Final

LMPS Pharmacy Practice Residency Program

ASAL TAHERI’S SELF-ASSESSMENT OF COMPETENCIESand LEARNING PLAN - FINAL

Instructions for Residents:1.Complete the Self-Assessment and Learning Plan below.2.Post the document to your ePortfolio by the end of your FIRST WEEK OF RESIDENCY.3.You will be repeating this self-assessment exercise at your program MIDPOINT (Christmas) and at program end.

THE GOAL HERE IS NOT TO GIVE YOU PAPERWORK, BUT TO KEEP YOUR THINKING FO-CUSED.

CHPRB 2010 Standards2.2.1 (4) “A formal process shall be in place to assess prior learning for each resident prior to the beginning of the residency program. 2.2.2 (4) “An individualized plan shall be developed for each resident at the commence-ment of his/her program. Based on the assessment of prior learning, a broad written plan for the residency program shall be developed, setting forth goals, as well as a schedule of activities for achieving those goals. This plan should build on the resident’s strengths and address the areas for improvement.”

SELF-ASSESSMENT OF COMPETENCIES BASED ON PRIOR LEARNING

This tool is designed to help you reflect on your current level of knowledge and skills to enable you, the Program Coordinator and your preceptors to design an overall plan for the upcoming res-idency year that will take into account your individual educational and professional needs and in-terests.

· For each requirement, please rate yourself using the columns headings.

· Feel free to add NOTES, DATES, PLANS, etc in the cells if you want.

· Consider this a LIVING DOUCUMENT that you use to track your progress periodically through your residency program.

· CHPRB’s “Expected Levels” are provided below to help you understand what it means to meet the standards.

Standard 3.1 – Provide Direct Patient Care as a Member of Interprofessional TeamsThe resident shall be proficient in providing evidence-based direct patient care as a member of interprofessional teams

RangeResidents are expected to collaboratively manage simple drug related problems in patients with uncomplicated medical problems or psychosocial needs with minimal supervision from preceptors. For more complex drug related problems, or for patients with more complex medical problems or psychosocial needs, residents are expected to self-assess and iden-tify what supports are required to assist the resident in provision of patient care. Residents work collaboratively within in-terprofessional teams and recognize their roles, limitations, and responsibilities.

Based on CHPRB 2010 Standards

FINAL

Requirement No exposure yet.

Exposure, but not yet achieved

Achieved

1. The resident shall work respectfully, cooperatively and collaboratively with other health care providers in the provision of direct patient care.

X2. The resident shall advocate for the patient relating to the meeting of their health-related needs and shall be governed by the patient’s desired outcome of therapy.

X

3. The resident shall place a high priority on, and be accountable for, select-ing and providing care to patients who are most likely to experience drug-re-lated problems.

X

4. a) The resident shall establish a respectful, professional, ethical relation-ship with the patient

X4. b) The resident shall demonstrate the ability to reliably prioritize drug-re-lated problems

X4. c) The resident shall demonstrate the ability to interview patients or where applicable, their caregivers, in an organized, thorough and timely manner

X4. d) The resident shall demonstrate the ability to reliably gather all relevant patient information from appropriate sources (e.g., the health record, other health professionals, patients, caregivers, etc)

X

4. e) The resident shall accurately appraise the literature, analyze patient in-formation including physical assessment data, interpret relevant diagnostic tests and apply principles of pharmacokinetics and pharmaceutics to design and document pharmacy patient care plans

X

4. f) The resident shall demonstrate reliably the ability to proactively commu-nicate healthcare issues to the prescriber and/or patient and to make recom-mendations to resolve those healthcare issues

X

4. g) The resident shall demonstrate the ability to proactively monitor drug therapy outcomes and to revise care plans based upon new information

X4. h) The resident shall provide continuity of care X4. i) The resident shall demonstrate an ability to routinely communicate care plans both verbally and in writing, using appropriate formats

X

COMMENTS/REFLECTIONS:

Standard 3.2 – Manage and Improve Medication Use SystemsThe resident shall demonstrate a working knowledge of medication use system(s) as well as pharmacy and other care provider roles within the system, in order to manage and improve medication use for individual patients and groups of pa-tients.

