P

HARMACY

R

ESIDENCY

P

ROGRAMS

“P HARMACY SCHOOL IMPARTS THEORETICAL KNOWLEDGE , BUT RESIDENCY TRAINING TEACHES YOU HOW TO APPLY THAT KNOWLEDGE . I T GETS YOU TO THINK MORE CRITICALLY AND TO CONNECT THE DOTS .” Residency Education becoming a National trend with approximately 25-30% of Pharmacy Graduates pursuing Residencies.

W

HAT IS A

R

ESIDENCY

?

• • • • • • Post-graduate training (PGY-1, PGY-2) Opportunity to expand your knowledge in a broad range of pharmacy practice areas Requires a one-year commitment (PGY-1) • Usually starts July 1 and ends June 30 th • • Stipend and benefits paid (~40K with benefits) Some continue on to a second-year training (PGY-2) Application of the skills you learned during your student rotations/school with preceptor/mentor However, you are now a Pharmacist and responsible Accreditation requires uniform core experiences (training) in all programs

R

ESIDENCY

O

PTIONS PGY-1 (General Practice)

   Pharmacy Community Pharmacy Managed Care Pharmacy

PGY-2 (post PGY-1; Specialized)

 Pharmacy Administration  Oncology  Pediatrics  Cardiology  Ambulatory Care  Emergency Medicine  Critical Care  Psychiatry  Pharmacy Informatics  Others

P HARMACY P RACTICE PGY-1 S TANDARDS H OSPITALS AND H EALTH S YSTEMS

• • •

Experience in core clinical areas:

• Cardiology, Internal Medicine, Critical Care, Oncology, Pediatrics, Administration, etc.

Projects and/or presentations at national or regional meeting Once completed:

• • • Considered to be 3-5 years clinical experience Option to Continue onto specialized residency or fellowship Opportunities in Health-System practice

C

OMMUNITY

P

RACTICE

PGY-1 STANDARDS

         

Develop competence in 4 clinical areas

Patient Care Management/Ownership Pharmacy Education (Patients and Students) Research

Opportunities

Community based Clinician Practice manager/clinical coordinator Owner-entrepreneur Consultant Pharmacist

M

ANAGED

C

ARE

R

ESIDENCIES

(PGY-1)

• •

Pharmacy Practice

• • Emphasis on Managed Care Centers on developing the skills needed to assume administrative or managerial roles in any managed care setting

Settings

• Health Maintenance Organization (HMO) • • • Pharmacy Benefit Company (PBM) Independent Practice Association (IPA) Perhaps ACO’s or PCMH’s under ACA

P HARMACY (H EALTH -S HSPA/MS A DMINISTRATION YSTEM P HARMACY A DMINISTRATION )



Specialized residency, participates in the match program



Combined program (2 year residency/ Masters in Pharmacy Practice, Public Health, or Business)



Graduate work in pharmacy administration over 2 years



1st year- pharmacy practice standards (PGY-1)



2nd year- administration standards for HSPA-MS

          

R

ESIDENCY

P

ROGRAMS IN

K

ANSAS



PGY-1 Lawrence Memorial Hospital – Lawrence PGY-1 Salina Regional Health Center - Salina PGY-1 Shawnee Mission Medical Center – Overland Park PGY-1 KU School of Pharmacy/Balls Foods, Hen House Pharmacy – Kansas City PGY-1 VA Eastern Kansas Health Care System - Topeka PGY-1 Via Christi Regional Medical Center – Wichita PGY-1 Stormont Vail Hospital – Topeka PGY-1 Olathe Medical Center-Olathe PGY-1 Wesley Medical Center - Wichita PGY-1 The University of Kansas Hospital – Kansas City PGY-1 KU School of Pharmacy/Dillons Wichita PGY-1 & 2 Health System Pharmacy Administration/M.S. (HSPA) – The University of Kansas Hospital – Kansas City PGY-2 Hematology/Oncology – The University of Kansas Hospital – Kansas City PGY-2 Critical Care – The University of Kansas Hospital – Kansas City PGY-2 Critical Care – Wesley Medical Center – Wichita



R ESIDENCY P ROGRAMS IN METRO KC

     

PGY-1 Children’s Mercy Hospital & Clinics PGY-1 Kansas City VA PGY-1 Saint Luke’s Hospital PGY-1 Truman Medical Center PGY-1 University of Missouri SOP/Balls Foods (Price Shopper) PGY-1 Heartland Regional MC – St. Joseph, MO

  

PGY-2 Hematology/Oncology - Children’s Mercy PGY-2 Drug Information - University of Missouri SOP PGY-2 Health System Pharmacy Administration – Saint Lukes

ASHP O

NLINE

R

ESIDENCY

(ASHP.

