PGY2 PHARMACY INFORMATICS RESIDENCY

2018-2019

UNIVERSITY OF WISCONSIN (UW) HEALTH

PHARMACY DEPARTMENT

Attachment B.1

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CONTENTS Purpose Statement ............................................................................................................................................................... 3

Program Overview ................................................................................................................................................................ 3

Program Outcomes .............................................................................................................................................................. 3

Administration of the Program .............................................................................................................................................. 5

MS Admin & MSO RAC ........................................................................................................................................................ 5

Program Structure & Rotations ............................................................................................................................................. 6

Residency structure .............................................................................................................................................................. 6

Rotations .................................................................................................................................................................................. 6

Rotation Schedule ................................................................................................................................................................. 7

Activities & Requirements ....................................................................................................................................................... 8

Experiences for All residency Programs ......................................................................................................................... 8

Residency Projects ................................................................................................................................................................ 8

Practice Experience Requirement .................................................................................................................................... 8

Resident Scheduling ............................................................................................................................................................. 8

Resident Recruitment .......................................................................................................................................................... 8

Professional Obligations...................................................................................................................................................... 8

Resident Travel ...................................................................................................................................................................... 9

Career Counseling Procedure .......................................................................................................................................... 10

Projects, Presentations, Posters ..................................................................................................................................... 11

Resident Check-Out List .................................................................................................................................................... 11

Residency Program Evaluation and Completion ............................................................................................................ 12

Summary of Evaluation & Assessment Strategy ........................................................................................................ 12

Residency Advisory Committee (RAC) .......................................................................................................................... 12

Tools for Evaluations and Feedback .............................................................................................................................. 12

Evaluation Structure ........................................................................................................................................................... 13

Achievement of Goals & Objectives .............................................................................................................................. 13

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PURPOSE STATEMENT

The PGY2 Pharmacy Informatics Residency at the University of Wisconsin Hospitals and Clinics is designed

to develop experts in emerging technologies and health information systems with an emphasis on clinical

applications and impact on patient care. The program will prepare the pharmacist to act independently as

a leader and pioneer in pharmacy informatics. Additionally, the program will develop motivated leaders

within the pharmacy profession that can collaborate effectively with all members of the patient care team.

With this expertise, the resident will be well-positioned to accept an advanced position as an informatics

pharmacist or become a member of the pharmacy leadership team supporting information technology or

member of the pharmacy leadership team in an academic medical center or specialty pharmacy.

PROGRAM OVERVIEW

This 12-month residency will provide residents with opportunities to understand, analyze, and apply

experiences to multiple areas of pharmacy practice. While the focus of the residency program is centered

on Pharmacy Informatics, residents will be engaged in a variety of experiences that will contribute to a solid

foundation as a future practitioner and leader in many areas of the pharmacy profession. Education will

include clinical informatics, automation and technology assessment and integration, patient safety within

the medication use system, informatics research, project management, teaching and didactic training.

• Programmatic philosophies that will be promoted to the resident include:

• Professional accountability and responsibility in ensuring optimal medication-related outcomes

• Education and training of other health professionals and students

• A practice of self-learning and continuing professional development

• The importance of engaging in leadership and advocacy to promote the profession and the community

• A culture of innovation and continuous quality improvement to ensure safe and effective medication-use systems

PROGRAM OUTCOMES Completion of the PGY2 Pharmacy Informatics Residency will provide residents with a foundation to

pursue multiple career paths that may include, but are not limited to:

• Providing outcomes-guided medication-related care to all patient populations

• Providing clinical and/or professional leadership

• Contributing to program growth and development for informatics pharmacy services

• Teaching and precepting in an academic or clinical setting

EDUCATIONAL OUTCOMES/ RESIDENT COMPETENCY OBJECTIVES

Residents will be competent in the following after completion of this residency:

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• Provide evidence-based, patient-centered medication therapy management with interdisciplinary teams

• Understand the importance of pharmacy informatics as an integral component of the development and maintenance of an electronic medical record (EMR)

• Identify, investigate, and Improve operational efficiencies in order to better serve patient and health professional needs through the application of informatics and technology.

• Develop and refine project management skills essential for analysis, decision making, and implementation of quality improvements through clinical informatics and technology

• Exercising leadership and practice management skills, with a specific focus on pharmacy informatics leadership.

• Providing medication and practice-related training to patients, students, and members of the health care team.

• Comprehend and effectively utilize medical informatics and information systems in clinical workflows across multiple settings.

• Effectively utilize medical informatics and information systems across multiple settings.

• Ability to create, promote, and market the role of the pharmacy department: within integrated health systems.

