PGY 1 Pharmacy Practice Residency Program
The Pharmacy Practice Residency Program focuses on the development of general pharmaceutical patient care expertise. The residency offers exposure to critical care, cardiovascular and cardiothoracic care, as well as neonatology, ambulatory care, oncology, internal medicine, infectious disease, administration and pharmacy practice. Additional opportunities will exist for further development through a variety of elective rotations. Residents will complete a major research project, and a seminar presentation.
Department of Pharmacy
Fairview Hospital's Pharmacy Services employs about 67 people, including approximately 30 pharmacists. The pharmacy operates 24 hours per day and provides pharmaceutical services, including:
- 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 specialty practices
- In-service education
- Pharmacy and Therapeutics Committee participation
- Pharmacist-led research through the residency program
- 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
Professional Staff: 30
Non-Professional Staff: 37
Total Beds: 517
Average Daily Census: 375
Located on the western edge of Cleveland, Fairview Hospital is a Level II trauma center with a Level III neonatal intensive care unit. Other medical specialties include cardiology, cardiothoracic surgery, critical care, neonatology, oncology, orthopedics, and pediatrics. Residents will assist in the training of Doctor of Pharmacy Candidates from The University of Toledo, Ohio Northern University, Northeast Ohio Medical University and other colleges of pharmacy affiliated with Cleveland Clinic.
Required Rotations: internal medicine, critical care, unit-based pharmacy practice model, women's/children practice including pediatrics, neonatal intensive care and obstetrics, administrative practice, oncology, adult psychiatry.
Elective Rotations: acute inpatient family medicine, pediatric psychiatry, emergency medicine, infectious disease.
Longitudinal Rotations: ambulatory care clinic, teaching certificate.
Effective communication skills are critical as a pharmacy practitioner. Many opportunities exist to refine these skills in each rotation. The following presentations and writing are required for 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 from Fairview Hospital. In addition, the resident will prepare regular journal “club” presentations as well as case presentations.
- Pharmacy or nursing in-services will be presented during each rotation. Topics will be selected in conjunction with the preceptor, unit-based pharmacist and pharmacy management staff.
- The residents' major project will be presented to preceptors at Fairview Hospital and at Great Lakes 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 ASHP Midyear meeting, during which residency recruitment occurs. In the spring, residents formally present their projects at the Great Lakes Residency Conference. Accommodations, travel and expenses will be reimbursed for local, state and national meetings.
Residents will complete a study in the early part of the residency year with the intent of preparing a poster for presentation at the ASHP Midyear Meeting. The goal is to help the resident learn how to develop a systematic process designed to improve the medication process. A mentor will be assigned to help the resident with the project.
ASHP guidelines recommend that each resident complete a pharmacy practice component of the residency program. The staffing component is crucial to the development of professional practice skills and of pharmacy practice distribution skills.
Residents will gain proficiency in distribution skills, incorporation of clinical services and development of personnel management skills. They also will develop insight into the operations, policies and procedures of an acute care facility.
- 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 either 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.
- Residents may choose to cover additional pharmacist shifts and will be compensated at the standard time and a half pharmacist rate. Residents are reminded that the primary objective of the residency year relates to the residency program objectives. Achievement of these objectives should not be hindered by other activities, including extra staffing.
- Pharmacists in the assigned practice areas serve as preceptors for the practice (staffing) rotation. Evaluations of the resident’s performance in this component of the program are completed three times during the residency year. Residents are expected to complete an evaluation of the staffing component and offer suggestions for improvement of operational procedures.
During the year, residents will be evaluated by rotation preceptors, the program director, and themselves.
Prior to the start of each new rotation, the resident will meet with the rotation preceptor to discuss and customize the rotation's goals and objectives in order to meet the specific needs of the resident.
During the rotation, residents meet with preceptors on a regular basis, as determined by the preceptor and resident. Preceptors and residents should meet after one week of the rotation is complete to discuss any changes that are needed. Preceptors will complete a snapshot evaluation after rotations are complete and the pharmacy resident will complete a self- evaluation.
Within two to three days of completing the rotation, residents meet with their preceptors for evaluation purposes: preceptors evaluate the residents; residents evaluate preceptors and the rotation; and they conduct a self-assessment. Any modifications to the rotation or its goals and objectives may be discussed. All resident and rotation evaluations must be in written form and included in PharmAcademic.
Residents and preceptors will complete the evaluations separately and then meet to discuss the evaluations. Each resident will keep copies of the rotation evaluations and quarterly evaluations electronically in the PharmAcademic system as well as in the resident binder. Evaluations in PharmAcademic are available to the preceptors, and all members of the Resident Advisory Committee.