Residency Night October 6, 2009 Sponsored by: Midwest College of Clinical Pharmacy

Residency Night October 6, 2009

Sponsored by:

Midwest College of Clinical Pharmacy

Why Consider a Residency or Fellowship

Patrick D. Fuller, BS, PharmD, BCPSClinical Specialist Staff DevelopmentResidency Program Director, PGY1Adjunct Assistant Professor, UNMC College of PharmacyThe Nebraska Medical CenterOct. 6, 2009

Future of Pharmacy

“Every pharmacist must be a leader in their practice or on their shift. Each must connect with their inner drive, their passion for what they do and for making things better.”

Sara J. White- 2006 Harvey A.K. Whitney Award Lecture

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.”

Joint Commission of Pharmacy Practitioners 2004

ACCP Vision

“…by 2020, pharmacy residency training should be a prerequisite for pharmacists engaged in direct patient care practice.”

Murphy JE, Nappi JM, Bosso JA, et al. American College of Clinical Pharmacy’s

vision of the future: postgraduate pharmacy residency training as a prerequisite

for direct patient care practice. Pharmacotherapy 2006;25:722–33.

2015 ASHP (revised March 2008)

Goal 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

2009 saw a record number of residency applications

PGY1: 2,508 applicants sought 1,873 available positions, with 1,651 individuals matching across the United States.

PGY2: 296 applicants sought 292 positions with 209 individuals matching across the United States.

Growth in PGY1 Residency Programs, Positions and Applicants

1998 2002 2007 2009

PGY1 Residency Programs(Accredited)

247 380 653 792

PGY1 Residency Positions(Accredited)

582 887 1612 1,873

PGY1 Residency Applicants(in Match)

737 802 1900 2,508

Data from ASHP Accreditation Services Division

Board Certification

Why Choose Residency or Fellowship

Enhanced employment opportunitiesDevelopment of leadership and practice

experienceCareer planningPersonal growth and professional visionEnhancement 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

Residency Benefits

Increase knowledge baseIncrease experienceIncrease personal growth and

developmentDevelop/enhance research skillsIncrease teamwork experiencesEnhance communication skills

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-Accredited 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

http://www.ashp.org/

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

Fellowships

Ambulatory CareCardiologyCritical CareInfectious DiseasePharmacoeconomicsPharmacokineticsPediatrics

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

Basic Residency Requirements

Tammy L. Burns, PharmD, BCPSClinical CoordinatorResidency CoordinatorCreighton 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


Required OutcomesDemonstrate project management skillsProvide medication and practice-related

education and trainingUtilize medical informatics


Elective OutcomesConduct pharmacy practice researchExercise added leadership & practice

management skillsDemonstrate knowledge & skills

particular to generalist practice in the home care or managed care environments


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

http://www.ashp.com/

http://www.accp.com/

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 $215 Student non-member $265

Las Vegas, MN Dec 6 - 10, 2009 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

$60 through 10/21After 10/21, $105 ($105 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


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


Fall – P4 yearMake sure CV is updatedPrepare cover lettersApply to match Travel plans for Midyear – if attendingRequest additional info from programs of

interest


DecemberASHP MidyearRequest letters of recommendationSubmit applicationsOrder transcripts

January/FebruaryOn-site interviews

MarchMatch

How a Program Chooses You: The Curriculum Vitae, Cover Letter, and

Interview

April Puhl, PharmDAssistant Professor of Pharmacy Practice

Creighton University School of Pharmacy & Health Professions

Definitions

•Brief summary of career objectives, education, & work experience

•Keep to 1-2 pages

Résumé

•Comprehensive document that includes virtually all education, achievements, and experiences

•An organized outline of your professional life

•Length varies for each individual

Curriculum Vitae (CV)

Key Components of a CVPersonal data

• Name, address, phone, email

Education• University, degree, actual or expected graduation date

Work experience• Job title, dates worked, employer• Brief description of responsibilities, especially if unique• Focus on healthcare jobs

Certifications and Licenses• Intern Licenses• BLS, Immunizations course, etc.