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ADMINISTRATION OF THE PROGRAM

The Pharmacy Informatics Residency Program will follow the Residency Structure guidelines documented

in the “General Manual for all UW Health Pharmacy Residency Training Programs” (General Residency

Manual).

For the purposes of feedback and evaluation, the Pharmacy Informatics Resident will attend specific

Residency Advisory Committee (RAC) subcommittees. During the PGY2 year, the resident will provide and

receive feedback through the MS Admin & MSO RAC. Details for these RAC subcommittees are provided

below.

MS ADMIN & MSO RAC The MS Admin & MSO Residency Advisory Committee is a standing committee that reviews resident

progress, discusses programmatic improvements, and provides a forum for preceptors and residents to

review feedback within the Administrative, Medication Systems and Operations (MSO), PGY2-year of the

Specialty Pharmacy Residency, and PGY2 Pharmacy Informatics Residency. The specific membership,

chair(s), meetings and charges are specified in Policy 18.4 (General Residency Manual). Residents should

complete their open session template forms by 0800 the day of the meeting (Form 2) for inclusion in the

agenda. This serves as the RAC for the PGY2-year of the Pharmacy Informatics Residency program.

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PROGRAM STRUCTURE & ROTATIONS

RESIDENCY STRUCTURE The residency is structured in rotations across a variety of clinical and administrative areas. The required

rotations will primarily focus on pharmacy informatics and related clinical areas. The elective rotations

will provide more project management and leadership experience in various areas based on the

resident’s interest. The resident will follow the Rotation Selection and Clinical Rotation Expectations

section of the General Residency Manual.

ROTATIONS The rotation structure will ensure completion of all required PGY2 Pharmacy Informatics Residency goals and objectives over a 12-month period of time. A rotation schedule will be drafted for each resident at the beginning of the residency year, and adjusted as needed throughout the residency.

Required Rotations Elective Rotations

• Health Link Proficiency and Pharmacy Informatics Management (8 weeks)

• Central Pharmacy Operations (8 weeks)

• Medication Management (4 weeks)

• Clinical Decision Support (4 weeks)

• Clinical EHR – Inpatient (4 weeks)

• Clinical EHR – Ambulatory (4 weeks)

• Analytics and Reporting (4 weeks)

• Ambulatory Pharmacy Operations (2-4 weeks)

• Supply Chain Management (2-4 weeks)

• Industry – EHR Vendor (4 weeks)

• Medication Management 2 (4 weeks)

• EHR Leadership and Oversight (2-4 weeks)

• Others based on resident interest

Longitudinal Learning Experiences

• Clinical Staffing (12 months) o Area to be determined by resident experience and department needs

• School of Pharmacy Informatics Elective (6 months)

• Committee Involvement (6-12 months) o UW Health Committee options

▪ Informatics Practice ▪ iMeeting ▪ IP Champs ▪ Medication Safety

o Regional Committee options ▪ PSW Informatics and Technology Advisory Group

o National Committee options ▪ ASHP Section Advisory Groups ▪ UHC Medication Use and Information Technology Committee

• Medication Safety/Quality (12 months) o PSN review area to be determined at beginning of residency year

• Residency Project (12 months) o Project to be selected at beginning of residency year

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ROTATION SCHEDULE

*Longitudinal Learning Experiences so span 6-12 months of year

PGY2 Pharmacy Informatics Rotation Grid

Month Duration Rotation Travel/Conf/Class Staffing

JUL-AUG 4 weeks 1st staffing location and Department training Preceptor: Joe Halfpap

AUG-SEP 8 weeks Health Link Proficiency and Pharmacy Informatics Management Preceptor: Jack Temple

Epic Cert. Classes: Rx 100: 3 days Rx 200: 1 day Rx 205: 1 day Rx 305: 2 days Epic UGM: 4 days PSW MTG: 2 days

Central/Decentral

OCT 4 weeks •Central Pharmacy Operations Preceptor: Brad Ludwig or Aaron Webb

Epic Cert. Classes: Rx 405: 3 days

Central/Decentral

NOV 3 weeks Medication Management Preceptor: Carrie DeGowin

Central/Decentral

NOV-DEC 3 weeks Clinical Decision Support/Epic badge Preceptor: Julie Pawola

ASHP MCM: 4 days

Central/Decentral

DEC-JAN 2 weeks HOLIDAY STAFFING Central/Decentral

JAN 2 weeks Clinical EHR-Inpatient Preceptor: Mike Reed

Central/Decentral

JAN 2 weeks Clinical EHR - Ambulatory Preceptor: Kerry Goldrosen

Central/Decentral

FEB 4 weeks Pharmacy Informatics Management /Structure Preceptor: Jack Temple /Sara Pivovar

