Intro to residencies 2010
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This document provides an overview of pharmacy residency programs, including: - Residency programs are becoming increasingly important for pharmacists to gain direct patient care experience and be eligible for board certification. - Residencies allow pharmacists to build clinical skills through postgraduate training opportunities in various settings like hospitals, clinics, and retail pharmacies. - The most common types of residencies are PGY-1 programs which provide a broad range of experiences, and PGY-2 programs which offer more specialized training. - Obtaining a competitive residency position requires strong clinical skills, leadership experience, and networking at events like the ASHP Midyear meeting. Faculty at the University of Utah can provide guidance
Intro to residencies 2010
- 1. An Introduction to Residencies 2010 Elizabeth Sebranek Evans, Pharm.D., BCPS November 11, 2010
- 2. Evolution of Pharmacist Training and Credentials • The Doctor of Pharmacy degree became mandatory for accredited Colleges of Pharmacy beginning in 1999 • Residency training began steadily increasing as next level of mandatory minimal training – American College of Clinical Pharmacy (ACCP) has a vision of residency as a prerequisite for direct patient care by 2020
- 3. Evolution of Pharmacist Training and Credentials • After residency training, Board Certification strongly encouraged by many employers – Pharmacotherapy Specialist – Oncology – Psychiatry – Nutrition Support – Geriatrics – Diabetes Educator – American Academy of HIV Medicine
- 4. What is a Residency? • An postgraduate training opportunity in a specified setting that allows pharmacists to: – Build on their knowledge base – Improved clinical skills and confidence – Provide independent and effective patient care • Opportunity for continued clinical learning with benefit of being licensed pharmacist • Most residencies are one year in length (July 1s -June 30th)
- 5. Why Complete a Residency? • Preferred for many types of positions – Hospital/health-system pharmacy management – Clinical pharmacist – College faculty • Improved marketability • Residency = 3 years of practice experience • Eligibility for board certification • Exposure to more clinical experiences • Opportunities to provide patient care in a “protected” setting within a learning environment • Career networking!!
- 6. What are Future Job Opportunities After Residency? • Disease state management in community pharmacy • College faculty • Clinical pharmacist or specialist in hospital or outpatient clinic • HMO/Managed Care benefits manager • Pharmaceutical Industry • Clinical coordinator • Hospital pharmacy manager
- 7. Classification of Residencies: PGY-1 vs. PGY-2 • PGY- 1 (post-graduate year #1) – Designed to be completed first, usually immediately after completing a Doctor of Pharmacy degree program – Many PGY-1 residencies offer a broad array of experiences • PGY-2 (post-graduate year #2) – Intended to be completed after PGY-1 year – Specialized area of focus (pediatrics, critical care, solid organ transplant, oncology, drug information, etc.)
- 8. Types of PGY-1 Residencies • Community pharmacy-based residencies – There are programs based in community/retail pharmacies – Many also have a college of pharmacy affiliation – Perform direct patient care with an emphasis on disease state management (dyslipidemia, diabetes, hypertension, immunizations, etc.) • Practice Management – Learn how to develop and evaluate advanced practice sites in the community setting – Learn how to market services and receive financial compensation!
- 9. Types of PGY-1 Residencies • Pharmacy Practice in a Veterans Affairs hospital • Pharmacy Practice in a children’s hospital • Pharmacy Practice through a College of Pharmacy • Pharmacy Practice with an ambulatory care focus
- 10. Types of PGY-1 Residencies • Pharmacy Practice in Indian Health Service • Pharmacy Practice in a military facility • Pharmacy Practice with an emphasis in psychiatric pharmacy • Pharmacy Practice in home infusion • Managed care pharmacy-based residencies
- 11. Residency Application Timeline • P3 year early December – Attend ASHP Midyear Clinical Meeting • Residency showcase: Open house with most accredited residency programs • Personal placement service (PPS): Opportunity for one-on-one interviews with residency programs directors • Mid-December – Submit applications to programs • Requirements vary but programs may require CV, personal statements, examples of clinical projects, etc. • Usually need three letters of recommendation • Transcripts required
- 12. Residency Application Timeline • January and February – Receive interview invitations from sites – Interview at sites – Sign up with National Matching Service • Early March – Rank interview sites and submit to National Matching Service by Match Deadline • Mid-March – Match results release mid-March • July – Start residency
- 13. Barriers to Residency • Loss of income – 1/3 - 1/2 of a pharmacist’s salary (Avg. $37,600, range: 32K – 42.7K) – Often difficult to make student loan payments on a resident’s salary – Not all loans deferrable during residency • Distance – May require relocation • Workload – Requires hard work and self-motivation – Usually requires > 40 hours per week – May need to provide “on call” services
