University of Michigan
RESIDENCY MANUAL
The University of Michigan Health System
Department of Pharmacy Services
Revised March 2018
Welcome!
Congratulations on starting your residency at University of Michigan Health System and College of Pharmacy!
We are very pleased to welcome you as a new member of Michigan’s highly trained and dedicated pharmacy team. Your pharmacy residency is an exciting and unique time to focus on learning and refining clinical skills. We are dedicated to providing you with a variety of high-quality learning experiences during your residency. We believe that your residency year should be customized to your specific interests, strengths and enhancing relative weaknesses. Please do not hesitate to discuss opportunities to tailor activities to your specific interests.
This year you will experience great professional growth that is directly related to the amount of commitment and dedication applied. At Michigan, it is our goal to partner with you to guide you on your journey to become a highly trained and independent pharmacist.
Again, congratulations and welcome to the team!
Best regards,
[pic]
John S. Clark, Pharm.D., M.S., BCPS
Associate Chief Pharmacy Officer
Director of Pharmacy Residency Programs
Clinical Assistant Professor
This manual has been developed for the Pharmacy Residency Program at University of Michigan Hospitals and Health Centers to provide information on the policies, procedures, benefits, and other elements that may directly relate to the completion of our program. Questions regarding the manual may be addressed with the Residency Program Directors or the Residency Advisory Committee. There may be changes to the policies and procedures at any time when deemed necessary. You will be informed of those changes accordingly.
TABLE OF CONTENTS
SECTION TOPIC
I. Introduction
A. The University of Michigan Health System
B. Residency Program Mission and Vision Statements
C. Mentorship
II. Departmental Information
A. Scope of Activities
III. Resident Responsibilities
A. Licensure
B. Practice Experiences/Rotations
1. Rotation Schedule
2. List of Rotations and Preceptors
C. Writing Project
1. Format
2. Guidelines and Responsibilities
3. Suggested Schedule
D. Research Project
1. Requirements
2. Potential Research Projects
3. Suitability of Research Project
4. Format
5. Resident responsibilities
6. Preceptor responsibilities
7. Modification and Progress
8. Proposed Schedule of research activities
E. Seminars
F. Teaching Responsibilities
G. Cardiac Arrest Response
H. Pharmacy Residency Recruitment Showcases
I. Journal Club/Journal Watch
J. Staffing/Pharmacokinetic/Anticoagulation Dosing Service
K. Clinical On-Call Experience
L. Graduation Requirements
M. Evaluations
IV. Preceptors Responsibilities
V. Residency Advisory Committee
A. Membership and brief description of responsibilities
B. Function overview
C. Special Requests
D. Minutes
E. Policy on Moonlighting
F. Resident Corrective Action Plan and Dismissal Policy
G. Chief Residents
H. Residency Committees and brief descriptions
I. Procedure for early acceptance of internal candidates for PGY2 programs
VI. Benefits
A. Salary
B. Vacation and interview days
C. Procedure for requesting vacation and interview days
D. Holidays
E. Professional leave and business days
F. Sick day notification
G. Leave of absence
H. Travel
I. Health Benefit
J. Job-incurred injuries
K. Miscellaneous Benefits
VII. Communications and logistics
A. Pagers and Paging
B. Telephone System
C. Telephone Lists
D. Fax Guidelines
E. Personal Computers
F. Photocopying
G. Professional Posters
H. Guidelines for Pharmacist documentation in the medical record
I. INTRODUCTION
A. UNIVERSITY OF MICHIGAN HEALTH SYSTEM
The University of Michigan Hospitals are a part of the 82-acre University of Michigan Medical Center with a total of 1,000 licensed beds. University Hospital is a 577-bed tertiary care teaching complex. Opened in February 1986, the University Hospital contains adult inpatient care programs and most of the administrative and support units. The C.S. Mott Children's Hospital houses pediatric and neonatal patient care programs while the Von Voigtlander Women's Hospital provides maternity and gynecological services. The Children and Women’s Hospitals opened in December 2011. Across the Huron River, the Kellogg Center houses the ophthalmology programs. The Cardiovascular Center staff provide care for forty-eight inpatients and inpatient clinics. Adjacent to the University Main Hospital is the Taubman Ambulatory Care Center with more than 100 specialty clinics. The Cancer Center is near Main Hospital and includes an infusion pharmacy and outpatient pharmacy. The East Ann Arbor Health Center houses one outpatient pharmacy and an infusion pharmacy. In addition, the University staffs several outpatient community medical facilities.
B. UNIVERSITY OF MICHIGAN PHARMACY PRACTICE RESIDENCY MISSION AND VISION STATEMENT
University of Michigan Health System
and College of Pharmacy
Pharmacy Residency Programs
Mission and Vision Statements
Mission
The mission of the PGY-1 and PGY-2 postgraduate programs at the University of Michigan is to develop practice, teaching and research skills of the pharmacy residents, and to nurture the pursuit of professionalism, personal excellence, and leadership in the field of pharmacy.
All available resources will be mobilized to achieve the following objectives:
● Leadership skills: The residency shall build upon individual and professional leadership skills of the residents.
● Clinical competency: The residency shall improve verbal and written communication skills, research capabilities, knowledge base, and clinical skills of the residents.
● Professionalism: The residency shall promote responsible and ethical conduct of the residents in accordance with the practice standards of the profession of pharmacy.
Vision
The pharmacy residencies at the University of Michigan will be the most respected postgraduate educational and training pharmacy residency programs that graduate high quality pharmacy professionals as measured by their pharmaceutical care skills, scholarly activities, and leadership.
C. MENTORSHIP
1. All residents will be assigned a RAC Appointed Mentor. For PGY1 residents this will be one of the Rotating RAC Clinician Members, the Rotating College Faculty Member, the Rotating Pharmacy Operations Member, or the Permanent RAC Co-Chair. For PGY2 residents this will be their PGY2 RPD.
2. All residents will choose a Resident Chosen Mentor from a list of available mentors.
3. Responsibilities of RAC Appointed Mentors include (but are not limited to)
a. Oversight of resident progress through the residency year
b. Reviewing evaluations of the resident at least quarterly as part of the quarterly evaluation
c. Reviewing Research and Writing Seminar evaluations with resident
d. Coordinating of information at the resident quarterly evaluation meetings
e. Documenting resident progress and any changes to the residents’ individualized plan
f. Planning any necessary remediation
4. Responsibilities of Resident Chosen Mentors
a. Serve as an advisor and advocate for the assigned resident for the course of the residency year
b. Help the resident to achieve individual and residency goals and to address any perceived deficiencies
c. Function as a confidant for the resident, to whom the resident can voice concerns, problems or praises
d. Attend resident’s quarterly evaluation meetings (see description below)
e. Meet with the resident individually at least quarterly (in addition to quarterly evaluation meetings). Approximate target dates for these meetings will be set in Dates and Deadlines document each year.
II. DEPARTMENTAL INFORMATION
A. Scope of Activities
1. B2 Pharmacy
The B2 Pharmacy provides pharmaceutical supplies to University Hospital and outlying buildings. Functions include floorstock allocation, distribution of investigational agents, cartfill for University Hospital patients, and maintenance of emergency drug boxes for those sites not served by floor pharmacies. Total parenteral nutrition solutions and controlled substances are also distributed centrally.
2. University Hospital Inpatient Pharmacies/CVC
Decentralized pharmacy services for each patient care floor are provided by two computerized inpatient pharmacies. Each pharmacy is located within the D unit of the floor, on the 6th and the 8th floor. IV admixtures and unit dose medications are provided from these sites. Improvements in accuracy and timeliness of services as well as increased clinical input and user satisfaction are a few of the benefits of this program.
3. Emergency Department Satellite
Decentralized pharmacy services are provided to our emergency department (ED) through a satellite pharmacy within the ED in floor B1. This ED satellite is staffed 24 hours/day, year-round, by a pharmacist to provide clinical and operational services to this high-need patient population. Medications not available in the ED satellite pharmacy or decentralized medication cabinets in ED are provided by the 6th floor pharmacy.
4. Ambulatory Care Pharmacies
Outpatient prescription services for patients and hospital employees are provided by this pharmacy. Counseling patients on proper medication use is a major emphasis. Other services include preparation of chemotherapy and maintenance of emergency drug boxes and floorstock in the Ambulatory Care Center Clinics. Ambulatory Care Pharmacies are located in the Taubman Center, East Ann Arbor Health Center and the Cancer Center.
5. Mott Pharmacy Services
Pharmacy services to Mott, Women's, and Brandon Hospitals are provided 24-hours a day, seven days a week. Services include floor stock delivery system, unit dose distribution, cartfill for Mott, Women’s, and Brandon Hospital inpatients, small and large volume intravenous admixtures, chemotherapy preparation, participation on the cardiac arrest team and an emergency drug box exchange program. Two unique dispensing services provided are extemporaneous preparation of individualized parenteral and enteral pediatric and neonatal medication and the standardized dosage policy. Clinical pharmacy services are currently offered in general pediatrics, the pediatric intensive care unit, pediatric infectious diseases, neonatal intensive care unit, cardiothoracic intensive care unit and pediatric hematology/oncology.
There are four dispensing pharmacies in C.S. Mott Hospital. The main dispensing pharmacy is based on the 10th floor and provides the majority of the drug distribution services throughout the hospital. There is a 7th floor infusion center satellite that compounds inpatient chemotherapy preparations for Hematology/Oncology patients and outpatient infusions for pediatric patients. There is an OR pharmacy in Mott to provide services Monday through Friday to pediatric patients. Lastly, there is a satellite pharmacy in the Mott ED to provide clinical services to this patient population in a unique
pediatric ED.
6. Comprehensive Cancer Center (CCC) Infusion Pharmacy Services
The CC Infusion pharmacy supplies pharmaceutical care to outpatients treated in the CCC as well as the transfusion area in UH and other sites where outpatients receive injectable medications.
7. OR Pharmacies/CVC
Two OR Pharmacies are in operation Monday through Friday in each of the University Hospitals (serving adult patients)
8. Pharmacy Compounding and Packaging
The Pharmacy Compounding and Packaging Laboratory is located within the B2 Pharmacy area. This site supports the drug distribution system by formulating and preparing extemporaneous dosage forms, unit dose packages, allergy extracts, and dermatologicals. In addition, quality control testing is performed in this area.
