Community Pharmacy Residency
Program Manual and Policies
2016-2017
Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program(VGMHC-PacUSOP CPRP)
In collaboration with:
Reviewed: SCD 06/30/2015
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Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
Table of Contents
Chapter 1: Overview................................................................................................................................ 4
Residency Purpose ............................................................................................................................... 4
Description of Residency Program.................................................................................................... 5
Chapter 2: Resident Information ........................................................................................................... 8
Orientation ............................................................................................................................................ 8
Items to bring on Day 1 ................................................................................................................... 8
Orientation Requirements .............................................................................................................. 8
Locations and maps of practice sites ........................................................................................... 10
Position Description .......................................................................................................................... 11
General responsibilities ................................................................................................................. 11
Specific responsibilities ................................................................................................................. 11
Salary and benefits ............................................................................................................................. 14
Stipend ............................................................................................................................................. 14
Benefits ............................................................................................................................................ 14
Vacation ........................................................................................................................................... 14
Holidays .......................................................................................................................................... 14
Pharmacy residency policy regarding inter-agency agreement................................................... 15
Pharmacy residency policy regarding personal time .................................................................... 16
Appointments for personal issues ............................................................................................... 16
Calling in sick ................................................................................................................................. 16
Emergencies .................................................................................................................................... 16
Extended leave of absence ............................................................................................................ 16
Professional leave............................................................................................................................... 17
Required residency travel ............................................................................................................. 17
Travel reimbursement ................................................................................................................... 17
Local travel ...................................................................................................................................... 17
Meeting attendance........................................................................................................................ 17
External employment “moon-lighting” ...................................................................................... 18
Expectations and obligations of resident ........................................................................................ 19
Degree completion ......................................................................................................................... 19
Licensure ......................................................................................................................................... 19
Dress Code ...................................................................................................................................... 19
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Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
Recruitment ..................................................................................................................................... 19
Completion of program requirements ........................................................................................ 19
Chapter 3: Training Program ............................................................................................................... 20
Residency Learning System.............................................................................................................. 20
Learning Experiences ........................................................................................................................ 20
Project Overview ................................................................................................................................ 22
Outcomes and activities ................................................................................................................ 22
Research Advisor(s) ....................................................................................................................... 22
Research days ................................................................................................................................. 23
Requirements .................................................................................................................................. 23
Topic Selection ................................................................................................................................ 23
Project Development ..................................................................................................................... 23
Funding opportunities .................................................................................................................. 24
Evaluation and completion........................................................................................................... 24
Important Project Dates ................................................................................................................ 24
Graduation requirements ................................................................................................................. 25
Residency program objectives...................................................................................................... 25
Required elements for completion of residency program ....................................................... 25
Chapter 4- Evaluation............................................................................................................................ 27
Assessment Strategy and Evaluation .............................................................................................. 27
General information and compliance with evaluation policy ................................................. 27
Self-Assessment .............................................................................................................................. 27
Customized Training Plan ............................................................................................................ 27
Summative Evaluations ................................................................................................................ 27
Formative Evaluations .................................................................................................................. 28
Quarterly Evaluations ................................................................................................................... 28
Evaluation Definitions ................................................................................................................... 29
Exit Evaluation ............................................................................................................................... 29
Disciplinary Action ............................................................................................................................ 30
Policy and Procedure..................................................................................................................... 30
Appendix A- Pre-assessment ........................................................................................................... 31
Appendix B- Final assessment post-residency and Exit evaluation Survey ............................. 36
Reviewed: SCD 06/30/2015
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Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
Chapter 1: Overview
Residency Purpose
Program Purpose Statement
The purpose of this residency program is to prepare pharmacists who are passionate
about working with underserved populations to acquire the skills necessary to practice within
community pharmacy and primary care settings.
Program Description
The community pharmacy residency program at the Virginia Garcia Memorial Health Center
and Pacific University School of Pharmacy, in collaboration with Tuality Healthcare, will focus on
developing pharmacists as leaders within the profession with an emphasis on the role of pharmacy in
community health centers.
The intent of the program is to prepare independent pharmacy practitioners to practice in a rapidly
changing healthcare environment. This program offers the opportunity for a pharmacist to:
 Provide direct patient care in ambulatory and inpatient settings, participate in team based health
care, and provide clinical pharmacy services in a patient-centered primary care home;
 Serve as an educator of patients and health care providers, as well as instruct and precept
pharmacy students in various settings;
 Gain the skills and experience needed to operate and manage a community pharmacy;
 Facilitate interrelationships between, and within, the healthcare systems in our community to
deliver high quality, culturally appropriate care and to improve patient transitions between care
settings.
