mcm 2006 residency townhall presentation

PGY1 & 2 Pharmacy Residency Programs in the ASHP Accreditation Process December 2006 ( N=853 Programs offering 1,900 positions)

PGY1 - Managed Care 3%

PGY1 - Community 4%

PGY1 Pharmacy Residency59%

PGY234%

(289)

(503)

(38)

(23)

PGY1* PGY2 PGY1* PGY2 RemainingRemaining

Primary CarePrimary Care 23 23 43 43

GeriatricsGeriatrics 5 95 9

PediatricsPediatrics 3 203 20

Managed Care Health SystemManaged Care Health System 1 51 5

PGY2 programs have until December 31, 2006 to convertPGY2 programs have until December 31, 2006 to convert

PGY2 Programs in the ASHP Accreditation Process December 2006289 Programs offering 448 positions

48

43

34

2422

20

1613 12 12

9 85 5 4 3 3 2 2 2 1 1

0

10

20

30

40

50

60

Critica

l Car

e

Ambu

latory

Car

e

Oncolo

gy

Drug In

form

atio

n

Infe

ctiou

s Dise

ases

Pediat

ric P

harm

acy

Manag

emen

t

Pharm

acoth

erap

y

Psych

iatri

c

Inte

rnal

Medici

ne

Geriat

ric P

harm

acy

Cardio

logy

Nutritio

n Suppor

t

Manag

ed C

are S

yste

ms

Info

rmat

ics

Nuclear

HIV P

harm

acy

Medica

tion U

se S

afet

y

Transp

lant

Emer

gency

Med

icine

Pallia

tive C

are/P

ain M

anag

ement

Nep

hrolog

y

Potential positions in 2006-07 Residency Programs in ASHP Accreditation Process

(n=1,900)

PGY178%

PGY222%

Pharmacy School and Residency Pharmacy School and Residency Graduation TrendsGraduation Trends

Source: AACP & ASHP Data

Residency Programs in the Accreditation Process Growth Over Time 1990 - 2006853 Programs November 2006

0

100

200

300

400

500

600

700

800

900

Pharmacy Practice programs

Specialized programs

totals

1995

2006

1990

2000

2005

CMS funding removed for SpecializedOct 2003

Matching numbers for Accredited Pharmacy Practice Programs1990 - 2006

0

200

400

600

800

1000

1200

1400

1600

# applicants

# positions

# matched

1990 1995 2000 2005

More Applicants than Positions

200

PGY1 Pharmacy ResidencyPGY1 Pharmacy Residency

PGY1 Community Pharmacy ResidencyPGY1 Community Pharmacy Residency

PGY2 Pharmacy ResidencyPGY2 Pharmacy Residency

PharmDGraduate

Patient/Practice FOCUS

Broad

DEPTH ofknowledge, skil ls, abi l i t ies, experience

A A PGY1PGY1

GeneralistGeneralist

Wide variety of patients & Wide variety of patients & diseasesdiseases

PGY1 PGY1 B B

Generalist Generalist

Wide variety of diseases may be in a Wide variety of diseases may be in a unique setting or population (e.g., unique setting or population (e.g., pediatrics, geriatrics, ambulatory, pediatrics, geriatrics, ambulatory, managed care)managed care)

C C PGY2PGY2

Advanced Practitioner Advanced Practitioner

More experience, skill and ability More experience, skill and ability developed in a broad set of developed in a broad set of patients (e.g., pharma-cotherapy)patients (e.g., pharma-cotherapy)

PGY2 PGY2 D D

Advanced Practitioner Advanced Practitioner

More experience, skill, and ability More experience, skill, and ability developed in a focused area of practice developed in a focused area of practice (e.g., oncology, critical care)(e.g., oncology, critical care)

Narrow

Basic

Advanced

PGY1PGY1

PGY1 CommunityPGY1 Community

PGY2 Ambulatory ( previously Primary Care)PGY2 Ambulatory ( previously Primary Care)

Frank Briggs- WVFrank Briggs- WV

Mary Hess - SCMary Hess - SC

Carolyn Kowalchik - UTCarolyn Kowalchik - UT

Bruce Nelson – ASHPBruce Nelson – ASHP

Christine Nimmo - ASHPChristine Nimmo - ASHP

Marialice Bennett – OHMarialice Bennett – OHJeffrey Goad - CAJeffrey Goad - CAPamala MarquessPamala MarquessMatthew Osterhaus – IAMatthew Osterhaus – IAJames Owen – DEJames Owen – DESarah Ray – WI Sarah Ray – WI Kushal Shah – ResidentKushal Shah – ResidentAnne Burns – APhAAnne Burns – APhAChristine Nimmo – ASHP Christine Nimmo – ASHP

