(PGY1 Required Rotation - Longitudinal Learning Experience)
A preceptor is assigned based on the project selected by the resident during the first month of rotation. The preceptor coaches the resident through their project as a content expert and facilitator. The preceptor must be approved by the PGY1 Residency Program Director.
The Department of Pharmacy Services provides services to 4 hospitals, 3 infusion services, 12 community clinics, 15 retail pharmacy facilities, and specialized ambulatory clinics. The Department is supported by a comprehensive Drug Information Service. As a vibrant, dynamic department, there are many opportunities for projects for PGY1 residents.
As a requirement of the program, a resident will complete a project. The project will help support the completion of the outcomes, goals, and objectives of the PGY1 program. During this experience, residents will learn the steps involved in planning and completing a project that contributes to furthering pharmacy practice. These steps include, but are not limited to developing a project proposal in the IRB format, presenting the proposal to the Residency Advisory Committee, identifying data and human resources for data collection, managing their time in collecting and analyzing the data, and writing a final project summary. In addition, the resident will present the project at regional conference and prepare a manuscript appropriate to submit for publication. The resident has the opportunity to work with any pharmacy preceptors, supervisors, or directors on a project that will benefit the department, pharmacy practice in general, or patient care.
R1.2 Design and implement quality improvement changes to the organization’s medication-use system.
- Participate in the identification of need for, development of, implementation of, and evaluation of an evidence-based treatment guideline/protocol related to individual and population-based patient care.
- Design and implement pilot interventions to change problematic or potentially problematic aspects of the medication-use system with the objective of improving quality.
R4.1 Conduct a practice-related project using effective project management skills.
- Identify a topic for a practice-related project of significance for pharmacy practice.
- Formulate a feasible design for a practice-related project.
- Secure any necessary approvals, including IRB and funding, for one's design of a practice-related project.
- Implement a practice-related project as specified in its design.
- Effectively present the results of a practice-related project.
- Successfully employ accepted manuscript style to prepare a final report of a practice-related project.
- Accurately assess the impact, including sustainability if applicable, of the residency project.
E7.4 Manage time effectively to fulfill practice responsibilities
- Use time management skills effectively to fulfill practice responsibilities.
E7.5 Make effective use of available software and information systems.
- Successfully search, retrieve, and manage electronic data from internal information databases, external online databases, and the Internet.
- Exercise skill in the use of the organization’s word-processing, spreadsheet, and presentation software.
- Explain how an effectively functioning organizational information system is structured.
|Rotation Activity||RLS Goal||Teaching Method|
|Identify a project idea. Discuss what makes a project feasible to complete in 9 months. Map out the activities required to complete the project by the end of April.||R4.1||I,C, F|
|Develop a project proposal and present to RAC – describing the potential effect of the project on identifying or improving the quality of therapeutic regimens or systems at UUHC.||R4.1||M,C, F|
|Submit an IRB proposal if appropriate.||R4.1||C, M, F|
|Conduct project – making effective use of software.||R4.1, E7.4, E7.5||C,F|
|Analyze data – making effective use of software. The resident should review the statistical procedures used to summarize data with their project preceptor. The resident is responsible for using Excel or Access to provide a descriptive analysis of their data.||R4.1, E7.4, E7.5||M, C, F|
|Draw appropriate conclusions from data. The resident will present the data and conclusions to their preceptor to review.||R4.1||M, C, F|
|Develop a manuscript suitable for publication using the author’s instructions for the publication. Include the manuscript with edits in the resident’s e-portfolio.||R4.1, E7.4||M,C, F|
|Present project at Western States conference and, if possible, a UHC Midyear poster presentation.||R4.1, E7.4||F|
|Describe the impact of the project on the department, patient care or pharmacy practice. Include recommendations for updating protocols or guidelines based on the study results.||R1.2, R4.1||C,F|
Readings and Preparatory Work:
The resident will conduct a thorough literature search to identify readings to provide background for the project and enhance the skills to conduct the project. The resident will complete the IRB training prior to starting on their project in CITI (regardless if IRB approval is needed for the project). Additional readings may be assigned to further support the successful completion of the project.
The project will be conducted over the year. In general, a topic is identified by August, RAC proposal prepared in September, IRB proposal in September and October. The project is conducted during October through April. The project presentation for Asilomar is prepared in April for departmental practices in May and the full WSC presentation in May. The project manuscript is prepared in May and turned in to the preceptor and RPD by June 10th.
Typical Daily/Weekly/Monthly Activities:
A project will test the resident's time management skills. The resident will need to work consistently on their project throughout the year. The resident will need to communicate frequently on the project status and any problems that may occur with the project preceptor and program director.
The project is typically scheduled as a longitudinal experience. If the resident desires, project time can be allocated during the year in up to 4 weeks of protected project time.
The resident will meet with the preceptor at least every 4 months to formally evaluate progress and complete the ResiTrak goals. A self-evaluation will be completed on the same schedule. The resident should keep both the project preceptor and the RPD informed of their ongoing progress in completing the projects and related tasks.
The preceptor will conduct evaluations at least every 4 months. The resident will conduct self-evaluations on the same schedule. The resident will conduct end-of-rotation preceptor and learning experience evaluations. These evaluations will be posted in ResiTrak, but must include face-to-face discussions of the progress of the resident in completing their project.