Post Graduate Year Two (PGY2) Pharmacy Informatics€¦ · informatics and technology to enhance...

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Post Graduate Year Two (PGY2) Pharmacy Informatics

2017-2018

Residency Manual

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Table of Contents Purpose and Philosophy................................................................................................................................ 3

Organizational Structure ................................................................................ Error! Bookmark not defined.

Program Outcomes, Goals, and Objectives .................................................................................................. 4

Structure of Residency Experiences .............................................................................................................. 6

Benefits ......................................................................................................................................................... 7

Health, Disability, and Professional Benefits ............................................................................................ 7

Educational Benefits ................................................................................................................................. 7

Other Benefits ........................................................................................................................................... 7

Paid Time Off (PTO) ................................................................................................................................... 7

Expectations of the Resident ........................................................................................................................ 9

Licensure Verification ............................................................................................................................... 9

Professionalism ......................................................................................................................................... 9

Duty Hours ................................................................................................................................................ 9

Overtime/ Moonlighting ......................................................................................................................... 10

Residency Activities and Requirements ...................................................................................................... 11

Evaluation Process and Requirements........................................................................................................ 17

Evaluations .............................................................................................................................................. 17

Documentation ....................................................................................................................................... 18

Requirements for Receiving a Certificate ................................................................................................... 20

Appendices .................................................................................................................................................. 23

Appendix A: Orientation Checklist .......................................................................................................... 24

Appendix B: Evaluation Schedule 2017-2018 ......................................................................................... 27

Appendix C: Tracking Form ..................................................................................................................... 28

Appendix D: Requirement Timeline ........................................................................................................ 30

Appendix E: Unique Learning Experiences ............................................................................................. 31

Staffing Learning Experience .................................................................................................................. 34

Research plan .......................................................................................................................................... 39

Appendix G: PTO Request Procedures .................................................................................................... 41

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Purpose and Philosophy

Purpose The purpose of a PGY2 pharmacy informatics residency is to prepare the pharmacist for practice in a pharmacy informatics position. Residency training is designed to provide the resident experience in applying informatics and technology to enhance care of the patient and support healthcare professionals. This is accomplished by staffing responsibilities, appropriate clinical rotations and working with a broad range of medication systems, health care professionals, and vendors. Residency training also offers other advantages:

•A competitive advantage in the job market – More and more employers recognize the value of residency training. A pharmacist who has completed a residency will have unique advantages over applicants who have not.

•Networking opportunities – Many opportunities arise for residents to establish or expand their network of professional acquaintances and contacts including preceptors and other residents, especially in the informatics specialty area.

•Career planning – During the course of training, most residents gain a clearer understanding of the specific informatics setting which best suits him or her. Residency preceptors are committed to providing personal attention to assist each resident in further defining professional goals.

• Professional vision – Many programs also offer the opportunity to see how pharmacy is practiced in different parts of the country, by arranging for residents to visit other residency programs or by allowing residents to complete a portion of the residency at another site (for example, vendor rotation opportunity or didactic teaching or precepting opportunities if available).

Philosophy The ASHP accreditation standard provides criteria that every program must meet in order to receive and maintain accreditation. This program follows the ASHP - approved PGY2 Informatics Residency Outcomes, Goals, and Objectives. The requirement for this residency program is consistent with ASHP to solely consider candidates who have successfully completed a PGY1 residency. While this program follows ASHP standards, one of its strenths is the flexibility to tailor the learning experience to meet the informatics needs and interests of each individual resident. The mission of our program includes developing a core skill set in pharmacy informatics and fully understanding the intersection of technology, patient care and professional practice. The program also offers a unique opportunity to work closely with the primary vendor of the institution to learn about the vendor perspective.

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Program Outcomes, Goals, and Objectives

The residency program will provide each resident with specific learning experiences designed to enable

the resident to expand the scope of his/her practice skills.

Required Goals

R1.1 Demonstrate understanding of basic pharmacy informatics principles, standards and

best practices.

R1.2 Evaluate opportunities for improving patient outcomes by improving the safety and

quality of the medication-use system through the application of informatics principles,

standards, and best practices.

R1.3 Evaluate opportunities for improving operational efficiencies in order to better serve

patient and health professional needs through the application of informatics principles,

standards, and best practices.

R2.1 Evaluate the validity of information and knowledge in the organization’s technology

and automation systems.

R2.2 Assure that all patient-specific, medication-specific, and evidence-based

pharmacotherapy information required to support effective medication-related

decisions is readily available in a useful format to members of interdisciplinary, patient-

centered teams.

R3.1 Assure the accurate and efficient flow of data between the organization’s technology

and automation systems.

R3.2 Support efforts to assure the interoperability of technology and automation systems

that interface with those of outside organizations.

R3.3 Guard the confidentiality and security of health data stored in the health care

organization’s database.

R3.4 Demonstrate additional competencies that contribute to working successfully in the

health care environment.

R4.1 Demonstrate a working knowledge of available technology and automation systems for

prescribing medications.

R4.2 Demonstrate a working knowledge of currently available automated technology for order processing.

R4.3 Demonstrate a working knowledge of currently available automated devices for the safe and efficient distribution and dispensing of medications.

R4.4 Demonstrate a working knowledge of currently available technology or automation for the safe and efficient administration of medications.

R4.5 Demonstrate a working knowledge of currently available automated technology for documenting medication administration.

R4.6 Demonstrate a working knowledge of currently available electronic surveillance

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systems for effects monitoring.

R4.7 Demonstrate a working knowledge of currently available pharmacy inventory management systems.

R4.8 Demonstrate a working knowledge of emerging technology and automation systems that assist with the medication-use system.

R4.9 Contribute to resolution of identified operational problems.

R5.1 Contribute to planning for acquisition and implementation of significant technology or automation initiatives involving the pharmacy department.

R5.2 Participate in the implementation of a technology or automation system.

R5.3 Participate in contingency planning.

R5.4 Report the findings of a technology or automation system project.

R6.1 Demonstrate the personal skills and abilities of a pharmacy informatics leader.

R6.2 Represent the pharmacy informatics perspective in interactions with the information technology staff, other health care staff, and/or technology and automation vendors.

R6.3 Demonstrate the technical skills essential to the role of a pharmacy informaticist.

R6.4 Represent pharmacy informatics concerns in strategic planning for the implementation, use, and maintenance of technology and automation systems.

E1.1 Design, execute, and report results of investigations of pharmacy informatics-related issues.

E2.1 Serve as an expert resource for the management of a specific technology or automation system.