9. Drug Information Service
This service provides pharmaceutical, pharmacological, and therapeutic information on a Monday through Friday 0900-1600 by means of written, electronic, or telephone consultations. The Drug Information Service (DIS) also coordinates, drug recall and product and vendor programs and posts the Pharmacy ForUM newsletter monthly on the Department of Pharmacy Services (DOPS) website. DIS is also responsible for maintenance of the online Hospital Formulary.
10. Clinical Pharmacy Services
Clinical pharmacy services include patient monitoring, education of medical house staff, drug use evaluation and clinical research activities. Clinical practitioners are affiliated with the College of Pharmacy and devote time to the training and education of Pharm.D. students and residents.
12. Clinical On-Call
Clinical pharmacists are available on a 24-hour basis by means of an on-call pager.
III. RESIDENT RESPONSIBILITIES
A. LICENSURE
Pharmacy licensure in the state of Michigan is a requirement for all residents and should be obtained before the residency begins or as soon as possible thereafter. Disciplinary action will begin on September 1st if licensure is not obtained by that time. If not obtained by December 1st of that year, the resident will be dismissed. Residents not licensed at time of clinical weekends or staffing weekends must work to find a replacement so they can switch out of those clinical/staffing weekends until they obtain licensure.
B. LEARNING EXPERIENCES
The residency program is divided into ten rotations. The required rotations for PGY-1 are Critical Care, Practice Management, Drug Information, Ambulatory Care, Pediatrics, and Internal Medicine. For the Ambulatory Care component, the residents are required to participate in a primary care clinic for one half day every week for a 5-month block (beginning August 1st during the fall semester or January/ February 1st for the winter semester) or participate in a one-month ambulatory care rotation. Other primary care rotations may be taken as electives. Required rotations for PGY-2 programs are listed in PGY-2 program materials.
The required rotations must be taken at a University Health System site. The elective rotations can be filled by repeating required rotations, by choosing any of the precepted elective rotations listed in this manual, or by soliciting RAC approval for a rotation that does not currently have a defined preceptor. Offsite rotations (including the VA) require prior approval from RAC and are generally limited to one per resident per year.
The residents will be provided with information on when each preceptor/rotation is available. Residents are to confirm with each preceptor that the preceptor/rotation is still available for that month prior to adding it to their schedule. The residents will work with the rotation availability and each other to put together a rotation schedule that is then reviewed for appropriateness by RAC.
At the end of each rotation, the preceptor and resident will evaluate each other's performance on the rotation. Each will complete the appropriate evaluation(s) in PharmAcademic®. PharmAcademic® is web-based software used to manage the evaluations associated with an ASHP accredited pharmacy residency program. A rotation-specific evaluation will be used by the preceptor to evaluate the resident’s progress on rotation-specific goals. In addition, each preceptor will evaluate the resident’s performance on the overall residency goals and objectives, as demonstrated on their specific rotation. See Evaluations section for additional information.
1. Rotation Schedule
Orientation: July
Rotation 1: August
Rotation 2: September
Rotation 3: October
Rotation 4: November
Project Month: December
Rotation 5: January
Rotation 6: February
Rotation 7: March
Rotation 8: April
Rotation 9: May
Rotation 10: June
2. Rotations and Preceptors
|Rotation Options |Preceptor(s) |
|Adult Internal Medicine |Randolph Regal |
| |Matthew Tupps |
| |Adam Brancaccio |
| |Rikki-Leigh Gaudet |
| |Maddie Batey |
|Cardiology |Michael Dorsch |
| |Kristen Pogue |
| |Sarah Hanigan |
| |Claire Walter |
|Cardiology VA* |Mike Brenner |
|Cardiothoracic Intensive Care |Simona Butler |
| |Angela Clark |
| Drug Information Service |Janice Stumpf |
| |Margo Farber |
| |Abe Bazzi |
| |Julie Berman |
|Emergency Department (Adult) |Pamela Walker |
|Gynecology/Oncology Surgery |Lauren Leader |
|Oncology/Hematology |Anthony Perissinotti |
| |Bernie Marini |
| |Shawna Kraft |
| |Shannon Hough |
| |Anna Brown |
| |Julia Brown |
|Medical Intensive Care |Cesar Alaniz |
|Neonatal Intensive Care |Varsha Mehta |
|Pediatric Emergency Department |Elizabeth VanWert |
|Pediatric Hematology/Oncology |Julia Brown |
|Pediatric Infectious Diseases |Kristin Klein |
| |Nicholas Dillman |
|Pediatric Pulmonology/General Pediatrics |Elizabeth Bisaccia |
|Pediatric Surgery |Elizabeth Bisaccia |
|Surgical Intensive Care |Jim Miller |
|Surgery Transplant |Jeong Park |
| |Sarah Tischer |
|Trauma-Burn Intensive Care Unit |Nick Farina (pending) |
|Neurosurgical Intensive Care/Neurology |Danielle Burghardt |
|Adult Infectious Diseases UMHS |Peggy Carver |
| |Jared Nagel |
| |Greg Eschenauer |
| |Twisha Patel |
|Bone Marrow Transplant |Gianni Scappaticci |
| |Denise Markstrom |
|Women’s Health |Lauren Leader |
|Investigational Drug Service |Kim Redic |
|Strategic Project Initiatives and Outcomes |Bruce Chaffee |
|Medication Safety |Scott Ciarkowski |
|Psychiatry |Amy Vandenberg |
| |Jolene Bostwick |
|Lung Transplant |Linda Fitzgerald |
|Teaching Rotation |Kristin Klein |
| |Jolene Bostwick |
| |Gundy Sweet |
| |Rima Mohammad |
|Symptom Management and Palliative Care |Shawna Kraft |
|Oral Chemotherapy Management |Shawna Kraft |
| | |
|Informatics |Christopher Zimmerman |
| |Rick Rinke |
|Management Rotations | |
|Management UMHS Inpatient Services |John Clark |
| |Stan Kent |
| |Jake Holler |
|Management UMHS Outpatient Services |Lindsey Kelley |
|Academic Administration |Gundy Sweet |
| |Bruce Mueller |
|Investigational Drug Services/Research Pharmacy |Kim Redic |
| |Mike Kraft |
|Longitudinal Ambulatory Sites | |
| Anticoagulation/Cardiology |Liza Renner |
| |Nghi Ha |
|Cardiology (VA) |Mike Brenner |
|Internal Medicine, Chronic Kidney Disease Clinic |Emily Ashjian |
| Kidney/Pancreas Transplant |Jeong Park |
| Liver Transplant |Linda Stuckey |
|Primary Care |Trish Wells |
| |Tami Remington |
| |Heidi Diez |
| |Anne Yoo |
| |Kellie Kippes |
|Psychiatry |Jolene Bostwick |
|Oral Chemotherapy Management |Shawna Kraft |
| |Shannon Hough |
| |Anna Brown |
*requires prior approval from RAC
**prior completion of general cardiology rotation is required
C. WRITING PROJECT
1. Format
The writing project is a mandatory component of the residency experience designed to expose residents to all aspects of preparing an article suitable for publication. Topics may include a review of a specific drug, class of drugs, or therapy for a specific disease state. In addition to review articles, case reports or case series with a review of pertinent literature, or a survey study with a literature review may also be acceptable writing projects, as long as the project requires the resident to learn the same skills as writing a review paper.
By the end of July, each resident is required to select a topic of interest from a RAC-compiled list of subjects and preceptors, or to work with a preceptor to develop an idea outside of the RAC-compiled list. Acceptable preceptors for the writing project are those with at least the title of (Adjunct) Clinical Assistant Professor or higher. Throughout the course of the year, the resident and preceptor will meet periodically to discuss the paper and make necessary revisions in order to complete the project before the end of March. In order to assure substantial progress is made towards completion of the project, the residents must discuss the writing project at the quarterly resident/mentor meetings.
The final paper must be in a format suitable for publication and it must be deemed satisfactory by the preceptor in order to successfully complete the residency requirement.
2. Guidelines and responsibilities
Residents are responsible for the following aspects of the writing project:
a. The resident is responsible for the majority of the work on the article including: composition of the outline, literature search, providing the preceptor with a copy of all articles cited, reading all articles cited, writing a draft of the article, and making the necessary revisions.
b. The resident is responsible for scheduling all meetings with the preceptor. The preceptor's work schedule must be taken into consideration when scheduling meetings (e.g., staffing and vacation).
c. The resident must meet all deadlines established by the preceptor/RAC.
d. The article is considered complete after the primary preceptor deems that all of the revisions requested have been satisfactorily incorporated and that the paper is in publishable form.
e. The resident must complete the article, as defined above, within nine months of the start of the residency year in order to receive his/her residency certificate.
f. Any problems that arise that cannot be easily resolved between the resident and the preceptor should be brought to the attention of the resident's mentor and RAC.
Preceptors are responsible for the following aspects of the writing project:
a. The preceptor is responsible for directing the work of the resident throughout the year, providing ongoing critical reviews of the article as it is being written, and ensuring that deadlines are met.
b. The preceptor must be willing to devote time to the project (e.g., assist in literature interpretation and/or writing of the article) in order to assure that the project is completed within the year.
c. The preceptor must return any submitted draft with feedback and instructions by mutually agreed upon deadlines that help the resident meet the final March deadline.
d. The preceptor must give final approval to RAC that the paper has been satisfactorily completed and is in a publishable format by filling out the appropriate evaluation form in PharmAcademic®.
e. The preceptor is responsible for submission of the article to the journal of his/her choice. Order of authors for publication of the article is to be decided between the preceptor and resident.
f. The preceptor should provide feedback to the resident’s mentor(s) or RAC regarding progress on the project throughout the year and be present to discuss the progress at quarterly assessment meetings. RAC should be notified if significant problems arise.
g. The writing project is considered complete after the preceptor and RAC deem that the final report, evaluation form, and preceptor feedback to resident have been satisfactorily completed.
h. Copies of all drafts should be retained by the preceptor to document the progress of the resident throughout the course of the year.
3. Suggested writing project schedule
Late June: Approved topic and preceptor list is distributed to residents.
End of July: Resident notifies RAC of selected topic and preceptor via Canvas. Resident completes computerized literature search and collects and reads selected major articles on the topic.
Early Aug: Resident and preceptor meet to schedule meetings and to discuss scope of paper and individual responsibilities. Rough outline is drafted.
End of Aug: Resident submits completed outline to preceptor for approval.
Early Sept: Resident collects and reads all articles. Preceptor is given selected/all articles to read.
