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Residency Night 2008
Sponsored by:
Midwest College of Clinical Pharmacy
Why Consider a Residency or Fellowship
Patrick D. Fuller, BS, PharmD, BCPSResidency Program Director, PGY1Clinical Specialist Staff DevelopmentClinical Pharmacist/Adult ICUThe Nebraska Medical CenterOct. 28, 2008
Future of Pharmacy
“Great Leaders are never satisfied with current levels of performance. They are relentlessly driven by possibilities and
potential achievements.”
D. Harrison
Joint Commission of Pharmacy Practitioners
Vision Statement “Pharmacists will be the health care
professionals responsible for providing patient care that ensures optimal medication therapy outcomes.”
JCCP Vision 2015
Pharmacists will be looked at by other disciplines for trusted, unbiased drug information.
Pharmacists will achieve public recognition that they are essential to the provision of effective health care.
ACCP-Goals
Residency (Postgraduate Year One)Specialty Residency (Postgraduate Year
Two)FellowshipBoard Certification (BCPS)
2015 ASHPGoal 4
Increase the extent to which pharmacy departments in health systems have a significant role in improving the safety of medication use.
Objective 4.790% of new pharmacists entering hospital and
health-system practice will have completed an ASHP-accredited residency.
Residency Trends
2008 saw a record number of residency applications
2,300 applicants sought the approximately 2,000 available positions, with nearly 1,700 individuals matching with residencies across the United States.
More than a decade of double-digit growth in postgraduate pharmacy residency training.
Board Certification
Why Choose Residency or Fellowship
A competitive advantage in the job market
Networking opportunitiesCareer planningProfessional visionPersonal growthExperienceEnhancement of patient care
Residency
“…organized, directed, postgraduate training program in a defined area of practice…”
Goal of a residencyTo provide residents experience in taking care
of a wide variety of patient populationsTo provide residents with many experiences
working with other health-care professionals
So what is different PGY1 vs PGY2?
Postgraduate Year One (PGY1) First year of post graduate residency training Wide variety of disease states/patients Advances individual beyond PharmD Training a generalist
Postgraduate Year Two (PGY 2) Second year of post graduate residency training Advances training beyond PGY1 Usually focused on a specialized area of practice
PGY1 and PGY2
(PGY1)- Pharmacy practice residencies, managed care, community
(PGY2)- Specialized residencies (Critical Care, Oncology, Internal Medicine)Usually require a PGY1 prior.
Residency Benefits
Increase knowledge baseIncrease experienceIncrease personal growth and
developmentDevelop/enhance research skillsIncrease teamwork experiencesEnhance communication skills
Fellowship
“…A highly individualized, postgraduate training program designed to prepare the participant to become an independent researcher…”
Goals of a fellowship (2 years in length)To develop competency in the scientific
research processMost programs emphasize on
bench-top/clinical research
Fellowship
ACCP Fellowship Review CommitteeAssess whether a program meets the ACCP
guidelines for research fellowship trainingOverall process is not intended to
standardize fellowshipsA highly individualized experience is the
hallmark of an excellent training program
http://www.accp.com/resandfel/?page=guidelines
Fellowships
Infectious DiseaseCardiologyCritical CarePharmacoeconomicsPharmacokineticsPediatricsAmbulatory Care
ASHP Accreditation
ASHP administers the only process that grants accreditation status to practice sites conducting pharmacy residencies.
Provide criteria that every program must meet in order to receive and maintain accreditation
Programs vary in strengths, but each program is flexible and can be tailored to meet the needs of the individual resident
ASHP-Accreditation recommended for following reasons
Programs are surveyed periodicallyIn-depth information about programs
available through ASHP Residency Directory www.ashp.org
Future employers will have confidence in hiring pharmacists who have completed an ASHP-Accredited program
Basic Residency Requirements
Tammy L. Burns, PharmDTammy L. Burns, PharmDClinical CoordinatorClinical CoordinatorCreighton University Medical CenterCreighton University Medical Center
Pharmacy Practice Residency (PGY1)
Required OutcomesManage and improve medication-use
processProvide evidence-based, patient-
centered medication therapy management with interdisciplinary teams
Exercise leadership and practice management skills
Pharmacy Practice Residency (PGY1)
Required OutcomesDemonstrate project management skillsProvide medication and practice-related
education and trainingUtilize medical informatics
Pharmacy Practice Residency (PGY1)
Elective OutcomesConduct pharmacy practice researchExercise added leadership & practice
management skillsDemonstrate knowledge & skills
particular to generalist practice in the home care or managed care environments
Pharmacy Practice Residency (PGY1)
Elective Outcomes - continuedParticipate in the management of
medical emergenciesProvide drug information to HCP or the
publicDemonstrate additional competencies
that contribute to working successfully in the health care environment.
