RESIDENCY OPERATION AND PROCEDURE MANUAL

Transcription

1 RESIDENCY OPERATION AND PROCEDURE MANUAL THE UNIVERSITY OF TOLEDO Tled, Ohi PGY1 PHARMACY RESIDENCY PROGRAM Rev date 6/4/2016

2 TABLE OF CONTENTS Cntents Intrductin... 4 Welcme Letter... 4 Residency Infrmatin... 5 Missin Statement... 5 Purpse Statement... 5 Explanatin f Purpse Statement/Prgram Design... 5 Expectatins and Respnsibilities f Residents... 9 Prfessinal Cnduct... 9 Prfessinal Dress... 9 Identificatin Badges... 9 Patient Cnfidentiality... 9 Electrnics and Respnsible Use... 9 Attendance... 9 Leave f Absence Letter f Acceptance and Cntract Duty Hurs Mnlighting Residency Requirements Licensure Natinal Prvider Identifier UT Human Resurces Mandated Resident Pre-emplyment Qualificatins UTMC Mandated Training Diversity Training Annual Safety Training HIPAA training Pharmacist Training Pathway CITI Prgram Training Participate in the Residency Orientatin Prgram Resident Research Prject and Manuscript Prject selectin / Scpe f Prjects/ Apprval Investigatinal Review Bard (IRB) and CITI Training Status Reprts Preparatin f a Manuscript Acceptable fr Publicatin Prject Cmpletin Participatin in Cnferences Participatin in Recruitment Effrts Teaching Certificate Prgram, Leadership, Presentatin and Research Series TASHP CE prgram presentatin OPRC Presentatin Basic Life Supprt (BLS) Curriculum Successful Cmpletin f PGY1 Learning Experiences Invlvement in a Learning Envirnment Invlvement in Cmmittees Incming Assessment

3 Develpmental Plan Residency Prtfli Evaluatin Prcess PharmAcademic Types f Evaluatins: Departmental Quality and Safety Initiatives Patient Safety Event and Incident Reprting Quality and Patient Safety Cycle - PMAAR ISMP Medicatin Safety Self-Assessment STAR Ratings Dashbard and Outcmes Data Cmpletin f Residency Requirements PGY1 Candidate Selectin Prcess General Infrmatin UTAD Accunt Hme Pages Netwrk Drives Parking Identificatin Badges Cmputer Access Resident Office Space Keys Administrative Supprt Phtcpies/Supplies Mail Library Services Residency Benefits Resident Stipend Residency Leave Hlidays Mnlighting Prfessinal Liability Insurance Health Care and Other Benefits Travel Reimbursement Pster Reimbursement Fitness Center: Crrective Actin Prcesses Crrective Actin Prcess Grunds fr Immediate Dismissal Institutin Infrmatin University f Tled Medical Center Infrmatin University f Tled Cllege f Pharmacy and Pharmaceutical Sciences Department f Pharmacy Infrmatin Organizatinal Chart fr the University f Tled Pharmacy Department Pharmacy Persnnel and Imprtant Cntact Numbers APPENDICES Appendix 1- T&E Grid Appendix 2-Learning Experience Dcuments Anticagulatin Clinic Cmmunity University Healthcare Clinic HIV Clinic Managed Care Medicatin Management Orientatin Pharmacy Administratin

4 P&T Cncentrated Experience Research Lngitudinal Staffing Lngitudinal Teaching Certificate Transitins f Care

5 July 1, 2016 Intrductin Welcme Letter Dear Resident: On behalf f The University f Tled Medical Center (UTMC), I wuld like t welcme yu t the Medical Center. We are cmmitted t the prvisin f utstanding pst-graduate residency training prgrams. We currently ffer an array f experiences designed t prepare individuals fr rles in pharmacy with a fcus n managed care. The primary emphasis f yur residency prgram will be the develpment f practice skills in an ambulatry care and utpatient pharmacy setting. Yu will be delegated medicatin therapy management respnsibilities under the preceptrship f ur utpatient and ambulatry care teams and help t manage the University f Tled emplyee prescriptin benefit under my directin and the rest f the managed care team. Yur preceptrs will assist in the develpment f yur ne-n-ne patient skills while develping yur clinical knwledge in specific patient care areas. Yu will als be given teaching respnsibilities t further develp yur cmmunicatin skills and abilities as a teacher. Yu will participate in nging service activities t further develp yur prblem slving skills and yur ability t wrk with thers. Preceptrs will establish minimum expectatins fr yur perfrmance during rtatins. Yu will be encuraged t surpass these minimum expectatins and prvide cntinual feedback t me during yur experiences. Yu will be delegated respnsibilities and will be allwed t achieve as much independence as desirable and achievable. At the end f this residency yu will have a greater understanding f what it means t be a managed care pharmacist. We will prepare yu t create highly managed patients that are mtivated t achieve maximum value fr their healthcare dllars. As a managed care pharmacist yu will learn hw t be at the frefrnt as an innvatr wh is willing t explre and implement a variety f clinical and plan design strategies t achieve ptimal health utcmes and reduce csts. With ur wn emplyee benefit we will teach yu hw t champin new ways t steer members t lwer cst alternatives, imprve medicatin adherence and clse gaps in care. Having access t pwerful analytics fr adherence and late t refill prescriptins yu will help t engage members via emplyee incentivized wellness prgrams and prvide pprtunities fr patients t make mre infrmed and better decisins that will results in higher quality r lwer cst treatment. Yu will be prviding ne n ne patient care in a variety f settings as well as learning the administrative backgrund f running a pharmacy and managing an emplyee prescriptin benefit. The year ahead will be a busy ne, but I am cnfident that yu will benefit frm the residency prgram and the team f individuals yu will be wrking with. On a natinal basis, it is evident that the utstanding practitiners f the future will have cmpleted pst-graduate training in additin t their degree in pharmacy. Yur investment f time, talent and energy will reap rewards in the future. As yur residency prgram directr, I am available t help yu reach yur highest ptential. I lk frward t wrking with yu and guiding yur prgress and develpment. Sincerely, Cindy Puffer, RPh Managed Care Pharmacy Operatins Manager PGY1 Residency Prgram Directr 4

6 RESIDENCY INFORMATION MISSION STATEMENT The missin f the University f Tled Medical Center and the Cllege f Pharmacy and Pharmaceutical Sciences (CPPS) Residency Prgrams is t prvide utstanding residency pprtunities that will allw pharmacists t advance their careers. Guiding principles are persnal integrity, respect fr humanity, and prfessinalism. The missin f the University f Tled PGY-1 residency is t develp a well-runded pharmacist wh exhibits qualities as a strng leader and teacher while prviding ptimal drug therapy t patients in an ambulatry care and utpatient setting with a managed care emphasis. The first year residency prgram enhances general cmpetencies in managing medicatin use systems and supprts ptimal medicatin therapy utcmes fr patient with a brad range f disease states. Guiding principles include persnal integrity, respect fr humanity, and prfessinalism. PURPOSE STATEMENT PGY1 pharmacy residency prgrams build n Dctr f Pharmacy (Pharm.D.) educatin and utcmes t cntribute t the develpment f clinical pharmacists respnsible fr medicatin-related care f patients with a wide range f cnditins, eligible fr bard certificatin, and eligible fr pstgraduate year tw (PGY2) pharmacy residency training. The prgram will prvide the resident with the knwledge and skills t pursue a career as a pharmacist in the fllwing areas: Utilizatin management Ambulatry care Medicatin therapy management Transitins f care Pharmacy benefit manager Anticagulatin pharmacist Frmulary management Specialty pharmacy/ prir authrizatin 340B specialist Clinical prgram manager Adjunct faculty Envirnments that will be well suited fr graduates f this prgram will be include managed care, healthcare netwrks, emplyer based benefit design, ambulatry clinics, utpatient pharmacies, drug distributin, patient safety, clinical prgram develpment, business and cst management and accuntable care rganizatins. In additin residents cmpleting this prgram will be prepared t cmplete a variety f PGY-2 prgrams including but nt limited t Ambulatry Care, Pharmactherapy, and administrative residencies. EXPLANATION OF PURPOSE STATEMENT / PROGRAM DESIGN The purpse f the University f Tled PGY-1 Residency is t train the pharmacy resident t becme a wellrunded pharmacist. The pharmacy resident will train at The University f Tled Medical Center utpatient clinics, utpatient pharmacies, tw ambulatry care settings as well as cllabrating with the current emplyee prescriptin benefit manager while meeting the cmpetency areas, gals, bjectives within the ASHP standards. The resident will be expected t becme cmpetent within the learning experiences in the fllwing seven required cmpetency areas assciated with learning experience dcuments and bjectives: (1) Patient Care (2) Advancing Practice and Imprving Patient Care (3) Leadership and Management (4) Teaching, Educatin, and Disseminatin f Knwledge (5) Managed Care (6) Teaching and Learning (7) Specialty Pharmacy Preceptrs assure required cmpetency in each f the abve areas by teaching r evaluating required educatinal gals and bjectives. Cmpetency within these six areas will be achieved by the teaching and evaluatin f these gals thru learning experiences in the fllwing required areas f fcus: 5

7 Cmmunity-University Health Care Clinic (Cre + Lngitudinal) Managed Care (Cre) Pharmacy Administratin (Cre) HIV Clinic (Cre) Transitins f Care (Cre + Lngitudinal) Teaching Certificate (Lngitudinal) Research (Lngitudinal) Staffing (Lngitudinal) Anticagulatin Clinic (Cre) Medicatin Management (CHF and MI) (Lngitudinal) P&T Cncentrated Experience (Cncentrated) While attaining cmpetency in these areas, learning experiences will fcus n managing and imprving the medicatin-use system, quality and safety, frmulary management, adherence and medicatin therapy management (See Appendix 1 T&E grid rtatin gals and bjectives). The resident will achieve tw thirds f their resident experiences prviding direct patient care t specialty pharmacy patients, emplyees enrlled in the UT prescriptin benefits plan, inpatients transitining ut f the hspital, patients seen within the UT anticagulatin clinic, patients seen under the medicatin management clinic as well as patients cared fr during the staffing cmpnent f the prgram. During the residency rientatin the Residency Prgram Directr (RPD) will review the fllwing: The residency s purpse and practice envirnment The apprpriate accreditatin standards, cmpetencies, gals and bjectives T&E Grid (Appendix 1) Design and purpse Learning Experience Dcuments ( Appendix 2) Explanatin f the required and elective learning experiences and the length f each rtatin Design f the residency prgram including all prgram requirements The current resident schedule (Appendix 3) Evaluatin strategy Cmpletin, dcumentatin and review f initial assessment frm ( Appendix 4a ) Cmpletin, dcumentatin and review f Initial assessment frm PharmAcademics(Appendix 4a) Review f initial assessment with Resident Advisry Cmmittee (RAC) t determine changes t the prgram based n resident incming needs. Updated quarterly and reviewed by RAC cmmittee t meet the needs f the resident (Appendix 4b Custmized Residency Training Plan) Review f PharmAcademic and verall evaluatin prcess Preceptr Summative Evaluatin f Resident ( Appendix 4c) Learning Experience Evaluatin by Resident (Appendix 4d) Preceptr evaluatin by resident ( Appendix 4e) Frmative Feedback ( Appendix 4f) Exit Interview ( Appendix 4g) Residency manual review Residency plicies, terms and cnditins Requirements fr cmpletin (detailed in Residency Manual Residency cmpletin requirements) Mnlighting ( detailed in Residency Manual see Residency Benefits) Duty hurs- (detailed in Residency Manual Expectatins and Respnsibilities) Dismissal-(detailed in Residency Manual Crrective Actin) Each resident will be prvided an area in which t wrk and will be prvided Reference materials Relevant technlgy Access t extramural educatinal pprtunities 2K stipend fr attending cnferences 6

8 RESIDENCY PROGRAM DESCRIPTIONS & DEFINITIONS In May f 2014 the CEO f the University f Tled Medical Center (UTMC) was apprached in supprt f adding a residency prgram dedicated specifically t the managed care area. UTMC was in the prcess f implementing a plan ptimizatin prgram fr its emplyee prescriptin benefit with prjected additinal savings f 1.1 millin dllars in additinal saving t the plan. As part f the return n this prjected plan ptimizatin savings, additinal funding was requested fr a new PGY1 residency that wuld be fully dedicated t the OP pharmacies, ambulatry spaces and managed care. In July 2014 the first PGY1 residency was started at UTMC that fcused n managed care, utpatient and ambulatry services. The rganizatinal structure f the prgram is set up t reprt t the UTMC hspital. In February 2015 the applicatin prcess was started fr ASHP accreditatin f the prgram as a PGY1 residency prgram. Site evaluatin is schedule fr spring- summer f Residents cmpleting the current prgram will retractively be awarded a new certificated as an ASHP accredited prgram. Directr f Pharmacy The pharmacy shall be managed by a prfessinally cmpetent, legally qualified pharmacist. The Directr f Pharmacy is knwledgeable abut and is expected t have experience in hspital pharmacy practice and management. An advanced management degree (e.g., M.B.A., M.H.A., r M.S.) r an administrative specialty residency is desirable. The Pharmacy Directr is respnsible fr the fllwing: Designating the individual respnsible fr the administratin and crdinatin fr the PGY1 Residency Prgram Establishing the missin, visin, gals, and scpe f services f the pharmacy based n the needs f the patients served, the needs f the hspital (and any health system f which the hspital may be a cmpnent), and develpments and trends in health care and hspital pharmacy practice Develping, implementing, evaluating, and updating plans and activities t fulfill the missin, visin, gals, and scpe f services f the pharmacy Actively wrking with r as a part f hspital r health-system leadership t develp and implement plicies and prcedures that prvide safe and effective medicatin use fr the patients served by the institutin Mbilizing and managing the resurces, bth human and financial, necessary fr the ptimal prvisin f pharmacy services Ensuring that patient care services prvided by pharmacists and ther pharmacy persnnel are delivered in adherence t applicable state and federal laws and regulatins, hspital privileging requirements, and natinal practice standards Respnsible fr handling grievances that are still disputed beynd the Residency Prgram Directr (RPD) and Resident Advisry Cmmittee (RAC level Residency Prgram Directr (RPD) the individual respnsible fr directing the activities f a particular residency prgram and is respnsible fr cmpletin f the Residency Learning Systems (RLS) quarterly and final evaluatins. The RPD must als maintain the prgram s cmpliance with the prvisins f the current versin f the ASHP Regulatins n Accreditatin f Pharmacy Residencies thrughut the accreditatin cycle such as activities related t the recruitment, selectin, instructin, supervisin, cunseling, evaluatin, advancement f residents, evaluatin and develpment f preceptrs, and the maintenance f recrds related t prgram accreditatin. (See Appendix 5) Residency Crdinatr the individual(s) wh the PGY-1 Residency Prgram Directr assigns as a persnal and/r prfessinal advisr t ne r mre PGY-1 Residents. Pint f cntact fr the PGY1 prgram when the RPD is nt available. Preceptr - the individual assigned t educate, train and evaluate the resident within their practice area r area f expertise wh: Cntributes t the success f residents and the prgram Prvides learning experiences in accrdance with Standard 3 Participates actively in the residency prgram s cntinuus quality imprvement prcesses Demnstrate practice expertise, preceptr skills, and strive t cntinuusly imprve Adhere t residency prgram and department plicies pertaining t residents and services 7

