PGY1 Community-Based Pharmacy Residency

National Match Code: 285915

PGY1 Community-Based Pharmacy Residency Program Director
Melanie Engels, PharmD, MBA
Director of Pharmacy Operations and Engagement
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: Jan. 2, 2024
Starting Date: June 17, 2024
Estimated Stipend: $49,920

PGY1 residency programs build upon Doctor of Pharmacy (PharmD) education and outcomes to develop pharmacist practitioners with knowledge, skills, and abilities as defined in the educational competency areas, goals, and objectives. 

Residents who successfully complete PGY1 residency programs will be skilled in diverse patient care, practice management, leadership, and education, and be prepared to provide patient care, seek board certification in pharmacotherapy (i.e., BCPS), and pursue advanced education and training opportunities including postgraduate year two (PGY2) residencies.

Features

Provides flexible, comprehensive training in a variety of community-based pharmacy settings to afford the resident a myriad of direct and indirect patient care services while also developing the resident’s self-confidence and competence in utilizing clinical knowledge, resources, and technology as an autonomous, independent pharmacist, practitioner, and practice-area leader within the Froedtert & MCW health network.

Residents gain the foundational skills required of community-based practitioners throughout the strategically planned learning experiences in regards to patient-centered dispensing, medication therapy management (MTM), disease state education and management, immunizations, health and wellness, commitment to the community, community service, pharmacy management, leadership, and teaching and educating a broad array of audiences, including the public and community members, health care professionals, pharmacists, and students. 

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.

Required Learning Experiences

Rotational

(For more details, review page 55 in the Residency Manual.)

FHPS Onboarding – Orientation & Training (Required; Rotational, Initial)
Beginning of the residency year. Goal: Familiarize resident w/practice site, policies, procedures, and workflows, and residency graduation requirements. Resident follows pharmacy department and organizational onboarding for all employees & receives focused training in the home-based site along with other outpatient pharmacy settings as an introduction to residency year. An onboarding checklist (Deliverable) required of all pharmacists is reviewed at the midpoint and end of LE with the resident to identify areas of strength and areas for focus and opportunity.  During this time, the resident attends Froedtert Pharmacy Residency Program Orientation Requirements and Timelines.

Covered Objectives: 

• The residency's purpose and practice environment.
• Accreditation standards, competencies, goals and objectives
• Design of the residency program.
• Program requirements, expectations, and deliverables for successful residency program graduation.
• Description of required and elective LEs.
• Evaluation strategy and process.
• Residency manual contents.
• Residency policies: requirements for completion, moonlighting, duty hours, dismissal. 

Education to the resident during orientation on burnout syndrome with risks & mitigation strategies, & available resources. Resources available on the ASHP website 

Duration: 6 weeks

• 1 week over block will be spent in required organization and residency orientation activities
• Time may vary if elective certificates (teaching/research) are selected
• 4 weeks at home-base pharmacy – FHP #175 & Primary Care Clinic
• 1 week over block orienting and training at assigned staffing sites (in addition to home-base staffing requirement) and other residency activities
• Shift Schedule provided to Resident *varies based on timing of scheduled activities

Primary Location; LE Preceptor(s)

• Home-base (FHP #175 – Tosa HC; Primary Care Clinic); Secondary FHP Staffing Assignment  Location(FHP #075 – Froedtert Hospital)
• Melanie Engels

 
Pharmacy Patient-Centered Services – Staffing Commitment (Required; Longitudinal) *Patient Care*
Staff at the home-based site and secondary Froedtert Pharmacy location on weekends (two 8-10 hour holiday shifts).  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 FHP #175 – Tosa HC; Typical Shift: 0800-1830; ~Two 8-hour weekend shifts per every 4 weeks at FHP #075 - Froedtert Hospital; Typical Shift: Saturday – 8 hours *Variable start/end time: 0645–1515; 0900-1730; 1245-2115; Two 8-10 hour shifts scheduled on Froedtert Holidays 

% of Residency; Primary Location; LE Preceptor(s): 19% FHP #175 - Tosa HC (Home-Base); Kevin Stutt *primary*; 9% FHP #075 - Froedtert Hospital; Jaime Cronin *Supporting*
 
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

Duration: 12 months, ~Two 8-hr shifts every 4 weeks at home base site FHP #175 – Tosa HC *Concentrated blocks of time (1-2 weeks) at beginning (orientation), middle (midyear), and end (wrap-up) of residency year to focus on R1 Patient Care Activities: Patient Care Services, Tracking, Documentation, Follow-up, & Outcomes Assessment
Typical Shift: 0800-1630
% of Residency; Primary Location; LE Preceptor(s): 13%; FHP #175 - Tosa HC (Home-Base) Kevin Stutt 
 
Community Pharmacy Topic Discussions & Journal Clubs (TPD/JC) (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, ~1 hour per month