Specialized Residencies (PGY2)
Critical care Drug Information Geriatrics Infectious Diseases Internal Medicine Nuclear pharmacy Nutrition support Health system
administration
* Specialized residencies may not be accredited
Ambulatory Care Oncology Managed care Pediatrics Pharmacotherapy Management Primary Care Psychiatric pharmacy Pharmacy informatics Medication Use Safety
What to do now?
Now what?
Research potential residency programs www.ashp.com www.accp.com Go to specific residency program websites Contact specific residency programs
Talk to others Faculty and preceptors People in jobs of interest Current residents Current programs
Select a residency program that is right for you….
Specific area of interest (i.e. pediatrics, critical care, transplant, etc.)
Specific area of countryUniversity vs. communityTeaching commitmentSmall program vs. large programQuality of the program
ASHP Midyear Clinical Meeting
Decide if you need to attend or not attend Register for the meeting if attending
Student member $200 Student non-member $250
Orlando, FL Dec 7-11, 2008 Make contacts
See the programs attending (ASHP website) Let them know you will be there Find out who will attend from their program
Bring copies of CV
Residency Showcase
Take advantage of it! Monday and Tuesday of Midyear Most residency programs attend
Do your homework Know the programs you are interested in and WHY
Talk to the programs interested in Wear business attire! Come prepared with questions First impression---first interview
Personnel Placement Service(PPS)
Formal one-on-one interviewsSunday-WednesdayUsually for specialty residencies,
unaccredited programs, jobsCost
$55 through 10/22After 10/22, $100 ($100 onsite)
Differences between the two Showcase
More informal Features ASHP-accredited,
ASHP-application submitted, and new and prospective residency programs
Limited times (Monday 1-4, Tuesday 8-11 or 1-4)
Access to all residency programs in showcase
Included in meeting registration
PPS Prearranged, one-on-
one interview time More time to ask
questions PPS features all types
of residency programs, fellowship programs and employers recruiting for pharmacy positions
Interviews Sunday through Wednesday 8 to 5
Separate fee
Application
If Attended Midyear Follow-up with a thank-you to the programs
interested in The more contact, the more they will remember you
Start application process Each program has specific requirements
CV, transcripts, letter of intent
Read requirements closely Note deadlines!!
Letters of Recommendation
Faculty/preceptors are busy – ask early! Be organized Packet for preceptor
All applications and requirements Contact person, title and address
Clear deadlines Self-addressed, stamped envelopes for non-faculty
preceptors A copy of your CV
Ask faculty/preceptors, co-workersAvoid friends, neighbors, family members
Preparation Timeline
P1 and P2 yearWorkGet involved
P3 yearChoose variety of rotationsSelect clinical rotationsTry to get at least one rotation in a teaching
hospital
Preparation Timeline
P4 year:Prepare CV Narrow down residency programs If going to Midyear, determine which
programs to visit prior to meeting If not going to Midyear, begin making
contacts with programs in fallSpeak to faculty/preceptors/co-workers who
have completed residencies
Preparation Timeline
Fall – P4 yearMake sure CV is updatedPrepare cover lettersApply to match Travel plans for Midyear – if attendingRequest additional info from programs of
interest
Preparation Timeline
DecemberASHP MidyearRequest letters of recommendationSubmit applicationsOrder transcripts
January/FebruaryOn-site interviews
MarchMatch
Preparing your Curriculum Vitae, Cover Letter, and Interviewing
Philip Gregory, PharmDCenter for Drug Information & Evidence-Based PracticeCreighton University
Definitions
Key Components of a CV
Components of a CV
CV “Do’s”
CV “Don’ts”
The Cover Letter
References
The Interview
Description of the Match
Carla Christensen, Pharm.D.Assistant Professor of Pharmacy PracticeCreighton University School of Pharmacy and Health Professions
What is the Match?
