MCM 2006 Residency Townhall Presentation

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MCM 2006 Residency Townhall Presentation

  1. 1. 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 Residency 59% PGY2 34% (289) (503) (38) (23)
  2. 2. PGY1* PGY2PGY1* PGY2 RemainingRemaining Primary CarePrimary Care 2323 4343 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
  3. 3. PGY2 Programs in the ASHP Accreditation Process December 2006 289 Programs offering 448 positions 48 43 34 24 22 20 16 13 12 12 9 8 5 5 4 3 3 2 2 2 1 1 0 10 20 30 40 50 60 CriticalCare Am bulatory Care O ncology Drug Inform ation Infectious Diseases Pediatric Pharm acyM anagem ent Pharm acotherapy Psychiatric InternalM edicine G eriatric Pharm acy Cardiology Nutrition Support M anaged Care System s Inform atics Nuclear HIV Pharm acy M edication Use Safety Transplant Em ergency M edicine Palliative Care/Pain M anagem entNephrology
  4. 4. Potential positions in 2006-07 Residency Programs in ASHP Accreditation Process (n=1,900) PGY1 78% PGY2 22%
  5. 5. Pharmacy School and ResidencyPharmacy School and Residency Graduation TrendsGraduation Trends Source: AACP & ASHP Data
  6. 6. Residency Programs in the Accreditation Process Growth Over Time 1990 - 2006 853 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 Specialized Oct 2003
  7. 7. Matching numbers for Accredited Pharmacy Practice Programs 1990 - 2006 0 200 400 600 800 1000 1200 1400 1600 # applicants # positions # matched 1990 1995 2000 2005 More Applicants than Positions 200
  8. 8. PGY1 Pharmacy ResidencyPGY1 Pharmacy Residency PGY1 Community Pharmacy ResidencyPGY1 Community Pharmacy Residency PGY2 Pharmacy ResidencyPGY2 Pharmacy Residency
  9. 9. PharmD Graduat e Patient/Practice FOCUSBroad DEPTH of knowledge, skills, abilities, experience AA PGY1PGY1 GeneralistGeneralist Wide variety of patients &Wide variety of patients & diseasesdiseases PGY1PGY1 BB GeneralistGeneralist Wide variety of diseases may be in aWide 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) CC PGY2PGY2 Advanced PractitionerAdvanced Practitioner More experience, skill and abilityMore experience, skill and ability developed in a broad set ofdeveloped in a broad set of patients (e.g., pharma-cotherapy)patients (e.g., pharma-cotherapy) PGY2PGY2 DD Advanced PractitionerAdvanced Practitioner More experience, skill, and abilityMore experience, skill, and ability developed in a focused area of practicedeveloped in a focused area of practice (e.g., oncology, critical care)(e.g., oncology, critical care) Narrow Basic Advanced
  10. 10. PGY1PGY1 PGY1 CommunityPGY1 Community PGY2 Ambulatory ( previously Primary Care)PGY2 Ambulatory ( previously Primary Care)
  11. 11. 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
  12. 12. Marialice Bennett – OHMarialice Bennett – OH Jeffrey Goad - CAJeffrey Goad - CA Pamala MarquessPamala Marquess Matthew Osterhaus – IAMatthew Osterhaus – IA James Owen – DEJames Owen – DE Sarah Ray – WISarah Ray – WI Kushal Shah – ResidentKushal Shah – Resident Anne Burns – APhAAnne Burns – APhA Christine Nimmo – ASHPChristine Nimmo – ASHP
  13. 13. Jeffrey Brewer - MDJeffrey Brewer - MD Douglas Covey – FLDouglas Covey – FL Laura Hansen - COLaura Hansen - CO Art Schuna – WIArt Schuna – WI Kelly Ragucci – SCKelly Ragucci – SC Joseph Saseen - COJoseph Saseen - CO Bruce Nelson – ASHPBruce Nelson – ASHP Christine Nimmo - ASHPChristine Nimmo - ASHP
  14. 14. PGY2 - Pharmacy InformaticsPGY2 - Pharmacy Informatics
  15. 15. 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
  16. 16. PGY1 Managed Care StandardPGY1 Managed Care Standard Outcomes, goals and objectivesOutcomes, goals and objectives PGY2 Health System Pharmacy AdministrationPGY2 Health System Pharmacy Administration (previously Pharmacy Management)(previously Pharmacy Management) PGY2 Critical CarePGY2 Critical Care Send us comments!Send us comments!
