PGY1 Community-Based Pharmacy Residency

National Match Code: 285915

PGY1 Community-Based Pharmacy Residency Program Director
Melanie Engels, PharmD, MBA
Director of Outpatient Pharmacy Services
Telephone: 414-805-9586
Fax: 414-805-7961
E-mail: [email protected]

PGY1 Community-Based Pharmacy Residency Program Coordinator
Kevin Stutt, PharmD
Outpatient Pharmacy Coordinator
E-mail: [email protected]

Duration/Type: 12-month residency
Number of Positions: 1
Application Deadline: Dec. 30, 2022
Starting Date: June 2023
Estimated Stipend: $46,800

The purpose of this program is to build upon the Doctor of Pharmacy (PharmD) education and outcomes to develop community‐based pharmacist practitioners with diverse patient care, leadership, and education skills who are eligible to pursue advanced training opportunities including postgraduate year two (PGY2) residencies and professional certifications.

Features

Provides flexible, comprehensive training in a variety of community pharmacy settings to provide a myriad of patient care services while developing confidence and competence in utilizing clinical knowledge, resources, and technology within the Froedtert & Medical College of Wisconsin health system.

Residents will gain foundational skills required of community-based practitioners throughout residency experiences in regards to patient-centered dispensing, medication therapy management (MTM), disease state education and management, immunizations, health and wellness, pharmacy management, leadership, and teaching.

Sample resident rotation schedule

Residency Manual

Requirements for Acceptance

• Eligible for pharmacist licensure in the state of Wisconsin by program start date (license to be obtained within 90 days of start date).
• Applicants are required to submit a program application through PhORCAS. Please follow the application instructions.

Learning Experiences

Required

(For more details, review page 46 in the Residency Manual.)

• Onboarding – Training & Orientation (Required; Rotational)
  Beginning of the residency year. Designed to familiarize the resident to the practice site, policies, procedures, and workflows, and residency requirements. The resident will follow overall pharmacy department and organizational onboarding requirements of all employees but also receive focused training in the home-based site along with other outpatient pharmacy settings as an introduction for the coming residency year. An onboarding checklist (Deliverable) required of all pharmacists will be reviewed at the midpoint and end of this experience with the resident to identify areas of strength and areas for focus and opportunity. During this time, the resident will also follow all Froedtert Pharmacy residency program orientation requirements and timelines.
  Duration: 6 weeks
   
• Patient Service Commitment – Staffing Component (Required; Longitudinal) *Patient Care*
  Staff at the primary site and other Froedtert Retail Pharmacies on weekends and holidays.
  Activities within this practice area include safely and efficiently completing drug utilization review, product dispensing, prescription verification, consultation, inventory management, self-care consultation, and collaboration with other health care team members on medication therapy; assist patients with medication management and adherence, address patient concerns (including financial burden), and precept pharmacy students.
  Apply evidence and guideline based patient care in community pharmacy setting while adhering to all pharmacy department policy and procedures.
  Develop and build upon other important skills including workflow prioritization, leadership, and utilization of layered learning principals.
  Duration: 12 months, ~10 hours per week at home base site; ~2 weekend shifts per month at Froedtert Community Pharmacies (Two 4-hour shifts per month); 1 major and 1 minor holiday per resident year
  Resident Time: 24% = Home Base, 2% = Other retail pharmacy locations
   
• Community Patient-Centered Pharmacy Services - Clinical Component (Required; Longitudinal) *Patient Care*
  Deliverables: Presentation w/handout – Audience: Patients, Caregivers, and/or Members of the community; At least 3 different immunizations administered while following the immunization policy; At least 3 health and wellness services provided; At least 3 different chronic disease states for CMRs and TMRs; Involvement in care transitions including medication reconciliation, CMRs, and transition plans in partnership with the Primary Care Home-Base Clinic Learning Experience
  Precept IPPE/APPE students
  Duration: 12 months, ~1 day every other week at home base site
  Resident Time: 11%
   
• Community Pharmacy Topic Discussions & Journal Clubs (Required; Longitudinal)
  Staying current on disease states, medications, and regulatory requirements is a continuous process for pharmacists.
  Pharmacists must embrace life-long learning as the field of pharmacy and industry evolves.
  Networking with colleagues in community pharmacy to learn from one another is necessary for information sharing.
  Collaboration with MCW Community Residents to facilitate and participate in topics involving clinical, regulatory, and/or administrative/practice-based topics, including a quarterly journal club.
  Each resident is responsible for delivering two topic discussion sessions and one journal club session.
  Deliverables: Presentation w/handout – Audience: Pharmacists; Self-evaluation, peer evaluation, audience assessment(s)
  Duration: 12 months, Sessions scheduled recurring day each month for 1.5 hours
  Resident Time: 1%
   
