PGY2 HIV/Infectious Diseases Residency Program

OVERVIEW OF THE RESIDENCY PROGRAM
The faculty and practitioners within the Immunodeficiency Services Clinic at Erie County Medical Center (ECMC) provide an Adherence‐Pharmacology Unit that is integrated within the general HIV clinic operations and is integrated within hospital and university based HIV/AIDS Pharmacotherapy Programs. APU Pharmacists also coordinate weekly multidisciplinary Virology Conferences to discuss patient cases with the medical staff. Clinical services extend to the Children’s Hospital of Buffalo, community pharmacies, and medical practices in the Western New York area via consultation. An Antiviral Clinical Pharmacology Unit (ACPU) is also located adjacent to the Immunodeficiency Clinic to conduct pharmacology‐related studies including pharmacokinetics and pharmacogenomics. The Clinic also serves as a teaching site for PharmD students at the University at Buffalo School of Pharmacy & Pharmaceutical Sciences, international trainees in HIV Pharmacotherapy and NYS AIDS Institute Clinical Education Initiative programs. The Residency is integrated with the University at Buffalo Division of Infectious Diseases in the Department of Medicine, providing direct involvement with infectious diseases attending physicians, presentations to medical teams, and weekly infectious diseases conferences in both general infectious diseases and HIV. APU Pharmacists are integral within New York / New Jersey Clinical Education Initiative “mini‐residencies”, which allow practicing medical, nursing or dental providers the opportunity to gain field experience within an HIV clinical setting.

DESCRIPTION
The primary practice site of this University at Buffalo Residency is the Erie County Medical Center (ECMC) Immunodeficiency Services in Buffalo, NY, and is affiliated with the Department of Pharmacy and Pharmaceutical Sciences at the University at Buffalo. The Immunodeficiency Clinic provides multidisciplinary services (including medicine, nursing, pharmacy, social work, nutrition and mental health) to 1200 patients with HIV infection in Western New York.

PURPOSE STATEMENT
A pharmacist completing this program will be a competent independent HIV Pharmacotherapy Specialist who will be prepared to enter a clinical pharmacy position in HIV/AIDS Care or an academic position within a university setting. Pharmacists completing this residency program will also be trained to successfully complete the American Academy of HIV Medicine (AAHIVM) Pharmacy Specialist (AAHIVPS) Examination. The PGY‐2 Residency expands upon the introductory knowledge presented in the PGY‐1 Longitudinal Experience by allowing the pharmacist the opportunity to hone basic skills learned in a broader patient population, including HCV co‐infected patients, inpatients, pregnant women, children and adolescents. A greater development of the role of the pharmacist as adherence counselor and patient educator is fostered, shifting the focus to patient specific adherence barriers and their potential to undermine optimal therapeutic decisions.

REQUIRED LEARNING EXPERIENCES
The cornerstone of the residency is providing adherence counseling and pharmacology consultations within the Immunodeficiency Services primary care clinic at ECMC. Here, the resident has the responsibility to identify patients in need of pharmacy intervention and the opportunity to impact patients’ outlook and medical care. Adherence Pharmacology pharmacists routinely meet with patients who are newly diagnosed, or who have been managing their HIV for decades; patients who are hospitalized, or who have been chronically out of care. Services extend to the entire spectrum of comorbid disease states. Adherence Pharmacology pharmacists are utilized to build strong rapport and active patient advocacy to work one on one with patients, and will work through barriers to medication adherence, while resolving other drug therapy problems. The Resident will establish pharmacist‐patient relationships over multiple visits and coordinate care with inpatient and outpatient medical teams and the full range of interdisciplinary services. The Resident completes introductory research lectures followed by a Research Project presented at local/national conferences and published in professional journals. University of Buffalo residents collaborate on monthly journal clubs and other presentations throughout the year. The site is also the center for the National HIV Pharmacotherapy Network (http://hiv.buffalo.edu). The Resident will serve on the Editorial Board for the Website and be responsible for timely management of inquiries received on the Website and the coordination of designated educational, clinical and research‐oriented materials disseminated onto the Website. In addition, the resident will contribute to case study evaluation in the HIV Pharmaceutical Care Certificate Program, provide research conference summaries for the ACTG Precautionary and Prohibited Medication Table, Editorial activities for Antimicrobe.org, and participate in Health Information Technology research programs. The Resident receives an appointment as a Clinical Instructor at the University at Buffalo School of Pharmacy allowing the opportunity to lecture at the University and supervise and teach Doctor of Pharmacy candidates completing Ambulatory Care and Infectious Diseases rotations at ECMC. The resident also completes a Teaching Certificate program as a longitudinal activity during the year.

People

Gene D. Morse, PharmD, BCPS, FCCP

 Dr. Gene Morse has been actively involved in HIV clinical pharmacology research since the introduction of antiretrovirals in 1986. He currently has NIAID support through the UB ACTG Pharmacology Specialty Laboratory and a contract for the HIV Clinical Pharmacology Quality Assurance program. These programs are integrated with the Fogarty International Center AIDS International Training and Research Program that Dr. Morse directs with the University of Zimbabwe. Dr. Morse directs the UB HIV Clinical Pharmacology laboratory which has gained an international reputation for bioanalysis, pharmacokinetics and pharmacogenomics and his research group is well qualified to conduct the proposed research.

 

Josh Sawyer, PharmD, AAHIVE, Clincial Assistant Profesor

As the Pharmaceutical Care Coordinator, Dr. Sawyer directs the evaluation and medication management planning for newly diagnosed patients and for those with antiretroviral (ARV) treatment failure. Dr. Sawyer participates in the HIV Pharmacotherapy Continuity of Care program for patients admitted to ECMC. This includes the development of an individualized consultation plan for ARV medication management that is presented and discussed at IDS Virology Conference, participation on the evaluation and medication management planning for special patient groups including co-infection with hepatitis B or C, renal failure, multi-ARV resistance and complex drug interactions. Dr. Sawyer also coordinates the development of an individualized consultation plan for community providers that refer patients to IDS Adherence-Pharmacology Unit.

 Holly Hamilton, PharmD, PGY 2 HIV/AIDS Pharmacotherapy resident

Dr. Hamilton completed her undergraduate pre-pharmacy education at Purdue University before receiving her Doctor of Pharmacy degree from Sullivan University College of Pharmacy in 2013. Dr. Hamilton completed her PGY-1 community practice residency with Walgreens and Sullivan University in Louisville, Kentucky in 2014. She then continued on to pursue her current PGY-2 residency in HIV/AIDS Pharmacotherapy here at the University at Buffalo. Dr. Hamilton has several years of experience in community pharmacy practice and has a strong interest in HIV pharmacotherapy. She has plans to continue to practice in immunodeficiency services upon completion of her residency. Within her specialty, Dr. Hamilton has interests in HIV prevention and hopes to obtain a clinical position in an ambulatory care setting with opportunities to teach.

 

ADDITIONAL INFORMATION
Special Requirements for Acceptance: Must possess a PharmD degree and be eligible for pharmacist licensure in NYS (including U.S. Citizenship). NYS has a practice component to the licensure examination; however there is a competency waiver that can be obtained.

Contact Information:
Gene D. Morse, PharmD, FCCP, BCPS, Director
Joshua R Sawyer, PharmD, AAHIVE, Co‐Director
Immunodeficiency Services, Erie County Medical Center
462 Grider Street
Buffalo, NY 14215
Phone: 716‐898‐5912
Email: jrsawyer@buffalo.edu