E3.1 Understand faculty roles and responsibilities. (optional)

E3.2 Exercise teaching skills essential to pharmacy faculty. (optional)

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Structure of Residency Experiences Orientation (4 weeks) Core Rotations (4 weeks) Transitional Elective Rotations

1. Medical Center

Orientation

2. Residency/RLS

3. Computer Training

4. Hospital Practice/

Central Pharmacy &

Satellites

5. Staffing Orientation

1. Clinical Pharmacy Systems Management (CPOE, Pharmacy System, Documentation System, Automated Dispensing Devices)

2. Clinical Decision Support

3. Clinical Rotation

4. Analytics - Data Management

5. Medication Safety

6. Technical Concepts

7. Ambulatory

1. ASHP Midyear

2. ASHP Summer

Meeting

3. Residency Project

1. Clinical Decision Support II

2. EHR/Vendor Relations

3. Medication Safety II

4. Evidence Based Medicine/Order Sets

5. System Alerts

6. Outpatient Pharmacy Automation & e-Prescribing

7. Web-based pharmacy application

8. Med Carousel Technology

9. Ambulatory II

10. Analytics – Advanced Data Management

Longitudinal Elective Clinical Rotations:

Topic and/or Case Presentation (2)

Assistance with PGY1 MUE projects

Newsletter Fast Fact (1)

Hospital Pharmacy Practice (staffing)

Residency Project (1)

Therapeutic Exchange (1 CE) or equivalent

Residency Project Presentation

Automation Project

Solid Organ Transplant

Bone Marrow Transplant

Infectious Disease

General Pediatrics

ICU Pediatrics

NICU Pediatrics

BMT/Onc Pediatrics

Nutrition

Critical Care

Medicine

Trauma

Burn

Surgical

Geriatrics

Cardiology

*At the request of a resident to gain experience in a particular clinical area. No more than one 4 week rotation is

recommended, however, exceptions may be made. Ideally, informatics will be incorporated into the clinical rotation when

possible.

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Benefits

Please refer to the Human Resources Page on the Vanderbilt University Website for more information:

http://hr.vanderbilt.edu/benefits/benefitspackage.php

Health, Disability, and Professional Benefits Health care plan options, including an HMO plan

Paid time off (PTO) including 7 observed Holidays

Short Term Disability

Life insurance

Professional liability insurance supplied by the Medical Center

Immunizations and all other health related costs required by the Medical Center

Employee Wellness Program

Educational Benefits Full access to the Biomedical Library

Financial support and professional leave for the ASHP Midyear Meeting and the ASHP Summer Meeting.

Other Benefits Travel and relocation expenses directly related to moving to Nashville (moving company, truck

rental, fuel, hotel)—up to $1500

Payment of Tennessee Board of Pharmacy license fee in June—license fee and professional tax

NAPLEX transfer fees

Photocopying directly related to residency

Office space & computer work station

Employee Assistance Program

ACPE approved continuing education provided by the Department of Pharmaceutical Services

Discounts at local merchants

Paid Time Off (PTO) PTO will be granted on the first day of the residency program

PTO is used for vacation, holidays, sick days, and interview days if needed

Due to the rigorous, educational nature of the residency training program, it is expected that

residents minimize the use of PTO days (suggest that residents use a portion of the PTO

allotment throughout the year).

If you are not working the holiday, you are encouraged to use a week of your PTO for the

holiday that you are off.

http://hr.vanderbilt.edu/benefits/benefitspackage.php

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Vacation may not be taken during ASHP Midyear Meeting or ASHP Summer Meeting days, or

scheduled holidays/weekends in the staffing component of the residency. Vacation requested

for June is discouraged and will be reviewed on a case by case basis by the Residency Director.

Residents may not be absent more than 5 days from any rotation experience (professional

leave/personal/vacation) unless approved by the Residency Director and rotation preceptor.

July 4th, Labor Day, Thanksgiving Day, Christmas Eve, Christmas Day, New Year’s Day, Memorial

Day are observed holidays. Residents will be assigned to work 2 major and 1 minor holiday. If

the resident is scheduled on the pharmacy staffing schedule for a holiday, that shift prevails. The

department also recognizes the day after Thanksgiving and New Year’s Eve in the department

staffing rotation and these are handled and scheduled per department policy. If the resident is

off for any holiday, then they must submit this time as PTO

Refer to the PTO Request Procedure in the Appendix.

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Expectations of the Resident

The resident is expected to achieve the objectives of the Residency Program related to both

administrative and professional practice skills. The resident reports to and is supervised by the rotation

preceptor and the residency director. During staffing, the resident is under the supervision of the

pharmacist in charge.

Licensure Verification

Pharmacy licensure in Tennessee is a requirement for pharmacy practice residents at VUMC. The

residency program director will confirm that each resident has taken the NAPLEX and the Tennessee

pharmacy law exam, or will take the Tennessee law exam upon transfer of NAPLEX scores from another

state, or already had a valid Tennessee pharmacy license. Upon notification of successful completion of

the NAPLEX and/or law exam the resident will provide documentation of licensure to the RPD. The

resident will provide the department the licensure certificate for display during the resident’s year at

VUMC. Licensure must be obtained no later than August 15 of the residency year.

Professionalism

Hours of practice vary according to the requirements set forth by the preceptor and director. The

resident is expected to be present in body, mind, and spirit at all assigned activities of the service they

are currently a part of, including medical staff rounding, education classes, and administrative activities.

The resident may be assigned duties that require work overnight or that may continue during days away

from the hospital; however, these assignments will not be beyond the expectations of other pharmacy

professionals’ duties. An eight hour day is a minimum requirement for physical presence on site during

assigned work days.

Duty Hours

Resident work hours must comply with the current duty hour standards of the Accreditation Council for

Graduate Medical Education (ACGME). Duty hours are defined as all clinical and academic activities

related to the residency program that is performed on-site. Duty hours must be limited to 80 hours per

week, averaged over a 4-week period. These duty hours include covering overtime shifts and

moonlighting. Residents must be provided with 1 day in 7 free from all educational and clinical

responsibilities averaged over a 4-week period. One day is defined as one continuous 24-hour period

free from all residency activities. Adequate time for rest and personal activities must be provided. This

should consist of a 10-hour time period provided between all daily duty periods. Duty hours will be

reported to the residency program director (RPD) on a monthly basis for review.

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Overtime/Moonlighting

The work of the Department is the resident’s most important commitment; however, residents working

extra shift hours in a staffing role for pharmacist pay are permitted. To work overtime, the resident must

be trained in the area. The resident must notify the RPD of all overtime/moonlighting shifts for approval

prior to scheduling the shift. The extra hours worked must not interfere with residency related

activities.

Moonlighting outside of Vanderbilt is strongly discouraged. However, if the resident chooses to

moonlight outside of Vanderbilt, all activity must be disclosed via the VUMC conflict of interest

disclosure process. The extra hours worked must not interfere with residency related activities. ALL

work hours must not exceed the 80-hour limit set forth by ACGME. The resident must notify the RPD of

all overtime/moonlighting shifts for approval prior to scheduling the shift.

