Program Overview

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Program Overview

The PGY2 Solid Organ Transplant (SOT) residency program at The Johns Hopkins Hospital provides experiences in kidney, pancreas, liver, heart, and lung, as well as pediatric transplantation. Residents will be exposed to transplant patients and living donors throughout all phases of the transplant process.

Program Goals

• To train confident, independent transplant clinical pharmacists that will serve as transplant pharmacotherapy experts and leaders in the pharmacy profession
• Develop expertise in identifying medication-related issues in SOT patients and effectively communicating evidence-based recommendations to address these concerns
• Utilize the American Society of Health-System Pharmacists (ASHP) Competency Areas, Goals, and Objectives (CAGOs) for PGY2 SOT Residencies and create an individualized training program incorporating the resident's interests, customized development plan, and available job opportunities

Successful Completion of the Residency

To successfully complete the residency, a resident must:

• Be licensed as a pharmacist in the state of Maryland
• Provide one ACPE-accredited Pharmacotherapy Rounds activity and assess evaluations submitted
• Complete a residency project, including a formal oral presentation at a local, regional, or national conference, a final evaluation by the residency project advisor, and a written manuscript that meets guidelines for submission to a journal
• Obtain an "achieved for residency" on at least 80% of all program objectives, with 100% of required objectives in Goal R1.1 achieved
• Complete deliverables required by the program's Competency Areas, Goals, and Objectives (CAGOs) and 100% of the Appendix, including writing clinical transplant progress notes, preparing or revising drug class reviews, and participating in the Inpatient & Outpatient Transplant Pharmacy Collaboration Meeting

Core Learning Experiences

The program includes the following core learning experiences, each lasting one month:

• Orientation
• Kidney/Pancreas Transplant Surgery
• Liver Transplant Surgery
• Heart Transplant and Heart Failure
• Lung Transplant
• Transplant Nephrology
• Transplant and Oncology Infectious Diseases
• Critical Care - Surgery
• Pediatric Transplant, with options including Pediatric Nephrology and Renal Transplant, Pediatric Cardiac Intensive Care and Heart Transplant, and Pediatric Liver Transplant, GI/Hepatology, and Nutrition

Core Longitudinal Learning Experiences

These experiences vary in duration:

• Ambulatory Care Transplant Clinics, with each experience lasting three months
• Transplant Discharge Medication Education, lasting nine months
• Transplant Pharmacy Professional Development, lasting twelve months
• Transplant Research Project, lasting twelve months
• Staffing – Adult Medicine, Emergency & Surgery Division, lasting twelve months
• Resident On-Call Program, lasting twelve months

Elective Learning Experiences

Elective options include:

• Advanced Kidney/Pancreas Transplant Surgery
• Advanced Liver Transplant Surgery
• Advanced Heart Transplant and Heart Failure
• Advanced Lung Transplant
• Advanced Cardiothoracic Transplant
• Advanced Transplant Nephrology
• Advanced Transplant Ambulatory Care Clinics
• Pediatric Transplant
• Other elective learning experiences may be developed based on resident interest and preceptor availability

Education Components

• Pharmacotherapy (PT) Rounds: All residents will provide a 30-minute ACPE-accredited presentation
• Journal Clubs and/or Topic Discussions: Participation in routine discussions focusing on the SOT Appendix from the ASHP PGY2 SOT Pharmacy Residencies CAGOs
• Teaching Requirements: Each resident is required to provide educational sessions, including a 60-minute continuing education presentation for the pharmacy department

Program and Application Requirements

• Doctor of Pharmacy degree from an ACPE-accredited school of pharmacy
• Successful completion of an ASHP-accredited PGY1 pharmacy residency program
• Eligible for pharmacist licensure in Maryland
• Application materials must be submitted through PhORCAS by January 2nd each year, including a completed application, letter of intent, curriculum vitae, official university/college transcripts, and PhORCAS standard recommendation forms from three references

Licensure and Certification Requirements

All residents are expected to obtain a Maryland State Pharmacy License by August 1st and arrive at the program already ACLS certified or complete certification during the residency year if applicable

Attendance at Professional Meetings

The department supports resident attendance at the ASHP Midyear Clinical Meeting and the American Transplant Congress (ATC), with additional travel evaluated on a case-by-case basis

Research Project

The PGY2 SOT resident must complete a self-directed research project suitable for presentation and publication

Committee Participation

The PGY2 SOT resident serves as the secretary of the Inpatient and Outpatient Transplant Pharmacy Collaboration Committee

Pharmacy Practice Requirement

PGY2 residents new to Johns Hopkins Hospital complete an orientation and practice every other weekend, with performance evaluated at the conclusion of the hospital's 90-day probationary period

Resident On-Call Program

The PGY2 SOT resident participates in the resident on-call program, including adult and pediatric code and trauma response, brain attack team calls, drug information question responses, and administrative support

Paid Time Off (PTO)

Residents follow the requirements for "Paid Time Off (PTO)" as outlined in the Residency Program Manual

Residency Program Director and Coordinator

• Residency Program Director: Lindsey P. Toman, PharmD, BCPS, BCTXP
• Residency Program Coordinator: Brian Lindner, PharmD, BCPS

Core Residency Preceptors

A team of clinical pharmacy specialists in various transplant areas, including kidney/pancreas, liver, pediatric liver, pediatric nephrology, infectious diseases, and cardiothoracic transplant.