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Residency Night 2008. Sponsored by: Midwest College of Clinical Pharmacy. Why Consider a Residency or Fellowship. Patrick D. Fuller, BS, PharmD, BCPS Residency Program Director, PGY1 Clinical Specialist Staff Development Clinical Pharmacist/Adult ICU The Nebraska Medical Center

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residency night 2008

Residency Night 2008

Sponsored by:

Midwest College of Clinical Pharmacy

why consider a residency or fellowship

Why Consider a Residency or Fellowship

Patrick D. Fuller, BS, PharmD, BCPS

Residency Program Director, PGY1

Clinical Specialist Staff Development

Clinical Pharmacist/Adult ICU

The Nebraska Medical Center

Oct. 28, 2008

future of pharmacy
Future of Pharmacy

“Great Leaders are never satisfied with current levels of performance. They are relentlessly driven by possibilities and potential achievements.”

D. Harrison

joint commission of pharmacy practitioners
Joint Commission of Pharmacy Practitioners
  • Vision Statement
    • “Pharmacists will be the health care professionals responsible for providing patient care that ensures optimal medication therapy outcomes.”
jccp vision 2015
JCCP Vision 2015
  • Pharmacists will be looked at by other disciplines for trusted, unbiased drug information.
  • Pharmacists will achieve public recognition that they are essential to the provision of effective health care.
accp goals
  • Residency (Postgraduate Year One)
  • Specialty Residency (Postgraduate Year Two)
  • Fellowship
  • Board Certification (BCPS)
2015 ashp
2015 ASHP

Goal 4

Increase the extent to which pharmacy departments in health systems have a significant role in improving the safety of medication use.

Objective 4.7

90% of new pharmacists entering hospital and health-system practice will have completed an ASHP-accredited residency.

residency trends
Residency Trends
  • 2008 saw a record number of residency applications
  • 2,300 applicants sought the approximately 2,000 available positions, with nearly 1,700 individuals matching with residencies across the United States.
  • More than a decade of double-digit growth in postgraduate pharmacy residency training.  
why choose residency or fellowship
Why Choose Residency or Fellowship
  • A competitive advantage in the job market
  • Networking opportunities
  • Career planning
  • Professional vision
  • Personal growth
  • Experience
  • Enhancement of patient care
  • “…organized, directed, postgraduate training program in a defined area of practice…”
  • Goal of a residency
    • To provide residents experience in taking care of a wide variety of patient populations
    • To provide residents with many experiences working with other health-care professionals
so what is different pgy1 vs pgy2
So what is different PGY1 vs PGY2?

Postgraduate Year One (PGY1)

  • First year of post graduate residency training
  • Wide variety of disease states/patients
  • Advances individual beyond PharmD
  • Training a generalist

Postgraduate Year Two (PGY 2)

  • Second year of post graduate residency training
  • Advances training beyond PGY1
  • Usually focused on a specialized area of practice
pgy1 and pgy2
PGY1 and PGY2

(PGY1)- Pharmacy practice residencies, managed care, community

(PGY2)- Specialized residencies (Critical Care, Oncology, Internal Medicine)

Usually require a PGY1 prior.

residency benefits
Residency Benefits
  • Increase knowledge base
  • Increase experience
  • Increase personal growth and development
  • Develop/enhance research skills
  • Increase teamwork experiences
  • Enhance communication skills
  • “…A highly individualized, postgraduate training program designed to prepare the participant to become an independent researcher…”
  • Goals of a fellowship (2 years in length)
    • To develop competency in the scientific research process
    • Most programs emphasize on bench-top/clinical research
  • ACCP Fellowship Review Committee
    • Assess whether a program meets the ACCP guidelines for research fellowship training
    • Overall process is not intended to standardize fellowships
    • A highly individualized experience is the hallmark of an excellent training program
  • Infectious Disease
  • Cardiology
  • Critical Care
  • Pharmacoeconomics
  • Pharmacokinetics
  • Pediatrics
  • Ambulatory Care
ashp accreditation
ASHP Accreditation
  • ASHP administers the only process that grants accreditation status to practice sites conducting pharmacy residencies.
  • Provide criteria that every program must meet in order to receive and maintain accreditation
  • Programs vary in strengths, but each program is flexible and can be tailored to meet the needs of the individual resident
ashp accreditation recommended for following reasons
ASHP-Accreditation recommended for following reasons
  • Programs are surveyed periodically
  • In-depth information about programs available through ASHP Residency Directory
  • Future employers will have confidence in hiring pharmacists who have completed an ASHP-Accredited program
basic residency requirements