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Residency Activities and Requirements

Rotations

There are 11 rotations during the PGY2 residency year. Each rotation period is approximately 4 weeks in

duration. All residents must complete the following required rotations: orientation, pharmacy systems,

clinical systems, clinical rotation, CDS, data management, medication safety, technical concepts, and a

clinical rotation. Rotation requirements may vary based on preceptor. Criteria based assessments should

be reviewed at the outset of each rotation by resident and preceptor to assure completion of all

requirements by the end of the residency year.

Informatics On-Call

The On-Call person provides a resource to help with pharmacy informatics issues 24/7. The resident will

be on-call usually 4-6 days per month depending on the rotation roster and calendar month.

Out-of-State Conferences

ASHP Midyear

o Registration begins in July/August; residents are responsible for meeting these

registration deadlines.

o Residents must also register for the Vizient meeting and present a poster at the Vizient

resident poster session.

o It is required that all residents attend a minimum of 10 hours of lectures/seminars.

ASHP Summer Meeting

o Residents are responsible for meeting registration deadlines.

o Residents must also present a poster at the resident poster session.

Journal Club

The purpose of the Journal Club assignment is for the resident to present or assist the pharmacy student

or resident in creating an optimal journal club experience of a current informatics related study to

targeted members of the Health IT team, including, but not limited to, other residents, students, and

clinical preceptors. The Journal Club experience will be a discussion between the pharmacy

resident/student and the members of the audience, with full audience participation expected. Residents

are expected to lead Journal Club for the department once in their residency year. All residents are

required to attend.

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Topic Presentation

The purpose of topic presentation is for the resident to present an interesting topic in which they

directly participated. They are to present members of the Health IT team or Pharmacy Portfolio,

including, but not limited to, other residents, students, and clinical preceptors. All residents are

required to attend. Presentation should be focused on informatics topics and include primary literature

in reference to the case.

Continuing Education Presentations

Two formal presentations by each resident will be conducted during the residency year:

Therapeutic Exchange: This is a 60 minute CE presentation that includes some controversy

and/or is a hot topic in informatics or pharmacotherapy. Primary literature is to be used as a

guiding force to put this presentation together. Presentation objectives and title are to be

submitted one month prior to your assigned presentation date.

Residency Project: This is a 10-15 minute presentation of the resident’s research project.

This includes several practice sessions and then a formal presentation with

feedback/evaluation from preceptors and residents during practice and attendees at. This

will also be presented in conjunction with the other residents ASHP Summer Meeting to be

a complete 60 minute CE presentation for the department.

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Newsletter/Fast Facts

The purpose of the Fast Fact assignment is for the resident to provide information about a pharmacy-

related topic that could be of use and educational value to the Department of Pharmaceutical Services.

The Fact Fast should highlight a new topic and provide practical information to pharmacists and/or

pharmacy technicians. The Fast Fact will be published in the InPharmation newsletter, which is

published at the end of each month. Each resident will provide one Fast Facts during the year, typically

one in the fall and one in the spring.

Research Project

Each resident will conduct a research project over the course of the residency year. This project will

include idea development, literature review, study design, IRB submission, data collection, data analysis,

data interpretation, oral presentation and a written manuscript. The written manuscript is to include

identification of an appropriate journal for potential submission and the following of the instruction to

authors for that journal. The manuscript must be written and submitted in final form prior to completion

of residency. The manuscript must be reviewed by the project mentor(s) and approved by the residency

director. The resident will have a mentor identified for interactions and guidance during the year.

Recruitment

Residents will assist in the resident recruitment and candidate selection process at Midyear and during

on-site interview of candidates during the first part of the calendar year.

MUE

Each informatics resident will assist with a medication use evaluation during the residency year. These

are assigned the first month of the residency. Findings are to be summarized in a 10 minute power point

presentation with recommendations of the most appropriate course of action based on the findings to

the P&T Committee and/or appropriate committee.

Medical Center Education Programs

Noon conferences, DBMI lectures, and other education conferences are offered throughout VUMC.

These are posted in Vanderbilt publications and via email notifications. The resident is strongly

encouraged to attend these whenever possible.

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Hospital Pharmacy Practice

The resident will practice in a guided hospital practice scheduled for every fourth weekend and selected

holidays. The resident will gain experience in IV Room & Sterile Products, Central dispensing, narcotic

room, and responsibilities associated with Pharmacist in Charge.

(This is a guideline and will be dependent on staffing location assignment. The PGY2 resident will have a

similar staffing experience model as the PGY1 residents, however, depending on the PGY2 prior staffing

experience, goals and objectives may be adjusted as needed to ensure staffing competency of the PGY2

resident. It is an expectation that informatics resident will provide oversight to the PGY1 residents in

dispensing roles and clinical monitoring roles when PGY1 and PGY2 residents are staffing

simultaneously).

Expectations for Residents in First Quarter – Staffing Assignment

Orient to the Central Pharmacy and learn the procedures of both the unit dose area and the sterile products preparation areas.

Adjust to the scheduling assignments and focus on being present and ready to work in the assigned area at the assigned time. Stay in the work area during your entire shift and be available to focus on the work at hand. Observe appropriate break time such as 30 minutes for lunch breaks. Learn to indicate any scheduling adjustments on the posted pharmacist schedule such as swaps in assignments

Develop an understanding of the systems and processes and develop skills such as with CPOE order processing (“VOP”).

Develop relationships with the Central Area team. Be careful to ask a more senior pharmacist before making changes to work processes. Follow the established dress code and other workplace policies. Be sensitive to the needs of the other staff in the area and do not routinely ask to leave early. Make sure that work is caught up prior to leaving your assignment.

Begin to develop a broader view of the work place and rotate among the various stations (AcuDose check or cart check, pharmacy labels on Zebra, extemp prep, packaging machine, phones, tube station, IV Room, etc.) in order to maintain and effective work flow and efficiency level.

Learn to collaborate with other staff members shift regarding work flow issues or whenever time may become available to work on projects but remain available to return your focus to the work at hand whenever workload increases.

Remain flexible and ask questions.

Once initial training is complete, primary assignment will be in the IV Room/Sterile Products or the Unit Dose area – may flex depending on staffing requirements.

Resident will check in with the pharmacist and technician mentors at the end of each weekend shift to see if there are suggestions for improvement. If mentors are not working on the same weekend, resident will check in with their mentors at the next available opportunity to discuss any questions.

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Expectations for Residents in Second Quarter – Staffing Assignment

Demonstrate proficiency in all areas of the Central Pharmacy.

Demonstrate proficiency with systems and processes and manage the established levels of efficiency.

Demonstrate a broad view of the work place and rotate among the various stations maintaining effective workflow and efficiency.

