PGY2 Infectious Diseases Residency

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The ECU Health Medical Center PGY2 Infectious Diseases (ID) Pharmacy Residency offers rotations in a variety of settings including the adult antimicrobial stewardship program, adult ID consult rounding services, HIV/ID clinic, clinical microbiology and the outpatient parenteral antimicrobial therapy (OPAT) program. ECU Health has a formal antimicrobial stewardship program that has been in place for over 20 years. The program serves the large academic medical center in Greenville, North Carolina as well as the community hospitals affiliated with ECU Health and located across eastern North Carolina. The PGY2 ID resident will gain experience taking care of patients in both settings. Through the antimicrobial stewardship program, the resident will work collaboratively with ID trained pharmacists and providers. Routine patient care consists of prospective audit with feedback, management of antimicrobial restrictions and responding to rapid molecular blood culture results. The resident will also help manage the antimicrobial formulary, create hospital antibiograms, analyze antimicrobial use data and oversee a variety of guidelines and resources that serve the ECU Health system. The ID division affiliated with ECU Health offers the resident opportunities such as inpatient consult rounding, ambulatory clinic visits and collaboration with the ID Fellow program. A formal OPAT program also provides the resident with exposure to the transitions of care involved with complete ID management. The health system has a variety of immunocompromised patients across all rotations, including patients living with HIV, solid organ transplants and hematology/oncology diagnoses.

The PGY2 ID resident will be involved with the multi-disciplinary Antimicrobial Utilization and Stewardship Subcommittee (AUSS) of the ECU Health System P&T. They will also regularly attend ID case conference, ID journal club, Infection Control Committee meetings and other regulatory/quality committee meetings. Program requirements will allow the PGY2 ID resident to successfully obtain the Advanced Antimicrobial Stewardship Training Program certificate through Making a Difference in Infectious Diseases (MAD-ID). In addition, the program offers teaching opportunities with pharmacy students from Campbell University and the University of North Carolina, infectious diseases fellows, medical/surgical residents, PGY1 pharmacy residents, nurses and allied health professionals.
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Requirements and structure

The program follows the accreditation standards set forth by the American Society of Health-System Pharmacists (ASHP). It provides in-depth training on core practice concepts in ID and broad exposure to a variety of ID practice settings. The ASHP and Society of Infectious Diseases Pharmacists (SIDP) required competency areas, goals and objectives document also provides a list of key disease states and topics that will be covered during this ID PGY2 residency.

Applicants must be graduates of an ACPE-accredited School of Pharmacy and have successfully completed an ASHP accredited PGY1 pharmacy residency program (or one with candidate status). Applicants must also be eligible for licensure in North Carolina.

Frequently asked questions

The PGY2 program includes the required and elective elements listed below:

The following 10 experiences are required:
  • Orientation (1-4 weeks)
  • Health System Antimicrobial Stewardship (4 weeks)
  • Precepting Antimicrobial Stewardship (4 weeks)
  • Advanced Antimicrobial Stewardship (4 weeks)
  • General Infectious Diseases Consult Rounding Service (4 weeks)
  • Cancer/Cardiac Infectious Diseases Consult Rounding Service (4 weeks)
  • Clinical Microbiology (2 weeks)
  • HIV/ID Clinic (3-4 weeks)
  • Outpatient Parenteral Antimicrobial Therapy (4 weeks)
  • Research Project Month (3-4 weeks)
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Medication Use Evaluation (MUE) and Research Project
Residents will complete a longitudinal medication use evaluation and research project during the residency year. Projects are designed to answer discrete clinical questions and produce results suitable for presentation and publication. A rotation experience is incorporated within the residency year to aid in project completion. Dissemination of research project results through poster presentation is required at an approved pharmacy or ID meeting. Journal publication of the research project results is encouraged but not required for the completion of residency. However, completion of a manuscript suitable for publication is required. Completion of the ECU Health Residency Research Certificate is also required and designed to improve project management and results.

Committees and Presentations
The PGY2 ID resident will serve as a member of and secretary for AUSS (meets monthly); manage antimicrobial stewardship program activities including quarterly evaluation of workload, outcomes and antimicrobial use data from NSHN; prepare or revise a drug class review or monograph; prepare or revise a treatment guideline or protocol; collaborate on medication use issues; participate in medication safety event reporting and review; present a 1-hour CE program to the pharmacy staff; present a 30-minute journal club to the multidisciplinary ID group; present a 1-hour presentation at the multidisciplinary ID case conference; present a 1-hour preceptor development presentation to the pharmacy staff; present one in-service; precept at least one pharmacy learner during their residency year; and participate in other presentation/precepting opportunities as they arise or are desired. Enrollment in a teaching certificate program is optional and only if a teaching certificate is not obtained during PGY1 residency.

Staffing
The staffing experience will include every third weekend coverage of the Health System Emergency Department Culture Call Back Program.
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Elective experiences are generally scheduled in 2-4 week blocks. New experiences may be created on a case-by-case basis if the resident has an interest in a practice area not covered by the elective experiences listed below:
  • Advanced Infectious Diseases Consult Rounding Service
  • Hematology and Oncology
  • Kidney/Pancreas Transplant
  • ID in the Critically Ill Population
  • Pediatrics ID Consults Rounding Service (1 week shadowing experience)
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Benefits

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Approximately $63,000
resident stipend

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Comprehensive medical, dental and vision insurance

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25 days of paid time off

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On-site continuing
education programs

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Educational leave

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Travel allowance for select meetings
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Application process

The program will hold virtual open houses on Thursday, Nov. 13, from 6-7 p.m. and Monday, Dec. 15, from 6-7 p.m. We will also be participating in the ASHP Midyear in-person showcase and ASHP virtual residency showcase on Dec. 17.

All materials must be submitted through ASHP’s Pharmacy Online Residency Centralized Application Service (PhORCAS) prior to the application deadline. Three professional references are required. A separate letter of recommendation is not required. Selection of applicants is based upon academic performance, relevant experience, candidate goals, strength of references and interview. Some applicants may be screened by phone on a rolling basis.

Unless an alternative approach is required by ASHP, the program will conduct both onsite and virtual interviews, depending on candidate preference.
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Apply now

Applications for the 2026-27 residency year are due no later than Jan. 2, 2026.
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For additional information

Nicole C. Nicolsen, PharmD, BCPS, BCIDP
Antimicrobial Stewardship Pharmacist / Program Director
Phone: 252-847-2321
nicole.nicolsen@ecuhealth.org

Melissa George, PharmD, BCIDP
PGY2 Infectious Diseases Pharmacy Residency Program Coordinator
Phone: 252-847-0280
melissa.george@ecuhealth.org​​​​​​​