MCM 2006 Residency Townhall Presentation
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Transcript of MCM 2006 Residency Townhall Presentation
PGY1 & 2 Pharmacy Residency Programs in the ASHP Accreditation Process December 2006 ( N=853 Programs offering 1,900 positions)
PGY1 - Managed Care 3%
PGY1 - Community 4%
PGY1 Pharmacy Residency59%
PGY234%
(289)
(503)
(38)
(23)
PGY1* PGY2 PGY1* PGY2 RemainingRemaining
Primary CarePrimary Care 23 23 43 43
GeriatricsGeriatrics 5 95 9
PediatricsPediatrics 3 203 20
Managed Care Health SystemManaged Care Health System 1 51 5
PGY2 programs have until December 31, 2006 to convertPGY2 programs have until December 31, 2006 to convert
PGY2 Programs in the ASHP Accreditation Process December 2006289 Programs offering 448 positions
48
43
34
2422
20
1613 12 12
9 85 5 4 3 3 2 2 2 1 1
0
10
20
30
40
50
60
Critica
l Car
e
Ambu
latory
Car
e
Oncolo
gy
Drug In
form
atio
n
Infe
ctiou
s Dise
ases
Pediat
ric P
harm
acy
Manag
emen
t
Pharm
acoth
erap
y
Psych
iatri
c
Inte
rnal
Medici
ne
Geriat
ric P
harm
acy
Cardio
logy
Nutritio
n Suppor
t
Manag
ed C
are S
yste
ms
Info
rmat
ics
Nuclear
HIV P
harm
acy
Medica
tion U
se S
afet
y
Transp
lant
Emer
gency
Med
icine
Pallia
tive C
are/P
ain M
anag
ement
Nep
hrolog
y
Potential positions in 2006-07 Residency Programs in ASHP Accreditation Process
(n=1,900)
PGY178%
PGY222%
Pharmacy School and Residency Pharmacy School and Residency Graduation TrendsGraduation Trends
Source: AACP & ASHP Data
Residency Programs in the Accreditation Process Growth Over Time 1990 - 2006853 Programs November 2006
0
100
200
300
400
500
600
700
800
900
Pharmacy Practice programs
Specialized programs
totals
1995
2006
1990
2000
2005
CMS funding removed for SpecializedOct 2003
Matching numbers for Accredited Pharmacy Practice Programs1990 - 2006
0
200
400
600
800
1000
1200
1400
1600
# applicants
# positions
# matched
1990 1995 2000 2005
More Applicants than Positions
200
PGY1 Pharmacy ResidencyPGY1 Pharmacy Residency
PGY1 Community Pharmacy ResidencyPGY1 Community Pharmacy Residency
PGY2 Pharmacy ResidencyPGY2 Pharmacy Residency
PharmDGraduate
Patient/Practice FOCUS
Broad
DEPTH ofknowledge, skil ls, abi l i t ies, experience
A A PGY1PGY1
GeneralistGeneralist
Wide variety of patients & Wide variety of patients & diseasesdiseases
PGY1 PGY1 B B
Generalist Generalist
Wide variety of diseases may be in a Wide variety of diseases may be in a unique setting or population (e.g., unique setting or population (e.g., pediatrics, geriatrics, ambulatory, pediatrics, geriatrics, ambulatory, managed care)managed care)
C C PGY2PGY2
Advanced Practitioner Advanced Practitioner
More experience, skill and ability More experience, skill and ability developed in a broad set of developed in a broad set of patients (e.g., pharma-cotherapy)patients (e.g., pharma-cotherapy)
PGY2 PGY2 D D
Advanced Practitioner Advanced Practitioner
More experience, skill, and ability More experience, skill, and ability developed in a focused area of practice developed in a focused area of practice (e.g., oncology, critical care)(e.g., oncology, critical care)
Narrow
Basic
Advanced
