PGY2 Pain Management & Palliative Care Residency

The Pain Management and Palliative Care Residency at Lakeland Regional Health (LRH) is a 12-month, organized, directed, postgraduate training program that focuses on developing the skills and competencies necessary to provide optimal pharmaceutical care to pain and palliative care patients.

The resident is expected to become an integral component of the multi-disciplinary team and work with physicians, nurses, pharmacists, and other health care professionals on a daily basis. Under the guidance of three pain management and palliative care specialists, clinical pharmacy specialists in other disciplines, and physicians trained in anesthesiology, neurology, addiction recovery, trauma, and palliative care, the resident will develop professional confidence and clinical skills.

Residency graduates are equipped to participate as essential members of interdisciplinary pain management and palliative care teams and are able to make complex therapeutic recommendations in various practice settings. Training focuses on developing residents’ capabilities to deal with a range of pain syndromes, including chronic malignant and non-malignant pain, neuropathic pain, and pain related to neurologic, orthopedic and rheumatologic conditions. Palliative care emphasis is placed on symptom management throughout patients’ illnesses and at the end of life.

In addition to these direct patient care responsibilities, pain management and palliative care pharmacy residency graduates are trained to serve as authoritative resources in their health systems for the optimal use of medications. In that role they can be relied upon to lead the development and implementation of medication-related guidelines and protocols for pain management and palliative care, and the development of pain management and palliative care related services. Graduates are also highly skilled in the design and delivery of education and training related to pain management and palliative care for patients and/or caregivers, as well as health care professionals and health care professionals in training. Graduates are also skilled in both clinical practice research and in outcomes analyses.

OUTCOMES

Outcomes designated by the American Society of Health-System Pharmacists include the following, which the resident will complete throughout the residency year:

  • Demonstrate leadership and practice management skills in pain management and palliative care
  • Optimize the outcomes of pain management and palliative care patients through the expert provision of evidence-based patient-centered medication therapy as an integral part of an interdisciplinary team
  • Serve as an authoritative resource on the optimal use of medications in pain management and palliative care
  • Demonstrate excellence in the provision of training and educational activities for health care professionals, health care professionals in training, and the public in pain management and palliative care
  • Contribute to the body of pain management and palliative care knowledge

PROGRAM DESIGN

Lakeland Regional Health has a consult-based inpatient pain management service, run by three pain management and palliative care pharmacy specialists. As a result of this unique service, the primary focus of this PGY-2 residency is adult pain management. Palliative care experience will be obtained primarily through the hospital’s 31-bed palliative care unit and one of the four nearby hospices. Other clinical experiences are offered throughout the inpatient oncology unit and cancer center, inpatient psychiatry units, and the trauma ICU. Elective rotations may also be selected in the trauma step-down unit, emergency department, outpatient behavioral health clinic for addiction recovery, outpatient headache clinic, or at an outpatient interventional pain management physician’s office.

Click here for learning experience descriptions.

Required Rotations (1 month each)

  • Orientation
  • Inpatient Acute and Chronic Pain Management I
  • Inpatient Acute and Chronic Pain Management II
  • Inpatient Acute and Chronic Pain Management III
  • Inpatient Acute and Chronic Pain Management IV
  • Oncology
  • Pain and Sedation in the Trauma ICU
  • Palliative and Hospice Care I
  • Palliative and Hospice Care II
  • Psychiatry

Required Longitudinal Rotations

  • Clinical Research
  • Leadership
  • Presentations
  • Professional Development
  • Staffing
  • Teaching Certification (if not already obtained)

Elective Rotations (2 months; 2-4 weeks each)

  • Addiction Recovery
  • Emergency Medicine
  • Interventional Medicine
  • Oncology II
  • Outpatient Headache Clinic
  • Pain and Sedation in the Trauma ICU II
  • Psychiatry II
  • Trauma

TEACHING

If a teaching certification has not already been obtained, each resident will be required to apply for a teaching certification through a local school of pharmacy at the beginning of the residency year. In addition, the resident will have opportunities to precept Advanced Pharmacy Practice Experience (APPE) students on rotations and provide formal and informal education to pharmacists, physicians, nurses, and ancillary staff.