ORG ; R ESIDENCY ; D IRECTORY )

D

IRECTORY

T HE “A PPLICATION ” AND P ROCESS “M ATCHING P ROGRAM ”

• • • • • • • Program application is electronic (Phorcas) On Site Program Interview (competitive) “Matching Program” is orderly Process for matching residency applicants with programs Only ASHP- accredited programs are included in the match (Almost all are or will be accredited) The “Match” is a binding contract • Program: Don’t rank applicants you do not want • Student: Don’t rank places that you don’t want to go Match Day- Around Middle of March Match Announcement about two weeks later

M ATCH PROCESS - A PPLICANT & P ROGRAM



Applicant electronically submits their rank order of selected programs in the order they favor (# 1 program through # ? program)



Most applicants will apply at 5-8 programs; may obtain interviews at 4-6 programs; and may rank all or approximately 5 programs.



Residency Program electronically submits their rank order of acceptable resident applicants for the number of residency positions (slots) they have available. Usually residency program submits double or triple the number of applicants for which they have positions. They will submit only applicants they would accept.



On “Match Results Day” all applicants and all programs receive the Results of the best mutual match.



Unmatched applicants and programs are now allowed to “Scramble” meaning they can fill positions at will.

Applications & Match 2015

Pharmacy Residencies

PhORCAS

Applicants Evaluators (references) # E-Submissions Avg/applicant Participation by Programs

2013

5,480 ~13,500 45,632 99% 8.3

2014 2015

5,779 5,900 13,486 14.300

46,932 50,000 99% 8.1

8.5

99%

2015 versus 2014 match

6% increase # of filled PGY-1 positions (total = 2,811 PGY-1 versus 2,640 PGY-1 positions filled) 12% increase in filled PGY-2 positions (total = 794 PGY-2 versus 706 PGY-2 positions filled) 3,605 Total Matched Positions for 2015 (8% Increase)

Applicants view on March 21, 2015

3,605 applicants match day

2,811 PGY-1 794 PGY-2

1,755 applicants Unmatched (33%)

1,547 PGY-1 (270 Unmatched Positions However) 208 PGY-2 (112 Unmatched Positions However) In Spite of 333 New Positions Added this Year (219 PGY-1 and 114 PGY-2 New Positions)

Kansas and KU School of Pharmacy Graduates Experience

No Unfilled Residency Positions in Kansas Programs or Metro KC Programs KU School of Pharmacy Graduates (PGY-1) Enroll in Phorcas Submit Rank Matched Unmatched 2013 2013 2014 35 33 25 55 48 38 51 40 33 8 10 7

100,0% 90,0% 80,0% 70,0% 60,0% 50,0% 40,0% 30,0% 20,0% 10,0% 0,0%

KU PGY1 Residency Match Statistics Compared to National Statistics

2011 2012 2013 2014 % of Applicants Successfully Matched Nationally (# matched / # submitting rank lists) % of KU Applicants Successfully Matched (# matched / # submitting rank lists) % of Students Seeking Residency Nationally (# submitting rank lists / National # degrees conferred) % of KU Students Seeking Residency Nationally (# submitting rank lists / National # degrees conferred) 2015

Where Did KU Students Match?

• • • •

Thirty Three Students Matched in PGY-1 Programs Eleven KU (2014 graduates) Matched for PGY-2 Programs such as Onc. (2) , ER Med (2), Critical Care (3), Infect. Dis, Transitions of Care, Transplantation, Pediatrics.

•

KU PGY-1s Matched at 26 Different Programs (28 health system and 5 community) 16/33 are going to Kansas or Metro Residencies 17/33 are going out of the area: Kentucky, Nebraska, Idaho State, Cleveland Clinic, UC-San Diego, Gulf Coast-VA (Biloxi, MS), Arkansas, Colorado (Denver) , Virginia, Duke, Mercy (Springfield, Mo), Baylor (Tx), Iowa, Mass. General (Boston), Barnes Jewish (St. Louis), and Tristar Centennial VA (Nashville, TN)

KU’s Providing Information and Marketing Value of Residency Programs

Development of Residency Club



Invitation to all Students (3 P to 6 Ps) (Usually 100 students)



Engagement of all Residency Programs in Kansas and Metro Kansas City



Three 2 Hour Meetings per Year throughout Academic Year



Residency Showcases from 18 programs in Kansas and Metro

 

Video Conference Meetings to Wichita Campus Panel Participation by P4’s applying for Residencies



Involvement of Area Residency Preceptors and their Residents in Residency Club Program



Judged to Influence and Increase Interest in Residencies



KU Students completive with peer schools in the Match

O PEN D ISCUSSION & Q UESTIONS