PGY2 PROGRAM
PAIN & 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
  • Claudia Rondon, PharmD

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

    Clinical Pharmacist - Optum Hospice Pharmacy Services, Westerville, OH
  • Candice Tavares, PharmD

    Clinical Pharmacy Specialist, Pain Management- Kaiser Permanente
  • Lacey A. Davis, PharmD, BCPS

    Clinical Pharmacist – Hospice, Palliative Care, & Post-Acute Care, Aultman Hospital, Canton, OH

About the PGY2 Pain & 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 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.

 

Residency Sites

The PGY2 Pain Management & Palliative Care residency program offers training at two major clinical practice sites. The primary practice site is The Ohio State University Wexner Medical Center James Cancer Hospital where the resident focuses on inpatient and outpatient palliative care and pain management in a large academic medical center with experiences in both acute and chronic care. Optum Hospice Pharmacy Services serves as the secondary clinical practice site, providing exposure to foundational hospice care principles. The preceptors at all sites work together to ensure residents gain core competencies in pain management and palliative care.

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 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 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 Hospice Pharmacy Services, 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 within the clinical PBM side of the industry 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

DSC_8634The 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 project with collaborative support from the college, the preceptors and practitioners from the clinical practice sites.

 

Core Learning Experiences

  • Acute / Interventional Pain Management
  • Behavioral Health and Addiction
  • Drug Information
  • Hospice Inpatient & Outpatient
  • Hospice Pharmacy Consulting
  • Inpatient Palliative Care in Oncology
  • Inpatient Palliative Care in Internal Medicine
  • Outpatient Palliative Care
  • Practice Management & Professional Development
  • Research
  • Teaching / Precepting

Elective Learning Experiences

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

  • Advocacy
  • Managed Care
  • 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

Melissa Hunt, PharmD
Pediatric Clinical Pharmacist
Optum Hospice Pharmacy Services

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

Amanda Lovell, PharmD 
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.
  • Chlorpromazine bioavailability from a topical gel formulation in volunteers. Weiland AM, Protus BM, Kimbrel J, Grauer PA, Hirsh J. J Support Oncol 2013.
  • 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.

Benefits and Additional Requirements

Application Deadline:  January 2, 2018

Start Date: July 2, 2018

Annual Salary – $47,500

Vacation Days – 10 days

Staffing Requirements at The James:

 20 weekends per year

Completion of a Major Research Project

TEACHING OPPORTUNITIES

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