9 Demnstrates cmmitment t advancing the residency prgram and pharmacy services As part f their annual perfrmance review will be assessed n the fllwing: end- f- year preceptr self-assessments review quality f written feedback (sample frm each preceptr) review resident evaluatins f preceptrs and learning experiences fr trends participatin and input fr the Resident Advisry Cmmittee meetings maintain individual learning experience dcuments and develp apprpriate activities t meet gals and bjectives f the residency prgram ability t cmplete preceptr develpment in a timely manner review prgress t date fr preceptrs in training (See Appendix 5b Residency Preceptr Qualificatins and Respnsibility Checklist, See Appendix 5c fr List f Current Residency Preceptrs) A preceptr in training develpment plan will be develped with any Pharmacist new t precepting wh des nt yet meet the qualificatins fr residency preceptrs as stated abve therefre will be Assigned an advisr r cach wh is a qualified preceptr and A Preceptr Develpment plan established between the RPD and the Preceptr in training that will be reviewed quarterly t assure timely prgress. Preceptr-in-training develpment plans are used fr any new preceptr that is nt able t meet the ASHP requirements fr a PGY1 preceptr. The develpment plan may span a ttal f 2 years. (Appendix 5c Residency Preceptr- In -Training Qualificatins and Respnsibility Checklist) (Appendix 5d Preceptr In training Develpment Plan) Residency Advisr- Serves as a prfessinal mentr fr the resident and meets peridically t discuss prgress twards gals and any issues pertaining t the prgram. The residency advisr may als be a preceptr fr ne f the resident rtatins.. Administrative Crdinatr designates the individual that manages and crdinate the day-t-day administrative functins f the residency prgram. Respnsibilities are utlined in the administrative crdinatr jb descriptin Residency Advisry Cmmittee (RAC) Oversight cmmittee t discuss and mnitr prgress f the resident and the PGY1 prgram als respnsible fr establishing preceptr training and develpment. RAC meets nce per mnth and is cmpsed f cre preceptrs and advisrs fr the PGY1 residency prgram. RPD will chair the RAC cmmittee and will assign the respnsibility fr agenda preparatin and RAC meeting minutes t a RAC Cmmittee member. The PGY1 resident will participate in RAC meetings, unless a clsed sessin is needed. Any feedback frm RAC will be given t the resident thrugh their advisr, preceptr, r RPD as apprpriate. An nging preceptr develpment plan will be established thru the residency advisry cmmittee and becme an expectatin f the annual perfrmance review prcess. Annually each cre preceptr will be respnsible fr: cmpleting ne preceptr develpment CUE per quarter Attend the University Of Tled Cllege f Pharmacy Preceptr Develpment Seminar attending an annual retreat residency review t make changes t the residency prgram Participate in ne annual leadership r ASHP spnsred RLS training as determined by the RPD Appendix 5F develpment tracking frm Residency Cntinuus Prgram Imprvement Prcess: 1. RAC Mnthly 2. Frmal annual prgram evaluatin Annual June retreat 3. Mdificatin t the residency prgram discussed mnthly at RAC in respnse t nging assessment f the Resident custmized residency training plan 4. Graduate tracking updated annually (Ggle dcs Attachment H) 8

10 EXPECTATIONS AND RESPONSIBILITIES OF RESIDENTS- Listed within plicy sectin f manual Prfessinal Cnduct The PGY1 residency is cmmitted t prviding excellence in patient care, teaching and research in an envirnment that is respectful f thers, adaptive t change and accuntable fr utcmes. The resident must understand that he/she is representative f the University f Tled and the Outpatient Pharmacies and Ambulatry Clinics and is expected t cnduct him/herself in a prfessinal manner at all times. It is the respnsibility f all residents t adhere t the University f Tled Medical Center (UTMC) Standards f Cnduct plicy which states: The University f Tled s gals f excellence in educatin, research, and in quality patient care are supprted by a set f standards f cnduct. A detailed descriptin f the standards may be fund at: Prfessinal Dress All residents are expected t dress in an apprpriate prfessinal manner whenever they are in the institutin r attending any functin as a representative f UTMC. Clean, pressed white lab cats f full length will be wrn at all times in patient care areas. Any specific prblems with dress will be addressed by the resident's prgram directr and/r preceptr. A detailed plicy may be fund at: Identificatin Badges UTMC Security requires all persnnel t wear his/her badge at all times when they are n campus. If the badge is misplaced, a temprary badge is available at Security in the basement f the hspital. If the emplyee badge is lst, the resident must reprt the lss immediately t Security, and render a fee fr replacement. This identificatin badge will als be utilized t btain access t any area requiring a badge swipe fr admittance. A detailed plicy regarding emplyee badges may be fund at Patient Cnfidentiality Patient cnfidentiality will be strictly maintained by all residents. Any cnsultatin cncerning a patient will be held in privacy with the utmst cncern fr the patient s and family s emtinal and physical well-being. A detailed plicy may be fund at Electrnics and Respnsible Use The use f any electrnics (bth persnal and University-prvided) and the use f cmputing resurces are subject t the requirements f legal and ethical behavir within the university cmmunity. The resident may be given university-prvided electrnics fr use while emplyed at the University f Tled Medical Center. All electrnics must be returned in gd-wrking cnditin at the end f residency. Any lst, stlen, r damaged electrnics (by negligence, etc.) will be replaced at the resident s expense. A detailed plicy regarding electrnics and respnsible use can be fund at A detailed plicy regarding electrnic mail services can be fund at Attendance Residents are expected t attend all functins as required by the Residency Prgram Directr (RPD) and rtatin preceptrs. The residents are slely respnsible fr their assigned peratinal pharmacy practice and are respnsible fr assuring that these service cmmitments are met in the event f an absence. All leave requests shuld be discussed at least 30 days in advance with the invlved preceptr(s) t assure that service respnsibilities can be fulfilled. An excused absence is defined as vacatin, sick, r prfessinal leave discussed with and signed ff by the respective rtatin preceptr and prgram directr. This schedule may have slight variatins depending n factrs such as clinics, staffing, teaching, prfessinal bligatins and unexpected variability in preceptr schedules. (See Appendix 3 Resident Schedule) The PGY1 Resident is required t staff ne Saturday a mnth in additin t weekday requirements, during pharmacy business hurs (nt t exceed 7am-7pm). In the case f inclement weather r ther emergencies, all essential services n the Health Science Campus will cntinue. Essential persnnel are required t reprt t wrk during all emergencies when scheduled. The PGY1 Resident will reprt t wrk when the utpatient pharmacies and clinics remain pen. Please refer t the detailed plicy fund at 9

11 Leave f Absence Residents are expected t perfrm their duties fr 12 calendar mnths. Therefre, absence due t a vacatin, illness, persnal business, etc. shuld nt exceed alltted time. Any unexpected hardship must be cmmunicated with the residency prgram directr and absence will be planned. Any make up time must be added t the prjected date f cmpletin f the required 12 mnths f training. All leave requests shuld be discussed in advance with the invlved preceptr t assure that service respnsibilities can be fulfilled. Arrangements with individual residents and the RPD will be made fr any unfreseen lng term leave f absence and may include a furlugh f pay and cmpletins t be determined when apprpriate. (See Appendix 6- Leave f Absence Frm) Letter f Acceptance and Cntract The residency prgram directr (RPD) must prvide the PGY1 resident with a letter utlining their acceptance. (See Appendix 7 Letter f Acceptance & Appendix 8 Cntract Template) Duty Hurs- Duty hurs are defined as all clinical and academic activities related t the residency prgram, i.e., patient care (bth inpatient and utpatient), administrative duties related t patient care, the prvisin fr transfer f patient care, and scheduled academic activities such as cnferences. Duty hurs d nt include reading and preparatin time spent away frm the duty site. ASHP duty- hur standards Duty Hurs must be limited t 80 hurs per week, averaged ver a fur week perid, inclusive f all in-huse call activities. Residents must be prvided with 1 day in 7 free frm all educatinal and clinical respnsibilities, averaged ver a 4 week perid. It is highly unlikely that the residents within the PGY1 residency will be expected t be n call. One day is defined as ne cntinuus 24-hur perid free frm all clinical, educatinal, and administrative activities Mnlighting- (internal r external) must nt interfere with the ability f the resident t achieve the educatinal gals and bjectives f the residency prgram. The ability t mnlight must be discussed with the RDP and if allwed the fllwing must be cnsidered and dcumented in the resident emplyee recrd: All mnlighting hurs must be cunted twards the 80 hur maximum weekly hur limit. Prgrams that allw mnlighting must have a dcumented structured prcess t mnitr mnlighting that includes at a minimum: The type and number f mnlighting hurs allwed by the prgram A reprting mechanism fr residents t infrm the residency prgram directrs f their mnlighting hurs. A mechanism fr evaluating residents verall perfrmance r residents judgment while n scheduled duty perids and affect their ability t achieve the educatinal gals and bjectives f their residency prgram and prvide safe patient care. A plan fr what t d if residents participatin in mnlighting affects their judgment while n scheduled duty hur If it is determired that mnlighting is affecting the ability f the resident t cmplete required PGY1 residency requirements, the resident will be required t immediately stp mnlighting. RESIDENCY REQUIREMENTS Cmpletin Requirements Residents in all residency prgrams will be required t cmplete 12 mnths f training and perfrm r participate in a number f pharmacy related/prfessinal activities thrughut the year. These activities are designed t assure cmpetency with the gals and bjectives utlined by the residency accreditatin standards. In additin t the expectatins utlined by the accreditatin standards we expect residents t be able t: Describe their persnal philsphy f pharmaceutical care that is based n a thrugh understanding f emerging health care delivery systems and the rle f pharmacy in helping patients and ther health prfessinals t achieve ptimal patient utcmes. Functin as a pharmacist in a variety f settings. Participate in drug use review and drug plicy develpment in the managed care setting. Prvide medicatin therapy management services at the utpatient pharmacies and 340B pharmacy. Cmmunicate effectively in writing. 10

12 Cmmunicate effectively verbally with ther team members. Teach thers effectively abut drug therapy. Participate in quality imprvement initiatives including each department PMAAR quality imprvement initiative. A checklist f the minimum requirements fr cmpletin f this residency is available in Appendix 12. At the cmpletin f 12 mnths f training the RPD will award a certificate f residency t thse residents wh cmplete the prgram s requirements (See Appendix 12a). Cmpletin f the prgrams requirements will be dcumented with summative evaluatins fr each rtatin and a dcumented final exit interview with the resident (Appendix 4c & 4g). Specific resident wrk prducts/ recrds/ files/ electrnic tracking r ther prjects tied t a specific learning experience will be saved by year within that specific learning experience flder fr future reference and teaching purpses. The fllwing specific activities/ deadlines must be cmpleted t maintain resident status: 1) Licensure with the Ohi State Bard f Pharmacy by September 30 th f the year starting residency. Any resident wh fails t pass/ take the licensure exam in this timeline must frmally dcument this failure in a letter t the RPD and Pharmacy Directr. The resident must pass the exam at the next feasible exam date (t be determined with the RPD) r will be subject t dismissal frm the prgram. All residents must be licensed by the Ohi State Bard f Pharmacy. Infrmatin n the license prcess may be access at Questins regarding licensure may be addressed directly t the Ohi Bard f Pharmacy. Ohi Bard f Pharmacy 77 Suth High Street, Rm 1702 Clumbus, OH Telephne: Fax: Residents must be graduates f an ACPE accredited cllege f pharmacy r have an FPGEC frm the NABP. Additinally, residents must at least have a graduate intern license upn starting the PGY-1 year. If yu have nt received yur pharmacist license by September 30th, yur participatin in the residency prgram will be reviewed, and yu may be subject t dismissal. 2) Natinal Prvider Identifier In additinal t licensure, residents are required t btain a Natinal Prvider Identifier (NPI) by July 1 st and update it by September 30 th after btaining the pharmacist license. This can be cmpleted nline at Pass all UT Human Resurces Mandated Resident Pre-emplyment qualificatins If yu d nt pass all UT Human Resurces Mandated Pre-emplyment items, yur participatin in the residency prgram will be reviewed, and yu may be subject t dismissal. 3) Cmplete all UTMC Mandated Training Diversity Training 1. The Cultural Diversity training is lcated at Please use Internet Explrer as yur brwser since many f the ther brwsers create prblems with the mdules. 2. The link abve will take the user t smething that lks like a calendar. Abve the calendar grid, there are lgin bxes fr UTAD ID and Passwrd. 3. On the left side f the page, there is a list f links t use t access the tests. Under Testing/Training the third link is labeled Select Test. Clicking n this link will take the user t a drp-dwn selectin menu. 4. Use this drp dwn t find the test labeled Diversity Training (172). 5. Select that test and click the buttn beneath it labeled Take Selected Test. This will take the user t the training mdule. Please be sure that any Pp-up Blcker n yur brwser is turned ff during this training r the training mdule will nt cme up. 6. The user shuld cmplete all five training mdules. Please be sure t use a cmputer that has speakers and make certain the sund is audible. Yu will nt be able t advance thrugh each screen until the audi prtin fr each screen is cmpleted. 11

13 7. Once yu have cmpleted all five mdules, click n the buttn labeled Cmplete. This will take the user t a shrt survey regarding the training itself. This survey must be cmpleted and the Submit buttn must be clicked in rder t have the user s name added t the database t indicate cmpletin. TIP: Print r save a cpy f the cmpletin certificate t be used fr the Teaching and Learning Certificate prgram. Annual Safety Training 1. G t in an internet brwser (Explrer may be better than Firefx). 2. Click n Safety and Health Test Bank (nline) and Training Calendar in the middle f the screen. 3. Type in yur UTAD username and passwrd. 4. If yu have a requirement fr training, yur list f required test(s) will appear. Click n the name f the test t begin. 5. If yu previusly started a test that yu didn t finish, a test number will be waiting n the screen after yu lg in. Click n the apprpriate blue test number t begin OR click the Select Test ptin n the left f the screen under Testing/Training. 6. A new bx will appear titled Select Test. In that bx is a drp-dwn menu where all the tests are listed. Click n the arrw fr the drp-dwn menu and chse the test yu want t take. Test #1 Safety (fr mst emplyees) Check with the RPD t ensure the apprpriate test is taken 7. Then click the Take Selected Test buttn yu can take it at that pint r start it later. Yu have the ptin t exit and cme back t finish later at any pint during the test. 8. The first questin f the test will appear. Answer each questin by clicking n the desired answer. TYPING THE ANSWER DOES NOT WORK! Click n the blue wrd Next r the blue number n the next bx t advance t the next questin f the test. 9. When yu are dne chse the Finish/Scre test link just abve yur test answers. 10. The prgram will prvide yu with a results page if yu have cmpleted yur test. a. Yu can print the results page by clicking n the Print buttn belw the results. Yu can als click the Missed Questins buttn t see the questins yu missed. b. There is a buttn Other Test Results if yu want t lk at yur past test scres. If yu want t return t the lg-in page, click the buttn Testing Hme. c. If yu failed the test r any individual tpics, g t yur test bank hme page, then click n Select Test frm the menu n the left side. Then use the drpdwn menu in the middle f the screen and chse the test fr the tpic yu failed. Many tests have similar names, s be sure t pick the test with the same name as the tpic(s) yu failed. d. When yu are finished using the test bank, d nt frget t lg ff. HIPAA training In the past HIPAA training has been cmpleted by the GME ffice during the fficial rientatin fr the hspital. If this is nt dne at that time, it can be cmpleted nline at the same lcatin as the Diversity and Safety nline training mdules. Pharmacist Training Pathway dcuments will be cmpleted during the rientatin mnth f July. This pathway dcument shuld be carried with yu frm lcatin t lcatin s that preceptrs and check ff apprpriate training and learning experiences. CITI Prgram Training dcumentatin needed prir t participating in institutinal research. 4) Participate in the Residency Orientatin Prgram A frmal rientatin prgram hsted by the Office f Graduate Medical Educatin fr all medical residents is scheduled at the end f June each year. All new pharmacy residents are expected t attend these sessins fr the general rientatin prcess cmpleted thrugh the Graduate Medical Educatin (GME) ffice and the Human Resurces (HR) department. New hire paperwrk (W4, I9, benefits frm, etc.) will be cmpleted at this time. The rientatin perid in June is used t intrduce the incming residents t UTMC, the Cllege f Pharmacy and Pharmaceutical Sciences, and the department f pharmacy alng with utlining the expectatins fr the residency year. See Z:\Pharmacy\Cmmn\Outpatient Pharmacy\PGY1 Residency\Recruiting and HR dcuments\hr dcs 12

