SJRMC Pharmacy Residency Learning Experiences. Length in weeks. Administration Required Longitudinal 54 Hospital Jason Jablonski

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1 SJRMC Pharmacy Residency Learning Experiences Experience Required r Elective Blck r Lngitudinal Length in weeks Academia Required Lngitudinal 54 FMC,Hspital, Universities Site Preceptr Ed Battjes, Lisa Ribble Administratin Required Lngitudinal 54 Hspital Jasn Jablnski Advanced Adult General Medicine Ambulatry Pharmactherapy Required Blck 3 Hspital Lisa Ribble Required Blck 4 FMC Ed Sheridan, Ed Battjes Critical Care- Intr Required Blck 2 Hspital Tny Pattersn Critical Care- Fcus Required Blck 4 Hspital Laura Gillespie Lngitudinal Patient Care (includes staffing and Nutritin Supprt) Required Lngitudinal 26 Hspital Lisa Ribble, Laura Gillespie, Tny Pattersn, Brittany Spiller, Linda Lim NICU/Pediatrics- Intr Required Blck 2 Hspital Brian Heckman Nutritin Supprt- Intr Required Blck 4 Hspital Laura Gillespie Pharmackinetics- Intr Required Blck 4 Hspital Laura Gillespie Orientatin Required Blck 3 Hspital Ed Sheridan, Ed Battjes, Jasn Stabnik, Lisa Ribble Practice Management Required Lngitudinal 54 Hspital Ed Sheridan, Lisa Ribble Residency Prject Required Lngitudinal (ne week each quarter) 54 Hspital Apprpriate preceptr Staffing- Intr Required Blck 5 Hspital Jasn Stabnik Transitins f care Required Lngitudinal 54 Hspital Lauren McNace Cardilgy Elective Blck 4 Hspital Tny Pattersn Glbal Health Elective Blck 3 TBD Lisa Ribble/Ed Sheridan Infectius Disease Elective Blck 4 Hspital Laura Gillespie NICU/Pediatrics Elective Blck 4 Hspital Brian Heckman

2 Example Structure/Sequencing f SJRMC Pharmacy Residency Learning Experiences /17 06/19 Orientatin /26 07/03 07/10 07/17 07/24 07/31 08/07 08/14 08/21 08/28 09/04 09/11 09/18 Adult Medicine Staffing- Intr Nutritin Supprt- Intr Prject Week Lngitudinal Experiences: Academia, Administratin, Practice Management, Prject, Transitins f Care /25 10/02 10/09 10/16 10/23 10/30 11/06 11/13 11/20 11/27 12/04 12/11 12/18 Pharmackinetics Intr Critical Care Intr NICU-Peds Intr Critical Cre Fcus ASHP Midyear Critical Cre Fcus Lngitudinal Experiences: Academia, Administratin, Practice Management, Prject, Transitins f Care, Patient Care /25 01/01 01/08 01/15 01/22 01/29 02/05 02/12 02/19 02/26 03/05 03/12 03/19 Prject Week PTO Elective Prject Week Elective Lngitudinal Experiences: Academia, Administratin, Practice Management, Prject, Transitins f Care, Patient Care /26 04/02 04/09 04/16 04/23 04/30 05/07 05/14 05/21 05/28 06/04 06/11 6/18 Ambulatry Pharmactherapy GLPC CME Prject Week PTO Elective /25 Elective Lngitudinal Experiences: Academia, Administratin, Practice Management, Prject, Transitins f Care