Mission Statements of Partnering Organizations
Virginia Garcia Memorial Health Center Mission Statement: To
provide high-quality, comprehensive, and culturally appropriate
primary health care to the communities of Washington and Yamhill
Counties with a special emphasis on migrant and seasonal
farmworkers and others with barriers to receiving healthcare.
The mission of the School of Pharmacy: We prepare practitioners and
scholars to advance the profession of pharmacy to deliver patientcentered care in diverse populations by providing an integrated,
learner-centered environment that is innovative and collaborative.
The Mission of Tuality Healthcare: To provide health care to the
community with respect for human dignity and without regard for
the recipient's ability to pay. We believe that compassion encourages
healing, that knowledge is the foundation of wellness, and that
attention to quality and fiscal stability will enable us to continue
service to the community.
Reviewed: SCD 06/30/2015
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Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
Description of Residency Program
The VGMHC-PacUSOP CPRP is a multi-site residency program. The resident will
practice at the VGMHC primary care clinics and pharmacies (Hillsboro will be their home
site), Pacific University School of Pharmacy, and Tuality Healthcare. The three main practice
sites are within walking distance of each other in the Hillsboro Health Education District.
Details of the Primary Practice Site and Pharmacy Services Provided
The resident will spend ~50% of their time at the VGMHC which is a federally qualified
community health center that provides over 132,000 office visits to more than 34,000 patients a
year in Washington and Yamhill Counties. The center has five primary care clinics, four dental
offices, and multiple school-based health centers, and also provides outreach to schools,
community health fairs and to migrant and seasonal farmworkers at local camps through a
mobile clinic.
VGHMC focuses on providing a medical home for patients through its team-based
primary care clinics. Physicians, nurse practitioners, physician assistants, nurses, case
managers, and medical assistants make up the core medical team, with clinical pharmacy and
behavioral health providers supporting patients and the primary care team. Each clinic has a
340b pharmacy that works with patients and providers to develop affordable medication
regimens for each patient.
The Clinical Pharmacy Program was started in 2008, in partnership with Pacific University
School of Pharmacy faculty. In 2009, VGMHC was awarded a Heath Resources and Services
Administration (HRSA) grant to establish and expand the Clinical Pharmacy Program
enabling them to hire a full time Clinical Pharmacist and Clinical Pharmacy Technician in the
Hillsboro Clinic. The Clinical Pharmacy Services (CPS) team works with patients to improve
their health and quality of life during consultations on medication management and overall
health. The CPS team has developed collaborative drug therapy management protocols for
anxiety, depression, diabetes, hypertension, hyperlipidemia, psychiatric medication
monitoring, and an interdisciplinary protocol for smoking cessation.
Members of the CPS team work closely with the primary care teams and referring
providers. While training and working with the CPS team, the pharmacy resident will have a
designated computer and workstation in the clinic, co-located with one primary care team. The
resident will have access to the Electronic Health Record (EHR) systems of VGMHC (Ochin
Epic), Tuality Healthcare (Cerner), pharmacy dispensing software (QS1), and access to journals
and medical literature through the clinic as well as Pacific University library.
In addition to participating in the Clinical Pharmacy Services program, the pharmacy
resident will train in the 340b pharmacies to develop skills in operating and managing a
community pharmacy. The resident will participate in contract evaluations and negotiations
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Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
with insurance companies and will learn about inventory control and budgets of the VGMHC
pharmacies.
Details of Tuality Healthcare and Pharmacy Services Provided
Tuality Healthcare is a local, independent, community-governed healthcare system in
western Washington County, offering inpatient and outpatient treatment, specialty services,
health education, and preventative screenings. The pharmacy department provides inpatient
and oncology treatment unit services, as well as outpatient anticoagulation, and is a 340(b)
hospital. Optimizing the distribution model through expanded use of the pharmacy’s
automated dispensing system and decentralizing pharmacist services to allow pharmacists to
work more closely with nurses and doctors on hospital floors have been recent practice model
changes at the site. The resident’s role in training at Tuality is to gain a complete
understanding of how patients receive care across the continuum and how those transitions of
care can be improved to avoid common handoff errors and medication reconciliation issues.
