Emergency Medicine

Residency Program Director

Contact Information:
chradams@ucdavis.edu 
UC Davis Health
Department of Pharmacy Services
2315 Stockton Blvd, Room 1310
Sacramento, CA 95817

Christopher B. Adams, PharmD, BCCCP 
Senior Pharmacist, Emergency Medicine
Residency Program Director, PGY2 Emergency Medicine
UC Davis Health
Associate Clinical Professor
UCSF, School of Pharmacy
UC Davis, School of Medicine

2020-2021 Resident
Haley Burhans, Pharm.D.
Sarah Cummins, Pharm.D.

Primary Emergency Medicine Preceptors
James R. Catlin Jr, Pharm.D., BCCCP
Brittany A. Newton, Pharm.D.

ASHP Directory listing:
https://accred.ashp.org/aps/pages/directory/residencyProgramInformation.aspx?ID=211609

Program Purpose

PGY2 pharmacy residency programs build on Doctor of Pharmacy (PharmD) education and PGY1 pharmacy residency programs to contribute to the development of clinical pharmacists in specialized areas of practice.  PGY2 residencies provide residents with opportunities to function independently as practitioners by conceptualizing and integrating accumulated experience and knowledge and incorporating both into the provision of patient care or other advanced practice settings.  Residents who successfully complete an accredited PGY2 pharmacy residency are prepared for advanced patient care, academic, or other specialized positions, along with board certification, if available

Resident Testimonial

“I am extremely grateful to have completed a PGY2 EM residency at UCDMC. The preceptors for all the rotations promoted a positive learning environment and gave me the support I needed to build on my skills and knowledge. I completed residency feeling confident that I would excel in any emergency medicine position.” 
James Catlin, PharmD BCCCP – 2017 graduate

“I had an absolute blast as an EM resident at UC Davis. I enjoyed the unpredictability of the ED, a diverse patient population, and an amazing team atmosphere. The residency prepared me to hit the ground running as a full-fledged EM clinical pharmacy specialist.”
Brian Dang, PharmD BCCCP – 2016 graduate

Program Overview

The goal of this emergency medicine specialty residency is to provide the acute care pharmacist with adequate skills, in both adult and pediatric emergency medicine, necessary to become an independent and proactive practitioner able to work in collaboration with physicians, nurses and ancillary staff in a Level 1 Trauma and academic medical center emergency department (ED).

The resident will be responsible for ensuring safe and effective medication use for all patients in the ED, including active participation in all codes and trauma activations; collaboration with centralized and decentralized pharmacists to ensure timely medication availability; education of patients and their family members, as well as physicians, nurses, and other pharmacy trainees. The resident will also participate on organizational, pharmacy department and nursing unit-based medication policy and continuous quality improvement committees.

Day in the Life of an Emergency Medicine Resident

“As a PGY2 EM Resident at UCDMC, each day brings new challenges in the form of a variety of patient acuity and unique disease states. From gunshot wounds and stabbings to STEMIs and stroke codes, the resident’s clinical abilities are tested in a fast-paced environment every day.”
Daniel Lau, PharmD – 2020 Graduate

“One of the greatest aspects of this residency is that there is no “typical” type of day. At any point of any day, high acuity medical, trauma, or burn patients can present themselves requiring a pharmacist’s attention and assistance in care. Not to mention, the most random of questions can be asked of you for the diverse patient populations that we see in the ED.”
James Catlin, PharmD BCCCP – 2017 graduate

“A typical day for me would be filled with trauma activations and a plethora of medical emergencies such as cardiac arrest, stroke, sepsis, and STEMIs. As the EM resident, I was bedside with the team making recommendations and preparing medications but also helping out in any way possible.”
Brian Dang, PharmD BCCCP – 2016 graduate

UC Davis Health and Pharmacy Services

UC Davis Health is a major academic health center located in Sacramento, California. Pharmacy services recruits, hires and trains caregivers to provide progressive pharmacy services as collaborative team members to support optimal patient outcomes.