14 The annual resident July rientatin will include training by the RPD and apprpriate preceptr t the fllwing: The residency s purpse and practice envirnment. The apprpriate accreditatin standards, cmpetencies, gals and bjectives. Design f the residency prgram including all prgram requirements. Descriptin f required and, if applicable, elective learning experiences Z:\Pharmacy\Cmmn\Outpatient Pharmacy\PGY1 Residency\Rtatin Dcuments Evaluatin strategies used Residency manual review Residency plicies, terms and cnditins, e.g., requirements fr cmpletin, mnlighting, duty hurs, dismissal Review f resident s self- assessment t determine resident s strengths and needed areas fthis and ther self-assessment activities will be taken int cnsideratin when develping the custmized plan. 5) Participatin in the Pharmacy & Therapeutics Cmmittee Missin f the Pharmacy and Therapeutics prgram is t prvide wrld class pharmaceutical care at the University f Tled while maintaining fiduciary respnsibility thrugh engaged multidisciplinary team include medical staff frm all departments, pharmacy, quality imprvement, infrmatin technlgy nursing, dietary, respiratry, finance, and administratin. The PGY1 resident will be respnsible fr presenting ne Therapeutic Drug Class Review, OR ne Drug Mngraph at a frmal hspital P&T cmmittee meeting. Fr the prject that is chsen, a preceptr will be assigned t prvide assistance t the resident. The prject will be assigned at the pre-p&t Pharmacy meeting the mnth befre the presentatin. The resident will practice their presentatin at the P&T Pharmacy Review Meeting n the secnd Tuesday f the same mnth that the resident will be presenting. Fr the P&T assignment, a checklist must be cmpleted t allw fr prper fllw thrugh f the tpics presented. T Access Equipp P&T sftware ID = NABP number passwrd = Tled@123 The resident will be respnsible fr cmpleting the fllwing: P&T checklist (Appendix 9a) CME disclsure frm ( Appendix 9b) One therapeutic class review- Each resident is required t participate in a drug class review fr presentatin at the pharmacy and therapeutics cmmittee meeting. The gal f the prject is t identify preferred agents within an assigned drug class fr txicity, cst, and/r effectiveness. Plicies and prcedures determined by the department f pharmacy and UTMC administratin must be fllwed. Satisfactry perfrmance as determined by the RPD r his/her designee is required fr the successful cmpletin f the prgram.(appendix 9e Therapeutic class review template). OR One Drug mngraph Each resident is required t participate in presenting a drug mngraph t the pharmacy and therapeutics cmmittee fr the request f additin t frmulary r review f a medicatin t supprt patient care at UTMC. The resident will be given the specific medicatin t review by the RPD r his/her designee. Plicies and prcedures determined by the department f pharmacy and UTMC administratin must be fllwed. Satisfactry perfrmance as determined by the RPD r his/her designee is required fr the successful cmpletin f the prgram. A template fr the cmpsitin f the mngraph and the PwerPint used t present the medicatin can be fund n the Z drive in the PGY1 Pharmacy Residency Flder. ( Appendix 9c) 13

15 AND One additinal managed care medicatin use evaluatin which will be used t evaluate the cst impact fr the emplyee prescriptin benefit and applicatin f clinical guideline cmpliance. The rle f the managed care MUE will be t evaluate the efficiencies f the OPTUM frmulary and assure that prviders are using the OPTUM frmulary t meet guideline cmpliance. The UT clinical pharmacy team will wrk with OPTUM clinical pharmacists and reprt back infrmatin regarding any imprvement prcess that can be established in the UT emplyee prescriptin benefit prgram. Any identified cncerns will be taken back t the OPTUM P&T cmmittee which meets quarterly in at the OPTUM headquarters in Chicag. The MUE will include the fllwing: Chse a drug class fr a medicatin use evaluatin prcess that is a critical cmpnent f care fr a specific disease r cnditin r highly used nnfrmulary medicatin r signs f treatment failure that are f interest fr the UT emplyee prescriptin benefit. After data analysis the fllwing infrmatin will be evaluated by the clinical team: Number f patients utilizing the chsen medicatin within the class t review identifying significant trends in utilizatin Ttal cst t the UT health plan Percentage f patient cst share Trends in drug utilizatin per year by class Spending trends fr the MUE Percent f claims per year by drug Identificatin f tp Rx spend pmpm Cst per patient per year OP pharmacy prescriptin capture rate Educate ur UT RA t prmte the use f criteria, guidelines treatment prtcls and standards f care used by the OPTUM frmulary. ( review OPTUM guideline prtcls fr the chsen class f meds ) Develp and implement plans fr imprvement f the MUE prcess based n MUE findings ( if indicated) - identify when Tier three is used withut use fr Tier 2 Demnstrate pprtunities t minimize csts and verify apprpriate use f the class f medicatins fr the emplyee prescriptin benefit. 5) Resident Research Prject and Manuscript Prject selectin / Scpe f prjects/ Apprval Each year, the RPD and ptential prject preceptr(s) will submit research tpics ideas fr cnsideratin. Discussins with the resident during residency rientatin will allw the resident t review ptential prjects. A resident may develp his/her wn idea fr a research prject and discuss/receive apprval frm a preceptr and the RPD. Once a tpic and preceptr have been selected, the resident will be alltted time during the residency t cmplete a pharmacy practice research prject within the residency year. A manuscript suitable fr publicatin in a peer-reviewed jurnal describing the results f the prject must be written and submitted t RPD and preceptr verseeing the research. Thse invlved with the research must cmplete CITI and IRB training. Investigatinal Review Bard (IRB) and CITI Training Each resident will need t be trained prir t cmpleting a prject cntaining human subjects as the target ppulatin. This training prvides infrmatin needed fr the IRB submissin prcess as well as cntact infrmatin fr the IRB department. This training shuld be cmpleted nline thrugh CITI and accessed n the IRB website under Training and Educatin tab fund at Status Reprts As a part f the research prcess, the resident will be evaluated quarterly by the preceptr fr the lngitudinal learning experience. The prject preceptr shuld add further clarificatin and/r cmments abut the resident r prgress f the prject as he/she feels is necessary. Preparatin f a Manuscript Acceptable fr Publicatin All residents will write at least ne manuscript suitable fr publicatin in a peer-reviewed bimedical jurnal. One manuscript must be a reprt f the PGY-1 resident s practice related prject. Additinal manuscript submissins may include a drug mngraph, jurnal article, case reprt, etc. Editrial assistance by a 14

16 preceptr is required. The resident must be first authr and be respnsible fr submissin and revisins t a jurnal. Prject Cmpletin The prject will be cnsidered cmplete when the stated bjective(s) have been met t the satisfactin f the prject preceptr and the RPD, a manuscript suitable fr publicatin and results f the prject are submitted t the RPD, and the prject is presented at Ohi Pharmacy Resident Cnference. A residency certificate will nt be awarded until the prject is cmplete. Example Prject Timeline Date Expectatin July 1-30 The resident, in cnjunctin with Residency Directr and ptential prject preceptr(s), will identify a prject and cmplete a Resident Prject Apprval Frm.( Appendix 10) This frm must be submitted t the RPD by the end f July Onbarding in July Cmpletin f Human Subjects Review - IRB training Mid- August IRB deadline - The prject ratinale and design will be cmpleted and submitted t the apprpriate investigatinal review bard (IRB). If changes are needed, cmments will be returned t the principle investigatr. Early September First draft f abstract fr ASHP/ AMCP pster presentatin Mid-September Revised draft f IRB prpsal due Late September Submissin f IRB applicatin September 30 th Submissin f timeline fr remainder f research prject depending n scpe and type f prject. Octber 1 st Submissin f abstract t APHA pster presentatin February 1 st Submissin f abstract fr Ohi Pharmacy Residency Cnference (OPRC) March 1 st Final abstract fr OPRC due April 1 st 1st draft f manuscript due April 8 th 1st draft f OPRC slides due June 15 th Final draft f manuscript due June 30 th Prjects will be cmpleted. In cases where the prjects are nt cmpleted by this date, sufficient prgress must have been made t allw fr submissin t OPRC Refer t research series dcuments Z:\Pharmacy\Cmmn\Outpatient Pharmacy\PGY1 Residency\Additinal Series\Research Series 6) Participatin in Cnferences The University Health System Cnsrtium (UHC) Pharmacy Cuncil Meeting December - held in cnjunctin with the ASHP Midyear Clinical Meeting. The resident is required t attend the events f the pharmacy cuncil as well as present during the resident pster presentatin receptin. This sessin will prvide the pprtunity fr interactin and netwrking with UHC leadership alng with ther UHC-affiliated residents and pharmacists. Infrmatin can be fund at TIP: Watch fr deadlines fr abstract submissin and sign-up as sn as registratin is pen. Enter abstract infrmatin early t ensure participatin in the event. American Sciety f Health-System Pharmacists (ASHP) Midyear Clinical Meeting (MCM)- December a Fcus n imprving patient care by allwing pharmacists t update their knwledge, netwrk, enhance current skills, and learn abut the latest technlgy available. This frum serves as an pprtunity t seek future emplyment r evaluate residency prgrams. Each resident is respnsible fr presenting a pster f current research infrmatin alng with participating in recruitment effrts fr The University f Tled residency prgrams. Infrmatin can be fund at TIP Check website early fr actual cnference dates and lcatin Althugh the bard supplied fr the pster presentatin is 48 by 96, a pster f 36 by 56 is sufficient. Templates fr the pster are available n the Z drive. Check website ften fr htel, registratin, CareerPharm, and abstract infrmatin/deadlines. Ohi Pharmacy Residents Cnference (OPRC) March The Ohi Pharmacy Residents Cnference (OPRC) is held in the spring f the year and is a frum where residents share experiences and expertise. Each resident will make a brief presentatin n their prject which will be evaluated by preceptrs and residents attending the cnference. The resident will participate in a practice sessin with UTMC preceptrs prir t OPRC attendance. Residents are required t present. 15

17 Infrmatin can be fund at: r TIP Check website fr actual cnference dates and lcatin Data Cllectin fr OPRC needs t be cmpleted by March 15 th and data analysis by April 1 st American Academy f Managed Care Pharmacy Residents are encuraged t attend the AMCP Octber fall and/r April meeting and present research thrugh pster presentatins. Infrmatin can be fund at Check website fr actual cnference dates and lcatin. TIPS FOR ALL CONFERNECES: Be aware f deadlines fr abstracts, registratins, and presentatin submissin. Presentatin recmmendatins: Have unifrmity between all UTMC presentatins Include a slide describing the institutin where the research was cnducted (if apprpriate) Include a slide with the learning bjectives f the presentatin Active learning: ask audience t answer after questins (participatin) and then highlight/discuss crrect answer Prepare early and practice in frnt f faculty/preceptrs n multiple, separate ccasins if pssible 7) Participatin in Recruitment Effrts The resident will assist with the recruitment effrts f the PGY1 residency prgram. Each resident is an imprtant surce f infrmatin fr ptential candidates. Candidates will expect t be able t interact with the current residents at the ASHP midyear shw-case and the current resident is expected t spend time prviding infrmatin t interested candidate. Residents will be asked t staff residency shwcases and recruitment events.recruitment events may include but are nt limited t: ASHP midyear cnference TASHP Residency Shwcase- Tled OSHP Residency Shwcase- Clumbus ONU Residency Shwcase Ida AMCP Nexus if annual budget permitting AMCP annual meeting budget permitting 8) Teaching Certificate Prgram, Leadership, Presentatin and Research Series Teaching Certificate: The University f Tled Cllege f Pharmacy and Pharmaceutical Sciences (UTCOPPS) ffer a cmprehensive teaching certificate prgram. Participatin in the prgram is mandatry. Resident invlvement in the teaching activities fsters develpment and refinement f the resident's cmmunicatin skills, builds cnfidence, and prmtes the effectiveness f the resident as a teacher. The prgram is designed t demnstrate faculty rles and respnsibilities while prmting teaching skills essential t develping and delivering didactic r experiential instructin. Residents will wrk with and be evaluated by a preceptr fr these activities. : Minimum Participatin in each required teaching certificate prgram sessin. Satisfactry cmpletin f assignments by schedule due dates. Active participatin in small grup teaching activities (minimum f 32 hurs). Within the residency prgram, credit will als be given fr the fllwing small grup teaching pprtunities (12 f 32 will qualify) Smking Cessatin small grup teaching Teaching in residence halls abut healthy lifestyle and behavirs Kbacker Center Medical Assistant teaching Lambda Kappa Sigma Medicatin Safety event Supprt staff educatin n medicatin safety Ruppert Patient educatin fr disease state management and wellness Participatin in didactic lecture Participatin at end-f-year wrap-up sessin. 16

18 Develpment f a teaching/research prtfli suitable fr use in applying fr a faculty psitin. Infrmatin regarding the prgram tpics and schedule will be made available during the rientatin mnth when the teaching certificate prgram is reviewed. Leadership Series: Varius preceptrs ffer a series f didactic teachings in the areas f leadership and research. The active participatin in these prgrams is mandatry. Each resident will be required t discuss numerus leadership tpics during Friday Leadership training. In additin the resident will be required t read and discuss the fllwing: Strength Finders 2.0 Tm Rath Gd t Great Jim Cllins One discussin n emtinal intelligence Participate in a weekend Crucial Cnversatins training Presentatin Series: Varius preceptrs ffer sessins n hw t prepare residency level presentatins. The Presentatin Series schedule will be discussed during residency rientatin. Signing up fr varius Managed Care Pharmacy jurnals t get increased expsure t Managed care tpics f interest is helpful. Respnsibilities fr the presentatin series include tw majr presentatins during the residency: TASHP CE prgram presentatin Managed care tpic f the resident chice Presentatin date t be assigned July Practice presentatin ne mnth prir t yur assigned CE prgram. CE Planning Dcument turned int RPD by July 31 (Appendix 11) OPRC Presentatin f yur research tpic tpic that cincides with yur research results Date t be annunced in January Practice sessin ne mnth prir t the presentatin Presentatin timeline- Spring Ohi State Bard-apprved Cntinuing Educatin Prgram Resident may be requested t present ne Ohi State Bard-apprved cntinuing educatin presentatin during the residency prgram. Presentatins will be scheduled as needed by the utpatient pharmacy department The gal f the presentatin is t imprve the resident's cmmunicatin skills and presentatin techniques, literature evaluatin, and understanding f the cntinuing educatin prcess. The tpic shuld invlve current managed care tpics f interest. Guidelines fr the CE presentatin will be prvided as part f the rientatin prcess. (CE planning dcument can be fund in the appendix 11) Refer t presentatin series dcuments Z:\Pharmacy\Cmmn\Outpatient Pharmacy\PGY1 Residency\Additinal Series\Presentatin Series Research Series: Varius preceptrs will prvide sessins n hw t prepare yur research and stay n time t cmplete yur final pster prject. The research series schedule will be discussed during residency rientatin. Refer t research series dcuments Z:\Pharmacy\Cmmn\Outpatient Pharmacy\PGY1 Residency\Additinal Series\Research Series 9) Successful Cmpletin f Basic Life Supprt (BLS) Curriculum Each resident is expected t successfully cmplete the BLS curriculum (ffered during rientatin) within the first mnth f the residency. The gal is t ensure the resident is familiar with and capable f prviding BLS, in the event f an emergency and is a requirement f the vaccine certificatin prgram. 10) Successful Cmpletin f PGY1 Learning Experiences Learning Experiences will be evaluated using the utcmes, gals and bjectives apprved by ASHP fr the specific residency prgram. Each residency learning experience has an assigned preceptr wh meets the intent f the standard by pssessing the apprpriate knwledge, skills, attitudes and abilities t guide residents in the specific area. Each preceptr will have n file an up t date academic and prfessinal 17