Sept thru Dec: Standing meetings to discuss progress of writing and allow for ongoing revisions.
Early-Nov: Writing project seminar outline and learning objectives must be turned in for continuing education accreditation of seminar in January/February.
Late Dec: Handouts and other final continuing education accreditation materials must be turned in for seminar in January/February.
January: Resident submits completed first draft (including text, table, figures, and references) to preceptor for review.
January: Writing project seminars are scheduled and completed.
Jan thru Mar: Resident and preceptor meet to discuss necessary revisions and editing.
Mid-Mar: Final paper with preceptor approval must be turned in to RAC.
D. RESEARCH PROJECT
Requirements
2 ASHP requires that each pharmacy resident gain research experience. Three general criteria should be considered in selecting a research project:
3 It must deal with a topic of importance to the practice of pharmacy.
4 The project must be such that it can be completed during the residency year.
5 The subject matter should be of interest and value to both the resident and the Pharmacy Department.
6 Acceptable research projects will be approved by RAC prior to the residents’ arrival. If a resident has specific research he/she would like to pursue, then a preceptor must be identified and a proposal can be submitted to RAC by Mid-July to consider the research project at that time.
7 IRB approval or exemption is required prior to data collection. Submission of IRB application is recommended as early as possible in order to ensure approval is obtained with enough time needed to complete the research project.
8 The resident is required to attend the Research Series which is a 10-lecture series scheduled to coincide with research deadlines and activity at the beginning of the residency year.
i. The Research Series is intended to:
1. Provide tools needed to conduct residency research projects and future research
2. Provide a consistent research experience through reading and discussion on core topics
3. Keep residents “on track” to meet requirements and deadlines for their research projects
Potential Research Projects
10 A listing of available research preceptors and projects will be provided to the residents in June.
11 Review process for research projects:
12 Preceptors submit research project ideas via a web-based form by mid-March each year.
13 Each proposal is reviewed by a review committee selected from RAC members (typically the permanent co-chair, both rotating clinician members, and the tenure track faculty member). The reviewers assess feasibility of the project to be completed within the residency time frame, appropriate sample size to meet study end points and feasible for the time frame, appropriate research question and methodology.
14 The reviewer questions/comments are collected and returned to the primary investigator (PI) within 4-6 weeks of the submission deadline
15 Several options for responding to comments will be available. Electronic, written responses are encouraged. Additionally, the primary investigator will be invited to attend a RAC meeting to discuss feedback with the group in person. Any verbal discussion of feedback should be summarized in writing by one of the people involved in the discussion to be shared with the panel of reviewers.
16 Once the reviewers’ questions have been answered, the PI is informed of the acceptance or rejection of the proposal.
17 Once accepted, a project that is not yet chosen and completed by a resident may remain on the list of available projects after brief review for continued applicability and need for the project in future years.
Suitability of Research Project
19 The scope of the project may vary widely. Acceptable study designs include database, development of service, DUE/MUE, laboratory, and prospective and retrospective chart reviews. Other study ideas are encouraged and will be considered by the RAC Research Review Committee on a case by case basis. The project must provide sufficient and meaningful data to allow reaching a conclusion suitable for preparation of a final report. Projects do not need to be publishable but it is preferred that projects have a unique perspective or contribute to the pharmacy departmental goals. For projects that are not expected to be publishable, this should be clear to the residents during project selection.
20 The project, including an appropriate typed final report, must be completed in the time frame of the Residency Program.
21 The project must be monetarily feasible. For projects requiring outside support, it is advisable that funding be reasonably certain before a resident becomes involved.
22 The project must allow sufficient involvement on the part of the resident. This includes a literature search to avoid duplication of work, project design, protocol writing, data collecting and analysis, and preparation of the final report.
23 The resident must have a sufficient number of collaborators to ensure appropriate education and guidance (see preceptor responsibilities).
4. Format
The format of the research protocol and final report will vary for each project; clinical studies may have substantially different formats than administrative or drug use evaluation studies. However, accepted scientific methods and formats which are appropriate to the subject matter should be adhered to and the final written report must be of publishable quality. The following outlines are suggested:
a. Research Protocol
I. Introduction/Background
II. Objectives
III. Significance of Proposed Project
IV. Methodology
A. Patient Population
1. Inclusion Criteria
2. Exclusion Criteria
B. Procedures (details of experiment)
C. Data Analysis (e.g., statistics)
V. Funding (if applicable)
VI. References
VII. Tables/Figures
VIII. Appendices (if applicable)
b. Research Project Final Manuscript
I. Introduction
II. Methodology
III. Results
IV. Discussion and Conclusion
V. References
VI. Tables/Figures
5. Resident Responsibilities
a. The resident is responsible for the majority of the work on the research project. The resident should be involved in all aspects of the research including proposal writing, study set-up, data collection, data analysis, and writing the final report.
b. The resident is responsible for writing both the research proposal and final report including composition of an outline, literature search, writing the proposal/final report and making any necessary revisions.
c. The resident is responsible for preparing the IRB application and submitting the application as soon as possible.
d. The resident is responsible for scheduling all meetings with the preceptor. The preceptor's work schedule must be taken into account when scheduling meetings.
e. The resident must meet all established deadlines. It is the resident's responsibility to notify RAC if these deadlines cannot be met or if a revision is necessary in the schedule.
f. The research project is considered complete after the preceptor and RAC deem that the final report has been satisfactorily completed.
g. The resident must complete the research project in order to receive a residency certificate.
h. Any problems that arise that cannot be easily resolved between the resident and preceptor should be brought to the attention of RAC.
6. Preceptor Responsibilities
a. The preceptor is responsible for directing the work of the resident throughout the year including: critiquing the written proposal, assisting with IRB application process, training the resident regarding the experimental procedures, teaching the resident how to perform data analysis and interpretation, and critiquing the final report.
b. The preceptor must be willing to devote time to the project and facilitate the resident's completion of the research project within the residency year.
c. The preceptor is responsible for discussing authorship on any potential manuscripts that may result from the resident's research. This discussion should occur prior to initiation of the research project and should make clear the resident's responsibilities and the order of authorship.
d. The preceptor is responsible for editing the final report prior to submission to RAC.
7. Modifications and Progress
a. If the research project is to be significantly modified after the initial presentation, RAC must be notified.
b. If significant progress is not being made, the resident and/or preceptor must notify RAC.
8. Proposed Schedule of Research Activities
July 31: Notify RAC of topic and preceptor
Mid-July: Start of Resident Research Series
Early Sept: Submit rough draft of research project protocol to preceptor and RAC
October: Protocol Presentations to Department
Oct 31: Submit final written protocol to preceptor and RAC
Nov-Mar: Data collection
Mar-April: Complete data collection. Presentation of Results to Department (with practice presentation by 3 days prior to this presentation)
Late April: Presentation of results at Great Lakes Residents Conference
May-June: Prepare final manuscript, including results and discussion sections/completion of research project
Mid-June: Preceptor approval of manuscript; Final draft to RAC
E. SEMINARS
The pharmacy resident seminar series is designed to provide the opportunity to develop and improve the resident's presentation skills. During the course of the year, each resident will formally present:
1. The research project proposal
2. Writing project/ CE presentation
3. The results of the research project
CE presentations should be 45 to 50 minutes in length with 10 to 15 minutes at the end reserved for questions or comments. Research project proposal and results presentations should be approximately 20 minutes in length with 10 minutes at the end reserved for questions or comments. All presentations will be accompanied by a thoroughly referenced handout and slides (PowerPoint presentations). One hour of continuing education credit will be provided to staff and faculty attending the writing project seminar. Therefore, all deadlines and rules imposed by the American Council on Pharmaceutical Education (ACPE) must be followed including the evaluation of the residents’ presentations by faculty, fellow residents and students.
1. Objectives
The objectives of the Residents' Seminar series are to communicate clearly verbally and in writing.
1. Organize all written or verbal communication in a logical manner.
2. Address all communication at the level appropriate for the audience.
3. Use correct grammar, punctuation, spelling, style, and formatting conventions in the preparation of all written communications.
4. Speak clearly and distinctly.
5. Use public speaking skills to speak effectively in large and small group situations.
6. Use knowledge of the applicability of specific visual aids to enhance the effectiveness of communications.
7. When appropriate, use persuasive communication techniques effectively.
8. Prepare all communications so that they reflect a positive image of pharmacy.
Time Table
July: Determination of Seminar Topics
August: Encouraged attendance at the seminar on lecturing techniques and slide preparation.
At least 90 days in Advance of CE Presentation to College of Pharmacy CE administrator (Dr. Paul Walker) for ACPE accreditation application:
• Assessment
• Updated curriculum vitae
• Seminar outline
• Learning objectives
30 days in Advance of CE Presentation to College of Pharmacy CE administrator for ACPE accreditation application:
• Final seminar slides
• Handouts
• Post-test questions
Following the CE Presentation:
The resident presenting the seminar shall return all evaluations and graded post-tests to the College of Pharmacy CE Administrator
3. Preceptors
A member of the faculty from the Department of Pharmacy Services or University of Michigan College of Pharmacy must serve as the resident's preceptor for each seminar and physically attend the respective event he/she precepts or send an expert designee if he/she cannot attend. The resident's primary research advisor will serve as their preceptor of the research seminars. The co-author of the resident's writing project will serve as the preceptor of the writing project presentation. Any other selections must be approved by the resident's RAC mentor.
4. Seminar Announcement and Evaluation
The topics of the presentations will be publicized so that College of Pharmacy faculty, hospital staff, and other interested persons may attend. Each resident presentation will be evaluated on a standard form by all persons in attendance. These evaluations will be discussed with the resident's preceptor and mentor(s). See Research and Seminar Evaluation Form and Evaluations section for additional information.
F. TEACHING RESPONSIBILITIES
College of Pharmacy course P551, P552, or Therapeutics Sequence
Each resident will participate in one of the following courses: P 512, P 514, P 612, P 616, P 712, P733, or P 727
P 512: Self-Care Course
P 514: Pharmaceutical Care Course
P 612: Therapeutic Problem Solving II Course
P 616: Health Systems Course
P 712: Therapeutic Problem Solving IV Course
P 733: Direct Patient Care Course
P 727: Opportunities in Pharmacy Course
• During resident teaching experiences, pagers should be Covered by primary preceptor or other pharmacist designated during teaching hours and the respective medical team should be notified of the temporary coverage changes.