• Retail Pharmacy Policy Committee (Required; Longitudinal)
  As a participant on the committee, the resident will serve as an advisor to leadership and liaison to staff regarding retail pharmacy practice as it pertains to policies and procedures by the following actions:
  -Recommends policies and procedures that maintain and improve the Froedtert Health Pharmacy Solutions mission.
  -Reviews existing and new policies and procedures.
  -Assists with translating regulations, legislation, standards, and other guidance set forth by governing bodies
  -Develops and deliveries education to staff members on revised and new policies at monthly retail staff meeting
  -Evaluate an existing, or develop a new collaborative practice agreement, standing order, or implementation process for a state-based protocol to expand the scope of practice for community-based pharmacists (Deliverable)
  Duration: 12 months, Monthly policy meetings ~1 hour in length, Monthly retail staff meetings ~1.5 hours in length
  Resident Time: 3%
   
• Specialty Pharmacy Quality Committee (Required; Longitudinal)
  -Supports compliance with URAC & ACHC Accreditation Standards and Requirements
  -Guides Quality Improvement Program for specialty medications and specialty program
  -Quality Improvement Project: Identify the change to implement, develop a feasible design, implement the change, evaluate the outcomes, and complete a final written report (Deliverable)
  Duration: 12 months, ~2.5 hours per month (meetings and follow-up items; CQI project work)
  Resident Time: 3%
   
• Community-Based Medication Safety (Required; Longitudinal)
  -Provides the resident with safety perspectives in retail and home delivery & specialty pharmacy along with a thorough understanding of the medication use process.
  -The resident will actively participate in the review, investigation, monitoring and trending of medication safety event reports for the outpatient pharmacies and present findings and opportunities for prevention and improvement to preceptors.
  - Final Business Plan (Deliverable) includes detailed financial plan and marketing plan; established timeline; implementation design, training, and scope; data collection; data analysis; outcomes and impact evaluation of the new or enhanced service; conclusions and next steps.
  Duration: 12 months, ~4 hours each month reviewing and investigating safety event reports/~4 hours each month in relevant preceptor or committee meetings
  Resident Time: 3%
   
• Practice-Related Project (Required; Longitudinal)
  -Resident identifies and designs the practice-related project with sound methodology using evidence-based principles and a systematic approach written in the appropriate format (Deliverable – Practice-Related Project Protocol)
  -The resident presents the protocol and receives approval (if conditional approval, modifications and full approval required) to move forward with the practice-related project protocol from the Pharmacy Research Committee along with the IRB (approval or exempt), prior to beginning any data collection (Deliverable – documented approval from Pharmacy Research Committee; Deliverable – documented IRB approval or IRB exemption status)
  -Collaborate with the project advisor and project team to : Create Timeline, Implement Project, Collect Data, Accurately Assess Impact (include assessment of sustainability, as applicable)
  Deliverables: Develop and present poster to an appropriate audience – December; Develop and present oral presentation to an appropriate audience – April;
  Develop a written final practice-related project manuscript following author guidelines and format requirements of an appropriate peer-reviewed journal, regardless of intention to publish 
  Residents should consider their own development goals when selecting a project, including desire to publish and whether research certificate program opportunity will be pursued. This will assist in selecting a project that has the appropriate scope and design.
  All projects follow the process of: Developing a project protocol, obtaining necessary approvals (Research Committee, IRB, P&T, etc.), execute the project design once approved, analyze data and present findings to an appropriate audience, and completion of a manuscript (regardless of intent to publish).
  Duration: 12 months, ~4 hours per month, varies based on project timeline, increased effort periods may be required during timeframes when materials are being prepared and presented throughout the year. Professional days away from rotation will be provided for presentations
  Resident Time: 2%
   
• Discharge Pharmacy/Transitions of Care (Required; Rotational) *Patient Care*
  Experience with discharge patients, pharmacists and technicians, along with transition of care technicians, inpatient pharmacists, and other interdisciplinary care team members.
  Activities within this practice area include researching insurance coverage and formulary preference, completing therapeutic interchanges per policy and optimizing patient copays while reducing financial burden, communicating with inpatient pharmacists and technicians and reviewing medication profiles.
  The resident will be challenged to ensure patients have the appropriate knowledge, skills and tools required for a successful health care management once discharged and minimize risk of readmission due to medication-related reasons.
  Serve as primary liaison between inpatient care team and outpatient pharmacy team within the discharge pharmacy location.
  Duration: 4 weeks, ~20 hours per week
  Resident Time: 4%
   