19 recrd frm that will be reviewed annually by the RPD at the preceptr perfrmance evaluatin (Appendix5b) At the beginning f each rtatin, the preceptr will review the rtatin expectatins, learning bjectives and specify the degree f autnmy the resident will have n the rtatin. In additin, residents will be expected t dcument all activities apprpriately thrughut the mnth. Upn cmpletin f the PGY1 residency prgram the resident will: 1. Understand hw t manage the drug distributin prcess fr an rganizatin s members (emplyee benefits) 2. Design and implement clinical prgrams t enhance the efficacy f patient care and prvide medicatin therapy management services t special patient ppulatins, emplyees, and utpatients 3. Prvide medicatin and practice-related infrmatin, educatin and/r training 4. Exercise leadership and practice management skills thrugh invlvement with lngitudinal leadership prgram and invlvement in a variety f pharmacy cmmittees 5. Demnstrate prject management skills and develp a manuscript suitable fr publicatin Learning experiences are ffered in the fllwing areas (Appendix 2 Detailed Learning Experience dcuments): Orientatin ( Cre ) Managed Care (Cre) Pharmacy Administratin ( Cre) HIV Clinic (Cre) Anticagulatin ( Cre) Cmmunity- University Healthcare Clinic(Cre + Lngitudinal ) Transitin f Care lngitudinal ( Cre + Lngitudinal ) Research and MUE ( Lngitudinal) Teaching Certificate ( Lngitudinal) Staffing Transitins f Care ( Lngitudinal ) Medicatin Management CHF/ MI ( Lngitudinal) P&T ( Cncentrated) 11) Be actively invlved in a Learning Envirnment As part f an academic medical center it is ur missin t imprve the human cnditin and t prvide an envirnment cnducive t prfessinal develpment. It is an expectatin the resident will participate and lead learning experiences with APPE, IPPE, and ther learners. 12) Invlvement in Cmmittees The resident will be assigned t several cmmittees, and regularly scheduled meetings. These meetings include, but are nt limited t: Outpatient Leadership Cmmittee (meets twice mnthly) Operatins Leadership Team (meets nce mnthly) Practice Area Frum (meets nce mnthly) UT P&T cmmittee and anticagulatin subcmmittee ( quarterly) Attend cmmittee meetings with the preceptr f current rtatin 13) Cmplete a self-assessment (Initial Assessment) At the beginning f the residency (within 30 days t the start f the prgram) the resident will cmplete a self-assessment f their practice experience and cmplete an apprpriate cmpetency needed t practice within the department. (Appendix 4a & 4b and PharmAcademics) See ASHP Pre-Survey Packet at Prgrams-PDF.pdf The purpse f the initial assessment is t determine: Shrt- and lng-term career gals f the incming resident Incming strengths (required) Prfessinal strengths in terms f knwledge, skills, and abilities related t the educatinal gals and bjectives Persnal strengths related t being a prfessinal Incming areas fr imprvements (required) Prfessinal areas fr imprvement in terms f knwledge, skills, and abilities related 18

20 t the educatinal gals and bjectives Persnal areas fr imprvement related t being a prfessinal Incming learning interests related t required r elective learning pprtunities Assist in the develpment f the custmized plan t be reviewed with RAC members t make changes t the prgram based n current resident needs 14) In cllabratin with the RPD Develp a Custmized Plan The RPD and preceptrs will custmize the training prgram fr the resident based upn an assessment f the resident s entering knwledge, skills, attitudes, and abilities and the resident s interests. The Custmized Resident Plan template (Appendix 4b) is cmpleted in narrative frm utilizing the resident self-assessment and additinal infrmatin gained thrugh discussin t address all areas in the custmized plan template. There must be at least, but nt limited t, three gals included in the residents custmized plan. Gals shuld be specific and have a plan that includes activities that will be used t accmplish resident gals. Bth the resident and Residency Prgram Directr (and Advisr, if applicable) sign the custmized plan During the first quarterly plan review with the RPD the self-assessment will be discussed. The custmized plan will be reviewed and updated quarterly based n experiences/feedback, preceptr assessment and input frm the RPD. This will als be used t assess resident strengths and weaknesses. Fr quarterly updates, the resident will initiate the self-assessment and custmized plan that will then be reviewed (with input), discussed with the resident and apprved by the preceptr and RPD (See Appendix 4b). 15) Creatin f a Residency Prtfli Residents will be assigned a lcatin n the Z drive t cmpile their electrnic residency prtfli. All relevant dcuments demnstrating bjective cmpletin shuld be upladed t the residency prtfli fr each learning experience. Research prject prgress, publicatins, etc. shuld als be laded int this prtfli. The electrnic residency prtfli will be reviewed prir t furth quarter evaluatin with RPD fr cmpleteness and apprpriateness. Resident will nt receive Certificate f Cmpletin withut an acceptable residency prtfli. 16) Participate in the ResidencyFeedback and Evaluatin Prcess Regular assessment is vital t the success f the resident and prgram in several ways: Ensuring that that the resident is meeting the defined gals and bjectives t be a quality wellrunded practitiner. Prviding the resident with pprtunities fr self-assessment and reflectin fr persnal develpment and grwth. Allwing fr assessment f the preceptr and learning experience (by the resident) fr cntinued grwth and success f the prgram. The assessment strategy will include three different types f evaluatins: 1. Preceptr evaluatin f residents attainment f educatinal gals and bjectives. 2. Residents self-evaluatin f their attainment f educatinal gals and bjectives. 3. Residents evaluatin f the preceptr and learning experience. PharmAcademic Evaluatins are dne using PharmAcademic. Resident, preceptrs, and RPD all have access t this system with a unique lgin and passwrd. Experience bjectives will be evaluated with the fllwing scale: Achieved fr Residency A resident must have Achieved the bjectives at least nce fr cmpetency R1 and upn preceptr cnsensus fr ther cmpetency areas befre yu can Achieve fr Residency. Preceptrs n subsequent rtatins will nt be required t evaluate (but they still have the ptin). It makes it clear t all subsequent preceptrs that this item has been Achieved fr Residency. 19

21 It lets the resident knw that we are mnitring their prgress as a whle, nt just n each experience. RPD can change the evaluatin status f an bjective t Achieved fr Residency status if warranted. Generally reserved fr facilitating phase f resident develpment. Achieved Generally used during the facilitating phase f resident develpment Satisfactry Prgress Generally used in the mdeling/caching phase f resident develpment Needs Imprvement Generally used during the instructing phase f resident develpment Nt Applicable Generally used when this des nt apply t yur learning experience Training vides fr PharmAcademic use are available at Each f the three assessments is described belw alng with a descriptin f the quarterly review. A detailed assessment strategy table shwing the evaluatin categry, tl, individual respnsible, submissin date, and the individual t whm the evaluatin shuld be submitted can be fund belw. Types f Evaluatins: Resident Self-Reflectin: Each resident will self-reflect n areas that are ging well and areas fr imprvement within the residency prgram as well as the impact f the resident s cmmunicatin and behavir n the achievement f gals. This will be discussed n the first day f each learning experience. Resident Self-Evaluatin: Evaluatin based n the resident s perfrmance during the learning experience. This evaluatin is t be reviewed at the end f the rtatin during the discussin f the resident s summative evaluatin Resident s Evaluatin f Preceptr and Experience Each resident will cmplete an evaluatin f the preceptr and experience within ne week f the end f the experience r quarterly fr lngitudinal experiences. The evaluatin reminder will be sent t yu via PharmAcademics. The Resident evaluatin f the preceptr will be reviewed by the preceptr at the end f each rtatin. The RPD will als use the evaluatins as a tl and discussin during the preceptr s evaluatin when applicable.. Preceptr's Evaluatin f Resident's Perfrmance Each preceptr will cmplete a criteria-based evaluatin f the resident within ne week f the end f the experience r quarterly fr lngitudinal experiences. The preceptr will be sent a reminder t cmplete the evaluatin within PharmAcademic. The preceptr shuld let the resident knw what criteria they are using fr the evaluatin prcess in a narrative and summative prcess. The evaluatin is t be discussed with the resident at the end f the learning experience. Lngitudinal Evaluatin Prcess Lngitudinal activities, when applicable, will be evaluated at least nce per quarter and will be set up in PharmAcademics. The evaluatins must be cmpleted within three days f the end f the quarter t allw adequate time fr the Residency Prgram Directr/Advisr t incrprate the cmments frm the evaluatins int the resident's quarterly evaluatin. Quarterly Evaluatins An evaluatin f the residents prgress in achieving prgram s gals and bjectives will be cmpleted in cnjunctin with the Develpmental Plan. The RPD will review the resident s evaluatins quarterly and add cmments accrdingly. The RPD will determine if prgram utcmes and gals are being achieved. The RPD will als cnsider residents self-evaluatin and preceptr feedback t determine achievement f residency prgram gals fr that quarter ( Achieved fr residency status). 20

22 RPD will review the quarterly evaluatin with the resident at the end f each quarter. Residents will perfrm a self-assessment n their prgress during the discussin with the RPD and updates t the develpmental plan will be made based n the resident s self-assessment. Adjustments t the first, secnd, and third quarter plans are made based upn review f the resident perfrmance relevant t the previus quarter s plan: With input frm preceptr(s) and residents; The identificatin f new strengths r areas fr imprvement and, ptinally, Changes in residents shrt- r lng-term career gals and interests. A quarterly resident review at RAC cmmittee will be used as a mechanism by which adjustments t the develpment plan will be made based n bth frmative and summative feedback. If there is n need fr changes in the develpment plan, this is dcumented. Assessment infrmatin cllected abut a resident is a cmpnent f the develpment plan, but is nt the plan itself. End f Residency Self-Evaluatin At the end f the year, the resident will cmplete a Gal-Based Residency Self-Evaluatin and Exit Interview (Appendix 4g) Residency Evaluatin Respnsibilities Evaluatin Type Methd f Evaluatin Frequency Respnsibility Resident Preceptr RPD ROTATION Rtatin Midpint Narrative During Rtatin X X Frmative Snapshts r ther During Rtatin X X Resident RLS Outcmes, Gals & End f Rtatin X X Objectives Preceptr Likert-scred questins with cmments End f Rtatin X QUARTERLY Lngitudinal RLS Outcmes, Gals & Quarterly X X Objectives Residency Prject RLS Outcmes, Gals & Quarterly X X Summary f Resident s Prgress Residency Prgram Directr/Advisr Summary Residency Prgram Directr/Advisr Resident Exit interview Objectives RLS Outcmes, Gals & Objectives Narrative (template lists the required cntents) Likert-scred questins with cmments Narrative and RLS Outcmes, Gals & Objectives Likert-scred questins with cmments Quarterly X X Quarterly X X OTHER Midyear X FINAL End f Prgram X X End f Prgram X X X Review f Residency Gals and Objectives In rder t meet the accreditatin standards, residents will need t achieve the gals and bjectives fr PGY1 residency prgrams. This will cnsist f all the required utcmes in additin t elective any chsen electives. The detailed dcument that cntains these utcmes, gals and bjectives 21

23 can be fund at Review f Residency Learning Experiences The resident will participate in all required learning experiences as defined by the PGY1 residency prgram. (See Appendix 2 T&E grid). Any mdificatins t the learning experiences will be discussed with the RPD and dcumented as t the reasn fr the change. Annual Review f Residency Prgram Resident Advisry Cmmittee will hld an annual retreat in June t review and make necessary changes t the fllwing: T&E grid Prgram schedule Review rientatin mnth and mdificatins needed Review f learning experience dcuments t determine effectives f meeting missin, visin and prgram needs Review f lngitudinal experiences Review f teaching certificate learning experience meeting prgram needs Final review f resident research prject and manuscript submissin Any ther necessary changes t the prgram based n current resident feedback 18). Participate in Departmental Quality and Safety Initiatives The purpse f the Quality Assessment, Perfrmance Imprvement and Patient Safety Plan is t prvide a frmal mechanism by which the University f Tled Medical Center (UTMC) utilizes bjective measures t mnitr and evaluate the quality f services prvided t patients. Quality is defined bradly t include care that strives t be safe, effective, patient centered, timely, cst efficient, and equitable. The plan facilitates a multidisciplinary, systematic perfrmance imprvement apprach t identify and pursue pprtunities t imprve patient utcmes and reduce the risks assciated with the patient safety in a manner that embraces the missin f the hspital, pharmacy and PGY1 residency prgram. The PGY1 resident will be expsed t numerus quality initiatives thrughut the residency including but nt limited t the fllwing: Patient Safety Event and Incident Reprting See Hspital Plicy Reprtable events must be described n the nline Incident Reprt. This nline submissin will be frwarded and used by Department manages and Quality management fr patient safety and quality initiatives. When an incident Is placed in patient safety net the managed care pharmacy team will review the incident and fllw up with necessary evaluatin f the rt cause f the issue and make necessary changes t prevent the incident frm a taking place again. The resident will be respnsible fr perfrming an annual review f all utpatient pharmacy events and fr presenting bth data and imprvement initiatives t pharmacy leadership. Quality and Patient Safety Cycle - PMAAR - The quality and patient safety prgram that clse the lp n any identified quality, patient safety r patient satisfactin issue r investigatin. The Acrnym stands fr: Plan - Define yur wrk using pririties frm the Perfrmance Imprvement Annual Plan r issues identified as impacting imprtant utcmes f care, treatment r service. Measure - Use existing data where pssible. Indicatrs shuld reflect the issue at hand. Analyze - Cnduct quantitative and qualitative analysis f the data/prcess being studied Act - Determine an actin r actins that will impact the trend in the desirable directin Review - A successful interventin shuld cause a nticeable change in the experience within a reasnable perid f time An annual PMAAR reprt will be submitted (see Appendix 18 fr Quality Perfrmance Imprvement Annual Reprt) by each OP/ ambulatry pharmacy lcatin t the Managed Care Pharmacy Operatins Manager and fllw up discussin will take place at utpatient pharmacy leadership meetings and be reprted t quality and safety when applicable. 22

24 PMAAR Perfrmance Imprvement Cycle Review ü Did actins prduce desired results? ü Why r why nt? ü Are additinal actins necessary? ü Is the right thing being measured? ü What has been learned? ü Cntinue the cycle; mdify based n findings ü Define pprtunities ü Determine what is t be accmplished ü Identify perfrmance indicatrs, hw they will be btained, hw frequently they will be measured, what cmparisn values will be used ü Identify respnsible parties Plan Act ü Determine an actin that will impact the trend in the desired directin ü Plan fr actins t be executed apprpriately ü Cmmunicate, initiate ü Cnduct quantitative analysis v Hw much which directin? v Hw des this cmpare t benchmark? v Is the prcess in cntrl r is variatin excessive? ü Cnduct qualitative analysis v Why is this happening? v What are cntributing factrs? v What des this mean? ü Cllect measurement data ü Display data ver time n a run chart ü Cmparative data displayed simultaneusly Measure 3/8/2006 tm Analyze ISMP Medicatin Safety Self-Assessment fr Cmmunity and Ambulatry Pharmacy each pharmacy and ambulatry lcatin will underg ne sectin f this tl annually t be reviewed at the pharmacy leadership meeting fr nging changes t plicy and prcedures fr the department. This cmprehensive tl is designed t help assess the safety f medicatin practices f the utpatient and ambulatry pharmacy areas, identify pprtunities fr imprvement, and cmpare experience with the aggregate experiences f demgraphically similar cmmunity pharmacies arund the natin. Althugh ISMP is slely respnsible fr the cntent f the self-assessment, the prject is cspnsred by the American Pharmaceutical Assciatin (APhA) Fundatin and the Natinal Assciatin f Chain Drug Stres (NACDS). Areas t be assessed include the fllwing: Patient infrmatin Drug infrmatin Cmmunicatin f Drug rders and ther drug infrmatin Drug Labeling, Packaging and nmenclature Drug standardizatin, strage and distributin Use f Devices Envirnmental factrs Staff Cmpetency and Educatin 23