More about the Department can be found on our Webpage:
https://www.ucdmc.ucdavis.edu/pharmacy

Program Design

The PGY2 Emergency Medicine Residency is accredited by the American Society of Health-System Pharmacists (ASHP). Its goals, objectives, and evaluation procedures are consistent with the goals and objectives established by ASHP.

Educational Outcomes Required by the Accreditation Standard:

R1. Patient Care
R2. Advancing Practice and Improving Patient Care
R3. Leadership and Management
R4. Teaching, Education, and Dissemination of Knowledge
R5. Management of Medical Emergencies
R6. Management of Toxicology Patients
Electives may be added based on available resources and resident interest

The major area of focus is emergency medicine pharmacy services including adult and pediatric trauma and acute care medicine. Emergency medicine is a multidisciplinary field and residents will have the opportunity to interact with clinical pharmacists, pharmacy technicians, physicians, nurses, social workers, respiratory therapists, emergency medical services personnel, as well as patients and their families. Daily activities will include bedside consultation for both physicians and nursing staff regarding therapy management, drug interactions, adverse drug reactions, and intravenous drug compatibility, among others. The resident will respond to all medical and trauma codes that arrive in the emergency department and will be responsible for providing appropriate, timely, and accurate drug delivery to patients. The UC Davis Health PGY2 Emergency Medicine Pharmacy Residency is designed to meet the educational goals and objectives as outlined by the ASHP PGY2 Emergency Medicine Residency Accreditation Standard.

Program Structure

The PGY2 Emergency Medicine Pharmacy Residency is a full-time, one-year commitment, beginning on July 1st and ending on June 31st, unless alternative dates are pre-arranged. Clearance to start work by UC Davis Health Employee Health and Human Resources must be completed prior to July 1st.

Proposed Calendar of Activities:

Quarter 1

Quarter 2

Quarter 3

Quarter 4

July

  • Orientation/training
  • Entering assessment
  • Establish residency goals/customized learning plan
  • Selection of research project topic
  • Clinical rotation

October

  • Clinical rotation
  • Conduct research

January

  • Clinical or Elective rotation
  • Residency candidate interviews

April

  • Clinical or Elective rotation
  • UC Collaborative Research Conference

August

  • Clinical rotation
  • Preparation of research protocol
  • Select grand rounds or competency

November

  • Clinical rotation
  • ASHP Mid-year Clinical Meeting (if recruiting)
  • Conduct research

February

  • Clinical or Elective rotation
  • Compile research project results and prepare draft presentation to RPD

May

  • Clinical or Elective rotation

September

  • Clinical rotation
  • IRB submission of research project
  • Quarterly development plan
  • Pharmacy Week Events

December

  • Clinical rotation
  • Quarterly development plan
  • Review residency candidate packets

March

  • Clinical or Elective rotation
  • Research project deliverables
  • Quarterly development plan

June

  • Clinical or Elective rotation
  • End of residency closeout and program improvement evaluation
  • Residency Requirements checklist completed

Activities throughout residency

  • Emergency Medicine Staffing (required longitudinal rotation)
  • Research and Scholarship (required longitudinal rotation)
  • Administrative and Practice Management (required longitudinal rotation)
  • Grand Rounds Presentation or Competency Training
  • Journal Clubs
  • Committee assignments
  • Drug information reviews
  • Self-evaluation reflection
  • Teaching Program (if not completed during PGY1)
  • Mentorship program
  • Professional Society Involvement

UC Davis Health PGY2 Emergency Medicine Pharmacy Learning Experiences:

The residency learning experiences will primarily be divided into block rotations and longitudinal learning experiences.  The majority of rotations will be 4 weeks in duration.  Rotation schedules will be determined based on availability and resident interests, and will be designed to include all required CAGOs as well as a variety of clinical experiences and environments.

Required Learning Experiences

Type of Experience

Overview

Administration and Practice Management

Longitudinal
(12 months)
The resident will work closely with practice leaders within both the Department of Pharmacy and the Department of Emergency Medicine.