Central/Decentral

MAR 4 weeks Analytics/Reporting Preceptor: TBD

Central/Decentral

APR 4 weeks Optional Elective EPIC XGM: 3 days Central/Decentral

APR-MAY 1 week GLPRC: 3 days Central/Decentral

MAY 4 weeks Optional Elective Central/Decentral

JUN 4 weeks Optional Elective Central/Decentral

JUL 1 week Wrap up Residency Central/Decentral

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ACTIVITIES & REQUIREMENTS

EXPERIENCES FOR ALL RESIDENCY PROGRAMS There are multiple pharmacy residency experiences that span multiple programs. The Pharmacy Informatics Resident is expected to participate in all programs documented in the Residency Experiences (Section 3) section of the “General Manual for all UW Health Pharmacy Residency Training Programs” (General Residency Manual):

• Resident Report (Only required when facilitating)

• Pharmacy Director Coffee Discussions

• Graduate Seminar in Health-System Pharmacy (not required, strongly encouraged)

• Patient Safety Net

• Electronic Medical Record (EMR) Support

For scheduled activities, the resident’s responsible dates are provided in the “General Manual for all UW

Health Pharmacy Residency Training Programs” (General Residency Manual).

RESIDENCY PROJECTS The Pharmacy Informatics Resident will follow the Residency Project Guidelines (Section 2) provided in

the “General Manual for all UW Health Pharmacy Residency Training Programs” (General Residency

Manual). The resident will be expected to complete a PGY2 year-long project.

PRACTICE EXPERIENCE REQUIREMENT Practice experience requirements are documented in the Clinical Staffing Responsibilities section of the

“General Manual for all UW Health Pharmacy Residency Training Programs” (General Residency Manual).

It is expected that the resident in the Pharmacy Informatics Residency will have completed a PGY-1

residency program in which the resident staffed as a decentral pharmacist on the inpatient units or in a

central pharmacy operations area.

RESIDENT SCHEDULING Guidelines for resident schedule are provided in the “General Manual for all UW Health Pharmacy

Residency Training Programs” (General Residency Manual).

RESIDENT RECRUITMENT Guidelines for resident recruitment are provided in the “General Manual for all UW Health Pharmacy

Residency Training Programs” (General Residency Manual). This will be applicable during recruitment

years for the Pharmacy Informatics Residency program.

PROFESSIONAL OBLIGATIONS Guidelines for professional obligations are provided in the “General Manual for all UW Health Pharmacy Residency Training Programs” (General Residency Manual):

• Resident license requirements

• Pharmacy organization involvement

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• Student precepting

RESIDENT TRAVEL Resident trips are intended to introduce the resident to other health system pharmacy departments. The

resident will have the ability to compare and contrast different pharmacy systems and residency

programs among numerous hospitals. The resident is expected to actively participate in discussions

relating to national health care issues or national pharmacy issues during these trips.

Resident trips are re-evaluated yearly, and are subject to change. The department will provide funding for

airfare, registration, and lodging (if funds are available). Tentative trip plans are as follows:

Trip PGY2 Experience

Great Lakes Pharmacy Resident Conference X

ASHP Midyear Clinical Meeting X

UHC Annual Meeting X

PSW Annual Meeting X

UGM/XGM X

Resident trips and travel may vary based on opportunities specific to the residency program (eg,

professional presentations, specialty-specific conferences, et cetera). The RPD, advisor, and resident will

review these opportunities quarterly to discuss.

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CAREER COUNSELING PROCEDURE The resident will schedule regular meetings with his or her advisor to discuss topics related to their career

aspirations during the second year of residency. The career counseling process is not a precise, inflexible

set of procedures; but rather an ongoing and broadening growth phenomenon brought about by

discussions of the many variables that will affect a person during a career and a lifetime. The following are

questions that each resident should address with their career advisor.

The resident should answer the following questions in writing prior to meeting with their advisor to

expedite the career counseling process. The main purpose for writing them is to clarify thoughts and

reflect upon changes brought forth through discussions.

1. State, from your perspective, the differences between what is a "job" vs. what is a "career". How

does this relate to your career choice and professional responsibilities?

2. Do you have any misgivings regarding your selection of pharmacy informatics as a career?

3. What is your main practice interest? Develop a list of high priority secondary responsibility

areas/roles and a list of functions/responsibilities that you are definitely not interested in. Justify

priorities through discussion with advisor. State this as concisely and as thoroughly as you can.

Relate to experiences gained during the rotations and relate to preceptors practice.

4. State how your interests and attributes support that choice.

5. Identify personal shortcomings that can impede you from achieving your career choice to the

maximum.

