PGY1 Pharmacy Residency

Program Director: Norm Buss, Pharm.D., BCPS
Program Coordinator: Amanda Roberts, Pharm.D., BCPS, BCCCP
ASHP Accreditation Status: Accredited
Number of Positions: 2

Introduction

The Henry Ford Macomb PGY1 Pharmacy Residency is a twelve month experience designed to develop competent and confident practitioners. A combination of clinical and longitudinal experiences will provide opportunities to independently optimize pharmacotherapy and implement pharmaceutical care. The pharmacy department provides state-of-the-art pharmaceutical services, including computerized physician order entry verification, automated cart-fill and packaging technology, and pharmacy-driven dosing services. Pharmacists are unit-based and are an essential component of the multi-disciplinary transitions of care process, in addition to many patient care areas. The department serves as a teaching site for pharmacy students and is affiliated with Wayne State University.

ASHP's PGY1 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.

Residency Experience

Pharmacists completing a Henry Ford Macomb Hospital PGY1 Pharmacy Residency experience will be competent practitioners able to provide direct patient care at a level beyond that of a practitioner without postgraduate training. These individuals will further develop and enhance their personal and professional skills as they seek positions as clinical/staff pharmacists.

Required Rotations

• Orientation of Pharmacy Operations and Clinical Practice
• Antimicrobial Stewardship
• Cardiology
• Emergency Medicine
• Internal Medicine
• Medical Intensive Care
• Medication Safety
• Oncology
• Pharmacy Management
• Project/Staffing
• Surgical Intensive Care
• Independent Practice

Longitudinal Rotations

• Drug information and Pharmacy Education
• Pharmacy Operations/Staffing
  • Staffing consists of every 3rd weekend and one weekday afternoon shift between the hours of 16:00-20:00 every other week

Requirements for Successful Completion of PGY1 Pharmacy Residency

In order to receive a residency certificate signifying successful completion of the residency, residents must obtain Achieved for Residency in the items listed below.

• R1.1.1 – (Analyzing) Collect relevant subjective and objective information about the patient.
• R1.1.2 – (Evaluating) Assess clinical information collected and analyze its impact on the patient’s overall health goals.
• R1.1.3 – (Creating) Develop evidence-based, cost effective, and comprehensive patient-centered care plans.
• R1.1.4 – (Applying) Implement care plans.
• R1.3.3 – (Evaluating) Manage the process for preparing, dispensing, and administering (when appropriate) medications.
• R2.1.2 – (Creating) Develop a project plan.
  • This will include:
  • Medication Use Evaluation (MUE)
  • Longitudinal Operations (Ops) project
  • Longitudinal Project with preparation of a manuscript in a journal-specific formation
• R3.2.2 – (Applying) Demonstrate personal and interpersonal skills to manage entrusted responsibilities.
• R4.1.1 – (Creating) Construct educational activities for the target audience.
  • This will include:
    • Presentation of an accredited continuing education (CE) for staff

By the end of residency, residents must have obtained either “Satisfactory Progress” (SP), “Achieved” (ACH), or “Achieved for Residency” (ACH-R) on all Learning Objectives. If a resident has a “Needs Improvement” (NI) on any goal or objective, he/she must repeat it and obtain a SP, ACH, ACH-R on that particular goal or objective by the end of the residency year. The RPD/designee(s) will review the residents’ progress throughout the year to ensure the resident is on track to obtain a certificate.

The following definitions will be used in evaluating the resident progress:

• Needs Improvement (NI) – The resident is not performing at the level expected at this point in their residency experience. Significant improvement is needed. NI can only be assigned by the Residency Advisory Committee and not by any individual preceptor.
• Satisfactory Progress (SP) – The resident’s performance is adequate; however, they require additional experience to perform the objective independently.
• Achieved (ACH) – The resident’s performance is adequate, and they can perform the objective independently.
• Achieved for Residency (ACH-R) – The resident’s performance is consistently above adequate, and they can consistently perform the objective independently. ACH-R can only be assigned by the Residency Advisory Committee and not by an individual preceptor.

Additional Expectations for the PGY1 Pharmacy Residency

In addition, the resident is expected to complete the following list of activities as part of the Henry Ford Macomb Hospital PGY1 Pharmacy Residency Program. Uncompleted expectations may be allowed, if approved by the RAC secondary to unforeseen circumstances.

• 4 scheduled presentations
• 10 hours of community service/participation
• Medication Use Evaluation (MUE) presented at ASHP Midyear (travel expenses are covered including conference registration, airfare, lodging, parking, and $75/day for food)
• Attendance and presentation of longitudinal project at Great Lakes Pharmacy Resident Conference (travel expenses are covered including conference registration, mileage, lodging, parking, and $75/day for food)
• Complete a drug formulary monograph for system review
• ACLS/BLS/PALS training – to be completed at HFHS prior to the start of the residency
• Resident Scavenger Hunt (with other system residents)
• Precepting P3/P4 pharmacy students
• Participation at 75% of all Journal Club meetings, including leading 3 Journal Club discussions
• Planning and oversight of Pharmacy Week activities
• Teaching Certificate
• Staffing
• A 30-minute CE presented at the system level