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Pharmacy Practice Residency – Year 3. Janet Silvester, RPh, MBA, FASHP Operations Committee October 13, 2009. What have we achieved?. 4 residents have completed the program R1 – ED pharmacist in 100 bed ED at Carilion
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Pharmacy Practice Residency – Year 3 Janet Silvester, RPh, MBA, FASHP Operations Committee October 13, 2009
What have we achieved? • 4 residents have completed the program • R1 – ED pharmacist in 100 bed ED at Carilion • R2 – employed by MJH – first as a night pharmacist replacing Elaine Kroner and now in a regular slot • R3 – Completing a PGY2 residency at University of Washington Hospital in Seattle in Primary Care • R4 – Working in Maryland in ambulatory practice • 2 residents at MJH currently (3rd class) • Received 3 year ASHP accreditation in September 2008!!!
Activities • Journal Club monthly in conjunction with UVa residents • Formal educational presentations routinely • Collaboration with UVA • Our residents have done rotations at UVa • TCV Post Op, toxicology (poison control), ambulatory • UVa resident has come here • Administrative rotation • Longitudinal rotation with Wellness/MTM program with Joe Connor • This year implementing the lipid program as a research project and presenting as a poster at Midyear Clinical meeting in December • Medication Use evaluation as part of Drug Information rotation – present routinely at P&T Committee • Present their research projects at Eastern States Residency Conference in the spring • Round out our clinical coverage on weekends – adds a 5th pharmacist to the weekend coverage – staffing every other weekend – satisfier for pharmacists
Rotations • Internal Medicine • Critical Care • Oncology/Palliative Care • Drug Information/Med Safety • Administration • Ortho/Spine • Ambulatory Care (Wellness and MTM w/Joe) • Sterile Compounding • IS (mini rotation) • Elective
Benefits • Enhance practice model • Research projects • Raise level of practice of existing staff • Recruitment tool • Saved us $25,000 in recruitment fees when Elaine retired from her night position – 1st year of residency • Enhance reputation of MJH • More visible in pharmacy profession • Every MJH resident that goes on to do well reflects positively on MJH
Total cost and reimbursement • Total Direct and Indirect Costs • $320,535 – only $92,803 new • Total Reimbursed • $144,466 • Percentage of Direct cost reimbursed • 58.62% • Percentage of Indirect cost reimbursed • 45.07%