Critical Care

Requirements

• Doctorate of Pharmacy degree from accredited program
• Valid PGY1 certificate
• Valid Illinois pharmacist license
• ACLS certification
• Required 4-week rotations: Orientation, MICU I, MICU II, Cardiology I, Cardiology II, NSICU I, NSICU II
• Elective 4-week rotations (choose 5): Burn ICU, Trauma ICU, Infectious Diseases, Emergency Medicine, MICU (Stroger), Toxicology, CT Surgery, Solid Organ Transplant, Surgical ICU
• Quality Improvement/Research project
• Participate in drug monograph/protocol/treatment guideline
• Medication Use Evaluation
• Medication Safety project
• Weekend Critical Care coverage (every 3rd weekend)
• Weekly Critical Care Conference
• Co-coordinating Critical Care elective
• One ACPE-accredited seminar
• One online journal club (or equivalent)
• Recruitment at ASHP Midyear Meeting
• Attend educational meeting (i.e., SCCM)
• Able to start July 1

Purpose Statement

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.

Residency training programs in Pharmacy are held within the College of Pharmacy at the University of Illinois at Chicago (UIC) and the University of Illinois Hospital and Health Sciences Center(UI Health).  The Department of Pharmacy Practice, home department of all residency trainees, is the most comprehensive unit of its type in the United States and continues a tradition of exemplary service through itsmission of providing quality education, research, and patient care.  The department educates and trains students, residents, and fellows as well as practicing pharmacists to become nationally recognized for their leadership, knowledge and competence in practice, research, and teaching.  UI Healthand the College of Pharmacy are pleased to offer a one-year specialized residency in Critical Care Pharmacy.  This ASHP-accredited PGY2 residency will give trainees extensive training in didactic and clinical teaching as well as formulating and implementing clinical research.  Residents can choose from a wide variety of intensive training sites to gain individualized, hands-on experience as a critical care clinician.  Specific areas of critical care include cardiology, cardiothoracic (CT) surgery, medical/surgicalintensive care, neurosciences, solid organ transplant, emergency medicine/toxicology, and trauma.  Elective experiences are offered to enhance areas of interest and include infectious diseases, bone marrowtransplant, and burn ICU.  Our faculty serves as one of the largest clinical groups in the medical center and provides a wealth of knowledge and experience in their respective fields.  As an integrated member of the multidisciplinary ICU team, residents will learn to collect and analyze data in order to provide patient-specific and evidence-based pharmacotherapy.  Residents will also gain valuable leadership and personal management skills to help them advance their careers in this dynamic and rewarding field.  Graduates from this program have all found successful careers as academicians, clinicians, and researchers across the country.

Goals

• R1. Patient Care
  • Goal R1.1:  In collaboration with the health care team, provide comprehensive medication management tocritically ill patients following a consistent patient care process.
  • Goal R1.2:  Ensure continuity of care during transitions of critically ill patients between care settings.
  • Goal R1.3:  Manage and facilitate delivery of medications to support safe and effective drug therapy for critically ill patients.
• R2. Advancing Practice and Improving Patient Care
  • Goal R2.1:  Demonstrate ability to manage formulary and medication-use processes for critically ill patients, as applicable to the organization.
  • Goal R2.2:  Demonstrate ability to conduct a quality improvement or research project.
• R3. Leadership and Management
  • Goal R3.1:  Demonstrate leadership skills for successful self-development in the provision of care for critically illpatients.
  • Goal R3.2: Demonstrate management skills in the provision of care for critically ill patients.
• R4. Teaching, Education and Dissemination of Knowledge
  • Goal R4.1:  Provide effective medication and practice-related education to critically ill patients, caregivers, health care professionals, students, and the public (individuals and groups).
  • Goal R4.2:  Effectively employ appropriate preceptor roles when engaged in teaching students, pharmacy technicians, or fellow health care professionals in critical care.