3 BLOCK ROTATIOIN LEARNING DESCRIPTION EXAMPLE: ADULT MEDICINE General Descriptin: The adult medicine experience is a 3 week experience. The Adult Medicine Service prvides direct patient care fr patients wh are seen in cnjunctin with the medical resident service. The PGY-1 pharmacy resident will jin the general medicine team fr daily runds which generally begin at 8:00am. The team cnsists f a chief resident (usually a third year), fur r five ther residents, tw attending physicians, and a pharmacist. The medicine team may have anywhere frm tw t twenty patients n the service. This multi-disciplinary team discussin prvides mre cmplete direct patient care. Activities include identifying patients current acute prblems, gals, mnitring parameters and making recmmendatins. The pharmacist will als research and present drug infrmatin questins and actively participate during his/her assigned time M-F f the week. It is expected that the pharmacy resident be able t perate independently by the end f the experience. The rle f the pharmacist is: is t attend mrning runds with the medical attending staff t prvide pharmaclgical based infrmatin fr patients with a variety f disease states. This includes mnitring, analyzing, and applying knwledge via written and ral cmmunicatin in healthcare team envirnment. This rle mentrs all residents and students wh participate in the experience. Training/ Milestnes: Week 1: The resident will attend FMC runds with preceptr while the preceptr mdels patient electrnic chart assessment, prblem identificatin, ptential interventins and recmmendatins. On the secnd day the resident will wrk up patients prir t runds and review with preceptr after runds t allw fr cllabrative discussin. Patients will then be discussed daily. Week 2: The resident will attend runds daily and the preceptr will attend 2-3 times this week fr bservatin and supprt. Week 3: The resident will attend runds daily autnmusly and will review patients with the preceptr daily. The initial part f training will fcus n accurately identifying acuity f the patient prblems, cllecting disease and medicatin apprpriate infrmatin ( verbally and frm the electrnic chart), analyzing the data, creating a patient specific plan, making recmmendatins t ther health care prfessinals, implementing f plans and reassessment f the plan with apprpriate actins. At the end f 3 weeks the resident will need t cmplete: Achievement in cmpetency is what determines a trainee the ability t practice independently. T be cnsidered "cmpetent" in this rtatin, the trainee must verbally give 10 patients t the preceptr that includes the pertinent infrmatin utlined in the tasks. These patients will be signed by the preceptr and kept in the binder. Each designated gal f this rtatin must be checked / signed ff Review f current literature - Belw is a list f tpics that will be cvered during the experience. Please nte the 10 designated patients belw alng with diagnsis:

4 Feedback and Evaluatins will be cntinuus during the curse f this experience. There will be an infrmal face t face midpint preceptr assessment and resident self- assessment. The end f rtatin evaluatins will als be discussed face t face. Within a week frm the cmpletin f the experience, the resident will cmplete a selfassessment, assessment f the rtatin, assessment f the preceptr in pharmacademic; the preceptr will cnduct a final summative assessment f the resident in pharmacademic. GOALS/ Tasks T Cmplete Obj R1.1.1 (Applying ) Interact effectively with health care teams t manage patients medicatin therapy. Tasks: Resident interactins with ther HCP are nted t be: Cperative, cllabrative, cmmunicative, and respectful Develps skills in negtiatin, cnflict management, and cnsensus building A patient advcate Obj R1.1.3 ( Analyzing) Cllect infrmatin n which t base safe and effective medicatin therapy. Tasks: Resident can efficiently and apprpriately identify patient demgraphics Current medicatin lists ( mar and Mar summary) Labs/ including radilgy / vitals/micrbilgy Hme med list Physician/pharmacist/nursing prgress ntes Frms Review Meal assessment I/O Review past infrmatin in chart MedMined alerts Able t lg nt MedMined website, filter alerts, islate flrs/units Change passwrd Identifies the fllwing functinalities: snze, remve frm queue, hide fr me, hide fr all, gld flag, blue flag Identifies list f medicatins fllwed by MedMined Identifies which alerts are fllwed n weekends vs. weekdays Reviewer T Date/Initial when Task/ Gal Cmpleted Cmpetency Established Patient Initials Additinal COMMENTS

5 Obj. R1.1.4 (Analyzing ) Analyze and assess infrmatin n which t base safe and effective medicatin therapy. Tasks: Identify labs that are ut f range Identify any labs need t be rdered fr specific medicatins r disease states Lk fr drug/drug interactins Identify patient medicatins are crrect dse fr hepatic/renal functin/age Micrbilgy results when apprpriate Refers t the Renal Dsing Prtcl fr apprved renally adjusted medicatins Obj R1.15 ( Creating) Design r redesign safe and effective patient centered therapeutic regimens and mnitring plans ( care plans) Tasks: T accurately identify the acuity f the patients current prblems Plans are well thught ut in cnsistent pattern,- current prblem, current gal, current medicatins, current mnitring Able t adjust patient care plan based n new infrmatin EBM identified fr current therapy/ recmmendatins Assessing plan daily Intrduce the alert prcess Discusses with HCP when an INR shuld be rdered Address high r lw K levels and ntify HCP when needed (cnsider cncmitant medicatins, K supplementatin, Mg levels, primary fluids cntaining K, etc.) Obj R1.1.6 ( Applying) Ensure implementatin f therapeutic regimens and mnitring plans ( Care plans) by taking apprpriate fllw-up actins. Tasks: EBM based Recmmendatins are apprpriately cnveyedverbally, ver the phne, written Identify and cmplete 2 recmmendatins/ week ( verbally r written) Address and prvide 3 recmmendatins/week utilizing MedMined (dcument each recmmendatin in the table n page 6)

