Our mission at NHRMC is to lead our community to outstanding health. We are committed to our pillar goals of ownership, teamwork, communication, and compassion. To help achieve the mission and pillar goals, the pharmacy department is an integral part of patient care at our institution. Pharmacy staff have close working relationships with patients, nurses, prescribers, and other health care professionals, and participate in developing care plans throughout the continuum of care.
Through our program, you will develop skills to become a clinician, educator, and leader in the pharmacy profession. As the area's referral center, NHRMC has a highly diverse patient population which will enable you to encounter a wide variety of disease states and conditions. NHRMC residency programs are conducted in accordance with the ASHP accreditation standards. All programs have achieved the maximum 6-year accreditation cycle. Each program is individualized for each resident, considering previous experience and pre-existing strengths and weaknesses.
PGY1 Community Based (1 position): The Community Based Pharmacy resident will gain a distinctive perspective on community pharmacy, as the patient population will consist of NHRMC employees, indigent patients, and patients discharged from the health system's hospital and clinics. The resident will be an effective independent practitioner and patient advocate working with a team of pharmacists, Clinical Pharmacist Practitioners (CPP), nurse practitioners, medical residents, and attending physicians. Throughout the year, the resident will gain experience in the following areas: Medication therapy management, Disease state management (diabetes, HIV, hyperlipidemia, pain) Preventative/wellness services (pre-diabetes, smoking cessation), and transitions of care. The resident will also have additional elective opportunities. The NHRMC PGY1 Community-Based Pharmacy Residency is committed to graduating competent community practice leaders equipped to meet the challenges presented by a rapidly-changing health care system.
PGY1 Pharmacy (6 positions): A PGY1 Pharmacy resident will develop skills to be a confident generalist, comfortable practicing in both academic and integrated patient care environments. The resident will accept responsibility for patient safety, optimal patient outcomes, and be accountable for all aspects of the medication use process. The resident will develop written and verbal communication skills, serving as an effective interdisciplinary team member, and educator. A PGY1 resident will complete core rotations in Ambulatory Care, Integrated Practice, Intensive Care Unit, Internal Medicine I, Internal Medicine II, Pediatrics, and Practice Management. A resident will have up to 3 electives in addition to a concentrated elective in August to customize their experience and prepare for a PGY2, fellowship, or practice.
PGY2 Ambulatory Care (1 position): The Ambulatory Care resident will develop advanced skills to manage high-risk, complex patients in addition to developing leadership skills focused on assessing health needs for the community at large. The resident will practice with Clinical Pharmacist Practitioners (CPP), medical residents, and attending physicians while managing disease states including asthma, COPD, diabetes, pain, hypertension, chronic anticoagulation, HIV, etc. The resident also participates in Medicare Wellness Visits and Transitional Care Management follow-up telephone calls, and provides spirometry, and ankle brachial index screenings. Core rotations will include both academic services (Family Medicine clinic, Internal Medicine clinic) and community (NHRMC medical group), in addition to elective experiences. The resident will also spend at least one month as a primary preceptor for an APPE pharmacy student.
PGY2 Critical Care (1 position): The Critical Care resident will work as part of the healthcare team to provide comprehensive pharmaceutical care, including but not limited to therapeutic drug monitoring, pharmacokinetic monitoring, anticoagulation, nutrition/metabolic management, drug information and emergency code team participation. The resident will gain experience through a variety of rotations, formulary issues and policy writing relating to critically-ill patients. The resident will rotate through 6 intensive care units (cardiology, cardiothoracic, medical, surgical trauma, neuro, pediatric) and the 108-bed emergency department. Time spent in each area will be individualized to meet the resident's interests and needs, while providing a foundation to develop professional critical care practice skills.
Wilmington, North Carolina Set between the Cape Fear River and Atlantic Ocean, Wilmington is a historic port city and the county seat of New Hanover County. Located in beautiful southeastern North Carolina, New Hanover County has a mild climate and offers many recreational opportunities and miles of public beaches and 25 public parks and athletic facilities, which includes over 2900 acres of green space, boat ramps, and walking trails. Join us in Wilmington and love where you live!
New Hanover Regional Medical Center
New Hanover Regional Medical Center (NHRMC) is an 855 bed, certified stroke and level II trauma center, with its primary service area including the seven-county region of Southeastern North Carolina. As a community teaching hospital, NHRMC houses 4 pharmacy residency programs (PGY1 Community-Based, PGY1 Pharmacy, PGY2 Ambulatory Care, PGY2 Critical Care), in addition to 4 medical residency programs (Family Medicine, Internal Medicine, Obstetrics/Gynecology, and Surgery). NHRMC is home to the Wilmington campus of the UNC School of Medicine and is affiliated with several pharmacy programs, including Campbell, High Point, and Wingate Universities. The health system includes the NHRMC main campus, a free-standing Emergency Department, an orthopedic hospital, and numerous outpatient clinics. The main campus includes a 108 bed Emergency Department, women’s and children’s hospital, a behavioral health hospital, an inpatient rehabilitation hospital, and an ambulatory oncology center. The most common disease states encountered include sepsis, pneumonia, heart disease, cerebrovascular disease, chronic respiratory disease, and trauma.
In accordance wi...th our mission statement, NHRMC measures our success by the health of our community and has made it our mission to improve all aspects of health in our service area. We are focused on delivering access to value based care and health equity to the community we serve. Our organization is striving to reach beyond the walls of our hospitals to ensure members of our community experience outstanding health in the most convenient, affordable way that is customized to their unique circumstances.
Pharmacy services are provided throughout the hospitals and outpatient clinics. In addition to central pharmacy services, satellite pharmacies are in the Women’s and Children’s Hospital and Surgical Pavilion. Decentralized, inpatient pharmacists are located on each floor of the adult tower, in each critical care unit, in the emergency department and in the Women’s and Children’s Hospital. Pharmacists participate in academic rounding services with the Family Medicine, Internal Medicine, Surgical, Surgical ICU, Medical Intensive Care, Pediatrics, and Neonatal teams. Outpatient pharmacy services include an outpatient pharmacy and medical assistance program in addition to transitions of care services. Ambulatory pharmacy services include the Family Medicine Clinic, Internal Medicine Clinic, HIV Care Team Clinic, Employee Health Clinic, and Zimmer Oncology Center.
Inpatient direct patient care services: Kinetic dosing, transitions of Care/ medication reconciliation, anticoagulation management, microbiology rapid identification of organisms, nutrition support,IV to PO, antibiotic streamlining, therapeutic interchange,renal adjustment, Code Blue, Code Stroke, Sepsis, and Trauma response.
Outpatient/Ambulatory care direct patient care services: Medication therapy management, transitions of care, smoking cessation, oral chemotherapy counseling, medicare wellness visits, and home visits. Chronic disease state management: anticoagulation, HIV, lipids, asthma, COPD, diabetes, hypertension, and pain management.