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CRITICAL CARE PHARMACY PRACTICE RESIDENCY

Kingsbrook Jewish Medical Center
And
Arnold & Marie Schwartz College of Pharmacy and Health Sciences
Long Island University
Brooklyn, New York


Position Description (top of page)

The Kingsbrook Jewish Medical Center and the Arnold & Marie Schwartz College of Pharmacy and Health Sciences, Long Island University, offers a one-year ASHP-accredited Specialty Residency Program in Critical Care Pharmacy Practice. The primary goal of this residency program is to develop, hone, and maximize the resident's pharmacotherapy skills as they apply to the critically ill patient. The resident will receive comprehensive, intense, individualized training in all aspects of critical care pharmacotherapy.

The resident will be responsible for providing comprehensive pharmaceutical care for critically ill patients in the following settings: medical/surgical critical care unit, cardiac care unit and the emergency department. The resident will perform infectious disease, toxicology, pharmacotherapy and pharmacokinetic consultations and approve restricted antimicrobials. The resident will perform admission histories, drug discharge counseling and adverse reaction reporting. The resident will receive BLS and ACLS training and certification. Rotation opportunities are available at the New York University Medical Center, Maimonides Medical Center, Bassett Healthcare, and Brookdale Hospital Medical Center. There is a faculty appointment with the Arnold & Marie Schwartz College of Pharmacy and Health Sciences, Long Island University. Competency will be cultivated in clinical research, writing, publishing, presenting and lecturing. The resident will have the opportunity to initiate or participate in several ongoing clinical research projects. Upon completion of this advanced training program the resident should be poised for careers in institutional practice, industry, or an academic setting. Two residency positions are available.

The Kingsbrook Jewish Medical Center and Department of Pharmacy
The majority of the program will take place at the Kingsbrook Jewish Medical Center/David Minkin Rehabilitation Center (KJMC/DMRI). The KJMC/DMRI is an 890-bed teaching, medical and pharmacy university-affiliated, non-profit, private community institution. The Rutland Nursing Home is a 538-bed facility offering skilled nursing, rehabilitation and post acute care services. The nursing home operates an Adult Day Health Care Center. KJMC has a 10 bed medical/surgical and 10 bed cardiac intensive care unit, a 20 bed traumatic brain injury and coma recovery unit, a 30 bed geriatric psychiatry unit, a sleep disorders center, a memory disorders program, a pain management and treatment center, wound care and hyperbaric medicine center, renal dialysis unit, a vascular laboratory, and a 911 receiving emergency department. The Department of Medicine maintains an independent medical residency program of over 50 physicians and many board certified faculty. The surgical teaching program is affiliated with the SUNY Health Science Center Brooklyn Medical College.

The Department of Pharmacy is fully computerized, provides 24-hour pharmacy services and utilizes a robotic dispensing system. The Pharmacy Department provides pharmacotherapy, infectious disease, and pharmacokinetic consultative services. The department has an ASHP accredited residency program in Geriatric Pharmacy Practice, and one Geriatric Neuropsychiatry Pharmacy Practice Resident/Fellow.

 


Clinical Rotations (top of page)
The resident will have the unique opportunity to practice critical care medicine in several settings including medical, surgical, and cardiac critical care and in the emergency department. The resident will participate in morning report, daily patient-care teaching rounds, attending daily medical grand rounds and clinical pharmacology rounds.

Critical Care Pharmacy Practice Rotations (top of page)
1. Medical/Surgical Critical Care
2. Medical Critical Care
3. Cardiac Critical Care
4. Infectious Diseases
5. Emergency Medicine
6. Clinical Pharmacology
7. Pharmacokinetics Consult Service

Off-site rotation Opportunities and Preceptors (top of page)

  1. Clinical Pharmacology, Bassett Healthcare, Joseph Bertino, Pharm.D.
  2. Medical Critical Care, New York University Medical Center, John Papadopoulos, Pharm.D.
  3. Emergency Medicine, Brookdale Hospital Medical Center, Robert DiGregorio, Pharm.D.
  4. Emergency Medicine, Maimonides Medical Center, Victor Cohen, Pharm.D. and Steven Rozenbaum, M.D.

 


Faculty Appointment and Teaching Responsibilities (top of page)

The resident will receive a university faculty appointment at the Instructor or Assistant Professor of Pharmacy Practice rank with the Division of Pharmacy Practice at the Arnold & Marie Schwartz College of Pharmacy and Health Sciences, Long Island University. Teaching at the university and precepting Pharm.D. students are required. There will be ample opportunity to lecture at professional society meetings, medical, nurse practitioner and physician assistant programs in the tristate area, the universities active continuing education programs, and the hospital's pharmacy, nursing, and medical staffs.