6 Obj R1.1.7 ( Applying ) dcument direct patient care activities apprpriately in the medical recrd r where apprpriate. Effectively dcuments ERS physician rund infrmatin in the adhc system f electrnic chart. Dcumentatin needs t include date, time, initials and shrt ntatin f current event. Dcuments n MedMined alerts, which include initials and date Review f current EBM literature Tasks: Mst recently published guidelines f Cardilgy etilgies- Afib, MI Strke/ TIA Pneumnias- HAP, CAP / HCAP GOLD- COPD Asthma DVT prphylaxis Diabetes- DKA Others identified by preceptr/ resident Utilizes primary and tertiary references fr renally adjusted medicatin that are nt included in the renal dsing prtcl (ie: apixaban) Please dcument belw and discuss with preceptr #3 MedMined recmmendatins per week Date Patient's Initials MRN Alert Type Preceptr's Signature

7 EXAMPLE LONGITUDINAL LEARNING DESCRIPTION: Lngitudinal Practice Management, Administratin, Prject, Academia/Teaching Experience General Descriptin The Practice Management, Administratin, Prject and Academia/Teaching experiences will happen ver a 54 week perid. These experiences have the ptential t take place in cnjunctin with pharmacists practicing in bth the inpatient and utpatient setting. All bjectives fr these experiences are dented belw. All dcumented resident prgress will take place face t face at the Mnthly Resident Prgress Meetings, Quarterly Midpint in PharmAcademic and End Quarter PharmAcademic Assessment. Infrmal evaluatins will be cntinuus during the curse f this experience. The resident will cmplete a self-assessment, assessment f the rtatin, assessment f the preceptr in pharmacademic; the preceptr will cnduct a final summative assessment f the resident in pharmacademic. Practice Management Site(s) FMC, Hspital Pharmacists The pharmacists will help facilitate, mentr and participate when discussing varius methds f rle practice and utilizatin f management tls with the residents. The pharmacist will have a strategic time rganizatinal methd t maintain his/her practice. The scpe f practice and structure f pharmacy services is cmplex. There are many stakehlders and pharmacists must interact with a variety f health prfessinals n a daily basis. T be successful in this envirnment the pharmacist resident must gain expertise in managing his r her pharmacy practice. The pharmacy resident will be expected t explre generalities f practice management by reading bks, reviewing articles and discussing these issues with preceptrs. (Examples f tpics include persnal missin statement, time management, prject management etc.) The pharmacy resident will have pprtunities in all rtatins t hne their ability t manage their practice and bserve hw the preceptr manages his r her practice. Hwever, because sme tpics may nt be experienced during the curse f a specific rtatin, practice management will have lngitudinal cmpnents as weekly tpics and as required prjects as part f the lngitudinal experience. The PGY-2 ambulatry care pharmacy resident assesses, revises, and maintains the lngitudinal curriculum. Administratin Site(s) FMC, Hspital Pharmacists rle The pharmacy directr/manager is respnsible fr versight f all pharmacy related peratins f the hspital. They are accuntable fr bth the clinical and financial perfrmance f the department. A wrking administrative skill set is as imprtant t a pharmacist as a patient care skill set. In this rtatin, the PGY-1 pharmacy resident will develp his/her wn department budget, great a business plan based in his/her perceived next practice and cnduct a SWOT analysis as the first step t priritizing a new initiative. Residency Prject Site(s) FMC, Hspital Pharmacists Review IRB submissins, guide residents in creating a timeline, and being available fr residents t rle check in fr prgress meetings f their prjects. Preceptrs are als t review Great Lakes Pharmacy Residency Cnference Slides, as well as review material fr psters submitted fr ASHP Midyear r ther lcal, state, r natinal meetings. Preceptr is als t help guide resident n the creatin f their manuscript.. The pharmacy resident will cmplete a pharmacy residency prject that is either research r perfrmance imprvement based. The prject will be relevant and useful t the respective site. The pharmacy resident will present the final prject at Great Lakes Residency Cnference in April (required) and at ASHP Midyear in December (if interim data is available). The

