A Postgraduate Training Update from the ASHP Commission on Credentialing (COC) Mary Hess, Chair  Commission on Credentialing
<ul><li>“ Great Leaders are never satisfied with current levels of performance.  They are relentlessly driven by possibili...
Objectives <ul><li>Explain the differences between the postgraduate year one (PGY1) and postgraduate year two (PGY2) pharm...
Factors related to release of new Residency Accreditation Standards  <ul><li>IOM reports </li></ul><ul><li>JCAHO Roundtabl...
<ul><ul><li>Patient-centered </li></ul></ul><ul><ul><li>Interdisciplinary teams </li></ul></ul><ul><ul><li>Evidence-based ...
Pharmacy Residency Training in the Future:  A Stakeholders’ Roundtable Discussion January 23-24, 2005  <ul><li>Stakeholder...
Strong Areas of Agreement <ul><li>Accreditation by one national body that includes key stakeholders </li></ul><ul><li>All ...
Conclusions <ul><li>↑  n eed for residency trained  individuals by 2015 </li></ul><ul><li>↑  n eed for community residenci...
What happened in 2005? <ul><li>CCP endorsed </li></ul><ul><li>PGY1, PGY2 concept </li></ul><ul><li>Published Conference pr...
What’s happening in 2006?   <ul><li>Implementing new standards </li></ul><ul><li>Sunset PGY2 goals and objectives, as they...
New Pharmacy Residency Accreditation Standards <ul><li>PGY1 Pharmacy Residency </li></ul><ul><li>Replaces Pharmacy Practic...
New Standards – overall changes <ul><li>Different terminology/concept  </li></ul><ul><li>PGY1/PGY2 </li></ul><ul><ul><li>G...
PharmD Graduate   Patient/Practice FOCUS Broad   DEPTH of knowledge, skills,  abilities, experience Narrow Basic Advanced ...
Standards similar PGY1 & PGY2 <ul><li>I Qualifications of Residents </li></ul><ul><li>II Obligations of the Program to Res...
So what is different PGY1 vs PGY2? <ul><li>PGY1 </li></ul><ul><ul><li>First year of post graduate residency training </li>...
So what is different PGY1 vs PGY2? <ul><li>Applicant requirements </li></ul><ul><li>RPD requirements  </li></ul><ul><li>Ou...
Review of each   section of new stds <ul><li>Highlight changes </li></ul><ul><li>Highlight differences PGY1 vs PGY2  </li>...
I. Qualifications of the Residents <ul><li>PGY1 “should” graduate from ACPE Pharm D (Foreign graduates – must be able to b...
II. Obligations of Program <ul><li>Policy on the impact of leave on the residency  </li></ul><ul><li>Letter of acceptance ...
III. Obligations of Resident <ul><li>Residency = primary commitment </li></ul><ul><li>Rules of the Match </li></ul><ul><li...
<ul><li>Design & Conduct of Program PGY1 & PGY2 </li></ul><ul><li>Design </li></ul><ul><li>Delivery </li></ul><ul><li>Eval...
<ul><li>IV. Design of Program PGY1 - 6 Core Outcomes Required </li></ul><ul><ul><li>Medication use process </li></ul></ul>...
IV. Design of Program – PGY1 <ul><li>Clarity  </li></ul><ul><ul><li>Must include associated goals & objectives </li></ul><...
<ul><li>Design of Program PGY2 </li></ul><ul><li>All goals & objectives are being rewritten for </li></ul><ul><li>each spe...
IV. Design of Program PGY1 & PGY2 <ul><li>Competency based evaluations </li></ul><ul><ul><li>Focus on verbal feedback and ...
<ul><li>Delivery of Program PGY1 & PGY2 </li></ul><ul><li>Orientation to system of training </li></ul><ul><li>Assessment &...
<ul><li>Program Evaluation & Improvement (PGY1 & PGY2) </li></ul><ul><li>Enhance preceptors training </li></ul><ul><li>Ove...
IV. Tracking of Residents <ul><li>What type of jobs do they go to </li></ul><ul><li>Evaluate if program is producing what ...
<ul><li>Residency Program Director PGY1 & PGY2 </li></ul><ul><li>Contribution & Commitment to Profession  </li></ul><ul><l...
