, pharmacist-led, anticoagulation management of older adults across the levels of care: A mixed methods analysis of the PIVOTS model. J Am Geriatr Soc. 64(suppl 1):S257, 2016.

Joseph M, Higbea A, Thorpe C, Coley K, McGivney MS, Klatt P, Schleiden L, Zaharoff J, Cox-Vance L, Corbo J, Balestrino V, Sakely H. Surveys of Older Adult’s Medication-related Self-Efficacy and Adherence: Phamacist-led Interventions on Transitions of Seniors (PIVOTS). J Am Geriatr Soc. 64(suppl 1):S257, 2016.

Joseph M, DeLellis T, Henderson C, Manov N, Cox-Vance L, Sakely H. EMPOWER 2: Decreasing Outpatient Benzodiazepine Use in Older Adults. J Am Geriatr Soc. 64(suppl 1):S273, 2016.

Breslin T, Campbell A, Sakely H. Implementation of an interprofessionally developed hypoglycemic protocol in a skilled nursing facility. . J Am Geriatr Soc. 64(suppl 1):S210, 2016.

Carr, M, Jarrett J, Sakely H, Pruskowski J. Impact of a Deprescribing Curriculum on Family Medicine Residents’ Knowledge of Safe Deprescribing. J Am Geriatr Soc. 66(suppl 1): S303, 2018.

Carr M, Mohan E, Leman K, Riarh A, Sakely H. Impact of a cardiology curriculum for interprofessional learners at a skilled nursing facility. J Am Geriatr Soc. 66(suppl 1): S302, 2018.

Payette N, Breslin TM, D’Amico F, Durigan RC, Klatt P, Coley K, McGivney MS, Corbo J, Cox-Vance L, Driessen J, Thorpe C, Bacci J, Zaharoff J, Balestrino V, Sakely H. Time-and-motion Analysis of the Geriatric Clinical Pharmacist in Three Geriatric Care Settings: Pharmacists-led InterVentions On Transitions of Seniors (PIVOTS). J Am Geriatr Soc. 64(suppl 1):S256, 2016.

Campbell AM. The benefits of faculty development span far beyond teaching skills. Am Jour Pharm Educ. 2015; 79(7):Article 108.

Persky AM, Henry T; Campbell AM. An exploratory analysis of personality, attitudes and study skills on the learning curve within a team-based learning environment. Am Jour Pharm Educ. 2015;79(2):Article20.

Campbell A, Coley K, Thorpe C, Corbo J, McGivney MS, Klatt PM, Zaharoff J, Cox-Vance L, Sakely H. The impact of pharmacists caring for geriatric patients across the healthcare continuum on the identification, resolution, and prevention of drug therapy problems: A subset of the PIVOTS (Pharmacist-led Interventions on the Transitions of Seniors) Group. J Am Geriatr Soc. 63(suppl 1):S265, 2015.

Breslin TM. Letter to the Editor: Not All Hard Work Leads to Learning. American Journal of Pharmaceutical Education 2013; 77(10):229.

Breslin TM, Dombrowski S. In Patients with Atrial Fibrillation and a Drug-eluting Stent, What is the Safest Method of Anticoagulation Management? Evidence Based Practice. [final version accepted for publication]

Patel M, Breslin TM. How is Superior Oblique Myokymia Treated? Evidence Based Practice. [final version accepted for publication]

Corbo JM, Breslin TM, Hill L, Rindfuss S, Nashelsky J. Does ACEI or ARB therapy prevent progression to CKD in normotensive patients with microalbuminuria? American Family Physician. [accepted for publication, in revisions]

Higbea AM, Thorpe C, Cox-Vance L, McGivney MS, Coley K, Schleiden L, Zaharoff J, Corbo J, Klatt PM, Sakely H. Improving care of older adults within a novel practice: patient perceptions and self-efficacy analysis of Pharmacist-led InterVentions On Transitions of Seniors (PIVOTS) by patient surveys. J Am Geriatr Soc. 63(suppl 1):S265, 2015.

Higbea A, Coley K, McGivney M, Thorpe C, Klatt P, Schleiden L, Zaharoff J, Corbo J, Cox-Vance L, Balestrino V, Sakely H. Pharmacist-led Interventions on Transitions of Seniors (PIVOTS): A Survey of Patient Perceptions. JAGS. 2014: 62 (s1). S276. 2015.

Payette N, Breslin T, Durigan R, Klatt PM, Bacci J, Coley K, McGivney MS, Corbo J, Cox-Vance L, Driessen J, Thorpe C, Zaharoff J, Sakely H. Time-in motion analysis of the geriatric clinical pharmacist in four geriatric care settings: Pharmacists-led InterVentions on Transitions of Seniors (PIVOTS). J Am Geriatr Soc. 63(suppl 1):S270, 2015.