8 PGY-1 resident will take necessary steps during the curse f the residency t publish the article in an apprpriate jurnal. The PGY-2 resident is required t publish. Past resident prjects: Pharmacy Medicatin Educatin Impact n Hspital Readmissin Rates, Impact f Fair Balance Pharmaclgy Updates n Surces Family Medicine Residents Utilize t Obtain Infrmatin Regarding Medicatin, Cntinuus Quality Imprvement Of Ambulatry Medicatin Safety: MIDAS Reprting, Opprtunities T Serve The Underserved: A Hspital Based Medicatin Assistance Prgram, Prescriptin Methds Assessment Prject (a multi-center, natinal, duble dummy clinical trial), Evaluatin Of A Pharmacist Managed Medicatin Review Clinic, Medicatin Recnciliatin Failure Mde and Effect Analysis, Diabetes Grup Visits, Antibitic Stewardship, Team Based Learning in a family medicine residency prgram, increasing clrectal cancer screening thrugh an infrmatinal mailer, multisite preceptr develpment, pharmacist invlvement in btaining NCQA certificatin, Glbal health training pstgraduate pharmacy, Renal effects f vancmycin and pip/taz, and REMS. Academia/Teaching Experience Site(s) FMC, Hspital, Manchester University, Purdue University Pharmacists Teach didactic lectures and labs at Purdue and Manchester University rle Clleges f Pharmacy. Additinally, precept students frm the respected clleges f pharmacy, in additin t precepting medical residents n rtatin at the Family Medicine Center. At the cmpletin f this lngitudinal experience, the pharmacy resident will be able t effectively and efficiently precept pharmacy students independently. The pharmacy resident will design, rganize, and precept PharmD candidates fr at least ne cmplete APPE rtatin. Additinally, the resident will evaluate the PharmD candidate and assist them in the selfevaluatin prcess. By the end f this experience, the pharmacy resident will be able t effectively present didactic lectures t pharmacy students and family medicine resident physicians. The pharmacy resident will create, administer and grade examinatin questins fr nursing r pharmacy students. The pharmacy resident will have met the requirements fr the Indiana Pharmacy Resident Teaching Certificatin by cmpletin f the residency prgram. (Patient educatin will be addressed n specific direct patient care rtatins.) Disease States: A variety f disease states will be discussed in tpic discussins and clinical learning sessins during didactics in bth the practice management and academic experiences. Preceptr Interactin/Cmmunicatins: The resident will need t set meetings at the beginning f each quarter t review the learning descriptin with the respnsible preceptr/faculty. A calendar will need t be presented r discussed at the beginning f each quarter. Training/ Milestnes: Practice Management: Quarter 1: The resident will bserve faculty mdeling and actively participate in frmal PM sessins. The resident will identify a MUE, Drug class evaluatin and drug mngraph t be cmpleted by the end f the year. Actively self-evaluate yur time management/ rganizatinal skills. Quarter 2: The resident will bserve faculty mdeling, receive faculty caching and actively participate in frmal PM sessins. The resident identify and finalize a timeline fr MUE, Drug class evaluatin and drug mngraph t be cmpleted by the end f the year. Actively self-evaluate yur time management/ rganizatinal skills Quarter 3: The resident will Lead with caching and actively participate in frmal PM sessins. Prgressin f required MUE, Drug class evaluatin and drug mngraph t be cmpleted by the end f the year will be assessed. Actively self-evaluate yur time management/ rganizatinal skills Quarter 4: The resident will independently facilitate and actively participate in frmal PM sessins. If nt dne in prir quarter, the resident will cmplete his/her MUE, Drug class evaluatin and drug mngraph t be cmpleted by the end f the year. Actively self-evaluate yur time management/ rganizatinal skills

9 Administratin: Due t the nature f the rtatin, much f the tasks will be cmpleted upn active discussin with the preceptr and applicatin f material. The resident pharmacist will be expected t schedule all necessary discussins with the preceptr and be actively engaged in these discussins. The resident pharmacist will cmplete required prjects independently with review by the preceptr upn cmpletin, with the preceptr available as a resurce during their develpment. Thrughut the 4 quarters the resident will have discussin with the pharmacy directr, manager, supervisr and clinical crdinatr regarding peratinal prcess, clinical prcess, state and natinal regulatins including (but nt all inclusive) t Jint cmmissin and state bard f pharmacy/health visits, budgets, emplyee relatins with hiring, firing and due prcesses, and meeting prcesses. When the resident cmpletes his/her residency, he r she will be able t navigate many f the administratin prcess within the hspital pharmacy. Prject: Quarter 1: Resident will identify a prject, create a timeline identifying the implementatin, cllectin tl, evaluatin, presentatin and publicatin, submit an IRB applicatin. Quarter 2: Resident will actively cllect data, lead and/r participate in meetings develped arund identified prject. Quarter 3: Resident will cmplete data cllectin and begin t analyze data. Practively set up practice lectures fr GLPC. Quarter 4: Resident will cmplete data analysis, frmulate GLPC presentatin. Present data analysis at the lcal institutin and GLPC. A cmplete manuscript will be drafted fr submissin. Academia/ Teaching Experience: Quarter 1: The resident will receive direct instructin, bserve mdeling and receive caching activities frm his/her preceptrs regarding students. The resident will develp teaching materials, learn abut different types f learners. Quarter 2: The resident will cntinue t develp teaching materials as needed and if pssible teach different types f learners with reflectin n these experiences. The resident shuld expect caching frm faculty as grwth prgresses. Quarter 3: The resident will cntinue t develp teaching materials as needed and if pssible teach different types f learners with reflectin n these experiences. The resident shuld expect caching with mre facilitating frm faculty as grwth prgresses Quarter 4: The resident will be able t independently facilitate effective and efficient precepting during this quarter f the residency. The resident shuld be able t cmplete the requirements fr the Indiana Pharmacy Resident Teaching Certificate. Quarter 1 PRACTICE MANAGEMENT Gal R2.1 Demnstrate ability t manage frmulary and medicatin-use prcesses, as applicable t the rganizatin. OBJ R2.1.1 (Creating) Prepare a drug class review, mngraph, treatment guideline, r prtcl. Cmpetency Established Additinal COMMENTS Attend a didactic n the develpment f MUM, drug class evaluatin, and drug mngraph. An MUM, drug class evaluatin, and drug mngraph needs t be cmpleted by the end f the year. This will be mnitred with the rest f the graduatin requirements.