Jeffrey Brewer - MDJeffrey Brewer - MDDouglas Covey – FLDouglas Covey – FLLaura Hansen - COLaura Hansen - COArt Schuna – WIArt Schuna – WIKelly Ragucci – SCKelly Ragucci – SCJoseph Saseen - COJoseph Saseen - COBruce Nelson – ASHPBruce Nelson – ASHPChristine Nimmo - ASHPChristine Nimmo - ASHP

PGY2 - Pharmacy InformaticsPGY2 - Pharmacy Informatics

Michael Baron - TheraDocMichael Baron - TheraDoc

Scott McCreadie – MIScott McCreadie – MI

Sandi Mitchell – MDSandi Mitchell – MD

Craig Herzog – UTCraig Herzog – UT



PGY1 Managed Care Standard PGY1 Managed Care Standard Outcomes, goals and objectivesOutcomes, goals and objectives

PGY2 Health System Pharmacy Administration PGY2 Health System Pharmacy Administration (previously Pharmacy Management)(previously Pharmacy Management)

PGY2 Critical CarePGY2 Critical Care

Send us comments!Send us comments!

Carey Cotterell – CACarey Cotterell – CA

Raulo Frear - MNRaulo Frear - MN

Lydia Nesemann – AZLydia Nesemann – AZ

Mark Brueckl – AMCPMark Brueckl – AMCP

Marissa Schlaeffer – AMCPMarissa Schlaeffer – AMCP



Alison Apple - TNAlison Apple - TN

Steven Rough -WISteven Rough -WI

Jerry Siegel – OHJerry Siegel – OH

Thomas Woller – WIThomas Woller – WI

Janet Teeters – ASHPJanet Teeters – ASHP


Jill Rebuck – VTJill Rebuck – VT

Brian Erstad – AZBrian Erstad – AZ

Lisa Hall – MILisa Hall – MI



NEW – PGY2 TransplantNEW – PGY2 Transplant

PGY2 Medication SafetyPGY2 Medication Safety

PGY2 OncologyPGY2 Oncology

PGY2 Drug InformationPGY2 Drug Information

PGY2 Infectious DiseasesPGY2 Infectious Diseases

PGY2 Internal MedicinePGY2 Internal Medicine

PGY2 PharmacotherapyPGY2 Pharmacotherapy

PGY2 PsychiatryPGY2 Psychiatry

PGY1PGY1

PGY2PGY2

Community Community

Managed CareManaged Care

New Pre-CandidatesNew Pre-Candidates

November – Early Commitment PGY1 to PGY2November – Early Commitment PGY1 to PGY2(If not in at NMS, you are in the match)(If not in at NMS, you are in the match)

- Listings Posted- Listings PostedFebruary 9 – Instructions for Rank Order ListsFebruary 9 – Instructions for Rank Order Lists

- Reversion of Unfilled Positions - Reversion of Unfilled Positions

March 9, 2007 – Rank Order Lists due !March 9, 2007 – Rank Order Lists due !

March 21, 2007 – Match Results ReleasedMarch 21, 2007 – Match Results Released

35/ 289 (8%) programs have contacted NMS35/ 289 (8%) programs have contacted NMS

to fill PGY2 for 2007 year to fill PGY2 for 2007 year

Reversion of Unfilled PositionsReversion of Unfilled Positions Can donate up to ALL unfilled positions to another Can donate up to ALL unfilled positions to another

program or site that is part of your organizationprogram or site that is part of your organizationPGY2 PGY2 PGY1PGY1PGY1 PGY1 PGY2PGY2PGY1 one sitePGY1 one site PGY1 another site same program PGY1 another site same program

Donor & Receiver – both must sign form from National Donor & Receiver – both must sign form from National Matching Service Matching Service http://www.natmatch.com/ashprmp/ http://www.natmatch.com/ashprmp/

Can donate to multiple programsCan donate to multiple programs Can not loop positions back to original donor programCan not loop positions back to original donor program

Early Commit one position & Early Commit one position & Revert open Onc positions to PGRevert open Onc positions to PGY1Y1

PGY 1 PGY2-Crit Care PGY2-DI PGY2-OncList with Match in August:List with Match in August:

4 4 11 11 22

Fill through Matching process in March: Fill through Matching process in March:

1 1 Early Commit 1 1

1

1

1

1

1Gains One position & additional placement of a resident

Does not fill one position

Interview all eligible candidates to find the best Interview all eligible candidates to find the best fit with your organizationfit with your organization

Only Rank candidates you would acceptOnly Rank candidates you would accept Rank in the same order as you would make an Rank in the same order as you would make an

offeroffer Do NOT try to consider how a candidate would Do NOT try to consider how a candidate would

rank your programrank your program

If you have multiple programs discuss the If you have multiple programs discuss the possibilities of “reverting” unfilled positions to possibilities of “reverting” unfilled positions to maximize the matching processmaximize the matching process

Understand - Post match information & how to Understand - Post match information & how to use it if necessaryuse it if necessary

Remember “Early Commitment” for PGY1 to Remember “Early Commitment” for PGY1 to PGY2 positions at the same site – occurs in PGY2 positions at the same site – occurs in NovemberNovember

Join us on Wednesday, December 6, 2006Join us on Wednesday, December 6, 2006

Matching InformationMatching Information

Room 210A/BRoom 210A/B

11am – 12noon 11am – 12noon

New Accreditation Status Terms:New Accreditation Status Terms:

Pre-CandidatePre-Candidate

CandidateCandidate

Preliminary Accreditation Preliminary Accreditation

Conditional Accreditation Conditional Accreditation

Resident must be:Resident must be:

Enrolled in ASHP accredited programEnrolled in ASHP accredited program

Plan to enter a PGY2 accredited residencyPlan to enter a PGY2 accredited residency

Submit CV & letter of intentSubmit CV & letter of intent

Letter of support from Program Director Letter of support from Program Director

1 Year appointment1 Year appointment

Please contact Please contact [email protected]@ashp.org if you know of if you know of interested candidates by December 31, 2006interested candidates by December 31, 2006

mailto:[email protected]

PGY2 – Board Certification Requirement (5.1)PGY2 – Board Certification Requirement (5.1)Pharmacotherapy + added QualificationsPharmacotherapy + added Qualifications

Infectious DiseasesInfectious DiseasesCardiologyCardiology

NuclearNuclearPsychiatryPsychiatryNutrition SupportNutrition SupportOncology Oncology

Amnesty until December 31, 2008Amnesty until December 31, 2008

PGY1 – Drug information requirement (7.6b)PGY1 – Drug information requirement (7.6b)

New Pre-Survey materials & gridsNew Pre-Survey materials & grids

AMBULATORY CARE SERVICESAMBULATORY CARE SERVICESDirections: INDICATE ALL THAT APPLY BY RECORDING Directions: INDICATE ALL THAT APPLY BY RECORDING THE INFORMATION REQUESTED IN THE BOX THE INFORMATION REQUESTED IN THE BOX CORRESPONDING TO THE PATIENT CARE SERVICES CORRESPONDING TO THE PATIENT CARE SERVICES PROVIDED AT THE RESIDENCY SITEPROVIDED AT THE RESIDENCY SITE

Medicine Medicine TransplantTransplant Oncology Oncology Infusion Infusion CenterCenter

Bone Marrow Bone Marrow Transplant ClinicTransplant Clinic

Hours of clinic per week (all clinics)Hours of clinic per week (all clinics) 4040 3232 4040 4040

Hours of pharmacy clinic per week (all clinics)Hours of pharmacy clinic per week (all clinics) 3232 1212 00 00

Number of patient encounters per week (all clinics)Number of patient encounters per week (all clinics) 185185 150150 100100

Number of pharmacist - patient encounters per weekNumber of pharmacist - patient encounters per week 3535 1515

Percentage of total patient visits at facility have encounters with pharmacistPercentage of total patient visits at facility have encounters with pharmacist 2525 1010

DIRECTIONS: Indicate the % of time the following services are DIRECTIONS: Indicate the % of time the following services are provided for services listed at your site: provided for services listed at your site:

Medicine Medicine TransplantTransplant Oncology Oncology Infusion CenterInfusion Center

Bone Marrow Bone Marrow Transplant Transplant ClinicClinic

Medication historyMedication history 100100 100100 100100 100100

Profile reviewProfile review 100100 100100 100100 100100

Medication reconciliationMedication reconciliation 100100 100100 N/AN/A N/AN/A

New medication order reviewNew medication order review N/AN/A 100100 100100 100100

