1. Residency Night October 6, 2009
Sponsored by:
Midwest College of Clinical Pharmacy

2. Why Consider a Residency or Fellowship
Patrick D. Fuller, BS, PharmD, BCPS
Clinical Specialist Staff Development
Residency Program Director, PGY1
Adjunct Assistant Professor, UNMC College of Pharmacy
The Nebraska Medical Center
Oct. 6, 2009

3. Sara J. White- 2006 Harvey A.K. Whitney Award Lecture
Future of Pharmacy
“Every pharmacist must be a leader in their practice or on their shift. Each must connect with their inner drive, their passion for what they do and for making things better.”
Sara J. White Harvey A.K. Whitney Award Lecture

4. 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.”
Joint Commission of Pharmacy Practitioners 2004

5. ACCP Vision
“…by 2020, pharmacy residency training should be a prerequisite for pharmacists engaged in direct patient care practice.”
Murphy JE, Nappi JM, Bosso JA, et al. American College of Clinical Pharmacy’s
vision of the future: postgraduate pharmacy residency training as a prerequisite
for direct patient care practice. Pharmacotherapy 2006;25:722–33.

6. 2015 ASHP (revised March 2008) Goal 4 Objective 4.7
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.

7. Residency Trends 2009 saw a record number of residency applications
PGY1: 2,508 applicants sought 1,873 available positions, with 1,651 individuals matching across the United States.
PGY2: 296 applicants sought 292 positions with 209 individuals matching across the United States. 

8. Growth in PGY1 Residency Programs, Positions and Applicants
1998
2002
2007
2009
PGY1 Residency Programs
(Accredited)
247
380
653
792
PGY1 Residency Positions
582
887
1612
1,873
PGY1 Residency Applicants
(in Match)
737
802
1900
2,508
Data from ASHP Accreditation Services Division

9. Board Certification

10. Why Choose Residency or Fellowship
Enhanced employment opportunities
Development of leadership and practice experience
Career planning
Personal growth and professional vision
Enhancement of patient care

11. 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

12. 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

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

14. 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

15. ASHP-Accredited 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

16. 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

17. Fellowships Ambulatory Care Cardiology Critical Care
Infectious Disease
Pharmacoeconomics
Pharmacokinetics
Pediatrics

18. 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

19. Basic Residency Requirements
Tammy L. Burns, PharmD, BCPS
Clinical Coordinator
Residency Coordinator
Creighton University Medical Center

20. 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

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

22. 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

23. 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.

24. 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

25. What to do now? 25

26. Now what? Research potential residency programs Talk to others
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 26

27. 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 27

28. ASHP Midyear Clinical Meeting
Decide if you need to attend or not attend
Register for the meeting if attending
Student member $215
Student non-member $265
Las Vegas, MN Dec , 2009
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 28

29. Residency Showcase Take advantage of it! Do your homework
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 29

30. Personnel Placement Service (PPS)
Formal one-on-one interviews
Sunday-Wednesday
Usually for specialty residencies, unaccredited programs, jobs
Cost
$60 through 10/21
After 10/21, $105 ($105 onsite) 30

31. 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 31

32. Application If Attended Midyear Start application process
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!! 32

33. 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 33

34. Preparation Timeline P1 and P2 year P3 year Work Get involved
Choose variety of rotations
Select clinical rotations
Try to get at least one rotation in a teaching hospital 34

35. 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 35

36. 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 36

37. Preparation Timeline December January/February March ASHP Midyear
Request letters of recommendation
Submit applications
Order transcripts
January/February
On-site interviews
March
Match 37

38. How a Program Chooses You: The Curriculum Vitae, Cover Letter, and Interview
April Puhl, PharmD
Assistant Professor of Pharmacy Practice
Creighton University School of Pharmacy & Health Professions

39. Definitions
Résumé
Brief summary of career objectives, education, & work experience
Keep to 1-2 pages
Curriculum Vitae (CV)
Comprehensive document that includes virtually all education, achievements, and experiences
An organized outline of your professional life
Length varies for each individual

40. Key Components of a CV Personal data Education Work experience
Name, address, phone,
Education
University, degree, actual or expected graduation date
Work experience
Job title, dates worked, employer
Brief description of responsibilities, especially if unique
Focus on healthcare jobs
Certifications and Licenses
Intern Licenses
BLS, Immunizations course, etc.
Clerkship rotations
Include site, preceptor, and dates
Include planned rotations

41. Components of a CV cont. Presentations/Publications/Posters
Date and setting (in-service, conference, etc.)
Audience (pharmacists, nurses, physicians, etc.)
Professional memberships/Affiliations
Include leadership positions
Honors and Awards
Scholarships, community recognition, etc.
Professional & Community Service
Health Fairs, Service trips, etc.
References
Be sure to ASK FIRST!

