Health System Pharmacy Administration and Leadership Combined PGY1 and PGY2
From left to right: David Vermeulen II, PharmD, MS, Chad Hatfield, PharmD, MHA, BCPS and David Dakwa, PharmD, MBA, BCPS

Residency Program Director

Residency Program Coordinators

 

ASHP Residency Listing:
https://accred.ashp.org/aps/pages/directory/residencyProgramInformation.aspx?ID=43080

The Department of Pharmacy Services at UC Davis Health is recruiting 4 applicants for a two-year PGY1 Pharmacy & PGY2 Health System Pharmacy Administration and Leadership. In the 2020-2021 cycle, we are also recruiting 2 applicants for the PGY2 Health-System Pharmacy and Leadership program. These programs are in ASHP pre-candidate status.

Program Purpose, Year One:

PGY1 pharmacy residency program build on Doctor of Pharmacy (PharmD) education and outcomes to contribute to the development of clinical pharmacists responsible for medication-related care of patients with a wide range of conditions, eligible for board certification, and eligible for postgraduate year two (PGY2) pharmacy residency training.

Program Purpose, Year Two:

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, academia, or other specialized positions, along with board certification, if available. 

Program Overview

Our residency program is geared toward students who are interested in becoming pharmacy leaders in a health-system. Fundamental to this training, we believe it is important to have a balance between clinical and administrative experiences. Our program is designed to prepare residents to become effective and successful pharmacy leaders with a strong clinical foundation by providing a breadth of clinical and administrative experiences with leaders in pharmacy administration and passionate clinicians focused on research, patient care optimization and quality improvement. Upon completion of the program, residents will be prepared to accept leadership positions in settings throughout any health-system enterprise. Our goal in training you are to provide you with a translatable skill set so that no matter where your professional career takes you, you will be set-up for success.

UCDH and Pharmacy Services

UC Davis Health is a nationally recognized academic medical center offering primary care for all ages, specialty care in over 150 fields, and the latest treatment options and expertise for the most complex health conditions.  Some highlights include:

More information about UC Davis Health can be found on our Webpage: https://health.ucdavis.edu/aboutus

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

  • Rated Sacramento’s top hospital
  • Nationally ranked in multiple specialties
  • Home of a nationally ranked Children’s Hospital
  • Magnet Recognized
  • Receiving top honors for nursing excellence
  • HIMSS level 7 recognition for advanced technology that improves care
  • Region’s only Level I trauma center for both adults and pediatrics
  • Regional burn center
  • NCI-designated comprehensive cancer center
  • Comprehensive stroke center
  • URAC Accredited Specialty Pharmacy
  • System Shared Service Support
  • System Home Infusion Build underway

Program Structure

The PGY1/PGY2 Combined HSPAL Residency is a full-time, two-year commitment, beginning June 14th and ending 24 months later.  Clearance to start work by UC Davis Health Employee Health and a Human Resources orientation meeting must be completed prior to start date.

Residency Learning Experiences—Year 1

The PGY1 residency learning experiences will primarily be divided into block rotations and longitudinal learning experiences. The majority of rotations will be 4 weeks in duration. The resident will spend a minimum of 2/3 of the PGY1 residency in direct patient care experiences. Rotation schedules will be determined based on availability and resident interests. Rotation schedules will be adjusted and updated with the resident during each quarterly development plan, or sooner as needed.

PGY 1 (4-weeks)

Description

Medication Safety

Understand the principles of medication safety and applications in a department of pharmacy and health system.

Pediatrics

Gen Peds, NICU, Peds Consult

Critical Care (choose 1)

Burn ICU, CTSICU, SICU, MICU, NSICU, Trauma ICU, PICU, NICU

Required Acute Care Experiences (choose 2)

Internal Medicine, Cardiology, Hematology/Oncology, Transplant

Elective Acute Care Experiences (choose 1)

Emergency Medicine, Parenteral Nutrition, Infectious Diseases Consult Service, Pain Management & Palliative Care, Antimicrobial Stewardship, Toxicology – Poison Control

Operations Management

Understand the process of preparing and distributing medications and the resources that go into maintaining an optimal service

Pharmacy Supply Management*

Understand supply chain integrity and how medications are purchased and billed across the spectrum of care

Clinical Management*

Understand the process of caring for patients and the resources that go into maintaining optimal services

Longitudinal Requirements

  1. Operational Staffing (Every 3rd weekend)
  2. Evening Service-based Clinical Staffing
  3. Research Project
  4. MUE
  5. P&T Monograph, Guideline or Protocol Development
  6. Pharmacy Residency Mentorship Program I and II
  7. Scholarship of Teaching & Learning Program I and II