Basic Residency Requirements

Tammy L. Burns, PharmD

Clinical Coordinator

Creighton University Medical Center

pharmacy practice residency pgy1
Pharmacy Practice Residency (PGY1)

Required Outcomes

  • Manage and improve medication-use process
  • Provide evidence-based, patient-centered medication therapy management with interdisciplinary teams
  • Exercise leadership and practice management skills
pharmacy practice residency pgy11
Pharmacy Practice Residency (PGY1)

Required Outcomes

  • Demonstrate project management skills
  • Provide medication and practice-related education and training
  • Utilize medical informatics
pharmacy practice residency pgy12
Pharmacy Practice Residency (PGY1)

Elective Outcomes

  • Conduct pharmacy practice research
  • Exercise added leadership & practice management skills
  • Demonstrate knowledge & skills particular to generalist practice in the home care or managed care environments
pharmacy practice residency pgy13
Pharmacy Practice Residency (PGY1)

Elective Outcomes - continued

  • Participate in the management of medical emergencies
  • Provide drug information to HCP or the public
  • Demonstrate additional competencies that contribute to working successfully in the health care environment.
specialized residencies pgy2
Critical care

Drug Information


Infectious Diseases

Internal Medicine

Nuclear pharmacy

Nutrition support

Health system administration

* Specialized residencies may not be accredited

Ambulatory Care


Managed care




Primary Care

Psychiatric pharmacy

Pharmacy informatics

Medication Use Safety

Specialized Residencies (PGY2)
now what
Now what?

Research potential residency programs

Go to specific residency program websites

Contact specific residency programs

Talk to others

Faculty and preceptors

People in jobs of interest

Current residents

Current programs

select a residency program that is right for you
Select a residency program that is right for you….

Specific area of interest (i.e. pediatrics, critical care, transplant, etc.)

Specific area of country

University vs. community

Teaching commitment

Small program vs. large program

Quality of the program

ashp midyear clinical meeting
ASHP Midyear Clinical Meeting

Decide if you need to attend or not attend

Register for the meeting if attending

Student member $200

Student non-member $250

Orlando, FL Dec 7-11, 2008

Make contacts

See the programs attending (ASHP website)

Let them know you will be there

Find out who will attend from their program

Bring copies of CV

residency showcase
Residency Showcase

Take advantage of it!

Monday and Tuesday of Midyear

Most residency programs attend

Do your homework

Know the programs you are interested

in and WHY

Talk to the programs interested in

Wear business attire!

Come prepared with questions

First impression---first interview

personnel placement service pps
Personnel Placement Service(PPS)

Formal one-on-one interviews


Usually for specialty residencies, unaccredited programs, jobs


$55 through 10/22

After 10/22, $100 ($100 onsite)

differences between the two
Differences between the two


More informal

Features ASHP-accredited, ASHP-application submitted, and new and prospective residency programs

Limited times (Monday 1-4, Tuesday 8-11 or 1-4)

Access to all residency programs in showcase

Included in meeting registration


Prearranged, one-on-one interview time

More time to ask questions

PPS features all types of residency programs, fellowship programs and employers recruiting for pharmacy positions

Interviews Sunday through Wednesday 8 to 5

Separate fee


If Attended Midyear

Follow-up with a thank-you to the programs interested in

The more contact, the more they will remember you

Start application process

Each program has specific requirements

CV, transcripts, letter of intent

Read requirements closely

Note deadlines!!

letters of recommendation
Letters of Recommendation

Faculty/preceptors are busy – ask early!

