Residency Program Director

Contact Information:
atrask@ucdavis.edu 
Phone: 916-734-8096
Department of Pharmacy
UC Davis Health
2315 Stockton Blvd, Room 1310
Sacramento, CA 95817

Ashley Trask, Pharm.D.
Medication Policy & Safety Pharmacist Supervisor
Department of Pharmacy
UC Davis Health

2018-2019 Resident: 
Ann Cabri, Pharm.D.

ASHP Directory listing:
https://accred.ashp.org/aps/pages/directory/residencyProgramInformation.aspx?ID=212588

UCDH PGY-2 Medication Use Safety Residency Purpose

PGY2 pharmacy residency programs build on Doctor of Pharmacy (Pharm.D.) education and PGY1 pharmacy residency programs to contribute to the development of clinical pharmacists in specialized areas of practice. PGY2 residencies provide residents with opportunities to function independently as practitioners by conceptualizing and integrating accumulated experience and knowledge and incorporating both into the provision of patient care or other advanced practice settings. Residents who successfully complete an accredited PGY2 pharmacy residency are prepared for advanced patient care, academic, or other specialized positions, along with board certification, if available.

Program Overview

The PGY2 Medication Use Safety Residency is designed to transition PGY1 residency graduates from generalist practice to a specialized role as an organizational leader in the achievement of medication-use safety. Graduates of the program are provided with fundamental skills required to lead multidisciplinary teams whose function is to vision a safe medication-use system for the organization, identify needed improvements in the present system, plan for and implement needed changes, and assess the change achieved.

Residents exit the program with content matter knowledge about medication-use safety that identifies them as authoritative resources on medication-use safety. That background includes knowledge of decision-support, principles of human error and human factors engineering, medication-use safety nomenclature, and the culture of safety. They are able to interpret and synthesize information from a variety of sources to formulate recommendations for improvement and have a broad perspective of organizational dynamics. They are also trained to be highly effective communicators and project managers. They are able to employ this background to effectively represent the medication-use safety perspective when the organization considers the design of its technology and automation systems.

Graduates are highly skilled in the design and delivery of education and training enabling them to design, develop, and deliver medication-use safety-related training to the full scope of concerned audiences including patients, health care professionals, and health care professionals in training. Appropriately, they possess proficiency in the assessment of competence of the staff of the organization in the delivery of patient care. They are also equipped to promote the cause of medication-use safety through the conduct of research on medication-use safety-related topics.

UCDH and Pharmacy Services

UCDH is a major academic health center located in Sacramento, California. Pharmacy services recruits, hires, and trains caregivers to provide progressive pharmacy services as collaborative team members to support optimal patient outcomes.

More about the Department can be found on our Webpage: https://www.ucdmc.ucdavis.edu/pharmacy

Program Design:
The UCDH PGY2 Medication Use Safety Residency is designed to meet the educational goals and objectives, as outlined by the ASHP PGY2 Medication Use Safety Residency Accreditation Standard.

Educational Outcomes Required by the Accreditation Standard:

R1. Function as an effective leader for medication-use safety.

R2. Serve as an authoritative resource on medication-use safety for the organization.

R3. Develop a vision of an ideal safe medication-use system for the organization.

R4. Represent the medication-use safety perspective to the organization's design of its technology and automation systems.

R5. Conduct planning for pursuit of the organization’s vision of a safe medication-use system.

R6. Collect medication-use data and use appropriate data analysis techniques to identify needed improvements in the medication-use system.

R7. Manage changes in the medication-use system.

R8. Conduct medication-use safety research.

The UCDH PGY2 Medication Use Safety Residency is a diverse experience designed to develop the resident’s skill in safety principles, leadership, research, planning, and process improvement. The resident will train alongside 2 full-time medication safety pharmacists and function as a member of a multidisciplinary medication safety committee to identify and resolve medication safety issues within the institution. Residents will gain experience and skills in adverse event analysis, reporting, and mitigation strategies; project management; performance improvement; hospital accreditation survey readiness and compliance with national and state regulations; maximizing clinical decision support with eHR; smart pump utilization and library management; and policy and guideline development.