10 Gal R 3.1 Demnstrate leadership skills. OBJ R3.1.1(Applying) Demnstrate persnal, interpersnal, and teamwrk skills critical fr effective leadership. Will utilize/practice the fllwing skills : initial brainstrming, cmpassinate listening f thers, timely fllw-up and wnership/accuntability The faculty will mdel self-assessment in majr respnsibilities. Additinally, descriptin f the thught prcess f self-assessment will be part f the summative midpint evaluatin OBJ R3.1.2 (Applying) Apply a prcess f n-ging selfevaluatin and persnal perfrmance imprvement. Will develp a self -evaluatin system and discuss the self-evaluatin quarterly with a preceptr Gal R3.2 Demnstrate management skills. OBJ R (Applying) Manages ne s wn practice effectively. Will reflect n rganized readings and mentrs within the prfessin regarding rganizatin f practice Will discuss tw different techniques and skills attempted during this quarter. Will develp a calendar prir t each fcused experience t share with respective preceptrs PROJECT Gal 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. OBJ (Analyzing) Identify changes needed t imprve patient care and/r the medicatin-use systems. The resident will identify and define an area f need that can serve as the subject fr the residency prject. Als nte the graduatin respnsibilities fr PDCA cycle

11 OBJ (Creating) Develp a plan t imprve the patient care and/r medicatin-use The resident will cnduct a literature review t find published materials n hw similar issues have been addressed. This backgrund infrmatin will be presented t the preceptr. The resident will develp a detailed plan t address t impact the area f need, as well as a detailed timeline fr implementatin, cllectin tl, evaluatin, presentatin, and publicatin ADMINISTRATION Gal R3.2 Demnstrate management skills. OBJ (Understanding) Explain factrs that influence departmental planning. Will participate in majr departmental and hspital-wide prcess changes Will discuss JACAHO, ASHP best practices, budget preparatin with the pharmacy directr OBJ R (Understanding) Explain the elements f the pharmacy enterprise and their relatinship t the healthcare system. Will participate in majr departmental and hspital-wide prcess changes Will discuss JACAHO, ASHP best practices, budget preparatin with the pharmacy directr. ACADEMIA/TEACHING EXPERIENCE Gal R4.1: Prvide effective medicatin and practicerelated educatin t patients, caregivers, health care prfessinals, students, and the public (individuals and grups). Obj R4.1.2 (Applying) Use effective presentatin and teaching skills t deliver educatin. Will create teaching philsphy. Will summarize resident apprach t building rapprt with learners. Will ensure the cntent and delivery f any educatin is cmmensurate with a pharmacy residency graduate. Will cnduct enugh educatinal pprtunities t qualify fr IPTeC. Identify areas f strength and areas targeted fr imprvement after cmpleting several teaching tasks.

12 OBJ R4.1.3 (Applying) Use effective written cmmunicatin t disseminate knwledge. Will identify fur frmal drug infrmatin questins thrughut the residency year. Will discuss with the preceptr the pen ended questins utilized, the prcess f btaining, retrieving, evaluating and the clinical relevance f the literature. Will share, discuss and self-evaluate with the preceptr the cmmunicatin methd (ral/written) that was used t relay the infrmatin answer. OBJ R (Applying) Apprpriately assess effectiveness f educatin. Will utline assessment requirements fr APPE rtatin in rtatin descriptin. Will Submit exam questins fr all assigned lectures. Will Discuss student perfrmance n exam questins and explain hw t imprve future questins. Gives timely, hnest, helpful, kind feedback t students, clleagues, faculty and patients in a supprtive manner Gal R4.2: Effectively emplys apprpriate preceptrs rles when engaged in teaching (e.g., students, pharmacy technicians, r ther health care prfessinals). OBJ R4.2.1 (Analyzing) When engaged in teaching, select a preceptrs rle that meets learners educatinal needs. Will read Blm's taxnmy n the different levels f learners. Will Prvide example t preceptr f when each rle and what type f learner. OBJ R4.2.2(Applying) Effectively emply preceptr rles, as apprpriate. Will be directly bserved using the different preceptr rles. Will als reflect with faculty when different rles have been used in situatins nt directly bserved.