Be organized

Packet for preceptor

All applications and requirements

Contact person, title and address

Clear deadlines

Self-addressed, stamped envelopes for non-faculty preceptors

A copy of your CV

Ask faculty/preceptors, co-workers

Avoid friends, neighbors, family members

preparation timeline
Preparation Timeline
  • P1 and P2 year
    • Work
    • Get involved
  • P3 year
    • Choose variety of rotations
    • Select clinical rotations
    • Try to get at least one rotation in a teaching hospital
preparation timeline1
Preparation Timeline
  • P4 year:
    • Prepare CV
    • Narrow down residency programs
    • If going to Midyear, determine which programs to visit prior to meeting
    • If not going to Midyear, begin making contacts with programs in fall
    • Speak to faculty/preceptors/co-workers who have completed residencies
preparation timeline2
Preparation Timeline
  • Fall – P4 year
    • Make sure CV is updated
    • Prepare cover letters
    • Apply to match
    • Travel plans for Midyear – if attending
    • Request additional info from programs of interest
preparation timeline3
Preparation Timeline
  • December
    • ASHP Midyear
    • Request letters of recommendation
    • Submit applications
    • Order transcripts
  • January/February
    • On-site interviews
  • March
    • Match
preparing your curriculum vitae cover letter and interviewing

Preparing your Curriculum Vitae, Cover Letter, and Interviewing

Philip Gregory, PharmD

Center for Drug Information & Evidence-Based Practice

Creighton University

description of the match

Description of the Match

Carla Christensen, Pharm.D.

Assistant Professor of Pharmacy Practice

Creighton University School of

Pharmacy and Health Professions

what is the match
What is the Match?
  • ASHP accredited and accreditation-pending postgraduate year 1 (PGY1) residency programs
  • ASHP accredited postgraduate year 2 (PGY2)doparticipate in the match
  • Results in binding commitment, can not withdraw without mutual written agreement
important link
Important Link
match rules
Match Rules
  • All accredited programs are required to participate
  • Applicants and programs may NOT communicate about ranking prior to release of match results
  • “Early Commitment Process”
    • Programs that offer both PGY1 AND PGY2 programs
    • Elect to allow current PGY1 residents to commit to 1 of the program’s PGY2 residencies
  • Application agreements ($110)
    • January 9, 2009
    • Application confirmation
    • Applicant Code Number
      • Provide to programs
  • Program applications (to each residency program)
  • Interviews
important dates
Important Dates
  • Rank Order Lists (ROLIC)
    • Program Code Numbers
    • Opens February 16, 2009
  • March 6, 2009
    • Match deadline
  • March 18, 2009
    • Match results
  • March 18 - April 17, 2009
    • Confirmation letters to matched applicants
    • Sign and return letter
match process scenario
Match Process Scenario

Resident Rank Order Submissions


Hosp B Hosp B Univ A Hosp B

Best Rx Univ A Best Rx

Univ A Best Rx

match process scenario1
Match Process Scenario

Site Rank Order Submissions

Univ A (2)Hosp B (1) Best Rx (1)

Alli Alli Charles

Charles Madison

Madison Ayden


match process scenario2
Match Process Scenario

Resident Rank Order Submissions


Hosp B

Best Rx

Univ A

Site Rank Order Submissions

Univ A (2)Hosp B (1)Best Rx (1)

Alli Alli Charles

Charles Madison

Madison Ayden


match process scenario3
Match Process Scenario

Resident Rank Order Submissions


Hosp B Hosp B Charles matches w/ Univ A

Univ A

Best Rx

Site Rank Order Submissions

Univ A (2)Hosp B (1)Best Rx (1)

