Pharmacy Practice Residency Program Overview
Residency Learning Experiences
Presentations / Teaching Experiences
Adverse Drug Report Review
Medication Use Evaluation
Resident Salary and Benefits
Residents will be oriented to the department during the first week of the residency. This will consist of an overview of the department, introduction to department procedures and opportunities to discuss work responsibilities with various department members.
The majority of training will occur during the first five to six weeks of the residency. It is expected that by the end of this time, the resident will be competent to work on line shifts as a decentralized pharmacist at Children's.
Residents may have the option to begin their orientation prior to July 1st. Depending on when the resident begins their training, this could free up additional time for elective rotations later in the year.
Individualized Residency Plan
Planning the learning experiences for the pharmacy practice resident will be accomplished in the initial weeks of the residency year using the Career Assessment Form and Initial Needs Assessment form. After the resident has completed these documents, the resident's primary preceptor will develop an individualized residency plan for each resident. Both the resident and the primary preceptor will agree to specific learning experiences.
Required Learning Experiences
The pharmacy practice residency program consists of required and elective learning experiences. The required learning experiences include:
- Practice management
- Pediatric Medicine
- Pediatric Intensive Care
- Neonatal Intensive Care
- Cardiovascular Intensive Care
- Ambulatory Medicine
Elective Learning Experiences
The resident will have approximately 12 weeks for choosing elective learning experiences from either campus to meet their interests. In the past, residents have chosen to pursue elective learning experiences in areas including: epilepsy, emergency medicine, infectious disease, toxicology, cystic fibrosis and endocrinology. The resident may also choose to repeat a required rotation at either campus of Children's. It must be noted that the maximum amount of time the resident can spend in the same clinical area is 4 months. Off-site learning experiences outside Children's Hospitals and Clinics may also be available for the resident.
Evaluation of the resident's performance is vital to the resident's development and will consist of at least the following:
Summative evaluations are completed by the preceptor at the conclusion of the resident's learning experience. Summative evaluations are designed to evaluate the resident's performance on the goals and objectives assigned to their learning experiences.
Formative evaluations are related to specific events and tasks. It is precise feedback given at a specific moment in time after observing the resident's activity. Formative feedback is usually given verbally by the preceptor. Formative evaluations may be completed as often as deemed necessary by the preceptor.
The resident shall on an ongoing basis conduct self-evaluation of his/her work. The preceptor will prepare and discuss with the resident a program of self-evaluation for that learning experience.
Preceptor and Learning Experience Evaluation
Upon completion of the learning experience, the resident shall complete the Preceptor and Learning Experience evaluation form to provide feedback for the preceptor.
Residents' progress towards accomplishing their residency goals will be assessed quarterly using the Quarterly Summary of Residency Goals form. This will help focus efforts towards those goals that the resident has not made significant progress in achieving.
Topics in Health Care
Topics in health care is a monthly meeting intended to be an opportunity for PGY1 residents and preceptors from hospitals across the Twin Cities to discuss current issues in health care as related to the profession of pharmacy.
Pharmacy Leadership Meeting
The Pharmacy Leadership meeting is an informational meeting intended to keep management and clinical staffs current with department projects and up to date with recent developments in our department.
Pharmacy and Therapeutic Committee
The residents are appointed to the Pharmacy and Therapeutics Committee as non-voting members. Each PGY1 resident will write at least two new drug reviews and present this information to the committee for formulary inclusion or exclusion. The residents' MUEs will also be approved and reviewed by the P&T Committee. The PGY2 resident will act in the role of Committee secretary by taking minutes and working to set each month's agenda.
Residents and preceptors will meet at least monthly to discuss current issues involving the residents and the residency program.
Clinical Leader Meetings
Residents will attend the monthly pharmacy Clinical Leader meeting to discuss clinical issues affecting the department and care of patients at Children's.
National Meetings (ASHP/PPAG/ACCP)
The department will pay for travel, lodging and meeting registration for one national meeting. PGY1 residents typically attend the PPAG Annual meeting in late April and will present the results of their residency project at the meeting. In addition to the PPAG annual meeting, the PGY2 resident will also attend the ASHP Midyear Clinical Meeting.
Local Professional Meetings
Residents are strongly encouraged to attend local professional conferences that focus on current issues in pharmacotherapy. These would include the MSHP Annual and Midyear meetings.
The resident will be scheduled to provide 4 case presentations that meet requirements to qualify as CE credit with the MN State Board of Pharmacy. The topic of these presentations will be related to a current learning experience and will be presented via network link to each campus of Children's. Preceptors of clinical rotations may also request the resident to present a case presentation or journal club at the end of their rotation.
The resident also has the option of providing didactic coursework for pharmacy students at the College of Pharmacy.
Residents have the option of completing a teaching certificate during their residency year. The certificate is modeled on recommendations published by ACCP and includes large group didactic instruction, small group discussion and precepting.
Each resident shall complete a research or major project as part of their residency training. Each resident will work with their preceptor in the selection of their project. The results of this project are presented by the resident at the Annual Meeting of the Pediatric Pharmacy Advocacy Group. Assistance in research design is provided by Children's Research Sponsored Programs in planning the project.
Each resident will be responsible for maintaining the adverse drug report log.
Each resident will be responsible for developing, performing and presenting a medication use evaluation project during their residency. The results will be presented at the Pharmacy and Therapeutics Committee and /or medical division committee.
Each resident class is encouraged to tour different hospitals and pharmacy departments during the year. The purpose of these activities is to see alternative pharmacy systems and gain additional depth in knowledge and understanding in the provision of pharmacy services.
Residents' salary and benefits for residency activities are received through Children's Hospitals and Clinics of Minnesota. The stipend is competitive. Dental and health insurance is provided in the benefits package offered by Children's.
Residents will accrue 30 days of paid time off during the residency year. Residents will deduct compensation time, education time, sick time, etc from their PTO account. The resident will need to notify their primary preceptor and staffing coordinator in advance regarding vacation requests. Any remaining PTO hours will be paid out at the end of the year on a pro-rated basis with their residency stipend.
Pharmacy practice residents will be scheduled to work every other weekend throughout the residency. In St. Paul, residents work 5 out of 12 weekends due to an occasional 12-hour shift. Each resident can expect to work either Christmas or New Year's holidays in addition to a normal complement of additional holidays consistent with staffing patterns for the department.
During the second half of the residency year each resident will rotate with the clinical leaders as the pharmacist on-call. The pharmacist on-call will be available by pager or phone 24 hours a day to provide clinical information or answer questions. A pharmacy clinical leader will be available as a backup.