NORTH MEMORIAL HEALTH CARE DEPARTMENT OF PHARMACY SERVICES PGY-1 ASHP Accredited Pharmacy Residency Program ASHP Code: 63011 NMS Code: 148413 Residency Candidate Guide 2014 - 2015 For further questions, contact: Krista Gens, PharmD, BCPS-AQ ID PGY-1 Residency Program Director North Memorial Medical Center [email protected] 763-581-8598 1 ABOUT NORTH MEMORIAL For more than 50 years, North Memorial has served the Twin Cities area with compassionate care. Today, North Memorial Medical Center is a Level I Trauma Center and the only major independent health care provider in the Twin Cities. North Memorial Healthcare consists of: A. B. C. D. E. F. North Memorial Medical Center (NMMC), a Level I Trauma Center and certified primary stroke center Maple Grove Hospital: North Memorial and Fairview have partnered to create a hospital that answers the needs of the northwest metro communities: Superior health outcomes delivered through excellent communications, care coordination and attention to the individualized needs of patients and their families. Humphrey Cancer Center: The Humphrey Cancer Center is currently treating or following more than 20,000 patients with cancer. They combine the latest technology and treatment with complimentary therapies like acupuncture and pain management. North Memorial Ambulance, a CAAS accredited service that currently provides the majority of ambulance and emergency care for the northwest corridor of the Twin Cities metro area and portions of greater Minnesota and western Wisconsin North Memorial Air Care, with flight crews based in the Twin Cities, Brainerd, Princeton and Redwood Falls, MN North Memorial Clinic, with seven locations throughout the northwestern Twin Cities metro area Key Facts about North Memorial: Founded: 1954 Number of licensed beds: 518 Number of Employees: over 5,000 For more information about North Memorial Medical Center, please access our website at http://www.northmemorial.com/ 2 ABOUT THE PROGRAM A. ASHP ACCREDITATION STANDARDS OVERVIEW OF THE PRINCIPLES OF A PGY-1 RESIDENCY PROGRAM (from ASHP Accreditation Standards for PGY-1 Programs) Principle 1: The resident will be a pharmacist committed to attaining professional competence beyond entry-level practice. Principle 2: The pharmacy residency program will provide an exemplary environment conducive to resident learning. Principle 3: The resident will be committed to attaining the program’s educational goals and objectives and will support the organization’s mission and values. Principle 4: The resident’s training will be designed, conducted, and evaluated using a systems-based approach. Principle 5: The residency program director (RPD) and preceptors will be professionally and educationally qualified pharmacists who are committed to providing effective training of residents. Principle 6: The organization conducting the residency will meet accreditation standards, regulatory requirements, and other nationally applicable standards and will have sufficient resources to achieve the purposes of the residency program. Principle 7: The pharmacy will be organized effectively and will deliver comprehensive, safe, and effective services. B. QUALIFICATIONS OF THE RESIDENT (as adapted from ASHP Accreditation Standards for PGY-1 Programs) i. Residency applicant qualifications will be evaluated by the residency program director (RPD) through an established, formal procedure that includes an assessment of the applicant’s ability to achieve the educational goals and objectives selected for the program. Further, the criteria used to evaluate applicants must be documented and understood by all involved in the evaluation and ranking process. ii. The resident should be a graduate of an Accreditation Council for Pharmacy Education (ACPE)-accredited Doctor of Pharmacy degree program. iii. The applicant must be licensed, or be eligible for licensure, in the state of Minnesota (MN). iv. Residents shall participate in and obey the rules of the Residency Matching Program. iv. Residents making application to residency programs that have applied for accreditation or that are accredited by ASHP must participate in and adhere to the rules of the Resident Matching Program (RMP) process. 3 C. NMMC PGY-1 RESIDENCY PURPOSE AND PHILOSOPHY Purpose: The purpose of our residency program is to develop graduate pharmacists into independent pharmaceutical care practitioners in acute care settings, potential medication therapy management (MTM) practitioners in ambulatory care settings, potential educators or adjunct faculty, and/or ready for further training in PGY2 residency or fellowship programs. Residency training also offers other advantages: A competitive advantage in the job market – More and more employers recognize the value of residency training. A pharmacist who has completed a residency will have a clear advantage over applicants who have not. Networking opportunities – Many opportunities arise for residents to establish or expand their network of professional acquaintances and contacts including preceptors and other residents. Career planning – During the course of training, most residents gain a clearer picture of what type of practice best suits them. Residency preceptors are committed to providing personal attention to assist each resident in further defining professional goals. Philosophy: The ASHP accreditation