TTUHSC Residency Advisory Council Meeting Thursday, September 13, 2007 12-1pm MINUTES Attendees: Sara Brouse Monica Mathys Phillip Lai Cynthia Foslien-Nash Charles Seifert Amie Blaszczyk Krystal Edwards Sherry Luedtke Ellen Patterson-Curley A brief conference call after meeting was conducted between the following persons that were not able to be in attendance at the originally scheduled meeting due to other commitments and the phone service being out at the Abilene School of Pharmacy Campus: Conference Call Attendees: Sara Brouse - Roland Patry, Ann Canales, and Pam Ochoa Items at the Meeting were discussed in the following order: Midyear recruitment plans A Showcase Booth has been reserved at Midyear, date and time have not been confirmed PPS ads have not been placed, but Dr. Brouse is working on them to be sent out this week Salary Ranges for Residents during 2008/09: • PGY1 and 1st year PGY2 - $35,000 • PGY2 2nd year Tech Residents - $36,500 (Sara would like to request to incrementally increase the resident’s salary on an annual basis, because most residents are currently being paid $40,000, especially in the DFW area.) • Same benefits as 2007/08 listed below: o Healthcare starting October 1, 2008 (90 days after July 1st) o 10 days of vacation o 3 days of holiday and personal leave o 10 days of professional leave TTUHSC will also pay for the following items: o Labcoats, pagers, business cards, malpractice insurance and up to $1,100 travel per year for each resident. **The deadline for all Resident Applications both Practice and Specialty Residency Programs for 2008/09 has been changed to January 6, 2008.** Everyone will need to send their changes for online TTUHSC Residency web pages for their programs for 2008/09 by email before the end of September to ellen.patterson@ttuhsc.edu. Sara is in the process of updating pictures and the application forms on the TTUHSC SOP Resident website for 2008/09 programs and they will be finished shortly. - Reminder – all ACCP & ASHP online residency directory profiles will need to be updated ASAP or they will be cancelled. Please email Karon Williams at kwilliams@ashp.org for changes and updates to be made for ASHP online residency directories. ACCP profiles can be modified by yourself with your own username/password. For new programs, you can add an ACCP Residency listing yourself but you will have to wait until you get pre-candidate status to add a listing with ASHP. - Resident Brochures need to have changes submitted to ellen.patterson@ttuhsc.edu by Friday, October 5, 2007 for printing prior to upcoming ACCP, Career Fair and ASHP meetings. Recruitment Update-Verification of Residency Positions Recruiting for 2008/09: Lubbock: 3 Pharmacy Practice Residents, 2 at Covenant, 1 at UMC 2 Pharmacotherapy Residents (1 PGY1, 1 PGY2) 1 Community Care Amarillo 1 PGY2 Pediatrics 2 PGY2 Pharmacotherapy (Joseph Alaimo and Chris Tawwater – 2nd year) 1 PGY1 Pharmacotherapy 1 Community Care DFW 1 Critical Care 1 Hematology/Oncology 1 PGY1 Pharmacotherapy 1 Ambulatory Care 1 PGY2 Psychiatry (new w/TTUHSC Parkland) (funding for ½ FTE) (Monica Mathys-program director) 1 PGY2 Geriatrics (new) (currently funded thru VA; Amie Blaszczyk-program director) Harris Methodist Fort Worth 1 PGY1 Pharmacotherapy (?) Presbyterian Hospital 2 PGY1 Pharmacy Practice VA 5 PGY1 Pharmacy Practice Abilene 1 PGY1 Pharmacotherapy (Ann Canales – Program Director for 2008/09) 1 PGY1 Pharmacy Practice (Pam Ochoa – Program Director for 2008/09) (Abilene residents are paid out of funds from Abilene Budget at the current time. Funding to pay for residents at the Abilene Campus for 2010 and 2011 will need to be decided at a later date but some will be through GME pass through funding). Currently there is funding in the 2008/09 budget for 13 FTE Residents across three campuses. In the future (2009/10 and 2010/11) guidelines will need to be put in place due to the competition for residency positions as these increase will through the years. Comments were made that discussions are in the Strategic Plan 2008-10 for resident programs to have program directors at BSA, NWTH and the VAMC in Amarillo, but this will not happen for 2008/09, it will need to be addressed for 2009/10 and 2010/11. There also will need to be discussion on new program directors for upcoming residents at the Amarillo Campus so that more programs can be filled, since currently very few are filled on an annual basis. Sherry also discussed that as the student numbers increase at the campuses and the new faculty being hired does not, that the residents are needed at all the campuses, especially in Amarillo to fill the gap this will leave and to keep adjunct faculty payment costs down for the annual budget. Sherry also discussed as to whether the different division heads (Medicine, Primary Care, etc.), should be the directors for the residents in their programs at each campus to even out the workload and allow current faculty to devote more time to their current students and duties. Teaching Certificate Program Update Dean Nelson would like to have the following changes