PGY-1 Pharmacy Residency Overview

The PGY1 Pharmacy Residency Program Curriculum has been formed with the goal of fulfilling four ASHP competency areas.  These competencies have been defined by ASHP as the specific knowledge, skills, behaviors, attitudes, and educational experiences that a resident must demonstrate in order to be considered as having completed a graduate pharmacy education program. The pharmacy residency program will develop in its residents these competencies to the level expected of a new practitioner.

Program Purpose:

PGY1 pharmacy residency programs build on Doctor of Pharmacy (Pharm.D.) education and outcomes to contribute to the development of clinical pharmacists responsible for medication-related care of patients with a wide range of conditions, eligible for board certification, and eligible for postgraduate year two (PGY2) pharmacy residency training.

The four required competencies of the PGY1 Pharmacy Residency program include:

 
(1) Patient care

(2) Advancing practice and improving patient care

(3) Leadership and management

(4) Teaching, education, and dissemination of knowledge

Program Structure

The program consists of a series of required and elective educational experiences, including rotations and longitudinal experiences.  The Pharmacy Residency Program Curriculum has been developed with the goal of fulfilling the required competency areas.

The overall program structure is outlined in the following table:

*Longitudinal Experiences:  Leadership/Practice Management; Research; Medication Use Safety; Presentation/ACPE/CPD; Patient Care Staffing (Service)

Required (Core) Rotations

Required rotations are completed after Marshfield Clinic Health System, Residency Program, Resident Research Orientation, Drug Info/Drug Evaluation/Patient work-up Orientation (2 weeks)

Required rotations include (38 week minimum):

Elective Rotations

• The resident must select 5 Direct Patient Care Electives (20 weeks minimum) and has the opportunity to pick from the following Direct Patient Care elective rotations. Rotations are 4 weeks each:
• Non-Track Specific Direct Patient Care Electives: Infectious Disease, Oncology
• Acute Track Direct Patient Care Electives: Metabolic Support, Pediatrics, PICU, NICU, MICU, SICU
• Ambulatory Track Direct Patient Care Electives: Cardiology, Dermatology, Family Health Center Pharmacy, Pediatrics, Neurology, Specialty Pharmacy

• Resident may choose up to 4 weeks of Non-direct patient care elective:
• Non-Direct Patient Care Electives:   Managed Care, Medication Use Safety, Pharmacogenetics, Pharmacy Purchasing and Supply
• Direct patient care electives that take place in an area that does not have a full time pharmacist will be scheduled when evaluations conducted at the end of previous learning experiences reflect readiness to practice independently, the RPD and preceptors agree the resident is ready for independent practice, and the main role of the preceptor is to facilitate resident learning experiences.   A non-pharmacist preceptor and a pharmacist preceptor will be assigned for these learning experiences.
  
• Acute track residents may complete 0-1 ambulatory track electives.
  
• Ambulatory track residents may complete 0-1 acute track electives.

How Rotations are Typically Sequenced

• Required Patient Care Training is completed prior to the start of the weekend Patient Care Staffing component
• Required Internal Medicine (Acute) is completed prior to elective acute track rotations or per preceptor discretion (e.g., Pediatrics or ID elective may be permitted prior to IM acute if approved by RAC).
• Required Internal Medicine (Ambulatory) is completed prior to elective ambulatory track rotations or per preceptor discretion if approved by RAC.
• Required Drug Information rotation is completed in the first 4 months of residency
• Direct patient care electives that take place in an area that does not have a full time pharmacist (e.g., Dermatology) will be scheduled when evaluations conducted at the end of previous learning experiences reflect readiness to practice independently, the RPD and preceptors agree the resident is ready for independent practice, and the main role of the pharmacist preceptor is to facilitate resident learning experiences.  A non-pharmacist preceptor and a pharmacist preceptor will be assigned for these learning experiences.
• Other rotation sequencing requests will be reviewed by the Residency Advisory Committee (e.g., residents seeking a PGY2 and wanting to complete select electives earlier in the academic year)

Required Longitudinal Experiences

Patient Care Staffing (Service) Longitudinal (10 months)