25 Patient Educatin Quality and Prcess and Risk Management STAR RATINGS - Althugh the emplyee prescriptin benefit at The University f Tled is nt tied t STAR ratings, the resident will be expsed t ways that they can imprve ur STAR rating scre by evaluating the EQUIPP rating scale. Using the pharmacy NCPDP number and a passwrd yu will learn hw t access and interpret Equipp quality data: 19.) Participate in the Dcumentatin and interpretatin f Dashbard and Outcmes Data fr the utpatient and ambulatry care clinics COMPLETION OF RESIDENCY REQUIREMENTS Residents are expected t satisfactrily cmplete all requirements f the UT PGY1 Prgram in general and thse specific t the individual residency prgram. Only thse residents wh satisfactrily cmplete the requirements will receive their Residency Certificate as evidence f prgram cmpletin. Successful cmpletin f the residency prgram (and subsequent awarding f the residency certificate) is defined by: Achieving 80% f the prgram bjectives with the remaining amunt Cmpletin f UT Teaching Certificate Prgram requirements including the submissin f a teaching prtfli by June 30th Submissin f a manuscript suitable fr publicatin fr the majr research prject by June 30 th. Presentatin f research prject at assigned lcal and natinal meetings. Evaluatin f the resident's prgress in cmpleting the requirements is dne as part f the quarterly review prcess. The primary preceptr, in cnjunctin with the RPD shall assess the ability f the resident t meet the requirements by established deadlines and wrk with the resident t assure their satisfactry cmpletin. If a resident is failing t make satisfactry prgress in any aspect f the residency prgram, the fllwing steps shall be taken: 1. Residents shall be given verbal cunseling by their preceptr and/r RPD. Cunseling shall entail suggestins fr imprvement in meeting requirement deadlines. This cunseling shall be dcumented in their persnnel file by the invlved RPD. 2. If the resident cntinues t fail in their effrts t meet deadlines r bjectives, they shall be given a warning in writing and will be cunseled n the actins necessary t rectify the situatin. 3. If the preceptr r RPD determines that the resident may nt cmplete the residency prgram in the usual time frame, a plan t satisfactrily cmplete the requirements shall be set frth by the RPD with input frm the preceptr. Actin may include remedial wrk r terminatin. A decisin fr terminatin may be appealed t the Pharmacy Directr. The required residency activities are designed t assure cmpetency with the gals and bjectives utlined by the residency accreditatin standards. In additin t the expectatins utlined by the accreditatin standards we expect residents t be able t: Describe their persnal philsphy f managed care that is based n a thrugh understanding f emerging health care delivery systems and the rle f pharmacy in helping patients and ther health prfessinals t achieve ptimal patient utcmes. Functin as a pharmacist in a variety f utpatient, ambulatry and managed care settings. Participate in drug use review r drug plicy develpment. Prvide medicatin therapy management services at the utpatient pharmacies r 340B pharmacy. Cmmunicate effectively in writing Cmmunicate effectively verbally with ther team members Teach thers effectively abut drug therapy Participate in quality imprvement initiatives PGY1 CANDIDATE SELECTION PROCESS The University f Tled PGY1- residency prgram participates in the ASHP Resident Matching prcess als knwn as the Match. The Match prvides an rderly prcess t help ur resident btain a psitin in ur residency prgram. The American Sciety f Health-System Pharmacists (ASHP) is respnsible fr establishing 24

26 the rules and mnitring the implementatin f the Match. The administratin and cnduct f the Match is carried ut by Natinal Matching Services Inc. n behalf f ASHP. T participate in the Match, an applicant must be a graduate f r graduating frm an ACPE- accredited cllege f pharmacy, r therwise is eligible fr licensure. Ptential candidates are received using the ASHP nline PhORCAS system. Applicants are screened by the PGY1 screening cmmittee using the PGY1 Residency Applicatin Screening Tl (Appendix 13a) Interviews are scheduled with tp candidates s are sent t chsen candidates ntifying them f their interview status and inviting them t campus fr an On-Site interview (Appendix 13b) Once dates fr interviews are received frm the candidate a letter is sent ( Appendix 13c) utlining Interview lcatin Presentatin requirements Schedule fr the day s are sent t candidates that were nt selected by the screening cmmittee ntifying candidate that they will nt be interviewed fr the UT PGY1 prgram f interview status (Appendix 13d) The interview cmmittee fr the PGY1 prgram cnsists f the fllwing: PGY1 Residency Prgram Directr PGY1 Residency Prgram Crdinatr PGY1 Residency Preceptrs University f Tled Medical Center Directr f Pharmacy PGY1 Pharmacy Practice Residency Prgram Directr University f Tled Cllege f Pharmacy Prfessr f Pharmacy Practice Flders fr each candidate are prepared and distributed t the interview cmmittee at least three days prir t the nsite interview. Candidate flders will cntain the fllwing: Candidate CV Presentatin materials Interview Schedule (Appendix 13e ) Interview Questins and rating grid (Appendix 13f ) After all interviews are cmpleted, the interview cmmittee cnvenes t determine the Rank Order list fr Phase I f the Match fr desirable candidates fr the PGY1 prgram. The Phase I Rank is then submitted in rder f prgram preference. Each applicant submits a Rank Order List n which the applicant lists the desired prgrams, in numerical rder f the applicant s preference (first chice, secnd chice, etc.) Residency Applicant Interview & Ranking Prcess Applicatins will be reviewed by preceptrs Each applicant will be evaluated by preceptr using the Residency applicatin Residency Applicatin Screening Tl (Appendix 13a) Review f Residency applicants- chse Tp candidates are selected based n screening tl rubric Each applicant is evaluated during interview by cre preceptrs (and current resident) Grup discussin is held after each interview & evaluatins filled ut individually Each applicants scre frm preceptrs is ttaled and averaged with results dcumented; Input frm current PGY1- resident will be discussed Discuss numerical ranking f applicants based n results and prgram fit Residents will be excused (residents evaluatins nt included in ttals, and residents d nt vte) Discussin and vting (preceptrs wh participated) NOT RANK CANDIDATE Vte by shw f hands t nt rank a candidate Unanimus vte required t nt rank a candidate Raise yur hand if yu d nt wish t rank Discussin and vting (preceptrs wh participated) f applicants TO RANK Vte by shw f hands t rank a candidate Majrity vte required t rank candidate 25

27 Raise yur hand if yu wish t rank Discussin and vting (preceptrs wh participated) f RANK ORDER TO SUBMIT TO NMS Numerical ranking frm evaluatin is used as a start; then discussin f applicant, review f Vte by shw f hands n rank rder; majrity vte required fr rank rder Raise yur hand if yu wish t rank as #1, etc. Cpies f Excel spreadsheets with evaluatin ttals are destryed by shredding Rank rder will be submitted by RPD t NMS The Match then places individuals int psitins based entirely n the preferences stated in the Rank Order Lists and each applicant is placed with the mst preferred prgram n the applicant s Rank Order List that ranks the applicant and des nt fill all its psitins with the mre preferred applicants. Similarly, each prgram is matched with the mst preferred applicants n its list. Applicants and prgrams d nt receive infrmatin abut the rankings submitted by ther applicants and prgrams. Each applicant is given nly the final result the applicant btains in the Match while each prgram is prvided nly the final results f the match including the names f the applicant it matched. If after Phase I f the Match the PGY1 prgram have an unfilled psitin, the Match will ffer thse psitins t unmatched applicants in Phase II f the Match. Applicants wh did nt participate in Phase I f the Match may als be added int Phase II f the Match. All applicants seeking psitins after Phase I and all prgrams with available psitins after Phase I- submit their Rank Order Lists by the deadline fr Phase II f the Match. A secnd match will be carried ut using thse Rank Order Lists, and the results f Phase II f the Mach will then be distributed. The Match results cnstitute a binding cmmitment frm which neither the applicant nr the prgram can withdraw withut mutual written agreement. A letter, putting in writing an appintment agreement with the matched applicant is sent t the matched applicant and is pstmarked n later than 30 days fllwing the receipt f the results fr each Phase f the Match ( Appendix 7 and 8 ) ) Schedule f Dates Candidate Selectin Prcess Date August, 2015 Nvember, 2015 Nvember 1, 2015 December 31, 2015 January 2016 February 5, 2016 February 15, 2015 March 3, 2105 March 4, 2015 Activity Residency Agreements fr participatin in the Match are sent t residency prgram directr, wh must return their agreements t Natinal Matching Services Inc. Beginning in early Nvember, applicants will be able t register fr the Match. Prir t registering applicants shuld review infrmatin accessible frm the link in the Abut t Match sectin f the ASHP website. Applicants register fr the Match via the nline registratin prtal shared by the Match and the Pharmacy Online Residency Centralized Applicatin Service (PhORCAS). List f prgrams participating in the Match will be available n the ASHP website Recmmended date by which applicants shuld register fr the Match Onsite Resident Interviews By this date instructins fr submitting Rank Order Lists and btaining Match results will be available t applicant and prgram directrs registered t participate in the Match Beginning n this date applicants and prgrams will be able t submit Rank Order Lists fr Phase I f the Match Final date n which applicants can register t participate in Phase I f the Match Final date fr submissin f applicant and prgram Rank Order Lists fr Phase I f the Match. NO Rank Order Lists fr Phase I f the match can be accepted after this date. March 18, 2016 Results f Phase I f the Match are released t applicants and prgram directrs Prgram Directrs must send letters f cnfirmatin f phase I Match results n later than April 17, 2016, t matched applicant wh must sign and return the letter f cnfirmatin (Appendix 7) The list f prgrams with available psitins fr Phase Ii f the Match will be prvided n the Match web site beginning at 12:00 pm EST. Applicants wh 26

28 March 23, 2016 March 28, 2016 April 1, 2016 April 8, 2016 April 15, 2016 are nt matched t a psitin in Phase I, as well as applicants wh did nt participate in Phase I, will be able t use PhORCAS t prepare applicatins beginning n March 18 Beginning n this date, applicants wh did nt btain a psitin in phase I f the Match will submit applicatins Applicants and prgrams will be able t submit Rank Order Lists fr Phase II f the Match Final date fr submissin f applicant and prgram Rank Order lists fr Phase II f the Match. Results f Phase II f the Match are released t applicants and prgram directrs Prgram directrs must send letters f cnfirmatin f the Phase II Match result n later than May 8, 2016, t matched applicants wh must sign and return letter f cnfirmatin Recmmended date fr RDP t begin making ffers t applicants. GENERAL INFORMATION UTAD Accunt Yur myut username is yur UTAD dmain accunt. This is the user ID and passwrd used t access yur UTNet , lg int yur ffice cmputer, r lg int a hspital wrkstatin. Yur activated UTAD accunt will serve as yur myut username fr the prtal. If yu are new t the University f Tled r have nt yet activated yur UTAD accunt, cmplete the fllwing steps t activate yur accunt. 1. T activate yur accunt r reset yur passwrd, use yur Internet Brwser and g t 2. Enter yur UT Emplyee ID number (rcket ID number) and birth date in the frm specified. 3. If a message is displayed saying there is an errr, the ID r birth date des nt match what is stred in the Active Directry; click n the back arrw and try retyping whichever field had the errr. If yu still have prblems then please cntact the Help Desk at x Once the infrmatin is entered, click n Activate Yur UTAD Accunt. 5. Read the cmputer usage plicy and click I Agree. 6. If everything is fund crrectly, yu will see a new screen displaying yur name and the user ID that yu have been assigned fr the UTAD dmain. Yu will als be asked t enter the passwrd fr yur UTAD accunt. Yu will have t enter it a secnd time t ensure yu did nt mistype it. Then hit the Set buttn. 7. At this pint, yur accunt will be activated, yur passwrd set, and the questin/answer stred. If yu d nt already have an accunt, yu will be asked if yu want a university accunt. Click Yes t create ne. 8. Yu are then ntified that a mailbx has been created. It can take up t fur hurs fr yur mailbx t becme active. Click Cntinue. 9. Yu shuld get a message saying yur university cmputer accunt has been activated. Yu nw have a UTAD accunt and a myut username. 10. Click Cnfirm. **If yu are unable t activate yur accunt, please cntact the Help Desk at x2400** Hme Pages OP Pharmacy Hme Page Inpatient Pharmacy Hme Page UTMC Residency Hme Page MYUT Hme Page PIT C:\Dcuments and Settings\cpuffer\Desktp\Hme Page.mht

29 PA hmepage Netwrk Drives Z Drive The Z drive is used t share dcuments and resurces between emplyees, and can be accessed at any UT cmputer n campus. Persnal dcuments and thse invlving HIPAA prtected infrmatin shuld nt be placed n the Z drive. This drive is rutinely backed up by the UT IT Department. H Drive The H drive is emplyee-specific, and shuld be used as a way t stre dcuments and resurces that yu wuld need t pen n ther cmputers acrss campus. The H drive can be accessed when lgged int any UT cmputer n campus. N ther emplyees can access yur H drive, and this is nt a methd f sharing with ther emplyees. Parking There is an annual fee fr parking that is subject t change each year. Please refer t the parking website fr csts assciated with parking. Use the fllwing link and instructins t register yur vehicle with the UT Parking Services: Each resident must register fr a permit by ging t and lg-in. (This site can als be accessed frm Click n the emplyee tab and lcated under the Auxiliary Services tab, Click the Request/Update Permit link.) Once lgged in, click the Apply fr a Permit and cmplete the requested infrmatin. Parking fr salaried HSC emplyees is cnsidered an A lt permit. Ensure infrmatin typed int the prgram is accurate. Misinfrmatin may lead t a ticket. If yu have questins pertaining t permits, please cntact the Parking Services Office at r by at parking@utled.edu. If yu have any questins, regarding tickets r appeals, please cntact the Parking Enfrcement Office at r visiting their website at Further infrmatin can be fund n the Z drive in the PGY1 Pharmacy Residency Flder. Identificatin Badges The prcess fr creating an identificatin badge r Rcket Card is an nline, autmated prcess. Lg int yur UT Prtal at Select the Emplyee tab. In the left hand clumn, click n Request a New/Replacement Rcket Card. Re-enter lg-in and passwrd infrmatin. Upn lgging in, verify that yur title and department infrmatin (Pharm.D, Resident, and Pharmacy) is crrect and select the campus where yu wuld like t pick up yur ID badge. Then select Click here t Uplad Pht. Use the Brwse buttn t uplad yur pht. Please pay attentin t the pht requirements listed n the page. The pht must be business apprpriate, and we retain the right t refuse any pht that des nt meet the UTMC requirements. Once successfully upladed, yu will be asked t Submit Pht r Re-uplad. Once this is cmpleted, yu will be returned t the hme screen and yu must hit Submit Order. Once submitted yu will receive a receipt n-screen that may be printed. A receipt will als be sent t yur university address. Yu will receive an frm Rcketcard@utled.edu when yur ID card is printed and ready t be picked up. Cmputer Access QS1- please wrk with IT tech t btain access t QS1 by calling the main campus utpatient pharmacy at

30 Hrizn Clinical is the electrnic medical recrd system utilized at UTMC. Each resident must cmplete the Hrizn Clinical cnfidentiality statement in rder t be granted access. This frm can be accessed frm Once cmpleted, the frm must be faxed t Clinical Infrmatics at An will be sent t the resident with the apprpriate accunt credentials. This culd take up t 48 hurs t cmplete. Athena access- Once Hrizn s clinical access has been granted; call IT (x2400) t activate Athena access. Impravata Access via IT pharmacist McKessn Cnnect Assigned by RPD during rientatin RXVIEW Catamaran Assigned by RPD during rientatin Resident Office Space The resident will have an ffice lcated in the Cllege f Pharmacy. The administrative assistant will prvide the resident with a key assignment. All keys must be returned prir t terminatin f emplyment. In additin, the resident ffice will cntain a cmputer, secndary mnitr, phne and varius ffice supplies. Keys Keys fr the PGY1 resident ffice, OP Pharmacies, etc. will be issued t the resident during rientatin. Keys must be returned at the end f residency, and any lst keys will be replaced at the expense f the resident Facilities link Administrative Supprt Department Of Pharmacy Julie Zbierjewski Department f Pharmacy Practice Karen Mckensturm x3820 x1944 Phtcpies/Supplies Residents shuld use phtcpy machines thrughut the hspital with use f the apprpriate pharmacy cde assigned during rientatin. Residents may als use the Department f Pharmacy Practice phtcpy machine with the fllwing prvisins: Cpies are made fr use in the residency prgram. Machine malfunctins are prmptly reprted t administrative supprt staff. Paper clips, staples, etc. are kept away frm the phtcpy machine. If yu are wrking n a prject that needs a large number f cpies, it shuld be sent t the print shp. Any further questins regarding peratins f the phtcpy machine r printing services shuld be directed t the administrative supprt staff. Hlly Smith will be respnsible fr rdering supplies. During rientatin yu will be shwn where t btain supplies. Basic supplies (pens, staples, paper clips, etc.) are available in the Department f Pharmacy and the Department f Pharmacy Practice fr the resident s use. If further supplies are needed, cntact Hlly Smith t purchase this prduct (within reasn) fr the resident s use. Mail Incming mail will be placed in individual mailbxes daily. Each resident will have a mailbx in the department f pharmacy fr incming mail (MS 1060) as well as a mailbx in the department f pharmacy practice fr departmental mail. Outging mail may be placed in the utging mailbx in either lcatin. Pharmacy Address 3000 Arlingtn Avenue MS 1076 Tled, Ohi Library Services The primary purpse f the Mulfrd Medical Library is t meet the infrmatin need f faculty, staff, residents, and students, and t supprt curriculum, research, and patient care gals f the University f Tled and the University f Tled Medical Center. The library is lcated n the 4 th, 5 th, and 6 th flrs f the Mulfrd Building. It has an extensive cllectin f bks and jurnals and prvides access t ebks, ejurnals, and ther databases. Library resurces can be accessed at: Residency Benefits Resident stipend: $40,000 per annum paid bi-weekly 29