Alli Alli Charles




match process scenario4
Match Process Scenario

Resident Rank Order Submissions


Hosp B Univ A Univ A Madison matches Best Rx w/ Univ A

Site Rank Order Submissions

Univ A (2)Hosp B (1)Best Rx (1)

Alli Alli Charles




match process scenario5
Match Process Scenario

Resident Rank Order Submissions


Hosp B Univ A Univ A Hosp B

Site Rank Order Submissions

Univ A (2)Hosp B (1)Best Rx (1)

Alli Alli Charles

Charles Madison

Madison Ayden


Ayden & Best Rx go unmatched

tips for the match
Tips for the Match
  • Be ahead of the timeline
  • Applicants have the advantage in the matching process, not the programs
    • No inquiries allowed on how applicants/programs are to be ranked
  • Make your ranking with your highest preference 1st, then 2nd, then 3rd and so on…
  • May match as a Couple
    • Available for individuals desiring to positions in the same geographic location
    • Done when submit Rank
what if you do not match
What if you do not match??
  • It is NOT the end of the world
  • Become a FREE AGENT
  • Will be provided with a list of unmatched programs at 12 Noon on Match Day
  • Act quickly!!!
  • Programs may also contact you
important dates and tips

Important Dates and Tips

Carla Christensen, PharmD

Creighton University SPAHP

Alegent Health Bergan Mercy Medical Center

  • Never too early to start preparing!!
  • Stay on task!!
  • September
    • Draft CV and cover letters
  • October
    • Review directories of programs
      • ASHP -
      • ACCP –
    • Register for the ASHP Midyear Clinical Meeting
      • Select programs to visit at the Residency Showcase
    • Register for PPS
      • PGY2
    • Make necessary travel and housing


  • November
    • November 1, 2008
      • Listing of Participating Programs in the Match will be available for access by applicants
    • Contact potential programs of interest
    • Specialized residencies (PYG2)
      • Use preliminary PPS listing to select residency programs for possible interviews
    • Sign up with National Matching Services
  • November
    • Request additional information and applications from programs of interest
    • Finalize CV
    • Request letters of recommendation
      • Enclose any required forms
    • Develop questions for Midyear Clinical Meeting
  • December
    • Attend ASHP Midyear Clinical Meeting
    • Complete all paperwork for applications
      • Order transcripts
      • Make note of application deadlines
    • Schedule on-site interviews
    • December 19, 2008
      • Final date for early commitment for PGY2s by current PGY1
  • January
    • January 9, 2009
      • Recommended deadline for registration for the Match
    • Submit application agreement form to the National Matching Service
    • On-site interviews begin
  • February
    • Complete interviews
      • Narrow choices to programs that best meet your professional/personal needs and goals
    • February 6, 2009
      • Instructions for submitting Rank Order Lists and obtaining Match results will be provided
    • Remember to actually write Thank You notes
      • Interview sites
      • People writing letters of recommendation
  • March
    • Submit Rank Order Form
      • Final date is March 6, 2009
      • No Rank Order Lists or Agreements accepted after this date!!
    • March 18, 2009
      • Receive “Match” outcome at 12 noon EST
    • Unmatched residency candidates resubmit applications
      • Starting at 12 noon EST
  • March 18, 2009 – April 17, 2009
    • Program directors send letters of confirmation to matched applicants
      • Must sign and return letters of confirmation
  • July
    • Most residencies begin
application process
Application Process
  • Best to be early!!
    • Letters of recommendation
    • Cover letter
      • Will need to prepare and send letter of intent or cover letter with application
    • Transcripts
    • Reply to sites promptly
    • Set up on-site interviews
    • Send handwritten Thank You’s
final tip
Final Tip
  • Stay positive!!!
      • The Pharmacy Professional’s Guide to Resumes, CV’s, & Interviewing
        • By Thomas P. Reinders
        • ISBN: 978-1-58212-076-8
        • Purchase through APhA
          • $39 ($43 for members)
          • 800-878-0729