42. CV “Do’s” Proofread, proofread, proofread
Professional format and layout
Easy-to-read, professional font
Be clear, concise, and consistent
Be honest but do NOT be modest
Promote yourself here as this is your ticket to an interview
Place information in reverse chronological order
Most recent first

43. CV “Don’ts” Informality Wasted space Wild colors/fonts/designs/images
Inappropriate stationery (use white/ivory paper)
Erroneous information
Inclusion of personal information/photograph (age, ethnicity, gender, hobbies, etc.)
Inclusion of anything you are NOT prepared to discuss

44. The Cover Letter Position you’re applying for & why you’re interested
First paragraph
Position you’re applying for & why you’re interested
Second paragraph
Skills, attributes, qualifications for the position
Do NOT rehash your CV
Third paragraph
Brief summary and thanks for consideration
End with a statement pertaining to looking forward to an interview…

45. Letters of Recommendation
Good references lead to good residencies/fellowships
Who 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
Decide how letters will be sent to the program
Provide your CV & contact information for each program’s director
Respect their other obligations

46. The Interview Research the organization, program, & interviewers
Rehearse questions & responses
Develop your questions pertaining to the residency/fellowship
Dress professionally & wear comfortable shoes
Be punctual (5-15 minutes early)
Bring a copy of your CV & references list
Relax, but don’t be casual
Send a Thank You letter after the interview

47. Description of the Match
Carla Christensen, Pharm.D.
Assistant Professor of Pharmacy Practice
Creighton University School of
Pharmacy and Health Professions

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

49. Important Link

50. 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

51. Applications Application agreements ($112)
January 8, 2010
Application confirmation
Applicant Code Number
Provide to programs
Program applications (to each residency program)
Interviews
January 11, 2008
Recommended date by which applicants should return their Agreements to National Matching Services Inc. to register for the Match

52. Important Dates Rank Order Lists (ROLIC) March 5, 2010 March 17, 2010
Program Code Numbers
Opens February 5, 2010
March 5, 2010
Match deadline
March 17, 2010
Match results
March 17 - April 16, 2010
Confirmation letters to matched applicants
Sign and return letter
MARCH 7, 2008
Final date for submission of applicant and program Rank Order Lists. No Rank Order Lists or Agreements can be accepted after this date.
MARCH 19, 2008
Results of the Match are released to applicants and program directors. No action to fill positions remaining unfilled is to be taken prior to 12 noon Eastern Standard Time on this date.
MARCH 19, APRIL 18, 2008
Program directors must send letters of confirmation of the Match result to matched applicants, who must sign and return the letters of confirmation.

53. Resident Rank Order Submissions
Match Process
Resident Rank Order Submissions
Alli Charles Madison Ayden
Hosp B Hosp B Univ A Hosp B
Best Rx Univ A Best Rx
Univ A Best Rx

54. Site Rank Order Submissions
Match Process
Site Rank Order Submissions
Univ A (2) Hosp B (1) Best Rx (1)
Alli Alli Charles
Charles Madison
Madison Ayden
Ayden

55. Resident Rank Order Submissions
Match Process
Resident Rank Order Submissions
Alli
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
Ayden

56. Resident Rank Order Submissions
Match Process
Resident Rank Order Submissions
Alli Charles
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
Charles
Madison
Ayden

57. Resident Rank Order Submissions
Match Process
Resident Rank Order Submissions
Alli Charles Madison
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
Charles
Madison
Ayden

58. Resident Rank Order Submissions
Match Process
Resident Rank Order Submissions
Alli Charles Madison Ayden
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
Ayden & Best Rx go unmatched

59. Tips 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…
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

60. 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

61. Important Dates and Tips
Carla Christensen, PharmD
Creighton University SPAHP
Alegent Health Bergan Mercy Medical Center

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

63. 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

64. Checklist November November 1, 2009
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

65. Checklist
November
Request additional information and applications from programs of interest
Finalize CV
Request letters of recommendation
Enclose any required forms
Develop questions for MCM

66. Checklist December Attend ASHP MCM
Complete all paperwork for applications
Order transcripts
Make note of application deadlines
Schedule on-site interviews
December 18, 2009
Final date for early commitment for PGY2s by current PGY1

67. Checklist January January 8, 2010
Recommended deadline for registration for the Match
Submit application agreement form to the National Matching Service
On-site interviews begin

68. Checklist February Complete interviews February 5, 2010
Narrow choices to programs that best meet your professional/personal needs and goals
February 5, 2010
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

69. Checklist March Submit Rank Order Form March 17, 2010
Final date is March 5, 2010
No Rank Order Lists or Agreements accepted after this date!!
March 17, 2010
Receive “Match” outcome at 12 noon EST
Unmatched residency candidates resubmit applications
Starting at 12 noon EST

70. Checklist March 17, 2010 – April 16, 2010 July
Program directors send letters of confirmation to matched applicants
Must sign and return letters of confirmation
July
Most residencies begin

71. 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

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

73. GOOD LUCK