Clinical

• Three required 2-month rotations (Cardiology, Neuroscience, Med/Surg ICU)
• Remainder are electives based on interest
• Member of Code Blue and Stroke Teams
• Participates in PharmD On-Call program and Weekend Critical Care Coverage
• MUE/DUE
• Participate in drug monograph/protocol/treatment guideline
• Medication Safety project

Teaching

• Academic appointment at the College of Pharmacy
• Didactic lectures (2) in Critical Care elective
• Precept pharmacy students and PGY1 residents on rotation
• Student recitation sections in Therapeutics series
• ACPE-accredited seminar (1)
• Teaching certification program
• Assists in coordinating weekly Critical Care Conference

Research

• At least one main research project to be presented at Great Lakes Residency conference or equivalent
• Participation in ongoing clinical research as desired
• Manuscript development and submission

Required Rotations

• Orientation
• Cardiology I
• Cardiology II
• Medical ICU I
• Medical ICU II
• Neurosciences ICU I
• Neurosciences ICU II

Elective Rotations

• Burn ICU (Loyola University Medical Center)
• Cardiothoracic Surgery ICU (Loyola University Medical Center)
• Emergency Medicine
• Infectious Diseases
• Medical ICU (John H. Stroger Jr. Hospital of Cook County)
• Solid Organ Transplant
• Surgical ICU
• Toxicology
• Trauma ICU (John H. Stroger Jr. Hospital of Cook County)

Core Service Units

The Neurosciences ICU has 22 beds with the primary area of practice being vascular neurosurgery/stroke. Other specialties include neuro-oncology, nerve/pain disorders, and epilepsy and Parkinson’s disease surgery. UIHHSS is also a JCAHO-certified Comprehensive Stroke Center. Under a collaborative agreement, the clinical pharmacists provide comprehensive drug management, assuming responsibility of initiating medical therapy, dosing, and pharmacokinetic/toxicity monitoring.

The Coronary Care Unit (CCU) is a 10 bed ICU; patients are also followed on a 20 bed step-down unit. Cardiothoracic surgery patients are covered on a consult basis only. The Clinical Pharmacist on this service provides traditional clinical services, including work rounds, admission interviews, daily monitoring including pharmacokinetics, with clinical pharmacy interventions, and discharge counseling. The service is an active pharmacy student clerkship site with many opportunities to inservice allied health care personnel.

The 19-bed combined Medical/Cardiothoracic Intensive Care Unit is operated by two ICU teams with an average daily census of 6-10 patients per team. The population seen includes: poisonings/drug overdose, respiratory failure, sepsis, liver, kidney, or bone marrow transplant, and oncologic diseases. The clinical pharmacist on service provides pharmacotherapeutic management, including pharmacokinetic monitoring, nutritional management, infectious disease management, and continuous veno-venous hemodiafiltration (CVVH) management decisions. Critical pathways, ICU-specific dosing guidelines and protocols have been and continue to be established.

Jeffrey J. Mucksavage, PharmD, BCPS – Team Leader
Clinical Associate Professor
Clinical Pharmacist, Neurosciences

Eljim P. Tesoro, PharmD, FNCS, FCCM BCCCP
Clinical Associate Professor
Clinical Pharmacist, Neurosciences
Director, PGY2 Critical Care Pharmacy Residency

Robert J. DiDomenico, PharmD, BCPS (AQ-Cardiology), FCCP, FHFSA, FACC
Associate Professor
Clinical Pharmacist, Cardiology and Cardiothoracic Surgery

Stephanie Dwyer Kaluzna, PharmD, BCCP
Clinical Assistant Professor
Director, PGY2 Cardiology Residency

Alan Gross, PharmD, BCIDP
Clinical Associate Professor
Clinical Pharmacist, Infectious Diseases

Keri Kim, PharmD, MS CTS, BCPS
Clinical Assistant Professor
Clinical Pharmacist, Neurosciences

Renee Petzel-Gimbar, PharmD, FAACT
Clinical Associate Professor
Clinical Pharmacist, Emergency Medicine
Director, PGY2 Emergency Medicine Residency

Andrew Posen, PharmD
Clinical Assistant Professor
Clinical Pharmacist, Emergency Medicine/Medical Toxicology