Primary assignment will be to float between the IV Room and Unit Dose areas

Begin to observe the Pharmacist in Charge (PIC) role


Expectations for Residents in Third Quarter – Staffing Assignment

Begin training in the Junior Pharmacist in Charge (PIC) role

The resident (junior) and the normal (senior) management person on the weekend will both be designated as PIC. These two persons will work together to manage the personnel and workflow. The normal management person can help teach the resident how to solve problems that arise during a shift.

The resident will not be in the float position unless scheduling dictates this as a need. However, part of being PIC includes assessing both the unit dose and IV areas and helping in all areas.

The resident has an increased responsibility to keep in touch with the workflow and employees during the shift. The resident should assure all work has been completed for the shift prior to approving anyone to leave early (then check with the lead tech and check who is working in an overtime slot to help with these decisions).

Communicate end of shift issues to the unit dose area evening pharmacist prior to leaving.

Personnel conflicts, staffing problems, catastrophes, and occupational health issues will defer to the senior management person designated for the weekend.


Expectations for Residents in Fourth Quarter – Staffing Assignment

Resident will be assigned as the PIC and make independent decisions regarding issues that arise with little assistance from the senior pharmacists. Residents should keep track of DI calls, extra tasks and problem solving they are involved with to review with his/her mentor.

Expectations for Mentors

Check in with residents at the end of each weekend workday or as soon as possible after their weekend to work to discuss their staffing and PIC roles and answer any questions that arise.

Observe the residents during their staffing and PIC roles and offer tips and suggestions for improvement.

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Provide feedback to the resident from other staff members as appropriate regarding their work performance.

Prepare the quarterly evaluations for the residents in regard to their staffing experiences.

Expectation of Residents

Submit a report of activities learned, accomplishments, problems solved etc. as well as areas in need of clarification or focus for the next weekend by Monday following your weekend worked.

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Evaluation Process and Requirements

Evaluations

An essential component of developing the skills of a resident is frequent two-way feedback between

residents and preceptors. The preceptors, program director, and residents will frequently provide

feedback to one another via formal evaluation. Evaluation will occur as described below:

a. Rotation Summative Evaluations: Due no later than 7 working days after the end of the

previous rotation period. This is a written evaluation of the resident’s performances in

meeting the objectives of each rotation. The resident and preceptor will review these

evaluations together. The resident will also complete a preceptor and learning experience

evaluation.

b. Quarterly Evaluations: Longitudinal experiences will require a quarterly summative

evaluation where a written evaluation of the resident’s progress is completed. Learning

experience and preceptor evaluations must also be completed on a quarterly basis for these

experiences.

c. Criteria-Based Assessments: Evaluations of selected activities will be completed by both a

preceptor and the resident.

Case Conferences

Journal Club

Therapeutic Exchange

d. Residency Council Reports: A written evaluation based on period review by the residency

council. This evaluation examines overall progress, including integration of skills learned in

separate rotations, non-rotation objectives/experiences, progress on longitudinal

requirements/rotations (residency project, criteria assessments, etc.) and any pertinent

trends or information found in evaluations to that date. Progress of the resident’s strengths,

weaknesses and career goals will be documented. To satisfactorily complete the residency,

the resident must have shown improvement over the course of the year in both resident

and preceptor scoring. For any goals in which less than a score of 3 is averaged, the resident

and program director will work together to develop individualized plans to assist in making

progress in those areas by residency end. If the resident does not work towards those plans

and progress improvement, residency completion with certificate may be compromised. On

a quarterly basis, goals in which the resident has scored an average of 5 for two consecutive

quarters will be removed from further evaluation.

All evaluations are to be discussed personally between resident and preceptor. All evaluations (rotation

summative on resident, resident on preceptor and resident on rotation overall), CBAs, and self-

assessments should be forwarded to the resident program director or designee in electronic format. A

hard copy should be printed and signed by resident and evaluator and maintained in the resident’s

residency portfolio binder. The electronic database will document the review by the residency program

director.

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Documentation

Each resident will maintain/submit the following documentation:

1. Summative Self-Evaluation: Required for each rotation, CBA, and longitudinal experience. Each

evaluation is due 7 working days after the completion of the previous rotation period.

2. Rotation and Preceptor evaluations will be submitted to the preceptor and then program director or

designee within 7 working days following the completion of the rotation or designated quarterly

evaluation completion dates. This should be presented to the preceptor the same day that the

preceptor presents the block or longitudinal evaluation to the resident. The preceptor must sign off

on this in the evaluation database as reviewed.

3. Criteria-Based Assessments (CBAs) are to be initiated by the resident as opportunities are

encountered then evaluated with corresponding preceptor. The evaluation is documented in

Pharmacademic. Resident initiated CBAs:

Case Conference

Journal Club

Therapeutic Exchange

4. Residency Notebook: The resident will maintain both a hardcopy and an electronic residency

notebook which shall be a complete record of the resident’s program activities. The notebook

should include the following:

Orientation Checklist

All residency-based evaluations including: o Entering Interest form o Goal-based evaluations o Summative (by preceptor and self-evaluations) o Preceptor evaluations o Learning experience evaluations o Custom evaluations o Customized training plans

A record of all educational in-services and seminars presented o Outlines and/or lecture slides o Evaluation of in-service or seminar where applicable o Any edits that you received

Residency Project Materials o Proposal o IRB submission o Data collection & analysis o Final manuscript o Any edits that you received

Any formulary reviews, written drug information responses or other completed assignments

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*The contents of the residency notebook serve as documentation of activities completed during the

residency year. The residency yearbook is a permanent record which is the property of Vanderbilt

University Medical Center.*

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Requirements for Receiving a Certificate

Upon successful completion of all program requirements and compliance with all conditions of the

residency program, Vanderbilt University Medical Center will award the resident a certificate indicating

successful completion of the residency program. The purpose of the PGY2 pharmacy informatics

residents is to prepare the pharmacist for practice in a pharmacy informatics position. Residency

training is designed to provide the resident experience in applying informatics and technology to

enhance care of the patient and support healthcare professionals. This is accomplished by staffing

responsibilities, clinical rotations (if desirable) and working with a broad range of medication systems,

health care professionals, and vendors.

This one year specialty residency and training program is designed to prepare and provide pharmacy

informatics experiences so that the resident will have the core skills to pursue pharmacy informatics as a

career. Through a varied list of potential activities including clinical systems, automation, robotics, and

pharmacy workflow management systems, the resident can have a robust learning environment.

All of the following criteria must be satisfied to successfully complete the program:

Completion of a residency research project that is approved by the program director and submission of a formal write-up in manuscript format by June 1 of the academic year.

Completion of the required number of formal presentations (Journal Club, Therapeutic Exchange and Topic Presentation).