31 Yur first paycheck des nt cme until the end f July. Yu are paid tw weeks after the ending f the pay perid. Taxes: Federal, State and F.I.C.A. taxes will autmatically be deducted frm paychecks. Residency Leave: Vacatin- 10 wrk days. Resident s vacatin leave will be arranged with prir written apprval f preceptr and prgram directr. A leave f absence frm (Appendix 6) must be cmpleted prir t taking vacatin Yur residency prgram directr and crdinatr will wrk with yu t determine any special needs fr time ff fr the year. Taking time ff fr interviews fr either a jb r a PGY2 residency will be cnsidered. Residency directr and preceptr must apprve vacatin leave 30 days in advance N mre than 5 days can be missed in any given experience withut scheduling make-up Fr jb interviews and PGY2 interviews, the vacatin leave must be apprved by the residency directr and preceptr prir t accepting the interview ffer date Cnference Leave -Up t five days leave fr attending natinal meetings, cnferences, r seminars fr prfessinal develpment purpses with the permissin f the RPD. Sick Leave Tw weeks (10 wrk days) f sick leave fr the year with pay. Any unused vacatin/sick time will be lst if nt used by the end f the 12 mnth residency Bereavement Leave: Up t 3 days may be taken fr bereavement f an immediate family member and can be used frm sick' time alltted. Extended leave - Due t unfreseen circumstances (e.g. illness, maternity leave, jury duty, etc.) there may be an extended leave frm the prgram. This may significantly impact achieving the prgram s bjectives in the defined prgram year (July 1 June 30 th ) and alternative ptins may need t be cnsidered. See the hspital plicy and prcedures as it relates t extended leave at Hlidays- When the Outpatient pharmacy is clsed the resident will nt be expected t be wrking. Mnlighting: any wrking bligatin prvided as a pharmacist utside f recgnized residency training requirements. PGY-1 residents are nly permitted t mnlight as cntingent pharmacists at UTMC utpatient pharmacies during thse times that d nt interfere with the resident bligatins. This cntingency psitin must be apprved by the Residency Prgram Directr and must cmply with ASHP duty hur standards. Prfessinal Liability Insurance: Cverage will be prvided t the resident by the University fr acts r missins that ccur during the resident s participatin in the prgram and cvered under the plicy. Mnlighting activities f the resident will nt be cvered. It is recmmended t get persnal prfessinal liability insurance if yu are mnlighting Health Care and ther benefits: Medical, dental, visin, and prescriptin insurance benefits are prvided at pre-determined rates. It is the resident s bligatin t select and enrll in the benefit prgram. Fr benefit csts and prgram selectin please visit the Human resurces benefit website at Travel Reimbursement: A travel stipend f $1,5000 is prvided t each resident t assist in cvering the expenses fr attendance at the ASHP r AMCP Midyear Clinical Meeting and Ohi Pharmacy Resident Cnference. This amunt is t cver flights, htels, registratin, and fd fr these meetings. Alchl is nt reimbursed. The resident is respnsible fr remaining csts nce the stipend value has been reached. Flights, htels, and registratin will be crdinated thrugh the department and must be paid n the residency purchasing card (P-card). Fd, autmbile mileage, and ther miscellaneus charges are t be at the resident s expense fllwed by cmpletin f a travel reimbursement frm. Maximum per diem meal cverage infrmatin can be fund at Itemized receipts must be included with travel reimbursement frm. The travel & reimbursement mdule lgin by lgging int my UT, then clicking n emplyee, mre emplyee ptins, and travel & reimbursement mdule. 30

32 Questins regarding travel stipend and reimbursement shuld be directed t Natalie Tuttle. Pster Reimbursement: The UTMC Residency Prgram will have psters printed fr each resident that presents at an educatinal and prfessinal meeting Use pster template (lcated n the Z drive in the PGY1 Pharmacy Residency Flder) with Arial fnt and white text bxes. The psters shuld be printed as a 36 x 56, laminated, clr pster. The residency prgram utilizes printing services prvided by Crdinatin f rdering the resident pster will be cmpleted by Natalie Tuttle. Fitness Center: The Institutin maintains a fitness center at n charge t emplyees. This center is lcated n the third flr f Dwling Hall. ID badge access is required. CORRECTIVE ACTION PROCESSES Crrective Actin, Failure t Achieve Certificatin and Invluntary Dismissal Plicies Each resident will be treated with fairness and respect. The directr f pharmacy, prgram directrs, preceptrs, and faculty will fllw a crrective actin prcess based n cunseling and a warning system when a serius deficiency in the resident s perfrmance is nted. The crrective actin prcess will be used when addressing areas f resident perfrmance r behavir requiring imprvement r eliminatin. It is intended t initiate actin that will assist the resident in crrecting prblems and imprving perfrmance and behavir. Failure t imprve perfrmance as addressed by the crrective actin prcess within the specified schedule(s) will result in the resident nt receiving a certificate f successful cmpletin f the training prgram and may result in invluntary dismissal. Hwever, certain behavirs r actins will be cnsidered immediate grunds fr dismissal and the crrective actin prcess will nt apply. Crrective actin prcess prcedures and grunds fr dismissal are utlined belw. Crrective Actin Prcess The crrective actin prcess will be utilized if the resident fails t present him/herself in a prfessinal manner, fllw plicies and prcedures f the University, Cllege, Department, r Medical Center, make satisfactry prgress n any f the residency gals r bjectives (nt t be determined by ne rtatin), and make satisfactry prgress twards the cmpletin f a residency requirement. The RPD r designate, prir t initiating crrective actin, will cnduct a thrugh investigatin. This includes meeting with the resident t investigate the cncern and ffer the resident an pprtunity t prvide infrmatin relevant t the identified prblem. Fllwing an investigatin, the RPD will review the results f the investigatin t determine the need t initiate a crrective actin prcess. The RPD shall infrm the resident f the results f the review regardless f the final decisin. The crrective actin prcess cnsists f the fllwing: Verbal and written cunseling including specific expectatins fr imprved perfrmance r behavir. Issuance f verbal and written warnings f the duratin f the prbatinary perid. Issuance f a schedule fr any additinal verbal and written reviews and perfrmance/behavir expectatins during the prbatinary perid. A verbal and written statement issued at the end f the prbatinary perid assciated with the crrective actin prcess stating the final evaluatin f the resident s perfrmance. The final evaluatin shall fall int ne f three categries: Successful imprvement and achievement f required prgram perfrmance and r prfessinal behavir by the resident. Partial, yet inadequate, imprvement in r unsuccessful achievement f required perfrmance r behaviral expectatins. If this applies t an inability f the resident t successfully cmplete any requirement fr certificatin f cmpletin f residency training, this is t be accmpanied by a request fr resident vluntary terminatin. Cntinued demnstratin f perfrmance r behavir requiring crrective actin withut imprvement. This is t be accmpanied by issuance f an invluntary terminatin letter. 31

33 When the RPD determines that crrective actin is cmpleted, he/she will write a letter r mem t the resident. All such dcuments will be kept in the resident persnnel file and a cpy f each dcument must be given t the resident. Grunds fr Immediate Dismissal Just cause fr dismissal includes failure t perfrm the nrmal and custmary duties f a resident, substantial r repetitive cnduct cnsidered prfessinally r ethically unacceptable r which is disruptive f the nrmal and rderly functining f the Hspital. Subsequent t receiving ntificatin f an ccurrence frm the list abve, the RPD will cnduct a thrugh investigatin, including meeting with the resident t investigate the cncern and ffer the resident an pprtunity t prvide infrmatin relevant t the identified prblem r ccurrence. Fllw HR dicsplinary and dismissal dcumentatin if needed. Specific cncerns, behavirs r actins fulfilling these requirements are listed belw: The resident fails t btain pharmacy licensure r eligible fr licensure in the state f Ohi by September 30th fr residents starting in July. The resident fails t meet all UT Human Resurces Pre-emplyment Qualificatins. The resident knwingly r due t negligence f actin places a patient, emplyee r any ther persn in danger. The resident displays acts r threats f vilence tward any ther persn including aggressive behavir r stalking. The resident is fund t be using alchl, illegal substances r ther recreatinal substances at any time during wrk and nn-wrk hurs with which use f these substances interferes with their ability t perfrm wrk duties in a prfessinal, respnsible and safe fashin. The resident is invlved in any kind f diversinary act invlving cntrlled stubstances r 340B drug The resident is fund t carry, pssess r use any weapn n medical center prperty. The resident falsifies infrmatin n a dcument including billing f fraudulent claims. The resident cmmits plagiarism determined by a majrity decisin f the Resident Advisry Cmmittee (RAC) called t review the materials suspected f plagiarism. This cmmittee must cnsist f the directr f pharmacy services, manager f clinical pharmacy services, the resident s prgram directr, and a clinical specialist in the apprpriate area f practice. The resident is absent frm wrk mre than 5 days beynd alltted persnal time ff and is unwilling t make up this time. The resident sexually harasses a patient, emplyee r any ther persn while in perfrmance f their duties as a resident. The resident cmmits an act vandalism r theft f medical center prperty. Institutin Infrmatin UNIVERSITY OF TOLEDO MEDICAL CENTER INFORMATION Missin Imprve the human cnditin by prmting the best prescribed care fr ur patients, students, and cwrkers thrugh excellence in integratin f distributin, clinical, educatin f tmrrw s prfessinals, and research. Descriptin The University f Tled Medical Center is an apprximately 250 bed, level 1 trauma hspital lcated in Tled, Ohi. The University f Tled Medical Center is the area's nly academic medical center, prviding high levels f expertise, the resurces t handle the mst cmplex cases, and access t the latest and safest medical advances. Specialties include cardilgy, neurlgy, rthpedics, cancer, surgery and kidney transplantatin. UTMC prvides cmpassinate, university-quality care and strives t meet the needs f patients and exceed their expectatins. This cmmitment is funded in ur belief that patient care will always cme first. Visin Redefine the standards f excellence in health care thrugh teamwrk tward a cmmn visin Imprve the human cnditin Advance knwledge thrugh excellence in learning, discvery and engagement Serve as a diverse, student-centered public research university 32

34 UNIVERSITY OF TOLEDO COLLEGE OF PHARMACY AND PHARMACEUTICAL SCIENCES Descriptin Funded in 1904, The University f Tled Cllege f Pharmacy and Pharmaceutical Sciences has a lng histry f prducing successful pharmacists and pharmaceutical scientists, many f whm have becme leaders in business, industry and academia. In 2010, the Cllege expanded t a new facility n the University s Health Science Campus. Our natinally ranked cllege has markedly increased natinally cmpetitive research funding and has develped a reputatin fr training pharmaceutical scientists at the master s and dctral levels. During the last 20 years, the cllege schlarship endwment has grwn tremendusly, allwing the cllege t award nearly $100,000 annually in schlarships. These measures f success have helped psitin the cllege fr its natinally prminent rle in pharmaceutical educatin. With schls f pharmacy, medicine, nursing, and allied health, UT presents an excellent cmbinatin fr academic success and interdisciplinary fcus. Visin The University f Tled Cllege f Pharmacy and Pharmaceutical Sciences will imprve the human cnditin by develping pharmacists and by advancing knwledge tgether with its applicatin thrugh research. This visin will be achieved thrugh student-centered instructin and research in a cllabrative, dynamic academic and practice envirnment. Relatinship with Cllege f Pharmacy The University f Tled PGY1 residency prgram maintains a clse relatinship with the University f Tled Cllege f Pharmacy and Pharmaceutical Sciences. The resident will be expected t wrk ne-n-ne with pharmacy students in varius stages f their experiential training in additin t several small grup teaching activities and a didactic lecture as a cmpnent f the prgram s Teaching and Learning Certificate Prgram. A unique facet f the prgram is the pprtunity t wrk clsely with students in their advanced pharmacy practice experience rtatins wh are part f the Managed Care Blck rtatin at The University f Tled. The resident is expected t wrk clsely with the students wh are part f this blck t initiate and begin the resident research prject and ther prjects, pssibly including but nt limited t a medicatin utilizatin review r additinal research prjects. Additinal invlvement with the Cllege f Pharmacy is elected by the resident by may include invlvement in managed care blck recruiting events, speaking at AMCP meetings, r precepting different events fr varius pharmacy rganizatins. DEPARTMENT OF PHARMACY INFORMATION Services Descriptin The University f Tled Medical Center ffers bth inpatient and utpatient services n bth the Main Campus and Health Science Campus. Inpatient services include dispensing and clinical functins, with specialties including: internal medicine, critical care, infrmatin technlgy, slid rgan transplant, nclgy, infectius diseases, pain management, and safety and investigatinal drug services. Outpatient services include dispensing t staff and patients, and clinical services in the area f: adherence, anticagulatin, cardilgy, emplyee wellness, HIV management, slid rgan transplant, vaccinatins, and verall medicatin management. Missin Imprve the human cnditin by prmting the best prescribed care fr ur patients, students, and cwrkers thrugh excellence in integratin f distributin, clinical, educatin f tmrrw s prfessinals, and research. Visin Prvide university quality care by delivering utstanding pharmaceutical service. SCOPE (Appendix 6a) Pharmacy Cde f Ethics Our pharmacy staff prmtes the well-being f every patient in a caring, cmpassinate, and cnfidential manner. Our pharmacy staff acts with hnesty and integrity in prfessinal relatinships. Our pharmacy staff maintains prfessinal cmpetence thrugh life-lng learning. Our pharmacy staff prmtes educatin. 33

35 Our pharmacy staff respects the values and abilities f clleagues and ther health prfessinals. Our pharmacy staff prmtes evidence based, ratinal, cst-effective care. Our pharmacy staff endrses and prmtes the principals f cntinual prcess imprvement. Our pharmacy staff recgnizes the imprtance f innvatin and uses it in creative ways t slve prblems. Our pharmacy staff assures full cmpliances with established practice standards set by The Jint Cmmissin (TJC), ASHP, and UTMC. Pharmacy Services extend t varius patient care areas Anticagulatin Service Infectius Disease anticagulatin clinic Outpatient pharmacy services Emplyee prescriptins Transitin f Care Services Discharge patients Heart Failure Clinic CHF MI Pharmacists are respnsible fr the prcurement, preparatin, distributin and cntrl f all medicatins used and respnsible fr cllabrating with ther health care prfessinals t ensure safe mediciatn use Shrt and lng term pharmacy department gals are cntinually evaluated and integrated in the resident experience. (Appendix 14) University f Tled Pharmacy Department Cmmittee Structure The practice site includes pharmacy in the planning f patient care services and plicies f the hspital and pharmacy department with varius cmmittees within the rganizatin Operatins Leadership Cmmittee Area Practice Frum Outpatient Pharmacy leadership Cmmittee Residency Advisry Cmmittee Pharmacy and Therapeutics Cmmittee Pharmacy Advisry Cuncil Dean Cabinet Plicies and prcedures can be accessed as fllws: Hspital administratin Pharmacy Department Outpatient Pharmacy training and certificatin fr prcedures 34

