MCM 2007 Residency Townhall Presentation - American Society of ...

Residency Update 2007Residency Update 2007

ASHP Midyear Clinical Meeting – Las Vegas, NV

Residency UpdateCommission on Credentialing Updates Members for 2008 New Standards & PGY2 goals and objectives Accreditation Status Frequent Findings

ASHP Updates New Staff Commission on Credentialing Appointments Statistics Resident Matching Program ResiTrak Education Scholar – AACP ASHP Foundation – Awards Certificate Wording National Residency Preceptors Conference

2008 ASHP

CommissionOn Credentialing

New Accreditation Standards

PGY1- 2007

PGY2- 2007

PGY1- Community Pharmacy – 2007

PGY1- Managed Care - by July 2008

New PGY2 Goals & Objectivesto be implemented by class of July 2008

Critical Care

Health System Administration

Infectious Diseases

Oncology

Pharmacotherapy

Psychiatry

Solid Organ Transplant – new

Medication Use Safety

PGY2 Goals and Objectivesstill in development in 2008

Cardiology – new

Drug Information

Internal Medicine

Geriatric

Nuclear

Nutrition

Pediatrics

ASHP Accreditation Statuses

Pre-Candidate

Candidate

Preliminary Accreditation

Accreditation

Conditional Accreditation

Conditional Accreditation

Withdraw accreditation if not resolved

- Major Patient Safety Concerns

- Scope & Depth of services

- Major preceptor or program issues

6 months to resolve issues

Posted to web siteTransparency

Frequent Area of Partial Compliance

Residency ProgramPreceptors do not make adequate contributions to the profession

Preceptors do not provide criteria based feedback

Customized plans are not followed throughout the year

Preceptor Development

Frequent Area of Partial Compliance

ServicePharmacy Services inadequate (IV rooms)Safe & Effective Drug Distribution System is Lacking Floor stock not controlled Non emergent sterile products made by RNs Unit dose not extended to all areas Interfaces do not exist with pharmacy & medication

dispensing machines

RPh’s do not prospectively develop individual treatment plans

Length of Accreditation granted at the August 2007 COC meeting (Residency and Technician Training Programs)

Remainder of 6 yr Cycle32%

6 year17%

3 year24%

2 year7%

1 year13%Defer Action

7%

ASHP Accreditation Staff

Surveyors Contract StaffKatrin Fulginiti- NEW Toby Clark

Lisa Lifshin Wayne Conrad

Bruce Nelson Mary Louise Degenhart

David Warner Bill Miller

Janet Teeters Sherri Ramsey – NEW

Renee Acosta - NEW

Support in the OfficeCrystal Greene - NEW

Goldie Holloman

Vanessa Korver - NEW

Lead Surveyors

Sherri Ramsey

Renee Acosta

New Lead Surveyors

Katrin Fulginiti

Vanessa Korver, Goldie Holloman, Crystal Greene

Practitioner Surveyors

Thanks for all your Dedication to the Profession!

Appointments to COC

Recommendations into ASHP

by December 31st

ASHP web site Residency Accreditation Commission on Credentialing Appointment Process for Resident or

full Commission member

Programs in the ASHP Accreditation Process - November 2007 = 1,077 programs (959 Residencies located in 616 organizations & 114 Technician Training Prgms)

Community Residency, 44

Managed Care Residency, 27

Technician Training Programs, 114

PGY2 Residency, 345

PGY1 Residency, 547

Residency Program Growth in the ASHP Accreditation Process1990 to November 2007

234 245 249275

310 326350

380435

471

547571

623

705750

853

959

668

0

200

400

600

800

1000

1200

Pharmacy Practice programs

Specialized programs

totals

2007 1990 1995 2000 2005

October 2003 CMS removes funding from Specialized Residencies

July 2007 change to PGY1 & PGY2

Resident Matching Program

2007 – First year for all programs

Pre-candidate, Candidate, Accredited

Early Commitment – changed to Dec 21, 2008Ranks due March 7, 2008

Matching numbers for Accredited Pharmacy Practice (PGY1) Programs

1990 - 2007

345 375450

511560 596

656 647737

779703 729

802

974

1079

1203

1356

1900

0

200

400

600

800

1000

1200

1400

1600

1800

2000

# applicants

# positions

# matched

1990 1995 2000 2005

More Applicants than Positions

2007

Reasons why candidates did not go into the Resident Matching Program for 2007

112

7370

64

40

21 2216

8

0

20

40

60

80

100

120

Did not specify Employed asRPh

PersonalReasons

Other Accepted intonew emerging

program

UnaccreditedPGY1*

UnaccreditedPGY2*

Accepted afellowship

Pursuing anadditionaldegree

PGY1 Match Rates

% Fill #

PGY1 85% 1247

PGY1 Community 56% 41

PGY1 Managed Care 73% 30

PGY1 & 2 Management 95% 20

PGY1 & 2 Pharmacotherapy 50% 4

PGY2 Match Rates ( in order By Highest # Filled)