• Home Delivery Pharmacy (Required; Rotational) *Patient Care*
  The resident will have the opportunity to be directly involved in the day-to-day activities of a pharmacist primarily focused on the operational/dispensing portion of the process with the Home Delivery Pharmacy Team.
  The most common disease states that the resident will engage with include: primary care, internal medicine, solid organ transplant, oncology, infectious disease, pulmonary, rheumatology, GI, dermatology, and neurology.
  Duration: 6 weeks, 24 hours per week
  Resident Time: 6%
   
• Medication Access Services (Required; Rotational) *Patient Care*
  Resident will gain a thorough understanding of the services provided to patients to ensure timely and affordable access to their medication therapy, including the Medication Access Prior Authorization and Refill teams.
  Duration: 5 weeks, 20 hours per week
  Resident Time: 4%
   
• Home Infusion Pharmacy (Required; Rotational) *Patient Care*
  Froedtert Pharmacy Home Infusion team, a group of pharmacists, pharmacy technicians, nurse liaisons, and infusion nurses.
  Activities within this practice area include management of patients receiving IV or injectable medications. Disease states that are frequently encountered include: infectious disease, cardiology, gastroenterology, hematology/oncology, and neurology. The resident will be asked to apply clinical knowledge to a unique and broad population of patients, understand sterile compounding, practice strong time management skills, and communication with multiple members of an interdisciplinary team.
  Presentation w/handout: Audience – other health care professional (nurses) (Deliverable)
  Duration: 5 weeks, 30 hours per week
  Resident Time: 4%
   
• Community Pharmacy Leadership & Administration (Required; Rotational)
  Resident gains understanding of the roles and responsibilities of pharmacy leaders in the outpatient setting. The resident will actively participate in the decision-making processes that support managing and leading clinical pharmacy services and operational workflows within the community practice setting while maintaining compliance with accrediting bodies, regulatory agencies, and high-quality, safe, effective, and efficient patient care.
  Identify and pursue opportunity at local, state, or national level. (Deliverable)
  Duration: 5 weeks, 20 hours per week
  Resident Time: 4%
   
• Specialty Pharmacy (Required; Rotational) *Patient Care*
  Responsible for completing monthly reviews of patient medical records, reviewing prescription fill dates, counseling patients and confirming refills of their specialty medications. The resident will have the opportunity to be directly involved in the day-to-day activities of a Froedtert Specialty Pharmacist.
  Resident will also attend Specialty accreditation meetings (URAC, ACHC, and Specialty Pharmacy Quality Committee). Community Based Resident will participate in department project initiatives.
  Duration: 6 weeks, 24 hours per week
  Resident Time: 6%
   
• Primary Care Home-Based Clinic (Required; Longitudinal) *Patient Care*
  Clinical pharmacy services in primary care setting
  Manage at least THREE chronic disease states
  Follow The Pharmacists’ Patient Care Process, including Collect, Assess, Plan, Implement, Follow-up Deliverables: Manage Care Transitions, including identify, medication reconciliation, CMR, transition plan; Follow-up will include patient care outcomes assessment in overall acceptance rate and success rate
  Duration: 11 months, ~1 day every other week at home base site
  Resident Time: 11%

Elective Rotations Learning Experiences

(Two 4-week blocks; Resident Time: 4% each elective)

• Community Pharmacy Technology (Elective; Rotational)
  Residents will gain an understanding of existing technology within the outpatient pharmacies. Resident will become involved in requirements to maintain, upgrade, troubleshoot, and evaluate technologies. The resident will gain exposure to day-to-day technology utilization and how issues are evaluated, prioritized and resolved. Technology life cycles will be reviewed and the resident will be provided insight and involvement with vendor relationships, interface capabilities, corporate IT structure, IT Security requirements, and how to navigate assessment and review of emerging technology solutions in the market, including current state and existing organizational, interface, or capability limitations compared to prospective state. Must-haves versus nice-to-haves, regulatory and compliance requirements, and gaps that existing solution could provide with enhancement or upgrade versus what new option might provide will be part of evaluation and comprehension.
  Duration: 4 weeks, 20 hours per week
   
• The Business of Health-System Pharmacy in Outpatient Settings (Elective; Rotational)
  Through the experience, the resident will be able to recognize outside forces that affect revenue cycle and financial health of community based pharmacy. Residents will gain an understanding of the budget processes and engage with the appropriate leaders to gain insight and potential solutions to address budget questions and concerns.
  Duration: 4 weeks, 20 hours per week
   
