The PGY1 Pharmacy Residency Program Curriculum has been formed with the goal of fulfilling four ASHP competency areas. These competencies have been defined by ASHP as the specific knowledge, skills, behaviors, attitudes, and educational experiences that a resident must demonstrate in order to be considered as having completed a graduate pharmacy education program. The pharmacy residency program will develop in its residents these competencies to the level expected of a new practitioner.
Program Purpose:
PGY1 pharmacy residency programs build upon Doctor of Pharmacy (PharmD) education and outcomes to develop pharmacist practitioners with knowledge, skills, and abilities as defined in the educational competency areas, goals, and objectives. Residents who successfully complete PGY1 residency programs will be skilled in diverse patient care, practice management, leadership, and education, and be prepared to provide patient care, seek board certification in pharmacotherapy (ie, BCPS), and pursue advanced education and training opportunities including postgraduate year two (PGY2) residencies.
The four required competencies of the PGY1 Pharmacy Residency program include:
(1) Patient care
(2) Practice advancement
(3) Leadership
(4) Teaching and education
Program Structure:
The program consists of a series of required and elective educational experiences, including rotations and longitudinal experiences. The Pharmacy Residency Program Curriculum has been developed with the goal of fulfilling the required competency areas.
The overall program structure is outlined in the following table:
|
|
Acute Track |
Ambulatory Track |
July
(3 weeks) | System Training Orientation (System Orientation, Residency Program Orientation, Resident Research Orientation, Drug Information/Drug Evaluation
processes/Patient Work-up Orientation) |
July-November | Patient Care Training Acute (4 weeks) Drug Information (4 weeks) Internal Medicine Acute (4 weeks) Internal Medicine Ambulatory (4 weeks)
| Patient Care Training Ambulatory (4 weeks) Drug Information (4 weeks) Internal Medicine Ambulatory (4 weeks)
Internal Medicine Acute (4 weeks)
|
December | Rotation/ASHP Midyear/Vacation/Project Time |
January-June | Minimum of 4 Direct Patient Care Electives* (4-week rotations unless specified, 16- week minimum) Medication Use Safety and Policy (2 weeks) Resident may choose up to 4 weeks of non- direct patient care elective (e.g., Medication Use Safety and Policy)
| Minimum of 4 Direct Patient Care Electives* (4-week rotations unless specified, 16-week minimum) Medication Use Safety and Policy (2 weeks) Resident may choose up to 4 weeks of non- direct patient care elective (e.g., Medication Use Safety and Policy)
|
Required Learning Experiences:
| Required Learning Experience | Duration | Track |
| System Training Orientation | 3 weeks | Both |
| Patient Care Training Acute | 4 weeks | Acute |
| Direct Patient Care Acute | Every 4th week (Monday-Friday) | Acute |
| Patient Care Training Ambulatory | 4 weeks | Ambulatory |
| Direct Patient Care Ambulatory | Every 4th week (Monday-Friday) | Ambulatory |
| Drug Information | 4 weeks | Both |
| Internal Medicine Acute | 4 weeks | Both |
| Internal Medicine Ambulatory | 4 weeks | Both |
| Medication Use Safety and Policy | 2 weeks | Both |
| Patient Care Staffing | Every 4th weekend (Saturday, Sunday) | Both |
| Presentation/ACPE/CPD | 12 months | Both |
| Leadership/Practice Management | 12 months | Both |
| Research | 12 months | Both |
| Minimum of 4 Direct Patient Care Electives* | 4-week rotations unless specified, 16-week minimum | Both
|
Direct Patient Care Electives:
| Direct Patient Care Elective | Duration | Track |
| Infectious Disease | 4 weeks | Non-Track Specific |
| Oncology/Hematology | 4 weeks | Non-Track Specific |
| Emergency Medicine | 4 weeks | Acute |
| Neonatal Intensive Care Unit (NICU) | 4 weeks | Acute |
| Medical Intensive Care Unit (MICU) | 4 weeks | Acute |
| Pediatrics Acute | 4 weeks | Acute |
| Pediatric Intensive Care Unit (PICU) | 4 weeks | Acute |
| Pediatrics/PICU | 6 weeks | Acute |
| Surgical Intensive Care Unit (SICU) | 4 weeks | Acute |
| Cardiology | 4 weeks | Ambulatory |
| Dermatology | 2 weeks | Ambulatory |
| Diabetes Care Management | 4 weeks | Ambulatory |
| Neurology | 4 weeks | Ambulatory |
| Pediatrics Ambulatory | 4 weeks | Ambulatory |
| Pulmonary | 4 weeks | Ambulatory |
| Specialty Pharmacy | 4 weeks | Ambulatory |
Acute track residents may complete 0-1 ambulatory direct patient care electives
Ambulatory track residents may complete 0-1 acute direct patient care electives
Sample Schedule Outline:
How Rotations are Typically Sequenced:
- Required Patient Care Training is completed prior to the start of the weekend Patient Care Staffing component
- Required Internal Medicine (Acute) is completed prior to elective acute track rotations or per preceptor discretion (e.g., Pediatrics or ID elective may be permitted prior to IM acute if approved by RAC).
- Required Internal Medicine (Ambulatory) is completed prior to elective ambulatory track rotations or per preceptor discretion if approved by RAC.
