Department of Pharmacy Policies & Procedures

Number: 2:09

Effective Date: September, 1984

Revisions: 4/97; 2/03; 9/09

Approval: September, 1984

Subject: Post Graduate Year One (PGY1) Pharmacy Residency Program

A.        POLICY

            The Pharmacy Department of the UAMS Medical Center will provide a hospital pharmacy general practice residency fully accredited by the ASHP as it has since 1965.

B.        PROCEDURE

      The hospital will participate in the ASHP Residency Matching program for securing applicants for the residency.

 

      The residency will be a full-time position conducted over a period of 12 months with a minimum of 2000 hours of experience required.

 

      Funding shall determine the number of positions available.

 

      The program will meet the guidelines for a general practice residency as defined by the ASHP in "Accreditation Standard for Post Graduate Year One (PG-1) Pharmacy Residency Program".

 

      The Director of Pharmacy shall be the director of the residency.

 

      Upon successful completion of the program the resident will be provided a "Certificate of Completion".

 

      A resident may be dismissed for one of two causes:

 

            Documented evidence of inadequate performance and inappropriate attitudes or behavior.

            Immediate dismissal can occur at any time without prior notice in instances of gross misconduct (e.g. theft; physical violence directed at an employee visitor or patient; use of alcohol/drugs while on duty)

            The UAMS Policy HR.1.02 "Review of Employee Relations Actions" will be followed in any disciplinary action required. If the resident chooses, the Grievance Process may be instigated after dismissal.

            Other pertinent Medical Center Policies

            Policy Title: Dress Code Policy HR 2.04

            Policy Title: Basic Code of Conduct         HR 4.4.01

 

C.        Licensure

 

          All pharmacy residents should be fully licensed (passing of both the NAPLEX and Arkansas law exam) by their start date. In the event that the resident is not licensed on their start date a resident may begin the residency as long as they have a valid internship license from the Arkansas Board of Pharmacy. Such cases will be evaluated on an individual basis by the Director of Pharmacy. The internship license is valid until November 30th of the year the residents graduates. Failure to become licensed during the internship period may result in dismissal from the program.

 

 

D.        Structure

 

      The resident will participate in 12 experiential rotations related to the practice of pharmacy. A qualified preceptor must be available for each rotation.

 

The residency commitment will begin in July and end in June the following year.

 

Variations to the July to June schedule may occur but must be approved by the residency program director

 

                        Required Rotations (Each are one month in duration)

 

            There is a total of 6 months of required rotations. 

 

                  Orientation/Staffing             Always the First Rotation

 

                        Ambulatory Care                  Will attempt to schedule in either the 2nd or 3rd month of the residency.

 

                        Internal Medicine                 Will attempt to schedule in either the 2nd or 3rd month of the residency

 

                        Drug Use Policy                   Always in December

 

                        Intensive Care                      Either Medical Intensive Care, Surgical Intensive Care, or Neonatal Intensive Care

           

                        Administration                      Usually Scheduled in January, February or March

 

 

                        Elective Rotations (Each are one month in duration)

 

                  Total of 6 months of elective rotations

 

                        Elective rotations are selected by the resident after discussions with the Residency Program Director, and will be based on the resident’s short and long-term goals.

 

                  Schedules depend on preceptor availability and the desire of other residents to take the rotation.

 

                  Residents may repeat both required and elective rotations.

 

                  Types of elective rotations will vary from year to year and are based on the availability of a preceptor.

 

                  Rotations outside of experiences offered at the UAMS Medical Center maybe developed. The resident must discuss the type of rotation they desire. The rotation must be approved by the Residency Program Director, and must be precepted by a pharmacist.

 

            There are also longitudinal goals and objectives which are topics that may cross several different rotations or due to the structure of the residency are not discussed in the rotations. Longitudinal goals and objectives include drug information items, formulary management issues, a residency project, a newsletter and trips to professional meetings. These goals will be defined in the general rotation objectives at the beginning of the year.

E.        General Skill Development

The residency program is designed to provide the resident opportunities to develop general skills needed to function in today’s health care environment. These skills are basic competencies or goals that the resident should work on developing throughout the residency program.  These competencies are:

1.    Take personal responsibility for improving the pharmaceutical care of patients.

 

2.    Demonstrate ethical conduct in all activities related to pharmacy practice.

 

3.    Manage change effectively.

 

4.    Communicate clearly verbally and in writing

     

5.    Conduct direct patient care activities using a consistent approach that reflects the philosophy of pharmaceutical care and that is performed with the efficiency and depth of experience that is characteristic of an experienced pharmacist.

 

6.    Design, recommend, monitor, and evaluate patient-specific pharmacotherapy.

 

7.    Provide concise, applicable, and timely responses for drug information requests from health-care providers and patients.

 

8.    Participate in the ongoing modification of the health system process for assessing, managing, preventing, and reporting medication errors.

 

9.    Model a practice management philosophy that supports pharmaceutical care and pharmacy practice excellence.

 

10. Understand methods used to monitor and evaluate drug costs.

 

F.         Outcomes

 

            By the end of the residency, the resident should be able to function independently in various types of health care environments.

 

            The resident will have sufficient clinical skills to provide advanced clinical services in a hospital or ambulatory clinic setting.

 

            The resident will have the skill to teach pharmacy students in a practice setting.

 

            The resident will have improved communication skills.

 

            Outcomes that will be evaluated on a routine basis are:

 

·         Manage and improve the medication-use process.

·         Provide evidence-based, patient-centered medication therapy management with interdisciplinary teams.

·         Exercise leadership and practice management skills.

·         Demonstrate project management skills.

·         Provide medication and practice-related education/training.

·         Utilize medical informatics.

·          

            Outcomes that will be evaluated on an elective basis are:

 

§  Participate in the management of medical emergencies.

§  Contribute to formulary decisions.

 

 

G.        Evaluations

 

            Residents:

 

The resident is evaluated at the end of each rotation. The resident is provided written documentation of performance during the rotation period along with an interactive oral evaluation.

 

Snapshot evaluations are performed routinely to evaluate a particular aspect of the resident training such as communication skills, presentation skills, etc.

 

To insure consistency between monthly rotations, the resident’s performance over the last several months is evaluated at the department's manager’s meeting. As with the periodic rotations, the resident is provided both written and oral feedback by the Residency Director.

 

The resident is required to perform a self-evaluation on a routine basis. The resident’s customized plan will be the document used for the self-evaluation process. The Residency Program Director will review the resident’s customized plan (self –evaluation) at least every quarter.

 

            Preceptors

 

Preceptors will be evaluated by the resident after each rotation.

 

Preceptors will only be able to review the evaluation after the preceptor has completed the resident’s evaluation.

 

The Residency Program Director will review all preceptor evaluations and any significant issues will be addressed immediately.

 

Resident rotation evaluations will also be evaluated annually during the preceptor’s yearly evaluation.

 

H.        Leave of Absence

 

            Residents will receive 10 vacation days during their 1 year residency.

 

            Leave requests must be initially approved by the preceptor on the rotation that the leave will be taken, and then by the program director.

 

            Time off to attend professional meetings and professional related time off must be approved by the preceptor on the rotation the leave will be taken, and by the program director.

 

            Extended leaves of absences for medical and family reason will be approved by the Program Director. The Medical Center’s Human Resource Department will be consulted if necessary. The resident will be expected to make up any loss time in order to receive their residency certificate.