Pharmacy Residency Program and Policies

Pharmacy Residency Program - Table of contents

1. Purpose

The purpose of this program is to train highly motivated pharmacists to develop skills in clinical service, teaching, research, and leadership. Graduates will be prepared to enter practice as pharmacist clinicians in a variety of patient care settings, adjunct faculty positions, or pursue PGY2 training in a specialty area of their choice.

2. Resident Employment

For employment the resident must be in good standings verified by a background check.  The standard staff and employee background check will be performed by Brigham and Women’s Hospital Human Resources.  An occupational health appointment is required prior to your start date.  Immunization records will be requested and a PPD test will be implanted at this appointment.  In order to begin receiving payment and benefits from Brigham and Women’s Hospital it is necessary for the resident to attend Human Resources orientation prior to the scheduled start date.  The purpose of this meeting is to complete new hire paperwork and to sign up for benefits. At orientation the resident will need to complete an I-9 tax form so it will be necessary to bring proper identification.  A few examples of valid identification include:  passport, drivers license and social security card, drivers license and birth certificate.  Questions regarding proper forms of identification can be answered at http://www.uscis.gov/files/form/i-9.pdf. Employees of Brigham and Women’s are paid via direct deposit.  As such, the resident will need to bring a voided check or deposit slip for the bank account to which each paycheck will be deposited.

3. Resident Pharmacy Licensure

As a minimum requirement for employment the resident must obtain licensure as a pharmacist with the state of Massachusetts within 60 days from the start of the residency.  If the resident fails to obtain licensure within 60 days they will be demoted to a student salary.  If the resident fails to obtain licensure within 120 days, then the resident will be terminated baring any extenuating services as determined by the program director and Chief of Pharmacy Services.

All residents are strongly encouraged to pursue licensure in Massachusetts prior to beginning the residency training program.  The Massachusetts Board of Registration in Pharmacy has contracted with Professional Credential Services, Inc. (PCS), Nashville , TN , to process its applications for examination and licensure / registration of pharmacists, pharmacy interns and pharmacy technicians. These services include all activities related to the dissemination of forms and the evaluation of any applications. Applicants for a license/registration in pharmacy must submit all of their information directly to PCS.

Professional Credential Services Contact Information

Address: 150 Fourth Avenue North, Suite 800 

Nashville , TN 37219 

Telephone: (877) 887-9727 - within the United States 

(615) 880-4275 - outside the United States 

www.pcshq.com

4. Resident Disciplinary Action

A resident is expected to conduct herself/himself in a professional manner and to follow all pertinent departmental and hospital policies and procedures.  Residents are expected to complete all requirements of the residency program.

If a resident fails to present herself/himself in a professional manner or fails to follow policy and procedures or fails to meet the requirements of the residency program, appropriate disciplinary action will be initiated by the Residency Program Director and Chief of Service.

The normal steps in a disciplinary action process are as follows:

  1. The resident will first be given verbal counseling by the Residency Program Director and primary preceptor if the resident fails to meet the above requirements.  This verbal counseling will be documented in the resident’s file by the Residency Program Director.
  2. The resident will be given a written warning and will be counseled on what actions will need to be taken in order to rectify the situation involved.
  3. If the resident fails to correct behavior then the Residency Program Director and the primary preceptor, in consultation with the Chief of Service, will recommend that the resident be removed from certain activities or withdrawn from the program.  No action will be taken against the resident until the Chief of Service reviews the documentation and recommendations concerning disciplinary action for a resident.
  4. If the Chief of Service believes the action recommended by the Residency Program Director and primary preceptor is appropriate, then the disciplinary action will be executed by the Residency Program Director.
5. Residency Advisory Committee (RAC)

1. All project proposals will be reviewed by the RAC

  1. Written proposals must be submitted to RAC members one week prior to the RAC meeting
  2. The written proposal must be reviewed and approved by the resident's project advisor before it is submitted to RAC
  3. Residents and project mentors will present a brief summary of the project proposal to RAC
  4. All projects will be defined as:

a. Major project- main resident research project (longitudinal)

1.d.a.1. Mandatory project in which the resident takes a primary role in the methodology, data collection, synthesis, and presentation of research

1.d.a.2. Needs to be completed in time for presentation at Eastern States Conference

1.d.a.3. Project must be targeted towards improving patient care or pharmacy services at BWH

b. Minor project-

1.d.b.1.Maximum of 40 hours or less throughout the year of dedicated work which must be completed by the end of the residency

1.d.b.2.Elective projects in which the resident takes a primary or secondary role

c. Rotation project-maximum of 10 hours or less of dedicated work that must be completed by the end of the rotation period

2. The RAC will determine a current list of possible resident research projects and make this list available for residents to choose projects from.