Residents and RPD’s will determine the length of certain rotational opportunities and target areas for growth as the residency progresses.

Program Structure

The PGY-2 Medication Use Safety Residency is a full-time, one-year commitment, beginning on August 1st and ending on July 31st, unless alternative dates are pre-arranged.  Clearance to start work by UCDH Employee Health and a Human Resources orientation meeting must be completed prior to August 1st.

Proposed Calendar of Activities:

August

Orientation/training

Entering assessment

Establish residency goals/customized learning plan

Select research project topic

September

Prepare research protocol

October

1st quarter development plan

November

Start residency recruitment for following year

IRB deadline for research project

December

ASHP Midyear Meeting

January

2nd quarter development plan

February

Residency candidate interviews

March

Compile research project results and prepare draft presentation to RPD

April

3rd quarter development plan

Research project deliverables

May

UC Collaborative: Pharmacy Research Conference

June

ASHP Medication Safety Collaborative, optional

July

Complete exit interview, residency requirements checklist, program evaluation

Longitudinal Activities:

  • Grand Rounds presentation or competency presentation
  • Committee assignments
  • Self-evaluation & reflection
  • Teaching Program (if not completed during PGY1)
  • Mentorship program
  • Professional society involvement
  • Service requirements

Program Learning Experiences:

Required Experiences

Learning Experience

Duration

Orientation/training

Concentrated (1 week)

Advanced Management

Block (4 weeks)

Automation & Technology

Block (6 weeks)

Education and Outreach (Academia)

Block (4 weeks)

Quality Improvement

Block (6 weeks)

Regulatory Compliance

Block (6 weeks)

Project Management I

Block (6 months, FYQ1 & Q2)

Project Management II

Block (6 months, FYQ3 & Q4)

Medication Safety Operations

Longitudinal (12 months)

Research

Longitudinal (12 months)

Elective Experiences

  • STLP I & II (Longitudinal 12 weeks each)
  • Mentorship I & II (Non-evaluated experience, Longitudinal 12 weeks each)
  • LEAN Six Sigma (4 week block)
  • Focused Research (2 weeks)
  • Quality & Safety Executive Leadership (4 weeks)

UCDH PGY-2 Medication Use Safety Resident’s Role in Teaching:
UC Davis Health offers many opportunities for both clinical and didactic teaching. The resident will be responsible for assisting preceptors with clerkship teaching for University of California, San Francisco pharmacy students and UC Davis Health PGY-1 pharmacy residents. The resident will assume the primary preceptor role for UCSF pharmacy students for at least one rotation but may be encouraged to do more if deemed appropriate by preceptors.  The PGY-2 Medication Use Safety resident will be required to prepare an ACPE accredited pharmacy grand rounds presentation or a UC Davis Health competency on an appropriate medication safety-related topic, based on the resident's interests and a department needs assessment.  In addition, the resident may choose to participate in academic teaching at regional schools of pharmacy, or through the Center for the Professional Practice of Nursing, with the approval of the Program Director. The resident will have the ability to participate in the UC Davis Teaching Certificate program if they are so inclined.

Residency Research Project:
All UCDH PGY2 residents are required to complete a research project and present their research in a podium presentation at the UC Collaborative Conference or other regional meeting. In preparation for conducting their research project, the resident will complete UCDH IRB-required training and certification. The resident will prepare a project proposal, which will be reviewed and approved by the UCDH Pharmacy Residency Oversight Committee (PROC). The resident will also submit their project to the Pharmacy and Therapeutics Committee. They will submit to IRB for review, before embarking on their research. Upon completion of the project, the resident will be required to summarize their research project for the Department newsletter and prepare a manuscript. PGY2 residents will be highly encouraged to submit their manuscript for publication and to prepare an electronic poster suitable for submission.