• Fellow residents will cover the code pager when the resident is assigned code coverage- this cross-coverage will be coordinated by the resident
2. Clerkship Preceptor
Residents may have the opportunity to be the primary preceptor for pharmacy students on at least one inpatient acute patient care service. Precepting goals and objectives will be set by the rotation preceptor upon discussion with the resident.
G. CARDIAC ARREST RESPONSE
PGY1 residents are required to be ACLS certified. PGY2 residents have the option to become ACLS or PALS certified. ACLS certification is required before residents are allowed to respond to cardiac codes. The pharmacy resident code pager to assist in providing pharmacy services is active during cardiac arrests between 8a.m. and 5 p.m. An orientation to the contents of the cardiac arrest drug box and pharmacist responsibilities at an arrest will be provided during orientation.
H. PHARMACY RESIDENCY RECRUITMENT SHOWCASES
There are four residency recruitment showcases which require resident participation. Attendance at the Southeastern Michigan Society of Hospital Pharmacists (SEMSHP) Residency Showcase in October/November, the Western Michigan Society of Hospital Pharmacists (WMSHP) in October and the College of Pharmacy Career Gateway in October/November at the University of Michigan is required of residents that are assigned to attend. Attendance is required of all residents at the ASHP Midyear Clinical Meeting (MCM) during the first week of December. Revisions of recruitment materials must be completed before these showcases; pamphlets and brochures are available, but may need updating. All residents are responsible for organizing, preparing, and transporting showcase materials.
14 JOURNAL CLUB/JOURNAL WATCH
Description
Journal club (JC)/Journal Watch is a regular meeting of clinical pharmacy practitioners, pharmacy residents, in a forum designed to permit the discussion and critique of journal articles that are of interest and relevance to the clinical pharmacy participants.
2. Format:
a. Each resident will be provided sixty minutes to lead a discussion on a controversial topic in the literature and involve anotherPGY-2 resident to provide the counterpoint to the argument. Clinical pharmacist specialists in the topic area will be invited to assist in questioning. A handout should be provided to facilitate the discussion.
b. Each resident will provide the controversial article via email to the group. Please Margo Farber (margof@med.umich.edu) to discuss topic selection at least seven days prior to the presentation date.. We will plan on doing one session a month.
c. Key preceptors that might be interested in topic will be invited by Margo Farber.
d. Each resident will participate monthly in a journal watch session. Journals will be assigned to each resident by providing the coordinator the top three journals you are most interested in “watching.” Please provide this information to Margo Farber via email during the orientation month.
e. The journal watch session will have each resident summarize one-three important contributions from that month’s journal(s) about which they believe the group should know more. This should be a five-minute summary.
f. All Pharmacy Resident Journal Club/Journal Watch sessions will be held for 2 hour blocks on the first Thursday of the month.
g. Residents will be provided directed feedback and may be required to remediate if necessary. Feedback will also be provided on participation in the discussions as necessary.
J. STAFFING/ PHARMACOKINETIC/ANTICOAGULATION/PARENTERAL NUTRITION DOSING SERIVCE (CANOPy)
1. PGY1 (Pharmacy practice) resident weekend commitment includes 2 weekends per month divided between clinical day (adult and peds), clinical evening, and staffing operations starting in August. For the month of July, PGY1 residents will be assigned 2 training weekends consisting of one clinical weekend (one day adults and one day peds) and 1 operations weekend. PGY2 (Specialty resident) commitment includes 15 weekends of pharmacokinetic/anticoagulation/parenteral nutrition coverage per month starting in August for the majority of specialty programs. For the Oncology/Hematology resident, weekend coverage will include infusion center staffing one weekend per month. For the month of July, residents will be assigned to train with a clinical pharmacist on one weekend.
a. Residents will work equal weekends and holidays each within their respective category (PGY1 or PGY2)
1. Each resident will work 1 major holiday block and 1 minor holiday
a. Major holidays: Thanksgiving Day, Christmas, New Year’s Day
i. Each holiday block consists of 2 weekend days and 3 weekdays that occur around and on the holiday. These exact dates will shift slightly each year depending on the day the holiday falls. The residents will all work one major holiday block and have the other 2 holiday blocks off.
b. Minor holidays: Independence Day (returning residents only), Labor Day, Memorial Day
i. Each holiday block consists of 3 days that occur around and on the holiday. These exact dates will shift slight each year depending on the day the holiday falls. The residents will all work one minor holiday block and have the other 2 minor holiday blocks off
c. Operational staffing shift for residents is an eight-hour shift plus lunch/dinner break. Current hours are 7:00 am to 3:30 pm in UH and 11 am to 7:30 pm in Mott.
d.
|Weekend Scheduling for HSPA Residents |
| |
| |Pursuing Ross MBA |Not Pursuing Ross MBA |
|PGY-1 |One weekend per month (Non-class weekend) |22 Weekends per year (approximately every other|
| |One weekday per month |weekend) |
| |4 x 5 weekday staffing blocks |4 x 5 weekday staffing blocks |
| |1 business day per month | |
|Total (PGY-1) |56 shifts |54 shifts |
|PGY-2 |One weekend per month (Non-class weekend) |15 Weekends per year (approximately every third|
| |One weekday per month |weekend) |
| |4 x 5 weekday staffing blocks |4 x 5 weekday staffing blocks |
| |1 business day per month | |
|Total (PGY-2) |56 shifts |50 shifts |
|Total (Both) |112 shifts |104 shifts |
2. There will be an additional resident staffing shift Saturday, Sunday, and Holidays from 10:00-18:30 for PGY1 Pharmacy Practice residents only. The LACE process is described here.
That resident will focus on the following activities, in order of priority
a) LACE discharges: PLEASE NOTE- The clinical days shift and CE pharmacists will receive the page only during the above hours. We need that pharmacist to page the resident to notify them of the LACE discharge
b) Help 5UH/clinical day shift with a focus on interruptive questions. Any handoff needs to be specific to the patient patient/service handoff, not “cover my anticoag”
c) Help 6UH to catch up with verification queue and/or product checking
d) Admit medication reconciliation- resulting in a note in the same manner as AES technician and IPPE student
The following Medicine Team pharmacists are trained in LACE and should be able to assist should they be staffing that day/time:
• Arnold Andreason
• Patrick Arnold
• Adamo Brancaccio
• Alia Brodie
• Rikki-Leigh Gaudet
• Micah Pepper
• Randy Regal
• Samira Saad
• Jessica Schultz
• Abigale Scott
• Matthew Tupps
2. The RAC co-chair will create the schedule for July and August for both operations and pharmacokinetic/anticoagulation/parenteral nutrition coverage.
3. Once the chief residents are selected, they will be responsible for the remainder of the schedule (September through June). They will coordinate scheduling with the RAC Co-chair. The final schedule will be given to the Team Leads/Assistant Directors who will post it in Shift Planning.
4. Residents will be allowed to trade weekends (clinical for clinical, CE for CE, LACE for LACE and operations for operations when possible) but must communicate the changes to the appropriate preceptors and changed by the requestor on Canvas. Trades should be communicated to Team Leads to ensure correct scheduling in ShiftPlanning.
5. Residents will be evaluated in PharmAcademic® for clinical and distributive components.
K. CLINICAL ON-CALL EXPERIENCE
I. On Call shift
• Will occur around each clinical evening shift weekend (Sat/Sun 1230-2100 in house)
• When Generalist pharmacists are scheduled for CE, the clinical on-call responsibility will fall to the PGY1 on clinical day shift
• The shift will go Monday @0800 through Monday @0800. (see Section VI- workflow diagram)
• The shift will extend from Monday @ 08:00 through Tuesday @ 08:00 for the Labor Day and Memorial Day holiday blocks.
• On Call Pager is 5467
II. Structure and Resident Responsibilities
• The PGY1 on-call will sign on to the on-call pager on Monday and be responsible for all clinical questions that are received during weekday off-hours and during the weekend*. The resident will call the 5th floor pharmacy (x24608) on Monday after 1530 to inform the staff they will be on-call for the week.
• PGY1 on-call will be responsible for all clinical duties during Clinical Evening shift which include
o Pharmacokinetics follow-up for UH patients
o Anticoagulation follow-up for UH patients
o Discharge counseling
o Answering clinical questions
o Responding to codes that occur between 1230 and 2100
o Order verification on 6Rx from 1230 to 1315 (in accordance with 6th floor responsibility doc)
• As scheduling permits the PGY1 on-call will cover the code pager during the on-call week and be responsible for responding to all codes that occur between 0800 and 1700 in UH.**
III. Backup
• If the PGY1 identifies that backup is needed they will discuss with the PGY2 paired with them prior to providing an answer to the team.
• One PGY2 will be scheduled as backup per week
o PGY2 residents excluded from this responsibility are: Ambulatory care, Informatics, Administration, and Pediatrics
IV. Documentation
• Questions and answers need to be documented in the Excel spreadsheet located in the Clinical On-Call folder on the shared drive (T:\Resi 2015-2016\Clinical On-Call). See Appendix
• A summary of all clinical interventions (beyond PK and Anticoag) should be documented in the On Call Report (see Appendix A) and should be emailed out to Pharm-Clinical and PGY2 backups on Monday morning after signing-out of the on-call pager.
o The On Call Report will be emailed out at 0800 on the Tuesday following Labor Day and Memorial Day due to the holiday clinical coverage.
o All clinical interventions beyond PK/Anticoag should be documented in the report and a minimum of three interventions will be required for report discussion. If the resident on-call has difficulty attaining this number of cases he/she will discuss with the backup resident and include cases from rotation or as assigned by the PGY2 backup.
• Documentation will be de-identified when emailed but include the unit/service such that primary pharmacists in-charge of that service may follow up as appropriate.
• Follow-up with the clinical pharmacist covering the patient during the clinical day is expected and should occur either verbally or via email so that the resident can receive adequate feedback on interventions
V. Resident On-Call Report
• The Tuesday following an on-call shift the residents will meet in the UHB1C202 (starting 5/3/2016) from 1200-1300 and discuss clinical questions from the previous week.
• A minimum of one clinical preceptor will act as moderator (see Section IV for preceptor responsibilities).
o The resident on-call committee co-chairs will be responsible for contacting preceptors to obtain availability and creating a schedule for the year
o All preceptors are invited to attend all sessions and will be distributed the schedule at the beginning of the year
o Whenever a specialized topic arises (i.e. Remodulin IV to SQ conversions) the most appropriate specialist will be contacted the Monday prior to Tuesday discussion by the resident who was on-call to invite to attend and moderate in addition to the assigned preceptor.