V. Residency Program Director <ul><li>RPD: residency & 3 yrs </li></ul><ul><li>or  5 years </li></ul><ul><li>ALSO: BPS in ...
V. Preceptors PGY2 Residency & 1 year or 3 years in the area of practice Residency & 1 year or 3 years  Contribution & com...
VI.  Site <ul><li>Seek outside accreditation </li></ul><ul><ul><li>(JCAHO, NCQA, AOA, DPH, etc) </li></ul></ul><ul><li>See...
VII. Pharmacy <ul><li>Leadership </li></ul><ul><li>Safe & effective drug distribution </li></ul><ul><li>Meet patient’s nee...
Strategies to implement new standards <ul><li>Clear the decks! </li></ul><ul><ul><li>Look at new standards </li></ul></ul>...
Strategies to implement new standards  continued  <ul><li>Design from a clean slate </li></ul><ul><ul><li>Review program p...
Strategies to implement new standards  continued <ul><li>Design the program (read the standard!) </li></ul><ul><ul><li>Dev...
Frequently Asked Questions
Are all Specialized programs automatically a PGY2 residency? <ul><li>Specialized  ≠ PGY2 </li></ul><ul><ul><li>Either PGY1...
PGY1 or PGY2?
Does the new PGY1 standard define “PGY1 with emphasis in” ? <ul><li>No – Standards define PGY1 and PGY2 </li></ul><ul><li>...
Does the new PGY2 standard define equivalent experience for PGY2? <ul><li>No </li></ul><ul><li>PGY1 must be done prior to ...
Why a matching program for all ? <ul><li>Prevent undue pressure on residents </li></ul><ul><li>Prevent premature decisions...
Matching Rules <ul><li>Deadlines </li></ul><ul><ul><li>Late Summer – contract </li></ul></ul><ul><ul><li>November – Early ...
Match Process <ul><li>Resident Rank Order Submissions </li></ul><ul><li>Mary Bob Jennifer Molly </li></ul><ul><li>Hosp B H...
Match Process <ul><li>Site Rank Order Submissions </li></ul><ul><li>Univ A (2) Hosp B (1) Best Rx (1) </li></ul><ul><li>Ma...
Match Process Match: Mary w/ Hosp B Mary  Resident Rank Order Submissions Hosp B Best Rx Univ A Site Rank Order Submission...
Match Process   Resident Rank Order Submissions Mary Bob Hosp B Hosp B Univ A Best Rx Site Rank Order Submissions Univ A (...
Match Process   Resident Rank Order Submissions Mary Bob Jennifer Hosp B Univ A Univ A Best Rx Site Rank Order Submissions...
Match Process   Resident Rank Order Submissions Mary Bob Jennifer Molly Hosp B Univ A Univ A Hosp B   Site Rank Order Subm...
Strategies to maximize your effectiveness when participating in the resident matching programs.   <ul><li>Only rank your t...
What if I have PGY1 and want to keep them for my PGY2 program, do they have to go through the match for the PGY2 program a...
Other match accommodations? <ul><li>Couples – contact NMS </li></ul><ul><ul><li>Both in Pharmacy Match </li></ul></ul><ul>...
Misunderstanding <ul><li>ASHP makes money off of the matching program. </li></ul><ul><li>Fact:  </li></ul><ul><li>It actua...
When do the new accreditation standards go into effect? <ul><li>  2007 </li></ul><ul><li>Sites scheduled for on site surve...
Where can I learn more about the new standards? <ul><li>ASHP Residency web page:  </li></ul><ul><li>http://www.ashp.org/rt...
Summary <ul><li>Explain the differences between the PGY1 and PGY2 pharmacy residency programs.  </li></ul><ul><li>First vs...
Summary <ul><li>Explain changes that can be implemented to a pharmacy practice residency program to meet the intent of the...
Summary <ul><li>Apply strategies to maximize your effectiveness when participating in the resident matching program.  </li...
