mcm 2007 residency townhall presentation - american society of
TRANSCRIPT
Residency Update 2007Residency Update 2007
ASHP Midyear Clinical Meeting – Las Vegas, NV
Residency UpdateCommission on Credentialing Updates Members for 2008 New Standards & PGY2 goals and objectives Accreditation Status Frequent Findings
ASHP Updates New Staff Commission on Credentialing Appointments Statistics Resident Matching Program ResiTrak Education Scholar – AACP ASHP Foundation – Awards Certificate Wording National Residency Preceptors Conference
2008 ASHP
CommissionOn Credentialing
New Accreditation Standards
PGY1- 2007
PGY2- 2007
PGY1- Community Pharmacy – 2007
PGY1- Managed Care - by July 2008
New PGY2 Goals & Objectivesto be implemented by class of July 2008
Critical Care
Health System Administration
Infectious Diseases
Oncology
Pharmacotherapy
Psychiatry
Solid Organ Transplant – new
Medication Use Safety
PGY2 Goals and Objectivesstill in development in 2008
Cardiology – new
Drug Information
Internal Medicine
Geriatric
Nuclear
Nutrition
Pediatrics
ASHP Accreditation Statuses
Pre-Candidate
Candidate
Preliminary Accreditation
Accreditation
Conditional Accreditation
Conditional Accreditation
Withdraw accreditation if not resolved
- Major Patient Safety Concerns
- Scope & Depth of services
- Major preceptor or program issues
6 months to resolve issues
Posted to web siteTransparency
Frequent Area of Partial Compliance
Residency ProgramPreceptors do not make adequate contributions to the profession
Preceptors do not provide criteria based feedback
Customized plans are not followed throughout the year
Preceptor Development
Frequent Area of Partial Compliance
ServicePharmacy Services inadequate (IV rooms)Safe & Effective Drug Distribution System is Lacking Floor stock not controlled Non emergent sterile products made by RNs Unit dose not extended to all areas Interfaces do not exist with pharmacy & medication
dispensing machines
RPh’s do not prospectively develop individual treatment plans
Length of Accreditation granted at the August 2007 COC meeting (Residency and Technician Training Programs)
Remainder of 6 yr Cycle32%
6 year17%
3 year24%
2 year7%
1 year13%Defer Action
7%
ASHP Accreditation Staff
Surveyors Contract StaffKatrin Fulginiti- NEW Toby Clark
Lisa Lifshin Wayne Conrad
Bruce Nelson Mary Louise Degenhart
David Warner Bill Miller
Janet Teeters Sherri Ramsey – NEW
Renee Acosta - NEW
Support in the OfficeCrystal Greene - NEW
Goldie Holloman
Vanessa Korver - NEW
Lead Surveyors
Sherri Ramsey
Renee Acosta
New Lead Surveyors
Katrin Fulginiti
Vanessa Korver, Goldie Holloman, Crystal Greene
Practitioner Surveyors
Thanks for all your Dedication to the Profession!
Appointments to COC
Recommendations into ASHP
by December 31st
ASHP web site Residency Accreditation Commission on Credentialing Appointment Process for Resident or
full Commission member
Programs in the ASHP Accreditation Process - November 2007 = 1,077 programs (959 Residencies located in 616 organizations & 114 Technician Training Prgms)
Community Residency, 44
Managed Care Residency, 27
Technician Training Programs, 114
PGY2 Residency, 345
PGY1 Residency, 547
Residency Program Growth in the ASHP Accreditation Process1990 to November 2007
234 245 249275
310 326350
380435
471
547571
623
705750
853
959
668
0
200
400
600
800
1000
1200
Pharmacy Practice programs
Specialized programs
totals
2007 1990 1995 2000 2005
October 2003 CMS removes funding from Specialized Residencies
July 2007 change to PGY1 & PGY2
Resident Matching Program
2007 – First year for all programs
Pre-candidate, Candidate, Accredited
Early Commitment – changed to Dec 21, 2008Ranks due March 7, 2008
Matching numbers for Accredited Pharmacy Practice (PGY1) Programs
1990 - 2007
345 375450
511560 596
656 647737
779703 729
802
974
1079
1203
1356
1900
0
200
400
600
800
1000
1200
1400
1600
1800
2000
# applicants
# positions
# matched
1990 1995 2000 2005
More Applicants than Positions
2007
Reasons why candidates did not go into the Resident Matching Program for 2007
112
7370
64
40
21 2216
8
0
20
40
60
80
100
120
Did not specify Employed asRPh
PersonalReasons
Other Accepted intonew emerging
program
UnaccreditedPGY1*
UnaccreditedPGY2*
Accepted afellowship
Pursuing anadditionaldegree
PGY1 Match Rates
% Fill #
PGY1 85% 1247
PGY1 Community 56% 41
PGY1 Managed Care 73% 30
