Residency Night 2008

1. Residency Night 2008 Sponsored by: Midwest College of Clinical Pharmacy

2. Why Consider a Residency or Fellowship Patrick D. Fuller, BS, PharmD, BCPS Residency Program Director, PGY1 Clinical Specialist Staff Development Clinical Pharmacist/Adult ICU The Nebraska Medical Center Oct. 28, 2008

3. Future of Pharmacy “Great Leaders are never satisfied with current levels of performance. They are relentlessly driven by possibilities and potential achievements.” D. Harrison

4. 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.”

5. 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.

6. ACCP-Goals • Residency (Postgraduate Year One) • Specialty Residency (Postgraduate Year Two) • Fellowship • Board Certification (BCPS)

7. 2015 ASHP Goal 4 Increase the extent to which pharmacy departments in health systems have a significant role in improving the safety of medication use. Objective 4.7 90% of new pharmacists entering hospital and health-system practice will have completed an ASHP-accredited residency.

8. 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.  

9. Board Certification

10. Why Choose Residency or Fellowship • A competitive advantage in the job market • Networking opportunities • Career planning • Professional vision • Personal growth • Experience • Enhancement of patient care

11. Residency • “…organized, directed, postgraduate training program in a defined area of practice…” • Goal of a residency • To provide residents experience in taking care of a wide variety of patient populations • To provide residents with many experiences working with other health-care professionals

12. 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

13. PGY1 and PGY2 (PGY1)- Pharmacy practice residencies, managed care, community (PGY2)- Specialized residencies (Critical Care, Oncology, Internal Medicine) Usually require a PGY1 prior.

14. Residency Benefits • Increase knowledge base • Increase experience • Increase personal growth and development • Develop/enhance research skills • Increase teamwork experiences • Enhance communication skills

15. 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 process • Most programs emphasize on bench-top/clinical research

16. Fellowship • ACCP Fellowship Review Committee • Assess whether a program meets the ACCP guidelines for research fellowship training • Overall process is not intended to standardize fellowships • A highly individualized experience is the hallmark of an excellent training program • http://www.accp.com/resandfel/?page=guidelines

17. Fellowships • Infectious Disease • Cardiology • Critical Care • Pharmacoeconomics • Pharmacokinetics • Pediatrics • Ambulatory Care

18. 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

19. ASHP-Accreditation recommended for following reasons • Programs are surveyed periodically • In-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

20. Basic Residency Requirements Tammy L. Burns, PharmD Clinical Coordinator Creighton University Medical Center

21. Pharmacy Practice Residency (PGY1) Required Outcomes • Manage and improve medication-use process • Provide evidence-based, patient-centered medication therapy management with interdisciplinary teams • Exercise leadership and practice management skills

22. Pharmacy Practice Residency (PGY1) Required Outcomes • Demonstrate project management skills • Provide medication and practice-related education and training • Utilize medical informatics

23. Pharmacy Practice Residency (PGY1) Elective Outcomes • Conduct pharmacy practice research • Exercise added leadership & practice management skills • Demonstrate knowledge & skills particular to generalist practice in the home care or managed care environments

24. Pharmacy Practice Residency (PGY1) Elective Outcomes - continued • Participate in the management of medical emergencies • Provide drug information to HCP or the public • Demonstrate additional competencies that contribute to working successfully in the health care environment.

25. 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 Specialized Residencies (PGY2)

26. What to do now?

27. 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

28. Select a residency program that is right for you…. Specific area of interest (i.e. pediatrics, critical care, transplant, etc.) Specific area of country University vs. community Teaching commitment Small program vs. large program Quality of the program

29. 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

30. 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

31. Personnel Placement Service(PPS) Formal one-on-one interviews Sunday-Wednesday Usually for specialty residencies, unaccredited programs, jobs Cost $55 through 10/22 After 10/22, $100 ($100 onsite)

32. 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

33. 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!!

34. 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-workers Avoid friends, neighbors, family members

35. Preparation Timeline • P1 and P2 year • Work • Get involved • P3 year • Choose variety of rotations • Select clinical rotations • Try to get at least one rotation in a teaching hospital

36. 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 fall • Speak to faculty/preceptors/co-workers who have completed residencies

37. Preparation Timeline • Fall – P4 year • Make sure CV is updated • Prepare cover letters • Apply to match • Travel plans for Midyear – if attending • Request additional info from programs of interest

38. Preparation Timeline • December • ASHP Midyear • Request letters of recommendation • Submit applications • Order transcripts • January/February • On-site interviews • March • Match

39. Preparing your Curriculum Vitae, Cover Letter, and Interviewing Philip Gregory, PharmD Center for Drug Information & Evidence-Based Practice Creighton University

40. Definitions

41. Key Components of a CV

42. Components of a CV

43. CV “Do’s”

44. CV “Don’ts”

45. The Cover Letter

46. References

47. The Interview

48. Description of the Match Carla Christensen, Pharm.D. Assistant Professor of Pharmacy Practice Creighton University School of Pharmacy and Health Professions

49. What is the Match? • ASHP accredited and accreditation-pending postgraduate year 1 (PGY1) residency programs • ASHP accredited postgraduate year 2 (PGY2)doparticipate in the match • Results in binding commitment, can not withdraw without mutual written agreement

50. Important Link • http://www.natmatch.com/ashprmp/