Committee Assignments:
The PGY2 Medication Use Safety resident will participate in various committee activities, as assigned by the PGY2 Medication Use Safety residency director. Assignments will be determined based on current department initiatives. The purpose of the resident’s committee involvement is to ensure the resident gains exposure to the medication safety pharmacists’ role in activities related to quality-improvement, medication safety, safe handling of high alert and hazardous drugs, guideline development and assessment/implementation of technology and automation within the institution and pharmacy department. Committees in which medication safety pharmacists play a key role at UCDH include: Medication Error Reduction Committee, Pharmacy & Therapeutics Committee, Nursing Pharmacy Medication Safety Committee, Perioperative Medication Safety Committee, and the Pediatric Medication Error Reduction Committee.

Professional Development:
The PGY2 Medication Use Safety resident is encouraged to maintain an active role in pharmacy professional organizations. The resident is strongly encouraged to become a member of the California Society of Health Systems Pharmacists (CSHP), and the American Society of Health Systems Pharmacists (ASHP) and attend their annual meetings in the early Spring and late Fall and Winter. The resident will be provided with some financial support from the institution and professional leave time to facilitate participation in professional development activities.

Pharmacy Department Service:
The PGY2 Medication Use Safety resident will be expected to provide pharmacy department service hours. This expectation will be met primarily by providing central pharmacy operations staffing coverage one weekend every 3 weeks (15 weekends) plus one major holiday (Thanksgiving/Black Friday, Christmas Eve/Christmas Day or New Year's Eve/New Year’s Day). A back-up operations pharmacist, or the Residency Program Director, will always be available on site or on-call, to advise and support the resident as needed. It is anticipated that the PGY2 resident will offset a staff pharmacist in the central pharmacy, once competency is established.

Required Competencies:
Residents function as licensed pharmacist’s in patient care activities.  As such, minimum knowledge in a variety of areas must be assured.  Within one month of starting the residency, the resident must complete competencies required of all clinical pharmacists. Basic Life Support (BLS) certification, as well as Advanced Cardiac Life Support (ACLS) are required.

Resident Portfolio:
Residents will be required to maintain a file on the S drive under AC/Pharmacy/Resident throughout the residency year. This file will contain all presentations given during residency which include all lectures, in-services, journal clubs, competencies and associated evaluations; duty hours, Vacation Hours Worksheet; and a copy of the PGY-1 Residency Certificate.

Sick Leave:
Residents accrue 12 working days of sick leave each year.  Use of sick leave is subject to approval by the RPD consistent with Medical House Staff Policies and Procedures.

Vacation, Holidays and Professional Leave:
Residents earn 20 working days per year for vacation and holidays as well as 4 days for professional leave. Use of leave must be arranged in advance with the RPD.

Resident Personnel Policies:
The following policies can be located in the Pharmacy Resident Personnel Manual located at
https://hr.ucdavis.edu/employees/ucdh-resident

  • Resident Qualifications
  • Early Commitment Policy
  • Pre-employment drug testing
  • Health insurance and Benefits
  • Licensure requirement for 2/3 of the residency year
  • Moonlighting
  • Duty hours
  • Tracking of duty hours
  • Professional, family, and extended leave policies
  • Dismissal policy and consequences of failure to progress

Requirements for successful completion of the residency:

  1. Copy of certificate of completion of PGY1 residency if PGY1 was performed in another program
  2. Pharmacy Licensure in California per pharmacy department residency policy
  3. Successful completion of all required rotations/learning experiences and associated assignments
  4. Successful completion of all required rotations/learning experiences with no outstanding “Needs Improvement” on any required rotation goals or objectives and a minimum of 80% reaching “Achieved” by the end of the residency year
  5. Completion of a research project
  6. Presentation of research project at UC Collaborative Conference (or equivalent)
  7. Preparation of manuscript for research project, suitable for publication
  8. Completed central operations staffing requirements as outlined by the residency program description
  9. Pharmacy Grand Rounds or competency presentation
  10. Completed end-of-year self-assessment and residency program evaluation
  11. Resident closeout completed in PharmAcademic with portfolio attachments uploaded
  12. A minimum of 12 months training inclusive of standard vacation, professional and sick leave