PGY1PGY1
PGY1 CommunityPGY1 Community
PGY2 Ambulatory ( previously Primary Care)PGY2 Ambulatory ( previously Primary Care)
Frank Briggs- WVFrank Briggs- WV
Mary Hess - SCMary Hess - SC
Carolyn Kowalchik - UTCarolyn Kowalchik - UT
Bruce Nelson – ASHPBruce Nelson – ASHP
Christine Nimmo - ASHPChristine Nimmo - ASHP
Marialice Bennett – OHMarialice Bennett – OHJeffrey Goad - CAJeffrey Goad - CAPamala MarquessPamala MarquessMatthew Osterhaus – IAMatthew Osterhaus – IAJames Owen – DEJames Owen – DESarah Ray – WI Sarah Ray – WI Kushal Shah – ResidentKushal Shah – ResidentAnne Burns – APhAAnne Burns – APhAChristine Nimmo – ASHP Christine Nimmo – ASHP
Jeffrey Brewer - MDJeffrey Brewer - MDDouglas Covey – FLDouglas Covey – FLLaura Hansen - COLaura Hansen - COArt Schuna – WIArt Schuna – WIKelly Ragucci – SCKelly Ragucci – SCJoseph Saseen - COJoseph Saseen - COBruce Nelson – ASHPBruce Nelson – ASHPChristine Nimmo - ASHPChristine Nimmo - ASHP
PGY2 - Pharmacy InformaticsPGY2 - Pharmacy Informatics
Michael Baron - TheraDocMichael Baron - TheraDoc
Scott McCreadie – MIScott McCreadie – MI
Sandi Mitchell – MDSandi Mitchell – MD
Craig Herzog – UTCraig Herzog – UT
Bruce Nelson – ASHPBruce Nelson – ASHP
Christine Nimmo - ASHPChristine Nimmo - ASHP
PGY1 Managed Care Standard PGY1 Managed Care Standard Outcomes, goals and objectivesOutcomes, goals and objectives
PGY2 Health System Pharmacy Administration PGY2 Health System Pharmacy Administration (previously Pharmacy Management)(previously Pharmacy Management)
PGY2 Critical CarePGY2 Critical Care
Send us comments!Send us comments!
Carey Cotterell – CACarey Cotterell – CA
Raulo Frear - MNRaulo Frear - MN
Lydia Nesemann – AZLydia Nesemann – AZ
Mark Brueckl – AMCPMark Brueckl – AMCP
Marissa Schlaeffer – AMCPMarissa Schlaeffer – AMCP
Bruce Nelson – ASHPBruce Nelson – ASHP
Christine Nimmo - ASHPChristine Nimmo - ASHP
Alison Apple - TNAlison Apple - TN
Steven Rough -WISteven Rough -WI
Jerry Siegel – OHJerry Siegel – OH
Thomas Woller – WIThomas Woller – WI
Janet Teeters – ASHPJanet Teeters – ASHP
Christine Nimmo - ASHPChristine Nimmo - ASHP
Jill Rebuck – VTJill Rebuck – VT
Brian Erstad – AZBrian Erstad – AZ
Lisa Hall – MILisa Hall – MI
Bruce Nelson – ASHPBruce Nelson – ASHP
Christine Nimmo - ASHPChristine Nimmo - ASHP
NEW – PGY2 TransplantNEW – PGY2 Transplant
PGY2 Medication SafetyPGY2 Medication Safety
PGY2 OncologyPGY2 Oncology
PGY2 Drug InformationPGY2 Drug Information
PGY2 Infectious DiseasesPGY2 Infectious Diseases
PGY2 Internal MedicinePGY2 Internal Medicine
PGY2 PharmacotherapyPGY2 Pharmacotherapy
PGY2 PsychiatryPGY2 Psychiatry
PGY1PGY1
PGY2PGY2
Community Community
Managed CareManaged Care
New Pre-CandidatesNew Pre-Candidates
November – Early Commitment PGY1 to PGY2November – Early Commitment PGY1 to PGY2(If not in at NMS, you are in the match)(If not in at NMS, you are in the match)
- Listings Posted- Listings PostedFebruary 9 – Instructions for Rank Order ListsFebruary 9 – Instructions for Rank Order Lists
- Reversion of Unfilled Positions - Reversion of Unfilled Positions
March 9, 2007 – Rank Order Lists due !March 9, 2007 – Rank Order Lists due !
