PGY2 PROGRAM
PAIN MANAGEMENT AND PALLIATIVE CARE

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

    • PGY2 Pain and Palliative Care Residency Program Director
    • Palliative Medicine Clinical Pharmacist Specialist
    • The Ohio State University Wexner Medical Center, James Cancer Hospital
    Contact
Previous Year Residents
  • Gary Houchard

    Clinical Specialist Benign Hematology/Palliative Care, The James Cancer Hospital at The Ohio State University
  • Tiffany Kneuss

    Palliative Clinical Specialist, Supportive Oncology Clinic at the Levine Cancer Institute, Charlotte, NC
  • Claudia Rondon, PharmD

    Clinical Pharmacist, Critical Care, Lenox Hill Hospital, New York NY
  • Amanda Lovell, PharmD, BCGP

    Clinical Pharmacist - Optum Hospice Pharmacy Services, Westerville, OH
  • Lacey A. Davis, PharmD, BCPS

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

    Clinical Pharmacy Specialist, Pain Management- Kaiser Permanente

About the PGY2 Pain Management and Palliative Care Residency Program

Purpose

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 Ohio State University/Optum Hospice Pharmacy Services 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 and to conduct clinical practice research.

Residency Sites

The PGY2 Pain Management 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, palliative care and hospice with cross-training at both practice sites.

  • One position is primarily located at Optum Hospice Pharmacy Services. 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 hospice pharmacy services provider 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. Program graduates will be well prepared 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 is one of the nation’s leaders in hospice pharmacy services.  The Optum office is located approximately 20 minutes from The Ohio State University campus in Westerville, 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.

At Optum, the resident receives training in the management of a variety of disease states and symptoms for hospice 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 may include preparing drug information, facilitating drug utilization reviews, leading formulary discussions, and providing educational programming for hospice and palliative 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 and The Wexner Medical Center throughout the residency year. The resident is expected to complete and publish at least one major research or quality improvement project with collaborative support from the college, the preceptors, and practitioners from the clinical practice sites.

 

Core Learning Experiences 

  • Acute & Chronic Pain Management
  • Hospice Inpatient & Outpatient
  • Hospice Pharmacy Consulting
  • Inpatient Palliative Care in Oncology
  • Inpatient Palliative Care in Internal Medicine
  • Orientation
  • Outpatient Palliative Care
  • Practice Management & Professional Development
  • Research
  • Run a Service / Independent Practitioner
  • Teaching / Precepting

Elective Learning Experiences

Any core experience may be repeated as an elective with advanced learning objectives

  • Academia
  • Advocacy
  • Behavioral Health & Addiction
  • Pediatric Hospice & Palliative Care
  • Sickle Cell Pain Management

Key Preceptors

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

Justin Kullgren, PharmD, CPE
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

Amanda Lovell, PharmD, BCGP
Clinical Pharmacist
Optum Hospice Pharmacy Services

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

Maureen Saphire, PharmD, BCGP, CDP 
Palliative Medicine Clinical Pharmacist Specialist
The Ohio State University Wexner Medical Center
James Cancer Hospital

Administration

Stuart Beatty, PharmD, BCPS
Associate Professor of Clinical Pharmacy
The Ohio State University College of Pharmacy

Julie Kennerly, PharmD, MS, MHA, BCPS
Assistant Director of Pharmacy
The Ohio State University Wexner Medical Center
James Cancer Hospital

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

 

Selected Resident Research

  • 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.
  • 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.
  • The effect of high dose methadone on QTc interval among hospitalized cancer pain patients. Lovell AG, Hartman A, Protus BM, Saphire ML.
  • An evaluation of clinical pharmacists’ after-hours symptom management consults for hospice patients. Rondon CC, Protus BM, Saphire ML, Hartman A, Abel S.
  • State Legislation to Prevent Diversion of Opioids in Hospice Programs: A Deeper Look Into Ohio Law. Kneuss TG, Protus BM, Lovell AG, Kullgren JG.
  • Hospital opioid requirements following continuation versus discontinuation of buprenorphine for addiction. Houchard G, Abel S, Kullgren J, Saphire M.

Benefits and Additional Requirements

Application Deadline:  January 2, 2019

Number of Positions: 2

Start Date: July 1, 2019

Annual Salary – $48,500

Vacation Days – 10 days

Support for up to two national conferences

Staffing Requirements at The James – 20 weekends per year

Staffing Requirements at Optum – every third weekend

Completion of a major quality improvement or research project

TEACHING OPPORTUNITIES

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