Satisfactory completion of all rotations as determined by the primary preceptor for the rotation

Completion of the required number of Competency-Based Assessments.

A minimum of 75% of all residency objectives marked as “Achieved for Residency” by preceptors or residency program director.

Completion of the residency notebook.

Residents who fail to complete all program requirements and/or do not comply with all conditions of

the residency program shall not be awarded a certificate of completion.

Submission of a completed notebook to the program director (at the conclusion of the program) that

includes evaluations, self-evaluations, and preceptor and learning experience evaluations for all

concentrated and longitudinal experiences.

Poster presentation of the research project at the ASHP MYM or other comparable scientific meeting.

Submission of project abstract for the annual Southeastern Residency Conference or comparable

meeting.

The resident reports to and is supervised by the rotation preceptor and the residency director/

coordinator.

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Responsibilities of the resident include:

Development of personal goals for the residency following an initial evaluation of career interests, prior

experience, and areas of strength and weakness.

Compliance with rotation expectations.

Meeting with the rotation preceptor to define individual goals and objectives for the rotation

completing assignments by the end of the rotation.

Scheduling routine meetings with rotation preceptor.

Informing the residency director of difficulties encountered in meeting goals and objectives or problems

with preceptors assuming responsibility of the rotation preceptor in his/her absence.

Preparing a written self-evaluation, preceptor and learning experience evaluation at the conclusion of

each rotation and quarterly for longitudinal requirements.

Timely communication regarding absences and requested leave; failure to inform the program director

of an absence/illness will result in disciplinary action.

Completion of quarterly reports to be reviewed by the residency director; the purpose of these reports

will be to assure that the established residency goals and objectives are being achieved.

Provision of pharmacy staffing coverage as indicated on the Pharmacy Staffing Schedule.

Completion of a major residency project

PGY2 projects will be presented at platforms at the Southeastern Residency Conference (ASHP Summer

Meeting) for Pharmacy Residents and Preceptors.

Submissions of articles to departmental newsletters.

Attendance at the ASHP Midyear Clinical Meeting and Southeastern Residency Conference for Pharmacy

Residents and Preceptors. Residents may attend other professional meetings if the staffing schedule

permits.

Submission of a completed notebook to the program director upon completion of the program. Specific

details regarding “Notebook Requirements” can be found in the program specific residency manual.

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Sample Resident Rotation Schedule

Learning Experience Type Duration Designation

Orientation Rotation 4 weeks Required

Clinical Pharmacy Systems Management Rotation 4 weeks Required

Clinical Decision Support Rotation 4 weeks Required

Clinical Rotation Rotation 4 weeks Required

Medication Safety Rotation 4 weeks Required

Analytics - Data Management Rotation 4 weeks Required

Ambulatory Rotation 4 weeks Required

CDS II Rotation 4 weeks Elective

Technical Concepts Rotation 4 weeks Required

EHR & Vendor Relations Rotation 4 weeks Elective

Analytics – Advanced Data Management Rotation 4 weeks Elective

Staffing Longitudinal 12 months Required

Automation Project Longitudinal 12 months Required

Research Project Longitudinal 12 months Required

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Appendices

A: Orientation Checklist

B: Evaluation Schedule 2017-2018

C: Requirements Tracking Form

D: Requirement Timeline

E: Clinical On-Call

F: PTO Request Procedure

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Appendix A: Orientation Checklist Pharmacy Resident

Central Pharmacy

Orientation Items Resident Initials Trainer Initials Date Reviewed

General Daily work flow Unit Dose Area Times and associated tasks

Review Pharmacist Shift slots and associated duties Pharmacist in charge IV/Central UD Float Central UD IV/TPN

Review how to read/interpret staffing schedule

Review daily Technician slots and associated responsibilities

N/A

Procurement Process Storeroom Staff Storeroom Responsibilities Storage locations: walk in fridge, storeroom, Med Carousels, PakPlus room Over fill cart, IV/TPN room

Med Carousel/Connect Rx Process Log In code given Pull on demand pick Review of AcuDose/Cartfill Process Pharmacist Scan process Acceptance of AcuDose zones

AcuDose Fill Process AcuDose Orientation with Frank Ray Checking AcuDose Doses AcuDose Log-in and Filling AcuDose Machines Narcotic Check in Narcotic Room

Medication Error Recording Process in the Central Area Internal Errors External Errors

Narcotic Room Procedures CII Safe Log-in and orientation with Charity Prater Checking process Discrepancy resolution

Cart Fill Process Pull process from Med Carousel Check Process Catch-up Doses Delivery of meds to patient specific med drawers

Look alike – Sound alike medications

Extemp Process Set up/Filling Process Checking Process

Non-Sterile Compounding area Orientation to Area What type of products made Who to ask if questions PCCA

Order Processing (Vopping) in Central Areas Central order processes for What to send to the ED

Resident:________________

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How to Clarify an order (resident pager list/operator)

Crash Carts 6 month expiration Red Locks Charges ED Trays

Specific References: Psych book, IV reference manual etc. Blood Factor book, Clozaril, MSDS, etc.

Borrow/Loan policy and procedures

Unit dose packaging TadPoles Bar coding Responsibilities of Pharmacy Unit Dose Packaging Options How to check items in Pak Plus

Tube system policy and procedures Tube System Competency Check List

*Outpatient prescriptions, Stallworth and Psych Hospital Procedures on weekends (cover on first weekend)

IV/TPN/IDS Room


General workflow and distribution of responsibilities amongst pharmacists and technicians

How to find things in the IV room

IV preparation policy and procedures Set up of IV Preparations and Batches Reconstitution of vials Preparation of syringes, PB, LVP and checking these Storage of medications prior to delivery Delivery Schedule

Sterile products preparation check off

Call for medications

Review of how we meet USP 797

Latex allergy policy and procedures

Review of IV resources: how to determine compatibilities, expirations, Vandy IV manual, IV room website , latex website

Narcotic Preparation and wastage Log sheets Wastage record Record of RX number in patient maintenance

Standard Time Schedules

Investigational Drug Area

TPN Area

Outpatient Areas


Review of what and where all outpatient pharmacy services are located, hours, key persons

**Indigent Med Program: policy and procedures – please learn the process of who is eligible, what the policy is, how patients are approved, and how much medication can be dispensed.

**Sample pharmacy: policy and procedures, location, products available, how it works, who pays for it, and why we offer this service, how to look up formulary for this

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Process for prior authorization etc. of high cost drugs and our policy/procedure for handling these (identify main agents etc.)

