PHARMACY RESIDENCY PROGRAMS

“PHARMACY SCHOOL IMPARTS THEORETICAL KNOWLEDGE, BUT RESIDENCY TRAINING TEACHES YOU HOW TO APPLY THAT KNOWLEDGE.

IT 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.

WHAT IS A RESIDENCY?• 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 30th

• 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

RESIDENCY OPTIONS

Pharmacy Community Pharmacy Managed Care

Pharmacy

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

PGY-1 (General Practice) PGY-2 (post PGY-1; Specialized)

PHARMACY PRACTICE PGY-1 STANDARDSHOSPITALS AND HEALTH SYSTEMS

• 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

COMMUNITY PRACTICE PGY-1 STANDARDS

Develop competence in 4 clinical areas

Patient CareManagement/OwnershipPharmacy Education (Patients and

Students)Research

OpportunitiesCommunity based ClinicianPractice manager/clinical coordinatorOwner-entrepreneurConsultant Pharmacist

MANAGED CARE RESIDENCIES (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

PHARMACY ADMINISTRATION(HEALTH-SYSTEM PHARMACY ADMINISTRATION) HSPA/MS

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

RESIDENCY PROGRAMS IN KANSAS 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

RESIDENCY PROGRAMS 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 ONLINE RESIDENCY DIRECTORY (ASHP.ORG; RESIDENCY; DIRECTORY)

THE “APPLICATION” AND “MATCHING PROGRAM” PROCESS

• 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

MATCH PROCESS - APPLICANT & PROGRAM 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 Applications & Match 2015

Pharmacy Residencies

PhORCAS 2013 2014 2015

Applicants 5,480 5,779 5,900

Evaluators (references) ~13,500 13,486 14.300

# E-Submissions 45,632 46,932 50,000

Avg/applicant 8.3 8.1 8.5

Participation by Programs 99% 99% 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 PharmacyGraduates 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 35 33 25 8

2013 55 48 38 10

2014 51 40 33 7

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

OPEN DISCUSSION & QUESTIONS