NORTH MEMORIAL HEALTH CARE PGY-1 ASHP Accredited Pharmacy Residency Program

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
krista.gens@northmemorial.com
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
krista.gens@northmemorial.com
763-581-8598
11