36 Organizatinal Chart fr the University f Tled Pharmacy Department 35

37 Organizatinal Charts University f Tled Cllege f Pharmacy & Pharmaceutical Sciences 36

38 PHARMACY PERSONNEL & IMPORTANT CONTACT NUMBERS Outpatient Pharmacy and Ambulatry Clinical Staff Pharmacist Title Phne Number Cindy Puffer HEB 115B Cllege f Pharmacy Managed Care Pharmacy Operatins Manager Valerie Main Campus Pharmacy Manager Husehlder Hlly Smith Health Science Campus Pharmacy Manager Ext Vacant Health Science Campus Transitins f Care Ext Pharmacist Nikki Hamns 340B HIV Pharmacist Ext Yana Dughty Anticagulatin Pharmacist EXT 4502 Department f Pharmacy Pharmacist Title HSC Phne Extensin Russell Smith Directr f Pharmacy 3788 Lindsey Eitniear Clinical Pharmacist, PGY1 Pharmacy Residency Directr 3875 Jhn Mack Infrmatin Technlgy Pharmacist 5298 Kelli Cle Antimicrbial Steward 5267 Kellie Buschr Transplant/Critical Care Pharmacist 1942 Cindy Puffer Managed Care Pharmacy Operatins Manager 6668 Rachel Rarus Clinical Research Pharmacist and Medicatin Safety Officer 3794 Natalie Tuttle Clinical Operatins Directr 6849 Rbert Wright Infrmatin Technlgy Pharmacist 5298 Jared Austin Outpatient Onclgy Pharmacist Hlly Smith Outpatient Pharmacy Manager 3706 Supprt Staff Title HSC Phne Extensin Jennifer Guy Safety Cntrl Technician 5186 Jill Hass Inventry Cntrl Specialist 5297 Deb Herzg Technician Supervisr 4185 Julie Zbierajewski Administrative Secretary 3820 Chris Pst Transitin f Care Certified Technician Rachel V Transitin f Care Certified Technician Hliday Catn Inventry and IT Certified Technician Department f Pharmacy Practice- UT Cllege f Pharmacy Faculty Member Specialty Area(s) HSC Phne Extensin Brvicka, Mary Psychiatry, Neurlgy, Geriatrics 1985 Cappelletty, Diane Infectius Disease, Immunlgy 1957 Churchwell, Mariann Nephrlgy, Dialysis 1567 Jung, Rse Critical Care, Infectius Disease, Statistics 1961 Kamm, Gayle Neurlgy 1932 Kaun, Megan Diabetes, Cardilgy, Bld/Cagulatin Disrders 1579 Lengel, Aarn Metablic Syndrme (DM, HL, HTN), MTM, Billing, 1924 Preventative/Chrnic Care Mangan, Michelle Diabetes, Hypertensin, Hyperlipidemia, MTM 3867 Maur, Laurie Critical Care, Internal Medicine, Renal, Clinical Txiclgy 1953 Maur, Vincent Cardilgy, Pharmackinetics 1952 Murphy, Julie Internal Medicine 1901 Nesamny, Jerry Nantechnlgy, Nvel drug delivery systems 1938 Ohlinger, Martin Critical Care, Nutritin, Sprts Medicine 1535 Peeters, Michael General Medicine, Evidence-Based Medicine, Emergency Medicine

39 Sahlff, Eric HIV, Infectius Disease 1962 Schmude, Kim Endcrine (ther than DM), General Medicine, OTC 1957 Serres, Michelle Chrnic Disease State Management 1979 Department f Pharmacy Administratin Faculty Member Pint, Sharrel Vaidya, Varun Specialty Area(s) Medicatin Therapy Management, Health utcmes research, Cmparative effectiveness Outcmes Research, Cmparative effectiveness, Pharmacecnmics, Pharmacepidemilgy HSC Phne Extensin Other Imprtant Phne Numbers Emplyee Specialty Area(s) HSC Phne Extensin Jennifer Ray Human Resurces Credit Unin 4470 Security/Plice (nn-emergency) 2601 Parking Enfrcement Rcket Card (ID Badge Services) 4400 Payrll APPENDICES- see next page 38

40 Appendix 1- T&E Grid (Z:Pharmacy/Cmmn/OutpatientPharmacy/PGY1Residency/TEGrid) Revised 5/12/2016 Orientatin Managed Care Pharmacy Administratin HIV Clinic Anticagulatin ROTATION TYPE CORE CORE CORE CORE CORE Rtatin Duratin 6 weeks 8 weeks 4 weeks 8 weeks 8 weeks Cmmunity- University Health Care Clinic CORE + LONGITUDINAL 8 weeks (cre) 52 weeks (lngitudinal) Transitins f Care Research and MUE Teaching Certificate CORE + LONGITUDINAL 8 weeks (cre) 52 weeks (lngitudinal) Preceptrs: Puffer, C Puffer, C Smith, H Hamns, N Dughty, Y Husehlder, V Smith, H Manzey,L Murphy, J Objective R1.1.1:(Applying) Interact effectively with health care teams t manage patients medicatin therapy. Objective R1.1.2: (Applying) Interact effetively with patients, family members, and caregivers. Objective R1.1.3: (Applying) Cllect infrmatin n which t base safe and effective medicatin therapy. Objective R1.1.4: (Analyzing) Analyze and assess infrmatin n which t base safe and effective medicatin therapy. Objective R1.1.5: (Creating) Design r redesign safe and effective patient-centered therapeutic regimens and mnitring plans (care plans). Objective R1.1.6: (Applying) Ensure implementatin f therapeutic regimens and mnitring plans (care plans) by taking Objective R1.1.7: (Applying) Dcument direct patient care activities apprpriately in the medical recrd r where apprpriate. Objective R1.1.8: Demnstrate respnsibility t patients. Objective R1.2.1: (Applying) Manage transitins f care effectively. Objective R1.3.1: (Applying) Prepare and dispense medicatins fllwing best practices and the rganizatin s plicies and prcedures. Objective R1.3.2: (Applying) Manage aspects f the medicatin-use prcess related t frmulary management. Objective R1.3.3: (Applying) Manage aspects f the medicatin-use prcess related t versight f dispensing. PGY1 Residency Gals & Objectives Cmpetency Area R1: Patient Care GOAL R1.1 In cllabratin with the health care team, prvide safe and effective patient care t a diverse range f patients fllwing a cnsistent patient care prcess. Staffing Medicatin Management P&T cncentrated experience LONGITUDINAL LONGITUDINAL LONGITUDINAL LONGITUDINAL CONCENTRATED 52 weeks 52 weeks 52 weeks 52 weeks 8 weeks Smith and Husehlder Schreder, M T/E T/E T/E T/E T/E T/E T/E T/E T/E T/E T/E T/E T/E T/E T/E T/E T/E T/E T/E T/E T/E T/E T T T/E T/E T/E T T T/E T/E T/E T T T/E T/E T/E T/E T/E T/E GOAL R1.2 Ensure cntinuity f care during patient transitins between care settings. T/E T/E T/E GOAL R1.3 Prepare, dispense, and manage medicatins t supprt safe and effective drug therapy fr patients. T/E T/E Eitniear, L T/E 39

41 Objective R2.1.1 ( Creating) Prepare a drug class review, mngraph, treatment guideline, r prtcl. Objective R2.1.2 (Applying) Participate in a medicatin-use evaluatin. Objective R2.1.3: (Analyzing) Identify pprtunities fr imprvement f the medicatin- Objective R2.1.4: (Applying) Participate in medicatin event reprting and mnitring. Objective R2.2.1: (Analyzing) Identify changes needed t imprve patient care and/r the medicatin-use systems. Objective R2.2.2: (Creating) Develp a plan t imprve the patient care and/r medicatin-use system. Objective R2.2.3: (Applying) Implement changes t imprve patient care and/r the medicatinuse system. Objective R2.2.4: (Evaluating) Assess changes made t imprve patient care r the medicatinuse system. Objective R2.2.5: (Creating) Effectively develp and present, rally and in writing, a final prject Objective R3.1.1: (Applying) Demnstrate persnal, interpersnal, and teamwrk skills critical fr effective leadership. Objective R3.1.2: (Applying) Apply a prcess f nging self-evaluatin and persnal perfrmance imprvement. Objective R3.2.1: (Understanding) Explain factrs that influence departmental planning. Objective R3.2.2 (Understanding) Explain the elements f the pharmacy enterprise and their relatinship t the healthcare system. Objective R3.2.3: (Applying) Cntribute t departmental management. Objective R3.2.4: (Applying) Manages ne s wn practice effectively. Objective R4.1.1: (Applying) Design effective educatinal activities. Objective R4.1.2: (Applying) Use effective presentatin and teaching skills t deliver educatin. Objective R4.1.3: (Applying) Use effective written cmmunicatin t disseminate knwledge. Objective R4.1.4: (Applying) Apprpriately assess effectiveness f educatin. Objective R4.2.1: (Analyzing) When engaged in teaching, select a preceptrs rle that meets learners educatinal needs. Objective R4.2.2: (Applying) Effectively emply preceptr rles, as apprpriate. T T T T T/E T/E T/E T/E T/E T/E Cmpetency Area R2: Advancing Practice and Imprving Patient Care GOAL R2.1 Demnstrate ability t manage frmulary and medicatin-use prcesses, as applicable t the rganizatin. T/E GOAL R2.2 Demnstrate ability t evaluate and investigate practice, review data, and assimilate scientific evidence t imprve patient care and/r the medicatin use system. T/E T/E T/E T/E T/E Cmpetency Area R3: Leadership and Management GOAL R3.1 Demnstrate leadership skills. GOAL R3.2 Demnstrate management skills. Cmpetency Area R4: Teaching, Educatin, Disseminatin f Knwledge GOAL R4.1 Prvide effective medicatin and practice-related educatin t patients, caregivers, health care prfessinals, students, and the public. GOAL R4.2 Effectively emplys apprpriate preceptrs rles when engaged in teaching. T/E T/E T/E T/E T/E T/E T/E T/E T T T T T/E 40

42 Cmpetency Area E4: Managed Care Pharmacy GOAL E4.1 Maintain cnfidentiality f patient and prprietary business infrmatin. Objective E4.1.1 (Applying) Observe legal and ethical guidelines fr safeguarding the T T/E cnfidentiality f patient infrmatin. Objective E4.1.2 (Applying) Observe rganizatinal plicy fr the safeguarding f T T/E prprietary business infrmatin. GOAL E4.2 Understand the interrelatinship f the pharmacy benefit management cmpany, the health plan, and the delivery system functins f managed care. Objective E4.2.1 (Understanding) Explain the health-plan functins f managed care, including pharmacy and medical benefit and management, medicatin cst shares, frmulary design, medicatin criteria develpment, prir authrizatin, pharmacy access, and cntract T/E negtiatins (medicatin acquisitin/rebates/netwrk pharmacy), specialty and traditinal medicatin utilizatin management. Objective E4.2.2 (Understanding) Explain the interrelatinship f the health plan and the delivery system functins f managed care. T/E GOAL E 4.3 Understand unique aspects f prviding evidence-based, patient-centered medicatin therapy management with interdisciplinary teams in the managed care envirnment. Objective E4.3.1 (Understanding) Cmpare and cntrast ways in which the prvisin f medicatin therapy management may r may nt differ in the managed care envirnment as T/E cmpaerd t varius lines f business (Cmmercial, Medicare, Medicaid, Health Exchanges). Cmpetency Area E6: Teaching and Learning GOAL E6.1 Demnstrate fundatinal knwledge f teaching, learning, and assessment in healthcare educatin. Objective E6.1.1 (Understanding) Explain strategies and interventins fr teaching, learning and assessment in healthcare educatin. Objective E6.1.2 (Understanding) Explain academic rles and assciated issues. Objective E6.2.1 (Creating) Develp a teaching philsphy statement. Objective E6.2.2 (Creating) Prepare a practicebased teaching activity. Objective E6.2.3 (Applying) Deliver a practicebased educatinal activity, including didactic r experiential teaching, r facilitatin. Objective E6.2.4 (Creating) Effectively dcument ne's teaching philsphy, skills, experiences in a teaching prtfli. Objective E7.1.1 (Applying) Effectively cnduct the patient intake prcess fr specialty pharmacy patients. Objective E7.1.2 (Applying) Effectively engage in clinical management activities fr specialty pharmacy patients. Objective E7.1.3 (Applying)Effectively cnduct fulfillment activities fr specialty pharmacy patients. Objective E7.1.4 (Evaluating) Effectively facilitate ptimal treatment utcmes fr specialty pharmacy patients. T/E T/E T/E T/E GOAL E6.2 Develps and practices a philsphy f teaching. Cmpetency Area E7: Specialty Pharmacy GOAL E7.1: Effectively fulfill the majr functins f a specialty pharmacy, including intake, clinical management, fulfillment, and facilitating ptimal utcmes. T/E T/E T/E T/E T/E T/E 41

43 Appendix 2-Learning Experience Dcuments Z:Pharmacy/Cmmn/OutpatientPharmacy/PGY1Residency/RtatinDcuments Learning Experience Descriptin PGY-1 Residency Prgram Rtatin Name: Anticagulatin Clinic Preceptr Cntact Infrmatin: Preceptr: Yana Dughty, PharmD Phne: Office: UTMC Rm 2136 Hurs: Mnday-Friday 7:30AM-4:30PM General Descriptin The Anticagulatin Clinic is an 8 week required cre rtatin. The clinic is lcated in the University f Tled Medical Center (UTMC), n the secnd flr. The clinic is staffed by bth pharmacists and nurses wh manage anticagulatin therapy fr apprximately 700 patients. Pharmacists in this clinic are respnsible fr cmprehensive anticagulatin management f all clinic patients including but nt limited t: initiatin and titratin f anticagulatin dsing, pre/pst-surgery anticagulatin recmmendatins, assessment fr cntinuatin/discntinuatin f therapy, mnitring f all adverse events, transitins f care, and patient educatin. The pharmacy resident will attend this rtatin Mnday thrugh Thursday each mrning frm 7:30AM t 12:00PM. The resident will be practicing within the clinic area and assisting t transitin inpatients n varius units f the hspital t the clinic. The resident will becme an active staff member f the clinic and manage patients thrugh bth face t face appintments and phne management fr varius anticagulants including warfarin, enxaparin, and direct acting ral anticagulant agents. The resident will assess patients, create and implement pharmactherapy and mnitring plans. They will participate in the educatin f patients newly started n anticagulants and will als cmplete medicatin recnciliatin. The resident will learn t make prper recmmendatins in accrdance with current guidelines relating t anticagulatin management surrunding surgical prcedures. The resident will be invlved with varius ther functins f the clinic including but nt limited t: anticagulatin subcmmittee f P&T, perfrmance imprvement measures, transitins f care, and billing fr prfessinal services. The resident will als be invlved in case presentatins, clinical discussins, and reviews n literature/current trials t build their anticagulatin educatinal fundatin. 42

44 Disease States: Cmmn disease states in which the resident will be expected t gain prficiency include: Acute treatment and prphylaxis f VTE (DVT/PE) Chrnic treatment f VTE Atrial fibrillatin/flutter Heart Valves LVADs Strke Peripheral Vascular Disease Hypercagulable states, nclgy Pst-thrmbtic syndrme Heparin-induced thrmbcytpenia Heritable and acquired thrmbphilic disrders The resident will be respnsible fr cnducting tpic discussins with pharmacy leadership t develp skills t acquire knwledge abut cmmn diseases seen n this service and thse less frequently seen in this envirnment. Key articles and subsequent discussins with the preceptr will fcus n adherence, interviewing and varius disease states. During the learning experience the resident will fcus n the gals and bjectives utlined belw by perfrming the activities that are assciated with each bjective. The resident will gradually assume the rle f an anticagulatin pharmacist. The PGY1 resident must devise efficient strategies fr accmplishing the required activities in a limited time frame. Achievement f the gals f the residency is determined thrugh assessment f ability t perfrm the assciated bjectives. The table belw demnstrates the relatinship between the activities and the gals/bjectives assigned t the learning experience. Residency Gals and Objectives t be taught and frmally evaluated: Gals & Objectives (Taught and/r Evaluated) Activities t Facilitate Prfessinal Grwth Cmpetency R1 Gal R1.1 Objectives Patient Care In cllabratin with the health care team, prvide safe and effective patient care t a diverse range f patients fllwing a cnsistent patient care prcess. R1.1.1: (Applying) Interact effectively with health care The resident will be expected t apply prfessinal teams t manage patients medicatin therapy. cmmunicatin skills and build prfessinal relatinships with teams. Interactin is cperative, cllabrative, Cmmunicate with health care teams while acting as cmmunicative, and respectful. the anticagulatin pharmacist, including Demnstrates skills in negtiatin, cnflict physicians, nursing staff, and ther anticagulatin management and cnsensus building staff invlved in the patient s care. Demnstrates Advcacy fr the patient. Present patients t members f the healthcare team in a cncise and rganized manner. Slicit prviders t send patients t the clinic fr R1.1.2 (Applying) Interact effectively with patients, family members, and caregivers. initial and nging face t face appintment. The resident is expected t apply cmmunicatin skills. 43