Range

Based on CHPRB 2010 Standards

Final

Residents are expected to understand and be able to effectively explain all aspects of the drug distribution and medication use systems in order to be able to optimize patient safety and patient care. Accordingly, residents apply their knowledge of medication management tools (such as formularies, automatic substitution policies, medical directives, etc) and thera-peutic strategies (such as therapeutic drug monitoring, drug utilization review, etc.) to ensure safe and effective use of medications within the health care organization. Residents utilize reporting systems (such as adverse drug reports or medication incident reporting) as vehicles to improve the quality of medication use within the health care organization or system.

Requirement No exposure yet.

Exposure, but not yet

achieved

Achieved

1. The resident shall be able to relate the advantages and limitations of key components of the medication use system with respect to the patient, the de-partment and the organization, including but not limited to unit dose, tradi-tional system, computerized medication administration records, computerized physician order entry, clinical decision-support tools, bedside barcode admin-istration, and intravenous and/or oncology admixture services.

X

2. The resident shall work in cooperation with pharmacy, nursing and medical staff, as well as with other members of the organization’s team, to improve medication use for individual patients and groups of patients.

X

3. The resident shall demonstrate an ability to prepare and dispense medica-tions according to organizational policies and procedures.

X4. a) The resident shall demonstrate an ability to identify, analyze and resolve problems relating to a broad range of drug products, medication orders, and drug distribution issues, as evidenced by: Assessing medication orders for appropriateness using the medication profile, allergy history and patient infor-mation available.

X

4. b) The resident shall demonstrate an ability to identify, analyze and resolve problems relating to a broad range of drug products, medication orders, and drug distribution issues, as evidenced by: Demonstrating the ability to accu-rately transcribe a medication order onto the medication profile or health record.

X

4. c) The resident shall demonstrate an ability to identify, analyze and resolve problems relating to a broad range of drug products, medication orders, and drug distribution issues, as evidenced by: Demonstrating the ability to clarify medication orders with prescribers.

X

5. The resident shall demonstrate a working knowledge of safe medication practices.

X

COMMENTS/REFLECTIONS:

Based on CHPRB 2010 Standards

FINAL

Standard 3.3 – Exercise LeadershipThe resident shall apply leadership and management skills to contribute to the goals of the program, department, organi-zation, and profession.

RangeResidents are expected to demonstrate abilities to manage complexity and change within large organizations, interprofes-sional teams, and pharmacy workgroups. Residents are expected to apply their understanding of management principles (such as human resource management, continuous quality improvement, change management, and budget management) to ensure self-efficacy and effective team-based dynamics to optimize patient care. Residents are expected to demon-strate leadership skills within the residency program, the department, the organization, and/or the profession. Residents adhere to professional and ethical standards in working through complex situations.

Requirement No exposure yet.

Exposure, but not yet

achieved

Achieved

1. The resident shall demonstrate an understanding of the differences be-tween management and leadership.

X2. The resident shall apply knowledge of a management principle or area (e.g., organization, human resources, resource utilization, pharmacoeco-nomics, communications, continuous quality improvement, change manage-ment, and/or patient safety) as well as organizational structure (e.g., roles of the pharmacy management team, departments) to complete an activity or project, or to propose a solution to a problem.

X

3. The resident shall demonstrate respect for, pride in and commitment to the profession through both appearance and actions.

X

COMMENTS/REFLECTIONS:

Based on CHPRB 2010 Standards

Final

Standard 3.4 – Exhibit Ability to Manage One’s Own Practice of PharmacyThe resident shall apply skill in the management of his/her own practice of pharmacy, to advance his/her own learning, to advance patient care, and to contribute to the goals of the program, department, organization, or profession.

RangeResidents are expected to accurately self-assess and respond to practice demands and practice-related learning needs, to ensure they are able to remain current throughout their professional careers. Residents are expected to demonstrate effective time- and resource-management skills to allow them to balance multiple competing demands while achieving agreed upon objectives. Residents are expected to apply normative standards to self- evaluate their contributions to pa-tient care and the profession. Residents work collaboratively and respectfully as part of pharmacy and interprofessional teams and adapt to changing/evolving circumstances of practice.

Requirement No exposure yet.

Exposure, but not yet

achieved

Achieved

1. The resident shall consistently demonstrate efforts to refine and advance critical thinking, scientific reasoning, problem-solving, decision-making, time management, communication, self-directed learning, and team/interprofes-sional skills that are the hallmarks of practice leaders and mature profession-als.