- Required Drug Information rotation is completed in the first 4 months of residency
- Acute track residents may complete 0-1 ambulatory track electives.
- Ambulatory track residents may complete 0-1 acute track electives.
- Direct patient care electives that take place in an area that does not have a full time pharmacist (e.g., Dermatology) will be scheduled when evaluations conducted at the end of previous learning experiences reflect readiness to practice independently (usually in second half of academic year between January and June), the RPD and preceptors agree the resident is ready for independent practice, and the main role of the preceptor is to facilitate resident learning experiences. A non-pharmacist preceptor and a pharmacist preceptor will be assigned for these learning experiences.
- Residents should select their electives by August. Residents are allowed to request a max of 2 elective rotation changes per academic year, which must be submitted by January 1.
Resident may choose up to 4 weeks of non-direct patient care elective (e.g., Medication Use Safety and Policy) - Other rotation sequencing requests will be reviewed by the Residency Advisory Committee (e.g., residents seeking a PGY2 and wanting to complete select electives earlier in the academic year)
Required Longitudinal Experiences:
- Direct Patient Care weeks (Monday-Friday)
- Ambulatory Care Track:
- 8 hour shift/day
- Location: Internal Medicine Transition Care Clinic
- Frequency: every 4th week (10 weeks total)
- Acute Care Track:
- 8 hour shift/day:
- Location: MMC-Marshfield Hospital
- Frequency: every 4th week (10 weeks total)
- Patient Care Staffing weekend Longitudinal (10 months)
- Ambulatory Care Track:
- 8 hour shift/day
- Location: Marshfield Clinic Pharmacy on Central or First Floor
- Frequency: every 4th weekend Saturday and Sunday
- Acute Care Track:
- 8 hour shift/day:
- Location: MMC-Marshfield Hospital Pharmacy
- Frequency: every 4th weekend Saturday and Sunday
- All residents will staff 1 Holiday weekend (3 days)
- Ad hoc staffing as needed (max of 40 hours per academic year)
- Examples: Outpatient patient care staffing for Ambulatory track, Inpatient patient care staffing for Acute track
Leadership/Practice Management Longitudinal (12 months):
Topic Discussions with preceptors and program director will occur throughout the residency year as scheduled (10 minimum). These discussions may include, but are not limited to:
- SBAR Communication
- Strategic Planning
- Time Management
- Recruitment/Pharmacy Career Fairs/Interview Process
- Change Management
- Budget Process Review: Capitol Budgets, Operating Budgets
- Conflict of Interest/Ethical Dilemmas
- 797 and Chap 15 WI Admin Code
- Supply Chain
- Professionalism/Ethics
- ACCP Position Statement: Pharmacists and Industry: Guidelines
- Pharmacy Systems Manager Meetings
- Giving effective feedback
- Pharmacy Reimbursement and Finance/Finance Management
- Corporate Athlete
- Conservative Prescribing
- Pharmacy Forecast
- Team Building
Monthly Meetings with Program Director
- Leadership/Practice Management related topic discussion at Weekly Meeting with Program Director including reading and discussing the following books: Strength Finder 2.0, Eat that Frog- Quarter 1, 'Who Moved My Cheese'- Quarter 2
- Myers-Briggs Type Indicator Personality is an optional additional activity to supplement Strength finder discussion: https://www.16personalities.com/
- One additional leadership reading of resident's choice (e.g., 'Good to Great' by Jim Collins, 'Hardwiring Excellence' by Quint Studer) which will occur during Quarter 3 or Quarter 4 of residency.
Presentation/ACPE/CPD Longitudinal (12 months):
- Continuing Pharmacy Education (CPE) involvement x 12 months
- Attend Pharmacy CE presentations and may present as part of current rotation requirements
- Community Involvement will include, but is not limited to:
- Participation in Community Outreach at assisted living facility (at least once per 12 month residency as scheduled) to address questions the elderly population may have regarding medication therapy and conduct a 20 minute presentation on a Geriatric related topic.
- Volunteer opportunities at St. Vincent's Free Clinic (optional)
Research Longitudinal (12 months):
- Residents will select and complete a project during the residency year.
- Some of the key components of this learning experience include:
- Participate in the Resident Research Program (including completion of the Collaborative Institutional Training Initiative (CITI) program)
- Attend at least 2 Institutional Review Board (IRB) meetings
- Prepare Poster Presentation and present at National meeting (e.g., ASHP Midyear)
- Wisconsin Resident Conference (WPRC) Project Presentation (April)
- Marshfield Clinic Medical Education Day Project Presentation (May)
- Attend and participate in pharmacy Journal Club
- Complete research proposal
- Complete manuscript draft prior to end of residency
- AJHP Research Perspective Articles Discussion in SharePoint
Please do not hesitate to contact us if you have any questions or would like more information.
Pharmacy Residency Program Director
Sara A. Griesbach, PharmD, BCPS, BCACP
Director, Clinical Pharmacy Services
PGY1 Pharmacy Residency Program Director
Marshfield Medical Center
1000 North Oak Avenue
Marshfield, WI 54449
1-800-782-8581 ext 19820 or 715-221-9820
Fax:
715-221-7880
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