Program Specifics
52-Week Comprehensive Training Experience
Our PGY2 Emergency Medicine Pharmacy Residency provides intensive clinical training through a carefully structured curriculum that balances required rotations, elective opportunities and longitudinal experiences designed to develop expertise in emergency pharmacy practice.
Required Rotations
Orientation (4-6 weeks)
July | Carolinas Medical Center
- Comprehensive introduction to Atrium Health systems and policies
- Emergency department protocols and workflows
- EMR training and order verification
- ACLS/PALS certification
- Baseline competency assessments
Emergency Medicine Core Series
First half of year | Carolinas Medical Center
- Foundation in emergency pharmacy practice
- Basic emergency pharmacotherapy
- Code team participation
- Triage and rapid assessment skills
First half of year | Carolinas Medical Center
- Foundation in emergency pharmacy practice
- Basic emergency pharmacotherapy
- Code team participation
- Triage and rapid assessment skills
Second half of year | Carolinas Medical Center
- Independent practice development
- Complex case management
- Protocol implementation
- Quality improvement initiatives
Second half of year | Carolinas Medical Center
- Leadership and autonomy
- Precepting and teaching
- Research project completion
- Transition to practice preparation
Levine Children's Hospital
- Pediatric resuscitation and emergencies
- Age-specific pharmacotherapy
- Family-centered care approach
- Pediatric trauma management
Carolinas Medical Center/ North Carolina Poison Control Center
- Poisoning and overdose management
- Collaboration with board-certified toxicologists
- Regional poison center partnership
- Novel substances and antidote therapy
- Toxicology consultations
Critical Care Foundations
Carolinas Medical Center
- Trauma resuscitation continuity
- Post-operative critical care
- Massive transfusion protocols
- Traumatic brain injury management
Carolinas Medical Center
- Medical critical care emergencies
- Advanced hemodynamic monitoring
- Ventilator management
- Sepsis and shock protocols
Elective Rotations (18 weeks total)
Choose from the following to customize your training:
Clinical Electives
-
Pediatric Emergency Medicine II (2-4 weeks)
Levine Children's Hospital
- Advanced pediatric emergency care
- Pediatric critical care interface
- Specialized pediatric protocols
-
Oncologic Emergencies (4-5 weeks)
CMC/Levine Cancer Institute
- Chemotherapy complications
- Neutropenic fever management
- Tumor lysis syndrome
- Pain and symptom management
-
Neuroscience ICU II (4-5 weeks)
Carolinas Medical Center
- Complex neurology management
- Complex Status epilepticus management
- Neuroscience specialization
-
Surgical Trauma ICU II (4-5 weeks)
Carolinas Medical Center
- Complex trauma management
- Burn and wound care
- Neurotrauma specialization
-
Medical ICU II (4-5 weeks)
Carolinas Medical Center
- Advanced critical care topics
- ECMO and mechanical support
- Specialized protocols
-
Emergency Medicine V (4-5 weeks)
Carolinas Medical Center
- Subspecialty focus area
- Advanced practice development
- Leadership project
-
Rural Emergency Medicine (4-5 weeks)
Affiliate Site
- Resource-limited practice
- Transfer coordination
- Community emergency care
-
Adult Cardiovascular ICU (DHU)
- ACS, heart failure, ECMO
- Arrhythmias, shock, MCS
- Myocarditis, PH, dissection
-
Cardiothoracic Surgery
- ACS, heart failure
- Arrhythmias, shock, MCS
- Myocarditis, PH, dissection
Required Longitudinal Learning Experiences
EMS Ridealong
- Pre-hospital emergency care exposure
- Helicopter and ground transport experience
- Field treatment protocols
- Scene safety and triage
Medication Utilization Evaluation (MUE)
Duration: 6-8 months (self-paced) | Site: CMC
- Quality improvement project
- Data collection and analysis
- Protocol development
- Results presentation
ED Operational Core
Duration: 10 months | Site: CMC
- Every 3rd weekend (one shift per month) Clinical Shifts
- One weekday 4-hour shift every 3 weeks Clinical Shifts
- Maintain clinical competency
- Support department operations
- Real-world practice application
EM Medical Conference
Duration: 11 months | Site: CMC
- Attend Weekly
- Present four 30-minute lectures annually
- Topics in emergency medicine
- Teaching skill development
- Continuing education contribution
Research Project
Duration: 11 months (self-paced) With Dedicated Weeks Throughout Year | Site: CMC
- Original research or quality improvement
- IRB submission and approval
- Data collection and analysis
- Manuscript preparation
- Regional/national presentation
Teaching and Education Chart
| Pharmacy Learners - 2 Required | Pharmacy Peers - 4 Required | Nursing - 1 Required | Medical - 1 Required + 1 Elective | Interdisciplinary - 1 Required |
| Co-Precepting PGY-1 Pharmacy Resident* | Preceptor Development CE | Nursing In-Service Lead* | Thursday EM Conference – Pharmacotherapy Presentation* | Pharmacotherapy CE |
| Co-Precepting APPE Pharmacy Student | ACCP EM PRN Journal Club | Nursing In-Service Participant | Thursday EM Conference – Toxicology Presentation (curriculum may change) | Present at Toxic Tuesday* |
| Noon Conference Presenting | Post-Conference Pearl Session* | Nursing Quality Improvement Project | Trauma Team Wednesday Presentation* | EMS Team Education |
| Noon Conference Student Advisor* | Pharmacotherapy Podcast Episode | SE Presentation for APP fellows | PCC Journal Club | |
| COP Lecture | Poster Presentation at ASHP Midyear* | |||
| Poster Presentation at EMPoweRx* | ||||
| Journal Club to ED/ICU pharmacists (2)* |
Items highlighted (*) are required selections towards the total of 14 items.
| Month | Primary Rotation | Longitudinal Activities |
| July | Orientation | Begin all longitudinal experiences |
| August | Emergency Medicine I | EMS ridealong #1 |
| September | Medical ICU I | MUE project development |
| October | Toxicology | Research protocol submission |
| November | Emergency Medicine II | EM conference presentation #1 |
| December | Pediatric Emergency Medicine I | EMS ridealong #2 |
| January | Emergency Medicine III | MUE data collection |
| February | STICU I | EM conference presentation #2 |
| March | Elective #1 | Research data analysis |
| April | Elective #2 | EM conference presentation #3 |
| May | Emergency Medicine IV | EMS ridealong #3 |
| June | Elective #3 | Final presentation/graduation |
Multi-Site Experience
- Carolinas Medical Center - Level I adult trauma center
- Levine Children's Hospital - Comprehensive pediatric emergency services
- Med Center Air - Air medical transport service
- MEDIC - Regional EMS system
Specialized Resources
- Dedicated toxicology service with fellowship program
- State-of-the-art simulation center
- Regional poison center collaboration
Professional Development
- Board certification preparation (BCEMP)
- Teaching certificate program option
- Leadership training opportunities
- Networking with emergency medicine physicians
Clinical Staffing Expectations
- Weekend coverage: Every third weekend
- Weekday coverage: One 4-hour shift during the week once per month
- Holiday schedule: Christmas and Memorial Day
Work-Life Balance
- No overnight call requirements
- Protected education time
- Flexible elective scheduling
- Dedicated research days