March 21, 2007 – Match Results ReleasedMarch 21, 2007 – Match Results Released
35/ 289 (8%) programs have contacted NMS35/ 289 (8%) programs have contacted NMS
to fill PGY2 for 2007 year to fill PGY2 for 2007 year
Reversion of Unfilled PositionsReversion of Unfilled Positions Can donate up to ALL unfilled positions to another Can donate up to ALL unfilled positions to another
program or site that is part of your organizationprogram or site that is part of your organizationPGY2 PGY2 PGY1PGY1PGY1 PGY1 PGY2PGY2PGY1 one sitePGY1 one site PGY1 another site same program PGY1 another site same program
Donor & Receiver – both must sign form from National Donor & Receiver – both must sign form from National Matching Service Matching Service http://www.natmatch.com/ashprmp/ http://www.natmatch.com/ashprmp/
Can donate to multiple programsCan donate to multiple programs Can not loop positions back to original donor programCan not loop positions back to original donor program
Early Commit one position & Early Commit one position & Revert open Onc positions to PGRevert open Onc positions to PGY1Y1
PGY 1 PGY2-Crit Care PGY2-DI PGY2-OncList with Match in August:List with Match in August:
4 4 11 11 22
Fill through Matching process in March: Fill through Matching process in March:
1 1 Early Commit 1 1
1
1
1
1
1Gains One position & additional placement of a resident
Does not fill one position
Interview all eligible candidates to find the best Interview all eligible candidates to find the best fit with your organizationfit with your organization
Only Rank candidates you would acceptOnly Rank candidates you would accept Rank in the same order as you would make an Rank in the same order as you would make an
offeroffer Do NOT try to consider how a candidate would Do NOT try to consider how a candidate would
rank your programrank your program
If you have multiple programs discuss the If you have multiple programs discuss the possibilities of “reverting” unfilled positions to possibilities of “reverting” unfilled positions to maximize the matching processmaximize the matching process
Understand - Post match information & how to Understand - Post match information & how to use it if necessaryuse it if necessary
Remember “Early Commitment” for PGY1 to Remember “Early Commitment” for PGY1 to PGY2 positions at the same site – occurs in PGY2 positions at the same site – occurs in NovemberNovember
Join us on Wednesday, December 6, 2006Join us on Wednesday, December 6, 2006
Matching InformationMatching Information
Room 210A/BRoom 210A/B
11am – 12noon 11am – 12noon
New Accreditation Status Terms:New Accreditation Status Terms:
Pre-CandidatePre-Candidate
CandidateCandidate
Preliminary Accreditation Preliminary Accreditation
Conditional Accreditation Conditional Accreditation
Resident must be:Resident must be:
Enrolled in ASHP accredited programEnrolled in ASHP accredited program
Plan to enter a PGY2 accredited residencyPlan to enter a PGY2 accredited residency
Submit CV & letter of intentSubmit CV & letter of intent
Letter of support from Program Director Letter of support from Program Director
1 Year appointment1 Year appointment
Please contact Please contact [email protected]@ashp.org if you know of if you know of interested candidates by December 31, 2006interested candidates by December 31, 2006
PGY2 – Board Certification Requirement (5.1)PGY2 – Board Certification Requirement (5.1)Pharmacotherapy + added QualificationsPharmacotherapy + added Qualifications