13 Quarter 2 PRACTICE MANAGEMENT Gal R2.1 Demnstrate ability t manage frmulary and medicatin-use prcesses, as applicable t the rganizatin. OBJ R2.1.1 (Creating) Prepare a drug class review, mngraph, treatment guideline, r prtcl. Cmpetency Established Additinal COMMENTS Attend a didactic n the develpment f MUM, drug class evaluatin, and drug mngraph. An MUM, drug class evaluatin, and drug mngraph needs t be cmpleted by the end f the year. This will be mnitred with the rest f the graduatin requirements. OBJ 2.1.2(Applying) Participate in a medicatin-use evaluatin. Prgress Reviewed: An MUM, drug class evaluatin, and drug mngraph needs t be cmpleted by the end f the year. This will be mnitred with the rest f the graduatin requirements. OBJ R (Applying) Participate in medicatin event reprting and mnitring. Will schedule a sessin with ur ADR and Medicatin Errr Reprt individuals t learn mre abut ur reprting prcess Gal R3.1: Demnstrate leadership skills. OBJ R (Applying) Demnstrate persnal, interpersnal, and teamwrk skills critical fr effective leadership. Will demnstrate reflectin and self-assessment in daily activities and respnsibilities. The resident Will cnduct frmative and summative self-assessments OBJ R (Applying) Apply a prcess f n-ging selfevaluatin and persnal perfrmance imprvement. Will develp a self -evaluatin system and discuss the self-evaluatin quarterly with a preceptr

14 PROJECT Gal 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. OBJ (Applying) Implement changes t imprve patient care and/r the medicatin-use system. Resident successfully implements the change in an rganized fashin with Clear cmmunicatin t thse invlved r affected ADMINISTRATION Gal R3.2 Demnstrate management skills. OBJ R (Understanding) Explain factrs that influence departmental planning. Will participate in majr departmental and hspitalwide prcess changes Will discuss JACAHO, ASHP best practices, budget preparatin with the pharmacy directr. OBJ R (Understanding) Explain the elements f the pharmacy enterprise and their relatinship t the healthcare system. Will participate in majr departmental and hspitalwide prcess changes Will discuss JACAHO, ASHP best practices, budget preparatin with the pharmacy directr. OBJ R (Applying) Cntribute t departmental management. Will prepare a budget Will discuss with the directr staff develpment, staff training, screcard develpment/use, emplyee evaluatin system, discipline and crrective actin prcess,

15 ACADEMIA/TEACHING EXPERIENCE Gal R4.1: Prvide effective medicatin and practicerelated educatin t patients, caregivers, health care prfessinals, students, and the public (individuals and grups). Obj R4.1.2 (Applying) Use effective presentatin and teaching skills t deliver educatin. Will create teaching philsphy. Will summarize resident apprach t building rapprt with learners. Will ensure the cntent and delivery f any educatin is cmmensurate with a pharmacy residency graduate. Will cnduct enugh educatinal pprtunities t qualify fr IPTeC. Identify areas f strength and areas targeted fr imprvement after cmpleting several teaching tasks. OBJ R4.1.3 (Applying) Use effective written cmmunicatin t disseminate knwledge. Will identify fur frmal drug infrmatin questins thrughut the residency year. Will discuss with the preceptr the pen ended questins utilized, the prcess f btaining, retrieving, evaluating and the clinical relevance f the literature. OBJ R (Applying) Apprpriately assess effectiveness f educatin. Will share, discuss and self-evaluate with the preceptr the cmmunicatin methd (ral/written) that was used t relay the infrmatin answer. Gal R4.2: Effectively emplys apprpriate preceptrs rles when engaged in teaching (e.g., students, pharmacy technicians, r ther health care prfessinals). OBJ R4.2.1 (Analyzing) When engaged in teaching, select a preceptrs rle that meets learners educatinal needs. Will read Blm's taxnmy n the different levels f learners. Will Prvide example t preceptr f when each rle and what type f learner. OBJ R4.2.2(Applying) Effectively emply preceptr rles, as apprpriate. Will be directly bserved using the different preceptr rles. Will als reflect with faculty when different rles have been used in situatins nt directly bserved.

