PGY-2 Infectious Diseases

detroit receiving hospitalDetroit Receiving Hospital and University Health Center(DRH-UHC) is a 340 bed and 93 bed emergency-trauma and ambulatory care center affiliated with Wayne State University (WSU). The institution shares a campus with Harper Hospital, Children’s Hospital of Michigan, Hutzel Hospital, the Rehabilitation Institute of Michigan, and the WSU College of Medicine and the Eugene Applebaum College of Pharmacy and Health Sciences. All hospitals are subsidiaries of the 2250-bed Detroit Medical Center, the Academic Health Center of Wayne State University.

The primary care mission of DRH-UHC centers on critical care. The institution is a designated world class Level-1 emergency-trauma center and features regional burn, spinal cord injury and neurotrauma units, along with medical, coronary and surgical intensive care units. DRH-UHC serves as a major teaching site for the WSU Eugene Applebaum College of Pharmacy and Health Sciences, as well as the Colleges of Medicine and Nursing.

In addition to the services in critical care and emergency medicine, DRH and DMC offer world-class treatment in infectious diseases. As a referral center for an urban area, hosting the Barbara Ann Karmanos Cancer Hospital (one of 39 National Cancer Institute-designated comprehensive cancer centers in the United States), and a level one trauma center, DMC cares for a variety of infectious disease complications unseen at many other institutions. As a result of the care received and the research provided at DMC, many practitioners in infectious diseases have achieved national and international acceptance as being experts in their specialties. Practice management experiences associated with this level of care are unique

Objectives:

The primary objective of this specialized residency program is to provide an experience which will lead to the development of practitioner with expert knowledge and skills in the area of infectious diseases pharmacotherapy. Specific goals are to optimize understanding of clinical infectious diseases, anti-infective pharmacology and pharmacotherapy, and pharmacokinetics and pharmacodynamics of antimicrobials.

Rotations:

  • ID consult service at Detroit Receiving Hospital and Harper University Hospital: Consults include complicated infections from our medicine and surgical floors as well as from our neurotrauma, burn, medical, and surgical ICUs. Additionally, the ID service averages a few cases of endocarditis every month and treats patients with advanced and acute complications of patients with HIV/AIDS. Additionally, when at Harper the consult team will often see patients with infections related to immunosuppression.
  • HIV/ID Outpatient Clinic: The resident will spend one half day a week in the ID clinic working one on one with Dr. Patricia Brown. The majority of patients in this clinic are HIV (+) but the clinic does also treat stable outpatients for other infectious diseases complications.
  • Microbiology Experience: The resident will spend one month split between the microbiology laboratory at the university health center and the anti-infective research laboratory (ARL) at Wayne State University. While in the microbiology laboratory the resident will rotate through various benches learning the latest in identification and susceptibility testing for bacteria, fungi, viruses, and parasites including modern molecular techniques. The time spent in the ARL gives the resident a more hands on experience via working with infectious diseases fellows doing manual susceptibility testing and time-kill curves amongst other activities.
  • Antimicrobial Stewardship: Antimicrobial stewardship is a large focus of the residency. The resident will gain stewardship experiences at three different institutions within the DMC in order to understand how to effectively perform stewardship functions in a variety of settings ranging from a community hospital to an academic medical center.
  • Research: The resident will have one month dedicated to finishing their research project. Research experiences are as diverse as our patient population and are carefully designed to ensure adequate time to finish within a year. ID physician support for our resident projects is significant and allows for a wider variety of projects including bench research.
  • Pediatric Infectious Diseases: The resident will spend one month with our pediatric infectious diseases pharmacist at the Children’s Hospital of Michigan. The resident will get a unique experience rounding with the consult service and performing antimicrobial stewardship in this pediatric patient population.

Core Experiences:

  • Antimicrobial Subcommittee Member (meetings held monthly)
  • Physician based ID didactics, ID Grand Rounds/Case Conference, and ID Journal Club.
  • Pharmacy ID Journal Survey
  • Pharmacy Critical Care Journal Club
  • Death & Complications Case Presentations
  • ACPE-approved Professional Seminar given at Pharmacy Grand Rounds
  • Regional Pharmacy Residency Conference Presentation of Research Project
  • Formulary Review
  • Disease state guideline development
  • Anti-infective class review

Elective Rotations:

  • Emergency Medicine
  • Medical ICU
  • Surgical ICU
  • Neurotrauma ICU
  • Burn ICU

Conferences:

  • ASHP Midyear- Financially supported by the DMC
  • ICAAC- Most to all of the meeting is financially supported
  • Regional Pharmacy Residency Showcase- Financially supported by the DMC

Benefits:

  • Stipend: ~$50,000
  • Health-care coverage (provided to the resident at nominal cost)
  • Paid time off and vacation days
  • Conference days (attendance at professional meetings are not part of paid time off or vacation
  • Lab coats
  • Resident office
  • BCLS/ACLS certification training

Residency Requirements:

Pharm.D. degree
Completion of ASHP-Accredited Pharmacy Practice Residency
Eligibility of Michigan Licensure

Application:

  • Online application via PhORCAS
  • Letter of intent
  • 3 references completed via PhORCAS
  • Curriculum Vitae
  • Official academic transcript

Application deadline: January 4th
Any questions regarding the program, please contact Program Director

Ryan Mynatt, PharmD, BCPS, AQ-ID
Clinical Pharmacist, Infectious Diseases
Detroit Receiving Hospital; Detroit Medical Center
Director, PGY-2 Infectious Diseases Residency
Detroit Receiving Hospital; Detroit Medical Center
4201 St. Antoine Blvd, 1B-UHC
Detroit, MI 48235
phone: 313.745.9447
pager: 313.745.9717 #8687
email: rmynatt@dmc.org

Matched Program: Yes
Number of Positions: 1
Interview Required: Yes

This one year infectious diseases residency will be conducted in accordance with the American Society of Health-System Pharmacists (ASHP) accreditation standard for Infectious Diseases Pharmacy Residency Training.