• Attendance will be required for all PGY1 residents unless excused by program director. PGY2 attendance will be at the discretion of the PGY2 director.
VI. Preceptor responsibilities and On-Call Feedback
• The PGY2 backup will complete a CANOPy evaluation form for PGY1s for the week and forward to the PGY1’s RAC mentor
• The preceptor moderator responsibilities include facilitating a meaningful discussion where the goal is not for the resident to become the expert in the area for which the question is asked, but rather to discuss their clinical approach, have other residents engage in that discussion, and for the preceptor to share their critical thinking process when presented with a unique patient case that may be out of their realm of specialty.
• The preceptor moderator will provide feedback to the on-call resident regarding his/her performance privately during the last ten minutes of the session. Feedback will be drafted in an email to the RAC mentor who will be able to track progress of the resident’s performance during on-call shifts.
• At the resident’s 2nd quarterly meeting in December of the residency year, it will be determined by the resident’s RAC mentor if feedback emails should continue through the second half of the year.
• Concerns about the on-call program as a whole should be directed to the resident on-call committee co-chairs.
VII. Troubleshooting
• If you receive a patient specific question during the weekdays and weekends from 0700-1530 about a patient on a service covered by a clinical pharmacist, please contact the pharmacist covering that patient before responding.
L. GRADUATION REQUIREMENTS
Criteria as described below must be met in order for the resident to receive his/her completion certificate.
1. Rotation/Patient Care Experiences
a. Completion of 80% or more of ASHP Required Outcomes (educational goals and associated objectives). A minimum average score of “5 or proficient” is required for the remaining objectives
b. Evaluations for rotations will occur via PharmAcademic® software program:
i. Summative evaluation by the preceptor
ii. Learning experience evaluation by the resident
iii. Preceptor evaluation by the resident
2. Scientific Advancement/Research
a. Research project suitable for publication:
i. At a minimum, the resident research project will be presented at the ASHP Midyear Clinical Meeting (poster presentation) and Great Lakes Residency Conference (oral presentation)
b. Writing project suitable for publication
c. Seminar presentation that qualifies for ACPE continuing education credit
3. Leadership/Professional Involvement
a. Professional committee involvement
i. Participation allows residents to develop essential leadership skills, fulfill professional responsibilities, network with other professional and attend CE seminars. Residents must be involved on a committee within the institution, local, state, or national level. Residents have responsibility of determining committee involvement with the assistance of preceptors in specific interest areas.
4. Longitudinal Experiences
a. Residents are instructors for one-semester course and serve as a preceptor for clerkship students
b. Weekend staffing/pharmacokinetic responsibilities
c. Journal Watch/Club
i. Residents will develop their skills in assessing the primary literature and verbally present findings of the medical literature through Journal Watch (5-10 minute updates) and Journal Club Controversy (in-depth analysis)
d. ACLS certification and participation in Code Blue emergencies
e. Optional: Teaching certificate may be obtained upon successful completion of various requirements
5. Other
a. Community service
i. At a minimum, residents will participate in a community service activity (requires RAC approval). The community service committee will organize this event on the behalf of the residents.
ii. Attendance and presentation at required clinical meetings:
1. ASHP Midyear Clinical Meeting
2. Great Lakes Residency Conference
3. PGY-2 specialty conference (ie. HOPA, SCCM, ICAAC)
Core Requirements:
|Residency Requirement |Preceptor/RPD or RAC mentor |Date Completed |Corresponding ASHP standard |
|Rotation/Patient Care Experiences |
|Refer to PharmAcademic® evaluations; | | |3.3 |
|Evaluation of self and preceptor for each rotation | | |3.4 |
|Baseline and quarterly evaluations uploaded into | | | |
|PharmAcademic® | | | |
|Completion of ≥80% ASHP Required Outcomes | | |3.3 |
| | | |3.5 |
|Minimum average score of “5 = proficient” for all remaining | | |3.3 |
|outcomes | | |3.5 |
|All clinical practice requirements have been completed as | | |3.3c |
|stated in the residency manual | | | |
|Professional Obligations |
|Professional Committee Involvement (institutional, local, | | |4.1 |
|state or nationally) as stated in residency manual | | | |
|State of Michigan Pharmacist and Controlled Substance | | |1.4 |
|licensure no later than September 1st | | |1.5 |
|Scientific Advancement/Research |
|Research Project and supporting manuscript is suitable for | | |3.3 |
|publication | | |(goal 2.2) |
|Writing Project and supporting manuscript is suitable for | | |3.3 |
|publication | | | |
|Continuing Education presentation | | |3.3 |
| | | |(goal 4.1) |
|Longitudinal Experiences |
|Teaching activities have been completed as stated in | | |3.3 |
|residency manual | | | |
|Clinical weekend activities (Pharmacokinetic Monitoring, | | |3.3 |
|Anticoagulation, Nutrition and Bacteremia as reviewed through| | | |
|CANOPy forms) | | | |
|Staffing (as reviewed through CANOPy forms) | | |3.3 |
|Clinical on call activities as stated in the residency manual| | |3.3 |
|Participate in management of medical emergencies (ACLS) (as | | |3.3 |
|reviewed through CANOPy forms) | | | |
|Leadership series participation as stated in residency manual| | |3.3 |
|Research series participation as stated in residency manual | | |3.3 |
| | | |(goal 2.2) |
|Journal Watch/Club participation as stated in residency | | |3.3 |
|manual | | | |
|Optional: Teaching Certificate has been completed as stated | | |3.3 |
|in residency manual | | | |
|Other |
|Participate in at least 1 group Community Service project as | | | |
|stated in the residency manual | | | |
|Attend ASHP Midyear Clinical Meeting and present posters at | | | |
|Vizient and Midyear | | | |
|Attend SMSHP, Career Gateway or WMSHP for residency | | | |
|recruitment | | | |
|Present research at Great Lakes Pharmacy Residency Conference| | | |
|Attend MSHP | | | |
|Assembly of an electronic residency binder utilizing | | | |
|PharmAcademic® resident specific file folder** | | | |
|Participate in exit interviews with RPD and RAC Chairs | | | |
|Completed check-out list on last day of residency, turning in| | |3.5 |
|badges, and electronic devices | | | |
*Assembly of residency binder is only required in anticipation of accreditation visits
M. EVALUATIONS
All evaluation forms (except where noted) are located either in PharmAcademic® with the Residency Manual with the titles in bold below.
1. Assessment of baseline skills
Prior to the scheduling of rotations, the resident will complete the Baseline Self-assessment form.
After reviewing the Residency Program specific goals and objectives, and after meeting with all
preceptors, the resident will be assigned a mentor from the Residency Advisory Committee (RAC).
The resident will complete the Individual Action Plan form and discuss with the RAC mentor.
2. Quarterly Evaluations
Each quarter (1st, 2nd, 3rd, and 4th), a quarterly Customized Training Plan will be completed by the RAC mentor for each resident. The Training Plan will incorporate feedback from the resident, writing and research project preceptors, and other preceptors that the resident trained/interacted with during but not limited to weekend CANOPy and staffing shifts, rotation preceptors and Code experiences and discussed with RAC during the respective quarter. The RAC mentor will set up a meeting with the resident, resident appointed mentor and writing and research preceptors quarterly, to discuss progress, goals and areas for improvement.
3. Rotation Evaluations
At the end of each rotation, the preceptor and resident will evaluate each other's performance on the rotation. Each will complete the appropriate evaluation(s) in PharmAcademic®. PharmAcademic® is web-based software used to manage the evaluations associated with an ASHP accredited pharmacy residency program. A rotation-specific evaluation will be used by the preceptor to evaluate the resident’s progress on rotation-specific goals. In addition, each preceptor will evaluate the resident’s performance on the overall residency goals and objectives, as demonstrated on their specific rotation. The scale utilized is below:
Resident Evaluation Scale and Key
1 – Unsatisfactory progress
2
3 – Beginner (NI)
4
5 – Proficient (SP)
6
7 – Achieved for Rotation (ACH)
8 – Achieved for Residency (ACHR)
9
10 – Outstanding
Unsatisfactory progress – Resident requires significant modeling (direct preceptor involvement) in order to solicit appropriate patient care and/or results on residency requirements
Beginner – Resident requires and accepts coaching on patient care and other residency requirements. Often the level most residents will achieve immediately following their Doctor of Pharmacy.
Proficient – Resident is making satisfactory progress for that point in the residency year. The resident requires less coaching and is able to complete residency expectations. The preceptors are able to facilitate learning often rather than direct modeling and coaching.
Achieved for Residency – Resident appropriately completes patient care or other residency requirements at a level appropriate for someone completing either a PGY-1 or PGY-2 residency year. Preceptors are able to facilitate the learning of the resident completely rather than modeling or coaching.
Outstanding – This resident is performing at a level that is equal to a seasoned, established preceptor. This should probably never be achieved in PGY-1 and achieved rarely in PGY-2.
4. Writing Project Evaluations
The resident’s writing project will be evaluated quarterly via PharmAcademic® evaluations and quarterly evaluations. At each quarterly assessment, the resident will also evaluate his/her project preceptor. This evaluation is shared with the preceptor and the resident’s mentor and/or residency program director.
5. Research Project Evaluations
The resident’s research project will be evaluated quarterly via PharmAcademic® evaluations and quarterly evaluations. At each quarterly assessment, the resident will also evaluate his/her project preceptor. This evaluation is shared with the preceptor and the resident’s mentor and/or residency program director.