Infectious DiseasesInfectious DiseasesCardiologyCardiology
NuclearNuclearPsychiatryPsychiatryNutrition SupportNutrition SupportOncology Oncology
Amnesty until December 31, 2008Amnesty until December 31, 2008
PGY1 – Drug information requirement (7.6b)PGY1 – Drug information requirement (7.6b)
New Pre-Survey materials & gridsNew Pre-Survey materials & grids
AMBULATORY CARE SERVICESAMBULATORY CARE SERVICESDirections: INDICATE ALL THAT APPLY BY RECORDING Directions: INDICATE ALL THAT APPLY BY RECORDING THE INFORMATION REQUESTED IN THE BOX THE INFORMATION REQUESTED IN THE BOX CORRESPONDING TO THE PATIENT CARE SERVICES CORRESPONDING TO THE PATIENT CARE SERVICES PROVIDED AT THE RESIDENCY SITEPROVIDED AT THE RESIDENCY SITE
Medicine Medicine TransplantTransplant Oncology Oncology Infusion Infusion CenterCenter
Bone Marrow Bone Marrow Transplant ClinicTransplant Clinic
Hours of clinic per week (all clinics)Hours of clinic per week (all clinics) 4040 3232 4040 4040
Hours of pharmacy clinic per week (all clinics)Hours of pharmacy clinic per week (all clinics) 3232 1212 00 00
Number of patient encounters per week (all clinics)Number of patient encounters per week (all clinics) 185185 150150 100100
Number of pharmacist - patient encounters per weekNumber of pharmacist - patient encounters per week 3535 1515
Percentage of total patient visits at facility have encounters with pharmacistPercentage of total patient visits at facility have encounters with pharmacist 2525 1010
DIRECTIONS: Indicate the % of time the following services are DIRECTIONS: Indicate the % of time the following services are provided for services listed at your site: provided for services listed at your site:
Medicine Medicine TransplantTransplant Oncology Oncology Infusion CenterInfusion Center
Bone Marrow Bone Marrow Transplant Transplant ClinicClinic
Medication historyMedication history 100100 100100 100100 100100
Profile reviewProfile review 100100 100100 100100 100100
Medication reconciliationMedication reconciliation 100100 100100 N/AN/A N/AN/A
New medication order reviewNew medication order review N/AN/A 100100 100100 100100
Conduct physical assessment appropriate for drug therapy Conduct physical assessment appropriate for drug therapy 100100 100100 N/AN/A N/AN/A
Provide point-of-care testingProvide point-of-care testing 100100 N/AN/A N/AN/A N/AN/A
Order drug therapy-related laboratory testsOrder drug therapy-related laboratory tests 100100 100100 100100 100100
Prospective medication regimen designProspective medication regimen design 100100 100100 100100 100100
Initiate medication regimensInitiate medication regimens 100100 100100 100100 100100
Consultation services: nutrition, pain, otherConsultation services: nutrition, pain, other N/AN/A 100100 100100 100100
Document recommendations in patient’s medical recordDocument recommendations in patient’s medical record 100100 100100 100100 100100
ACUTE CARE SERVICESACUTE CARE SERVICESDirections: Directions: INDICATE ALL THAT APPLY BY RECORDINGINDICATE ALL THAT APPLY BY RECORDINGTHE REQUESTED INFORMATION IN THE BOXTHE REQUESTED INFORMATION IN THE BOXCORRESPONDING TO THE PATIENT CARE UNITS CORRESPONDING TO THE PATIENT CARE UNITS SERVICED AT SERVICED AT THE RESIDENCY SITETHE RESIDENCY SITE
Med/Surg Med/Surg – Wing 1– Wing 1
Med/Surg Med/Surg – Wing 2– Wing 2
Med/Med/Surg – Surg – Wing Wing 33
MICUMICU SICUSICU Neuro/ Neuro/ OrthoOrtho
Neuro Neuro Step Step DownDown
Neuro Neuro ICUICU