- 14. What are Local Residency Opportunities? • University of Utah – 4 PGY1 positions inpatient hospital – 1 PGY1 position in community pharmacy • Intermountain Healthcare – 2 PGY1 positions McKay-Dee Hospital – 3 PGY1 positions Intermountain Medical Center – 3 PGY1 positions Primary Children’s Hospital – 2 PGY1 positions Utah Valley Medical Center – 1 PGY1 position in managed care at Select Health – 1 PGY1/PGY2 position in practice management • VA Medical Center – 2 PGY1 positions
- 15. How Competitive is it to Obtain a Residency? • 2010 National Match Statistics: – Approximately 3000 applicants signed up for the Match – Approximately 2000 residency positions were in the Match – On Match Day, about 1850 residency positions were matched between positions and candidates – About 150 residency positions were left unmatched and 1150 applicants left to “scramble” for positions
- 16. What if I Wait a Few Years to Do A Residency? • Cons – You may lose valuable sources of information about residencies after graduations – It takes a great deal of discipline to transition from full pharmacist salary to resident salary – Would need to take time off of work to interview for residencies – Delay achieving your long term goals • Pros – Pharmacist work experience and time management skills will make you a stronger resident candidate
- 17. What Makes an Excellent Resident Candidate? • Excellent work ethic and communication skills required • Strong clinical skills • Going “above and beyond” basic requirements for graduation – Leadership – Community service – Scholarship
- 18. How Can a USN Student Become a More Competitive Residency Candidate? • Clinical Skills Opportunities – ACCP Clinical Challenge (September) – ASHP Clinical Skills Competition (October) – APhA Patient Counseling Competition (January?) • Leadership – Active participation in student organizations – Attendance and active participation at local and national pharmacy organization meetings – Networking, networking, networking! • Community service – Health fairs – Brown-bag events
- 19. How Can a USN Student Become a More Competitive Residency Candidate? • APPE rotations – Select challenging clinical sites – Consider sites with unique opportunities – Proactively seek opportunities for journal clubs, presentations, and quality-improvement projects • Scholarship – Formal research opportunities with science or clinical faculty – Submit case reports or review articles to peer-reviewed medical journals for publication – Present posters at state (USHP, UPhA) or national meetings (APhA, ACCP, ASHP) – Develop high-quality patient education materials
- 20. More Information • American Society of Health-Systems Pharmacists (ASHP) – www.ashp.org – Directory of accredited residency programs available online (search for free) – “Professional Development: Residencies, the ASHP midyear clinical meeting, and more” (The “Blue Book”) • Careful! This hasn’t been updated since 2005 • American College of Clinical Pharmacy (ACCP) – www.accp.com – Directory of residencies and fellowships available online – Free online job and residency position searches
- 21. More Information • American Pharmacists Association (APhA) – www.aphanet.org – Only provides information on community residencies but generous detail available
- 22. Faculty Resources • Dr. Boehme (sboeme@usn.edu) – Pediatric transplant and pediatric general medicine residency preceptor at Primary Children’s Hospital • Dr. Chan (achan@usn.edu) – Completed PGY1 at Utah Valley Medical Center – Adult internal medicine residency preceptor (starting 2010-2011) at Intermountain Medical Center • Dr. Christensen (tchristensen@usn.edu) – Critical care / cardiology residency preceptor at Utah Valley Medical Center
- 23. Faculty Resources • Dr. Drake (tdrake@usn.edu) – Ambulatory care residency preceptor at McKay-Dee Hospital – Residency Director at McKay-Dee Hospital • Dr. Harper (mharper@usn.edu) – Critical care residency preceptor at McKay-Dee Hospital • Dr. Healy (rhealy@usn.edu) – Completed PGY1 residency at Intermountain Medical Center – In process of completing PGY2 residency in Oncology / Teaching through Intermountain Medical Center and USN
- 24. Faculty Resources • Dr. Kobayashi (kkobayashi@usn.edu) – Completed PGY1 at Intermountain Medical Center – Completed PGY2 in Internal Medicine / Teaching with Intermountain Medical Center and USN – Adult internal medicine residency preceptor (starting 2010-2011) at Intermountain Medical Center • Dr. Sebranek (esebranek@usn.edu) – Completed PGY1 at Froedtert Hospital, Milwaukee, WI – Adult internal medicine residency preceptor at Intermountain Medical Center – Member of Intermountain Medical Center Residency- Advisory Committee
- 25. Faculty Resources • Dr. Smith (ksmith@usn.edu) – Completed PGY1 residency at University of Arizona Medical Center, Tucson, AZ – Completed PGY2 specialty residency in pediatrics at University of Tennessee, Le Bonheur Children’s Medical Center – Precepted pharmacy residents on neonatology rotation at University Medical Center of Southern Nevada
- 26. Faculty Resources • Dr. Stahl (estahl@usn.edu) – Completed PGY1 at St. Joseph’s Hospital, Denver, CO – Completed PGY2 in Internal Medicine at St. Joseph’s Hospital, Denver, CO – Adult internal medicine residency preceptor at Intermountain Medical Center • Dr. Strohecker (jstrohecker@usn.edu) – Ambulatory care residency preceptor at Intermountain Medical Center