45 Interactins are respectful and cllabrative. Uses effective cmmunicatin skills. Shws empathy. Empwers patients t take respnsibility fr their health. Demnstrates cultural cmpetence. R1.1.3 (Applying) Cllect infrmatin n which t base safe and effective medicatin therapy. Cllectin/rganizatin methds are efficient and effective Cllects relevant infrmatin abut medicatin therapy, including: Histry f present illness. Relevant health data that may include past medical histry, health and wellness infrmatin, bimetric test results, and physical assessment findings. Scial histry. Medicatin histry including prescriptin, nn-prescriptin, illicit, recreatinal and nntraditinal therapies; ther dietary supplements; immunizatins and allergies. Labratry values. Pharmacgenmics and pharmacgenetic infrmatin, if available Adverse Drug reactins. Medicatin adherence and persistence. Patient lifestyle habits, preferences and beliefs, health and functinal gals, and sciecnmic factrs that affect access t medicatins and ther aspects f care. Surces f infrmatin are the mst reliable available, including electrnic, face t face and thers. Recrding system is functinal and subsequent prblem slving and decisin making clarifies infrmatin as needed. Display understanding f limitatins f infrmatin in health recrds. R1.1.4: (Analyzing) Analyze and assess infrmatin n which t base safe and effective medicatin therapy. Includes accurate assessment f patient s: Health and functinal status, Risk factrs Health data Cultural factrs Health literacy Access t medicatins Immunizatin status Need fr preventive care and ther services when apprpriate Other aspects f care as applicable. Identifies medicatin therapy prblem, including: Lack f indicatin fr medicatin Interview, discuss, and cunsel pharmactherapy plans with patients, their imprtance, and hw medicatins are taken fr anticagulatin therapy Onbard new anticagulatin patients and participate in a new patient appintment. Cmmunicate empathetically with patients and family f patients wh visit the anticagulatin clinic appintments r engage in the phne management prcess. The resident will apply skills necessary fr the cllectin and analysis f pertinent medical infrmatin. Interview and btain a medicatin histry frm a patient Interpret a patient s medical recrd and review past appintments and ntes prir t a visit t determine areas f fllw up. Perfrm timely patient interviews. The resident will develp the ability t analyze and assess infrmatin. Review apprpriate literature resurces n selected tpics t patient care fr anticagulatin tpics. Respnd t drug infrmatin queries assigned by the preceptr. Identify and address medicatin errrs, interventins and adverse drug reactins and analyze data relating t these. Cllect, assist, interpret, and cmmunicate apprpriate anticagulatin infrmatin including: PT/INR, alteratins in the therapeutic regimens, and scheduling f necessary mnitring related t patient cases frm a medicatin histry. Participate in clinical discussins with the preceptr 44

46 Medical cnditins fr which there is n medicatin prescribed Medicatin prescribed fr cntinued inapprpriately fr a particular medical cnditin. Subptimal medicatin regimen ( e.g. dse, dsage frm, duratin, schedule, rute f administratin, methd f administratin.) Therapeutic duplicatin Adverse Drug r device-related events r ptential fr such events. Clinically significant drug-drug, drugdisease, drug- nutrient, drug- DNA test interactin, drug labratry test interactins, r ptential fr such interactins. Use f harmful scial, recreatinal, nnprescriptin, nntraditinal r ther medicatin therapies. Patient nt receiving full benefit f prescribed therapy Prblems arising frm the financial impact f medicatin therapy n the patient. Patient lacks understanding f medicatin therapy. Patient nt adhering t medicatin regimen and rt cause ( e.g. knwledge, recall, mtivatin, financial, system) Labratry mnitring needed. Discrepancy between prescribed medicatins and established care plan fr the patient. R1.1.5 (Creating) Design r redesign safe and effective patient-centered therapeutic regimens and mnitring plans (care plans). Specifies evidence-based, measurable, achievable therapeutic gals that include cnsideratin f: Relevant patient-specific infrmatin including culture and preferences. The gals f ther inter-prfessinal team members. The patient's disease state(s). Medicatin-specific infrmatin. Best evidence. Ethical issues invlved in the patient's care. Quality-f-life issues specific t the patient. Integratin f all the abve factrs influencing the setting f gals. Designs/redesigns regimens that: Are apprpriate fr the disease states being treated. Reflect: The therapeutic gals established fr the patient The resident will create safe and effective patient - centered therapeutic regimens and mnitr care plans. Design evidence based care plans. Review apprpriate literature resurces t lcate, interpret, summarize current literature t design evidence based care plans fr anticagulatin patients. Interpret apprpriate anticagulatin infrmatin including: PT/INR, alteratins in the therapeutic regimens, and scheduling f necessary mnitring. Devise a pharmactherapy plan, cmplete with therapeutic gals, mnitring parameters, and pharmactherapy and nnpharmactherapy treatment Design a care plan mindful f prescriptin insurance and frmulary cverage. Fllw anticagulatin plicies and prcedures 45

47 The patient's and caregiver's specific needs Cnsideratin f: Any pertinent pharmacgenmic r pharmacgenetic factrs. Best evidence. Pertinent ethical issues. Pharmacecnmic cmpnents (patient, medical, and systems resurces). Patient preferences, culture and/r language differences. Patient-specific factrs, including physical, mental, emtinal, and financial factrs that might impact adherence t the regimen. Adhere t the health system's medicatinuse plicies. Fllw applicable ethical standards. Address wellness prmtin and lifestyle mdificatin. Supprt the rganizatin s r patient s frmulary. Address medicatin-related prblems and ptimize medicatin therapy. Engage the patient thrugh educatin, empwerment, and self-management. Designs/redesigns mnitring plans that: Effectively evaluate achievement f therapeutic gals. Ensure adequate, apprpriate, and timely fllw-up. Establish parameters that are apprpriate measures f therapeutic gal achievement. Reflect cnsideratin f best evidence. Select the mst reliable surce fr each parameter measurement. Have apprpriate value ranges selected fr the patient. Have parameters that measure efficacy. Have parameters that measure ptential adverse drug events. Have parameters that are cst-effective. Have btainable measurements f the parameters specified. Reflects cnsideratin f cmpliance. If fr an ambulatry patient, includes strategy fr ensuring patient returns fr needed fllw-up visit(s). When applicable, reflects preferences and needs f the patient. R1.1.6 (Applying) Ensure implementatin f therapeutic regimens and mnitring plans (care plans) by taking apprpriate fllw-up actins. Effectively recmmends r cmmunicates patients regimens and assciated mnitring plans t relevant members f the healthcare team. Recmmendatin is persuasive. The resident will apply safe and effective patient - centered therapeutic regimens and mnitr care plans. The resident will implement care plans that include Current therapeutic adjustments Patient educatin Medicatin recnciliatin Apprpriate fllw-up and mnitring Review past ntes prir t a visit t determine areas patient discussin and fllw up. 46

48 Presentatin f recmmendatin accrds patient s right t refuse treatment. If patient refuses treatment, pharmacist exhibits respnsible prfessinal behavir. Creates an atmsphere f cllabratin. Skillfully defuses negative reactins. Cmmunicatin cnveys expertise. Cmmunicatin is assertive nt aggressive. Where the patient has been directly invlved in the design f the plans, cmmunicatin reflects previus cllabratin apprpriately. Ensures recmmended plan is implemented effectively fr the patient, including ensuring that the: Therapy crrespnds with the recmmended regimen. Regimen is initiated at the apprpriate time. Medicatin rders are clear and cncise. Activity cmplies with the health system's plicies and prcedures. Tests crrespnd with the recmmended mnitring plan. Tests are rdered and perfrmed at the apprpriate time. Takes apprpriate actin based n analysis f mnitring results (redesign regimen and/r mnitring plan if needed). Apprpriately initiates, mdifies, discntinues, r administers medicatin therapy as authrized. Respnds apprpriately t ntificatins and alerts in electrnic medical recrds and ther infrmatin systems which supprt medicatin rdering prcesses (based n patient weight, age, gender, c-mrbid cnditins, drug interactins, renal functin, hepatic functin, etc.). Prvides thrugh and accurate educatin t patients, and caregivers, when apprpriate, including infrmatin n medicatin therapy, adverse effects, cmpliance, apprpriate use, handling, and medicatin administratin. Addresses medicatin- and health-related prblems and engages in preventive care strategies, including vaccine administratin. Schedules fllw-up care as needed t achieve gals f therapy. R1.1.7 (Applying) Dcument direct patient care activities apprpriately in the medical recrd r where apprpriate. Criteria fr Evalutin: Selects apprpriate direct patient care activities fr dcumentatin. Dcumentatin is clear. Dcumentatin is written in time t be useful. Dcumentatin fllws the health system s plicies and prcedures, including Dcument patient visits and recmmendatins r changes t pharmactherapy. Mnitr the adherence f patients t medicatins and encurage/engage patients in creating strategies t imprve adherence. Recgnize emergent and urgent pharmactherapy and patient care issues that need t be brught t the attentin f apprpriate healthcare prfessinals. The resident will apply dcumentatin skills necessary t cmmunicate infrmatin in the medical recrd. Dcument patient visits and recmmendatins r changes t pharmactherapy fr anticagulatin. Navigate electrnic medical recrds t perfrm direct patient care functins. 47

49 requirements that entries be signed, dated, timed, legible, and cncise. Gal R1.2 Objectives R1.1.8: (Applying) Demnstrate respnsibility t patients. Gives pririty t patient care activities. Plans prspectively. Rutinely cmpletes all steps f the medicatin management prcess. Assumes respnsibility fr medicatin therapy utcmes. Actively wrks t identify the ptential fr significant medicatin-related prblems. Actively pursues all significant existing and ptential medicatin-related prblems until satisfactry reslutin is btained. Helps patients learn t navigate the health care system, as apprpriate. Infrms patients hw t btain their medicatins in a safe, efficient, and cst-effective manner. Determines barriers t patient cmpliance and makes apprpriate adjustments. Ensure cntinuity f care during patient transitins between care settings. R1.2.1 (Applying) Manage transitins f care effectively. Effectively participates in btaining r validating a thrugh and accurate medicatin histry. Cnducts medicatin recnciliatin when necessary. Participates in thrugh medicatin recnciliatin. Fllws up n all identified drug-related prblems. Participates effectively in medicatin educatin. Prvides accurate and timely fllw-up infrmatin when patients transfer t anther facility, level f care, pharmacist, r prvider, as apprpriate. Fllws up with patient in a timely and caring manner. Prvides additinal effective mnitring and educatin, as apprpriate. Takes apprpriate and effective steps t help avid unnecessary hspital admissins and/r readmissins. The resident will apply bth clinical skills and empathy t demnstrate respnsibility t the patient. Timely interpretatin f labs that may be critical, develping an actin plan and cmmunicating t prvider and patient Ensuring access t anticagulatin agents based n prescriptin benefit frmulary. The resident will apply skills necessary t safely transitin patients frm ne area f care t anther. The resident will perfrm the fllwing activities as necessary: Obtain accurate medicatin histry Cnduct thrugh medicatin recnciliatin upn discharge frm the hspital Participate in patient educatin Fllw up with patients in a timely manner particularly when transferring frm anther level f care Identify and slve medicatin related prblems t avid readmissins Preceptr Interactin/Respnsibilities The preceptr will be in cnstant interactin with the resident during this rtatin and will be respnsible fr prviding learning pprtunities fr the resident in the abve gals and utcmes. The interactin will take place n a daily basis and will include clinical discussins, APPE pprtunities, meetings, etc. 7:30 AM: Brief meeting t discuss day s activities and utstanding assignments 11:30-12:00: Preceptr meets with resident t discuss any patient hand-ff issues fr the afternn and t discuss any patients r tpics previusly assigned. The resident shuld be prepared t discuss pharmactherapy, transitins f care and cunseling strategies. 48

50 Cmmunicatin The preceptr and resident will be in cmmunicatin thrugh meetings and electrnic cmmunicatin. There will be daily interactin between the resident at the preceptr thrugh: Scheduled meeting times t address questins, prblems, patients, resident prgress. (Residents required t read s thrughut the day t ensure nging cmmunicatin. Phne if resident and preceptr are nt bth in the pharmacy. Pager if necessary. Persnal phne number will be prvided at the beginning f the rtatin fr issues that arise when the preceptr is nt reachable in the pharmacy. Expected prgressin f resident respnsibility n this learning experience Day 1: Preceptr will review learning activities and expectatins with the resident and review the prcess f selfreflectin and self-assessment. Review pertinent gals and bjectives related t this experience n the incming self-assessment. Determine areas f fcus t prgress tward achievement fr residency. Weeks 1-4: The resident t be intrduced t the site, wrk flw f the anticagulatin clinic, and begin t handle management f anticagulatin therapy fr bth face t face and phne management patients thrugh direct instructin, fllwed by mdeling when the resident is ready t prgress. Weeks 4-6: Using caching prvided by the anticagulatin pharmacist, the resident will begin t handle anticagulatin cases by reviewing medicatins and disease states, ensuring prescriptin cverage, and cunseling patients. Weeks 6-8: The resident will be expected t practice autnmusly as an anticagulatin pharmacist by independently handling clinic wrkflw and management f patients n varius anticagulants with varius disease states. The preceptr will cntinue t facilitate the resident in this rle as necessary. Evaluatin Strategy The resident will be assessed based n prgressin thrugh the learner s rles f demnstratin, shared demnstratin, guided practice, and independent practice. PharmAcademic Evaluatin will be used fr dcumentatin f scheduled evaluatins (see chart belw). Evaluatins will be signed in PharmAcademic fllwing a meeting between the preceptr and resident. Summative evaluatins: This evaluatin summarizes the resident s perfrmance thrughut the learning experience. Specific cmments shuld be included t prvide the resident with infrmatin they can use t imprve their perfrmance in subsequent learning experiences. Verbal midpint evaluatin will be cmpleted half-way thrugh the rtatin t identify strengths and weaknesses and t give the resident the pprtunity fr self-assessment. If deemed necessary by the preceptr, a frmal midpint will be added t the PharmAcademic system. Preceptr and Learning Experience evaluatins must be cmpleted by the last day f the learning experience 49

51 Type f Evaluatin When Evaluatin Cmpleted Resident-Cmpleted Evaluatins Self-Reflectin Beginning f rtatin Evaluatin f Learning Experience/ End f week 4 & 8 Preceptr Self-Evaluatin End f week 4 & 8 Preceptr-Cmpleted Evaluatins Summative End f week 4 & 8 RAC and Develpmental Plan Evaluatin At each RAC meeting, prgressin tward achievement fr residency fr the specific gals and bjectives related t the current learning experience will be discussed. Input and feedback will be prvided t facilitate hand ff fr the next learning experience and mdificatins t the develpmental plan will take place as necessary. 50

52 PGY-1 Residency Prgram Learning Experience Descriptin Rtatin Name- Cmmunity University Healthcare Clinic Preceptr Cntact Infrmatin: Preceptr: Valerie Husehlder PharmD, BCACP Main Campus Outpatient Pharmacy Manager Phne: Office: University f Tled Main Campus Pharmacy Hurs: Mnday Friday 7:30 AM 6:00 PM Saturday 9:00AM 2:00 PM valerie.husehlder@utled.edu General Descriptin The University f Tled Cmmunity University Healthcare clinic rtatin is a required 8 week learning experience and a 52 week lngitudinal experience at the Main Campus Medical Center at The University f Tled. The pharmacy is lcated in the Main Campus Medical Center n West Rcket Drive. The patient care lcatins will be hused in the Outpatient Pharmacy, the student medical center and the patient centered medical hme. The pharmacist in this rle wrks with the pharmacy team, physicians, nursing staff, and patients t prvide pharmacy services related t chrnic disease state management, medicatin adherence and medicatin therapy management. The pharmacist participates in individualized patient care services related t emplyee wellness and student health. The pharmacy resident will attend this 8 week cre rtatin Mnday thrugh Thursday frm 8:00AM t 12:00 PM. The resident will als attend the 52 week lng lngitudinal rtatin ne-half day a week frm 1:00PM-5:00PM. The fcus f the 8 week rtatin will be t learn prcesses and clinical skills. The lngitudinal experience will allw the resident t practice these clinical skills wrking twards mastery and independence. The pharmacy resident will be practicing within the Main Campus Outpatient Pharmacy and the assciated medical centers. 51