Pharmacy Services

Pharmacy Services Residency

Practice Management

 (PGY1 Required Rotation)

 
Rotation Coordinator: Linda Tyler, PharmD, FASHP
 

Track A Rotation Preceptors: Linda Tyler, PharmD, FASHP or Kavish Choudhary, PharmD, MS
Track B Rotation Preceptors: Matt Rim, PharmD, MS or Russ Ragsdale, RPh

 
Site Description:

University of Utah Hospitals & Clinics (UUHC) is comprised of 4 hospitals, 12 free standing clinics, 16 retail pharmacies, 4 infusion centers, ambulatory clinic services, home infusion service, and a comprehensive drug information service. University Hospital is a 490 bed, level 1 trauma center with strong critical care, emergency medicine, surgical services, obstetrics and gynecology, neonatal, internal medicine and subspecialties, neurosciences, and rehabilitation. The University Neuropsychiatric Institute is a 130 bed inpatient psychiatric facility. The Huntsman Cancer Institute consists of a 100 bed inpatient service including an intensive care unit, an ambulatory infusion suite, and extensive ambulatory cancer clinics, including bone marrow transplant. The University Orthopaedic Center provides mostly ambulatory care surgery services plus orthopaedic specific clinics. The ambulatory care network includes the Community Clinics located throughout the Salt Lake Valley and the four surrounding counties that provide both primary and specialty care, plus the specialty clinics and infusion room at University Hospital.

While on administrative rotations, residents may also find that they will working with the following teams at these locations.

Teams Locations
Drug Information
Finance
250 Plaza
(250 East 200 South, 13th floor, Downtown)
Support Services University Hospital and 250 Plaza
Informatics 102 Plaza
(102 South 200 East, Downtown) (call ahead since building is locke—they will come down to get you)
Ambulatory Administration 250 Plaza and Midvalley
(Midvalley 6056 Fashion Square Drive, Suite 1000)
Pharmacy Ambulatory Clinical Care Center (PAC3) Midvalley
Home Infusion Midvalley

While on rotation, the resident will primarily be at University Hospital if assigned to Kavish or Linda or Midvalley if assigned to Russ or Matt. Either way, residents will have the opportunity to visit numerous sites within the enterprise.

 
Role of the Pharmacists:

The pharmacists in leadership roles that the resident works with on this rotation provide the leadership for the department as well as contribute to the overall leadership of the organization. The role of the pharmacist includes:

  • Set the vision and strategic direction of the business units and department consistent with the organizational mission, vision, values, and goals.
  • Drive for strong operational performance including efficiency, financial strength, high value, and labor utilization.
  • Develop and implement plans for excellent patient and customer experience.
  • Strive for continued excellence in the quality of services provided including evaluating operations and clinical services.
  • Manage growth of the department to match the organizational goals
  • Manage change.
  • Prepare requests for new services and resources including FTEs, space, equipment, programs, and informatics resources.
  • Managing day to day operations
  • Organize and prioritize tasks and projects.
  • Delegate work and engage team members.
  • Demonstrate strong problem solving skills. Examples of these situations include:
    • Urgent, emergent and disaster situations
    • Day to day activities
    • Actions needed based on reported medication events
    • Actions to improve and standardize processes
    • Making strategic decisions on the use of personnel and resources
  • Facilitate team functions.
  • Manage department finances including capital and expenses.
  • Forecast trends that will impact pharmacy such as rising drug cost, health care policy, and technology advances
  • Support employees by conducting HR functions including recruitment, onboarding, orientation, retention, motivation and engagement, coaching and development, and progressive discipline.
  • Advocate for the role of the profession of pharmacy both within the organization, the community, and at the national levels.

 
Rotation Description:

Residents will receive a broad overview of the leadership and management issues in the Pharmacy Department. The resident will attend many of the meetings that Pharmacy Leadership attends including those with senior leadership. The resident will develop a good understanding of pharmacy’s important role in the organization. While on rotation, the resident receives an introduction and overview to the department’s compliance, supply chain, revenue integrity, regulatory and financial issues. Residents will complete several projects to apply key concepts and understand how to justify pharmacy services.

 
Expectations of the resident:

This is an exciting and often fast paced rotation. Residents will come prepared for the daily activities including the meetings and topic discussions. Residents will be meeting with other senior leaders in the organization so are expected to demonstrate executive presence. This includes demonstrating emotional intelligence and dressing appropriately. Residents represent the department on rotation and will have the opportunity to extend outstanding hospitality to department guests.

Residents will demonstrate excellent communication, time management, and organizational skills.

  • Residents are responsible to schedule topic discussions and meetings with preceptor, including scheduling the final evaluation before the end of rotation.
  • Residents will need to organize their time to be able to complete their projects within the rotation time block. This will involve being able to use small blocks of time effectively.
  • Residents need to demonstrate excellent sign-posting skills by keeping their preceptor appraised of the status of projects, activities, and the problem solving they are doing.

Residents will attend numerous meetings with department leaders. As such, residents will engage as appropriate for the meeting and generate questions to discuss with the leaders and preceptors. Residents will identify and follow the progression of issues during the course of the rotation and will be able to make connections between work areas and departments to facilitate communication.

Residents will keep a journal on rotation to capture their questions, observations, and insights. These notes will serve as discussion points with the preceptor. Residents who ask numerous questions get the most from their rotation. For each meeting, the resident will identify three positive things and three opportunities for improvement. Think about both the meeting content and the process of the meeting. Also, note the opportunities to improve the medication use system. Be sure to bring up your observations and questions with preceptors for discussion.