RESEARCH

All residents will be required to complete a Medication Use Evaluation (MUE) or Quality Improvement (QI) project, and present this as a poster at ASHP Midyear Clinical Meeting. A research project will also be designed and conducted, with an outline of methodology to be presented at the Pain Management and Palliative Care Section Advisory Group (SAG) at ASHP Midyear Clinical Meeting. The finalized research project will then be presented at the Florida Residency Conference, with a manuscript to be submitted for publication in an appropriate journal.

PHARMACY DEPARTMENT SERVICE (STAFFING)

In order to enable the resident to stay current on general medical knowledge, they will be required to staff one night per week (5 PM to 9 PM), and one weekend per month (Saturday and Sunday, 7 AM to 7:30 PM). The resident will also take call for the pain management service on one major holiday (Thanksgiving, Christmas, or New Year’s), with back-up call provided by a pain management specialist.

PROFESSIONAL DEVELOPMENT

Residents are strongly encouraged to apply for membership and remain active in professional organizations such as the American College of Clinical Pharmacy, the American Pain Society and the American Academy of Pain Medicine. The resident will receive funding (pending budgetary approval each year) for one pain management-related conference (Pain Week is strongly encouraged), as well as ASHP Midyear Clinical Meeting and the Florida Residency Conference.

COMMITTEE ASSIGNMENTS

Each resident is required to attend the Pharmacy and Therapeutics (P&T) meeting each month, at which a policy written or updated by the resident and a drug monograph/class review will be presented during the year. IRB meetings will be attended when the resident is submitting their MUE and research projects for approval. The resident is encouraged to join other committees as well, such as the Unit Based Council (UBC) and Falls Committee.

COMPENSATION

  • Salary: About $52,000/year (full-time exempt status)
  • Benefits: Full benefits will be provided
  • Earned Time Off: 26 days per year based on accumulated hours
  • Free parking
  • Funding for the following conferences, pending administration’s approval of budget:
    • Pain Week
    • ASHP Midyear Clinical Meeting
    • Florida Residency Conference

PRECEPTORS (BY SPECIALTY)

Addiction Medicine

  • David Myers, MD, CAP, FASAM
  • Michael Strolla, DO, MRO, ABAM
  • Dennis DelVecchio, RPh, LMHC, CAP

Critical Care

  • Rebecca Anderson, PharmD, BCPS
  • Jennifer Montero, PharmD, BCPS
  • Michael Semanco, PharmD, BCPS

Emergency Medicine

  • Brad Hall, PharmD
  • Kayla Montgomery, PharmD, BCPS

Internal Medicine and Palliative Care

  • Chadi Alkhalil, MD
  • Francisco Chebly, MD
  • Carol Gardner, MD

Interventional Pain Management

  • Sunil Panchal, MD

Oncology

  • Angela Pearson, PharmD, BCPS

Pain Management and Palliative Care

  • Katie Maples, PharmD
  • Anthony Pazanese, PharmD
  • June Vasquez, PharmD, BCPS

Practice Management

  • Brian Anger, PharmD, BCPS
  • Wendy Bailey, PharmD
  • Rod Dangerfield, PharmD
  • Georgia Keriazes, PharmD, BCPS, BCOP

Psychiatry

  • Melody Stevens, PharmD, BCPS

For more information, please contact:

Anthony Pazanese, PharmD
Clinical Pharmacy Specialist, Pain Management and Palliative Care
Residency Program Director, PGY-2 Pain Management and Palliative Care
Lakeland Regional Health
1324 Lakeland Hills Blvd
Lakeland, FL 33805
863.687.1100 X 2694
Anthony.Pazanese@myLRH.org