Lee Memorial Health System
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Pharmacy Residency

The Program:

Our comprehensive pharmacy residency program helps new pharmacists develop clinical competencies, leadership and professional skills.

Overview

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The Pharmacy Department at Lee Memorial Health System

With more than 110 pharmacists at five different campus locations, we provide Pharmacy Services 24 hours a day to both inpatient and outpatients at Lee Memorial Health System. Pharmacists are involved in Team Rounds in the ICUs, PICU, and Pediatric Oncology Unit. Pharmacists also participate in General Medicine Care Management Rounds and provide decentralized services on a variety of nursing units.

Our pharmacists play an integral role in the Medication Safety Committee, Institutional Review Committee, and Pharmacy & Therapeutic Committee. In addition, our staff provides Kinetics Services, Nutritional Support Services, and an Anticoagulation Monitoring and Dosing Services. Lee Memorial Health System serves as a clinical clerkship site for colleges of pharmacy in the state of Florida as well as out-of-state colleges. APPE students are part of the LMHS APPE block rotation program with more than 10 rotations to choose from.

Both the PGY-1 and PGY-2 Infectious Disease Pharmacy Residency Programs will be participating in PhORCAS (Pharmacy Online Residency Centralized Application Service); a web based application system. In addition to the application requirements of PhORCAS, the application deadline will be January 10th, 2014. For more information on PhORCAS visit the ASHP website. All applicants must use PhORCAS to submit all application materials which include academic transripts from pharmacy school, a curriculum vitae, a letter of intent and three references. One reference must be from a Clinical Preceptor. All reference writers must complete the Standardized Reference Form in PhORCAS. In lieu of a letter of recommendation the reference writer must complete the three Narrative comment sections in PhOrCAS.

  • Suzanne Turner, Pharm.D.
  • Pharmacy Department, Lee Memorial Hospital
  • PO Box 2218
  • Fort Myers, FL 33902
  • Email: suzanne.turner@leememorial.org

Postgraduate Year One (PGY-1)

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Mission and Purpose Statements of PGY-1 Program

Mission Statement: The residency program at Lee Memorial Health System is committed to providing excellent training experiences that supports the resident's clinical, academic, and professional interests. The program is dedicated to preparing future pharmacy clinicians and leaders by promoting confidence, leadership and professional skills.

Purpose Statement: The purpose of the residency program is to develop pharmacy clinicians for positions in patient care or for specialty training. Pharmacists completing this residency will be competent practitioners with the ability to optimize patient outcomes through interdisciplinary medication management. Resident graduates will contribute to the pharmacy profession by maintaining high professional standards, involvement in professional organizations and staying abreast of current issues. Upon completion, residents will be self-directed learners possessing clinical competencies, leadership and professional skills and will have the confidence to excel in diverse practice environments.

Core Clinical Rotations

Required core rotations are four to six weeks and include the following:

  • Orientation
  • Antimicrobial Stewardship
  • Contemporary Pharmacy Practice
  • Internal Medicine
  • Critical Care
  • Pediatric Intensive Care
  • Oncology

Elective rotations may include, but are not limited to, the following:

  • Cardiology
  • Pediatric Oncology
  • Neonatal ICU
  • ID Consult
  • Trauma
  • Pharmacy Administration
  • Leadership
  • Emergency Medicine
  • HIV
  • Medication Safety
  • Informatics
  • Palliative Care
  • Community Pharmacy/Transitions in Care
  • Extended experiences in any of the required rotations

Completion of the Orientation program and required core rotations will allow the resident to choose three months of elective rotations as well as one non-direct patient care rotation. The resident may choose to do more than one rotation in a given practice area; however, the rotation must provide a different learning experience or patient population. The resident is encouraged to select elective rotations to provide a breadth of experience; therefore, a maximum of three rotations will be allowed within a specific patient population or practice area.

Longitudinal Rotations

In addition to the core clinical rotations, residents will be involved in the following core rotations as longitudinal experiences:

Project Management

The residents will be given the opportunity to present a finished project at ASHP Midyear Meeting. This project will be a Medication Utilization Evaluation (MUE) designed to highlight an aspect of pharmaceutical care at Lee Memorial Health System and identify opportunities for improvement. This project will be planned and presented to the Institutional Review Committee with the assistance of the co-investigators and project advisor.