How we manage the purchase, distribution and charging of medications used in the clinics Medicare/Tenncare issues What are the toughest problems in clinic medication reimbursement

Coumadin Clinic **Who is serviced/eligible **How to enroll a patient (Starpanel) – please walk the

resident through the Starpanel process How information is communicated/documented Policy and Procedures/Protocol CC follows Staff involved in clinic Standards of care in regards to anticoagulation History of the service at Vanderbilt Credentials involved and structure of providing this service Quality assurance/improvement in this area

N/A

Order Processing: Orientation Checklist


Orient to satellites Locations Areas serviced by each Hours

Order clarifications

Work flow

Pharmacist and technician responsibilities

Adverse Drug Reaction reporting , Medication Error reporting

Customer Service Focus

Intervention Documentation

Telephone Courtesy/Etiquette

IV medication administration policy and chart

Meds/Devices brought from home

PCA Pump Policy

DI Resources: Micromedex, Lexi-Comp, Kings, Facts & Comp, Up to Date, Trissell’s, Pubmed

Alaris GuardRails for IV pumps

How to use phone and beeper system

Dashboards (Will do with Pratish or appropriate pharmacist)


Warfarin

Aminoglycoside

Heparin

Consults

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Appendix B: Evaluation Schedule 2017-2018

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Appendix C: Tracking Form SUMMATIVE EVALUATIONS

Rotation Rotation 1

Rotation 2 Rotation 3 Rotation 4 Rotation 5

Preceptor’s Evaluation

Resident Self-Assessment

Learning Experience

Rotation Rotation 6

Rotation 7 Rotation 8 Rotation 9 Rotation 10 Rotation 11



Learning Experience

LONGITUDINAL EVALUATIONS

Quarter 1 Quarter 2 Quarter 3 Quarter 4

Hospital Practice (Staffing)



Learning Experience

Residency Project



Learning Experience

Automation Project



Learning Experience

Training Plan Progress

Residency Council Report

Resident Training Plan Self-Assess

TOPIC PRESENTATIONS

#1 #2



Learning Experience

JOURNAL CLUB

#1 #2



Learning Experience

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THERAPEUTIC EXCHANGE



Learning Experience

OTHER REQUIREMENTS (WITHOUT FORMAL EVAUALTIONS)

ASHP Summer Meeting Presentation

Manuscript

Project Requirements

Proposal IRB Data Collection Presentation

Report/ Manuscript

Research Project

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Appendix D: Requirement Timeline (For Guidance Purposes Only; Dates are subject to change based on individual resident goals/assigned tasks) **This may not be all inclusive – watch your residency requirements tracking form!**

July Baseline self-assessment (Entering resident interest and preference information) Select and develop 60 minute CE Presentation Dates for Journal Club, Case Presentation Selected, CE Presentation August Project topic/preceptor confirmed

Project literature review and bibliography completed and submitted. MUE topic selected and timeline for completion established.

Register for ASHP Midyear Meeting September Project design/Methods write-up complete Project Proposal Presentation –IRB submissions If taking a poster to MYCM, investigate deadlines for abstract submission

How many Criteria Based Assessments have you completed? Pace yourself! Evaluate where you stand with longitudinal assignments (P&T Monograph, MUE) October Project Proposal completion and submitting to IRB, establish timeline for project data collection

and analysis etc. Recruitment Showcases

Case Presentations and Journal Clubs November If taking a poster to MYCM need to complete slide by mid November.

Recruitment Showcases How many Criteria Based Assessments have you completed? Pace yourself! Résumé preparation and interview skills

December ASHP Midyear – Vizient Posters, showcase January Register for ASHP Summer Meeting and Prepare ASHP Summer Meeting abstract February Complete and submit ASHP Summer Meeting abstract Wind up data collection for project Case presentations and journal clubs

How many Criteria Based Assessments have you completed? Pace yourself! March Project: begin organizing data – analyze data - results April Pre-ASHP Summer Meeting project presentation I, II, III, IV, ASHP Summer Meeting

How many Criteria Based Assessments have you completed? Pace yourself! May Project manuscript – first draft completed May 15th June Final Project manuscript due June 15 All Criteria Based Assessment Requirements completed by Jun 15

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Appendix E: Unique Learning Experiences

Staffing Experience

Research Project

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Residency Project Description Worksheet

2017-2018

_________________________________________________________________

Resident: Project Advisor:

Date of Initiation: Date of Completion:

Responsible Investigators:

Department(s) Involved:

Key Personnel to Obtain Approval From:

Question to be answered:

Expected Outcomes of the Study:

Rationale for the Study:

Defining Measurements:

Data that will be collected:

Databases to Study or Create:

Data Analysis:

Description of Results:

Benefit to the Resident:

Benefit to the Department:

Likelihood of Publication:

Commitments: ______________ _________________ __________

Resident Preceptor Other

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Past Residency Projects

2006 – 2017

Year Resident Title Comment

2006 - 2007 Alan Chung

Evaluation of an Integrated Computerized Pharmacist Intervention Database

*

2007 - 2008

Alan Chung Minimizing Alert Fatigue in a Pharmacy Computer System

2008 - 2009

Matt Marshall

Traffic Jams in the Medication-Use Superhighway * ◊

2011 - 2012 Wing Liu

Reconciliation of Drug-Drug Interaction Alerts Between Customized and Commercial Database Compendia

◊

2012 - 2013 Vanitra Richards

Evaluation of Contraindicated Drug-Drug Interaction in a CPOE System, a Pharmacy Information System,

and an Electronic Prescribing System

*

2013 - 2014 Anuj Thirwani

Implementation of Clinical Decision Support to enhance Antimicrobial Stewardship-guided novel Laboratory Test

Ordering

*

2014 - 2015 Seth Strawbridge

Using Smart Pump Technology to Improve Charge Capture of Outpatient Infusions

* ◊

2015 - 2016 Taylor Woodroof

Comparing Medications Lists to Problem Lists Using a Medication-Indication Matching Resource

◊

2016 - 2017 Hamilton Wen

Searching for a single source of truth using knowledge management of immunization information

◊

* Presented at the Southeastern Residents Conference (SERC) in Athens, GA ◊ Presented at the ASHP Residency Poster Presentation

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Staffing Learning Experience Preceptor: Jason Tomichek, PharmD Phone: 615.322-6003

General Description The Pharmacy Practice longitudinal rotation is an opportunity for the resident to develop foundational practice skills in hospital pharmacy practice. The residency will work in the VUH Inpatient Operation Central and Satellite pharmacies. The resident will develop proficiency in automated central distribution, narcotic distribution and management, extemporaneous oral preparations, medication order processing, drug information, intravenous admixture and TPN admixture. The resident will also develop an understanding of workflow processes in a department setting, as well as medication safety monitoring. PGY2 residents may have a different staffing experience than PGY1 residents.

