Overview

Overview

PGY 1 Pharmacy Residency Program

Fairview Hospital is a 517-bed community teaching hospital. Fairview Hospital sup­ports medical residencies in internal medi­cine, surgery and family practice. Fairview Hospital has a number of clinical Centers of Excellence, including the Birthing Center, Cancer Center, Heart Center, Emergency and Level II Trauma and Surgery. Fairview Hospital was nationally ranked in multiple adult specialties and identified nationally as one of the 2017-2018 “Best Hospitals” by U.S. News & World Report.

The PGY1 Pharmacy Residency Program is ASHP accredited and focuses on the development of general pharmaceutical patient care expertise. The residency provides exposure to many different acute and ambulatory care patient populations.  Fairview Hospital’s PGY1 residency is uniquely positioned to provide training for residents in both an inpatient and clinic setting to allow a resident to fully evaluate future career options.

Purpose Statement

The PGY1 pharmacy residency programs build on Doctor of Pharmacy (Pharm.D.) education and outcomes to contribute to the development of clinical pharmacists responsible for medication-related care of patients with a wide range of conditions, eligible for board certification, and eligible for postgraduate year two (PGY2) pharmacy residency training.

Department of Pharmacy

The Department of Pharmacy consists of approximately 80 dedicated total staff and provides 24-hour services. An electronic medical record/CPOE supports the pharmacy services. Pharmacy department description and services as follows:

  • Central and satellite pharmacy distribution
  • Sterile and non-sterile compounding
  • Computerized intravenous admixture and unit dose dispensing
  • Advanced technology support, including networked remote devices, automated dispensing devices (Pyxis) and clinical decision support tools
  • Decentralized pharmacist practice
  • Patient education programs
  • Clinical pharmacy specialist practices
  • In-service education
  • Pharmacy and Therapeutics Committee participation
  • Investigational drug studies
  • Fairview Hospital utilizes a computer-based provider order entry program (EPIC) that integrates data from pharmacy, admissions, laboratory, radiology, nursing, medicine and microbiology.

Residency Program Training Site

  • Type: Hospital, Acute Care
  • Owner/Affiliate: Cleveland Clinic
  • Model Type(s): Community/Tertiary Care
  • Patients Enrolled: Not applicable
  • Tax Status: Non Profit
  • Pharmacist Staff: 38
  • Support Staff: 42
  • Total Beds: 517
  • Average Daily Census: 350
Requirements

Requirements

Fairview Hospital’s PGY1 residency program is a 12 month residency starting toward the end of June.  Licensure is strongly encouraged within two weeks of starting the residency (before is ideal).  Further details of time-line for licensure will be shared with interviewees.

Required Rotations

  • Orientation
  • Internal Medicine – 1
  • Internal Medicine – 2
  • Critical care – Cardiac or Medical
  • Unit-based Pharmacist Practice
  • Psychiatry
  • Emergency Medicine
  • Infectious Disease
  • Neonatal
  • Administration/Leadership

Elective Rotations

  • Family Practice Inpatient Service
  • Obstetrics
  • Pediatric and Adolescent Psychiatry
  • Oncology
  • Critical Care – Cardiac or Medical (Will be assigned the are not completed in required)
  • Repeat any rotation – new objectives will be created for that repeated rotation

Required Longitudinal Rotations

  • Staffing
  • Family Medicine Clinic
  • NEOMED Teaching Certificate
  • Resident Research

Presentations

Effective communication skills are critical as a pharmacy practitioner. Many opportunities exist to refine these skills in each rotation.

  • Formal presentations on disease states or other topics of interest will be presented to preceptors, students, Fairview Hospital pharmacy staff and other individuals at Fairview Hospital. In addition, residents will have the opportunities to prepare regular journal “club” and/or case presentations.
  • Residents will be required to give a PowerPoint presentation at OCCP’s fall meeting and poster presentations at Vizient Mid-Year meeting, ASHP Mid-Year Clinical meeting and OCCP’s spring meeting.
  • The residents' major project will be presented to preceptors at Fairview Hospital and at the Ohio Residency Conference. The presentation is 15 to 20 minutes, with an additional 5 to 10 minutes allotted for questions.

Meetings and Conferences

Travel to pharmacy professional meetings is an important component of the Fairview Hospital pharmacy residency. All residents are required to attend the Vizient and ASHP Midyear meetings, during which residency recruitment occurs. In the spring, all pharmacy residents will go on a residency trip to learn from other residency programs and suggest improvements to our program.  Residents formally present their projects at the Ohio Residency Conference. Accommodations, travel and expenses will be reimbursed for local, state and national meetings.

Medication Use Evaluation and Study Completion

Residents will complete a medication use evaluation in the early part of the residency year with the option of using results (versus presenting their year-long research methodology) to present their poster at the ASHP Mid-year Meeting. The resident will also be required to complete a year-long research project.  The goal is to expose the resident to the research process. A mentor will be assigned to help the resident with the project.  The resident must provide a manuscript suitable for publishing before graduation from the program.

Staffing Requirements

Our goal is that any resident graduating from our program will feel confident to staff in all distribution and clinical generalist positions.  As a result, we will assure residents have ample pharmacist practice experience throughout their residency.

Residents will gain proficiency in staffing both centralized and decentralized pharmacist positions.  Staffing requirements are as follows:

  • Scheduled duty hours will be 11 days in a two week (pay) period. Rotational responsibilities will generally be during the day shift Monday through Friday. In addition, staffing responsibilities will be on weekends and holidays and could be for any shift (primarily day or evening shift).
  • Pharmacy practice residents are required to staff every other weekend in the Pharmacy. Residents will also staff on three of the six major holidays.
  • Pharmacists in the assigned practice areas are resources for the resident and will be queried by the preceptor for the practice (staffing) rotation for quarterly evaluations.

Evaluations

During the year, residents will be evaluated by rotation preceptors, the program director, and themselves. Residents are required to complete evaluations and provide specific feedback so that our program, preceptors and their selves can improve.  Evaluation types that are required for each rotation:

  • Evaluation of the rotation
  • Evaluation of the preceptor
  • Evaluation of themselves (as assigned)

Residents and preceptors will complete the evaluations separately and then meet to discuss the evaluations. Completed evaluations will be available in PharmAcademic.

Requirements Check List

  • Pharmacist licensure by 7/15, absolute by 9/19
  • Successful Completion of all rotations – no NI evaluations in the last 6 months of the residency
  • Completion of residency research project
  • Presentation of at least one formulary monograph and/or other P&T presentation
  • Written manuscript (in publishable form) and submitted to the residency director and journal selected (during your project defense) prior to the end of the residency year
  • Present according to the schedule agreed upon by both the Resident and Residency Program Director at the beginning of the residency year (including presentation of case presentations, journal clubs, continuing education topics, seminar, research proposal and findings, DUE proposal and findings, and presentation at Critical Care Journal Club) throughout the year
  • Presentation at the Ohio College of Clinical Pharmacy (OCCP) Fall and Spring meetings, Vizient Mid-year, ASHP Mid-Year and the Residency Conference
  • Staffing every other weekend (both Saturday and Sunday), and every other holiday, subject to change
  • Successfully completes 85% of learning objectives (33 PGY1 and 6 for the elective Teaching Certificate) as achieved for the residency
  • MUE