Each resident is required to complete a quality research project to enhance the residents' professional growth and benefit the department through innovative changes in the way pharmacy is practiced. A primary project advisor is selected depending on the project type and location and the project advisor will help guide the resident throughout the year. Other co-investigators may be solicited as needed. The research project will be presented by the resident to members of the Department of Pharmacy and at the Florida Residency Conference in the Spring.

Administration

Each resident will have a Pharmacy Administration longitudinal learning experience. This learning experience will begin in the Orientation period and span the entire residency year. Each quarter will focus on a specific facet of Pharmacy Administration. The preceptor for each quarter will be a different director of pharmacy and will utilize their individual experiences and knowledge. The goals, objectives, activities and projects each quarter are specific to the focus area of that quarter but are designed to build upon each other over the course of the residency year.

Focus areas for the year include but are not limited to: Medication Use Process, Medication Safety, Quality/Performance Improvement, Legal and Regulatory Compliance, Human Resources, Information Systems, and Business of Pharmacy.

Examples of projects typically completed during this longitudinal experience include: completion of a drug monograph for presentation to P&T, medication error reporting process, participation in order set development, staff development and completion of a quality or performance improvement activity.

Leadership Seminar

The residents will have a Pharmacy Leadership Seminar longitudinal learning experience. This experience focuses on discussing and developing the traits needed to be a leader within the field of pharmacy. The meetings will be monthly, and will focus on building a foundation of characteristics and traits initially. As the learning experience progresses, topics will shift to application and theory of leadership.

Pharmacy Practice Experience

The goal for the pharmacy practice experience is to provide the resident experience within the medication distribution process, the pharmacy department, and within the health care system to ensure understanding of the function as a health system pharmacist. The PPE learning experiences will have a primary preceptor and will be evaluated as part of the resident's quarterly evaluation.

Residents are required to staff 32 hours a month starting in July through June. In January, the resident will change staffing locations, allowing them to experience a variety of practice locations. In addition, each resident will be required to staff one of the following holidays: Thanksgiving, Christmas Day, New Year's Day.

Clinical Pharmacy Spotlight

Residents will, throughout the year, assist in the publication of the Clinical Pharmacy Spotlight newsletter. This newsletter consists of clinical articles written by residents and students on rotation at LMHS. This newsletter is distributed to an interdisciplinary group of healthcare providers within LMHS including nursing and prescribing staff.

Each newsletter will afford a new experience as roles for residents rotate with each edition. Roles vary from editor of the newsletter to contributing a clinical article or pearl of practice.

Teaching Activities

Residents are expected to participate in various teaching activities. The purpose of such activities is to foster development and refinement of the resident's therapeutic knowledge base, communication/presentation skills, literature evaluation skills, and to promote the effectiveness of the resident as a teacher/presenter. Teaching activities may include but are not limited to the following:

  • Residents prepare and present an ACPE-accredited continuing education program
  • Residents will serve as co-preceptor to PharmD students during intermediate and advanced rotation experiences
  • Residents are eligible to apply for the teaching certificate program through the University of Florida.

Facts

Duration/Type: 12-month residency
Number of Positions: 3-5
Application Deadline: Jan. 10
Starting Date: Week of July 1
Estimated Stipend: $41,400
Interview Required: Yes
Training Site Type: Hospital
Owner Affiliate: Public
Model Type(s): Community, Acute Care
Tax Status: Non-Profit
Professional Staff: 110
Non-Professional Staff: 75
Number of Acute Care Medical Centers: 4
Total Beds: 1,423
Average Daily Census: 900+

Salary and Benefits

  • Medical insurance (Health, Dental, Vision)
  • 7.39 hours PTO accrued per pay period
  • Discounted meals
  • Discounted membership to Wellness Centers
  • Professional travel reimbursement
  • On-site ACPE-accredited continuing education.