Typical Schedule: Third Tuesday of the month from 1200 – 1300

Resident Time: 0.5%; Home-Base or WebEx; Melanie Engels 
 
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, ~1 hour per month on Policy Committee

Typical Schedule: Last Wednesday of each month from 0800 – 0900; ~1 hour per month on Retail Staff Meetings
Typical Schedule: Third Tuesday of each month from 0700-0800

% of Residency; Primary Location; LE Preceptor(s): 1%; WebEx; Kim Schrank 
 
Specialty Pharmacy Quality Committee (SPQC) (Required; Longitudinal)

• Supports compliance with URAC & ACHC Accreditation Standards and Requirements
• Guides Quality Improvement Program for specialty medications and specialty program
• R3.2
• 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.

Duration: 12 months, ~1 hour every 2 months on SPQC
Typical Schedule: Beginning in August, second Tuesday of every 2 months from 1100-1200
~1 hour per month on R3.2

% of Residency; Primary Location; LE Preceptor(s): 1%; ISC; Heather Dalton *primary*, Kama Thomas, Ben Glennon *supporting*
 
Community Pharmacy 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.

Duration: 12 months, ~1 hour each month on Retail Medication Safety Committee
Typical Schedule: Second Wednesday of every month from 0700 – 0800
~2 hours each month reviewing and investigating assigned safety event reports
~1 hour each month in relevant preceptor meetings or assigned activities 

% of Residency; Primary Location; LE Preceptor(s): 2%
ISC, FMLH, WebEx; Amber Ball *Primary* Ben Glennon *Supporting* 
 
Practice-Related Project (Required; Longitudinal)
R3.3

• 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)
• Develop and present poster to an external audience (Deliverable) –December – Vizient/ASHP
• Develop and present oral presentation to an external audience (Deliverable) – April - GLPRC
• 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)
• 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 at Vizient, Midyear, and Great Lakes Pharmacy Resident Conference, and completion of a manuscript (regardless of intent to publish).

Duration: 12 months, ~6 hours per month
(Includes Research Certificate Elective; 4 hours per month w/o Research Certificate Elective); 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 the residency & learning experience schedule provided for attendance at Vizient, ASHP Midyear, and Great Lakes Pharmacy Resident Conference

% of Residency; Primary Location; LE Preceptor(s): 3% (2% without Research Certificate Elective)
*Variable location pending resident project selection*
*Variable preceptor pending resident project selection*
 
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: 5 weeks, 16-20 hours per week; Typical Shift: 0900-1730
Resident Time: 4%

Primary Location; LE Preceptor(s): FHP #075 - Froedtert Hospital (FMLH); Jessica Page

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, ~16-24 hours per week; Typical Shift: 0730-1600
Resident Time: 5%

Primary Location; LE Preceptor(s): ISC; Ben Glennon
 
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, 16-20 hours per week; Typical Shift: 0800-1630
Resident Time: 4%
Primary Location; LE Preceptor(s): ISC; Chris Sanders
 
Infusion Services (Required; Rotational) *Patient Care*
Froedtert Pharmacy Home Infusion team: a team 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, ~16-20 hours per week; Typical Shift: 0830-1700
Resident Time: 4%

Primary Location; LE Preceptor(s): ISC; Diane Oddis
 
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.

Duration: 5 weeks, ~12-16 hours per week; Typical Shift: 0700-1530; 0800-1630; 0830-1730 *varies on meeting schedule

Resident Time: 3%
Primary Location; LE Preceptor(s): ISC; Kim Schrank
 
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: 5 weeks, ~20-24 hours per week; Typical Shift: 0730-1600

Resident Time: 4%
Primary Location; LE Preceptor(s): ISC; Kate Lewis
 
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 (Deliverable)

Duration: 12 months
~Two 8-hr shifts every 4 weeks at home base site primary care clinic - Tosa HC *Concentrated blocks of time (1-2 weeks) at beginning (orientation), middle (midyear), and end (wrap-up) of residency year to focus on R1 
Patient Care Activities: Pharmacy Patient Care Services, Tracking, Documentation, Follow-up, & Outcomes Assessment
Typical Shift: 0800-1630 

Resident Time; Primary Location; LE Preceptor(s): 14%; Primary Care Clinic – Tosa HC (Home-Base); Sarah Lopina

Froedtert Infusion Services (Required; Longitudinal)
Continuous Quality Improvement in Froedtert Infusion Services
R3.1
Identify the change to implement, develop a feasible design, implement the change, evaluate the outcomes, and complete a final written report (Deliverable)
Identify the need and develop a plan for a quality improvement project focused on the medication-use process and/or patient care services
Implement a quality improvement project.
(Evaluating) Evaluate the impact of a quality improvement project.