Residency Learning Experiences—Year 2

Required Experiences (Year 2)

PGY2 (4-weeks)

Description

Advanced Operational Leadership I

Understand the process of preparing and distributing medications and the resources required into maintaining an optimal service

Advanced Operational Leadership II

Understand the process of preparing and distributing medications and the resources required into maintaining an optimal service

Advanced Clinical Leadership I

Understand the process of caring for patients and the resources required into maintaining an optimal service

Advanced Clinical Leadership II

Understand the process of caring for patients and the resources required into maintaining an optimal service

Financial Management

Understand how a pharmacy department controls and manages its finances, specifically focused on cost minimization and revenue enhancement activities

Executive Pharmacy Leadership

Understand the breadth and depth of a pharmacy department in an academic medical center, and how it is positioned in a hospital and health-system

Longitudinal Requirements

  1. Operational Staffing (Every 3rd weekend)
  2. Evening Service-based Clinical Staffing
  3. Research Project (Focus on data collection and manuscript to ensure completion of project)
  4. Pharmacy Residency Mentorship Program I and II
  5. Pharmacy Administrator On-Call
  6. Service Line Management

Longitudinal Quality

Understand how an organization can apply Lean Six Sigma principles to improve its operations and management

*Additionally, any required rotations can be repeated as an elective depending on goals of the resident*

 

Required Experience Options

Advanced Clinical Leadership I & II

Blocks (4 weeks)
Inpatient Clinical Services (Pediatrics, Oncology, Adult), IDS, Ambulatory Care Services, Population Health, Primary Care, Specialty Pharmacy Clinical Services

Advanced Operational Leadership I & II

Blocks (4 weeks)
Inpatient Operations, Pediatrics, Inpatient Oncology, IDS, Infusion Services, Home Infusion Services, Supply Chain, Specialty Pharmacy, Retail Operations

 

Elective Experiences

Medication Safety and Accreditation

Understand the principles of medication safety and application in a pharmacy department and how an organization complies with the various accreditation and legal regulations and builds them into daily activities

Pharmacy Analytics

Understand the principles of data analytics and visualization, dashboard development for department decision-making and quality improvement strategies

Investigational Drug Services

Understand the process involved in preparing and dispensing clinical trial materials for researchers and daily operations of managing investigational drug services

Informatics and Technology

Understand the information systems that support the operations of the department. 

Home Infusion Services

Understand the principles of managing home infusion and non-hospital-based infusion services for the state of California.

Education, Research and Practice Training Management

Focus on the process of managing the educational activities of pharmacy students and residents, coordinating across numerous programs, and on building a meaningful and impactful research engine within the department of pharmacy

Population Health

Understand how population health, pharmacy benefits management system including formulary management, utilization management, and clinical monitoring development. 

Compounding Compliance

Understand the principles of how USP 795, 797, and 800 shape compounding operations and how the organization complies with the various accreditation and legal regulations. 

Specialty Pharmacy Management

Understand the process of maintaining a specialty pharmacy clinical program, distribution of specialty medications and the infrastructure to maintain a high-quality program.

Specialty Pharmacy Clinical Management

Understand how to manage clinical staff in multiple disease state practice locations supporting the specialty pharmacy services, including what clinical outcomes that are tracked.

Retail Services Management

Understanding the process of running a retail pharmacy and mail order pharmacy within a health system.

Primary Care Clinic Management

Understand the process of maintaining a primary care specialty pharmacy clinical program, distribution of medications and the infrastructure to maintain a high-quality program.

Transitions of Care

Understand the process and importance of a transitions of care team and how they play an important role within the acute and ambulatory care programs.

Chief Resident Assignments:
The PGY1/PGY2 Pharmacy resident will participate in a chief resident assignment for the year that is chosen in July.  Assignment examples include service as Chair or co-Chair for: Pharmacy Week, Social & Wellness, Administrative, Interview Days, Recruitment, Research, Education, Quality and Safety, and Orientation.

UCDH HSPAL Pharmacy 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 PGY1 pharmacy residents. The resident will assume the primary preceptor role for UCSF pharmacy students for at least one rotation, will have frequent interactions with students (and PGY 1 residents as a PGY2) and be encouraged to do more if deemed appropriate by preceptors.  The HSPAL resident will be required to prepare an ACPE accredited pharmacy grand rounds presentation, a UC Davis Health inpatient operations competency on an appropriate topic and a lecture at Touro University.  In addition, other educational opportunities may arise which the resident may participate in based on their availability. 

