Residency Night 2008

Sponsored by:

Midwest College of Clinical Pharmacy

Why Consider a Residency or Fellowship

Patrick D. Fuller, BS, PharmD, BCPSResidency Program Director, PGY1Clinical Specialist Staff DevelopmentClinical Pharmacist/Adult ICUThe Nebraska Medical CenterOct. 28, 2008

Future of Pharmacy

“Great Leaders are never satisfied with current levels of performance. They are relentlessly driven by possibilities and

potential achievements.”

D. Harrison

Joint Commission of Pharmacy Practitioners

Vision Statement “Pharmacists will be the health care

professionals responsible for providing patient care that ensures optimal medication therapy outcomes.”

JCCP Vision 2015

Pharmacists will be looked at by other disciplines for trusted, unbiased drug information.

Pharmacists will achieve public recognition that they are essential to the provision of effective health care.

ACCP-Goals

Residency (Postgraduate Year One)Specialty Residency (Postgraduate Year

Two)FellowshipBoard Certification (BCPS)

2015 ASHPGoal 4

Increase the extent to which pharmacy departments in health systems have a significant role in improving the safety of medication use.

Objective 4.790% of new pharmacists entering hospital and

health-system practice will have completed an ASHP-accredited residency.

Residency Trends

2008 saw a record number of residency applications

2,300 applicants sought the approximately 2,000 available positions, with nearly 1,700 individuals matching with residencies across the United States.

More than a decade of double-digit growth in postgraduate pharmacy residency training.  

Board Certification

Why Choose Residency or Fellowship

A competitive advantage in the job market

Networking opportunitiesCareer planningProfessional visionPersonal growthExperienceEnhancement of patient care

Residency

“…organized, directed, postgraduate training program in a defined area of practice…”

Goal of a residencyTo provide residents experience in taking care

of a wide variety of patient populationsTo provide residents with many experiences

working with other health-care professionals

So what is different PGY1 vs PGY2?

Postgraduate Year One (PGY1) First year of post graduate residency training Wide variety of disease states/patients Advances individual beyond PharmD Training a generalist

Postgraduate Year Two (PGY 2) Second year of post graduate residency training Advances training beyond PGY1 Usually focused on a specialized area of practice

PGY1 and PGY2

(PGY1)- Pharmacy practice residencies, managed care, community

(PGY2)- Specialized residencies (Critical Care, Oncology, Internal Medicine)Usually require a PGY1 prior.

Residency Benefits

Increase knowledge baseIncrease experienceIncrease personal growth and

developmentDevelop/enhance research skillsIncrease teamwork experiencesEnhance communication skills

Fellowship

“…A highly individualized, postgraduate training program designed to prepare the participant to become an independent researcher…”

Goals of a fellowship (2 years in length)To develop competency in the scientific

research processMost programs emphasize on

bench-top/clinical research

Fellowship

ACCP Fellowship Review CommitteeAssess whether a program meets the ACCP

guidelines for research fellowship trainingOverall process is not intended to

standardize fellowshipsA highly individualized experience is the

hallmark of an excellent training program

http://www.accp.com/resandfel/?page=guidelines

Fellowships

Infectious DiseaseCardiologyCritical CarePharmacoeconomicsPharmacokineticsPediatricsAmbulatory Care

ASHP Accreditation

ASHP administers the only process that grants accreditation status to practice sites conducting pharmacy residencies.

Provide criteria that every program must meet in order to receive and maintain accreditation

Programs vary in strengths, but each program is flexible and can be tailored to meet the needs of the individual resident

ASHP-Accreditation recommended for following reasons

Programs are surveyed periodicallyIn-depth information about programs

available through ASHP Residency Directory www.ashp.org

Future employers will have confidence in hiring pharmacists who have completed an ASHP-Accredited program

Basic Residency Requirements

Tammy L. Burns, PharmDTammy L. Burns, PharmDClinical CoordinatorClinical CoordinatorCreighton University Medical CenterCreighton University Medical Center

Pharmacy Practice Residency (PGY1)

Required OutcomesManage and improve medication-use

processProvide evidence-based, patient-

centered medication therapy management with interdisciplinary teams

Exercise leadership and practice management skills

Pharmacy Practice Residency (PGY1)

Required OutcomesDemonstrate project management skillsProvide medication and practice-related

education and trainingUtilize medical informatics

Pharmacy Practice Residency (PGY1)

Elective OutcomesConduct pharmacy practice researchExercise added leadership & practice

management skillsDemonstrate knowledge & skills

particular to generalist practice in the home care or managed care environments

Pharmacy Practice Residency (PGY1)

Elective Outcomes - continuedParticipate in the management of

medical emergenciesProvide drug information to HCP or the

publicDemonstrate additional competencies

that contribute to working successfully in the health care environment.