Duration: 12 months; ~2 hours per month

Resident Time; Primary Location; LE Preceptor(s): 1%; Diane Oddis *primary*; Kama Thomas *supporting*

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, ~16-20 hours per week; Typical Shift: 0800-1630
Resident Time; Primary Location; LE Preceptor(s): 3%; ISC or WebEx; Melanie Engels 

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, ~16-20 hours per week; Typical Shift: 8 hours per rotation day *Variable start/stop pending schedule*
Resident Time; Primary Location; LE Preceptor(s): 3%; ISC or WebEx; Dale Drizd

* Other elective, rotational learning experiences may be developed based on resident interest and preceptor availability

Additional Residency Experiences

Total residency year spent in learning experiences is 94%.  The remaining 6% of the resident’s time is reserved for fulfillment of teaching requirements, residency academic afternoon sessions, and other administrative and residency activity requirements, as well as “time away” (PTO, Conferences, etc.).  46% of the resident’s time is spent in patient care activities at the home-base site.  76% of the resident’s time is spent in experiences & activities providing patient care.

Longitudinal, Elective Learning Experience Certificates 

• Teaching Certificate
  • Preceptor assigned from MCW faculty preceptor staff
• Research Certificate
  • Preceptor of Practice-Related Project

The resident may select to include the teaching certificate and/or research certificate.  Details for each program are described in this residency manual above.  Both elective certificate options are longitudinal 12 month elective rotations (1% of residency year).

Primary Preceptor Longitudinal Elective Learning Experience

• IPPE Primary Preceptor
  • Support provided from Home-Base Community Pharmacy Patient-Centered Services: Staffing Commitment  

Residents may elect to apply for registering as a Primary Preceptor with the MCW School of Pharmacy to precept IPPE students.  This is a longitudinal learning experience that is 8 weeks in length.

Rotational, Elective Learning Experiences 

Executive Leadership and Community Pharmacy Technology.

• Other elective learning experiences may be developed based on the resident’s interests & preceptor availability; residents may select a second rotational block from a required learning experience that is modified to provide additional or advanced experiences based upon resident interest, goals, and career plans & preceptor availability.

Residents have two 4-week blocks reserved for rotational, elective learning experience  
 

Community-Based Residency Requirements for Successful Program Completion

Community-Based Pharmacy Residents are required to complete the following requirements in order to successfully completed 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 within R2, R3, & R4
    • 17/24 must be ACHR by the end of the residency year
    • The maximum 7 remaining educational objectives must be evaluated at a 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 throughout the residency year

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)
    • Completed In: PharmAcademic
  • Resident provides a written statement (final self-reflection) during the last month of the residency year (Deliverable)
    • Completed 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 Pharmacy 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 

Quarterly Development Plan Documentation & Graduation Requirements

• 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

Required Resident Deliverables

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 external audience
      • Vizient and ASHP Midyear – 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
      • Great Lakes Pharmacy Resident Conference – April
        • Develops an oral report for the project that is well organized and easy to follow
          • Great Lakes Pharmacy Resident Conference Abstract (Deliverable)
        • Presents oral project report with poise and confidence to an external audience
          • Great Lakes Pharmacy Resident Conference Presentation Content (Deliverable)
        • Responds to questions knowledgably and accurately
        • Summarizes key points at the close of the presentation
          • Great Lakes Pharmacy Resident Conference 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
  • Practice-Related Project: Longitudinal (12 months)

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
  • Froedtert Infusion Services: Longitudinal (12 months)

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
    • “Writing a Business Plan for a New Pharmacy Service” by Randy McDonough. https://aphanet.pharmacist.com/sites/default/files/files/mtm_writing_business_plan .pdf
    • “Write your business plan” from the U.S. Small Business Administration https://www.sba.gov/business-guide/plan-your-business/write-your-business-plan
• 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
  • Specialty Pharmacy Quality Committee – Longitudinal (12 months)

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.

• 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 
  • Retail Pharmacy Policy Committee – Longitudinal (12 months)

Identify and pursue opportunity at local, state, or national level

• 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
  • Community Pharmacy Patient-Centered Services: Staffing Commitment – Longitudinal (12 months)

Required Presentations

 Audience: Patients, Caregivers, Members of the Community

• 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
  • Community Pharmacy Patient-Centered Services: Clinical Commitment – Longitudinal (12 months)

Audience: Health Profession Students

• 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
  • Without MCW Teaching Certificate Elective Selected
    • Community Pharmacy Patient-Centered Services: Staffing Commitment – Longitudinal (12 months) 
  • With MCW Teaching Certificate Elective Selected
    • MCW Teaching Certificate Learning Experience – Longitudinal (12 months)

Audience: Pharmacists

• 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
  • Community Pharmacy Topic Discussions & Journal Clubs (TPD/JC) - Longitudinal (12 months)

Audience: Other Health Care Professionals (Nurses)

