Hospital-System Pharmacy Administration and Leadership

PGY2 Health-System Pharmacy Administration and Leadership Residency combined with PGY1 Pharmacy Practice Residency and MS in Health-System Pharmacy Administration 2 year program

 
Program Overview

The Health-System Pharmacy Administration and Leadership (HSPAL) PGY2 residency program at University of Utah Health develops clinically strong practitioners who choose to specialize in pharmacy administration roles, and become leaders in the profession. The PGY1 program provides a strong practice foundation with emphasis on clinical skill development. The PGY2 HSPAL program provides a comprehensive experience in the management of pharmacy services in an academic medical center including inpatient and ambulatory programs, as well as foundational skills in human resources, leadership, technology and informatics, clinical and operational management, finance, compliance, supply chain, and medication safety and quality. The MS program provides the academic foundation to support rotational experiences. Graduates of the program will be capable of assuming roles as clinical coordinators, team leaders, pharmacy supervisors or managers in a variety of pharmacy practice settings, including academic medical centers. These are the leaders that will ultimately assume senior pharmacy leader and director of pharmacy positions.

 
Program Purpose

The following are the ASHP program purpose statements for PGY1 and PGY2 training programs. We design our programs to support these purpose statements during residency training.

The PGY1 pharmacy residency program builds 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.

The PGY2 pharmacy residency programs build on Doctor of Pharmacy (Pharm.D.) education and PGY1 pharmacy residency programs to contribute to the development of clinical pharmacists in specialized areas of practice. PGY2 residencies provide residents with opportunities to function independently as practitioners by conceptualizing and integrating accumulated experience and knowledge and incorporating both into the provision of patient care or other advanced practice settings. Residents who successfully complete an accredited PGY2 pharmacy residency are prepared for advanced patient care, academic, or other specialized positions, along with board certification, if available.

 
Program Educational Outcomes, Goals, and Objectives

The HSPAL program uses the ASHP Outcomes, Goals and Objectives required for HSPAL programs. We use all the required Outcomes, Goals and Objectives.  Other elective outcomes may be addressed as part of the resident's custom plan.

The summary of the Outcomes, Goals and Objectives selected for the year are included as a print out from PharmAcademic for each resident as part of the process of planning for the year.

 
Program Requirements

The program is offered in 3 parts.

1. See the Pharmacy Practice (PGY1) Residency description for detailed information on the first year of the program.  Required 4 week rotations include:  Orientation, Management, Drug Information, Acute Care, Primary Care, Adult Critical Care Selective, Transitions of Care Selective, and Ambulatory Care Selective.  Residents have 4 weeks of project time spread throughout the year.   Residents may then choose electives (4 months)  in acute or ambulatory care, and specialty consult areas. It is highly recommended that residents in the HSPAL program take Medication Safety an electives their first year.
    
2. The Master of Science in Health-System Pharmacy Administration is offered as a program of the University of Utah College of Pharmacy. The first year course work is pharmacy specific with courses in issues in health care leadership and ethics, finance and accounting, operations management, human resources, research seminar, and practical issues for health system leaders. The second year is primarily electives taking coursework with the Masters in Health Care administration students and in other departments such as Family Medicine (department with masters in public health), Health Education, Communication, and Business. Data Analysis and Decision making is required this second year. Examples of elective courses include: Public Health Policy and Administration, Health Care Financial Management, Health System Administration, Quality Improvement, and Pharmacotherapy Outcomes Research. Other electives are considered with the approval of the Graduate Programs Committee. This second year curriculum is intended to give the resident a broad view of the health care delivery system and how we serve our patients.
    
   Summary of academic program with curriculum. (see sidebar on HSPAL residency site at http://pharmacyservices.utah.edu/residency)
    
3. HSPAL (PGY2) Residency
    
   Rotations are planned for each resident based on the program requirements, resident's previous experiences, resident's interests, and identified resident needs. A foundational set of experiences are required. The following summarizes the rotation experiences.