 
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Events related to residency training

  1. 1. A Postgraduate Training Update from the ASHP Commission on Credentialing (COC) Mary Hess, Chair Commission on Credentialing
  2. 2. <ul><li>“ Great Leaders are never satisfied with current levels of performance. They are relentlessly driven by possibilities and potential achievements.” </li></ul><ul><li>D. Harrison </li></ul>
  3. 3. Objectives <ul><li>Explain the differences between the postgraduate year one (PGY1) and postgraduate year two (PGY2) pharmacy residency programs. </li></ul><ul><li>Explain changes that can be implemented to a pharmacy practice residency program to meet the intent of the new ASHP accreditation standards. </li></ul><ul><li>Apply strategies to maximize your program’s effectiveness when participating in the resident matching program. </li></ul>
  4. 4. Factors related to release of new Residency Accreditation Standards <ul><li>IOM reports </li></ul><ul><li>JCAHO Roundtable/conference </li></ul><ul><li>Future of Residency Training Conference </li></ul><ul><li>ACCP/ASHP Partnership </li></ul><ul><li>Open Hearings & comment periods </li></ul><ul><li>ACPE standards </li></ul>
  5. 5. <ul><ul><li>Patient-centered </li></ul></ul><ul><ul><li>Interdisciplinary teams </li></ul></ul><ul><ul><li>Evidence-based practice </li></ul></ul><ul><ul><li>Utilize informatics </li></ul></ul><ul><ul><li>Apply quality improvement </li></ul></ul>IOM - Core competencies for all health professionals JCAHO - improving education of health professionals
  6. 6. Pharmacy Residency Training in the Future: A Stakeholders’ Roundtable Discussion January 23-24, 2005 <ul><li>Stakeholders: </li></ul><ul><li>ASHP </li></ul><ul><li>AACP </li></ul><ul><li>ACCP </li></ul><ul><li>AMCP </li></ul><ul><li>APhA </li></ul><ul><li>Other invitees: ACPE, BPS, ASCP, NCPA, NACDS, VA </li></ul>
  7. 7. Strong Areas of Agreement <ul><li>Accreditation by one national body that includes key stakeholders </li></ul><ul><li>All residencies should be accredited </li></ul><ul><li>Residencies help develop innovative practices </li></ul><ul><li>Colleges provide knowledge; residencies are becoming necessary to integrate knowledge into practice </li></ul>
  8. 8. Conclusions <ul><li>↑ n eed for residency trained individuals by 2015 </li></ul><ul><li>↑ n eed for community residencies </li></ul><ul><li>Specialization in the profession needs clarity </li></ul><ul><li>PGY1 & PGY2 is appropriate model </li></ul><ul><li>Terms and vision need to be consistent, defined, endorsed and embraced by the profession </li></ul>
  9. 9. What happened in 2005? <ul><li>CCP endorsed </li></ul><ul><li>PGY1, PGY2 concept </li></ul><ul><li>Published Conference proceedings </li></ul><ul><li> AJHP September 1, 2005 </li></ul><ul><li>New Standards Approved & Released: PGY1, PGY2 </li></ul>
  10. 10. What’s happening in 2006? <ul><li>Implementing new standards </li></ul><ul><li>Sunset PGY2 goals and objectives, as they are rewritten </li></ul><ul><li>Revision of RLS training to match new standards </li></ul><ul><li>Rewrite of Community & Managed Care standard </li></ul>
  11. 11. New Pharmacy Residency Accreditation Standards <ul><li>PGY1 Pharmacy Residency </li></ul><ul><li>Replaces Pharmacy Practice (2001) </li></ul><ul><li>PGY2 Pharmacy Residency </li></ul><ul><li>Replaces Specialized Pharmacy Practice (1994) </li></ul><ul><li>and all supplemental standards </li></ul><ul><li> (Goals & objectives remain) </li></ul><ul><li>Standards not altered at this time: </li></ul><ul><li>Managed Care Pharmacy Practice </li></ul><ul><li>Managed Care Systems Residency </li></ul><ul><li>Pharmacy Practice (with emphasis in Community Care) </li></ul>