3. Status updates on evaluations and residents will be presented

Membership:

John Fanikos-PGY1 Residency Program Director, Executive Director of Pharmacy

Megan Rocchio-PGY1 Residency Coordinator

Katelyn Sylvestor-PGY1 Residency Coordinator

Sarah Culbreth-PGY1 Residency Coordinator

Lina Matta-PGY2 Cardiology Residency Director

Paul Szumita-PGY2 Critical Care Residency Program Director and Critical Care Coordinator

Steven Gabardi-PGY2 Solid Organ Transplant Residency Coordinator

Anne McDonnell- Clinical Pharmacy Specialist, Hematology/Oncology

Heather Dell’Orfano-Medication Safety Manager

Judy Cheng-Clinical Pharmacy Specialist, Cardiology

Amy Bilodeau, PharmD, BCPS- Ambulatory Care Clinical Pharmacist

Selected Preceptors

Residency Every Other Week Meetings:  Is composed of the residency program director, the residency program coordinator and the residents.  The purpose of this every other week meeting is discuss issues.  Topics of discussions include: things going well and difficulties in the residency, and residency related topics.

6. Resident Selection Procedure

The guideline below is for the selection of residents in order to assure a consistent process as well as decrease potential for biased selection of candidates.

Qualifications of Applicant:

  1. The candidate must possess a Doctor of Pharmacy degree awarded from an ACPE accredited College of Pharmacy .
  2. The candidate must be eligible for licensure as a pharmacist in Massachusetts .
  3. A US citizen or carry a permanent resident visa (a "green card")
  4. The candidate must submit an application through the Phorcas system available at:

https://portal.phorcas.org

Following review of all letters of application and reference, selected candidates will be invited for an on-site personal interview.

The Postgraduate Year One Interview Evaluation Form will be utilized to assess each individual residency candidate.  Each interviewer will assess each candidate individually.  Once all candidates have been interviewed, then each interviewer will rank the list of candidates in the order they wish the candidate to match at our institution based on their assessment of the candidates utilizing the interview evaluation form.  The interviewer’s rank order sheet shall be forwarded to the residency program coordinator.  The residency program coordinator will combine the individual rank order forms to produce a list of candidates to begin discussions for the rank meeting.  The minutes from the rank meeting will be documented.  Specifics to be documented will include: the list of candidates and the order to rank, description of the process and how the candidates were selected to be ranked for our program.

1.) The selection committee composition will provide a broad-based evaluation of candidates by including the perspectives of practitioners, administrators, and residents.  This does not preclude input from any other member of the department. Positive or negative comments are forwarded to the residency program coordinator for consideration. Candidates are interviewed by the following members of the BWH Department of Pharmacy:

         - Program Director

         - Directors of Pharmacy and/or Managers

         - 2 Lead preceptors

         - Current residents

2.) Each interviewer reviews applications, including letters of interest and specifically-requested information, before interviewing candidates.

3.) Evaluations/references are reviewed and further information obtained, if necessary.

4.) Curriculum vitae and letter of intent are reviewed. Although high academic achievements are important for success in the program, other experiences in professional practice are taken into consideration, since a correlation between grades and professional practice does not always exist.

5.) In addition, applicants are evaluated in terms of pharmacy practice and work experiences, communication skills, goals and program fit, motivation, leadership qualities, confidence and maturity, and references.

7. Duty Hours

Residency programs must comply with the current duty hour standards of the Accreditation Council for Graduate Medical Education (ACGME).  Duty hours must be limited to 80 hours per week, averaged over a four week period, inclusive of all in-house activities. Residents must be scheduled for a minimum of one day free of duty every week (when averaged over four weeks).   A resident will have one “comp” day either the week before or the week after the weekend they work to meet ACGME requirements as stated above.