Conduct physical assessment appropriate for drug therapy Conduct physical assessment appropriate for drug therapy 100100 100100 N/AN/A N/AN/A

Provide point-of-care testingProvide point-of-care testing 100100 N/AN/A N/AN/A N/AN/A

Order drug therapy-related laboratory testsOrder drug therapy-related laboratory tests 100100 100100 100100 100100

Prospective medication regimen designProspective medication regimen design 100100 100100 100100 100100

Initiate medication regimensInitiate medication regimens 100100 100100 100100 100100

Consultation services: nutrition, pain, otherConsultation services: nutrition, pain, other N/AN/A 100100 100100 100100

Document recommendations in patient’s medical recordDocument recommendations in patient’s medical record 100100 100100 100100 100100

ACUTE CARE SERVICESACUTE CARE SERVICESDirections: Directions: INDICATE ALL THAT APPLY BY RECORDINGINDICATE ALL THAT APPLY BY RECORDINGTHE REQUESTED INFORMATION IN THE BOXTHE REQUESTED INFORMATION IN THE BOXCORRESPONDING TO THE PATIENT CARE UNITS CORRESPONDING TO THE PATIENT CARE UNITS SERVICED AT SERVICED AT THE RESIDENCY SITETHE RESIDENCY SITE

Med/Surg Med/Surg – Wing 1– Wing 1

Med/Surg Med/Surg – Wing 2– Wing 2

Med/Med/Surg – Surg – Wing Wing 33

MICUMICU SICUSICU Neuro/ Neuro/ OrthoOrtho

Neuro Neuro Step Step DownDown

Neuro Neuro ICUICU

Pharmacy Practice Model: (Provide % of patient Pharmacy Practice Model: (Provide % of patient beds covered by the following services) beds covered by the following services)

120 BEDS120 BEDS 8080BEDSBEDS

4040BEDSBEDS

1616BEDSBEDS

2424BEDSBEDS

4848BEDSBEDS

88BEDSBEDS

1616BEDSBEDS

Centralized OperationsCentralized Operations 100100 100100 100100 100100 100100 100100 100100 100100

•Hours/Days (e.g., 24/7 for 24 hours 7 days per week)Hours/Days (e.g., 24/7 for 24 hours 7 days per week)24/724/7 24/724/7 24/724/7 24/724/7 24/724/7 24/724/7 24/724/7 24/724/7

Dispensing Pharmacy SatellitesDispensing Pharmacy Satellites

•Hours/DaysHours/DaysNANA NANA NANA NANA 16/716/7 NANA NANA 16/716/7

•Average patient loadAverage patient loadNANA NANA NANA NANA 3636 NANA 1616

Decentralized Clinical PharmacistDecentralized Clinical Pharmacist

•Hours/DaysHours/Days8/78/7DayDay

8/78/7DayDay

8/78/7DayDay

8/78/7DayDay

8/78/7 8/78/7DayDay

XX XX

•Average patient loadAverage patient load110110 7070 3030 1616 XX 4848 XX 1616

Clinical Pharmacist/Clinical Pharmacy SpecialistClinical Pharmacist/Clinical Pharmacy Specialist

•Hours/DaysHours/Days8/58/524/7 24/7 callcall

8/58/524/724/7 callcall

8/58/524/7 24/7 callcall

8/58/524/7 call24/7 call

8/58/524/724/7callcall

8/58/524/724/7callcall

8/58/524/724/7callcall

8/58/524/724/7callcall

•Average patient loadAverage patient load110110 7070 3030 1616 4848 1616

Pharmacy Services – Pharmacy Services – Distribution: (Provide % Distribution: (Provide % of patient beds covered by of patient beds covered by the following services)the following services)

Med-Med-Surg- Surg- Wing 1Wing 1

Med/Med/Surg – Surg – Wing 2Wing 2


MICUMICU SICUSICU Neuro/Neuro/OrthoOrtho


Neuro ICUNeuro ICU

Unit-dose oral drug products (indicate %)Unit-dose oral drug products (indicate %) 9999 9999 9999 9999 9999 9999 9999 9999

Comprehensive sterile product admixture Comprehensive sterile product admixture service, including IV push, IVPB, LVP, service, including IV push, IVPB, LVP, chemotherapy, TPN, IM, SQ (indicate %)chemotherapy, TPN, IM, SQ (indicate %)