Residency Research Projects:
All UC Davis Health PGY1 and PGY2 residents are required to complete a research project, MUE/QI project and submit a manuscript for publication during their residency.  In preparation for conducting their research project, the resident will complete UC Davis Health IRB-required training and certification. The resident will prepare a project proposal, which will be reviewed and approved by the Pharmacy Research Oversite Committee (PROC). Before starting the research project, the resident will also submit a proposal to the Pharmacy and Therapeutics Committee and obtain IRB approval. Upon completion of the project, the resident will be required to summarize their research project in a manuscript as well as a poster presentation (as noted above). The resident will present their research at the UC Research Collaborative in late May, early June and/or another appropriate conference (ASHP midyear, ACCP, etc.).  The resident will have access to a statistician to assist with design and interpretation of data.  With regards to the MUE/QI project, this will be completed in coordination with our administrative team. 

Committee Assignments:
The HSPAL PGY1/PGY2 resident will participate in various committee activities, as assigned by the Program Director. Assignments will be determined based on current department initiatives. The purpose of the residents' committee involvement is to ensure the resident gains exposure to the leadership pharmacist's role in activities related to quality-improvement, medication safety, safe handling of hazardous drugs, guideline development and assessment/implementation of technology and automation within the institution and pharmacy department. 

Professional Development:
The HSPAL resident is encouraged to maintain an active role in pharmacy and other professional organizations. The resident will also participate in the University of California Pharmacy Collaboratives, when able.  The resident will be allowed 4 days of professional leave time per year to facilitate participation in professional development activities. Travel expenses have been configured into the resident salary (approximately $2500), and additional stipends for travel will not be awarded.

Pharmacy Department Service (both PGY1 and PGY2 years):
The HSPAL resident is expected to provide ~400 hours of pharmacy department service each year. This expectation will be met primarily by providing operations pharmacist coverage every 3rd weekend (17 weekends) plus one major holiday (Thanksgiving/day after Thanksgiving, Christmas Eve/Christmas Day, or New Year’s Eve/New Year's Day). An attending pharmacist will always be available on site or on-call, to advise and support the resident as needed. 

In addition, the resident will be responsible for participating in the evening service based clinical and operational coverage assignment. Services provided can include transitions of care, pharmacokinetic monitoring, restricted medication consultations, code attendance and order verification.

Required Competencies:
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Residents function as licensed pharmacists 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.

Resident Portfolio:
HSPAL residents will be required to maintain a file on the institutional shared drive (“S drive”) under AC/Pharmacy/Resident throughout the residency year. This file will serve as the comprehensive resident portfolio, documenting completion of all residency and rotation requirements. This includes, but is not limited to, the following: all presentations given during residency (lectures, in-services, competencies), all documents prepared, Duty Hours, Vacation Hours Worksheet; copy of pharmacy school diploma and PGY 1 Residency Certificate. Many of these items will also be stored in PharmAcademic.

Sick Leave:
Residents accrue 6 working days of extended sick leave each year.  Illnesses of two or less days will be deducted from the resident’s PTO bank. Use of extended sick leave days begins on the 3rd consecutive day of illness and is subject to approval by the RPD consistent with Medical House Staff Policies and Procedures. More information is available in the Pharmacy Resident Personnel Manual.

Vacation, Holidays and Professional Leave:
Residents will have available 21 days of Personal Time Off (PTO) for each year. This encompasses vacation time, illnesses of two days or less, and holidays. Professional leave (4 days) and extended sick leave (up to 6 days) are in addition to these 21 days of PTO. Use of leave must be arranged in advance with the RPD. More information is available in the Pharmacy Resident Personnel Manual.

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

Salary - $55,000 for the PGY1 and $59,500 for the PGY2, which includes a $2500 dollar stipend each year which is to be utilized by the resident for conference attendance.

Requirements for successful completion of the residency:

  1. Pharmacy Licensure in California per pharmacy department residency policy
  2. Successful completion of all required rotations and completion of additional elective rotations totaling 12 months plus
  3. Full participation and leadership in service responsibilities and other longitudinal activities
  4. Participation in the PGY-1/PGY-2 HSPAL Pharmacy Residency annual evaluation process (self-evaluation, rotation evaluation, preceptor evaluation and preceptor's resident evaluation)
  5. Satisfactory completion of assigned teaching requirements (student/PGY 1 project oversight, Grand Rounds, Departmental Competency)
  6. Completion of research project and manuscript submitted for publication, MUE/QI project)
  7. BLS and ACLS certification
  8. Presentation of research project findings with associated poster at UC Research Collaborative
  9. Copy of portfolio reflective of activities (e.g., presentations and associated evaluations)
  10. Achieve 80% of all assigned objectives and 100% of all patient care objectives (R1) in PGY1