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PGY2 Pain Management & Palliative Care Pharmacy Residency

PGY2 residency programs build upon Doctor of Pharmacy (PharmD) education and PGY1 pharmacy residency training to develop pharmacist practitioners with knowledge, skills, and abilities as defined in the educational competency areas, goals, and objectives for advanced practice areas.

Residents who successfully complete PGY2 residency programs are prepared for advanced patient care or other specialized positions, and board certification in the advanced practice area, if available. PGY2 pharmacy residencies in pain management and palliative care are designed to transition PGY1 pharmacy residency graduates from generalist practice to specialized practice focused on the pain management and palliative care needs of patients. The resident is expected to become an integral component of the multi-disciplinary team and work with physicians, nurses, pharmacists, and other health care professionals on a daily basis. Under the guidance of three pain management and palliative care specialists, clinical pharmacy specialists in other disciplines, and physicians trained in anesthesiology, addiction recovery, trauma, and palliative care, the resident will develop professional confidence and clinical skills.

Residency graduates are equipped to participate as essential members of interdisciplinary pain management and palliative care teams and are able to make complex therapeutic recommendations in various practice settings. Training focuses on developing residents’ capabilities to deal with a range of pain syndromes, including chronic malignant and non-malignant pain, neuropathic pain, and pain related to neurologic, orthopedic and rheumatologic conditions. Palliative care emphasis is placed on symptom management throughout patients’ illnesses and at the end of life.

In addition to these direct patient care responsibilities, pain management and palliative care pharmacy residency graduates are trained to serve as authoritative resources in their health systems for the optimal use of medications. In that role they can be relied upon to lead the development and implementation of medication-related guidelines and protocols for pain management and palliative care, and the development of pain management and palliative care related services. Graduates are also highly skilled in the design and delivery of education and training related to pain management and palliative care for patients and/or caregivers, as well as health care professionals and health care professionals in training. Graduates are also skilled in both clinical practice research and in outcomes analyses.

Outcomes

Outcomes designated by the American Society of Health-System Pharmacists include the following, which the resident will complete throughout the residency year:

  • Demonstrate leadership and practice management skills in pain management and palliative care
  • Optimize the outcomes of pain management and palliative care patients through the expert provision of evidence-based patient-centered medication therapy as an integral part of an interdisciplinary team
  • Serve as an authoritative resource on the optimal use of medications in pain management and palliative care
  • Demonstrate excellence in the provision of training and educational activities for health care professionals, health care professionals in training, and the public in pain management and palliative care
  • Contribute to the body of pain management and palliative care knowledge

Program Design

Lakeland Regional Health has a consult-based inpatient pain management service, run by three pain management and palliative care pharmacy specialists. As a result of this unique service, the primary focus of this PGY-2 residency is adult pain management.

Palliative care experience will be obtained primarily through the hospital’s 31-bed palliative care unit and one of the four nearby hospices. Other clinical experiences are offered throughout the inpatient oncology unit and cancer center, inpatient psychiatry units, and the trauma unit.

Elective rotations may also be selected in the trauma ICU, emergency department, outpatient behavioral health clinic for addiction recovery, or at an outpatient interventional pain management physician’s office.

Click here for learning experience descriptions.

Experiences

  • Orientation
  • Inpatient Acute and Chronic Pain Management I – III
  • Oncology
  • Trauma
  • Palliative Care and Hospice I & II
  • Psychiatry

  • Completion of a drug monograph with formulary recommendation(s)
  • Completion of a finalized manuscript (MUE or research project) ready for submission
  • Completion of the Topic Review List
  • Development or modification of a policy, procedure, or order set with presentation to the appropriate LRH committee
  • Staffing (one evening per week, every 4th weekend, one major holiday covering Pain Management Service)
  • Medication Use Evaluation (poster presentation at ASHP Midyear)
  • Presentations (patient cases, journal clubs, pharmacist continuing education, patient case or topic discussion via webinar to pain management and palliative care specialist)
  • Professional Development
  • Research Project (presentation at Florida Residency Conference)

  • Addiction Recovery
  • Emergency Medicine
  • Interventional Medicine
  • Pain and Sedation in the Trauma ICU
  • Toxicology

Compensation

  • Salary: About $63,000/year (full-time exempt status)
  • Benefits: Full benefits will be provided
  • Earned Time Off: 25 days per year based on accumulated hours
  • Free parking
  • Funding for the following conferences, pending administration’s approval of budget:
    • One pain management or palliative care related conference
    • ASHP Midyear Clinical Meeting
    • Florida Residency Conference

For more information, please contact:

Paige Broccio pharmacy specialist

Paige Broccio, PharmD, BCPS

Clinical Pharmacy Specialist, Pain Management and Palliative Care
Director, PGY-2 Pain Management and Palliative Care
Lakeland Regional Health
1324 Lakeland Hills Blvd
Lakeland, FL 33805
863.687.1100 extension 7146
paige.broccio@myLRH.org