• Executive Leadership (Elective; Rotational)
  With Executive Director of FHPS; senior leadership experience with high-level oversight and responsibility of FHPS business lines; interactions with C-suite executives and directors; insight into strategic planning, fiscal responsibility, navigating and advocating for FHPS with competing organizational priorities and limited corporate resources
  Provides experiences related to executive leadership and strategic planning, organizational alignment, relationship development & maintenance, and FHPS Board responsibilities.
  Duration: 4 weeks, 20 hours per week
   
• Specialty Home Infusion (Elective; Rotational)
  Focused patient care experience on the specialty medications managed by Home Infusion Pharmacy. Accreditation requirements, distribution channels, prior authorization and benefits investigation, patient advocacy, policies & procedures
  Duration: 4 weeks, 20 hours per week

Additional Residency Experiences

• Remaining 4% of resident time for fulfillment of teaching requirements, residency academic afternoon sessions, and other administrative and residency activity requirements. 46% of the resident’s time is spent in patient care activities at the home-base site. 70% of the resident’s time is spent in experiences & activities providing patient care.
• Longitudinal, Elective Learning Experiences the resident may select include the teaching certificate and research certificate, as described above. These are longitudinal 12 month elective rotations.
• Residents may also elect to apply for becoming a primary preceptor with MCW School of Pharmacy for an opportunity to precept IPPE students. This is an additional longitudinal experience that is 8 weeks long.
• Rotational, Elective Learning Experiences available for selection include: Executive Leadership, Specialty Home Infusion, The Business of Health-System Pharmacy in Outpatient Settings, and Community Pharmacy Technology.
• Other rotational electives may be developed or residents may select a second block with a required rotation that is modified to provide additional or advanced experiences based upon resident interest, goals, and career plans.
• Residents have two 4-week blocks reserved for rotational elective learning experience selections.
   

Community-Based Residency Requirements for Successful Program Completion

Community-Based Pharmacy Residents are required to complete the following requirements in order to successfully complete the residency program and receive a residency certificate. These activities have been developed in alignment with the requirements defined by the American Society of Health-System Pharmacists (ASHP) as it relates to Competency Areas, Goals, and Objectives for Postgraduate Year One (PGY1) Community‐Based Pharmacy Residencies.

• Fulfillment of requirements defined in the Froedtert Residency Program Completion Policy
  • Patient Care Competency Area (Educational Objectives in R1): 100% of objectives in this competency area must be Achieved for Residency (ACHR) by the end of the residency program
  • At least 70% of the other required educational objectives in Competency Areas R2, R3, and R4 must be Achieved for Residency (ACHR) and Satisfactory Progress (SP) must be made on all remaining required objectives by the end of the residency program
    • R2.1 = 4 Educational Objectives (R2.1.1, R2.1.2, R2.1.3, R2.1.4)
    • R2.2 = 5 Educational Objectives (R2.2.1, R2.2.2, R2.2.3, R2.2.4, R2.2.5)
    • R3.1 = 3 Educational Objectives (R3.1.1, R3.1.2, R3.1.3)
    • R3.2 = 3 Educational Objectives (R3.2.1, R3.2.2, R3.2.3)
    • R3.3 = 4 Educational Objectives (R3.3.1, R3.3.2, R3.3.3, R3.3.4)
    • R4.1 = 3 Educational Objectives (R4.1.1, R4.1.2, R4.1.3)
    • R4.2 = 2 Educational Objectives (R4.2.1, R4.2.2)
    • 24 Educational Objectives R2, R3, R4
      • 17/24 must be ACHR
      • Maximum of 7 remaining educational objectives at minimum of SP
• Resident is familiar with policies documented and reviewed within the residency manual and adheres to defined guidance with the policies (the established policies are consistent with human resources policies and procedures
  • Dismissal Policy
  • Resident Licensure
  • Duty Hours
    • Moonlighting
    • Tracking duty hours and moonlighting
  • Professional, family, sick, bereavement, and extended leave
  • Resident Program Completion
  • Resident improvement planning and corrective action
• Resident will successfully complete all required and elective learning experiences assigned to the resident schedule within PharmAcademic
  • Required Duties & Responsibilities
    • Resident displays professionalism during all residency activities and while representing Froedtert and the Froedtert Community-Based Residency Program
    • Resident will present to rotation experiences, meetings, shifts, appointments, or other scheduled activity at the expected time
    • Resident attends the monthly retail pharmacy staff meeting
    • Resident read communications posted on workplace and emails sent by the organization and department, including the Top 3, Froedtert Health News, and the Retail Pharmacy Weekly Update to stay informed on updates, changes, requirements, or deadlines that must be observed
    • Resident will participate in initial, quarterly, and final development plans
  • Objective R2.2.2: (Valuing and Applying) Apply a process of on-going self-evaluation and personal performance improvement.
    • The initial development plan is based on the results of the resident’s initial self‐evaluation:
      • Incoming strengths
      • Incoming areas for improvements
      • Resident provides a written statement (initial self-reflection) at the beginning of the residency year prior to the creation of the initial resident development plan (Deliverable)
        • In PharmAcademic
      • Resident provides a written statement (final self-reflection) during the last month of the residency year (Deliverable)
        • In PharmAcademic
      • Adjustments to the resident’s learning experiences, learning activities, evaluations, and other changes are documented in the initial development plan.
  • Quarterly Development Plans
    • On a quarterly basis, the RPD assesses the resident’s progress and adjusts learning experiences, learning activities, and other items, as applicable, that are documented in the quarterly development plans
      • Resident attends quarterly touch base meetings with the PGY1 Community-Based Residency Advisory Committee and is an active participant in discussing their own development plan, progress towards completion, and providing constructive feedback for the program, preceptors, and learning experiences; residents are supportive in giving insight to assist the RPD in making adjustments to improve the program and develop preceptors
  • PGY1 Community-Based Pharmacy Residency Program Graduation Checklist
    • Progress & Completion Tracker
    • Updated quarterly as part of development plan
  • PGY1 Community-Based Pharmacy Residency Program Patient Activity Tracker
    • Resident maintains and completes when relevant activities are completed during Learning Experiences
    • Resident provides to RPD to be included as part of development plan
    • Information documented in the Patient Activity Tracker is de-identified and does not contain any PHI