Specialized Residencies (PGY2)

Critical care Drug Information Geriatrics Infectious Diseases Internal Medicine Nuclear pharmacy Nutrition support Health system

administration

* Specialized residencies may not be accredited

Ambulatory Care Oncology Managed care Pediatrics Pharmacotherapy Management Primary Care Psychiatric pharmacy Pharmacy informatics Medication Use Safety

What to do now?

Now what?

Research potential residency programs www.ashp.com www.accp.com Go to specific residency program websites Contact specific residency programs

Talk to others Faculty and preceptors People in jobs of interest Current residents Current programs

Select a residency program that is right for you….

Specific area of interest (i.e. pediatrics, critical care, transplant, etc.)

Specific area of countryUniversity vs. communityTeaching commitmentSmall program vs. large programQuality of the program

ASHP Midyear Clinical Meeting

Decide if you need to attend or not attend Register for the meeting if attending

Student member $200 Student non-member $250

Orlando, FL Dec 7-11, 2008 Make contacts

See the programs attending (ASHP website) Let them know you will be there Find out who will attend from their program

Bring copies of CV

Residency Showcase

Take advantage of it! Monday and Tuesday of Midyear Most residency programs attend

Do your homework Know the programs you are interested in and WHY

Talk to the programs interested in Wear business attire! Come prepared with questions First impression---first interview

Personnel Placement Service(PPS)

Formal one-on-one interviewsSunday-WednesdayUsually for specialty residencies,

unaccredited programs, jobsCost

$55 through 10/22After 10/22, $100 ($100 onsite)

Differences between the two Showcase

More informal Features ASHP-accredited,

ASHP-application submitted, and new and prospective residency programs

Limited times (Monday 1-4, Tuesday 8-11 or 1-4)

Access to all residency programs in showcase

Included in meeting registration

PPS Prearranged, one-on-

one interview time More time to ask

questions PPS features all types

of residency programs, fellowship programs and employers recruiting for pharmacy positions

Interviews Sunday through Wednesday 8 to 5

Separate fee

Application

If Attended Midyear Follow-up with a thank-you to the programs

interested in The more contact, the more they will remember you

Start application process Each program has specific requirements

CV, transcripts, letter of intent

Read requirements closely Note deadlines!!

Letters of Recommendation

Faculty/preceptors are busy – ask early! Be organized Packet for preceptor

All applications and requirements Contact person, title and address

Clear deadlines Self-addressed, stamped envelopes for non-faculty

preceptors A copy of your CV

Ask faculty/preceptors, co-workersAvoid friends, neighbors, family members

Preparation Timeline

P1 and P2 yearWorkGet involved

P3 yearChoose variety of rotationsSelect clinical rotationsTry to get at least one rotation in a teaching

hospital

Preparation Timeline

P4 year:Prepare CV Narrow down residency programs If going to Midyear, determine which

programs to visit prior to meeting If not going to Midyear, begin making

contacts with programs in fallSpeak to faculty/preceptors/co-workers who

have completed residencies

Preparation Timeline

Fall – P4 yearMake sure CV is updatedPrepare cover lettersApply to match Travel plans for Midyear – if attendingRequest additional info from programs of

interest

Preparation Timeline

DecemberASHP MidyearRequest letters of recommendationSubmit applicationsOrder transcripts

January/FebruaryOn-site interviews

MarchMatch

Preparing your Curriculum Vitae, Cover Letter, and Interviewing

Philip Gregory, PharmDCenter for Drug Information & Evidence-Based PracticeCreighton University

Definitions

Key Components of a CV

Components of a CV

CV “Do’s”

CV “Don’ts”

The Cover Letter

References

The Interview

Description of the Match

Carla Christensen, Pharm.D.Assistant Professor of Pharmacy PracticeCreighton University School of Pharmacy and Health Professions

What is the Match?

ASHP accredited and accreditation-pending postgraduate year 1 (PGY1)postgraduate year 1 (PGY1) residency programs

ASHP accredited postgraduate year 2 postgraduate year 2 (PGY2)(PGY2) dodo participate in the match

Results in binding commitment, can not withdraw without mutual written agreement

Important Link

http://www.natmatch.com/ashprmp/

Match Rules

All accredited programs are required to participate

Applicants and programs may NOT communicate about ranking prior to release of match results

“Early Commitment Process” Programs that offer both PGY1 AND PGY2

programs Elect to allow current PGY1 residents to commit to

1 of the program’s PGY2 residencies

Applications

Application agreements ($110)January 9, 2009Application confirmationApplicant Code Number

Provide to programsProgram applications (to each

residency program)Interviews

Important Dates

Rank Order Lists (ROLIC)Program Code NumbersOpens February 16, 2009

March 6, 2009 Match deadline

March 18, 2009 Match results

March 18 - April 17, 2009 Confirmation letters to matched applicants Sign and return letter