Scott T. Benken, PharmD, BCPS (AQ-Cardiology)
Clinical Associate Professor
Clinical Pharmacist, Medical ICU

Natasa Stevkovic, PharmD, BCPS
Adjunct Clinical Assistant Professor
Clinical Pharmacist, Trauma ICU/Burn ICU – John H. Stroger, Jr. Hospital of Cook County

Vince Soriano, PharmD, BCPS, BCCCP
MICU rotation at Stroger Hospital

Members of this team are responsible for direct patient care of critically ill patients hospitalized at the University of Illinois Hospital & Health Sciences System in a variety of specialty areas. Many of these individuals have innovative practice sites with collaborative prescribing agreements with their physician colleagues. Each member is actively involved in the medical center, quality improvement, and departmental committees. In addition to patient care responsibilities, team members are also responsible for experiential training of pharmacy students and pharmacy residents, didactic teaching, research, and other scholarly activities related to their specialty areas.

• 2023 – 2024 Kristen Martinez, PharmD

Since 1969, over 300 pharmacists have successfully trained in our ASHP-accredited first-year post-graduate residency program. In addition, we have graduated over 100 individuals in our various specialized pharmacy residencies that encompass a wide range of fields that is second to none. Our diverse faculty, in combination with the numerous progressive practice sites, provides our residents with an experience like no other. Our residency alumni hold prominent nationwide positions in academia, industry, and professional organizations and are leaders in the world of pharmacy practice. We are proud of our tradition, our outcomes and our graduates and with the increasing expectations of the public and other health professionals to improve the lives of patients, we are confident that our residency programs will grow and develop to meet this challenge.

The PGY2 Residency in Critical Care was started in 2000 and has since been one of our most popular specialty residencies. The individuals chosen for this program have all provided mentorship and leadership to about a dozen PGY1 residents every year. They have played an integral part in the training of our pharmacy students and helped in our efforts to launch research in the treatment of the critically ill. Some of our past residents have received large grants for their research and presented at national meetings such as the Society of Critical Care Medicine Annual Congress. In 2004, the program received accreditation by the American Society of Health-System Pharmacists. We have expanded our program rotation sites via collaboration with other local medical centers to provide a more global experience to our trainees. Our graduates have all found successful careers as academicians, clinicians, and researchers across the country.

Past Residents

• 2000 – 2001 Allison Einhorn Schriever, PharmD
• 2001 – 2002 Jeffrey Mucksavage, PharmD, BCPS
• 2002 – 2003 Rosa Yeh, PharmD, BCPS
• 2003 – 2004 Renee Xamplas (Costianis), PharmD, BCPS
• 2004 – 2005 Kimberly Levasseur-Franklin, PharmD, BCPS, BCCCP
• 2005 – 2006 Marcia Curran (Hunt), PharmD, BCPS
• 2006 – 2007 Jaclyn Litynsky (Sauve), PharmD, BCPS
• 2007 – 2008 Jerusha E. Taylor, PharmD, BCPS
• 2008 – 2009 Elena Santayana, PharmD
• 2009 – 2010 Scott T. Benken, PharmD, BCPS (AQ-Cardiology)
• 2010 – 2011 Karen Berger, PharmD, BCPS, BCCCP
• 2011 – 2012 Sean P. Kane, PharmD, BCPS
• 2012 – 2013 Katherine Jennings, PharmD, BCCCP
• 2013 – 2014 Amanda Cantin, PharmD, BCCCP
• 2014 – 2015 Laura Means, PharmD, BCCCP
• 2015 – 2016 Paul Staffieri, PharmD
• 2016 – 2017 Kristen McLain, PharmD
• 2017 – 2018 Danielle Tompkins, PharmD
• 2018 – 2019 Jamie Micheletto, PharmD, BCPS
• 2018 – 2019 Brian Phan, PharmD, BCPS
• 2019 – 2020 Lauren Andrews, PharmD
• 2020 – 2021 Kaitlyn Dalton, PharmD
• 2021 – 2022 Anastasia Engeleit, PharmD
• 2021 – 2022 George Urias, PharmD
• 2022 – 2023 Brooke Smith, PharmD