The resident will spend an initial 3 weeks orientation at the hospital to gain foundational
experience and then will participate in a transitions of care service focusing on VGMHC
patients that are hospitalized in order to assist in their discharge planning and coordinate
follow-up visits in clinic.
Details of Pacific University School of Pharmacy
The School of Pharmacy at Pacific University offers a three-year, year round curriculum
leading to the PharmD degree. The School is housed in the state-of-the-art Health Professions
Campus along with seven other health professional programs. The competency-based
curriculum delivers courses within a modified block design that encourages teamwork. The
school has a drug outlet license but does not operate a dispensing pharmacy. Pharmacy
consultation services are provided through an interdisciplinary diabetes clinic, future
pharmacotherapy clinic, and a Drug Information Service. Faculty practice at VGMHC, Tuality,
and other off-site inpatient and community pharmacies through collaborative agreements.
Residents will teach alongside faculty in the curriculum in a longitudinal practice based course
during the fall.
Resident’s Role at the School and Teaching Opportunities
The resident will participate in the longitudinal Citywide Residency Conference and
will complete the Oregon Pharmacy Teaching Certificate Program that is jointly offered by the
two schools of pharmacy in the state. Completion of the teaching certificate may include a
focused learning experience with a faculty member at Pacific University School of Pharmacy.
The resident will also be invited to faculty workshops that are provided throughout the year to
gain further knowledge surrounding the three facets of academia--teaching, scholarship and
service. Residents will facilitate student learning on ambulatory focused pharmacy practice
Reviewed: SCD 06/30/2015
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Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
days occurring every other Tuesday in the fall. The resident will attend and help direct
learners at the APPE learning hub for students in the Hillsboro, Oregon area.
The resident will also be involved with APPE students from both Pacific University
School of Pharmacy and Oregon State University College of Pharmacy initially as a copreceptor and then as a primary preceptor if they meet the state legal requirements to precept.
They will gain precepting experience as a supervising pharmacist of any learners rotating
through their work sites. Precepting skills are a focus of the teaching certificate program. This
didactic coursework to assist residents in providing formative and summative feedback and in
the design of learning experiences will be completed by early December.
Reviewed: SCD 06/30/2015
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Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
Chapter 2: Resident Information
Orientation
Residency orientation will occur during the first 2 weeks of the program. The resident will
spend time with the Residency Program Director discussing expectations for the residency
year and the proposed calendar.
Orientations for each rotation and each site will occur during the months of July and August.
Each orientation will vary between 1 and 3 weeks depending on the location. This time is
dedicated to understanding the processes of each practice site including the computer
programs, work flow, and responsibilities.
The resident will be responsible for completing the VGMHC New Employee Orientation
(NEO), and other required orientations for Pacific University and Tuality Hospital.
Items to bring on Day 1
 Completed Initial Needs Assessment (please email to Residency Director prior to first day)
 Documentation
o Identification
 Passport or
 Drivers license and Social Security Card
o Oregon Intern or Pharmacist License
o Current CPR and BLS card
o Immunization documentation
o Pharmacy School Diploma
o Emergency contact and beneficiary information (address, phone, SS#’s)
Orientation Requirements
Virginia Garcia Memorial Health Center
 Residency
o Overview of key residency documents (see checklist below)
o Review pre-assessment forms with Residency Director for customized plan
 Organization
o First day human resources paperwork, first Monday on-boarding
o New Employee Orientation
 Clinic
o Tour, introduction and safety orientation
o Orientation to computer systems, access codes, clinical pharmacy services manual
Reviewed: SCD 06/30/2015
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Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)

Pharmacy
o Tour and introduction
o Orientation to computer systems and access codes
Pacific University
 Organization
o FERPA training
o Faculty retreat (possibly)
o Other orientation activities as assigned
 Curriculum
o Moodle or other software used to interface with classroom assignments
Tuality Hospital
 Organization
o New Employee Orientation (2-3 days)
 Pharmacy
o Orientation to pharmacy software, documentation and Pyxis dispensing cabinets
o Other orientation activities as assigned
Reviewed: SCD 06/30/2015
9
Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
Locations and maps of practice sites
Virginia Garcia Memorial Health Center- Hillsboro clinic is located within the Health and
Education District of Hillsboro near Tuality Hospital and Pacific University.