16 Quarter 3 PRACTICE MANAGEMENT Gal R2.1 Demnstrate ability t manage frmulary and medicatin-use prcesses, as applicable t the rganizatin. OBJ R2.1.1 (Creating) Prepare a drug class review, mngraph, treatment guideline, r prtcl. Cmpetency Established Additinal COMMENTS Prgress Reviewed: An MUM, drug class evaluatin, and drug mngraph needs t be cmpleted by the end f the year. This will be mnitred with the rest f the graduatin requirements. OBJ 2.1.2(Applying) Participate in a medicatin-use evaluatin. Prgress Reviewed: An MUM, drug class evaluatin, and drug mngraph needs t be cmpleted by the end f the year. This will be mnitred with the rest f the graduatin requirements. OBJ R 2.1.3(Analyzing) Identify pprtunities fr imprvement f the medicatin-use system. Will have identified a MUE, time lined a reslutin and wrk n implementatin at this pint Gal R3.1: Demnstrate leadership skills. OBJ R (Applying) Apply a prcess f n-ging selfevaluatin and persnal perfrmance imprvement. Will re-evaluate the self-evaluatin prcess and mdify as necessary. Gal R 3.2 Demnstrate management skills. OBJ R (Applying) Manages ne s wn practice effectively. Will reflect n rganized readings and mentrs within the prfessin regarding rganizatin f practice Will discuss tw additinal different techniques and skills attempted during this quarter. Will develp a calendar prir t each fcused experience t share with respective preceptrs

17 PROJECT Gal 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. OBJ (Analyzing) Identify changes needed t imprve patient care and/r the medicatin-use systems. The resident will identify and define an area f need that can serve as the subject fr the residency prject. Als nte the graduatin respnsibilities fr PDCA cycles. OBJ R (Evaluating) Assess changes made t imprve patient care r the medicatin-use system The resident will present results f the interventin as well as next steps fr maintenance r further imprvements ADMINISTRATION Gal R3.2 Demnstrate management skills. OBJ R (Understanding) Explain factrs that influence departmental planning. Will participate in majr departmental and hspitalwide prcess changes Will discuss JACAHO, ASHP best practices, budget prepariatin with the pharmacy directr. OBJ R (Understanding) Explain the elements f the pharmacy enterprise and their relatinship t the healthcare system. Will participate in majr departmental and hspitalwide prcess changes Will discuss JACAHO, ASHP best practices, budget prepariatin with the pharmacy directr. OBJ R (Applying) Cntribute t departmental management. Will prepare a budget Will discuss with the directr staff develpment, staff training, screcard develpment/use, emplyee evaluatin system, discipline and crrective actin prcess,

18 ACADEMIA/TEACHING EXPERIENCE Gal R4.1: Prvide effective medicatin and practicerelated educatin t patients, caregivers, health care prfessinals, students, and the public (individuals and grups). OBJ R (Applying) Design effective educatinal activities. Will develp rtatin descriptin fr APPE students. Will design a rtatin schedule that allws the presence f the majrity f his/her clleagues. Will Incrprate (and discuss with preceptr) mre than ne educatinal tl / assignment apprach in the fllwing settings: small grup discussin, classrm didactic sessin, Will Implement techniques t differentiate between educatin targeting patients, medical residents, medical students and pharmacy students. Discuss these techniques with preceptr. Will Discuss with preceptr the resident s apprach t selecting breadth and depth f infrmatin necessary fr varius teaching settings. Obj R4.1.2 (Applying) Use effective presentatin and teaching skills t deliver educatin. Will create teaching philsphy. Will summarize resident apprach t building rapprt with learners. Will ensure the cntent and delivery f any educatin is cmmensurate with a pharmacy residency graduate. Will cnduct enugh educatinal pprtunities t qualify fr IPTeC. Identify areas f strength and areas targeted fr imprvement after cmpleting several teaching tasks. OBJ R4.1.3 (Applying) Use effective written cmmunicatin t disseminate knwledge. Will identify fur frmal drug infrmatin questins thrughut the residency year. Will discuss with the preceptr the pen ended questins utilized, the prcess f btaining, retrieving, evaluating and the clinical relevance f the literature. OBJ R (Applying) Apprpriately assess effectiveness f educatin. Will share, discuss and self-evaluate with the preceptr the cmmunicatin methd (ral/written) that was used t relay the infrmatin answer.