6. Seminar Evaluations
There are three main seminars that are formally evaluated throughout the residency year.
a. Research project proposal: utilizes Great Lakes Pharmacy Resident Conference Presentation Evaluation Form
b. Writing project/CE presentation: utilizes Great Lakes Pharmacy Resident Conference Presentation Evaluation Form
c. The results of the research project: utilizes Great Lakes Pharmacy Resident Conference Presentation Evaluation Form
7. CANOPy Evaluations
There are four separate evaluations tied to the CANOPy learning experience: 1) two clinical weekend evaluations 2) one clinical on-call evaluation, 3) one code evaluation form and LACE evaluation form. These skills are assessed by preceptors during each weekend worked, on-call experience and code experience. The process for obtaining timely feedback is as follows:
a. Clinical weekend evaluation forms
i. To be completed each clinical weekend the resident works.
ii. One form for the clinician who worked with the resident that weekend
iii. One form to be given to a clinician who will be following patients during the week where the resident had significant responsibility or intervention over the weekend. The resident is responsible for ensuring that they get feedback in all areas through the variety of preceptors asked to complete these evaluations
b. Clinical On-Call evaluation form
i. To be completed each shift the resident is on call and receives a clinical question by the PGY-2 resident back-up.
c. Code evaluation form
i. To be completed each week by one pharmacist that attended a code with the resident during that week
ii. Resident self-evaluation to be completed each week the resident carries the code pager
Resident Responsibilities
-Ask the pharmacists/preceptors to complete the evaluation forms and provide them with the appropriate form and the name of their RAC Mentor
-Notify their RAC Mentor which pharmacists/preceptors should be sending them evaluation forms for each experience at the beginning of the week the evaluation form should be completed
Pharmacist/Preceptor Responsibilities
-Complete the form and return it to the resident and resident’s RAC Mentor by the Friday following the experience (weekend, or end of on-call or code week) via email
RAC Mentor Responsibilities
-Monitor the resident’s progress through these evaluations and follow up with the resident and/or preceptors regarding any issues identified in the evaluations
-Ensure they receive the evaluations in a timely manner. If the evaluations are not received in a timely manner despite efforts of the RAC Mentor, bring to the attention of John Clark
-Incorporate these formative evaluations into quarterly summative evaluations
Summative feedback:
-Quarterly PharmAcademic® evaluations on goals and objectives above
-Summative Self-Evaluation by Resident
-Summative Evaluation by RAC Mentor
-Learning Experience Evaluation by Resident
-Preceptor Evaluation by Resident
▪ To include feedback on RAC Mentor and feedback on other preceptors they have worked with throughout these experiences
-Clinical on-call pieces will be evaluated quarterly
8. Staffing Evaluations
This evaluation should be completed after each staffing experience in the 6th floor pharmacy. The process is as follows:
a. The evaluation will be completed by a pharmacist staffing with the resident
b. Residents should request that the pharmacist return completed evaluations to Kristen Schaeffler and the resident
c. Evaluations should not be forwarded to the RAC mentor unless the resident is not improving at the desired rate as they are not responsible for PharmAcademic® evaluation for this experience.
IV. PRECEPTOR RESPONSIBILITIES
ASHP Requirements of preceptors: (The RPD should document criteria for pharmacists to be preceptors. The following requirements may be supplemented with other criteria.)
5.7 Pharmacist preceptors must be licensed and have completed an ASHP-accredited PGY2 residency followed by a minimum of one year of pharmacy practice in the advanced practice area. Alternatively, licensed pharmacists who have not completed an ASHP-accredited PGY2 residency may be preceptors but must demonstrate mastery of the knowledge, skills, attitudes, and abilities expected of one who has completed a PGY2 residency in the advanced practice area and have a minimum of three years of practice in the advanced area.
5.8 Preceptors must have training and experience in the area of pharmacy practice for which they serve as preceptors, must maintain continuity of practice in that area, and must be practicing in that area at the time residents are being trained.
5.9 Preceptors must have a record of contribution and commitment to pharmacy practice characterized by a minimum of four of the following:
• U of M requires this to be met within 5 years of becoming a preceptor
a. Documented record of improvements in and contributions to the respective area of advanced pharmacy practice (e.g., implementation of a new service, active participation on a committee/task force resulting in practice improvement, development of treatment guidelines/protocols).
b. Appointments to appropriate drug policy and other committees of the department/organization.
c. Formal recognition by peers as a model practitioner (e.g., board certification, fellow status).
d. A sustained record of contributing to the total body of knowledge in pharmacy practice through publications in professional journals and/or presentations at professional meetings.
e. Serving regularly as a reviewer of contributed papers or manuscripts submitted for publication.
f. Demonstrated leadership in advancing the profession of pharmacy through active participation in professional organizations at the local, state, and national levels.
g. Demonstrated effectiveness in teaching (e.g., through student and/or resident evaluations, teaching awards).
5.10 Preceptors must demonstrate a desire and an aptitude for teaching that includes mastery of the four preceptor roles fulfilled when teaching clinical problem solving (instructing, modeling, coaching, and facilitating). Further, preceptors must demonstrate abilities to provide criteria-based feedback and evaluation of resident performance. Preceptors must continue to pursue refinement of their teaching skills.
Preceptor Requirements (in addition to ASHP as above):
1. Preceptor displays professionalism in his/her work environment
2. Preceptor is collegial to pharmacists, physicians, nurses, etc. in his/her work environment
3. Preceptor serves as a role model for practice style in his/her area of practice
4. Preceptor provides an environment conducive to learning
5. Preceptor displays expertise in his/her area of practice as determined by the RPD
6. Preceptor meets with the resident at minimum 2-3 x week for month long rotations to discuss topics and/or patient cases and is available throughout the resident rotation as needed for any questions. For longitudinal rotation experiences, the preceptor routinely communicates and provides feedback to the resident.
7. Preceptor is able to adapt his/her teaching style and/or learning experience to match the specific resident needs and/or address differences in learning style
8. Preceptor is amenable to feedback from the resident and/or RPD
9. Preceptor adequately assesses and evaluates the resident by providing verbal and written feedback
Process for Approval
1. Preceptor submits professional and academic record and rotation experience
2. RAC reviews materials and makes decision if the preceptor and rotation experience are acceptable for PGY1 program
3. PGY2 RPD reviews and makes decision if the preceptor and rotation experience are acceptable for their PGY2 program
a. RAC is available for support and backup
V. RESIDENCY ADVISORY COMMITTEE
A. Membership and Brief Description of Responsibilities
1. PGY1 Pharmacy Practice Program Director/Permanent Co-Chair
a. Provide oversight of all RAC activities and continuity over time
b. Coordinate residency recruitment
c. Serve as research project proposal reviewer
2. Co-Chair
a. Lead RAC meetings
b. Ensure adequate feedback and representation of affected parties for all RAC votes
c. Coordinate resident orientation
d. Coordinate research project proposal review
3. 2 Faculty members/preceptors
a. Maintain Residency Canvas site and Residency Manual
b. Serve as research project proposal reviewers
4. All Residency Program Directors (PGY1 and PGY2)
5. Tenure-track faculty member
a. Serve as liaison with College
b. Coordinate resident teaching responsibilities at the College
c. Serve as research project proposal reviewer
6. Administration member
a. Coordinate and evaluate PGY1 resident operations experience
7. Chief residents (PGY1 and PGY2)
a. Represent residency class
8. Rotating RAC Secretary
a. Fulfilled by a PGY1 or PGY2 resident on a rotating basis
b. Prepare meeting agenda
c. Take meeting minutes
B. Function Overview
The Residency Advisory Committee is involved in recruiting and selecting pharmacy residents, including the initial screening of applicants, designing of interview itineraries, and the final ranking of candidates. Orientation of new residents to the University Health System and coordination of all residency functions are also responsibilities of RAC. Other responsibilities of RAC include mentorship roles for residents, ensuring ASHP requirements, residency goals/objectives, and project deadlines are met throughout the year, approval of the rotation schedule and subsequent modifications, vacation requests, travel to professional meetings and conferences, and resident involvement in College of Pharmacy functions.
C. Special Requests
All issues and special requests (i.e. rotation requests, travel requests, deadline extensions) relating to the residency should be submitted by the resident to RAC for consideration.
D. Agenda and Minutes
1. Solicitation and compilation of agenda items and completion of minutes will be the responsibility of the RAC Secretary
2. Agenda
a. Elicit agenda items from RAC members and residents 1 week prior to scheduled RAC meeting (i.e. send by the Monday before RAC meeting)
b. To do this, email the following:
Pharm-RAC, Pharm-RESI
PGY2/PGY1 managed care/residency program directors ( currently, this includes – James Miller, Lisa Wood, Mike Dorsch, Chris Zimmerman, Jerod Nagel, Linda Fitzgerald, Amy Thompson, Amy VandenBerg, Shawna Kraft, Alex Lin (alin@), Cheryl Kaltz
c. Confirm the room number for the meeting, to be included on the agenda
d. Once collected, send proposed agenda items RAC co-Chair by noon on the Thursday before the next RAC meeting for approval
e. Once approved, send finalized agenda to all the same people listed above Send no later than the end of the day on Friday before the RAC meeting
3. Minutes
a. Once written, send a draft of RAC minutes to RAC co-chair for approval/editing
4. Once RAC Co-chair approve the minutes, the final draft should be emailed to the RAC member responsible for maintaining Canvas RAC Secretary Schedule
a. Meetings are held the second and fourth Mondays of the month at 12pm in the conference room in B1 H102 or B2 D321
b. The position of RAC secretary will be filled each meeting on a rotating basis by a pharmacy resident other than the chief residents.
E. Policy on Moonlighting
In general, moonlighting is discouraged for pharmacy residents. RAC will review requests by residents regarding moonlighting, and will submit a recommendation to the Director of Pharmacy. Residents are required to submit their requests at least two weeks prior to moonlighting. See inpatient work flow policy specific to Residency moonlighting. Pharmacy Resident Moonlighting Hours Work Procedure
F. RESIDENT CORRECTIVE ACTION PLAN AND DISMISSAL POLICY
I. The Residency Advisory Committee (RAC) has the dual responsibility of protecting the resident, and the Pharmacy Residency Programs at the University of Michigan Hospitals and Health Centers. The Resident Corrective Action Plan (ReCAP) serves to protect the Pharmacy Residency Programs. Whenever a resident fails to adhere to the Department of Pharmacy Services policies, fails to perform a specific responsibility (see below), or has a generally poor performance, RAC will respond in the following specific ReCAP sequence:
1. Verbal Counseling
2. Written reprimand
3. Punitive action up to and including dismissal
II. SICK TIME USAGE AND REPORTING
The Department of Pharmacy Services policy # 114.50 (revised 12.16) shall be in effect for pharmacy residents.
III. ROTATION EVALUATIONS
Following a preceptor rotation evaluation in which a resident is categorized "less than average" in overall performance, the resident will be required to meet with RAC no later than the second regularly scheduled meeting. The concerned resident will have to outline and explain the reasons(s) for his/her previous poor performance, concluding with an outline and action plan for correction of previous problem(s).
IV. WRITING PROJECT
See responsibilities and deadlines in section III C of this Manual.