Rotation	Primary Preceptor(s)	Suggested Duration
Foundational Required Experiences
Orientation	Linda Tyler Chris Hansen	2 weeks
Inpatient Pharmacy Operations I	Ashley Bowden	3 weeks
Inpatient Pharmacy Operations II	Ashley Bowden	4 weeks
Inpatient Clinical Management	Sonya Ruelle	4 weeks
Ambulatory Care Pharmacy Operations—Community Pharmacy	Nathan Hagen	4 weeks
Ambulatory Care Pharmacy Operations—Pharmacy  Ambulatory Clinical Care Center (PAC3) including specialty pharmacy	Ashley Ryther	4 weeks
Ambulatory Care Clinical Management	Ben Berrett	4 weeks
Supply Chain	Russell Findlay	4 weeks
Advanced Institutional	Kavish Choudhary	4 weeks
Budgeting and Financial Services	Linda Tyler	4 weeks
Informatics	Dallas Moore	4 weeks or Longitudinal
Capstone	Linda Tyler	4 weeks or Longitudinal
Project	Program Preceptors	Longitudinal
Longitudinal Supervision (Residents supervise an area of the pharmacy during their second year.  Examples of areas supervised include operating room areas, a community pharmacy or supervising an intern class)	Ashley Bowden Alyssa Ferrie	Longitudinal
Staffing, Scheduling—Inpatient	Ashley Bowden	Longitudinal
Staffing, Scheduling—Outpatient, Discharge Services	Chris Hansen	Longitudinal
Note:  Medication Safety:  Residents are asked to take this as a rotation during their PGY1 year.  If that did not occur, then residents are required to take this rotation in their PGY2 year.	Shantel Mullin	4 weeks
Elective Experiences
Electives are arranged based on the resident's interests. This may include experiences in other areas not listed, or an extension in an already scheduled area.  In addition, there are many electives for the resident to choose from to gain experience and enhance their interests.  The follow are established electives.
Drug Policy	Erin Fox	4 weeks
Home Infusion Services	Jamie Doi Slade	2-4 weeks
Reporting and Analytics	Linda Tyler Ian McDonald	2-4 weeks
Specialty Pharmacy Clinical Management	Lonnie Smith	4 weeks
Oncology Service Development (clinical service development or operational focused)	Scott Silverstein Makala Pace	2-4 weeks
Investigational Drug Service	Mellissa Webb	2-4 weeks
340B Pharmacy Compliance and Operations	Sanaz Kelly	2-4 weeks
Other electives may be developed based on the resident’s interests.

This checklist summarizes the requirements for completing the HSPAL PGY2 Residency.

Complete at least 85% of all goals and objectives marked "Achieved for Residency" (AChR).
Satisfactorily complete all learning experiences.
Perform at the level of an independent, licensed pharmacist in performing responsibilities throughout the year.
Demonstrate accountability for the care of patients.
Perform independently as a pharmacy leader at the end of the program year.
Complete all assigned projects.
Insure completion of all evaluations for each learning experience assigned.
Service requirements: Cover four shifts per month in a staffing role (Approximately 34 hours per month, 48 shifts for the year).  Assignments are split equally between inpatient and discharge pharmacist assignments.
Design and complete a research project and develop a publishable manuscript. This will be evaluated as a project rotation.
Presentations (evaluated as part of capstone experiences) Facilitate at least 4 recitation sections for the College of Pharmacy.  Provide an acceptable continuing education presentation. Present research project results at the Mountain States Conference. Complete at least 4 presentations as part of other rotations.  Presentations will be given to a variety of audiences including pharmacy staff, intraprofessional teams, and senior leadership.
Satisfactorily maintain a residency program e-portfolio.  Portfolio will contain at a minimum: End of year updated CV Vision Statement Project proposal and final project manuscript For all projects and presentations completed during the year:  summaries, presentations, and other documents

Optional experience: Complete requirements for teaching certificate program. This can be completed over the 2 years of the program.

Goals and objectives for each rotation: The goals and objectives are assigned for each learning experience. PharmAcademic is used as a tool for managing this process.

Rotation Descriptions: Rotation descriptions are available online on the website.

 
For more information contact

Kavish Choudhary, PharmD, MS
Sr. Director Inpatient Operations & Infusion
HSPAL Residency Program Director
Kavish.Choudhary@hsc.utah.edu
50 N. Medical Drive, Room A-050
Salt Lake City, UT 84132

Ashley Bowden, PharmD, MS, BCPS
Manager, Inpatient Operations
HSPAL Program Co-Coordinator
Ashley.Bowden@hsc.utah.edu

Ashley Ryther, PharmD, MS, BCPS
Supervisor, PAC3
HSPAL Program Co-Coordinator
Ashley.Ryther@hsc.utah.edu