Addresses of clinic sites can be found at: http://www.virginiagarcia.org/locations/index.html
VG Admin
VG Cornelius Clinic
VG Hillsboro Clinic
VG Beaverton Clinic
VG McMinnville Clinic = VGYC
Reviewed: SCD 06/30/2015
10
Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
Position Description
General responsibilities
Daily responsibilities during the residency program will vary based on the rotation site
of practice. The rotation learning descriptions provide details regarding the specific
responsibilities of the residency at different practice sites.
Year-long residency requirements are outlined in the learning descriptions for the
longitudinal rotations including: Ambulatory care, Community pharmacy, Teaching, Practice
management and professional development, and Project rotations.
Specific responsibilities
In addition to rotation related duties, the resident will also complete specific tasks to track
work completed during the year. The resident will be responsible for recording strengths and
weaknesses of each aspect of the residency program design so as to strengthen the program for
subsequent years. Assessment will include:
- Orientation
o Throughout the orientation weeks, the resident will keep a list of completed
forms, meetings, processes and learning activities performed.
o The resident will compare this list with that included in the orientation outline.
o At the end of orientation, the resident will type a schedule and list of completed
activities to include in the manual for next year.
o The resident will recommend additional activities to address any deficits in the
orientation process.
- Rotation evaluation
o The resident will review and critique learning descriptions with rotation
preceptor(s) at quarterly evaluations with a focus on the following questions:
 Did the learning description accurately describe the overall rotation,
expectations, schedule, and communication frequency?
 Did the resident complete all learning activities listed? If not, why not?
 Were additional learning activities or responsibilities performed during
the rotation that are not included in the description? If yes, should they be
added?
 Were the goals and objectives evaluated appropriate for the rotation?
 Should additional goals and objectives be included that were taught and
evaluated on the rotation?
o The resident will edit the learning description and send a proposed update to the
preceptor to review.
o At the end of the year the resident will edit the learning description and send a
final proposed update to the preceptor and RPD to review.
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Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
The resident will be responsible for compiling completed projects and tracking allocation of
time throughout the residency program.
- Portfolio
o All completed projects including presentations, lectures, teaching activities,
project manuscripts, written drug information questions (formal and informal),
formative evaluations of patient care activities, etc will be collected by the
resident.
o The portfolio will be maintained in several locations:
 Network- all completed work will be saved in an organized way on the
VG network under the resident’s public folder to be accessible to the RPD,
preceptors and future residents.
 Binder- all completed work will be printed and maintained in a 3-ring
binder, organized by the resident at the end of the year to be available
during the accreditation survey.
 Additionally, documents may be uploaded to PharmAcademic.
- Weekly log
o In order to compare the anticipated work load and distribution of activities to
actual residency design, the resident will keep a weekly log of time spent on
different activities.
o The log will include estimated time spent on-site (on rotation) and off-site on
residency related work.
o Time breakdown between activities will be estimated (hours or half-hours).
o The log will include any off-site work hours (moonlighting).
o The log should be completed at least weekly to improve recall of information.
o A proposed log-sheet is included, but can be altered by the resident to meet the
needs of documentation.
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Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
Residency tracking time log
Time in hours. Include designation of on-site vs. off-site (at home)
For unusual events, meetings, tasks, please include brief details.
Date
Monday
Tuesday
Wednesday
Thursday
Friday
Orientation
Ambulatory
clinic
Community
pharmacy
Transitions
of Care
(Hospital)
Transitions
of Care
(clinic)
Teaching
Project
Admin Rot
and mtgs
Meetings
(VG)- specify
Meetings
(other)specify
Moonlighting
Weekly Total:
Reviewed: SCD 06/30/2015
(If total on-site work > 80 hours, discuss with RPD)
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Sat
Sun
Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
Salary and benefits
Stipend
VGMHC will pay the Resident a stipend of $1,730.76 biweekly ($45,000, if annualized) for a 1.0
FTE appointment. As a professional employee of VGMHC, the Resident will not be entitled to
overtime pay for his/her services.
The resident will be paid on the VGMCH calendar, every 2 weeks.
Benefits
The Resident will be eligible for medical and dental coverage, as well as other benefits offered
to VGMHC employees including life insurance and retirement savings. Benefits will be
reviewed with the resident by human resources during orientation.