standard provides criteria that every program must meet in order to receive and maintain accreditation. Working within the required standards and accentuating our strengths, our philosophy is to provide a program that is flexible and tailored to meet the needs of the individual resident. Our mission is to help develop practitioners who provide compassionate, remarkable pharmaceutical care. D. PROGRAM REQUIRED AND ELECTIVE EDUCATIONAL OUTCOMES Outcome R1: Manage and improve the medication use process. Outcome R2: Provide evidence-based, patient-centered medication therapy management with interdisciplinary teams. Outcome R3: Exercise leadership and practice management skills. Outcome R4: Demonstrate project management skills. Outcome R5: Provide effective medication and practice-related education/training. Outcome R6: Utilize medical informatics Outcome E5: Participate in the management of medical emergencies. Outcome E6: Provide drug information to health care professionals and/or the public. 4 PROGRAM STRUCTURE The residency program is twelve months in duration, and it is considered a full-time practice commitment. Required, elective, and longitudinal rotations Orientation (4 weeks) Hospital Department Required Rotations (5 x 4 weeks) Adult Medicine/Decentralized Clinical Pharmacy Epic® Critical Care (6 weeks) Sterile Compounding Emergency Medicine Cardiovascular/CVICU Pyxis® Longitudinal Ambulatory CareBroadway Health Clinic (1/2 year) Clinical Staff Pharmacist (year long staffing) Elective Rotations (5 x 4 weeks) Practice Management (Administration) Geriatrics/Pain Management Healthcare Analytics (Informatics) Employee MTM (1/2 year) Hematology/Oncology Research/Project Medication Safety Teaching Assistant in Pharmaceutical Care Laboratory at UMN College of Pharmacy (1 semester) MTM Bariatric Surgery MTM Critical Care 2 Infectious Diseases Residency/RLS/ ResiTrak® Nutrition Peds/Neonatal ICU Infectious Diseases 2 Emergency Med 2 Transitions of Care Clinical Staff Pharmacist (Staffing; Every Other Weekend): Each resident will train with a hospital pharmacy practice preceptor as assigned. Basic training will take place during the first month of the residency. At the conclusion of the basic training period, the resident program director (RPD), hospital pharmacy practice preceptor and the resident will mutually determine if the resident is ready to function independently as a pharmacist based on the Orientation Record Checklist and area specific items that may be added. If the resident is not ready to function independently at the conclusion of the training period, the following actions will occur: o A list of deficiencies will be developed by the preceptor and resident. 5 o A specific plan will be outlined by the preceptor and the resident to provide additional training/experience in the area(s) of weakness. o A copy of this plan will be maintained by the RPD and progress will be re-evaluated on a weekly basis. Residents will be evaluated by their hospital pharmacy practice preceptors on a quarterly basis. Each resident will gain hospital pharmacy practice experience period during the year as a pharmacist in the inpatient pharmacy and\or patient care areas (decentralized). Residency Project A project, administered by the resident and mentored by a core preceptor, is required of all residents. The project is to be of benefit to the individual, the Department, and to the institution. There is to be a significant amount of literature review, project design, data gathering, statistical evaluation, writing, and reporting done by the resident. The end product is a presentation at the Midwest Residency Conference (MWRC) and a written manuscript suitable for publication in a peer reviewed journal. The manuscript should be written in accordance to the Instructions for Authors of the American Journal of Health-System Pharmacists or selected journal requirements. Residency project ideas will be submitted by the Department to the residents early in the year. Deadlines are set for initial submission of project plans. Projects must be evaluated for feasibility and approved by the RPD before performing the project. One core preceptor will be selected for each project who will act to facilitate the project, mentor the resident, and who shares responsibility for meeting deadlines, submission of applications for research (IRB, etc.), presentations and manuscript development and submission. The project plan submitted should be binding to the resident and to the preceptor(s) involved. INDIVIDUALIZED PLAN DEVELOPMENT During the first week of the residency, each resident is required to complete an initial self-assessment form (Experience, Skills, and Interest Inventory), the Goal-Based Entering Interests Evaluation form, and the ASHP Standard Entering Interests and Goals form. The Residency Program Director (RPD) and resident will review the form together and create a customized residency plan for the upcoming year based on the needs and interests of the resident. The plan will be completed by the end of orientation. The resident will reassess the validity of the plan as part of their overall selfassessments they complete every other month. The resident must review the plan with the RPD to determine if there should be any changes made. If a rotation the resident is interested in is not offered, options