  17. 17. 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
  18. 18. 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
  19. 19. 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
  20. 20. 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
  21. 21. PGY1PGY1 PGY2PGY2 CommunityCommunity Managed CareManaged Care New Pre-CandidatesNew Pre-Candidates
  22. 22. 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 Posted February 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
  23. 23. 35/ 289 (8%) programs have contacted NMS35/ 289 (8%) programs have contacted NMS to fill PGY2 for 2007 yearto fill PGY2 for 2007 year
  24. 24. Reversion of Unfilled PositionsReversion of Unfilled Positions  Can donate up to ALL unfilled positions to anotherCan donate up to ALL unfilled positions to another program or site that is part of your organizationprogram or site that is part of your organization PGY2PGY2 PGY1PGY1 PGY1PGY1 PGY2PGY2 PGY1 one sitePGY1 one site PGY1 another site same programPGY1 another site same program  Donor & Receiver – both must sign form from NationalDonor & Receiver – both must sign form from National Matching ServiceMatching 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
  25. 25. 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-Onc List with Match in August:List with Match in August: 44 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 1 Gains One position & additional placement of a resident Does not fill one position
  26. 26.  Interview all eligible candidates to find the bestInterview 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 anRank in the same order as you would make an offeroffer  Do NOT try to consider how a candidate wouldDo NOT try to consider how a candidate would rank your programrank your program
  27. 27.  If you have multiple programs discuss theIf you have multiple programs discuss the possibilities of “reverting” unfilled positions topossibilities of “reverting” unfilled positions to maximize the matching processmaximize the matching process  Understand - Post match information & how toUnderstand - Post match information & how to use it if necessaryuse it if necessary  Remember “Early Commitment” for PGY1 toRemember “Early Commitment” for PGY1 to PGY2 positions at the same site – occurs inPGY2 positions at the same site – occurs in NovemberNovember
  28. 28. Join us on Wednesday, December 6, 2006Join us on Wednesday, December 6, 2006 Matching InformationMatching Information Room 210A/BRoom 210A/B 11am – 12noon11am – 12noon
  29. 29. New Accreditation Status Terms:New Accreditation Status Terms: Pre-CandidatePre-Candidate CandidateCandidate Preliminary AccreditationPreliminary Accreditation  Conditional AccreditationConditional Accreditation 
  30. 30. 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 DirectorLetter of support from Program Director 1 Year appointment1 Year appointment Please contactPlease contact asd@ashp.orgasd@ashp.org if you know ofif you know of interested candidates by December 31, 2006interested candidates by December 31, 2006
  31. 31. PGY2 – Board Certification Requirement (5.1)PGY2 – Board Certification Requirement (5.1) Pharmacotherapy + added QualificationsPharmacotherapy + added Qualifications Infectious DiseasesInfectious Diseases CardiologyCardiology NuclearNuclear PsychiatryPsychiatry Nutrition SupportNutrition Support OncologyOncology Amnesty until December 31, 2008Amnesty until December 31, 2008
  32. 32. PGY1 – Drug information requirement (7.6b)PGY1 – Drug information requirement (7.6b)
  33. 33. New Pre-Survey materials & gridsNew Pre-Survey materials & grids
  34. 34. AMBULATORY CARE SERVICESAMBULATORY CARE SERVICES Directions: INDICATE ALL THAT APPLY BY RECORDINGDirections: INDICATE ALL THAT APPLY BY RECORDING THE INFORMATION REQUESTED IN THE BOXTHE INFORMATION REQUESTED IN THE BOX CORRESPONDING TO THE PATIENT CARE SERVICESCORRESPONDING TO THE PATIENT CARE SERVICES PROVIDED AT THE RESIDENCY SITEPROVIDED AT THE RESIDENCY SITE MedicineMedicine TransplantTransplant OncologyOncology InfusionInfusion CenterCenter Bone MarrowBone 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
