PGY2 PROGRAM
PAIN & PALLIATIVE CARE

Residency Program Director
  • Maureen Saphire, PharmD, CGP, CDP

    • PGY2 Pain and Palliative Care Residency Program Director
    • Optum Hospice Pharmacy Services
    • PharmD- Ohio Northern University
    • PGY1 Ambulatory/Community Care Residencty- The Ohio State University College of Pharmacy
    Contact
Previous Year Residents
  • Lacey A. Davis

    Clinical Pharmacist – Hospice, Palliative Care, & Post-Acute Care, Aultman Hospital
  • Candice Tavares

    Clinical Pharmacy Specialist, Pain Management- Kaiser Permanente
  • Claudia Rondon

    Clinical Pharmacist, Emergency Department, Lenox Hill Hospital, New York NY
  • Amanda Lovell

    Clinical Pharmacist - Optum Hospice Pharmacy Services

About the PGY2 Pain & Palliative Care Residency 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 that improves medication therapy. Residents who successfully complete an accredited PGY2 pharmacy residency should possess competencies that qualify them for clinical pharmacist and/or faculty positions and position them to be eligible for attainment of board certification in the specialized practice area (when board certification for the practice area exists).

The Ohio State University PGY2 Pain Management & Palliative Care residency is a multi-site program offering patient care experiences in outpatient and acute inpatient care settings, as well as the opportunity to earn a teaching certificate through classroom experiences at The Ohio State University College of Pharmacy. Graduates of the program will be well prepared to provide pharmaceutical care for pain, palliative, and hospice patients in both inpatient and outpatient practice settings, to pursue academic appointments, and to conduct clinical practice research.

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 advanced or specialized practice. PGY2 residencies provide residents with opportunities to function independently as practitioners by conceptualizing and integrating accumulated experience and knowledge incorporating both into the provision of patient care that improves medication therapy. Residents who successfully complete an accredited PGY2 pharmacy residency should possess competencies that qualify them for clinical pharmacist and/or faculty positions and position them to be eligible for attainment of board certification in that practice area (when board certification for the practice area exists).

Residency Sites

The PGY2 Pain and Palliative Care residency program offers two resident positions at different primary clinical practice sites. The preceptors at both sites work together to ensure residents gain similar core competencies in pain and palliative care with cross-training at both practice sites.

  • One position is primarily located at Optum Hospice Pharmacy Services (Optum). This residency track focuses on developing the resident’s knowledge in the management of pain and other symptoms of terminal diseases in the setting of a large clinical hospice PBM with patients residing in both inpatient and community hospice and palliative settings across the nation. The Ohio State University Wexner Medical Center (OSUWMC) serves as the secondary clinical practice site, providing exposure to palliative care and pain management in a large academic medical center.
  • One position is primarily located at The Ohio State University Wexner Medical Center James Cancer Hospital. This residency track focuses on learning opportunities in inpatient and outpatient palliative care and pain management in a large academic medical center with experiences in both acute and chronic care. Optum serves as the secondary clinical practice site, providing exposure to foundational hospice care principles.

At both practice sites, caring for palliative and hospice patients is integrated with becoming an expert in pain and symptom management across a wide variety of disease states and disease trajectories. The diversity of educational forums and patient care experiences provides a well-rounded program that can be tailored to fit the interests of the resident and facilitate achievement of professional goals. Both residency tracks will prepare graduates to provide pharmaceutical care for pain, palliative, and hospice patients in both inpatient and outpatient practice settings.

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Optum Hospice Pharmacy Services

Optum Hospice Pharmacy Services is one of the nation’s leaders in hospice pharmacy benefits management.  The Clinical Division of Optum is located approximately 20 minutes from The Ohio State University campus in Dublin, OH. The pharmacists at Optum utilize patient assessment and medication therapy management (MTM) skills to provide evidence-based clinical consultations to clinicians, patients, and caregivers from hospice and palliative care organizations across the country.

Optum Hospice Pharmacy Services is the primary practice site where the resident completes orientation and initial training in the management of a variety of disease states and symptoms for hospice and palliative care patients. The resident will apply his or her knowledge and develop confidence as an independent practitioner through telephone consultations and participation in outpatient and inpatient interdisciplinary teams at local hospice and palliative care sites. Other training within the clinical PBM side of the industry includes preparing drug information, facilitating drug utilization reviews, leading formulary discussions, and providing educational programming for hospice and palliative care healthcare professionals.

The Ohio State University Wexner Medical Center

The palliative medicine consult service at OSUWMC serves patients with life-limiting illness at variable stages of disease across the institution, including University Hospital, The James Cancer Hospital, and The Ross Heart Hospital. The outpatient palliative clinic serves patients with symptoms related to cancer and cancer therapies.