PGY1 & 2 Management 95% 20
PGY1 & 2 Pharmacotherapy 50% 4
PGY2 Match Rates ( in order By Highest # Filled)
% Fill #
Critical Care 85% 38
Oncology 80% 34
Ambulatory 51% 20
Pediatrics 75% 15
Internal Medicine 73% 8
Psychiatry 50% 6
Drug Information 26% 5
PGY 2 Match Results
Cardiology 80% 4
Geriatric 44% 4
Pharmacotherapy PGY2 50% 3
Nutrition Support 100% 1
Management PGY2 33% 1
Emergency Med 33% 1
HIV 33% 1
Filled Positions for 2008 class
Early Commit + Match+ Post Match= Final
PGY1 NA + 1,343 + 157 = 1,500
PGY2 41 + 154 + 122 = 317
Total Residents Enrolled 1, 817
# of Residents in ASHP Accredited Residency Programs
435 440512 550
600656
705 720 743
852905 896
10811130
1200 1240
13601442
1817
0
200
400
600
800
1000
1200
1400
1600
1800
2000
Pharmacy Practice (=PGY1 2007)
Specialized (=PGY2 2007)
totals
1990 1995 2000 2005 2008
* still confirming actual 2007 graduates2008 graduates = 1497 from match, 320 post match
McCreadie Group / ASHP
ResiTrak web-based evaluation Documents evaluations Alerts Tracks ASHP outcomes, goals and objectives Available to all programs in ASHP accreditation process
A Busy Year…
ResiTrak launched May 15, 2007Since then: 1,300 residents 8,000 total users 6,000 training plans entered 7,600 learning experiences built 16,000 learning experiences scheduled 83,000 logins 135,000 e-mails sent 28,000 evaluations completed
Recent Updates
Ability to create templates for customized training plans
Store customized training plans with full formatting capabilities
Resident close-out process
New Outcomes, Goals &Objectives Added
Will apply to the 2008-2009 residency class Infectious Disease Transplant Medication Use Safety Pharmacotherapy Psychiatric
New to ResiTrak?
Web-based training sessions held monthly
Extra sessions will be held in the spring for programs wishing to start up for next year
Contact [email protected] for training opportunities
ResiTrak Help at Midyear
Monday, December 3/Tuesday, December 4 Residency Showcase – 1-4pm Monday, 8-11am and 1-4pm
Tuesday. Please stop by at your convenience.
Wednesday, December 5 ResiTrak Roundtables 1-2pm. This will be a time of questions
and answers, information sharing and feedback on ResiTrak topics.
Becoming a Health Professions
Education ScholarTeaching Excellence and Scholarship Development Resources for Health Professions
Educators
…a comprehensive online curriculum to expand the knowledge and skills of any educator—faculty, residents or graduate students.
Please see the ACCP brochure for more information!
Education ScholarModule 1: Developing a Personal Working Philosophy to Guide Teaching/Learning in Health Professions Education
Module 2: Facilitating Learning in the Classroom
Module 3: Improving Outcomes through the Use of Active Learning Strategies
Module 4A: Distance Learning
Module 4B: Problem-based Learning
Module 4C: Preceptor Module (coming soon!)
Module 5: Assessment of Instructional Effectiveness
Module 6: Promoting Teaching/Learning Excellence in Your Institution
Education Scholar
Module concepts are presented through a combination of on-screen text, images and audio.
Examples, case studies and demonstrations from the health professions are included to illustrate key points.
Textbook readings are recommended to provide additional depth.
Program allows users to build an online teaching portfolio.
Contact AACP for more information
2007 Preceptor Award – Art Schuna
William S. Middleton VA Medical Center
Madison, WI
2007 New Preceptor Award – Eric W. Mueller
The University Hospital
Cincinnati, OH
2007 Program Award – University of Kentucky HealthCare – PGY1 Pharmacy Residency Program
Lexington, KY
ASHP Foundation AwardsExcellence in Residency Training
ASHP Foundation 2006 AwardsExcellence in Residency Training
“Description of Medication Strategies Utilized by Medicare Beneficiaries When Reaching the Direct Pay Medication Cap”
Amber Cronk – Kaiser Permanente Colorado, Aurora, CO
“Effect of Depression on Diabetes Control and Medication Adherence in Underserved Patients”
Michelle L. Flynn – Saint Francis Hospital & Medical Center, Hartford, CT
Certificate wording with new standards:
“…completed an ASHP accredited Postgraduate Year One Pharmacy Residency”
“…completed an ASHP accredited Postgraduate Year Two Pharmacy Residency in Oncology”
Save the Date
Aug 14-16,2008
Questions?