Vacation
The pharmacy resident is entitled to 2 weeks paid vacation during the residency year.
Vacation requests must be approved by the RPD and the VGMHC Pharmacy Director.
All vacation days should be scheduled at least four weeks in advance, if possible.
Requests submitted less than four weeks in advance will not be routinely approved, but will
be considered on an individual basis depending on the circumstances.
Vacation should not be scheduled during required professional meetings or between
June 10th and June 30th of each year. In addition, consideration should be given to scheduled
activities including lectures, important trainings and meetings, incoming candidate interview
days and other notable events that cannot be rescheduled.
Holidays
VGMHC and Pacific University observe the following holidays:
July 4th
Labor day
Thanksgiving and the Friday after
Christmas
New Years
MLK day
Memorial Day
Reviewed: SCD 06/30/2015
14
Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
Pharmacy residency policy regarding inter-agency agreement
An agreement between VGMHC, Pacific University and Tuality Healthcare outlines specific
expectations of the resident while on site for rotations. These details are described below:
“1.6 Identification. At all times while on assignment, each Pharmacist Resident shall wear in an
easily visible location on her/his clothing an identification badge that prominently displays
a photograph of Pharmacist Resident and Pharmacist Resident’s full name and licensure
and/or certification. As Pharmacist Resident's employer, VGMHC and Pacific will require
Pharmacist resident to possess and carry a current and valid Pharmacist license issued by
the State of Oregon, as well as a current and valid Basic Cardiac Life Support certification
card during all times that Pharmacist Resident is on assignment at Site…
1.8 Works for Hire. Sites acknowledge and agree that all reports and other work product
developed as part of the Program by a Site or by a Pharmacist Resident under the
supervision of a particular Site are property of the Site for which the work product was
developed. As Pharmacist Resident's employer, VGMHC and Pacific will ensure that
Pharmacist Residents are aware of this requirement…
5.1 Confidentiality. The Parties to this Agreement acknowledge that, in the course of
providing or receiving Residency Training, all Parties may be given access to the other
Parties’ confidential and proprietary business information, including without limitation
trade secret, patient and payer lists, databases, strategic and financial information and other
business information, the unauthorized disclosure or use of which will be highly injurious to
the remaining Parties’ businesses in amounts not readily ascertainable. Accordingly, both
parties shall: (i) hold all such information in the strictest confidence; (ii) return all business
information to the other party upon completion of Residency Training; and (iii) shall not
disclose it to any third party or make use of it for any purpose other than providing or
receiving Residency Training. Each party understands that unauthorized use or disclosure of
such information may result in civil and criminal liability under Federal and Oregon law;
and other Parties shall be entitled to obtain immediate injunctive relief, in additional to all
other remedies available in law or in equity, in the event any Party to this Agreement
breaches the provisions of this Paragraph. Additionally, each Party will comply with all laws
and regulations relating to confidentiality of patient information…
All parties agree that they shall obtain written permission prior to using the other party’s
name, trade name, image, symbol, design or trademark in any marketing, advertising, or
promotional campaign or in any brochure, written information, television or radio
announcements, or in any other medium or manner whatsoever. Such permission may be
given or withheld in a given Party’s sole, absolute and arbitrary discretion.”
Reviewed: SCD 06/30/2015
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Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
Pharmacy residency policy regarding personal time
This Community Pharmacy Residency Program is designed to be a rigorous learning
experience to develop a strong foundation in the operation of pharmacy and clinical pharmacy
services. The ASHP/APhA accreditation standards for community pharmacy residency
programs set a high expectation for the outcomes that residents must achieve. Rotations and
learning activities have been developed to meet the outcomes of the program and missing
these activities will compromise the resident’s ability to complete the program during the
training year. Therefore, missed time may need to be made-up per the preceptor’s and
residency program director’s discretion.
The required outcomes for this program must be achieved in 12 months. If the resident is
unable to achieve the program outcomes, he/she will not receive a certificate of completion.
Appointments for personal issues
Appointments for personal issues (MD, DMD, banking, etc…) must be cleared with the
rotation preceptor and RPD. Make up time will be determined by preceptor and RPD.
Calling in sick
Residents must contact the Residency Program Director and the preceptor for the learning
experience that will be missed if they are going to be out sick. Calls should be placed to the
RPD’s cell phone and to the preceptor prior to 7 a.m. Make-up may be required for missed
rotation time or activities, which will be determined by the rotation preceptor and/or the RPD.