  12. 12. New Standards – overall changes <ul><li>Different terminology/concept </li></ul><ul><li>PGY1/PGY2 </li></ul><ul><ul><li>General training vs. advanced depth of training </li></ul></ul><ul><li>Incorporates IOM core competencies </li></ul><ul><li>Duty hours </li></ul><ul><li>Participation in the match </li></ul>
  13. 13. PharmD Graduate Patient/Practice FOCUS Broad DEPTH of knowledge, skills, abilities, experience Narrow Basic Advanced PGY2 D Advanced Practitioner More experience, skill, and ability developed in a focused area of practice (e.g., oncology, critical care) C PGY2 Advanced Practitioner More experience, skill and ability developed in a broad set of patients (e.g., pharma-cotherapy) PGY1 B Generalist Focused Practitioner Wide variety of diseases may be in a unique setting or population (e.g., pediatrics, geriatrics, ambulatory, managed care) A PGY1 Generalist Wide variety of patients & diseases
  14. 14. Standards similar PGY1 & PGY2 <ul><li>I Qualifications of Residents </li></ul><ul><li>II Obligations of the Program to Residents </li></ul><ul><li>III Obligations of Resident to Program </li></ul><ul><li>IV Design & Conduct of the Residency </li></ul><ul><li>V RPD & Preceptors </li></ul><ul><li>VI Site Requirements </li></ul><ul><li>VII Pharmacy Requirements </li></ul>
  15. 15. So what is different PGY1 vs PGY2? <ul><li>PGY1 </li></ul><ul><ul><li>First year of post graduate residency training </li></ul></ul><ul><ul><li>Wide variety of disease states/patients </li></ul></ul><ul><ul><li>Advances individual beyond PharmD </li></ul></ul><ul><ul><li>Training a generalist </li></ul></ul><ul><li>PGY 2 </li></ul><ul><ul><li>Second year of post graduate residency training </li></ul></ul><ul><ul><li>Advances training beyond PGY1 </li></ul></ul><ul><ul><li>Usually focused on a specialized area of practice </li></ul></ul>
  16. 16. So what is different PGY1 vs PGY2? <ul><li>Applicant requirements </li></ul><ul><li>RPD requirements </li></ul><ul><li>Outcomes, goals and objectives </li></ul><ul><li>Expectations of Residents </li></ul>
  17. 17. Review of each section of new stds <ul><li>Highlight changes </li></ul><ul><li>Highlight differences PGY1 vs PGY2 </li></ul><ul><li>Highlight frequently cited areas of partial compliance </li></ul>
  18. 18. I. Qualifications of the Residents <ul><li>PGY1 “should” graduate from ACPE Pharm D (Foreign graduates – must be able to be licensed) </li></ul><ul><li>PGY2 : complete PGY1 </li></ul><ul><li>Must have a policy on what to do if the resident does not become licensed </li></ul><ul><li>Must have a process for evaluating candidates </li></ul>
  19. 19. II. Obligations of Program <ul><li>Policy on the impact of leave on the residency </li></ul><ul><li>Letter of acceptance & conditions </li></ul><ul><li>Rules of the match </li></ul><ul><li>Duty Hours </li></ul><ul><ul><li>80 hrs/wk </li></ul></ul><ul><ul><li>1/7 days off </li></ul></ul><ul><ul><li>10 hrs between shifts </li></ul></ul>
  20. 20. III. Obligations of Resident <ul><li>Residency = primary commitment </li></ul><ul><li>Rules of the Match </li></ul><ul><li>FYI: Hours paid to resident to staff are included in count towards 80 hr/week duty hours requirement </li></ul>
  21. 21. <ul><li>Design & Conduct of Program PGY1 & PGY2 </li></ul><ul><li>Design </li></ul><ul><li>Delivery </li></ul><ul><li>Evaluation & Improvement </li></ul><ul><li>Tracking of Residents </li></ul>
  22. 22. <ul><li>IV. Design of Program PGY1 - 6 Core Outcomes Required </li></ul><ul><ul><li>Medication use process </li></ul></ul><ul><ul><ul><ul><li>Quality Improvement IOM </li></ul></ul></ul></ul><ul><ul><li>Patient-centered care IOM </li></ul></ul><ul><ul><ul><ul><li>Interdisciplinary Teams IOM </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Evidence Based Practice IOM </li></ul></ul></ul></ul><ul><ul><li>Leadership and management </li></ul></ul><ul><ul><li>Project management </li></ul></ul><ul><ul><li>Education/training </li></ul></ul><ul><ul><li>Medical informatics IOM </li></ul></ul>