100100 100100 100100 100100 100100 100100 100100 100100

24-hour cart fill (indicate %)24-hour cart fill (indicate %) 100100 100100 100100 100100 100100 100100 100100 100100

Investigational drug product controlled by Investigational drug product controlled by pharmacy (indicate %)pharmacy (indicate %)

100100 100100 100100 100100 100100 100100 100100 100100

Extemporaneous compounding servicesExtemporaneous compounding services 100100 100100 100100 100100 100100 100100 100100 100100

Pharmacy Services – ClinicalPharmacy Services – ClinicalDIRECTIONS: Indicate the % of DIRECTIONS: Indicate the % of the time patient care areas receive the time patient care areas receive the following pharmacy services the following pharmacy services (e.g., 50%, 75%, 100%):(e.g., 50%, 75%, 100%):






Neuro ICUNeuro ICU

Medication historyMedication history 100100 100100 100100 6767 6767 6767 6767 6767

Profile reviewProfile review 100100 100100 100100 100100 100100 100100 100100 100100

MAR reconciliationMAR reconciliation NANA NANA NANA NANA NANA NANA NANA NANA

Medication reconciliationMedication reconciliation 100100 100100 100100 100100 100100 100100 100100 100100

Prospective identification of medication-Prospective identification of medication-related problems.related problems.

3333 3333 3333 9090 9090 3333 3333 100100

Prospective medication regimen designProspective medication regimen design 3333 3333 3333 9090 9090 3333 3333 100100

New medication order reviewNew medication order review 100100 100100 100100 100100 100100 100100 100100 100100

Initiate medication regimensInitiate medication regimens 3333 3333 3333 3333 3333 3333 3333 3333

Prospective patient monitoringProspective patient monitoring 3333 3333 3333 100100 100100 3333 3333 100100

Recommend/implement therapeutic changesRecommend/implement therapeutic changes 6767 6767 6767 6767 6767 6767 6767 6767

Pharmacokinetic monitoringPharmacokinetic monitoring 100100 100100 100100 100100 100100 100100 100100 100100

Consultation services: nutrition, pain, otherConsultation services: nutrition, pain, other 3333 3333 3333 3333 3333 3333 3333 3333

Pharmacy Services – ClinicalPharmacy Services – ClinicalDIRECTIONS: Indicate the % of the time DIRECTIONS: Indicate the % of the time patient care areas receive the following patient care areas receive the following pharmacy services (e.g., 50%, 75%, pharmacy services (e.g., 50%, 75%, 100%):100%):






Neuro Neuro ICUICU

Clinical outcomes documentationClinical outcomes documentation YESYES YESYES YESYES YESYES YESYES YESYES YESYES YESYES

Patient education and discharge counselingPatient education and discharge counseling 3333 3333 3333 3333 3333 3333 3333 3333

Clinical intervention documentationClinical intervention documentation YESYES YESYES YESYES YESYES YESYES YESYES YESYES YESYES

Support/conduct research Support/conduct research 100100 100100 100100 100100 100100 100100 100100 100100

Participate in multidisciplinary rounds (Teaching Participate in multidisciplinary rounds (Teaching Rounds)Rounds)

100100 100100 100100 100100 100100 100100 100100 100100

Medication order-entryMedication order-entry 100100 100100 100100 100100 100100 100100 100100 100100

Medication Use Evaluation participationMedication Use Evaluation participation YESYES YESYES YESYES YESYES YESYES YESYES YESYES YESYES

Create and implement treatment guidelines/protocolsCreate and implement treatment guidelines/protocols YESYES YESYES YESYES YESYES YESYES YESYES YESYES YESYES

Participate in multidisciplinary committeesParticipate in multidisciplinary committees YESYES YESYES YESYES YESYES YESYES YESYES YESYES YESYES YYEESS

Outcomes, goals and objectivesOutcomes, goals and objectives

- Required vs Elective- Required vs Elective

- Evaluation- Evaluation

Increase search capabilities on web pageIncrease search capabilities on web page

Ability for you to enter dataAbility for you to enter data

Web-based toolWeb-based tool

Currently in DevelopmentCurrently in Development

Will be available to all accredited programsWill be available to all accredited programs

McCreadie Group/ASHP McCreadie Group/ASHP

Further questions you can contact us at: Further questions you can contact us at: [email protected]@ashp.org

mailto:[email protected]

mcm 2006 residency townhall presentation

Documents

pharmacy residency programs

ashp accreditation processn

pgy2 remainingprimary

900pgy12 data