• Ambulatory Care Track: 
• 8 hour shift/day:
• Location: Marshfield Clinic Pharmacy on Central/AIMMc patients
• Frequency: every 3-4^th weekend Saturdays and Sundays (12 weekends total) 
• 10 weekdays throughout the year
• Location: Clinical Pharmacy Services/Drug Information Service
• 8 hour shift/day
• Acute Care Track:
• 8 hour shift/day:
• Location: MMC-Marshfield Hospital Pharmacy
• Frequency: every 3-4^th weekend Saturdays and Sundays (12 weekends total)
• 10 weekdays throughout the year
• Location: MMC Pharmacy or Drug Info Service at CPS
• 8 hour shift/day
• All residents will staff 1 Holiday weekend (3 days)
  
• Ad hoc staffing as needed (max of 40 hours per academic year)
  Examples: Drug Information Service, Outpatient staffing for Ambulatory track, Inpatient staffing for Acute track

Leadership/Practice Management Longitudinal (12 months)

• Topic Discussions with preceptors and program director will occur throughout the residency year as scheduled (10 minimum).  These discussions may include, but are not limited to:
• SBAR Communication
• Strategic Planning
• Time Management
• Recruitment/Pharmacy Career Fairs/Interview Process
• Change Management
• Budget Process Review: Capitol Budgets, Operating Budgets
• Conflict of Interest/Ethical Dilemmas
• 797 and Chap 15 WI Admin Code
• Supply Chain
• Professionalism/Ethics
• ACCP Position Statement: Pharmacists and Industry: Guidelines
• Pharmacy Systems Manager Meetings
• Giving effective feedback
• Pharmacy Reimbursement and Finance/Finance Management
• Corporate Athlete
• Conservative Prescribing
• Pharmacy Forecast
• Team Building
• Weekly Meetings with Program Director
• Leadership/Practice Management related topic discussion at Weekly Meeting with Program Director including reading and discussing the following books:
• 1) Strength Finder 2.0- Quarter 1
• 1) 'Who Moved My Cheese' by Spencer Johnson- Quarter 2
• Myers-Briggs Type Indicator Personality is an optional additional activity to supplement Strength finder discussion: https://www.16personalities.com/
• One additional leadership reading of resident's choice (e.g., 'Good to Great' by Jim Collins, 'Hardwiring Excellence' by Quint Studer) which will occur during Q4 of residency.

Medication Use Safety Longitudinal (12 months)

• Medication Safety Committees x 12 months
• Attend 10 meetings in 12 months
• Report experience to preceptor through group discussions
• Voluntary event review practice
• 3 months assigned in the 12 month
• Must present to co-residents and preceptor(s) 3 cases
• Safety topic discussion x 6
• Must attend a minimum of 5 of the 6 offerings
• If unable to attend must notify preceptor for make up assignment
• Must participate in pre-work and active discussion
• Safety/Practice Management longitudinal project
• Must present project at the end of the year to the division of pharmacy

Presentation/ACPE/CPD Longitudinal (12 months)

• Continuing Pharmacy Education (CPE) involvement x 12 months
• Attend Pharmacy CE presentations and may present as part of current rotation requirements
• Community Involvement will include, but is not limited to:
• Participation in Community Outreach at assisted living facility (at least once per 12 month residency as scheduled) to address questions the elderly population may have regarding medication therapy and conduct a 20 minute presentation on a Geriatric related topic. 
• Volunteer opportunities at St. Vincent's Free Clinic (optional)

Research Longitudinal (12 months)

• Residents will select and complete a project during the residency year.
• Some of the key components of this learning experience include:
• Participate in the Resident Research Program (including completion of  the Collaborative Institutional Training Initiative (CITI) program)
• Attend at least 2 Institutional Review Board (IRB) meetings
• Prepare Poster Presentation and present at National meeting (e.g., ASHP Midyear)
• Wisconsin Resident Conference (WPRC)  Project Presentation (April)
• Marshfield Clinic Medical Education Day Project Presentation (May)
• Attend and participate in pharmacy Journal Club
• Complete manuscript draft prior to end of residency
• AJHP Research Perspective Articles Discussion in Sharepoint

Please do not hesitate to contact us if you have any questions or would like more information.

Pharmacy Residency Program Director 

Sara A. Griesbach, PharmD, BCPS, BCACP
Director, Clinical Pharmacy Services
PGY1 Pharmacy Residency Program Director
Marshfield Medical Center
1000 North Oak Avenue
Marshfield, WI 54449

1-800-782-8581, ext 19820 or 715-221-9820

Fax: 715-221-7880
griesbach.sara@marshfieldclinic.org​ ​​​