X

COMMENTS/REFLECTIONS:

Standard 3.5 – Provide Medication and Practice-Related EducationThe resident shall effectively respond to medication and practice-related questions, and educate others.

RangeResidents are expected to effectively and efficiently identify and respond to educational needs of patients, other health care professionals, and members of the public. To do so, residents are required to demonstrate effective information gath-ering skills, the ability to accurately and concisely frame and state questions and problems, a clear understanding of vari-ous sources of literature (primary, secondary, tertiary), and the ability to formulate and present responses in an appropri-ate manner at the level of the audience. Residents are also expected to provide education to individuals and groups using effective teaching and learning strategies to optimize knowledge transfer and translation.

Based on CHPRB 2010 Standards

FINAL

Requirement No exposure yet.

Exposure, but not yet

achieved

Achieved

1. The resident shall respond effectively and in a timely manner to medica-tion- and practice-related questions: a) receive drug information requests

X

1. The resident shall respond effectively and in a timely manner to medica-tion- and practice-related questions: b) conduct a literature search systemati-cally

X

1. The resident shall respond effectively and in a timely manner to medica-tion- and practice-related questions: c) critically appraise literature

X1. The resident shall respond effectively and in a timely manner to medica-tion- and practice-related questions: d) formulate a response

X1. The resident shall respond effectively and in a timely manner to medica-tion- and practice-related questions: e) communicate, verbally and in writing, responses to requests

X

2. The resident shall present effective education to a variety of audiences. The resident shall organize instructional content, write learning goals and ob-jectives, communicate effectively with a variety of audiences, use instruc-tional media, and self-evaluate when preparing and presenting educational seminars.

X

3. The resident shall demonstrate skill in the four roles used in practice-based teaching: a) direct instruction

X3. The resident shall demonstrate skill in the four roles used in practice-based teaching: b) modeling

X3. The resident shall demonstrate skill in the four roles used in practice-based teaching: c) coaching

X3. The resident shall demonstrate skill in the four roles used in practice-based teaching: d) facilitation

X

COMMENTS/REFLECTIONS:

Standard 3.6 – Demonstrate Project Management Skills

Based on CHPRB 2010 Standards

Final

The resident shall use effective project management skills to undertake, conduct, and successfully complete a project re-lated to pharmacy practice.

RangeDuring the residency program, residents are expected to identify a practice-based problem or issue, generate a research proposal to address it, develop appropriate research methodologies, and demonstrate effective data gathering and analy-sis skills. The resident is expected to complete a written report in a format suitable for publication, and must be able to de-fend all elements of the project, from conception to execution to interpretation.

Requirement No exposure yet.

Exposure, but not yet

achieved

Achieved

1. The resident shall be involved in project development, data collection, analysis and interpretation.

X2. The resident shall prepare a written report of the project in a format suit-able for publication in a peer-reviewed journal.

X3. The resident shall present and defend the outcomes of the project. X

COMMENTS/REFLECTIONS:

Based on CHPRB 2010 Standards

FINAL

LEARNING PLAN- Please see my blog: http://ataheri.wordpress.com/resi-dency-objectives/

Based on reflection of your prior learning and your knowledge of the goals, objectives, and re-quired competencies of the residency program, identify a number of personal GOALS, OBJEC-TIVES, and/or FOCUS AREAS for your residency year. These should focus on areas you think require the most development and/or are of greatest interest to you.

Be as specific as possible with each goal/objective. Remember that ideally, these should be out-come-oriented and measurable. Consider HOW each will be achieved.

This list can be included in this document, or ideally, on a Page of your ePortfolio. It is open for continuous revision, progress reporting, and reflection throughout your residency year.

SAMPLEGOAL/OBJECTIVE: I will be able to consistently and efficiently (eg, within 2 hours) be able to de-velop a thorough (eg, including all the relevant drug-related issues) pharmaceutical care plan for a general medicine patient.

HOW TO REACH/ACHIEVE IT: Through practice, practice, practice on my clinical orientation and medicine rotations, with refinement on my other DPC rotations; through discussion with my resident colleagues, mentor(s), program coordinator, preceptors about “best practices”.

Based on CHPRB 2010 Standards