  23. 23. IV. Design of Program – PGY1 <ul><li>Clarity </li></ul><ul><ul><li>Must include associated goals & objectives </li></ul></ul><ul><ul><li>Must evaluate each required goal at least once </li></ul></ul><ul><ul><li>Can add elective goals & objectives </li></ul></ul><ul><li>Must encompass a variety of disease states </li></ul><ul><ul><li>Not greater than 1/3 of year in any one area </li></ul></ul>
  24. 24. <ul><li>Design of Program PGY2 </li></ul><ul><li>All goals & objectives are being rewritten for </li></ul><ul><li>each specialized area of practice </li></ul><ul><li>Until your area is rewritten use current G&O </li></ul><ul><li>2006: </li></ul><ul><li>Primary Care, Management, Critical Care </li></ul><ul><li>NEW: Informatics </li></ul>
  25. 25. IV. Design of Program PGY1 & PGY2 <ul><li>Competency based evaluations </li></ul><ul><ul><li>Focus on verbal feedback and alternatives </li></ul></ul><ul><ul><ul><li>Formative evaluation </li></ul></ul></ul><ul><ul><ul><li>Top snap shots still available </li></ul></ul></ul><ul><ul><li>Summative evaluations </li></ul></ul><ul><ul><li>Resident learns self-evaluation </li></ul></ul><ul><ul><li>Resident evaluates preceptors </li></ul></ul>
  26. 26. <ul><li>Delivery of Program PGY1 & PGY2 </li></ul><ul><li>Orientation to system of training </li></ul><ul><li>Assessment & customize program </li></ul><ul><li>Focus on effective feedback </li></ul><ul><li>Track residents progress across time </li></ul>
  27. 27. <ul><li>Program Evaluation & Improvement (PGY1 & PGY2) </li></ul><ul><li>Enhance preceptors training </li></ul><ul><li>Overall program enhancement at least yearly </li></ul>
  28. 28. IV. Tracking of Residents <ul><li>What type of jobs do they go to </li></ul><ul><li>Evaluate if program is producing what they say they are </li></ul>
  29. 29. <ul><li>Residency Program Director PGY1 & PGY2 </li></ul><ul><li>Contribution & Commitment to Profession </li></ul><ul><li>(at least 4) </li></ul><ul><li>Documented improvements </li></ul><ul><li>Appointments to committees </li></ul><ul><li>Publications </li></ul><ul><li>Presentations </li></ul><ul><li>Reviewer for papers </li></ul><ul><li>Leadership at local, state, national assoc. </li></ul><ul><li>Effectiveness in teaching </li></ul>
  30. 30. V. Residency Program Director <ul><li>RPD: residency & 3 yrs </li></ul><ul><li>or 5 years </li></ul><ul><li>ALSO: BPS in appropriate area (nuclear, psychiatry, oncology, nutrition, pharmacotherapy, added qualifications infectious disease & cardiology </li></ul>RPD: residency & 3 yrs or 5 yrs PGY2 PGY1
  31. 31. V. Preceptors PGY2 Residency & 1 year or 3 years in the area of practice Residency & 1 year or 3 years Contribution & commitment to profession (4) Contribution & commitment to profession (4) PGY2 PGY1
  32. 32. VI. Site <ul><li>Seek outside accreditation </li></ul><ul><ul><li>(JCAHO, NCQA, AOA, DPH, etc) </li></ul></ul><ul><li>Seek excellence </li></ul><ul><li>Sufficient # of patients </li></ul>
  33. 33. VII. Pharmacy <ul><li>Leadership </li></ul><ul><li>Safe & effective drug distribution </li></ul><ul><li>Meet patient’s needs </li></ul><ul><li>Safe & effective patient care outcomes </li></ul><ul><li>Personnel, facilities, resources </li></ul><ul><li>Meet national standards, state laws </li></ul>
  34. 34. Strategies to implement new standards <ul><li>Clear the decks! </li></ul><ul><ul><li>Look at new standards </li></ul></ul><ul><ul><li>Try to understand big picture </li></ul></ul><ul><ul><li>Instead of matching old goals and objectives to new begin with new ones </li></ul></ul>