Resident Submits Completed Work, Assignments and Work Products (Deliverables)

• Practice-Related Project Protocol Proposal and Manuscript
  • Resident identifies and designs the practice-related project following sound methodology and evidence-based principles along with a systematic approach written in the appropriate format (Practice-Related Project Protocol Proposal – Deliverable)
  • Collaborate with the project advisor and project team to : Create Project Timeline; Implement Project; Collect Data; Accurately Assess Project Impact (include assessment of sustainability, as applicable)
  • Practice-Related Project Protocol - Deliverable
    • The resident presents the Practice-Related Project Protocol Proposal to the Pharmacy Research Committee and secures approval (if conditional approval, incorporate required modifications and obtain full approval) (documented full approval from Pharmacy Research Committee – Deliverable), along with the IRB (approval or exempt) (documented IRB approval or IRB exemption status as quality improvement project – Deliverable), prior to implementing the practice-related project and before beginning any planned data collection.
    • Objective R3.3.1: (Creating) Identify and design a practice-related project significant to community-based practice.
      • Creates a comprehensive implementation plan for the project that includes appropriate reviews and approvals required by department, organization, and/or external entities
  • Objective R3.3.2: (Applying) Implement a practice-related project significant to community-based practice.
  • Objective R3.3.3: (Evaluating) Accurately assess the impact of the practice-related project including sustainability, if applicable.
  • Objective R3.3.4: (Responding and Creating) Effectively develop and present, orally and in writing, a final project report.
    • Develop and present poster to an appropriate audience
      • Professional Days Provided Away from Rotation/Residency Requirements – December
      • Project Abstract & Poster (Deliverable)
        • Develops a project poster in an appropriate format that is clear, concise, and easy to follow without typographical or design errors
        • Presents professionally a poster to an external audience
      • Develop and present oral presentation to an external audience
        • Oral Presentation to an appropriate audience – April
          • Develops an oral report for the project that is well organized and easy to follow
            • Abstract (Deliverable)
          • Presents oral project report with poise and confidence to an appropriate audience
            • Presentation Content (Deliverable)
          • Responds to questions knowledgably and accurately
          • Summarizes key points at the close of the presentation
            • Audience Evaluation Report for Resident (Deliverable)
        • Develop a written final practice-related project manuscript following author guidelines and format requirements of an appropriate peer-reviewed journal, regardless of intention to publish (Deliverable)
          • Writes a project manuscript that uses and meets the criteria required for the selected manuscript style
        • Learning Experience – Longitudinal (12 months) Residency Project
      • Quality Improvement Project Report
        • Identify the change to implement, develop a feasible design, implement the change, evaluate the outcomes, and complete a final written report (Deliverable)
          • Objective R3.1.1: (Creating) Identify the need and develop a plan for a quality improvement project focused on the medication-use process and/or patient care services
          • Objective R3.1.2: (Applying) Implement a quality improvement project.
          • Objective R3.1.3: (Evaluating) Evaluate the impact of a quality improvement project.
        • Learning Experience – Longitudinal (12 months) Specialty Pharmacy Quality Committee
      • New or Enhanced Pharmacy Service Business Plan
        • Identify need; Develop a Formal Business Plan (anticipated impact and outcomes (financial, safety, quality), marketing strategy, staff training and education, design, methods, data collection); Implement (secure approval, train & educate staff, deploy marketing strategy, initiate design plan); and, Evaluate (Data collection, outcomes and analyses, impact and outcomes results, future directions, sustainability)
        • Final Business Plan (deliverable) includes detailed financial plan and marketing plan; established timeline; implementation design, training, and scope; data collection; data analysis; outcomes and impact evaluation of the new or enhanced service; conclusions and next steps.
          • Resources
            • “Write your business plan” from the U.S. Small Business Administration
        • Objective R3.2.1: (Creating) Identify the need and develop a business plan for a new or enhanced service.
        • Objective R3.2.2: (Applying) Implement the planned new or enhanced service.
        • Objective R3.2.3: (Evaluating) Evaluate the new or enhanced service to determine if it meets the stated goals and is sustainable.
      • Learning Experience – Longitudinal (12 months) Community-Based Medication Safety
    • Objective R2.1.4: (Creating) Evaluate an existing, or develop a new collaborative practice agreement, standing order, or implementation process for a state-based protocol to expand the scope of practice for community-based pharmacists. (Deliverable)
      • Objective R2.1.2: (Applying) Participate in organizational level management activities, functions, and/or decision-making.
        • Helps to develop appropriate policies, guidelines, protocols, or plans that address organizational needs.
      • Objective R2.1.4: (Creating) Evaluate an existing, or develop a new collaborative practice agreement, standing order, or implementation process for a state-based protocol to expand the scope of practice for community-based pharmacists.
        • Develops or evaluates accurately an existing collaborative practice agreement, standing order, or state-based protocol that reflects applicable state laws, regulations, and other requirements.
      • Learning Experience – Longitudinal (12 months) Policy Committee Assignment
  • Identify and pursue opportunity at local, state, or national level. (Deliverable)
    • Objective R2.2.4: (Valuing and Applying) Demonstrate commitment to the profession through active participation in the activities of a national, state, and/or local professional association
      • Learning Experience: Rotational (5 weeks) Community Pharmacy Leadership & Administration