Adult Emergency Medicine I

Block
(4 weeks)
The resident will repeat this rotation during the residency. Their role on the service will evolve as they gain more experience throughout the year. During adult EM I the resident will build competency with the medication-use system as it pertains to the ED. The resident will work collaboratively with physicians and nurses to expedite drug delivery to the patient by creating care plans and providing follow-up monitoring while tailoring drug therapy for adult patients in the ED.

Adult Emergency Medicine II

Block
(4 weeks)
Clinical rotation in the ED, building on the experiences and education of Adult EM I. The resident will continue to work toward independent practice. Education will be tailored to address any weaknesses. If possible, the resident will precept or co-precept pharmacy students or residents, respectively.

Emergency Department Orientation

Block
(2 weeks)
Orientation to UC Davis Health the ED and PGY2 EM Pharmacy Residency program.

Emergency Medical Services (EMS)

Block
(2 weeks)
Clinical/observational rotation in which the resident will learn procedures for pre-hospital care and how patients are appropriately triaged in the Sacramento and surrounding areas. The resident will have the opportunity to participate in ride-along experiences with engine, ambulance and helicopter companies.

Medical Intensive Care Unit Service

Block
(4 weeks)
Clinical rotation with the medical intensive care team. The resident will work with the clinical staff pharmacist on the ICU team to provide services for inpatients with acute and chronic medical conditions requiring pharmacotherapy management. The resident will round with the ICU team, write progress notes, and provide recommendations to the team as well as monitor daily progress of patients on the service.
Pediatric Emergency Medicine I Block
(4 weeks)
Clinical rotation in the pediatric emergency department. This rotation will be similar to the adult emergency medicine rotation with a focus on the nuances of pediatric emergency medicine patients.
Pediatric Intensive Care Unit (PICU) Service Block
(4 weeks)
Clinical rotation with the pediatric intensive care team. The resident will work with the clinical staff pharmacist on the ICU team to provide services for inpatients with acute and chronic medical conditions requiring pharmacotherapy management. The resident will round with the ICU team, write progress notes, and provide recommendations to the team as well as monitor daily progress of patients on the service.
Research and Scholarship Longitudinal
(12 months)
The resident will be expected to complete a project selected and agreed upon by the resident and RPD. Attention to the deliverables set forth by the Research oversight committee facilitates successful completion of the project.
Staffing Longitudinal
(12 months)
The resident will be expected to provide staffing for inpatient pharmacy services and independent staffing within Emergency Department when deemed competent by the Residency Program Director. Further, following the Toxicology rotation the residents will provide 24 hour on-call staffing for the Toxicology Service and Poison Control Center once monthly.
Surgical/Trauma Intensive Care Unit Service Block
(4 weeks)
Clinical rotation at the California Poison Control System, Sacramento Division. The resident will work collaboratively with toxicologist and pharmacists to see and follow up on consults at UCDMC as well as make follow-up phone calls to outside facilities. This rotation will provide training in preparation for the resident’s on-call staffing responsible for the Toxicology Service.
Toxicology Block
(4 weeks)
Clinical rotation at the California Poison Control System, Sacramento Division. The resident will work collaboratively with toxicologist and pharmacists to see and follow up on consults at UCDMC as well as make follow-up phone calls to outside facilities. This rotation will provide training in preparation for the resident’s on-call staffing responsible for the Toxicology Service.
Trauma Emergency Medicine I Block
(4 weeks)
Trauma EM I is the first of two required four week block learning experiences in EM trauma. The primary focus of the rotation will be increasing the resident's confidence in taking care of trauma patients. The resident will be integrated into the ED trauma team and work closely with this team to meet the needs of this patient population. Education will focus on core trauma related topics.
Trauma Emergency Medicine II Block
(4 weeks)
Trauma EM II is the second of two required four week block learning experiences in EM trauma. The primary focus of the rotation will be to build on the experiences of Trauma EM I and progressively working towards independent practice on the trauma team. Education will focus on knowledge gaps in trauma related topics necessary for independent practice. If possible, the resident will precept or co-precept pharmacy students or residents, respectively..