7.1 Moonlighting

Residents are not permitted to moonlight. The BWH Department of Pharmacy believes that a residency year is a very full one, and that working part-time outside of the residency takes away from the resident’s total experience.  ASHP supports this concept as well.  Limited opportunities for picking up extra BWH staffing shifts may exist under specific guidelines; contact the program director for information.

8. Leave of Absence

A resident may have a leave of absence without pay, approved by the director of the residency program, not to exceed six weeks. The residency program will be extended until completion of the residency (i.e. a one month leave period would result in a one month extension to the program). .  The resident must complete a minimum of 2,000 hours (over a 50 week period) of contact time in order to achieve the goals of the residency training program.  All other questions related to leave should be referred to the hospital’s leave of absence policies and procedures.  Questions not answered by these policies should be triaged by the program director and Human Resources.

9. Preceptor Development and Assessment

Assessment Plan

  1.Initial assessment for potential preceptors

  • Basic qualifications checklist (has a minimum of 4 of the following)
    • Record of improvements in and contributions to the respective area of advanced pharmacy practice
    • Appointments to appropriate drug policy and other committees of the department/organization
    • Formal recognition by peers as a model
    • A sustained record of contributing to the total body of knowledge in pharmacy practice through publications in professional journals and/or presentations at professional meetings
    • Serves regularly as a reviewer of contributed papers or manuscripts submitted for publication
    • Demonstrated leadership in advancing the profession of pharmacy through active participation in professional organizations at the local, state, and national levels
    • Demonstrated effectiveness in teaching
  • Interview with residency director
    • Express desire to become a preceptor
    • Basic understanding of preceptor role and responsibilities
  • Preceptor self assessment
    • Attache

2. On-going Assessment

  • Resident evaluations of preceptors
  • Preceptor self-assessment
  • Direct observation by program directors and mentors

Development Plan

  • Preceptors must meet the following criteria to become and maintain qualification as a preceptor
    • Complete mandatory preceptor development continuing education learning activities
      • Activity will be disseminated to pharmacy staff with attestation required
      • Additional Outside activities may also be completed for further development as needed
        • Examples: Pharmacist letter, ASHP advantage, conference programs   
      • Document preceptor continuing education learning activities via annual continuing education credit reporting
    • Complete an annual self assessment survey
    • Maintain the minimum number of requirements for preceptorship as definded by ASHP 
  • Professional Development Committee may provide additional educational activities and opportunities 
    • Meet monthly
    • Document offerings
    • Sharepoint site is the central location for activities and information
      • Pertinent readings
      • Educational offerings
    • Types of educational activities
      • Home study CE activities
      • Live CE activities
      • Live non-CE activities
      • Live webinar CE activities

Annual Quality Improvement Plan

  • quarterly meetings with preceptors to discuss needs
  • annual needs assessment (develop survey)
  • review end-of- year preceptor self-assessments
  • review of quality of written feedback (sample from each preceptor)
  • review resident evaluations of preceptors and learning experiences for trends
  • resident group interview
  • revise plans accordingly
10. Appendix A: Organization Chart
William Churchill MS, R.Ph
Chief of Pharmacy Services

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John Fanikos MBA, R.Ph.

PGY1 Residency Program Director

Executive Director of Pharmacy Services

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Sarah Culbreth, PharmD, BCPS

Megan Rocchio, PharmD, BCPS

Katelyn Sylvester, PharmD, BCPS

Residency Program Coordinators

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Paul Szumita PharmD, R.Ph.,BCPS
PGY2 Critical Care Residency Director

Lina Matta PharmD, R.Ph.,BCPS
PGY2 Cardiology Residency Director

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PRIMARY ROTATION PRECEPTORS

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SECONDARY PRECEPTORS
Clinical unit based Pharmacists

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RESIDENTS

PGY2 Critical CareLearn more

PGY-2 Critical Care Pharmacy Residency Information

PGY2 CardiologyLearn more

PGY-2 Cardiology Pharmacy Residency Information

Current ResidentsLearn more

PGY-1 Pharmacy Practice Residents 2017-2018

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