Required Presentations

•  Audience: Patients, Caregivers, Members of the Community (Deliverable)
  • Objective R4.1.2: (Applying) Use effective presentation and teaching skills to deliver education programs to targeted audiences including patients, caregivers, and members of the community
  • A handout, newsletter, or informational flyer must accompany this presentation (Deliverable)
    • Objective R4.1.3: (Applying) Develop effective written communication skills to provide educational information to multiple levels of learners including patients, caregivers, and members of the community.
  • Learning Experience – Longitudinal (12 months) Community Patient-Centered Pharmacy Services – Clinical Component
• Audience: Health Profession Students (Deliverable)
  • Objective R4.1.2: (Applying) Use effective presentation and teaching skills to deliver education programs to targeted audiences including health profession students
  • A handout, newsletter, or informational flyer must accompany this presentation (Deliverable)
    • Objective R4.1.3: (Applying) Develop effective written communication skills to provide educational information to multiple levels of learners including health profession students
  • Learning Experience – Longitudinal (12 months) MCW Teaching Experience (or, if selected, MCW Teaching Certificate Experience)
• Audience: Pharmacists (Deliverable)
  • Objective R4.1.2: (Applying) Use effective presentation and teaching skills to deliver education programs to targeted audiences including pharmacists
    • Creates an assessment plan that will accurately measure the participants’ attainment of the educational objectives (Deliverable)
  • A handout, newsletter, or informational flyer must accompany this presentation (Deliverable)
    • Objective R4.1.3: (Applying) Develop effective written communication skills to provide educational information to multiple levels of learners including pharmacists
  • Objective R2.2.2: (Valuing and Applying) Apply a process of on-going self-evaluation and personal performance improvement.
    • Resident creates or utilizes a self-assessment tool for evaluating their performance on oral presentations (Deliverable)
      • Resident’s self-assessment shows progress throughout the course of the residency program
        • Uses effectively principles of continuing professional development (CPD) (reflect, plan, act, evaluate, record, and review)
      • Engages effectively in self-evaluation process to determine progress on specified goals and plans
      • Uses self-evaluation effectively to develop professional direction, goals, and plans
    • Resident creates or utilizes a peer-evaluation tool for obtaining feedback on their presentation from their audience (Deliverable)
      • Demonstrates ability to accept and incorporate constructive feedback from others.
      • R4.1.2 - Demonstrates willingness to incorporate constructive feedback received from participants
      • R4.1.3 - Seeks feedback from the targeted audience.
    • Learning Experience – Longitudinal (12 months) Community Pharmacy Topic Discussions/Journal Clubs
  • Audience: Other Health Care Professionals (Nurses) (Deliverable)
    • Objective R4.1.2: (Applying) Use effective presentation and teaching skills to deliver education programs to targeted audiences including other health care professionals
    • A handout, newsletter, or informational flyer must accompany this presentation (Deliverable)
      • Objective R4.1.3: (Applying) Develop effective written communication skills to provide educational information to multiple levels of learners including other health care professionals
    • Learning Experience – Rotation (5 weeks) FHPS Home Infusion Pharmacy