Clerkship rotations• Include site, preceptor, and dates• Include planned rotations

Components of a CV cont.

Presentations/Publications/Posters• Date and setting (in-service, conference, etc.)• Audience (pharmacists, nurses, physicians, etc.)

Professional memberships/Affiliations• Include leadership positions

Honors and Awards• Scholarships, community recognition, etc.

Professional & Community Service• Health Fairs, Service trips, etc.

References• Be sure to ASK FIRST!

CV “Do’s”

Proofread, proofread, proofread

Professional format and layout

Easy-to-read, professional font

Be clear, concise, and consistent

Be honest but do NOT be modest• Promote yourself here as this is your ticket to an interview

Place information in reverse chronological order• Most recent first

CV “Don’ts”Informality

Wasted space

Wild colors/fonts/designs/images

Inappropriate stationery (use white/ivory paper)

Erroneous information

Inclusion of personal information/photograph (age, ethnicity, gender, hobbies, etc.)

Inclusion of anything you are NOT prepared to discuss

The Cover Letter

First paragrap

h

•Position you’re applying for & why you’re interested

Second

paragraph

•Skills, attributes, qualifications for the position

•Do NOT rehash your CV

Third paragr

aph

•Brief summary and thanks for consideration

•End with a statement pertaining to looking forward to an interview…

Letters of Recommendation

Good references lead to good residencies/fellowships

Who to ask?

• Previous employers• Academic professors who taught you skills you value• Make sure they know you

Ask for letters early in the game

• Provide due dates; its your responsibility to follow-up• Decide how letters will be sent to the program• Provide your CV & contact information for each program’s director• Respect their other obligations

The Interview

Research the organization, program, & interviewers

Rehearse questions & responses

Develop your questions pertaining to the residency/fellowship

Dress professionally & wear comfortable shoes

Be punctual (5-15 minutes early)

Bring a copy of your CV & references list

Relax, but don’t be casual

http://www.careerpharm.com/careertools.aspx

Send a Thank You letter after 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) residency programs

ASHP accredited postgraduate year 2 (PGY2) do 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 ($112)January 8, 2010Application confirmationApplicant Code Number

Provide to programsProgram applications (to each

residency program)Interviews

Important Dates

Rank Order Lists (ROLIC)Program Code NumbersOpens February 5, 2010

March 5, 2010 Match deadline

March 17, 2010 Match results

March 17 - April 16, 2010 Confirmation letters to matched applicants Sign and return letter

Match Process

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

Site Rank Order Submissions

Univ A (2) Hosp B (1) Best Rx (1)

Alli Alli Charles

Charles Madison

Madison Ayden

Ayden

Match Process

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

Resident Rank Order SubmissionsAlli CharlesHosp B Hosp B Charles matches w/ Univ A

Univ ABest Rx


CharlesMadisonAyden

Match Process

Resident Rank Order SubmissionsAlli Charles MadisonHosp B Univ A Univ A Madison matches

Best Rx w/ Univ A


CharlesMadisonAyden

Match Process

Resident Rank Order SubmissionsAlli Charles Madison AydenHosp B Univ A Univ A Hosp B


Charles MadisonMadison AydenAyden

Ayden & Best Rx go unmatched

Tips

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

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

http://www.ashp.org/

http://www.accp.com/

Checklist

NovemberNovember 1, 2009

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 MCM

Checklist

DecemberAttend ASHP MCMComplete all paperwork for applications

Order transcriptsMake note of application deadlines

Schedule on-site interviewsDecember 18, 2009

Final date for early commitment for PGY2s by current PGY1

Checklist

JanuaryJanuary 8, 2010

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 5, 2010 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 5, 2010No Rank Order Lists or Agreements accepted

after this date!!March 17, 2010

Receive “Match” outcome at 12 noon ESTUnmatched residency candidates resubmit

applicationsStarting at 12 noon EST

Checklist

March 17, 2010 – April 16, 2010Program 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

$43 ($39 for members) 800-878-0729

Documents

Residency Night October 6, 2009 Sponsored by: Midwest College of Clinical Pharmacy