  35. 35. Strategies to implement new standards continued <ul><li>Design from a clean slate </li></ul><ul><ul><li>Review program purpose </li></ul></ul><ul><ul><li>Consider required outcomes </li></ul></ul><ul><ul><li>Create structure to ensure required outcomes are met </li></ul></ul><ul><li>Resist temptation </li></ul><ul><ul><li>Adding too many electives </li></ul></ul><ul><ul><li>Consider time needed to meet required outcomes </li></ul></ul>
  36. 36. Strategies to implement new standards continued <ul><li>Design the program (read the standard!) </li></ul><ul><ul><li>Develop learning experiences </li></ul></ul><ul><ul><li>Assign goals and objectives for evaluation to experiences </li></ul></ul><ul><ul><li>Ensure all understand evaluations required </li></ul></ul><ul><li>Reflect on previous program </li></ul><ul><ul><li>Note many learning experiences will require very little change </li></ul></ul>
  37. 37. Frequently Asked Questions
  38. 38. Are all Specialized programs automatically a PGY2 residency? <ul><li>Specialized ≠ PGY2 </li></ul><ul><ul><li>Either PGY1 or PGY2 training, depending on depth of training </li></ul></ul><ul><ul><li>If PGY1, must meet core competencies for PGY1 & provide a wide range of disease states </li></ul></ul><ul><ul><li>Summer of 2006 all programs must decide if they are PGY1 or PGY2 and communicate to ASHP their intent </li></ul></ul>
  39. 39. PGY1 or PGY2?
  40. 40. Does the new PGY1 standard define “PGY1 with emphasis in” ? <ul><li>No – Standards define PGY1 and PGY2 </li></ul><ul><li>PGY1 can occur in a wide variety of settings & with focused populations as long as PGY1 outcomes are achieved </li></ul><ul><li>PGY1 can customize programs to individual residents </li></ul><ul><li>PGY1 programs can market their strengths to residents (e.g., ambulatory, pediatrics) </li></ul>
  41. 41. Does the new PGY2 standard define equivalent experience for PGY2? <ul><li>No </li></ul><ul><li>PGY1 must be done prior to PGY2 </li></ul><ul><li>Extremely rare situation where equivalent experience would apply to the new PGY1-PGY2 standards </li></ul><ul><li>All “specialized” are not automatically PGY2; some may actually be PGY1 (e.g. ambulatory, pediatrics); must meet PGY1 outcomes </li></ul>
  42. 42. Why a matching program for all ? <ul><li>Prevent undue pressure on residents </li></ul><ul><li>Prevent premature decisions </li></ul><ul><ul><li>Resulting in less than “optimal” placements </li></ul></ul><ul><li>Equity for all programs </li></ul><ul><li>Equal time for all programs/applicants to decide the best fit </li></ul>
  43. 43. Matching Rules <ul><li>Deadlines </li></ul><ul><ul><li>Late Summer – contract </li></ul></ul><ul><ul><li>November – Early Commitment for PGY2 </li></ul></ul><ul><ul><li>March – Match </li></ul></ul><ul><li>All positions in match </li></ul><ul><li>Rank is confidential </li></ul><ul><li>Cannot pressure candidates </li></ul><ul><li>Cannot accept candidates outside of the match </li></ul><ul><li>Binding Contract (applicant & program) </li></ul>
  44. 44. Match Process <ul><li>Resident Rank Order Submissions </li></ul><ul><li>Mary Bob Jennifer Molly </li></ul><ul><li>Hosp B Hosp B Univ A Hosp B </li></ul><ul><li>Best Rx Univ A Best Rx </li></ul><ul><li>Univ A Best Rx </li></ul>
  45. 45. Match Process <ul><li>Site Rank Order Submissions </li></ul><ul><li>Univ A (2) Hosp B (1) Best Rx (1) </li></ul><ul><li>Mary Mary Bob </li></ul><ul><li>Bob Jennifer </li></ul><ul><li>Jennifer Molly </li></ul><ul><li>Molly </li></ul>
  46. 46. Match Process Match: Mary w/ Hosp B Mary Resident Rank Order Submissions Hosp B Best Rx Univ A Site Rank Order Submissions Univ A (2) Hosp B (1) Best Rx (1) Mary Mary Bob Bob Jennifer Jennifer Molly Molly
  47. 47. Match Process Resident Rank Order Submissions Mary Bob Hosp B Hosp B Univ A Best Rx Site Rank Order Submissions Univ A (2) Hosp B (1) Best Rx (1) Mary Mary Bob Bob Jennifer Molly Bob matches with Univ A