made to the current Teaching Certificate for Residents Program: • more defined guidelines established and enforced for Resident Teaching Programs for 2007/08-currently curriculum is not • specific competencies (teaching skills and knowledge) • formal assessment of those competencies by the mentor (generic form for evaluation) • an observation and documentation of strengths and deficiencies while the resident is actually teaching, etc. • standardization for the number of lectures to present, case studies, etc. so any one graduate has approximately the same number of experiences and the same depth (there will be differences in each program, but there should not be broad differences). • Residents in this program should be involved in planning of clerkship experiences, lectures, etc. • Anyone that is a faculty preceptor (or an adjunct preceptor, if any) should be oriented to the program and involved in the design. Items discussed by attendees at the meeting on this subject: • Guidelines need to be set for how often the residents are evaluated, monthly, quarterly, or after each semester. • Who is going to lectures that residents are giving and can the program director or someone from faculty is there to critique their presentations? • Should the division heads be setting the goals and objectives for residents in their programs? • Standardization of time for lectures needs to be set (30 minutes, 1 hour, 2 hours, etc.) • Most attendees agreed that all residents need to be evaluated on lectures and teaching since no matter what field they go into after program they will need the experience and knowledge gained from these events. • The requirement of 1 lecture presentation by each resident needs to be increased and opened up to presentations at their residency hospital/clinic site and these will be accepted for evaluation purposes (nurses, physicians, resident grand rounds, other healthcare professionals, professional organizations). This will allow residents to give more lectures formally throughout the year and get experience teaching to different audiences. Currently, there is not room in the curriculum for all residents to give multiple lectures. Case Studies Discussion for Resident Assignments: • Since the Residents are not allowed to be officially listed on the class rosters as course team leaders, when residents lead their own groups a faculty mentor needs to sit in and evaluate and be there for questions and support as needed, but have the resident run the Case Studies meetings (only for PGY2 residents in their second year with TTUHSC) so that an evaluation process can occur. • Also, Chuck suggested pairing up the residents that are past students of Texas Tech and have already been exposed to Case Studies and the requirements with the new faculty, so they can save time and effort in the learning process for both. • • • • This is the first time that there has not been enough residents to cover all the case studies groups for each campus. Guidelines are being set as to which faculty member will have residents to mentor for Case Studies. Sara discussed proposed criteria for assigning residents to case studies as discussed at and after previous RAC meeting. Faculty members should have the option to mentor their resident during Case Studies during at least one semester if not two if needed to help out with their workload. It was discussed that faculty assigned two semesters of Case Studies should also have a resident ________ (unsure of word on notes) because handling Case Studies without a resident can be a little overwhelming at times with other duties that need to be done on a daily basis (site, students, and faculty meetings). May also want to consider assigning residents to topics and/or projects that are in their area of interests too to develop their knowledge base during resident training. This will allow the resident to learn and develop their own style of teaching while at the same time learning their mentor’s too. The meeting was adjourned at 1:00pm. Just a few thoughts/comments to consider from Sherry Luedtke: a) Career Fair- will we have someone(s) able to attend the Career Fair in Lubbock th (Nov 9 ) to represent the residency programs? Chuck, Craig and Mac volunteered as faculty to attend. Eden Camarines will work on a list of residents who may be able to attend. b) Sherry is inviting other residency programs to showcase at our Career Fair – have we thought about contacting other Schools in the area about attending their Career Fairs? Or at least send out a summary mailing to them to send to their students and/or post? c) What about developing both 1) resident awards (since we have enough residents . . .sort of like UK Sara) 2) Residency Preceptor Awards To be discussed at future RAC meeting and on next agenda. d) What are the thoughts on having a residency dinner for Texas Tech residents in conjunction with ALCALDE/TSHP? A way to get them all together??? To be discussed at future RAC meeting and on next agenda. The next meeting is scheduled for Thursday, October 18, 2007 at 12-1pm by healthnet to all campuses.