% Fill #

Critical Care 85% 38

Oncology 80% 34

Ambulatory 51% 20

Pediatrics 75% 15

Internal Medicine 73% 8

Psychiatry 50% 6

Drug Information 26% 5

PGY 2 Match Results

Cardiology 80% 4

Geriatric 44% 4

Pharmacotherapy PGY2 50% 3

Nutrition Support 100% 1

Management PGY2 33% 1

Emergency Med 33% 1

HIV 33% 1

Filled Positions for 2008 class

Early Commit + Match+ Post Match= Final

PGY1 NA + 1,343 + 157 = 1,500

PGY2 41 + 154 + 122 = 317

Total Residents Enrolled 1, 817

# of Residents in ASHP Accredited Residency Programs

435 440512 550

600656

705 720 743

852905 896

10811130

1200 1240

13601442

1817

0

200

400

600

800

1000

1200

1400

1600

1800

2000

Pharmacy Practice (=PGY1 2007)

Specialized (=PGY2 2007)

totals

1990 1995 2000 2005 2008

* still confirming actual 2007 graduates2008 graduates = 1497 from match, 320 post match

McCreadie Group / ASHP

ResiTrak web-based evaluation Documents evaluations Alerts Tracks ASHP outcomes, goals and objectives Available to all programs in ASHP accreditation process

A Busy Year…

ResiTrak launched May 15, 2007Since then: 1,300 residents 8,000 total users 6,000 training plans entered 7,600 learning experiences built 16,000 learning experiences scheduled 83,000 logins 135,000 e-mails sent 28,000 evaluations completed

Recent Updates

Ability to create templates for customized training plans

Store customized training plans with full formatting capabilities

Resident close-out process

New Outcomes, Goals &Objectives Added

Will apply to the 2008-2009 residency class Infectious Disease Transplant Medication Use Safety Pharmacotherapy Psychiatric

New to ResiTrak?

Web-based training sessions held monthly

Extra sessions will be held in the spring for programs wishing to start up for next year

Contact [email protected] for training opportunities

ResiTrak Help at Midyear

Monday, December 3/Tuesday, December 4 Residency Showcase – 1-4pm Monday, 8-11am and 1-4pm

Tuesday. Please stop by at your convenience.

Wednesday, December 5 ResiTrak Roundtables 1-2pm. This will be a time of questions

and answers, information sharing and feedback on ResiTrak topics.

Becoming a Health Professions

Education ScholarTeaching Excellence and Scholarship Development Resources for Health Professions

Educators

…a comprehensive online curriculum to expand the knowledge and skills of any educator—faculty, residents or graduate students.

Please see the ACCP brochure for more information!

Education ScholarModule 1: Developing a Personal Working Philosophy to Guide Teaching/Learning in Health Professions Education

Module 2: Facilitating Learning in the Classroom

Module 3: Improving Outcomes through the Use of Active Learning Strategies

Module 4A: Distance Learning

Module 4B: Problem-based Learning

Module 4C: Preceptor Module (coming soon!)

Module 5: Assessment of Instructional Effectiveness

Module 6: Promoting Teaching/Learning Excellence in Your Institution

Education Scholar

Module concepts are presented through a combination of on-screen text, images and audio.

Examples, case studies and demonstrations from the health professions are included to illustrate key points.

Textbook readings are recommended to provide additional depth.

Program allows users to build an online teaching portfolio.

Contact AACP for more information

2007 Preceptor Award – Art Schuna

William S. Middleton VA Medical Center

Madison, WI

2007 New Preceptor Award – Eric W. Mueller

The University Hospital

Cincinnati, OH

2007 Program Award – University of Kentucky HealthCare – PGY1 Pharmacy Residency Program

Lexington, KY

ASHP Foundation AwardsExcellence in Residency Training

ASHP Foundation 2006 AwardsExcellence in Residency Training

“Description of Medication Strategies Utilized by Medicare Beneficiaries When Reaching the Direct Pay Medication Cap”

Amber Cronk – Kaiser Permanente Colorado, Aurora, CO

“Effect of Depression on Diabetes Control and Medication Adherence in Underserved Patients”

Michelle L. Flynn – Saint Francis Hospital & Medical Center, Hartford, CT

Certificate wording with new standards:

“…completed an ASHP accredited Postgraduate Year One Pharmacy Residency”

“…completed an ASHP accredited Postgraduate Year Two Pharmacy Residency in Oncology”

Save the Date

Aug 14-16,2008

Questions?