Campbell AM, Coley KC, Corbo JM, DeLellis TM, Joseph MP, Thorpe CT, McGivney MS, Klatt P, Cox-Vance L, Balestrino V, Sakely H. Pharmacist-led Drug Therapy Problem Management in an Interprofessional Geriatric Care Continuum: A subset of the PIVOTS (Pharmacist-led Interventions on Transitions of Seniors) group. American Health & Drug Benefits. 2018;11(9):469-478.

Breslin T, Durigan R, Payette N, Bacci J, Klatt PM, McGivney MS, Corbo J, Coley K, Thorpe, C, Cox-Vance L, Zaharoff J, Sakely H. Physician perceptions of pharmacists integrated within their practice: a mixed methods analysis of effects on patient care and non-patient care activities. J Am Geriatr Soc. 63(suppl 1):S270, 2015.

Wilson E, Leman K, D’Amico F, Sakely Orthostatic Hypotension in the Outpatient Setting After a Fall. J Am Geriatr Soc. 67(suppl 1): S289, 2019.

Ayers, Yuan D, Hogan L, Sakely H. Shared Physician-Pharmacist Visits as a Model for Geriatric Training. J Am Geriatr Soc. 66(suppl 1): S299, 2018.

Thompson J, McGivney M, Coley K, Corbo J, Thorpe C, Klatt P, Cox-Vance L, Zaharoff J, D’Amico F, Sakely H. SMOOTH TRANSITIONSThe workflow of two clinical pharmacists across the continuum of geriatric care. American Geriatric Society Annual Meeting. May 2013. J Am Geriatr Soc. 61(s1):S195

Awards

2013: 3rd place awardee for Resident and Fellow Abstract, Models of Care. American Geriatrics Society Annual Scientific. Meeting (Thompson)

2014: 3rd place awardee for Resident and Fellow Abstract, Models of Care. American Geriatrics Society Annual Scientific. Meeting (Higbea)

2015: 1st place awardee for Resident and Fellow Abstract, Models of Care. American Geriatrics Society Annual Scientific. Meeting (Campbell)

2015: 2nd place awardee for Resident and Fellow Abstract, Models of Care. American Geriatrics Society Annual Scientific. Meeting (Breslin)

2015: 3rd place awardee for Resident and Fellow Abstract, Models of Care. American Geriatrics Society Annual Scientific. Meeting (Higbea)

2016: 3rd place awardee for Resident and Fellow Abstract, Models of Care. American Geriatric Society Annual Scientific Meeting (Campbell)

2016: 2nd place awardee for Resident and Fellow Abstract, Models of Care. American Geriatric Society Annual Scientific Meeting (Joseph)

2016: 2rd place for Resident and Fellow Abstract, Quality Improvement. American Geriatric Society Annual Scientific Meeting (Joseph)

2017: 1st place for Resident and Fellow Abstract, Category of Clinical Innovations and Quality Improvement. American Geriatric Society (Springer)

2017: 2nd place for Resident and Fellow Abstract, Category of Clinical Innovations and Quality Improvement. American Geriatric Society (Felton)

2017: Presidential Poster Session presenter. American Geriatric Society (Felton)

2018: 1st place for Resident and Fellow Abstract, Category of Geriatric Education. American Geriatric Society (Carr)

2019: Emily Bobrzynski, PharmD, BCPS –Pharmacy Resident of Distinction for the Pitt/UPMC Pharmacy Residency Programs (Bobrzynski)

2019: Presidential Poster Session Presenter, American Geriatric Society (Bobrzynski)

2019: 2ndplace for Resident and Fellow Abstract, Category Category of Clinical Innovation and Quality Improvement, American Geriatric Society (Bobrzynski)

2019: 1stplace for Resident and Fellow Abstract, Category of Clinical Innovation and Quality Improvement, American Geriatric Society (Wilson)

2019: 3rdplace for Resident and Fellow Abstract, Category of Category of Clinical Innovation and Quality Improvement, American Geriatric Society (Wilson)

Grants

Grant total: $700.
Primary investigator: Amy Haver, PharmD, BCPS
Faculty mentor: Heather Sakely, PharmD, BCPS
Co-investigators: Kim Coley, PharmD, FCCP, Carolyn Thorpe, PhD, MPH, Melissa McGivney, PharmD, FCCP, Patricia Klatt, PharmD, BCPS, Lora Cox-Vance, MD, Jason Corbo, PharmD, BCPS, John Zaharoff, MHA, NHA, Loren Schleiden, BA, Vincent Balestrino, MD.

Pennsylvania Pharmacists Association Educational Foundation. Awarded $700. Improving care of older adults: provider and staff perceptions of Pharmacist-led InterVention on Transitions of Seniors (PIVOTS): A Focus Group. 2014.

Program Director

Heather Sakely, PharmD, BCPS, BCGP
Director, Geriatric Pharmacotherapy
UPMC St Margaret
815 Freeport Road
Pittsburgh, PA 15215
Phone: 412-784-7623
sakelyh@upmc.edu

Current Residents
Group_Residents
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