Pharmacy Practice Residency

1. Pharmacy Practice Residency Janet Silvester Operations Committee June 13, 2006

2. Pharmacist Education • Significant changes over last decade • Similar to medical school • Entry level doctorate • 4 years of didactic and clinical training • 2 years of pre-pharmacy requisites • Option of residency training • Pharmacy practice • Specialty

3. Pharmacy Practice Residency • One-year program for pharmacists to gain clinical experience in a progressive practice setting • Similar to a medicine intern or the first year of physician training after medical school • Accredited through the American Society Health-System Pharmacists (ASHP)

4. Accreditation • Requires a site visit and inspection for reaccreditation every six years • Site visits usually include a comprehensive overview of the site, training facilities, pharmacy services and personnel • Required for Medicare pass-through funds

5. Value of Residency Program • Residents play an integral part in the department’s patient care activities • Contribute to quality of patient care • Staff shifts as pharmacists • Unlike medical residents they decrease costs associated with providing care • Staff development • Program development thru residency projects • Recruitment opportunity

6. Clinical Support • Pharmacy residents have extensive clinical didactic training, never less than 6 years of training and more often 7 to 8 years. • Residents required to make numerous presentations regarding clinical pharmacy issues and drug research, nationally and locally providing the hospital with significant exposure to a broad audience

7. Project Activity • Regulatory compliance initiatives • Medication reconciliation • Patient safety initiatives • Improved core measures compliance • Cost reduction initiatives • Antibiotic selection and utilization • Antiemetic standardization • Formulary adherence initiatives • Operational and clinical benchmarking projects

8. Financials • 108 ASHP accredited pharmacy programs receiving Medicare GME pass-through funds • funds from Medicare pay for resident salaries, preceptor salaries and other costs related to the residency program • A “normal” week would consist of 55 to 60 hours, a majority of which would be providing services directly to MJH

9. Financials • residents receive a set stipend based on a 40-hour work week - the hours provided in excess of 40 would be provided in exchange for their learning experience

10. Funding

11. Request • Recruit two pharmacy practice residents at the ASHP Midyear Clinical Meeting. Recruitment would include participation in the residency showcase. The residency would begin in July of 2007. • Begin the process of applying for accreditation of the pharmacy practice residency program with the American Society of Health-System Pharmacists (ASHP). Medicare reimbursement will be dependent upon being accredited through ASHP. Application for accreditation would be initiated as soon as a resident is enrolled in the program.