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  • PGY-1 Residency Program Director:
  • Suzanne Turner, Pharm.D.
  • Pharmacy Department, Lee Memorial Hospital
  • PO Box 2218
  • Fort Myers, FL 33902
  • Phone: 239-343-2232
  • Fax: 239-343-3431
  • Email: suzanne.turner@leememorial.org

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Postgraduate Year Two - Infectious Diseases (PGY-2)

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Mission and Purpose Statements of PGY-2 Program

Mission Statement: The residency program at Lee Memorial Health System is committed to providing excellent training experiences that supports the resident's clinical, academic and professional interests. The program is dedicated to preparing future pharmacy clinicians and leaders by promoting confidence, leadership and professional skills.

Purpose Statement: The purpose of the residency program is to develop pharmacy clinicians for a specialty position in infectious diseases pharmacotherapy in either a community or academic setting. Upon completion of the ID residency, the resident will have achieved a level of expertise in infectious diseases pharmacotherapy to function independently as a practitioner/educator.

Core Clinical Rotations

Required core rotations are four to six weeks and include the following:

  • Orientation
  • Inpatient Infectious Disease Consult Service (adults)
  • Inpatient HIV
  • Microbiology Laboratory
  • Antimicrobial Stewardship
  • Critical Care

Elective rotations may include but are not limited to the following:

  • Pediatric Infectious Diseases
  • Oncology
  • Extended Research

Longitudinal Responsibilities

  • Research Project
  • HIV Clinic (one half day each week)
  • Medication Use Evaluations
  • New Drug Monograph
  • Participation in Antimicrobial Stewardship Committee
  • In-services (nursing, pharmacy and physician staff)
  • Two formal ACPE accredited lectures
  • Co-precept pharmacy students on rotation
  • Antimicrobial Stewardship Certificate

Service Experience

The goal for the service commitment is to provide the resident experience within the medication distribution process, the pharmacy department and within the health care system to ensure understanding of the function as a health system pharmacist. The Service Commitment learning experiences will have a primary preceptor and will be evaluated as part of the resident's quarterly evaluation.

Residents are required to staff every third weekend starting in August through June. In addition, each resident will be required to staff one of the following holidays: Thanksgiving, Christmas Day, New Year's Day.

Facts

  • PGY-2 Residency Program Director:
  • Sandy Estrada, Pharm.D., BCPS (AQ-ID)
  • Pharmacy Department, Lee Memorial Hospital
  • P.O. Box 2218
  • Fort Myers, FL 33902
  • Phone: 239-343-3737
  • Fax: 239-343-2086
  • Email: Sandy.Estrada@LeeMemorial.org

Duration/Type: 12-month residency
Number of Positions: 1
Application Deadline: Jan. 10
Starting Date: Week of July 1
Estimated Stipend: $45,000
Interview Required: Yes
Training Site Type: Hospital
Owner Affiliate: Private
Model Type(s): Community, Acute Care
Patients Enrolled: N/A
Tax Status: Non-Profit
Professional Staff: 110
Non-Professional Staff: 75
Number of Acute Care Medical Centers: 4
Total Beds: 1,363
Average Daily Census: 900+

Salary and Benefits

  • Medical insurance
  • 7.39 hours PTO accrued per pay period
  • Discounted meals
  • Professional travel reimbursement
  • On-site ACPE-accredited continuing education.

Residents

Current Residents

Jonathan Cho, Pharm.D

  • PGY-1 Resident 2013-2014
  • Education: University of the Pacific Thomas J. Long School of Pharmacy, Pharm.D.
  • Areas of Interest: Infectious Diseases, Cardiology, Academia
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Jonathan Girnys, Pharm.D

  • PGY-1 Resident 2013-2014
  • Education: University of Georgia College of Pharmacy, Pharm.D.
  • Areas of Interest: Emergency Medicine, Critical Care, Pharmacy Administration

Karl Healy, Pharm.D

  • PGY-1 Resident 2013-2014
  • Education: University of Florida College of Pharmacy, Pharm.D.
  • Areas of Interest: Emergency Medicine, Trauma, Critical Care, Infectious Diseases
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Kelly Glover, Pharm.D

  • PGY-1 Resident 2013-2014
  • Education: University of Kentucky College of Pharmacy, Pharm.D.
  • Areas of Interest: Internal Medicine, Critical Care, Oncology, Pediatrics

Ryan Hire

  • PGY-1 Resident 2013-2014
  • Education: University of Florida College of Pharmacy, Pharm.D.
  • Areas of Interest: Critical Care, Oncology, Infectious Diseases, Internal Medicine
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Marylee Worley, Pharm.D

