Transcript Pharmacy Practice Residency

Pharmacy Practice Residency
Janet Silvester
Operations Committee
June 13, 2006
Pharmacist Education
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Significant changes over last decade
Similar to medical school
Entry level doctorate
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4 years of didactic and clinical training
2 years of pre-pharmacy requisites
Option of residency training
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Pharmacy practice
Specialty
Pharmacy Practice Residency
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One-year program for pharmacists to gain
clinical experience in a progressive
practice setting
Similar to a medicine intern or the first
year of physician training after medical
school
Accredited through the American Society
Health-System Pharmacists (ASHP)
Accreditation
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Requires a site visit and inspection for
reaccreditation every six years
Site visits usually include a
comprehensive overview of the site,
training facilities, pharmacy services and
personnel
Required for Medicare pass-through funds
Value of Residency Program
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Residents play an integral part in the department’s
patient care activities
Contribute to quality of patient care
Staff shifts as pharmacists
Unlike medical residents they decrease costs
associated with providing care
Staff development
Program development thru residency projects
Recruitment opportunity
Clinical Support
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Pharmacy residents have extensive clinical
didactic training, never less than 6 years of
training and more often 7 to 8 years.
Residents required to make numerous
presentations regarding clinical pharmacy
issues and drug research, nationally and
locally providing the hospital with significant
exposure to a broad audience
Project Activity
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Regulatory compliance initiatives
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Medication reconciliation
Patient safety initiatives
Improved core measures compliance
Cost reduction initiatives
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Antibiotic selection and utilization
Antiemetic standardization
Formulary adherence initiatives
Operational and clinical benchmarking projects
Financials
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108 ASHP accredited pharmacy programs
receiving Medicare GME pass-through funds
funds from Medicare pay for resident
salaries, preceptor salaries and other costs
related to the residency program
A “normal” week would consist of 55 to 60
hours, a majority of which would be
providing services directly to MJH
Financials
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residents receive a set stipend based on a
40-hour work week - the hours provided in
excess of 40 would be provided in
exchange for their learning experience
Funding
Total Direct Education Costs
Medicare Reimbursement (estimated)
Staffing Contribution by residents (8 hours per week each)
Teaching and Administrative time (salary dollars exist today)
Net Costs Associated with Pharmacy Practice Residency
Program
215,545
(140,820)
(45,793)
(113,865)
(84,933)
Request
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Recruit two pharmacy practice residents at the ASHP
Midyear Clinical Meeting. Recruitment would include
participation in the residency showcase. The residency
would begin in July of 2007.
Begin the process of applying for accreditation of the
pharmacy practice residency program with the American
Society of Health-System Pharmacists (ASHP). Medicare
reimbursement will be dependent upon being accredited
through ASHP. Application for accreditation would be
initiated as soon as a resident is enrolled in the
program.