  35. 35. DIRECTIONS: Indicate the % of time the following services areDIRECTIONS: Indicate the % of time the following services are provided for services listed at your site:provided for services listed at your site: MedicineMedicine TransplantTransplant OncologyOncology Infusion CenterInfusion Center Bone MarrowBone Marrow TransplantTransplant 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 therapyConduct 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
  36. 36. ACUTE CARE SERVICESACUTE CARE SERVICES Directions:Directions: INDICATE ALL THAT APPLY BY RECORDINGINDICATE ALL THAT APPLY BY RECORDING THE REQUESTED INFORMATION IN THE BOXTHE REQUESTED INFORMATION IN THE BOX CORRESPONDING TO THE PATIENT CARE UNITSCORRESPONDING TO THE PATIENT CARE UNITS SERVICED ATSERVICED AT THE RESIDENCY SITETHE RESIDENCY SITE Med/SurgMed/Surg – Wing 1– Wing 1 Med/SurgMed/Surg – Wing 2– Wing 2 Med/Med/ Surg –Surg – WingWing 33 MICUMICU SICUSICU Neuro/Neuro/ OrthoOrtho NeuroNeuro StepStep DownDown NeuroNeuro ICUICU Pharmacy Practice Model: (Provide % of patientPharmacy Practice Model: (Provide % of patient beds covered by the following services)beds covered by the following services) 120 BEDS120 BEDS 8080 BEDSBEDS 4040 BEDSBEDS 1616 BEDSBEDS 2424 BEDSBEDS 4848 BEDSBEDS 88 BEDSBEDS 1616 BEDSBEDS 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/Days NANA NANA NANA NANA 16/716/7 NANA NANA 16/716/7 •Average patient loadAverage patient load NANA NANA NANA NANA 3636 NANA 1616 Decentralized Clinical PharmacistDecentralized Clinical Pharmacist •Hours/DaysHours/Days 8/78/7 DayDay 8/78/7 DayDay 8/78/7 DayDay 8/78/7 DayDay 8/78/7 8/78/7 DayDay XX XX •Average patient loadAverage patient load 110110 7070 3030 1616 XX 4848 XX 1616 Clinical Pharmacist/Clinical Pharmacy SpecialistClinical Pharmacist/Clinical Pharmacy Specialist •Hours/DaysHours/Days 8/58/5 24/724/7 callcall 8/58/5 24/724/7 callcall 8/58/5 24/724/7 callcall 8/58/5 24/7 call24/7 call 8/58/5 24/724/7 callcall 8/58/5 24/724/7 callcall 8/58/5 24/724/7 callcall 8/58/5 24/724/7 callcall •Average patient loadAverage patient load 110110 7070 3030 1616 4848 1616
  37. 37. Pharmacy Services –Pharmacy Services – Distribution: (Provide %Distribution: (Provide % of patient beds covered byof 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 NeuroNeuro StepStep 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 admixtureComprehensive 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 byInvestigational 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
  38. 38. Pharmacy Services – ClinicalPharmacy Services – Clinical DIRECTIONS: Indicate the % ofDIRECTIONS: Indicate the % of the time patient care areas receivethe time patient care areas receive the following pharmacy servicesthe 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 NeuroNeuro StepStep 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
  39. 39. Pharmacy Services – ClinicalPharmacy Services – Clinical DIRECTIONS: Indicate the % of the timeDIRECTIONS: Indicate the % of the time patient care areas receive the followingpatient 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 NeuroNeuro StepStep DownDown NeuroNeuro 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 researchSupport/conduct research 100100 100100 100100 100100 100100 100100 100100 100100 Participate in multidisciplinary rounds (TeachingParticipate 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 YY EE SS
  40. 40. Outcomes, goals and objectivesOutcomes, goals and objectives - Required vs Elective- Required vs Elective - Evaluation- Evaluation
  41. 41. Increase search capabilities on web pageIncrease search capabilities on web page Ability for you to enter dataAbility for you to enter data
  42. 42. 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/ASHPMcCreadie Group/ASHP
  43. 43. Further questions you can contact us at:Further questions you can contact us at: asd@ashp.orgasd@ashp.org

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