  • PGY-2 Resident 2013-2014
  • Education: Temple University School of Pharmacy, Pharm.D.
  • Training: PGY-1 Residency at Palmetto Hospital in Hialeah, FL
  • Areas of Interest: Antimicrobial Stewardship, ICU, ID Consult

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Past Residents

Stephanie Tears, Pharm.D

  • PGY-2 Critical Care Resident at Jackson Memorial in Miami, FL
  • Education: University of Florida College of Pharmacy, Pharm.D.
  • Areas of Interest: Infectious Diseases, Critical Care, Oncology
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Rebecca Gonzalez, Pharm.D

  • PGY-2 Oncology Resident at West Virginia University in Morgantown, WV
  • Education: University of Florida College of Pharmacy, Pharm.D.
  • Areas of Interest: Oncology, Infectious Diseases

Joseph Pardo, Pharm.D

  • PGY-2 Infectious Diseases Resident at UF Health Shands Hospital in Gainesville, FL
  • Education: University of Florida College of Pharmacy, Pharm.D.
  • Areas of Interest: Infectious Diseases, Internal Medicine
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Aileen Martinez, Pharm.D

  • Pharmacy Specialist, Infectious Diseases at Martin Memorial Health System in Stuart, FL
  • Education: NOVA Southeastern University, Pharm.D.
  • Training: PGY-1 Residency at Indian River Medical Center
  • Areas of Interest within Infectious Diseases: Antimicrobial Stewardship, Informatics

Lauren Tesh, Pharm.D.

  • Assistant Clinical Professor, Infectious Diseases, South College of Pharmacy in Knoxville, Tennessee
  • Education: University of the Sciences in Philadelphia, Philadelphia College of Pharmacy, Pharm.D.
  • Training: PGY-1, PGY-2 Infecious Diseases Lee Memorial Health System, Fort Myers, FL
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Irene Borrero, Pharm.D.

  • Clinical Oncology Pharmacist, Breast Cancer Center Memorial Regional Hospital, Hollywood, FL.
  • Education: NOVA Southeastern University College of Pharmacy, Pharm.D.
  • Training: PGY-1 Lee Memorial Health System, Fort Myers, FL

Harrison Bachmeier, Pharm.D.

  • PGY-2 Infectious Diseases, University of Kentucky
  • Education: University of Florida College of Pharmacy, Pharm.D.
  • Training: PGY-1 Lee Memorial Health System, Fort Myers, FL
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Kristen Kirdahy, Pharm.D.

  • Oncology Pharmacist, Regional Cancer Center, Lee Memorial Health System
  • Education: University of Central Florida, Bachelor of Science; University of Kentucky College of Pharmacy, Pharm.D.
  • Training: PGY-1 Lee Memorial Health System, Fort Myers, FL
  • Areas of Interest: Oncology and Palliative Care

Emily John, Pharm.D.

  • Pediatric Pharmacist, HealthPark Medical Center
  • Education: Rutgers University
  • Training: PGY-1 Lee Memorial Health System, Fort Myers, FL
  • Areas of Interest: Pediatrics
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Faculty

Suzanne Turner, Pharm.D.

  • PGY-1 Residency Coordinator
  • Education: University of Florida, Pharm.D.
  • Training: Pharmacy Practice Residency, Methodist Hospitals of Memphis, Tenn.
  • Practice Area: Student and Resident training, Competency and Staff Development
Suzanne Turner

Kristin Quarterman, Pharm.D.

  • Clinical Specialist, Internal Medicine HealthPark Medical Center
  • Education: Michigan State University, BA Chemistry; University of Michigan, Pharm.D.
  • Practice Area: Internal Medicine, Clinical Pharmacy Spotlight
Kristin Quarterman

Christopher Scott, Pharm.D.

  • Team Lead Pharmacy Information Systems
  • Education: Massachusetts College of Pharmacy, BS, Pharm.D.
  • Training: Pharmacy Practice Residency Fletcher Allen Health Care, Burlington, Vt.
  • Practice Area: Informatics
Christopher Scott

Catherin (Katie) Guglielmo, Pharm.D.