will be pursued to develop that rotation or complete that rotation at another site. 6 PRECEPTORS Core Preceptors Andrea Leo, Pharm.D. Chad Novak, Pharm.D. James Bischoff, Pharm.D. Jean Moon, Pharm.D., BCACP Jen Marquart, Pharm.D., BCPS Jeremy Whalen, Pharm.D. , BCOP Jonathan Schultz, Pharm.D., BCPS Krista Gens, Pharm.D., BCPS-AQ ID Mark Mathiason, Pharm.D. Mary Foss, PharmD, BCPS Mary Pyka, Pharm.D. Mike Waldt, PharmD, MS Nichole Rupnow, Pharm.D., BCPS Nick Schutz, Pharm.D. Paul Krogh, Pharm.D., MS, BCPS Tammy Berg, Pharm.D., BCPS Todd Burkhardt, Pharm.D. Rotations Pediatrics/NICU Cardiology Critical Care Ambulatory Care/Broadway Family Medicine Clinic Critical Care and Clinical Staffing (every other weekend) Hematology/Oncology Adult Medicine/Decentralized Clinical Pharmacist and Clinical Staffing (every other weekend) Infectious Diseases Emergency Medicine Medication Safety, Orientation MTM Medication Safety Pharmaceutical Care LaboratoryTeaching Assistant Healthcare Analytics (Informatics) Practice Management (Administration) Transitions of Care Nutrition and Geriatrics/Pain Management EMPLOYMENT/APPLICATION REQUIREMENTS Employment The residency is 12 months in length beginning July 1st and ending June 30th, unless otherwise arranged with the RPD. The resident is required to comply with the hiring practices of NMHC. All pre-employment checks and screening must be completed prior to a written offer being extended to the residency candidate. Application Requirements The following application materials are to be received no later than January 9th via PhORCAS: 1. Letter of intent 2. Curriculum vitae 3. 3 Letters of recommendation 4. Official transcripts from all College/Universities Initial screening of all residents will be done by the RPD, the current residents, the department administration, and residency preceptors. Initial applicants screening is intended to assure the applicants interests and abilities meet those of the residency program, department, and North Memorial, and as an initial assessment of the residents abilities to complete 7 the educational goals and objectives set forth in the residency. A scoring system is utilized. An invitation to have an onsite interview will be extended to those applicants who pass the initial screening. During the one day onsite interview, the resident have the opportunity to gain a greater understanding on the residency program and the RPD and preceptors will have the opportunity to meet the applicants and better assess the applicants’ interests and abilities. The applicant will be required to give a 15 minute in-service to the department as part of the interview process. The applicant will meet with RPD, the Clinical Manager, the Operations Manager, the Director of Pharmacy, the current residents, and preceptors. An optional clinical shadowing experience is also offered to take place on the day of interviewing, for which the participant must sign a HIPPA agreement form and provide proof of influenza vaccination. MATCH PROCESS AND NOTIFICATION OF MATCH The program will adhere to the rules of the Resident Matching Program process. This residency site agrees that no person at this site will solicit, accept, or use any ranking-related information from any residency applicant. Once the Match results are known, the matched residents will receive a letter of confirmation from the RPD and the Director of Pharmacy within 2 weeks of the match results. This letter will include the terms and conditions of the residency program. The matched resident will sign, date, and return the confirmation letter to the RPD as a confirmation of acceptance of the terms and conditions of the residency program. SALARY AND BENEFITS Starting in 2014, North Memorial’s pharmacy residents are employed by the University of Minnesota. All benefits and health plans are determined by the University. Competitive stipend Wellness allowance 22 PTO days Office space & computer workstation Financial support for ASHP MYCM, annual Midwest Residency Conference, and MSHP Clinical Equipment support (Laptop, LCD projector) for residency related presentations Health care plan options Photocopying directly related to residency Dental plan Full access to Biomedical Library Continuing Education ACLS certification Employee health center Local and national discounts Employee pharmacy Discount ticket sales and activities Life insurance MTM Credentialing Disability insurance NM Federal Credit Union Professional liability coverage Parking 8 ADDITIONAL RESIDENCY EXPERIENCE ACTIVITIES Journal Club: Each resident will present two current pharmacotherapy related journal articles during the residency year. Resident attendance is required at all sessions. Case Conference: Each resident will sign up to formally present two case presentations during the residency year. The cases presented should revolve around pharmacotherapy topics and include primary literature and be a case in which the resident was directly involved. Resident attendance is required at all sessions. Seminars: Two formal presentations by each resident will be conducted during the residency year: One of these should be a presentation on a pharmacotherapy topic that includes some controversy and/or is a hot topic in pharmacotherapy. This is a 60 minute CE presentation. Objectives are to be submitted 30 days prior to presentation date. The