Elective Learning Experiences

Type of Experience

Overview

Adult Emergency Medicine III

Block
(4 weeks)
Elective clinical rotation to gain further clinical experience within an adult emergency medicine population. This rotation will build on the experiences of adult EM I and II. The resident will be expected to be practicing entirely independent within the emergency department with some preceptor oversight. Education will be focused on resident identified weaknesses and knowledge gaps. If possible, the resident will precept or co-precept pharmacy students or residents, respectively.

Burn Intensive Care

Block
(4 weeks)
Elective clinical rotation with the burn intensive care team. The resident will work with the clinical staff pharmacist on the ICU team to provide services for inpatients with acute and chronic medical conditions requiring pharmacotherapy management. The resident will round with the ICU team, write progress notes, and provide recommendations to the team as well as monitor daily progress of patients on the service.

Neurosurgical Critical Care (NCC) PGY2

Block
(4 weeks)
Elective clinical rotation with the neurocritical care team. The resident will work with the clinical staff pharmacist on the ICU team to provide services for patients with acute and chronic medical conditions requiring pharmacotherapy management. The resident will round with the ICU team, write progress notes, and provide recommendations to the team as well as monitor daily progress of patients on the service.

Pediatric Emergency Medicine II

Block
(4 weeks)
Elective clinical rotation to gain further clinical experience within pediatric emergency medicine. This elective requires the resident to be practices independently with minimal preceptor oversight. The resident is expected to self-identify areas of weakness for further educational opportunities as directed by the preceptor. If possible, the resident will precept or co-precept pharmacy students or residents, respectively.

Trauma Emergency Medicine III

Block
(4 weeks)
Elective clinical rotation to gain further clinical experience within a trauma emergency medicine population. This rotation will build on the experiences of trauma EM I and II. The resident will be expected to be practicing independently on the ED trauma team with minimal preceptor oversight. Education will be focused on resident identified weaknesses and knowledge gaps associated with trauma. If possible the resident will precept or co-precept pharmacy students or residents, respectively.

UC Davis Health PGY2 Emergency Medicine Pharmacy Resident’s Role in Teaching:

UC Davis Health offers many opportunities for both clinical and didactic teaching. The resident will be responsible for assisting preceptors with clerkship teaching for University of California, San Francisco pharmacy students, University of the Pacific pharmacy students and UC Davis Health PGY1 pharmacy residents.  The resident will assume the primary preceptor role for UCSF pharmacy students during their rotations in the latter part of the residency.

The resident will be required to prepare an ACPE accredited pharmacy grand rounds presentation or department competency on an Emergency Medicine or Preceptor development topic, based on the resident’s interests and a department needs assessment.  In addition, the PGY2 Emergency Medicine Pharmacy Resident may choose to participate in academic teaching, as requested by regional schools of pharmacy, with the approval of the PGY2 Emergency Medicine Pharmacy Residency Director.

Residency Research Project:
All UC Davis Health PGY2 residents are required to complete a research project and present their research in a podium presentation at the UC Collaborative Conference or other Regional meeting.  In preparation for conducting their research project, the resident will be complete UCDH IRB-required training and certification.  The resident will prepare a project proposal, which will be reviewed and approved by the UCDMC Pharmacy Residency Oversight Committee (PROC).  The resident will also submit their project to the Pharmacy and Therapeutics Committee. They will submit to IRB for review, before embarking on their research.  Upon completion of the project, the resident will be required to summarize their research project for the Departmental newsletter and prepare a manuscript. PGY2 residents will submit their manuscript for publication and to prepare an electronic poster suitable for submission.