ASHP accredited and accreditation-pending postgraduate year 1 (PGY1)postgraduate year 1 (PGY1) residency programs
ASHP accredited postgraduate year 2 postgraduate year 2 (PGY2)(PGY2) dodo participate in the match
Results in binding commitment, can not withdraw without mutual written agreement
Important Link
http://www.natmatch.com/ashprmp/
Match Rules
All accredited programs are required to participate
Applicants and programs may NOT communicate about ranking prior to release of match results
“Early Commitment Process” Programs that offer both PGY1 AND PGY2
programs Elect to allow current PGY1 residents to commit to
1 of the program’s PGY2 residencies
Applications
Application agreements ($110)January 9, 2009Application confirmationApplicant Code Number
Provide to programsProgram applications (to each
residency program)Interviews
Important Dates
Rank Order Lists (ROLIC)Program Code NumbersOpens February 16, 2009
March 6, 2009 Match deadline
March 18, 2009 Match results
March 18 - April 17, 2009 Confirmation letters to matched applicants Sign and return letter
Match Process Scenario
Resident Rank Order Submissions
Alli Charles Madison Ayden
Hosp B Hosp B Univ A Hosp B
Best Rx Univ A Best Rx
Univ A Best Rx
Match Process Scenario
Site Rank Order Submissions
Univ A (2)Hosp B (1) Best Rx (1)
Alli Alli Charles
Charles Madison
Madison Ayden
Ayden
Match Process Scenario
Resident Rank Order SubmissionsAlli Hosp BBest RxUniv A
Site Rank Order SubmissionsUniv A (2) Hosp B (1) Best Rx (1) Alli Alli Charles
Charles MadisonMadison AydenAyden
Match Process Scenario
Resident Rank Order SubmissionsAlli CharlesHosp B Hosp B Charles matches w/ Univ A
Univ ABest Rx
Site Rank Order SubmissionsUniv A (2) Hosp B (1) Best Rx (1) Alli Alli Charles
CharlesMadisonAyden
Match Process Scenario
Resident Rank Order SubmissionsAlli Charles MadisonHosp B Univ A Univ A Madison matches
Best Rx w/ Univ A
Site Rank Order SubmissionsUniv A (2) Hosp B (1) Best Rx (1) Alli Alli Charles
CharlesMadisonAyden
Match Process Scenario
Resident Rank Order SubmissionsAlli Charles Madison AydenHosp B Univ A Univ A Hosp B
Site Rank Order SubmissionsUniv A (2) Hosp B (1) Best Rx (1) Alli Alli Charles
Charles MadisonMadison AydenAyden
Ayden & Best Rx go unmatched
Tips for the Match
Be ahead of the timeline Applicants have the advantage in the matching
process, not the programs No inquiries allowed on how applicants/programs are to be
ranked Make your ranking with your highest preference 1st,
then 2nd, then 3rd and so on… DO NOT RANK A PROGRAM THAT YOU DO NOT DO NOT RANK A PROGRAM THAT YOU DO NOT
WANT!!!WANT!!! May match as a Couple
Available for individuals desiring to positions in the same geographic location
Done when submit Rank
What if you do not match??
It is NOT the end of the worldBecome a FREE AGENTWill be provided with a list of unmatched
programs at 12 Noon on Match DayAct quickly!!!Programs may also contact you
Important Dates and Tips
Carla Christensen, PharmDCreighton University SPAHPAlegent Health Bergan Mercy Medical Center
Checklist
Never too early to start preparing!!Stay on task!!
SeptemberDraft CV and cover letters
Checklist
OctoberReview directories of programs
ASHP - www.ashp.org ACCP – www.accp.com
Register for the ASHP Midyear Clinical MeetingSelect programs to visit at the Residency Showcase
Register for PPSPGY2
Make necessary travel and housing
arrangements
Checklist
NovemberNovember 1, 2008
Listing of Participating Programs in the Match will be available for access by applicants
Contact potential programs of interestSpecialized residencies (PYG2)
Use preliminary PPS listing to select residency programs for possible interviews
Sign up with National Matching Services
Checklist
NovemberRequest additional information and
applications from programs of interest Finalize CVRequest letters of recommendation
Enclose any required formsDevelop questions for Midyear Clinical
Meeting
Checklist
DecemberAttend ASHP Midyear Clinical MeetingComplete all paperwork for applications
Order transcriptsMake note of application deadlines
Schedule on-site interviewsDecember 19, 2008
Final date for early commitment for PGY2s by current PGY1
Checklist
JanuaryJanuary 9, 2009
Recommended deadline for registration for the Match
Submit application agreement form to the National Matching Service
On-site interviews begin
Checklist
FebruaryComplete interviews
Narrow choices to programs that best meet your professional/personal needs and goals
February 6, 2009 Instructions for submitting Rank Order Lists and
obtaining Match results will be providedRemember to actually write Thank You notes
Interview sitesPeople writing letters of recommendation
Checklist
MarchSubmit Rank Order Form
Final date is March 6, 2009March 6, 2009No Rank Order Lists or Agreements accepted
after this date!!March 18, 2009
Receive “Match” outcome at 12 noon ESTUnmatched residency candidates resubmit
applicationsStarting at 12 noon EST
Checklist
March 18, 2009 – April 17, 2009Program directors send letters of
confirmation to matched applicantsMust sign and return letters of confirmation
JulyMost residencies begin
Application Process
Best to be early!!Letters of recommendationCover letter
Will need to prepare and send letter of intent or cover letter with application
TranscriptsReply to sites promptlySet up on-site interviewsSend handwritten Thank You’s
Final Tip
Stay positive!!!The Pharmacy Professional’s Guide to
Resumes, CV’s, & Interviewing By Thomas P. Reinders ISBN: 978-1-58212-076-8 Purchase through APhA
$39 ($43 for members) 800-878-0729