  • Clinical Specialist, Internal Medicine Cape Coral Hospital
  • Education: University of Louisiana at Monroe, Pharm.D.
  • Training: PGY-1 Sarasota Memorial Hospital, Sarasota, Fla.
  • Practice Area: Orientation, Internal Medicine
Katie Curran

Glen Kelton, RPh

  • Pediatric Clinical Specialist, HealthPark Medical Center
  • Education: Long Island University, Arnold and Marie Schwartz College of Pharmacy, B.S.
  • Training: Pharmacy Practice Residency, Beth Israel Medical Center, N.Y.
  • Practice Area: Pediatric ICU, Pediatric Oncology
Glen Kelton

Doug Peterson, Pharm.D., BCPS

  • Clinical Specialist, Critical Care, HealthPark Medical Center
  • Education: University of Florida, Pharm.D.
  • Practice Area: Critical Care, Internal Medicine, Cardiology
Doug Peterson

Connie Hogrefe, Pharm.D.

  • Pharmacy Director, Lee Memorial Hospital
  • Education: University of Louisiana-Monroe, La., BS; NOVA College of Pharmacy, Pharm.D.
  • Practice Area: Medication Safety, Drug Use Policy
Connie Hogrefe

Christine (Tina) Gegeckas, RPh, BCOP

  • Director and Clinical Specialist, Regional Cancer Center
  • Education: Philadelphia College of Pharmacy and Science, Penn., BS
  • Training: Board Certified Oncology Specialist
  • Practice Area: Palliative Care and Outpatient Oncology Services
Christine Gegeckas

Stephen Kessinger, BS, MS, MBA

  • Pharmacy Director, Cape Coral Hospital
  • Education: St. John's University, Queens, N.Y., BS, MS Pharmacology; Florida Gulf Coast University, Fort Myers, Fla., MBA
  • Practice Area: Administration, Performance Improvement, Legal and Regulatory
Stephen Kessinger

Andy Spiegel, Pharm.D.

  • Clinical Specialist, Critical Care, Cape Coral Hospital
  • Education: University of Florida, Pharm.D.
  • Practice Area: Medical/Surgical ICU, Internal Medicine
Andy Spiegel

Mallory Fiorenza, Pharm.D., BCPS

  • Clinical Specialist, Critical Care, Lee Memorial Hospital
  • Education: Albany College of Pharmacy and Health Sciences
  • Training: PGY-1 Residency at Mayo Clinic in Rochester, MN; PGY-2 Critical Care Residency at Veterans Affairs North Texas Health Care System and Texas Tech University Health Sciences Center School of Pharmacy in Dallas, TX
  • Practice Area: Medical/Surgical ICU
Mallory Fiorenza

Amy Skiff, Pharm.D., BCPS

  • Clinical Specialist, Internal Medicine, Lee Memorial Hospital
  • Education: Mercer University, Pharm.D.
  • Practice Area: Internal Medicine
Amy Skiff

Sandy Estrada, Pharm.D., BCPS-AQID

  • Clinical Specialist, Infectious Diseases
  • Education: University of Toledo, Pharm.D.
  • Training: ID/Critical Care Residency, University of Toledo, Ohio, and ID Fellowship University of Toledo, Ohio
  • Practice Area: Infectious Diseases, Antimicrobial Stewardship, HIV
Sandy Estrada

Amanda Zelek, Pharm.D.

  • Decentralized Pharmacist, Lee Memorial Hospital
  • Education: University of Toledo, Pharm.D.
  • Training: PGY-1 Akron General Medical Center, Akron, Ohio
  • Practice Area: Decentralized Service, Clinical Services
Amanda Zelek

Cynthia (Cindy) Whiddon, RPH

  • Decentralized Pharmacist, Lee Memorial Hospital
  • Education: University of Georgia, BS
  • Practice Area: Decentralized Service, Clinical Services
Cynthia (Cindy) Whiddon

John Armitstead, MS, RPh, FASHP

  • System Director of Pharmacy Services
  • Education: Ohio Northern University (BS); Ohio State University (MS); Hospital Pharmacy Residency (Riverside Methodist Hospitals)
  • Training: OhioHealth: Riverside Pharmacy Practice Resident Program at Riverside Methodist Hospitals in Columbus Ohio
  • Practice Area: Pharmacy Practice Leadership
John Armitstead