Match Process Scenario

Resident Rank Order Submissions

Alli Charles Madison Ayden

Hosp B Hosp B Univ A Hosp B

Best Rx Univ A Best Rx

Univ A Best Rx

Match Process Scenario

Site Rank Order Submissions

Univ A (2)Hosp B (1) Best Rx (1)

Alli Alli Charles

Charles Madison

Madison Ayden

Ayden

Match Process Scenario

Resident Rank Order SubmissionsAlli Hosp BBest RxUniv A

Site Rank Order SubmissionsUniv A (2) Hosp B (1) Best Rx (1) Alli Alli Charles

Charles MadisonMadison AydenAyden

Match Process Scenario

Resident Rank Order SubmissionsAlli CharlesHosp B Hosp B Charles matches w/ Univ A

Univ ABest Rx

Site Rank Order SubmissionsUniv A (2) Hosp B (1) Best Rx (1) Alli Alli Charles

CharlesMadisonAyden

Match Process Scenario

Resident Rank Order SubmissionsAlli Charles MadisonHosp B Univ A Univ A Madison matches

Best Rx w/ Univ A

Site Rank Order SubmissionsUniv A (2) Hosp B (1) Best Rx (1) Alli Alli Charles

CharlesMadisonAyden

Match Process Scenario

Resident Rank Order SubmissionsAlli Charles Madison AydenHosp B Univ A Univ A Hosp B

Site Rank Order SubmissionsUniv A (2) Hosp B (1) Best Rx (1) Alli Alli Charles

Charles MadisonMadison AydenAyden

Ayden & Best Rx go unmatched

Tips for the Match

Be ahead of the timeline Applicants have the advantage in the matching

process, not the programs No inquiries allowed on how applicants/programs are to be

ranked Make your ranking with your highest preference 1st,

then 2nd, then 3rd and so on… DO NOT RANK A PROGRAM THAT YOU DO NOT DO NOT RANK A PROGRAM THAT YOU DO NOT

WANT!!!WANT!!! May match as a Couple

Available for individuals desiring to positions in the same geographic location

Done when submit Rank

What if you do not match??

It is NOT the end of the worldBecome a FREE AGENTWill be provided with a list of unmatched

programs at 12 Noon on Match DayAct quickly!!!Programs may also contact you

Important Dates and Tips

Carla Christensen, PharmDCreighton University SPAHPAlegent Health Bergan Mercy Medical Center

Checklist

Never too early to start preparing!!Stay on task!!

SeptemberDraft CV and cover letters

Checklist

OctoberReview directories of programs

ASHP - www.ashp.org ACCP – www.accp.com

Register for the ASHP Midyear Clinical MeetingSelect programs to visit at the Residency Showcase

Register for PPSPGY2

Make necessary travel and housing

arrangements

Checklist

NovemberNovember 1, 2008

Listing of Participating Programs in the Match will be available for access by applicants

Contact potential programs of interestSpecialized residencies (PYG2)

Use preliminary PPS listing to select residency programs for possible interviews

Sign up with National Matching Services

Checklist

NovemberRequest additional information and

applications from programs of interest Finalize CVRequest letters of recommendation

Enclose any required formsDevelop questions for Midyear Clinical

Meeting

Checklist

DecemberAttend ASHP Midyear Clinical MeetingComplete all paperwork for applications

Order transcriptsMake note of application deadlines

Schedule on-site interviewsDecember 19, 2008

Final date for early commitment for PGY2s by current PGY1

Checklist

JanuaryJanuary 9, 2009

Recommended deadline for registration for the Match

Submit application agreement form to the National Matching Service

On-site interviews begin

Checklist

FebruaryComplete interviews

Narrow choices to programs that best meet your professional/personal needs and goals

February 6, 2009 Instructions for submitting Rank Order Lists and

obtaining Match results will be providedRemember to actually write Thank You notes

Interview sitesPeople writing letters of recommendation

Checklist

MarchSubmit Rank Order Form

Final date is March 6, 2009March 6, 2009No Rank Order Lists or Agreements accepted

after this date!!March 18, 2009

Receive “Match” outcome at 12 noon ESTUnmatched residency candidates resubmit

applicationsStarting at 12 noon EST

Checklist

March 18, 2009 – April 17, 2009Program directors send letters of

confirmation to matched applicantsMust sign and return letters of confirmation

JulyMost residencies begin

Application Process

Best to be early!!Letters of recommendationCover letter

Will need to prepare and send letter of intent or cover letter with application

TranscriptsReply to sites promptlySet up on-site interviewsSend handwritten Thank You’s

Final Tip

Stay positive!!!The Pharmacy Professional’s Guide to

Resumes, CV’s, & Interviewing By Thomas P. Reinders ISBN: 978-1-58212-076-8 Purchase through APhA

$39 ($43 for members) 800-878-0729