Pharmacy Practice
Residency – Year 3
Janet Silvester, RPh, MBA, FASHP
Operations Committee
October 13, 2009
What have we achieved?

4 residents have completed the program
 R1 – ED pharmacist in 100 bed ED at Carilion
 R2 – employed by MJH – first as a night pharmacist
replacing Elaine Kroner and now in a regular slot
 R3 – Completing a PGY2 residency at University of
Washington Hospital in Seattle in Primary Care
 R4 – Working in Maryland in ambulatory practice


2 residents at MJH currently (3rd class)
Received 3 year ASHP accreditation in
September 2008!!!
Activities



Journal Club monthly in conjunction with UVa residents
Formal educational presentations routinely
Collaboration with UVA

Our residents have done rotations at UVa


UVa resident has come here




Administrative rotation
Longitudinal rotation with Wellness/MTM program with Joe Connor


TCV Post Op, toxicology (poison control), ambulatory
This year implementing the lipid program as a research project and
presenting as a poster at Midyear Clinical meeting in December
Medication Use evaluation as part of Drug Information rotation –
present routinely at P&T Committee
Present their research projects at Eastern States Residency Conference
in the spring
Round out our clinical coverage on weekends – adds a 5th pharmacist to
the weekend coverage – staffing every other weekend – satisfier for
pharmacists
Rotations










Internal Medicine
Critical Care
Oncology/Palliative Care
Drug Information/Med Safety
Administration
Ortho/Spine
Ambulatory Care (Wellness and MTM w/Joe)
Sterile Compounding
IS (mini rotation)
Elective
Benefits

Enhance practice model
 Research
projects
 Raise level of practice
of existing staff

Recruitment tool
 Saved
us $25,000 in recruitment fees when Elaine
retired from her night position – 1st year of residency

Enhance reputation of MJH
 More
visible in pharmacy profession
 Every MJH resident that goes on to do well reflects
positively on MJH
Medicare GME Funding
2006
estimates
Total Direct Education
Costs
2008
Actual
Difference
$215,545
$246,432
($30,887)
($140,820)
($144,466)
($3,646)
($45,793)
($50,752)
($4,959)
Teaching and
Administrative time (salary
dollars exist today)
($113,865)
($129,841)
($15,976)
Net Costs Associated with
Pharmacy Practice
Residency Program
($84,933)
($78,627)
$6,306
Medicare Reimbursement
(estimated)
Staffing Contribution by
residents (8 hours per
week each)
Total cost and reimbursement

Total Direct and Indirect Costs
 $320,535

– only $92,803 new
Total Reimbursed
 $144,466

Percentage of Direct cost reimbursed
 58.62%

Percentage of Indirect cost reimbursed
 45.07%
Success!!!