What I Wish I’d Known Before Starting A PGY1 Pharmacy Residency

PGY1 Pharmacy Residents Speak Out: “What I Wish I’d Known Before Starting A PGY1 Pharmacy Residency?

Pursuing residency training is a big decision and requires some serious thought. The training involves long hours and completion of numerous projects and presentations. We surveyed current PGY1 pharmacy residents from across the country and asked them to answer one question: “What I wish I’d known before starting a PGY1 Pharmacy Residency?”

  1. For me, staffing has been one of the biggest challenges of residency at a large hospital where the orders are very specialized and the dispensing system is complex. Staffing has also been one of the experiences where I’ve learned the most. When interviewing, pay close attention to staffing duties – how often, what is the training, and what do you contribute to the health system with your staffing? Also, what is the support system when questions arise?

  1. Utilize preceptors as mentors from Day 1!

  1. The time management skills I had as a student would be insufficient for residency. 2. Exactly how important it is to not ignore the little warnings you feel when interviewing for potential residencies – often those flags are real and can be difficult to manage when they manifest. 3. That a large residency class is a blessing, not a curse. 4. How to verify an order. 5. Exactly how demanding it is. I was warned, but the reality far exceeded anything a PGY-1 was willing to tell me when I was a student. 6. I knew it, but worth passing on: you can live anywhere for a year. Go someplace new and see pharmacy in another state. The differences can be astounding and you’ll be a stronger pharmacist for it whether you’re moving west to east or east to west. Explore.

  1. How unglamorous pharmacy practice can be. There are clashes between nurses, physicians and even within pharmacy departments.

  1. You should make time for yourself to avoid burnout

  1. You think that you know how to manage your time and how to juggle numerous projects at one time but until you are in your PGY1 you really don’t know how to do that. It is all about prioritizing your tasks and growing as a practitioner.

  1. Job opportunities and limitations after completing a PGY-1 Pharmacy Residency Program

  1. Even the best pharmacy school time management skills are put to the test during a residency.

Agitation and Sedation in the Critically Ill

In this video, Brent (Pharm.D., BCPS, BCCCP) discusses the Society of Critical Care Medicine (SCCM) Guidelines for Pain, Agitation, and Delirium in Adult Critical Care Patients, focusing on the agitation/sedation section.

Clinical Practice Guideline for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit
(Crit Care Med; 2013; 41 263-306)