The resident is required to staff every fourth weekend 7a-3:30p and one evening during the week 3:30-7p. Resident will train and staff in the Central pharmacy during the first semester of the PGY1 year. Around the first of January, the residents will receive cross training in the 6th floor pharmacy satellite to augment their view of patient care in a hospital setting. They will staff the first two hours of their weekday shift on the 6th floor satellite once training is complete. Goals and Objectives The goals selected to be taught and evaluated during this learning experience include:

Goal R1.3: Prepare and dispense medications following existing standards of practice and the organization’s policies and procedures.

Goal R2.1: Evaluate the validity of information and knowledge in the organization’s technology and automation systems.

Goal R2.2: Assure that all patient-specific, medication – specific, and evidence-based pharmacotherapy information required to support effective medication-related decisions is readily available in a useful format to members of interdisciplinary, patient-centered teams.

Goal R4.1: Demonstrate a working knowledge of available technology and automation systems for prescribing medications.

Goal R4.2: Demonstrate a working knowledge of currently available automated technology for order processing.

Goal R4.3: Demonstrate a working knowledge of currently available automated devices for the safe and efficient distribution and dispensing of medications.

Goal R4.9: Contribute to resolution of identified operational problems. Activities The activities assigned to this learning experience reflect the activities a pharmacist working in this environment is expected to be able perform. These activities were also selected to help you work toward achieving specific objectives which in turn will help you achieve the goals assigned to the learning experience.

Activity Objectives Covered

Demonstrate proficiency in the VUH Inpatient Pharmacy Demonstrate proficiency with systems and processes and manage the established levels of efficiency Demonstrate a broad view of the work place and rotate among the various stations maintaining effective work flow and efficiency

OBJ R2.1.1-2 OBJ R4.1-1-2 OBJ R4.2.1-2 OBJ R4.3.1-2

Display initiative in preventing, identifying, and resolving pharmacy-related OBJ R1.3.1-4

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patient-care problems

Utilize and have understanding of effectiveness, efficiency, customary practice and the recipient's preferences to determine the appropriate type of, and medium and organization for, communication Use listening skills effectively in performing job functions.

OBJ R2.1.1-2 OBJ R2.2.1-2

Use time management skills effectively to fulfill practice responsibilities OBJ R4.9.1

Preceptor Interaction There will be assigned staffing mentor. This person will work with the resident on their designated weekend help the resident understand all operational aspects of the pharmacy. The staffing mentor is to assist the resident in any operations questions and to evaluate the resident’s progress in operational activities throughout the year.

Evaluation Strategy Evaluation of residents will be based on the RLS Learning Goals. Resident will complete the weekend review form to help foster discussion with their longitudinal mentor, RPC and staffing evaluator. Evaluation will consist of a summative evaluation at the end of each quarter (September, December, March, June). The specific goals and objectives, on which the resident will be evaluated, will be provided at the beginning of the rotation. Residents will be requested to complete a self-evaluation for all evaluations. Residents will also be required to complete a learning experience evaluation and a preceptor evaluation. Evaluations are completed in Pharmacademic. All work to be evaluated on rotation must be turned in for review no later than the last day of the rotation.

Timeline for the Experience This is a longitudinal experience that will last the duration of the residency year.

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Staffing Guidance and Expectations

First Quarter

Orient to the Central Pharmacy and learn the procedures of both the unit dose area and the sterile products preparation areas.

Adjust to the scheduling assignments and focus on being present and ready to work in the assigned area at the assigned time. Stay in the work area during your entire shift and be available to focus on the work at hand. Observe appropriate break time such as 30 minutes for lunch breaks. Learn to indicate any scheduling adjustments on the posted pharmacist schedule such as swaps in assignments

Develop an understanding of the systems and processes and develop skills such as with CPOE order processing (“VOP”).

Develop relationships with the Central Area team.

Follow the established dress code and other workplace policies. Be sensitive to the needs of the other staff in the area and do not routinely ask to leave early. Make sure that work is caught up prior to leaving your assignment.

Begin to develop a broader view of the work place and rotate among the various stations (AcuDose check or cart check, extemp prep, packaging machine, phones, tube station, IV Room, etc.) in order to maintain and effective work flow and efficiency level.

Learn to collaborate with other staff members shift regarding work flow issues or whenever time may become available to work on projects but remain available to return your focus to the work at hand whenever workload increases.

Remain flexible and ask questions.

Resident will check in with the pharmacist and technician mentors at the end of each weekend shift to see if there are suggestions for improvement are areas that they would like more exposure and complete The Weekend Staffing Report. This report will include activities learned, accomplishments, problems solved etc. as well as areas in need of clarification or focus for the next weekend.

Second Quarter

Demonstrate proficiency in all areas of the Central Pharmacy.

Demonstrate proficiency with systems and processes and manage the established levels of efficiency.

Demonstrate a broad view of the work place and rotate among the various stations maintaining effective work flow and efficiency.

Primary assignment will be to float between the IV Room and Unit Dose areas

Resident will check in with the pharmacist and technician mentors at the end of each weekend shift to see if there are suggestions for improvement are areas that they would like more exposure and complete The Weekend Staffing Report.

Third Quarter

As above with more autonomy

Begin floating to 6th Floor Satellite to obtain broader vision of pharmacy services Fourth Quarter

Begin to practice some skills related to the (PIC) role such as having an increased responsibility and awareness of the workflow and employees during the shift. The resident should assure all work has been completed for the shift prior to approving anyone to leave early (then check with the lead tech and check who is working in an overtime slot to help with these decisions).

Communicate end of shift issues to the unit dose area evening pharmacist prior to leaving.

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Staffing Form

Pharmacist Resident

Staffing Report

Name:

Date:

Location for staffing:

Pharmacist in charge:

What did I do this weekend? (check all that apply)

Answered at least 5 phone calls

Dose Edge

Checked/Filled Extempts

Identified and resolved a medication error and

documented in Veritas

Prepared indigent meds

Clozapine registry

IDS dispense

Sent missing dose

Helped resolve an AcuDose issue

Documented my interventions/DI Questions in

Quantifi

Checked Pak Plus

Psych Orders

Regenerated or rescheduled an order

Vop at least 20 orders in HMM

Helped resolve staffing issue (ie sick call)

Checked crash cart, ED, FEL trays

Prepared and checked out event box

Borrow and Loan

Checked or prepared compounding item

Verified and dispensed Factor order

Checked TPN

Checked or dispensed narcotic with CDR

Connect RX (stock outs, inventory, event report)

Med Carousel

Other_____________________________

What did I learn this weekend?