Home-Base Core Elements

Learning Experiences

• Community Patient-Centered Pharmacy Services – Clinical Component (Longitudinal)
• Primary Care Home-Base Clinic (Longitudinal)
• Community Patient-Centered Pharmacy Services – Service (Staffing) Component (Longitudinal)

Competency Areas, Goals, and Objectives

• Competency Area R1: Patient Care:
  • Goal R1.1: Provide safe and effective patient care services including medication management, health and wellness, immunization, and disease state management including medication management following the JCPP Pharmacists’ Patient Care Process. Services are provided to a diverse range of patients in collaboration with the health care team;
  •  Goal R1.2: Provide safe and effective patient care during the delivery of patient-centered dispensing;
  • Goal R1.3: Provide safe and effective medication-related patient care when patients transition between care settings.

•  Comprehensive Medication Reviews
  • Competency Area R1: Patient Care; Goal R1.1
    • MTM Platforms (OutcomesMTM)
    • Adherence and Medication Synchronization
    • Medication Reconciliation – Clinic Experience
  • Targeted Medication Reviews
    • Competency Area R1: Patient Care; Goal R1.1
      • Targeted Interventions (OutcomesMTM)
      • Interventions with relation to Star Ratings (EQUiPP)
        • Immunizations
        • Statins in diabetic patients
  • Document (Patient Activity Tracker) evidence of CMR/TMR completion for at least THREE chronic disease states (Alzheimer disease, arthritis, chronic heart failure, diabetes, dyslipidemia, end-stage renal disease, hypertension, mental health, respiratory disease)
    • Learning Experience
      • Community Patient-Centered Pharmacy Services – Clinical Component (Longitudinal)
      • Primary Care Home-Base Clinic (Longitudinal)
  • Health & Wellness Services
    • Document (Patient Activity Tracker) evidence of at least THREE health and wellness services resident participates in
      • Competency Area R1: Patient Care; Goal R1.1
        • Examples:
          • Screenings (ie - blood pressure)
          • Wellness programs (ie-tobacco cessation)
          • Health Fairs
          • Medication Take-Back Events
          • Naloxone
    • Objective R2.2.5: (Valuing and Applying) Demonstrate commitment to the community through service.
    • Learning Experience
      • Community Patient-Centered Pharmacy Services – Clinical Component (Longitudinal)
  • Immunizations
    • Document (Patient Activity Tracker) evidence of at least THREE types of immunizations resident administers
      • Competency Area R1: Patient Care; Goal R1.1
    • Learning Experience
      • Community Patient-Centered Pharmacy Services – Clinical Component (Longitudinal)
      • Community Patient-Centered Pharmacy Services – Service (Staffing) Component (Longitudinal)
  • Disease State Management
    • Document (Patient Activity Tracker) evidence of at least THREE chronic disease states (Alzheimer disease, arthritis, chronic heart failure, diabetes, dyslipidemia, end-stage renal disease, hypertension, mental health, respiratory disease)
    • Must incorporate JCPP PPCP
      • Collect, Assess, Plan, Implement, Follow-up
      • Competency Area R1: Patient Care; Goal R1.1
    • Learning Experience
      • Primary Care Home-Base Clinic (Longitudinal)
  • Care Transitions
    • Identify patients undergoing care transitions
    • Perform Medication Reconciliation and Comprehensive Medication Therapy Management
    • Develop Transition Plan in collaboration with patient
    • Document (Patient Activity Tracker) evidence of resident involvement in care transitions identification, conducting medication reconciliation, completing CMR, and developing transition plan
    • Educational Objective R1.1.5
    • Competency Area R1: Patient Care; Goal R1.3
    • Learning Experience
      • Community Patient-Centered Pharmacy Services – Clinical Component (Longitudinal)
      • Primary Care Home-Base Clinic (Longitudinal)
  • Patient-Centered Medication Distribution
    • Goal R1.2: Provide safe and effective patient care during the delivery of patient-centered dispensing.
      • Learning Experience
        • Community Patient-Centered Pharmacy Services – Service (Staffing) Component (Longitudinal)

