Resident Activities

Daily activities while on the inpatient unit will include, but are not limited to:

  • Collaboratively managing drug therapy with other members of the healthcare team
  • Rounding daily with the transplant team
  • Patient monitoring/problem solving/documentation
  • Investigation of medication error reports and patient/medication safety follow-up
  • Drug information, literature searches, reading and contributing to team files
  • Attending codes
  • Transplant Team-related projects
  • Communication and interaction with pharmacists, physicians, nurses, dietitians and social workers

Projects

Residents complete a longitudinal residency project which should be publishable upon completion. Many residents have chosen to complete a practice advancement project and a clinical research project. Other team-related projects may be assigned while on rotation.

Past resident projects include:

  • Development of a pharmacist-managed anemia protocol in the transplant clinic
  • Evaluation of antimicrobial penetration of biofilms produced by Vancomycin-resistant Enterococcus faecium urinary isolates from solid organ transplant recipients
  • Evaluation of generic tacrolimus trough concentrations at discharge and the association with the rate of biopsy proven acute rejection in renal transplant recipients
  • Evaluation of thymoglobulin versus basiliximab induction in sensitized deceased donor kidney transplant recipients
  • Utilization review of six months of valganciclovir prophylaxis for cytomegalovirus in transplant patients
  • Evaluation of the incidence of de novo donor-specific antibodies and antibody mediated rejection rates in moderately sensitized renal transplant recipients receiving thymoglobulin vs. basiliximab for induction
  • Evaluation of single-dose basiliximab induction on the incidence of patient and graft survival in renal transplant recipients
  • Implementation of a pharmacist-led protocol for home management of anemia in transplant recipients
  • Development of a pharmacist managed adherence clinic in the Transplant Clinic
  • Review of risk factors and outcomes in HLA-matched kidney recipients with rejection
  • Development and implementation of a CMV Stewardship program in Transplant Clinic

Presentation Opportunities

The resident will have multiple presentation opportunities including, but not limited to:

  • Formal presentation at the Wisconsin Chapter of the International Transplant Nurses Society Conference
  • Educational presentations and in-services for pharmacists, nurses, physicians, residents, students, etc.
  • Weekly resident Grand Round Interprofessional Lunch and Learn (presenter and facilitator)
  • Informal journal club presentations while on clinical rotations

Teaching Opportunities

  • Clinical instructor status at the University of Wisconsin School of Pharmacy
  • Serve as a co-preceptor for PGY1 residents and DPH-4 students on clinical rotation at the hospital
  • Serve as primary preceptor for IPPE students on rotation with the transplant team
  • UW School of Pharmacy transplant lecture to third-year pharmacotherapy students

Other Activities

  • One-week UW Organ and Tissue Donation experience during the practice management rotation
  • Weekly Transplant Grand Rounds and bi-monthly journal club
  • Weekly desensitization luminex meeting and Transplant Selection Committee meetings
  • Advanced cardiac life support training
  • Assist in the development of guidelines and protocols
  • Opportunities to interact with residents in PGY2 – critical care, emergency medicine, infectious disease, information technology, internal medicine, oncology, pediatrics, transplant, and others; PGY1 – pharmacy practice, and PGY1 and PGY2 – hospital pharmacy administration

Travel

  • Support to attend one national meeting (ASHP Midyear Clinical Meeting, American Transplant Congress)
  • Support to attend Pharmacy Residents conference (Great Lakes or Wisconsin Pharmacy Residency Conference)

Clinical Staffing

Pharmacy services are provided by teams of pharmacists within an integrated practice model. These teams of pharmacists are decentrally based and provide care as part of the interdisciplinary team through interdisciplinary rounds, clinical monitoring, medication order review, admission histories, discharge teaching and care coordination, code and stroke response teams, drug information resource and medication use stewardship. The resident will staff as a decentral transplant pharmacist on the transplant team over the course of the residency year. On average, the resident will staff 24 hours every two weeks, including every other weekend.

Rotations

Required Rotations

Inpatient rotations (Four weeks unless otherwise stated)

  • Orientation / Training (six weeks for residents new to UW)
  • Kidney/Pancreas Transplant Surgery
  • Kidney/Pancreas Transplant Medicine
  • Liver Transplant Surgery
  • Liver Transplant Medicine
  • Heart Transplant
  • Lung Transplant
  • Transplant Infectious Diseases – Year-long longitudinal CMV Stewardship and 2-week inpatient rounding
  • Transplant Practice Management/UW Organ and Tissue Donation
  • Transplant Clinical Research/Pharmaceutical Research Center

Longitudinal Ambulatory rotations (six months in each clinic)

  • Abdominal Transplant Clinic
  • Lung Transplant Clinic

Elective Rotations

Residents choose 2-3 elective rotations. Electives are tailored to the needs and interest of the resident. Elective rotations are four weeks unless otherwise stated.

Inpatient rotations

  • ICU (Trauma and Life Support Center)
  • Transplant nephrology consult service
  • Acute nephrology consult service
  • Hepatology consult service (two weeks)
  • Kidney/pancreas transplant surgery 2
  • Advanced heart failure/heart transplant 2

Longitudinal rotation (Year long)

  • Academia/Research

Other Required Learning Experiences

  • Academia mini-rotation – Two weeks
  • Pharmacy Practice Experience (Staffing) – Year long
  • Major Residency Project – Year long

Transplant Specialty Pharmacy Residency

PGY2 pharmacy residency programs build on Doctor of Pharmacy (Pharm.D.) 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.

The UW Health Solid Organ Transplant PGY2 pharmacy residency program provides a broad education experience focused on the care of patients donating or receiving a solid organ transplant. The residency program includes direct patient care experience with kidney, liver, pancreas, heart and lung transplant recipients. The ASHP Required Competency Areas, Goals and Objectives for Postgraduate Year Two (PGY2) Solid Organ Transplant Pharmacy Residencies are used for resident assessment.

Residents who successfully complete the UW Health Solid Organ Transplant Residency Program will be able to provide integrated pharmaceutical care at a patient-specific level as well as a patient population level for those who have or are expected to undergo solid organ transplantation. Completion of the residency program will provide a foundation to pursue multiple career paths including:

  • Providing clinical pharmaceutical care to the acute and ambulatory solid organ transplant patient population
  • Teaching and precepting in a non-tenure clinical or adjunct faculty position
  • Providing clinical, practice management and professional leadership

UW Health performs nearly 500 solid organ transplants per year and is consistently ranked among the top 10 most-active transplant centers in the country. The high transplant volume and dedication to long term medical management of post-transplant patients provides residents with a rich educational experience. (Organ-specific transplant data can be found on the Scientific Registry of Transplant Recipients website.)

Program Contact

Kimberly E. Holdener, PharmD, BCPS
UW Hospitals and Clinics Department of Pharmacy
600 Highland Ave.
F6/175 CSC Mail Stop 1530
Madison, WI 53792
Phone: (608) 263-1290
Fax: (608) 263-9424

Current Resident

Melissa Durst, PharmD – Meet Our Resident

Program Summary

Pharmacy Transplant Residency (pdf)