• 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
  • Froedtert Infusion Services - Rotational (5 weeks)

Additional details on page 75 of Residency Manual

Home-Base Core Elements

Learning Experiences

• Community Pharmacy Patient-Centered Services: Clinical Commitment – Longitudinal (12 months)
• Community Pharmacy Patient-Centered Services: Staffing Commitment – Longitudinal (12 months)
• Primary Care Home-Base Clinic – Longitudinal (12 months)

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 Pharmacy Patient-Centered Services: Clinical Commitment – Longitudinal (12 months)
  • Primary Care Home-Base Clinic – Longitudinal (12 months)

Health & Wellness Services

• Competency Area R1: Patient Care; Goal R1.1
  • Examples:
    • Screenings (e.g., blood pressure, diabetes)
    • Wellness programs (e.g., tobacco cessation)
    • Health Fairs
    • Medication Take-Back Events
    • Naloxone
  • Document (Patient Activity Tracker) evidence of at least THREE health and wellness services resident participates in
  • Objective R2.2.5: (Valuing and Applying) Demonstrate commitment to the community through service.
• Learning Experience 
  • Community Pharmacy Patient-Centered Services: Clinical Commitment – Longitudinal (12 months)

Immunizations

• Competency Area R1: Patient Care; Goal R1.1
  • Document (Patient Activity Tracker) evidence of at least THREE types of immunizations resident administers
• Learning Experience
  • Community Pharmacy Patient-Centered Services: Clinical Commitment – Longitudinal (12 months)
  • Community Pharmacy Patient-Centered Services: Staffing Commitment – Longitudinal (12 months)

Disease State Management 

• Competency Area R1: Patient Care; Goal R1.1
  • 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
• Learning Experience
  • Community Pharmacy Patient-Centered Services: Clinical Commitment – Longitudinal (12 months)
  • Primary Care Home-Base Clinic – Longitudinal (12 months)

Care Transitions

• Competency Area R1: Patient Care; Goal R1.3 
• Educational Objective R1.1.5
  • 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 
• Learning Experience 
  • Community Pharmacy Patient-Centered Services: Clinical Commitment – Longitudinal (12 months)
  • Primary Care Home-Base Clinic – Longitudinal (12 months)

Patient-Centered Medication Distribution

• Goal R1.2: Provide safe and effective patient care during the delivery of patient-centered dispensing.
• Learning Experience 
  • Community Pharmacy Patient-Centered Services: Staffing Commitment – Longitudinal (12 months)

Program Design & Activities

• 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 select locations offering extended and expanded operating hours, including evenings and weekends.
  • Froedtert Pharmacy #075 – Froedtert Hospital Campus 92nd Street Entrance offers 24/7, 365 days a year service.
• There are 14 Retail Pharmacies, 1 Remote Dispensing Site, and 1 Home Delivery Pharmacy.
• Froedtert Pharmacies #075 – Froedtert Hospital, #100 - FWBH, and #125 FMFH offer discharge prescription services, including bedside delivery, and are accredited by Community Health Accreditation Partner (CHAP), allowing Medicare Part B billing for approved Durable Medical Equipment (DME) products with additional locations being approved for billing Medicare Part B medications.
• Additional services available include Medication Therapy Management, Immunizations, Quality Interventions, Auto-Refill, and Medication Synchronization.
• Froedtert Pharmacies are fully integrated with the Epic EHR, using Epic’s Willow Ambulatory Outpatient Pharmacy Management Module and patients can use the Froedtert & MCW App, which includes Epic’s MyChart, to manage their medications, including requesting prescription refills and receiving medication notifications & reminders.
• Pharmacy staff will:
  • Complete 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
  • 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.
• Pharmacists will:
  • Fulfill duties outlined in the “Clinical Pharmacist Practice Service” and the “Medication Distribution & Control”
  • As required by Wisconsin State Law, counsel patients when:
    • New prescription is being dispensed; or
    • Therapy changes are made; or
    • The patient or patient’s agent requests; or
    • Deemed necessary by the pharmacist.

Froedtert Pharmacy Home Delivery, Specialty, & Medication Access 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 contact 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. Our Specialty Pharmacy touches a variety of areas within our health system and is URAC and ACHC dual-accredited. Each month a pharmacist reviews the patient’s medical record to ensure their medications are appropriate and accurate.

Medication Access Team

• The Medication Access Team (MAT) is embedded with the specialty pharmacy service line and performs 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

Froedtert Infusion Services

• Provides a 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
• Froedtert Infusion Services includes a team of registered nurses and pharmacists, and coverage spans the state of Wisconsin
• Froedtert Infusion Services is accredited by the Joint Commission for home care services and is a certified Medicare provider for DME
• Infusion Suites are located at North Hills in Menomonee Falls and Drexel Town Square Health Center in Oak Creek.