  48. 48. Match Process Resident Rank Order Submissions Mary Bob Jennifer Hosp B Univ A Univ A Best Rx Site Rank Order Submissions Univ A (2) Hosp B (1) Best Rx (1) Mary Mary Bob Bob Jennifer Jennifer Molly Molly Jennifer matches with Univ A
  49. 49. Match Process Resident Rank Order Submissions Mary Bob Jennifer Molly Hosp B Univ A Univ A Hosp B Site Rank Order Submissions Univ A (2) Hosp B (1) Best Rx (1) Mary Mary Bob Bob Jennifer Jennifer Molly Molly Molly & Best Rx go unmatched
  50. 50. Strategies to maximize your effectiveness when participating in the resident matching programs. <ul><li>Only rank your true preferences </li></ul><ul><li>Rank in the order you would normally make a verbal offer </li></ul><ul><li>Don’t second guess how an applicant will rank you and try to adjust to that </li></ul><ul><li>Interview a variety of applicants if not using the early commitment process </li></ul><ul><li>Get your rank in on time! </li></ul>
  51. 51. What if I have PGY1 and want to keep them for my PGY2 program, do they have to go through the match for the PGY2 program at my site? <ul><li>Early Commitment process available – </li></ul><ul><li> part of the matching process </li></ul><ul><li>To occur in November prior to the March match, otherwise in the match </li></ul>
  52. 52. Other match accommodations? <ul><li>Couples – contact NMS </li></ul><ul><ul><li>Both in Pharmacy Match </li></ul></ul><ul><ul><li>One in Pharmacy, one in Medical Match </li></ul></ul><ul><li>Simultaneous matches </li></ul><ul><li>Multi-site Program – separate #’s </li></ul><ul><li># positions </li></ul><ul><li>Reversion of positions </li></ul>
  53. 53. Misunderstanding <ul><li>ASHP makes money off of the matching program. </li></ul><ul><li>Fact: </li></ul><ul><li>It actually costs ASHP to run the matching program. </li></ul><ul><li>ASHP pays per program and position to the matching service. </li></ul><ul><li>All fees are paid directly to NMS, not ASHP. </li></ul>
  54. 54. When do the new accreditation standards go into effect? <ul><li> 2007 </li></ul><ul><li>Sites scheduled for on site survey in the fall of 2006 – Jan 2007, have the option of which standard for review </li></ul><ul><li>All surveys after January 2007 use the new standard </li></ul><ul><li>All new applications must use new standards </li></ul><ul><li>All 2007-2008 programs must meet new standards </li></ul><ul><li>First all match - 2007 </li></ul>
  55. 55. Where can I learn more about the new standards? <ul><li>ASHP Residency web page: </li></ul><ul><li>http://www.ashp.org/rtp/index.cfm </li></ul>
  56. 56. Summary <ul><li>Explain the differences between the PGY1 and PGY2 pharmacy residency programs. </li></ul><ul><li>First vs second year or training </li></ul><ul><li>Generalist vs specialized focus </li></ul><ul><li>RPD qualifications (PGY2=BPS if appropriate) </li></ul><ul><li>Depth of knowledge, skill, abilities gained </li></ul>
  57. 57. Summary <ul><li>Explain changes that can be implemented to a pharmacy practice residency program to meet the intent of the new ASHP accredited standards. </li></ul><ul><li>Review & redesign your program </li></ul><ul><li>Include all require outcomes, goals & objectives </li></ul><ul><li>Review your evaluation system </li></ul><ul><li>Review for duty hour violations </li></ul>
  58. 58. Summary <ul><li>Apply strategies to maximize your effectiveness when participating in the resident matching program. </li></ul><ul><li>Interview a number of candidates </li></ul><ul><li>Only rank true preferences </li></ul><ul><li>Rank in the order you would make an offer </li></ul><ul><li>Don’t second guess how an applicant will rank </li></ul><ul><li>Submit on time! </li></ul>
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