• Resident spends two‐thirds or more of the program in patient care activities
• Resident spends no more than one‐third of the twelve‐month PGY1 pharmacy residency program in a practice or environment providing care to a specific patient disease state and population (e.g., diabetes, hypertension, hyperlipidemia, asthma, anticoagulation)
• Resident gains practice and experience in longitudinal patient care delivery and the development of extended patient relationships, including pharmacist-patient relationships for patients established with both pharmacy and clinic services
• Resident appropriately documents patient care in the patient’s health care record
• Resident completes PharmAcademic evaluations for learning experiences and provides constructive, meaningful feedback as it relates to experiences’ and preceptors’ strengths and areas of opportunity; Resident engages in self-assessment in terms of formative and summative evaluations of own performance
• Resident in the Community-Based Residency Program will monitor Duty Hours as outlined in the Resident Duty Hour Policy and provide monthly attestations through PharmAcademic

Froedtert Health Pharmacy Solutions (FHPS)

FHPS focuses on outpatient pharmacy services including retail, specialty, and home infusion.

Froedtert Pharmacy Retail Services

• Froedtert Pharmacies provide services Monday through Friday with certain locations offering weekend hours and the Froedtert Pharmacy #075 (at the Froedtert Hospital) location operating 365 days a year.
• There are 14 retail pharmacy locations and 1 remote dispensing site.
• The three discharge pharmacies located within Froedtert Hospital, Froedtert Menomonee Falls Hospital, and Froedtert West Bend Hospital provide prescription delivery to the bedside (Meds2Bed) and are accredited by Community Health Accreditation Partner (CHAP), allowing Medicare Part B Billing for approved DME products with additional locations being approved for billing Medicare Part B medications.
• Pharmacy staff working in the Froedtert Pharmacy Retail Stores are responsible for:
  • Prescription data entry, claims adjudication, medication profile review, assessment for clinical appropriateness, identification of interactions or possible adverse events, collaborating with interdisciplinary team members, product dispensing, final product verification, cash handling and point-of-sale transactions, counseling patients on prescription and over-the-counter medications
  • Fulfill duties outlined in the Clinical Pharmacist Practice Service and Medication Distribution and Control as applicable
  • Support patients through challenges in receiving their medications by utilizing available resources, such as patient assistance programs, prior authorizations, Froedtert Rx Savings Plan, approved interchange polices, and programs, such as the Drug Repository Program, Diabetic Smart Start and Discount Programs, etc
  • Per Wisconsin State Law, pharmacists are required to counsel on new prescriptions, when therapy changes are made, when requested by the patient or patient agent or when the pharmacist deems necessary.
  • The Froedtert Pharmacy expectation is that ALL prescriptions are counseled on and that show and tell happens at the time of pick up for safety
  • Additional services available include Medication Therapy Management, Immunizations, Quality Interventions, Auto-Refill Processing, and the Froedtert & MCW App to assist patients in managing their medications through MyChart

Froedtert Pharmacy Home Delivery & Specialty Services

Home Delivery

• Froedtert Pharmacy offers Home Delivery to eight states for no additional charge to patients.
• Before sending out any medications, the pharmacy staff proactively call patients to confirm their order, preventing missed doses and minimizing unwanted medication from being sent.

Specialty

• The Froedtert Pharmacy Specialty team manages high cost, often chronic medications used by our patients in and outside of our hospitals or clinics and touches a variety of areas within our health system and is URAC accredited. Each month a pharmacist reviews the patient’s medical record to ensure their medications are appropriate and accurate.
• The Medication Access Team (MAT) is imbedded with the specialty pharmacy service line and perform the following duties:
  • Acquire prior authorizations for specialty medications infused, administered, or dispensed at any of the Froedtert and the Medical College of Wisconsin campuses, health centers, or Froedtert Pharmacies
  • Obtain medication and/or financial assistance for patients who are uninsured or unable to afford their specialty medication
  • Collaborate with social work, case management and financial counselors to ensure patient access to affordable medications
  • Review of pending Medicare write-offs to correct potential billing errors to maximize reimbursement

Froedtert Pharmacy Home Infusion Services

• Provides safe and effective option for patients to receive therapy via intravenous or other non-oral routes from the comfort of their own home or infusion suite.
• The Home Infusion team includes registered nurses and pharmacists and coverage spans the state of Wisconsin
• Home Infusion is accredited by the Joint Commission for home care services and is a certified Medicare provider for DME