V. RESEARCH PROJECT
A. See guidelines in section III D of this manual.
B. Assuming that the research deadline extension process has occurred through the ReCAP, satisfactory completion of the research project is still expected by June 30 of the residency year. Extension of this deadline may be allowed by the RAC Program Director upon written request by the resident. However, under no circumstance, will the deadline for project completion be extended beyond June 30 of the following year. Compliance is required prior to issuing a Residency Certificate.
VI. THEFT AND MORAL TURPITUDE
A resident who is convicted of theft of a controlled substance or a felony is subject to immediate residency termination and dismissal.
G. Chief Residents
Description
The Chief Pharmacy Residents are two pharmacy residents (a PGY1 and a PGY2) who coordinate the activities of all concurrent pharmacy residents (Pharmacy Practice and Specialty).
Qualifications
For the Chief Pharmacy Resident positions, the following are minimum criteria that should be considered to qualify:
● Must be a pharmacy resident for the full fiscal year for which he/she is a Chief Resident
● Has the following qualifications as evidenced through interview, previous accomplishments as documented on the curriculum vitae, letters of recommendations and/or previous evaluations:
● Leadership skills
● Good communication skills
● Ability to work with others and coordinate activities
● Ability to manage time efficiently
● Expressed interest in position
Nomination
Nomination by current residents is due by mid-July to the Residency Advisory Committee (RAC). Each resident shall individually and confidentially submit to the RAC co-chair their ranking of the residents for the Chief Resident position.
RAC will review the qualifications of the nominees and evaluate whether he/she is qualified for assuming the role of Chief Residents.
It is left to the RAC discretion to accept or reject the nominations. In case RAC finds the
nominees to be inapt for the position, or in case there is a conflict amongst the residents on
nominations or inability to decide on one nominee, then a Chief Resident will be selected and appointed by RAC considering the qualifications listed above.
Responsibilities
The major job responsibilities of this position are the same as that of a Pharmacy Resident plus additional coordination responsibilities.
Chief Residents’ Responsibilities
I. Attend RAC meetings
a. PGY1 and PGY2 chiefs will attend all RAC meetings
b. They will have 1 joint vote at RAC
c. They will not rotate in as secretary
d. Chiefs will disseminate information/decisions from RAC meeting to all residents
II. Make the weekend schedule for the residency year
a. PGY1 and PGY2 chiefs will collaborate to make an original schedule
i. Ask residents to provide you with a list of weekends they absolutely need off and a list of weekends that they would prefer to have off
b. Schedule change requests will go through the PGY2 chief
c. Update the schedule on Canvas and Shared Drive
III. Make a schedule and post on Shared Drive for:
a. Code pager
b. UH clinical pager.
c. RAC secretary
IV. Schedule monthly meetings in conjunction with Judy Boldt:
a. Director of Pharmacy/Permanent Co-chair/Rotating Co-chair monthly lunch meeting with all residents
b. Residents-only meeting
i. Create an agenda for the meeting
ii. Discuss issues to go to RAC, upcoming trips, committee updates, etc.
1. Regularly gather feedback on kinetics, teaching, clinical on-call, etc.
iii. Required for residents
c. RAC co-chairs with chiefs
V. Make schedules and book rooms for presentations:
a. Protocol Presentations (September-November)
b. CE Presentations (January/February)
c. Final Research Presentations (March-April)
VI. Plan the day if another residency program comes to visit UMHS
VII. Help schedule anything else that comes up that requires scheduling
VIII. Residency Committees
a. At the beginning of the year organize the residents into committees based on their preferences
b. Throughout the year follow-up with committees to make sure they are on task
Benefits
Due to the additional responsibilities of the Chief Pharmacy Resident, this individual will be entitled to the following benefits and/or relief from standard resident obligations:
● Not required to serve as RAC secretary
● Role on groups projects limited to oversight and supervision of activities
● Opportunity to develop/refine leadership skills
● More direct involvement in residency program and larger opportunity to help shape the program
G. Residency Committees and Brief Descriptions
College of Pharmacy Committee
The college of pharmacy committee will serve as a communication liaison with College and residency class. They will help with scheduling meetings/events with the college of pharmacy.
● Plan and coordinate involvement of residency program with the College of Pharmacy
● Work with faculty coordinating Teaching Series (Kristin Klein) to plan meeting dates and food
● Rotate the residency poster at the COP quarterly (located in the glass case next to classroom CCL 1567).
● Help to coordinate resident involvement in P4 orientation held in May
● Serve as continual contact between RAC and the residents via the PGY-1 Chief Resident involving issues regarding teaching or teaching series.
Community Service Committee
● Plan and organize at least 2 major community service events for the year
● Coordinate volunteers for each event
● All residents must participate in at least 1 community service event
End of the Year Banquet Planning Committee
The EOTYB Committee will work with the EOTYB preceptor to plan date, venue, program, etc. for the Banquet. They will also send out save the date announcements and invitations for the event.
End of the Year Gift Committee
The committee is responsible and coordinating gifts for residency leadership/preceptors. Work in conjunction with the treasurer to determine appropriate funds for the gifts.
End of the Year Video Committee
The committee is responsible for overseeing the production of the EOTYB Video which includes creation of script, filing, editing, and approval via faculty advisor (Kristin Klein) prior to the EOTYB.
Newsletter Committee
This committee coordinates the writing of 2 articles throughout the residency year: a “Residency Spotlight” article for the Michigan Society for Health-System Pharmacists monthly newsletter and a University of Michigan Residency Newsletter that goes out annually to past U of M residents.
ASHP Midyear Committee
Coordinate all itineraries, travel and accommodations for ASHP Midyear not limited to hotels, flights, transportation. Group is to help assist coordination of Midyear poster printing and coordination of resident dinners. Creation of schedule of the following information to be sent to residents, RPDs, and preceptors attending including:
• Arrival/departure dates/times
• Dates/times of resident poster presentations at UHC and Midyear
• Dates/times of any presentations at UHC and Midyear being made by UMHS preceptors/faculty so we can attend and support them
• Date/time of UMHS booth at residency showcase
• Dates/times of dinners, receptions
Great Lakes Pharmacy Residency Conference Committee
Coordinate all itineraries, travel and accommodations for Great Lakes Pharmacy Residency Conference. The responsibilities of the committee include at minimum the following:
● Ensure hotel rooms are reserved (booked in advance by John Clark)
● Plan/make reservations for dinners in West Lafayette
● Ensure t-shirts are designed and ordered
● Ensure vans are reserved, confirmed, picked up, and returned
● Coordinate drivers, van and hotel room assignments
● Email out itinerary including resident presentation dates/times
Resident Trip Committee
Coordinate all itineraries, travel and accommodations for ResiTrip including:
● Determine location of trip and dates of departure/arrival (3 days)
● Coordinate with John Clark regarding programs to visit and budget/reimbursement
● Residency class vote on location, programs to visit, team building activities
● Coordinate with John regarding how to contact the residency programs
● Transportation/lodging: ensure transportation and lodging are coordination along with John Clark
● Coordinate team building activity
● Send detailed itinerary to residents and preceptors attending
● Send thank you notes to programs we visit
Coordinate all itineraries, travel and accommodations for ResiTrip
Treasurer
Manage budget for residency group. Collect funds at beginning of the year for residency related purposes. Coordinate reimbursement for committee spending throughout the year
Social Chair
Coordinate social events for the resident group throughout the year
Historian
Responsible for documentation of resident activities throughout the year through use of multi-media. The photos taken will be used for the residency website and other recruiting events.
Webmaster
Responsible for maintenance of current website and that residency specific information is updated at the latest: November 1st of residency year. Items that need to be updated include:
• Update Preceptors page
• Update Current Residents page
• Work with RPDs and PGY2 residents to update program specific websites
• Update RAC section with current RAC members
Presentation Coordinator
• Responsible for creation of presentation food coordinator schedule for residency protocol, CE presentation, and final research presentations. Responsible for answering all presentation related questions from residents.
• Ensure laptop is available for attendance purposes on presentation dates.
• Coordinate email communication with department prior to presentations.
• Assist Paul Walker with any needs involving the resident CE presentations
Research Series Coordinator
Responsible for planning of research series not limited to scheduling speakers (in conjunction with Jeong Park), coordination of food for evening sessions, determining rooms for monthly sessions (including projectors).
H. Procedure for Early Acceptance of Internal PGY1 Residents for PGY2 Residency at the
University of Michigan Health System
1. The decision regarding participation of each PGY2 residency program in the early acceptance process will be left up to the individual programs.
2. RAC will meet to discuss whether the current PGY1 residents are acceptable candidates for early acceptance in late October or early November. RAC will determine the acceptability of each resident’s candidacy based upon his/her ability to meet deadlines, feedback from his/her project preceptors (writing and research), monthly rotational evaluations and feedback from preceptors of longitudinal experiences (e.g. kinetics, operations, ambulatory care).
3. Once a PGY1 resident is deemed an appropriate candidate for the early acceptance program, the resident should send a formal statement of intent to the program director(s) of the program(s) for which the resident would like to apply. A resident may apply to more than one PGY2 program.
4. Residents are encouraged to notify the program directors of the PGY2 residencies for which they are interested and/or intend to apply for early acceptance as soon as possible in order to facilitate interview scheduling.
5. Residents may early commit as early as the 2nd Friday in November and will not need to participate in PPS if they chose to early commit at this time, they are also still able to participate it the more traditional early commit as listed in the steps below.
6. Residents who wish to move forward with participation in the early acceptance program must declare their intent no later than the Friday following the ASHP Midyear Clinical Meeting
7. An interview must be conducted to evaluate the PGY1 resident’s candidacy. PGY2 program directors are encouraged to discuss each candidate’s performance with his/her project and rotational preceptors. An assessment of each applicant’s candidacy must be documented in writing. The interview process must be completed by Monday of the week following the Midyear meeting but may be completed in advance in light of time and schedule constraints.
8. The date on which PGY2 program directors may offer a residency position to internal PGY1 residents who were deemed acceptable candidates for early entry will occur the Tuesday of the week following the Midyear meeting. No PGY2 program will be permitted to make an offer to a resident prior to this date; however, offers may be made up until 5 PM 2 days prior to the National Matching Services’ deadline for letters of agreement and fees for early commitment.
9. Residents who receive an early acceptance offer from an internal PGY2 program will have until 8 AM the following business day to accept the residency position.