 


Research Opportunities (top of page)
The resident is required to complete one scholarly research project. The resident will be responsible for preparing a research proposal including justification for the project and study methodology, receiving IRB approval, collaborating with research-intensive medical residents, and presenting and publishing the results. A list of published research projects and active research projects is provided.

Published/Active Research Projects (top of page)

  1. Bessmertny O, DiGregorio RV, Cohen H, Becker E, Looney D, Golden J, Kohl L, Johnson T. A Randomized Clinical Trial of Nebulized Magnesium Sulfate in Addition to Albuterol in the Treatment of Acute Mild-to-Moderate Asthma Exacerbations in Adults. Annals of Emergency Medicine. June 2002;39:585-91.

  2. Sadek M, Bharadwaj R, Cohen H, Malik A, Ramos L, Hameed R, Hayat L, Banik P, Ahmed I, Lodhavia D. The Effects of Intravenous Levofloxacin on the Electrocardiographic QT Interval. Pharmacotherapy. 2002;22(10):1327.

  3. Neilan R, Cohen H, DiGregorio R, Borra S, Reilly J, Sharma R. The Effects of Renal Failure and Hypoalbuminemia on the Protein Binding of Cerivastatin in Hemodialysis Patients. Pharmacotherapy. 2002;22(10):1328.

  4. A comparison of Lansoprazole and Sucralfate for the Prophylaxis of Stress-related Mucosal Damage in Critically Ill Patients. Critical Care Medicine. 2000;28(12):A185.

  5. Placebo Controlled Trial of Ipratropium Bromide Added to Standardized Therapy in Mild to Moderate Asthmatics. Critical Care Medicine. 1999;27(12):A55.

  6. Alterations in Theophylline Protein Binding in Critically Ill Patients. Critical Care Medicine. 1999;27(1): A69.


Active Research Projects (top of page)

  1. A Comparison of Pantoprazole Versus Sucralfate and H2-receptor Antagonists for Prophylaxis of Stress-Related Mucosal Damage in Critically Ill Patients
  2. A Comparison of Intermittent Infusion Versus Continuous Infusion Cefuroxime in the Treatment of Lower Respiratory Tract Infections
  3. The Role of Candida as a Cause of Nosocomial Diarrhea
  4. The Efficacy of Nystatin in the Management of Nosocomial Diarrhea
  5. The Bioavailability of Nasogastric and Gastric Lansoprazole in Critically Ill Patients

Position Papers in Critical Care Medicine

  1. Brilli RJ, Spevetz A, Branson RD, Campell GM, Cohen H, et al. Critical Care Delivery in the Intensive Care Unit: Defining Clinical Roles and the Best Practice Model. Critical Care Medicine. 2001;29:2007-2019.

  2. Rudis MI, Brandl KM, Cohen H. Position Paper on Critical Care Pharmacy Services. Critical Care Medicine. 2000;28:3746-3750.

  3. Cohen H - Guest Editor. Critical Care Pharmacy Practice in The Journal of Pharmacy Practice, December 1998;11(6):408-502.

KJMC Residency Faculty (top of page)

  • Henry Cohen, B.S., M.S., Pharm.D., BCPP, CGP, Director of Pharmacotherapy Research and Residency Programs
  • David Adelman, M.S., R.Ph., Director of Pharmacy
  • Antonia Alafris, B.S., Pharm.D., CGP, Coordinator of Clinical Pharmacy and Residency Programs
  • Steven Brooks, Ph.D., Chief of Microbiology
  • Rizwanullah Hameed, M.D., Director of Infectious Diseases
  • Abdul Malik, M.D., Director of Cardiology
  • Rajat Mukherji, M.D., Director of Intensive Care Medicine
  • William Stratis, B.S., Pharm.D., CGP, Associate Director of Pharmacy

Qualifications and Application Procedure (top of page)
Applicants for this ASHP accredited specialty residency training program in Critical Care Pharmacy Practice should possess a Pharm.D. degree preferably with a residency, or a Post-BS Pharm.D. degree, or equivalent experience. Interested applicants should submit a completed application form, a letter of intent, all college transcripts and 6 copies of their curriculum vitae by January 1 to Henry Cohen, M.S., Pharm.D., BCPP, CGP, Associate Professor of Pharmacy Practice, Arnold and Marie Schwartz College of Pharmacy and Health Sciences, 75 DeKalb at University Plaza, Brooklyn, New York 11201; or send applications to Dr. Henry Cohen, Director of Pharmacotherapy Research, Education and Residency Programs, Department of Pharmaceutical Services, Kingsbrook Jewish Medical Center, 585 Schenectady Avenue, Brooklyn, New York, 11203. For more information please call Dr. Cohen at 718-604-5373; fax 718-604-5486. E-mail: Henry.Cohen@LIU.edu

 

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