second formal presentation will be a 10-15 minute presentation of the resident’s project. This includes several practice sessions then the formal presentation with feedback/evaluation from preceptors and residents. These presentations will be presented to the pharmacy department and other guests. Resident attendance is required at all sessions. Teaching Activities: Residents will have the opportunity to gain pharmacy student precepting experiences while on their clinical rotations that coincide with IPPE and APPE students. Residents will also serve as a Teaching Assistant for one semester in the University of Minnesota College of Pharmacy Pharmaceutical Care Learning Laboratory. Other teaching opportunities, such as presenting to other departments within the hospital will be available as opportunities present. Medical Center Educational Programs: Noon conferences, departmental grand rounds, and other educational conferences are offered throughout NMHC. These are posted on the intranet. Residents are encouraged to attend various conferences related to specific rotations. Research Project: Each resident will conduct a research project over the course of the residency year. This project will include idea development, literature review, study design, IRB submission, data collection, data analysis, data interpretation, oral presentation and a written manuscript. 9 Manuscript for Publication: Each resident will prepare a manuscript of their Research Project in a format acceptable for publication in a peer reviewed journal. Hospital Pharmacy Practice: Each resident will gain experience in the IV room, main pharmacy and decentralized activities. Longitudinal Ambulatory Care: Each resident will participate in clinic one day every other week over 6 months with the North Memorial Health Care Family Medicine Residency Program (Broadway Family Medicine Clinic). Employee MTM services every other Wednesday will also be provided by residents, as well as periodic bariatric surgery MTM consults. Core Required Rotations: Residents will fulfill many of the clinical core requirements of the residency program as well as develop interest areas through selected elective rotations. Rotation requirements may vary based on preceptor. Criteria based assessments should be reviewed at the outset of each rotation by resident and preceptor to assure completion of all requirements by the end of the residency year. Conferences: Each resident is required to participate in continuing education programs through regular attendance at local professional meetings and seminars. In addition, travel support is provided for residents to attend the ASHP Midyear Clinical Meeting, the MSHP Midyear Clinical Meeting and Midwest Residency Conference. Pharmacy and Therapeutics Committee: Each resident will attend all P&T committee meeting and related subcommittees during the residency year. Two drug monographs will be written and presented during this experience by each resident. This will be assigned by the Clinical Manager. Drug monographs require review and presentation of primary literature. A 5-10 minute power point presentation will be prepared that focuses on the drug’s place in therapy, with a literature supported comparison and analysis of efficacy, safety and cost of the drug and its competitors. An opinion should be outlined with recommendation for formulary status. This will be presented to the P&T Committee. A resident will have approximately 30 days to prepare the monograph once assigned. MUE: Each resident will complete two medication use evaluations during the residency year. These are assigned in the first or second quarter of the year and depending on the scope of the MUE chosen may be conducted individually or in pairs. Findings are to be summarized in a 10 minute power point presentation with recommendations of the most appropriate 10 course of action based on the findings to the P&T Committee and/or appropriate committee. BLS and ACLS Certification: Each resident is expected to successfully complete the BLS and ACLS curriculum within the first two months of the residency. The goal is to ensure the resident is familiar with and capable of providing BLS and ACLS, in the event of an emergency. Resident Meetings: Residents will attend scheduled resident meetings to discuss upcoming resident events, other issues pertaining to the residency program, and actions/recommendations made at residency council meetings, etc. The meetings will be scheduled by the RPD. In addition Residents are required to attend all meetings that the current preceptor attends. Pharmacist Staff Meetings: Residents are required to attend all pharmacist staff meetings. Each resident is expected to coordinate, prepare and lead one meeting during their year. Recruitment: Residents will assist in the resident recruitment and candidate selection process. Disease Prevention and Wellness Program Promotions: The residents will participate in the Employee Resource Council Vendor Fair twice a year staffing a booth entitled “Ask Your Pharmacist” to promote the employee MTM services. In addition, they will volunteer to staff at the North Memorial booth at the Minnesota State Fair. For further questions, contact: Krista Gens, PharmD, BCPS-AQ ID PGY-1 Residency Program Director North Memorial Medical Center [email protected] 763-581-8598 11
© Copyright 2024