Pharmacy Practice Model: (Provide % of patient Pharmacy Practice Model: (Provide % of patient beds covered by the following services) beds covered by the following services)
120 BEDS120 BEDS 8080BEDSBEDS
4040BEDSBEDS
1616BEDSBEDS
2424BEDSBEDS
4848BEDSBEDS
88BEDSBEDS
1616BEDSBEDS
Centralized OperationsCentralized Operations 100100 100100 100100 100100 100100 100100 100100 100100
•Hours/Days (e.g., 24/7 for 24 hours 7 days per week)Hours/Days (e.g., 24/7 for 24 hours 7 days per week)24/724/7 24/724/7 24/724/7 24/724/7 24/724/7 24/724/7 24/724/7 24/724/7
Dispensing Pharmacy SatellitesDispensing Pharmacy Satellites
•Hours/DaysHours/DaysNANA NANA NANA NANA 16/716/7 NANA NANA 16/716/7
•Average patient loadAverage patient loadNANA NANA NANA NANA 3636 NANA 1616
Decentralized Clinical PharmacistDecentralized Clinical Pharmacist
•Hours/DaysHours/Days8/78/7DayDay
8/78/7DayDay
8/78/7DayDay
8/78/7DayDay
8/78/7 8/78/7DayDay
XX XX
•Average patient loadAverage patient load110110 7070 3030 1616 XX 4848 XX 1616
Clinical Pharmacist/Clinical Pharmacy SpecialistClinical Pharmacist/Clinical Pharmacy Specialist
•Hours/DaysHours/Days8/58/524/7 24/7 callcall
8/58/524/724/7 callcall
8/58/524/7 24/7 callcall
8/58/524/7 call24/7 call
8/58/524/724/7callcall
8/58/524/724/7callcall
8/58/524/724/7callcall
8/58/524/724/7callcall
•Average patient loadAverage patient load110110 7070 3030 1616 4848 1616
Pharmacy Services – Pharmacy Services – Distribution: (Provide % Distribution: (Provide % of patient beds covered by of patient beds covered by the following services)the following services)
Med-Med-Surg- Surg- Wing 1Wing 1
Med/Med/Surg – Surg – Wing 2Wing 2
Med/Med/Surg – Surg – Wing 3Wing 3
MICUMICU SICUSICU Neuro/Neuro/OrthoOrtho
Neuro Neuro Step Step DownDown
Neuro ICUNeuro ICU
Unit-dose oral drug products (indicate %)Unit-dose oral drug products (indicate %) 9999 9999 9999 9999 9999 9999 9999 9999
Comprehensive sterile product admixture Comprehensive sterile product admixture service, including IV push, IVPB, LVP, service, including IV push, IVPB, LVP, chemotherapy, TPN, IM, SQ (indicate %)chemotherapy, TPN, IM, SQ (indicate %)
100100 100100 100100 100100 100100 100100 100100 100100
24-hour cart fill (indicate %)24-hour cart fill (indicate %) 100100 100100 100100 100100 100100 100100 100100 100100
Investigational drug product controlled by Investigational drug product controlled by pharmacy (indicate %)pharmacy (indicate %)
100100 100100 100100 100100 100100 100100 100100 100100
Extemporaneous compounding servicesExtemporaneous compounding services 100100 100100 100100 100100 100100 100100 100100 100100
Pharmacy Services – ClinicalPharmacy Services – ClinicalDIRECTIONS: Indicate the % of DIRECTIONS: Indicate the % of the time patient care areas receive the time patient care areas receive the following pharmacy services the following pharmacy services (e.g., 50%, 75%, 100%):(e.g., 50%, 75%, 100%):
Med/Med/Surg – Surg – Wing 1Wing 1
Med/Med/Surg – Surg – Wing 2Wing 2
Med/Med/Surg – Surg – Wing 3Wing 3
MICUMICU SICUSICU Neuro/Neuro/OrthoOrtho
Neuro Neuro Step Step DownDown
Neuro ICUNeuro ICU
Medication historyMedication history 100100 100100 100100 6767 6767 6767 6767 6767
Profile reviewProfile review 100100 100100 100100 100100 100100 100100 100100 100100
MAR reconciliationMAR reconciliation NANA NANA NANA NANA NANA NANA NANA NANA
Medication reconciliationMedication reconciliation 100100 100100 100100 100100 100100 100100 100100 100100
Prospective identification of medication-Prospective identification of medication-related problems.related problems.