 
Pre-rotation preparation:

Residents need to contact the preceptor 1-2 weeks before the rotation starts to confirm start date and provide the preceptor any scheduling situations (vacation, appointments, etc.) as soon as the resident is planning it. No preparation is required prior to the start of rotation. If desired, residents can begin working through the readings for the rotation. Use this rotation description to guide you through the readings. Readings are located in: S://hscgroups/Rx Residents/PGY1 Resident Readings.

By the first day of rotation, residents need to complete everything on the, "Rotation Orientation Checklist for Preceptors and Residents." In particular, residents should bring a copy of the customized plan and resident’s individual goals for the rotation. Resident should also bring their Color Code and Myers-Briggs preferences. In addition, they should bring their Strength Finders if they have it.

 
Typical Daily/Weekly/Monthly Activities:

Usual time for rotation is 7:45 am to 5 pm. However, it is very important to be flexible based on what is going on in the department and with meetings: early (6 or 7 am) or late in the afternoon or evening meetings are likely to happen several times in the rotation. The preceptor and resident will review the schedule every Monday morning to develop a plan for the week, and adjust daily (or hourly) as the need arises.

 
Project/Presentation Description:

The resident will have the opportunity to work on a wide range of relevant administrative, quality, safety, or management projects during the rotation. Projects will be concentrated on topics and initiatives that will enable to resident to work with different areas within the department of pharmacy as well as departments throughout the entire organization. Current department and organization events dictate project opportunities and may require a presentation. Residents will be involved in at least five projects including:

  • Conduct an MUE project that will require working with a data set.
  • Conduct an audit of an area.
  • Participate in other projects such as a gap analysis, developing a proposal,
  • Develop the rationale and justification for a department position, service, space or capital request.
  • Research an event report and make a recommendation for improvement.

Residents will have an opportunity to present the results of their projects at department meetings.

Residents will conduct a journal club on a management article and facilitate a meeting (often as part of the journal club).

Residents will prepare an elevator speech that summarizes the results of one of their projects and/or promotes pharmacy services.

During this rotation, we will have discussions concerning work-life balance. If the resident is feeling overwhelmed, has too many projects, or have other things going on that may need adjustments of their schedule or activities, it is the resident’s responsibility to communicate the issues. Preceptors want to support the residents, but cannot always know what is necessary. Residents will learn about the resources available within the organization to support employees and students.

 
Evaluation:

The resident will have discussions with the preceptor(s) multiple times per week. The weekly planning meeting (usually Monday morning) serves as a place for providing feedback to the resident and making adjustments to the rotation as needed.

A custom midpoint evaluation in PharmAcademic is used. The resident and preceptor will complete it together evaluating progress in completing goals, interpersonal communication, project and time management, and ability to work independently. Resident strengths and opportunities will be discuss. The resident needs to come prepared with the list of their projects to date, but no other preparation is necessary.

A final summative evaluation will be completed, usually on the last day of rotation (if not, prior to the last day of rotation). Prior to the evaluation meeting, the resident needs to complete the self-evaluation, evaluation of learning experience, and preceptor evaluation in PharmAcademic. The preceptor will conduct the final evaluation in PharmAcademic. The resident needs to be sure to use the template for evaluations (https://pulse.utah.edu/site/dirc/Nonsearched/preceptor-003.pdf) in preparing their evaluations.

 
Resident Progression:

The following describes the usual resident progression during the rotation.

Time frame Resident progression
Pre-rotation and Day 1 Confirm with preceptor starting dates and time for first day.
Optional: pick up readings and start working through them
 
Come prepared to discussion resident progress to date, goals, and personal objectives for the rotation.
Review rotation description with preceptor.
Check off rotation orientation checklist.
Week 1 Attend meetings with preceptor or other assigned meetings.
Participate in daily huddles throughout the rotation as available
Start working through readings. Complete 50% of the readings this first week.
Set up topic discussion and evaluation appointments.
Get project assignments. Your preceptor will help you get your MUE, medication event investigation, and audit project assignments.
Week 2 Continue to attend meetings with preceptor as assigned.
Complete 75% of the readings
Signpost on projects. Get additional project assignments.
Complete audit assignments.
Discuss assigned topics with preceptor.
Complete 40% or more of the goals for the rotation.
Week 3 Attend selected meetings.
Complete remaining readings.
Discuss assigned topics with preceptor.
Apply readings to rotation activities.
Signpost on projects.
Week 4 Attend selected meetings.
Complete projects.
Present selected projects to appropriate stakeholders.
Prepare written project reports.
Present Journal club for preceptors.
Facilitate a meeting (such as a Daily Huddle, journal club, department meeting)
Discuss assigned topics with preceptor.
Discuss ideas for improving the medication use process and a plan for implementing the change.
Complete all goals for the rotation.
Work with RPD to develop a plan to address any areas that need improvement.
Complete evaluation in PharmAcademic prior to the end of rotation using evaluation template for both the resident and preceptor.

 
Goals and Objectives, Rotation Activities, and Readings for the rotation:

The following table outlines the goals and objectives for the rotation. For each goal, there are detailed rotation activities with the associated reading assignments. Required readings are available at S://hscgroups/Rx Residents/PGY1 Resident Readings. Optional readings are available on request.

Table of Goals and Objectives