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 Oct. 28, 2008

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 Vision Statement “Pharmacists will be the health care professionals responsible for providing patient care that ensures optimal medication therapy outcomes.”

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 Goal 4 Increase the extent to which pharmacy departments in health systems have a significant role in improving the safety of medication use. Objective % of new pharmacists entering hospital and health-system practice will have completed an ASHP-accredited residency.

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.

Board Certification

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

Residency “…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? 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)- Pharmacy practice residencies, managed care, community (PGY2)- Specialized residencies (Critical Care, Oncology, Internal Medicine) Usually require a PGY1 prior.

Residency Benefits Increase knowledge base Increase experience Increase personal growth and development Develop/enhance research skills Increase teamwork experiences Enhance communication skills

Fellowship “…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

Fellowship 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

Fellowships Infectious Disease Cardiology Critical Care Pharmacoeconomics Pharmacokinetics Pediatrics Ambulatory Care

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 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 Tammy L. Burns, PharmD Clinical Coordinator Creighton University Medical Center

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 (PGY1) Required Outcomes Demonstrate project management skills Provide medication and practice-related education and training Utilize medical informatics

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 (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 Geriatrics Infectious Diseases Internal Medicine Nuclear pharmacy Nutrition support Health system administration * Specialized residencies may not be accredited Ambulatory Care Oncology Managed care Pediatrics Pharmacotherapy Management Primary Care Psychiatric pharmacy Pharmacy informatics Medication Use Safety

What to do now?

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…. 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 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 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) Formal one-on-one interviews Sunday-Wednesday Usually for specialty residencies, unaccredited programs, jobs Cost $55 through 10/22 After 10/22, $100 ($100 onsite)

Differences between the two Showcase 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 PPS 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

Application 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 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 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 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 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 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 Philip Gregory, PharmD Center for Drug Information & Evidence-Based Practice Creighton University

Definitions Brief summary of career objectives, education, & work experience Helps to secure an interview Résumé Comprehensive document that includes virtually all education, achievements, and experiences An organized outline of your professional life Curriculum Vitae (CV)

Key Components of a CV Personal data Name, address, phone Education University, degree, date of graduation Certifications and LicensesClerkship rotations Listed either under its own heading or under education Include site, preceptor, and dates Include planned rotations

Components of a CV Work experience Job title, dates worked, employer Brief description of responsibilities, especially if unique Focus on healthcare jobs Presentations/Publications/Posters Date and setting (in-service, etc.) Audience (pharmacists, nurses, physicians, etc.) Professional memberships/AffiliationsHonors and Awards Scholarships, professional associations, community, etc. References

CV “Do’s” Proofread, proofread, proofreadProfessional format and layoutEasy-to-read, professional fontBe clear, concise, and consistentUse terms others will understand Use action verbs to describe accomplishments & responsibilities Be honest but do NOT be modest Need to promote yourself Do NOT “pad” your document Place information in reverse chronological order Most recent first

CV “Don’ts” InformalityWasted spaceWild colors/fonts/designs/“cutesy”Inappropriate stationery (use white/ivory paper)TyposErroneous information Inclusion of personal information/photograph (age, ethnicity, gender, hobbies, etc.) Inclusion of too much non-pharmacy/health care information – only provide highlights Inclusion of anything you are NOT prepared to discuss

The Cover Letter First paragraph Position you’re applying for & why you’re interested Second paragraph Skills, attributes, qualifications for this position Do NOT rehash your CV Third paragraph Brief summary and thanks for consideration State your interest/availability for an interview End End with a statement pertaining to looking forward to an interview… Limit to one page

References Ask the person before you list their name!Letters of recommendation are typically sent separatelyGood references lead to good residencies/fellowshipsWho to ask? Previous employers Academic professors who taught you skills you value Make sure they know you Ask for letters early in the game Provide due dates; its your responsibility to follow-up Provide your CV Respect their other obligations Make sure they know the program you are applying to

The Interview Research the organization, job, & interviewersRehearse questions & responsesDevelop your questions pertaining to the residency/fellowshipDress professionally & wear comfortable shoesBe punctual (5-15 minutes early)Bring a copy of your CV & references listRelax, but don’t be casualwww.ashp.orgwww.ashp.org (resume & interview centers) (interview planning)

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? postgraduate year 1 (PGY1) ASHP accredited and accreditation- pending postgraduate year 1 (PGY1) residency programs postgraduate year 2 (PGY2)do ASHP accredited postgraduate year 2 (PGY2) do participate in the match Results in binding commitment, can not withdraw without mutual written agreement

Important Link

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

Applications Application agreements ($110) January 9, 2009 Application confirmation Applicant Code Number Provide to programs Program applications (to each residency program) Interviews

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 Resident Rank Order Submissions Alli Charles MadisonAyden Hosp B Hosp B Univ AHosp B Best Rx Univ A Best Rx Univ A Best Rx

Match Process Scenario Site Rank Order Submissions Univ A (2)Hosp B (1) Best Rx (1) AlliAlliCharles CharlesMadison MadisonAyden Ayden

Match Process Scenario Resident Rank Order Submissions Alli Hosp B Best Rx Univ A Site Rank Order Submissions Univ A (2)Hosp B (1)Best Rx (1) AlliAlliCharles CharlesMadison MadisonAyden Ayden

Match Process Scenario Resident Rank Order Submissions Alli Charles Hosp BHosp BCharles matches w/ Univ A Univ A Best Rx Site Rank Order Submissions Univ A (2)Hosp B (1)Best Rx (1) AlliAlliCharles Charles Madison Ayden

Match Process Scenario Resident Rank Order Submissions Alli CharlesMadison Hosp BUniv AUniv A Madison matches Best Rx w/ Univ A Site Rank Order Submissions Univ A (2)Hosp B (1)Best Rx (1) AlliAlliCharles Charles Madison Ayden

Match Process Scenario Resident Rank Order Submissions Alli CharlesMadisonAyden Hosp BUniv AUniv AHosp B Site Rank Order Submissions Univ A (2)Hosp B (1)Best Rx (1) AlliAlliCharles CharlesMadison MadisonAyden Ayden Ayden & Best Rx go unmatched

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 1 st, then 2 nd, then 3 rd and so on… DO NOT RANK A PROGRAM THAT YOU DO NOT WANT!!! DO NOT RANK A PROGRAM THAT YOU DO NOT WANT!!! 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?? 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 Carla Christensen, PharmD Creighton University SPAHP Alegent Health Bergan Mercy Medical Center

Checklist Never too early to start preparing!! Stay on task!! September Draft CV and cover letters

Checklist 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 arrangements

Checklist 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

Checklist 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

Checklist 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

Checklist January January 9, 2009 Recommended deadline for registration for the Match Submit application agreement form to the National Matching Service On-site interviews begin

Checklist 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

Checklist March Submit Rank Order Form March 6, 2009 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

Checklist 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 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 Stay positive!!! The Pharmacy Professional’s Guide to Resumes, CV’s, & Interviewing By Thomas P. Reinders ISBN: Purchase through APhA $39 ($43 for members)