3333 3333 3333 9090 9090 3333 3333 100100
Prospective medication regimen designProspective medication regimen design 3333 3333 3333 9090 9090 3333 3333 100100
New medication order reviewNew medication order review 100100 100100 100100 100100 100100 100100 100100 100100
Initiate medication regimensInitiate medication regimens 3333 3333 3333 3333 3333 3333 3333 3333
Prospective patient monitoringProspective patient monitoring 3333 3333 3333 100100 100100 3333 3333 100100
Recommend/implement therapeutic changesRecommend/implement therapeutic changes 6767 6767 6767 6767 6767 6767 6767 6767
Pharmacokinetic monitoringPharmacokinetic monitoring 100100 100100 100100 100100 100100 100100 100100 100100
Consultation services: nutrition, pain, otherConsultation services: nutrition, pain, other 3333 3333 3333 3333 3333 3333 3333 3333
Pharmacy Services – ClinicalPharmacy Services – ClinicalDIRECTIONS: Indicate the % of the time DIRECTIONS: Indicate the % of the time patient care areas receive the following patient care areas receive the following pharmacy services (e.g., 50%, 75%, pharmacy services (e.g., 50%, 75%, 100%):100%):
Med/Med/Surg – Surg – Wing 1Wing 1
Med/Med/Surg – Surg – Wing 2Wing 2
Med/Med/Surg – Surg – Wing 3Wing 3
MICUMICU SICUSICU Neuro/Neuro/OrthoOrtho
Neuro Neuro Step Step DownDown
Neuro Neuro ICUICU
Clinical outcomes documentationClinical outcomes documentation YESYES YESYES YESYES YESYES YESYES YESYES YESYES YESYES
Patient education and discharge counselingPatient education and discharge counseling 3333 3333 3333 3333 3333 3333 3333 3333
Clinical intervention documentationClinical intervention documentation YESYES YESYES YESYES YESYES YESYES YESYES YESYES YESYES
Support/conduct research Support/conduct research 100100 100100 100100 100100 100100 100100 100100 100100
Participate in multidisciplinary rounds (Teaching Participate in multidisciplinary rounds (Teaching Rounds)Rounds)
100100 100100 100100 100100 100100 100100 100100 100100
Medication order-entryMedication order-entry 100100 100100 100100 100100 100100 100100 100100 100100
Medication Use Evaluation participationMedication Use Evaluation participation YESYES YESYES YESYES YESYES YESYES YESYES YESYES YESYES
Create and implement treatment guidelines/protocolsCreate and implement treatment guidelines/protocols YESYES YESYES YESYES YESYES YESYES YESYES YESYES YESYES
Participate in multidisciplinary committeesParticipate in multidisciplinary committees YESYES YESYES YESYES YESYES YESYES YESYES YESYES YESYES YYEESS
Outcomes, goals and objectivesOutcomes, goals and objectives
- Required vs Elective- Required vs Elective
- Evaluation- Evaluation
Increase search capabilities on web pageIncrease search capabilities on web page
Ability for you to enter dataAbility for you to enter data
Web-based toolWeb-based tool
Currently in DevelopmentCurrently in Development
Will be available to all accredited programsWill be available to all accredited programs
McCreadie Group/ASHP McCreadie Group/ASHP
Further questions you can contact us at: Further questions you can contact us at: [email protected]@ashp.org