10. If a PGY1 resident declines an offer for a residency position, the PGY2 director of that program may make an offer to another PGY1 resident who was also deemed an appropriate candidate for the early acceptance program and who completed the interview process for that program.
11. The UMHS early acceptance process must be completed by Thursday of the week following Midyear at noon in order to allow enough time to notify ASHP of the programs which have been filled through the early acceptance process by the Friday after Midyear).
12. If a PGY1 resident is not offered or declines an early acceptance position, the resident will be permitted to apply to a UMHS PGY2 program through the formal application process without prejudice or bias. Additionally, should a PGY1 resident who did not participate in the early acceptance program decide to apply to a UMHS PGY2 program, his/her candidacy will also be considered without prejudice or bias.
VI. BENEFITS
A. Salary
Each Clinical Pharmacy Resident receives a competitive stipend. Residents will be paid the last working day of each month. Direct deposit plans are available with the Hospital & Health Services Credit Union and several local banks. Contact the Payroll Office for details. Direct deposit can be set up through Wolverine Access: ()
B. Vacation and Interview Days
Residents are allotted ten vacation days and five interview days. At least five vacation days must be set aside for use as interview days (if more than the five allotted interview days are needed) until the resident has secured a position for the following year. Unused interview days cannot be used as vacation days. Residents must provide 30-day notice for PTO requests. Approval of emergent requests or requests were a 30-day notice is not possible will be at the discretion of the RPD.
PGY-1 residents may take up to 3 days off from rotation at the end of June (if not taking any other days off and has PTO available) if needed to move to a new location for a PGY2 residency. All requests must be approved by the RPD. The resident must complete the check-out process prior to their last day
C. Procedure for requesting vacation days and interview days
1. PGY1:
a. Request approval from rotation preceptor (PGY1 RPD, preceptor of note for the dates requested, research and writing preceptors for December). This permission should be documented in an email following the deadline dates as outlined in Humanity (aka ShiftPlanning)
b. Forward RPD, and preceptor approval to RAC Co-chair for record keeping
2. PGY2:
a. Request approval from rotation preceptor (RPD, preceptor of note for the dates requested, research and writing preceptors for December). This permission should be documented in an email following the deadline dates as outlined in Humanity (aka ShiftPlanning)
b. Forward email containing approval from both rotation preceptor and RPD to Rotating RAC Co-chair for record keeping
D. Holidays
Residents are entitled to the seven official University holidays: Independence Day, Labor Day, Thanksgiving Day and the day following, Christmas Day, New Year's Day, and Memorial Day. Each resident will work two holidays (one minor holiday and one major holiday block) and have the other 5 holidays off of work. If a resident observes an unofficial University holiday, he/she needs to follow vacation day procedure to request time off. When requesting a vacation day in December, PGY1 and PGY2 residents will need permission from their research and writing project preceptors and final approval from their RPD.
E. Professional Leave/Business Days
Professional leave may be granted to attend the ASHP Midyear Clinical Meeting, the Great Lakes Residents Conference, and other meetings approved by RAC. Additionally, up to 5 business days may be approved for the resident to use to attend other professional organization meetings; however, both approval by the resident’s preceptor and RAC must be obtained. A Travel Authorization Form must be filed whenever the resident leaves the Hospital on University Business. Funding is provided for the ASHP Midyear Clinical Meeting and the Great Lakes Residents Conference (See the section on Travel for more details).
F. Sick Day Notification
1. If on a WEEKDAY
a. Contact rotation preceptor via email to notify them of illness a minimum of 2 hours prior to the start of rotation or 7am at the latest. If your rotation preceptor is not at work that day, be sure to notify the person covering, and email the appropriate team email list for the service and pharm-sched@med.umich.edu to ensure coverage can be organized (see below for email lists).
i. Pharm-Cardiothoracic-Team@med.umich.edu (Cardiology, CVICU, MP)
ii. Pharm-Medicine-Team@med.umich.edu (Internal Medicine, MICU, Neuro ICU)
iii. Pharm-Oncology-Team@med.umich.edu (Oncology, BMT)
iv. Pharm-Surgery-Team@med.umich.edu (SICU, ACS, STX)
v. PHARM-PEDS@med.umich.edu (Any pediatric rotation)
b. Forward notifications for record keeping to:
i. PGY1 – RPD and RAC Co-chair
ii. PGY2 – RPD and RAC Co-chair
2. If on a WEEKEND
a. Minimum of 2 hours prior to the start of your scheduled shift (or earlier if possible)
i. Call the 6th floor satellite pharmacy (734-936-8251) to let them know which shift you were scheduled for and any other pertinent details
ii. Email pharm-sched@med.umich.edu
b. If able, the resident should try to find another resident to switch shifts with as a first option.
c. 6th floor satellite will then:
i. Contact the administrator-on-call (pgr 30164)
1. FYI page: the situation and resident is currently attempting to find coverage within the resident class
ii. Assist in finding coverage within the residency class first.
d. Regardless if the resident or satellite find coverage, the administrator on call should be paged
i. If coverage found: page administrator to let them know which resident will be covering
ii. If coverage could not be found within residency class: page administrator to request further help to find coverage
e. The resident will report the illness/call-in and any resident coverage that was found to the appropriate person/people as outlined in weekday section on the Monday following the weekend.
This procedure is in accordance with the departmental policy on attendance.
G. Leave of Absence
There may be situations in which the resident is unable to work for an extended period of time (due to illness or due to other personal situations). In these circumstances, the residency advisory committee will evaluate each case individually. The resident shall submit the request for a leave of absence in writing to the chair of the residency advisory committee and be prepared to discuss the request along with suggested remedies to the sudden interruption of the training with both the RAC chair and the director of the program. Once the request is deemed appropriate and necessary, the residency advisory committee will create a plan that will insure the resumption of the resident’s training, once the resident returns back, and the resident’s graduation from the program during the designated residency year or approve an extension of the latter in a matter that both objectives of the resident and of the program are adequately met.
H. TRAVEL
1. Arrangements
Travel arrangements for business purposes must be approved by RAC several weeks in advance of travel date. Additionally, approval is needed by the preceptor of the affected rotation. The travel request form can be found on the pharmacy website; Travel Authorization Form
2. Funding
Partial or full funding for business travel will be given for the ASHP Midyear Clinical Meeting and the Great Lakes Residency Conference only. Additional travel funding requests must be made several weeks in advance of business travel for approval; however, additional business trips are usually at the expense of the resident. The travel funding request form must be completed (see section C below) and given to the travel secretary several weeks prior to the trip. Travel advances may be taken out of approved funding dollars in order to pay for flight and hotel deposits; the remainder of approved funding will be reimbursed upon completion of the travel expense report (See section D below). The travel expense report must be completed within 7 days of return from the trip OR within 30 days of the cash advance. The expense report can be found on the pharmacy website.
3. Expense Report
The travel expense report can be obtained from travel secretary. It must be completed within 7 days after return from trip in order to ensure reimbursement. All original receipts (other than food receipts) must be kept and forwarded along with this report to the travel secretary. The per-diem worksheet must be completed for food reimbursement and is pro-rated based on travel destination. Contact travel secretary prior to planning any travel or before applying for reimbursement.
4. Guidelines for Travel
Guidelines for travel are located on the pharmacy website and updated regularly.
I. Health Benefits
The University of Michigan offers a menu of health benefit packages to pharmacy residents. Nominal fees may need to be paid to enroll in the residents’ choice of a health plan. Cost for two persons and/or family rates are nominal. Dental coverage is not provided for residents in their first year of training. Further details and answers to questions may be obtained from the Office of Staff Benefits, 5-2000.
J. Job-Incurred Injuries
Residents must inform the RAC Chair of job-incurred injuries as soon as possible after the incident and a report must be filed with Employee Health Services describing the incident. Injuries sustained in Ann Arbor should be treated at the University Hospital Emergency Suite; injuries sustained outside the city should be treated at the nearest medical facility. The University will not be responsible for incurred costs if treatment can be obtained at University Hospital but the injured staff member elects to receive treatment at another medical facility.
K. Miscellaneous Benefits
Additional benefits such as gymnasium passes, free city bus transportation, and discounts on books are available to residents as University of Michigan staff and Clinical Instructors at the College of Pharmacy.
VII. COMMUNICATIONS AND LOGISTICS
A. Pagers and Paging
Each resident will be provided with a pager. Paging can be accomplished by accessing the UMHS home page on the Internet (under Paging Services). Professional behavior is expected when utilizing the paging system.
o During longitudinal ambulatory care activities, pagers should be switched to preceptor coverage during clinic hours if prompt response will not be possible to pages. The respective medical team should be notified of the temporary coverage changes.
o Fellow residents will cover the code pager when the resident is assigned code coverage and is off-site. The resident has responsibility of finding this coverage.
B. Telephone System
1. Local calls: Dial "97" and then the phone number if within the pharmacy at the hospital. To call locally from the Victor Vaughan Building, dial “9” and then the phone number.
2. Long distance calls: May not be made on office phones unless directly related to work.
C. Telephone Lists
Department of Pharmacy Phone List
D. Fax Guidelines
Facsimiles may be sent and should be restricted to business use only.
E. Personal Computers
The computers located in the residents' area are dedicated to use by the residents. Software should not be added to the hard disks of any of these terminals.
F. Photocopying
1. Residents may use the photocopying machine in the B2 pharmacy or in the copier rooms in the Victor Vaughan building for hospital-related business
G. Professional Posters
1. The printing of professional posters is available for the residents at the Duderstadt Center in Pierpont Commons on University of Michigan North Campus or other alternatives.
2. See poster template for guideline to poster format
H. Guidelines for Pharmacist Documentation in the Medical Record
1. Pharmacists within the University of Michigan Hospitals and Health Centers are authorized to write in the Progress Notes section (under Medication Management and Pharmacy Note templates) of the patient medical record in the following circumstances:
a. Documentation of patient-specific clinical activities, including patient counseling and education
b. Provision of patient-specific pharmaceutical information and drug therapy monitoring and detection of potential adverse drug reactions and drug interactions as the result of solicited or unsolicited consultations;
c. Pharmacokinetic and Anticoagulation Pharmacy provided service
2. Entries in the patient medical record shall be made only by pharmacists licensed in the State of Michigan. Pharmacy students and unlicensed pharmacy residents may write in the medical record providing that a licensed pharmacist reviews and co-signs each notation.
3. Notations by pharmacists shall be entered in the Progress Notes section of the medical record in an approved template.
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