6. How many years will it require to achieve your maximum effectiveness in your career and why do

you think it will take that amount of time?

7. Evaluate whether your personal life needs are consistent with your career interests. State

examples that include social requirements and/or religious persuasion.

8. Where does a "significant other" fit into your career plans? How much compromise are you

willing to make?

9. What role, if any, do you expect professional organizations will play in advancing your career to

its optimum?

10. Identify individuals who could be considered as role models for you and state why.

11. What activities do you need to avoid that could be detrimental to your successful career

development?

12. State how you will be able to remain stimulated and up-to-date throughout your career. Include

in this some thoughts regarding organized continuing education needs as well as further

academic work.

13. Do you have restrictions on where you will locate geographically that will limit your placement?

14. What do you expect your salary should be?

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PROJECTS, PRESENTATIONS, POSTERS The resident is expected to complete the following projects, in addition to rotational projects that are

assigned throughout the two years:

Project, Presentation, Poster PGY2 Experience

PGY2 Major Residency Project X

Podium Presentation at Great Lakes Pharmacy Residency Conference

X

Poster Presentation at UHC Annual Meeting X

RESIDENT CHECK-OUT LIST The resident will be expected to follow the guidelines documented in the “General Manual for all UW

Health Pharmacy Residency Training Programs” (General Residency Manual).

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RESIDENCY PROGRAM EVALUATION AND COMPLETION

SUMMARY OF EVALUATION & ASSESSMENT STRATEGY Guidelines for resident evaluation and program completion are provided in the “General Manual for all

UW Health Pharmacy Residency Training Programs” (General Residency Manual).

Residency training is designed to be an educational experience, and includes a continuous process of

evaluation. All residents shall be evaluated throughout the 12-month process to determine the extent to

which learning objectives are achieved. The goal at the end of the program is for each resident to have a

comprehensive knowledge about themselves, an appreciation of their possible role(s) in pharmacy, and

competency in practicing or administering pharmacy services.

RESIDENCY ADVISORY COMMITTEE (RAC) Residency training programs are governed by the RAC, whose membership includes all residency program

directors, lead preceptors, advisors, and residents. The large committee (All RAC) is a standing committee

that coordinates and develops standard practices across all residency programs at UW Health. They

oversee all policies pertaining to the residency programs, with specific membership, chair(s), meetings,

and charges specified in Policy 18.4 (General Residency Manual).

TOOLS FOR EVALUATIONS AND FEEDBACK The resident will be evaluated in a variety of ways to provide routine and constructive feedback.

Additionally, the resident will be responsible for providing feedback to both the preceptor and rotation to

improve the experiences for future residents:

• Rotation Evaluations

• Preceptor Evaluation

• Learning Experience Evaluation

• Customized Residency Plan

• Open Session Report

• Closed Session Report

• Pre-Residency Self-Assessment

• Exit Interview

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EVALUATION STRUCTURE The following table maps out the evaluations required for different learning experiences, as well as

guidelines for follow-up and frequency.

Learning Experience Evaluation/Frequency

Rotations (Informatics, Clinical, Leadership)

• Resident self-evaluation [end of rotation]

• Preceptor evaluation of resident [end of rotation]

• Resident evaluation of preceptor [end of rotation]

• Resident evaluation of rotation [end of rotation

• Director review & sign-off [end of rotation]

PGY2 Informatics Residency Project

• Resident self-evaluation [quarterly]

• Preceptor evaluation of resident [quarterly]

• Resident evaluation of preceptor [quarterly]

• Resident evaluation of rotation [quarterly]

• Director review & sign-off [quarterly]

Customized Residency Plan • Pre-residency self-assessment [prior to residency]

• Plan creation [start of residency]

• Advisor and resident updated [quarterly]

Clinical Staffing • Resident self-evaluation [semi-annual]

• Preceptor evaluation of resident [semi-annual]

• Resident evaluation of rotation [semi-annual]

• Director review & sign-off [semi-annual]

Overall Resident Progress • Resident self-evaluation [quarterly]

• Advisor evaluation of resident [quarterly]

• Resident evaluation of advisor [quarterly]

• Resident evaluation of residency [quarterly]

• Director review & sign-off [quarterly] Overall assessment

• Resident RAC open session report [monthly]

• Resident RAC closed session report [monthly]

• Exit interview with program director [end of residency]

ACHIEVEMENT OF GOALS & OBJECTIVES The program director will be responsible for following the resident’s progress on achieving the residency

goals and objectives. This progress will be documented and tracked in PharmAcademic, and will be

reviewed with the resident and advisor quarterly.