Committee Assignments:
The PGY2 Emergency Medicine Pharmacy resident will participate in various committee activities, as assigned by the PGY2 Emergency Medicine Pharmacy residency director.  Assignments will be determined based on current department initiatives.  The purpose of the resident’s committee involvement is to ensure the resident gains exposure to the Emergency Medicine pharmacists role in activities related to quality-improvement, medication safety, safe handling of hazardous drugs, guideline development and assessment/implementation of technology and automation within the institution and pharmacy department.  Committees in which Emergency Medicine pharmacists play a key role at UCDH include:  Emergency Department Performance Improvement (EDPI), Geriatric Emergency Medicine, Substance Use Disorders (SUD), Stroke Performance Improvement, Trauma Systems and Multidisciplinary Committee, ED Emergency Response Team and Emergency Preparedness.

Professional Development:
The PGY2 Emergency Medicine Pharmacy resident is encouraged to maintain an active role in pharmacy professional organizations.  The resident is strongly encouraged to become a member of the California Society of Health Systems Pharmacists (CSHP), American Society of Health Systems Pharmacists (ASHP) and the American College of Clinical Pharmacists (ACCP) and attend their annual meetings. The resident will be provided with some financial support from the institution and professional leave time to facilitate participation in professional development activities.

Pharmacy Department Service:
The PGY2 Emergency Medicine Pharmacy resident will be expected to provide pharmacy department service hours. This expectation will be met primarily by providing evening staffing, weekend staffing within the Emergency Department, plus one of the major holidays (Thanksgiving, Christmas or New Year’s Day). It is anticipated that the PGY2 resident will offset a staff pharmacist once competency is established.

Required Competencies:
Residents function as licensed pharmacist’s in patient care activities.  As such, minimum knowledge in a variety of areas must be assured.  Within one month of starting the Residency, the resident must complete competencies required of all clinical pharmacists. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certification is required.

Resident Portfolio:
Each resident must maintain a portfolio containing all information from the residency year including yet not limited to: copies of papers or projects done during rotations, lectures given, research project manuscript, P&T drug monograph, and MUE. The portfolio shall be maintained in Pharm Academic.

Health, Dental and Vision insurance for resident and dependents, 21 days of Paid Time Off (PTO), 6 days Extended Sick Leave, and 4 days for Professional Development. Use of leave must be arranged in advance with the RPD. Travel funds (~$2500) are included in the base salary. There is a stipend for scrubs.

Salary and Benefits:
Salary $59,500
Health, Dental and Vision insurance is provided for the resident and dependents, as well as 21 days of Paid Time Off (PTO), 6 days Extended Sick Leave, and 4 days for Professional Development. Use of leave must be arranged in advance with the RPD. Travel funds (~$2500) are included in the base salary. There is a stipend for scrubs.

Resident Personnel Policies:
The following policies can be located in the Pharmacy Resident Personnel Manual located at
https://hr.ucdavis.edu/employees/ucdh-resident

  • Resident Qualifications
  • Early Commitment Policy
  • Pre-employment drug testing
  • Health insurance and Benefits
  • Licensure requirement for 2/3 of the residency year
  • Moonlighting
  • Duty hours
  • Tracking of duty hours
  • Professional, family, and extended leave policies
  • Dismissal policy and consequences of failure to progress

Requirements for successful completion of the residency:

  • California license obtained per residency policy
  • Pharmacy Grand Rounds and Competency presentation
  • Emergency Medicine Academic Forum presentation
  • Successful completion of all required learning experiences and associated assignments
  • Achieved 80% of residency learning experience goals and objectives (100% of Patient Care Competency Area R1)
  • Completion of a research project
  • Presentation of research project at UC Collaborative Conference (or equivalent)
  • Preparation of manuscript for a research project, submit for publication
  • Completed staffing requirements as outlined by the residency program description
  • Completion of the PGY-2 Emergency Medicine Pharmacy Resident Clinical Repetitions Appendix to the minimum standard
  • Completed end-of-year self-assessment and residency program assessment
  • Resident closeout completed in PharmAcademic with portfolio attachments uploaded
  • A minimum of 12 months training inclusive of standard vacation, professional and sick leave

Salary: $59,500