University Hospital (UH)

University Hospital (UH) is the flagship hospital with over 900 beds. UH is a major referral center for patients throughout Ohio and the Midwest. Palliative medicine completes consults on patients in the surgical and medical ICUs and on general acute care floors.

The James Cancer Hospital and Solove Research Institute

The James Cancer Hospital and Solove Research Institute is one of the nation’s premier centers for the prevention, detection and treatment of cancer. The James is a 306 bed cancer and critical care tower which opened in December of 2014. The palliative medicine consult team is commonly consulted for complex symptom management and to establish goals of care for patients that are newly diagnosed, receiving cancer therapies, and at the end of life.

The Ross Heart Hospital

The Ross Heart Hospital is a leader in cardiology and heart surgery and is the only nationally ranked heart hospital in the area. The Ross is one of the largest centers for the implantation of LVAD devices in the world in addition to providing heart and lung transplants. Palliative medicine is highly integrated into the care of cardiac patients at all stages, including establishing goals of care prior to aggressive interventions.

Center for Palliative Care Outpatient Clinic

The outpatient palliative care team is comprised of physicians, nurse practitioners, a pharmacist, a social worker, and psychologists who together work to provide whole person care to cancer patients experiencing symptoms related to cancer and cancer therapies. The clinic operates 5 days per week and actively follows approximately 800 patients.

Key rotations/experiences

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The resident focuses primarily on direct patient care and practice management at the two clinical practice sites. The resident will also deliver didactic lectures at The Ohio State University College of Pharmacy and has the opportunity to earn a formal teaching certificate. Professional development programming is also coordinated by The OSU College of Pharmacy throughout the residency year. The resident is expected to complete and submit for publication at least one major research project with collaborative support from the college, the preceptors and practitioners from the clinical practice sites.

 

Core Learning Experiences

Orientation

Palliative Care Inpatient Oncology

Palliative Care Inpatient Internal Medicine

Outpatient Palliative Care

Acute, Interventional, and Chronic Pain Management

Hospice Inpatient/Outpatient

Hospice Pharmacy Consulting

Academia & Precepting

Drug Information

Research

Elective Learning Experiences*

Dependent upon primary site and preceptor availability

Pediatric Hospice & Palliative Care

Managed Care

Advocacy

Sickle Cell Pain Management

*Any core rotation may be repeated as an elective

 

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Key Preceptors

Stephanie Abel, PharmD, BCPS
Palliative Medicine Clinical Pharmacist Specialist
The Ohio State University Wexner Medical Center
James Cancer Hospital

Melissa Hunt, PharmD
Pediatric Clinical Pharmacist
Optum Hospice Pharmacy Services

Jason Kimbrel, PharmD, BCPS
Vice President of Operations & Clinical Services
Optum Hospice Pharmacy Services

Justin Kullgren, PharmD, CPE
Palliative Medicine Clinical Pharmacist Specialist
The Ohio State University Wexner Medical Center
James Cancer Hospital

Bridget McCrate Protus, PharmD, BCGP, CDP, MLIS
Director of Drug Information
Optum Hospice Pharmacy Services

Maureen Saphire, PharmD, BCGP, CDP 
Clinical Education & Quality Manager
Optum Hospice Pharmacy Services

Selected Resident Research

Published manuscripts:

  • Petroleum jelly (Vaseline balls) for the treatment of constipation: a survey of hospice and palliative care practitioners. – Tavares CN, Kimbrel JM, Protus BM, Grauer PA. Am J Hosp Palliat Care 2014.
  • Chlorpromazine bioavailability from a topical gel formulation in volunteers.– Weiland AM, Protus BM, Kimbrel J, Grauer PA, Hirsh J. J Support Oncol 2013.

Manuscripts in Submission:

  • Emergency management of acute pain crises in opioid-tolerant versus opioid-naïve sickle cell disease patients. – Hartman A, Davis LA, Lehman A, Hanes D, Davies EE, Taylor RM, Desai P.
  • Pharmacist-Guided Methadone Opioid Rotation in Hospice Patients through an Interdisciplinary Methadone Follow-up Program. – Davis LA, Collier K, Jones M, Protus BM, Kimbrel J.

Research in Progress:

  • 2015- : The effect of high dose methadone on QTc interval among hospitalized cancer pain patients. Lovell AG, Hartman A, Protus BM, Jones ML.

Benefits and Additional Requirements

Application Deadline:  January 2, 2018

Start Date: July 2, 2018

Annual Salary – $47,500

Vacation Days – 10 days

Staffing Requirements:

 Optum – Every third weekend and 2 holidays

OSUWMC – Every third weekend

Completion of a Major Research Project

TEACHING OPPORTUNITIES

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