__________________________________________________________________________________________________

______________________________________________________________________

Next weekend, I want to learn or try to:

__________________________________________________________________________________________________

__________________________________________________________________________________________________

________________________________________________________

Comments from pharmacist in charge: Initials__________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

________________________________________________________

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Research Project Learning Experience RPD: Phillip W. Stewart, DPh Phone: 615.936.2930 Cell: 615.829.1347 Research Preceptor: Scott D Nelson, PharmD, MS (Determined depending on research topic) Cell: 801.953.7335 General Description The purpose of the research project is for the resident to design and implement a research project that will benefit the resident, the Department, and the institution. A project, administered by the resident and mentored by a primary preceptor, is required of all residents. One preceptor will be selected for each project who will act to facilitate the project, mentor the resident, and who shares responsibility for meeting deadlines, submission of applications for research (IRB, etc.), presentations and manuscript development and submission. The project plan submitted should

be binding to the resident and to the preceptor(s) involved. Project ideas will be reviewed by the Pharmacy Informatics Residency Advisory Council and available for selection by the resident. The council will serve as a consultant for the residency project and the resident should report to the

committee throughout the research design process. The resident is to perform a significant amount of literature review, project design, data gathering, statistical

evaluation, writing, and reporting of the project. The end product is a presentation at the Southeastern Residency Conference or comparable venue and a written manuscript suitable for publication. Goals and Objectives The goals selected to be taught and evaluated during this learning experience include:

Goal R1.3: Evaluate opportunities for improving operational efficiencies in order to better serve patient and health professional needs through the application of informatics principles, standards, and best practices.

Goal R2.1: Evaluate the validity of information and knowledge in organization’s technology and automation systems.

Goal R5.2: Participate in the implementation of a technology or automation system.

Goal R5.4: Report the findings of a technology or automation system project.

Goal R6.1: Demonstrate the personal skills and abilities of a pharmacy informatics leader.

Goal R6.3: Demonstrate the technical skills essential to the role of a pharmacy informatics.

Goal R6.4: Represent pharmacy informatics concerns in strategic planning for the implementation, use and maintenance of technology and automation systems.

Goal E1.1: Design, executes, and report results of investigations of pharmacy informatics-related issues.

Activities The activities assigned to this learning experience reflect the activities a pharmacist working in this environment is expected to be able perform. These activities were also selected to help you work toward achieving specific objectives which in turn will help you achieve the goals assigned to the learning experience.


Formulate a feasible design for a pharmacy practice related research project.

Obj R 1.3.1

Collect and analyze appropriate data in order to formulate and present conclusion on a practice related issue.

Obj R 2.1.1-2

Secure IRB approval for project needs. Obj R 2.1.1-2 Obj R 6.4.1

Synthesize a manuscript suitable for publication and a presentation to be presented at a regional or national conference.

Obj R 5.4.1 Obj E 1.1.1-8

Participate in all aspects of the implementation of the project. Obj R 5.2.1-4

Develop specific aims and design study methods that will answer Obj R 6.1.1-7

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the question identified. Obj R 6.2.1-2 Obj R 6.3.1-11

Draw valid conclusions through evaluation of the data. Obj R 2.1.1-2

Participate in contingency planning. Obj R 5.3.1-3

Report the findings to colleagues. Obj R 5.4.1

Preceptor Interaction There will be assigned a lead preceptor for the research project based on which preceptor submitted the project idea. The lead preceptor is responsible for assisting the resident through the project logistics, reviewing the project presentations and manuscript, and evaluating the resident via PharmAcademic. Evaluation Strategy There will be a formal evaluation through PharmAcademic for this Learning Experience. The preceptor will meet with the resident after the presentation to review the evaluations and to formally discuss the presentation.

Research plan

Identify a topic

Review the literature on your topic o What has been done? Where are the gaps? What is known? What is unknown?

Define the specific aims

o Please don’t include a description of your methods in the aims. The aims should be short and very clear.

o Example: “to test (evaluate, assess) the impact of “independent variable” on the “dependent

variable.”

Develop a research proposal o Background

Provide background introduction State why this study is important

o Specific aims Describe the purpose of the study Include at least 1 dependent variable to test

o Conceptual model State an overview of why you think your method will work

o Methods Design

What is the study design? Subjects

Inclusion/exclusion criteria, timeframe, recruitment, etc. Power analysis

Estimate sample size and effect size needed Description of the intervention

What is it you are going to do? Procedures

How are you going to do it? Description of the data/variables

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Include data type, source, reliability, validity Analysis

What analysis techniques will you use? Statistics

What will the data analysis tables look like?

What should the final results look like? o Limitations

List confounders, data quality, and external validity o Project management/timeline

Time line and responsibilities of researchers

Complete CITI training and fill out the IRB application o Citi website: http://www.citiprogram.org o IRB website: http://www4.vanderbilt.edu/irb/

Submit the study for IRB approval

Collect the data o Data structure/data model o Pilot data collection o Test for reliability and validity of the data

Data analysis o Carry out the analysis

Preliminary report on findings (presentation) o Get feedback from others

Abstract preparation o Submit to a conference

Manuscript preparation o Submit to a peer-reviewed journal

Evaluation strategy There will be a formal evaluation through PharmAcademic for this learning experience. The lead preceptor will meet with the resident after the presentation to review the evaluations and to formally discuss the presentations and manuscript. Project timeline Project topic/title selection Aug 1st Literature review complete Sep 1st Project plan Oct 15th Vizient Abstract Deadline Oct 28th IRB submission/CITI training Nov 1st

Complete Vizient Poster Dec 1st Data collection complete Jan 1st Data analysis complete Mar 1st First abstract draft Mar 7th Abstract/paper submission Mar 15th First ASHP Summer Meeting presentation draft Apr 1st First manuscript draft May 15th Submission to peer-reviewed journal Jun 15th

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Appendix G: PTO Request Procedures

Purpose: To ensure that pharmacy services are provided 365 days per year by Clinical Pharmacists or

Residents in order to prevent service disruptions that could impact patient safety.

1. PTO Request Process

a. Email RPD by the 10th of the month to request time off for the following month. Earlier

notification is preferred. The RPD will check with the assigned preceptor regarding any time off

requests.

b. RPD will communicate PTO to the appropriate staff if approved.

2. Holidays

a. Vanderbilt recognizes 7 holidays: New Year’s Day, Memorial Day, July 4th, Labor Day,

Thanksgiving Day, Christmas Eve and Christmas day. It is assumed that PTO will be used on

these holidays. If you wish to or are assigned to work one of these holidays, advance

notification is required

b. Holiday work is scheduled in advance by Molly Knostman

c. When a holiday is worked on a regular work day (M-F), no Off Day is taken and no PTO is

deducted. If you work a holiday on a weekend, an Off Day will be taken, and no PTO deducted.

d. Holidays may be traded with other residents, but must be approved by Molly and the RPD.

e. Off Days during the week of Christmas and Thanksgiving are not scheduled without approval in

order to ensure appropriate coverage.

3. Sick Call Process

a. Email or call Jon Jackson, Phillip Stewart, and Edward Woo.

b. Email your current preceptor.

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