19 Gal R4.2: Effectively emplys apprpriate preceptrs rles when engaged in teaching (e.g., students, pharmacy technicians, r ther health care prfessinals). OBJ R4.2.1 (Analyzing) When engaged in teaching, select a preceptrs rle that meets learners educatinal needs. Will read Blm's taxnmy n the different levels f learners. Will Prvide example t preceptr f when each rle and what type f learner. OBJ R4.2.2(Applying) Effectively emply preceptr rles, as apprpriate. Will be directly bserved using the different preceptr rles. Will als reflect with faculty when different rles have been used in situatins nt directly bserved. Quarter 4 PRACTICE MANAGEMENT Gal R2.1 Demnstrate ability t manage frmulary Cmpetency and medicatin-use prcesses, as applicable t the Established rganizatin. OBJ R2.1.1 (Creating) Prepare a drug class review, mngraph, treatment guideline, r prtcl. Additinal COMMENTS Prgress Reviewed: An MUM, drug class evaluatin, and drug mngraph needs t be cmpleted by the end f the year. This will be mnitred with the rest f the graduatin requirements. OBJ 2.1.2(Applying) Participate in a medicatin-use evaluatin. Prgress Reviewed: An MUM, drug class evaluatin, and drug mngraph needs t be cmpleted by the end f the year. This will be mnitred with the rest f the graduatin requirements. Gal R3.1: Demnstrate leadership skills. OBJ R (Applying) Demnstrate persnal, interpersnal, and teamwrk skills critical fr effective leadership. Will demnstrate reflectin and self-assessment in daily activities and respnsibilities. The resident Will cnduct frmative and summative self-assessments

20 OBJ R (Applying) Apply a prcess f n-ging selfevaluatin and persnal perfrmance imprvement. Will re-evaluate the self-evaluatin prcess and mdify as necessary. Gal R 3.2 Demnstrate management skills. OBJ R (Applying) Manages ne s wn practice effectively. Will reflect n rganized readings and mentrs within the prfessin regarding rganizatin f practice Will discuss different techniques and skills attempted during the residency year Will develp a calendar prir t each fcused experience t share with respective preceptrs PROJECT Gal 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. OBJ (Creating) Develp a plan t imprve the patient care and/r medicatin-use system. The resident will cnduct a literature review t find published materials n hw similar issues have been addressed. This backgrund infrmatin will be presented t the preceptr. The resident will develp a detailed plan t address t impact the area f need, as well as a detailed timeline fr implementatin, cllectin tl, evaluatin, presentatin, and publicatin OBJ R (Evaluating) Assess changes made t imprve patient care r the medicatin-use system The resident will present results f the interventin as well as next steps fr maintenance r further imprvements OBJ R 2.2.5(Creating) Effectively develp and present, rally and in writing, a final prject reprt. Will successfully present the prject t GLPRC r SJRMC. will write a manuscript f the prject based n the requirements f the jurnal t which it will be submitted. By May 1st

21 ADMINISTRATION Gal R3.2 Demnstrate management skills. OBJ R (Understanding) Explain factrs that influence departmental planning. Will participate in majr departmental and hspitalwide prcess changes Will discuss JACAHO, ASHP best practices, budget preparatin with the pharmacy directr. OBJ R (Understanding) Explain the elements f the pharmacy enterprise and their relatinship t the healthcare system. Will participate in majr departmental and hspitalwide prcess changes Will discuss JCAHO, ASHP best practices, budget preparatin with the pharmacy directr. OBJ R (Applying) Cntribute t departmental management. Will prepare a budget Will discuss with the directr staff develpment, staff training, screcard develpment/use, emplyee evaluatin system, discipline and crrective actin prcess, OBJ R (Applying) Manages ne s wn practice effectively. Will reflect n rganized readings and mentrs within the prfessin regarding rganizatin f practice Will discuss different techniques and skills attempted during the residency year ACADEMIA/TEACHING EXPERIENCE Gal R4.1: Prvide effective medicatin and practicerelated educatin t patients, caregivers, health care prfessinals, students, and the public (individuals and grups). OBJ R (Applying) Apprpriately assess effectiveness f educatin. Will Outline assessment requirements fr APPE rtatin in rtatin descriptin. Will Submit exam questins fr all assigned lectures. Will Discuss student perfrmance n exam questins and explain hw t imprve future questins. Gives timely, hnest, helpful, kind feedback t students, clleagues, faculty and patients in a supprtive manner

22 Gal R4.2: Effectively emplys apprpriate preceptrs rles when engaged in teaching (e.g., students, pharmacy technicians, r ther health care prfessinals). OBJ R4.2.1 (Analyzing) When engaged in teaching, select a preceptrs rle that meets learners educatinal needs. Will read Blm's taxnmy n the different levels f learners. Will Prvide example t preceptr f when each rle and what type f learner. OBJ R4.2.2(Applying) Effectively emply preceptr rles, as apprpriate. Will be directly bserved using the different preceptr rles. Will als reflect with faculty when different rles have been used in situatins nt directly bserved.