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September 26, 2019
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Second-year ID residency programs consistent in adult ID and AMS

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Infectious disease pharmacy residency programs in the United States showed consistency in a variety of domains, such as antimicrobial management activities and teaching and research opportunities, though pediatric experiences were less common, according to findings published in Open Forum Infectious Diseases.

Specifically, PGY-2 ID residency programs prepare pharmacists to become antimicrobial stewards for adult patients. In addition to antimicrobial management and teaching and research, infectious disease pharmacy residency programs were consistent in required adult ID consult and committee service.

“Currently, there are considerable differences in the level of integration and depth of antimicrobial stewardship topics delivered in colleges of pharmacy; however, both medical and pharmacy students believe that strong antimicrobial knowledge is important for their careers and desire more education on ID and appropriate antimicrobial use,” Jonathan C. Cho, PharmD, BCPS, clinical assistant professor at Tyler Fisch College of Pharmacy, University of Texas, and colleagues wrote. “Hence, residency programs serve as a mechanism for pharmacists to receive formalized post-graduate pharmacotherapy training and it is recommended that residency training serve as a prerequisite for entry into pharmacy practice.”

In order to collect information about learning experiences during a PGY-2 ID pharmacy residency program, Cho and colleagues distributed a 19-item, cross-sectional, multicentered, electronic survey via email to pharmacy residency program directors (RPDs) of all 101 PGY-2 ID residency programs in the United States. According to the study, the survey was designed to describe the program characteristics and ascertain the available opportunities.

In total, survey responses were collected from 71 RPDs, 64.8% of which were associated with an academic medical center and 97.2% of which focused mainly in adult ID. Data collected from the survey showed that rotations in the microbiology laboratory, adult antimicrobial stewardship (AMS) and adult ID consult were required in 98.6% of residency programs, although only 28.2% of programs that responded mandated pediatric AMS and pediatric ID consult rotations.

Additional data showed that programs at academic medical centers more frequently offered immunocompromised host ID consult (P = .003), pediatric ID consult (P = .006) and hospital epidemiology (P = .047) rotations but less commonly offered outpatient AMS (P = .003), viral hepatitis clinics (P = .001) and travel medicine clinics (P = .007) rotations when compared with programs at non-academic medical centers.

“Our findings show that PGY-2 ID pharmacy residency programs provide residents with adequate and consistent learning and teaching opportunities in relation to ID pharmacotherapy and antimicrobial stewardship for adults,” Cho and colleagues concluded. “These experiences provide residents with the skills necessary to serve as core members of the antimicrobial stewardship team. Programs may be enhanced by offering residents additional disease state management opportunities and exposure to ID in special populations.” – by Caitlyn Stulpin

Disclosures: The authors report no relevant financial disclosures.