If the resident is sick and will not be present for days scheduled in the community pharmacy,
the resident must contact the Pharmacy Director and the supervising pharmacist by phone,
prior to 7 am, in addition to contacting the Residency Program Director. The Pharmacy
Director and RPD will coordinate make-up time for missed community pharmacy days.
Emergencies
Preceptors and the Residency Program Director are aware that certain life emergencies or life
events may occur and that residents may request time away from work. Attempts will be
made to accommodate should this situation arise during the residency year. Approval must be
granted by the Residency Program Director and make up activities may be assigned by the
RPD and/or preceptor.
Extended leave of absence
The residency program must be completed in 12 months. Extended leaves of absence
(exceeding the 10 personal day benefit) will prevent the resident from completing the program
outcomes, which will result in an inability of the resident to receive a certificate of residency
completion. The resident may reapply for the following year and will be considered against
the total pool of applicants for the position(s).
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Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
Professional leave
Required residency travel
Professional leave is provided for attendance at the state/national professional meetings (up to
6 days including days on weekends) and the regional residency conference (up to 4 days). For
the national professional meetings, the resident will attend the ASHP Midyear Clinical
Meeting and/or the APhA Annual Meeting.
Travel reimbursement
Reimbursement for travel to required professional meetings will be discussed with the RPD
and pharmacy director. All receipts must be maintained for reimbursement, and forms must
be submitted to the pharmacy director prior to the 5th of the month after expenses are incurred.
Local travel
Travel to work sites for rotation, staffing duties, or other required residency program meetings
(i.e. Citywide) will not be reimbursed.
Traveling to a different VG site for meetings outside of your rotation (i.e. teaching a pain class
in McMinnville) will be reimbursed at the current IRS mileage rate. This specifically includes
travel from VGH, VGC, and/or Administration to the McMinnville or Beaverton clinics.
Mileage reimbursement forms must be completed by the resident and submitted to the
Pharmacy Director by the 5th of each month following travel. Each month must be submitted
on a different form.
Meeting attendance
Residents are required to attend the following meetings:
ASHP Midyear Clinical Meeting or
~ 1st week of December
APhA Annual Meeting
Late March/Early April
Regional Residency Conference
~ 3rd week of May
At least one state meeting
OSPA Annual Meeting or
~ early September
OSHP Fall Seminar
~ late October or early November
OSHP Annual Seminar or
~mid April to early May
OSPA Lane County Seminar
~February
In addition the resident is expected to attend all resident functions (including, but not limited
to, Citywide and residency receptions) and attend continuing education programs as required
by the preceptors. The resident must serve on one state organization committee and attend
scheduled meetings. Other meetings may be required by the residency program for
recruitment purposes.
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Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
External employment “moon-lighting”
External employment, if sought, should be carefully chosen to accommodate variation in
service responsibilities to the residency program. The resident is aware that the Community
Residency Program is his or her primary responsibility and successful completion of the
program is a result of successful completion of all the program requirements, which dictate the
primary schedule of the resident. Practice, teaching and service requirements take precedence
over scheduling for external employment.
If the residency director or preceptor observes that the external employment, either by hours
or demand, is taking precedence over the residency program, the residency may be asked to
decrease or terminate the external employment. If the resident does not accommodate the
request, the resident’s continuation in the residency program will be evaluated by the
residency advisory committee.
Moon-lighting hours must be included in hours tracking log and reported to the RPD to
ensure that the pharmacy specific duty hours requirement is not exceeded. (Review Pharmacy
Specific Duty Hours document discussed during orientation).
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Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
Expectations and obligations of resident
Degree completion
The pharmacy resident must have graduated from an ACPE-accredited school or college of
pharmacy.
Licensure
Due to the program’s design and intent to develop the skills necessary to work as an
independent pharmacist in the provision of patient care, licensure is required for a majority of
the year to achieve the outcomes, goals and objectives for the residency training program.
Therefore, the resident must be eligible to be licensed as a pharmacist in the state of Oregon.
• If applicable, the resident must obtain a Pharmacy Intern license from the Oregon State
Board of Pharmacy by July 1st.
• The resident should obtain an Oregon pharmacist license by September 1st.
• If an Oregon pharmacist license is not received by October 1st, the resident will be
dismissed from the program.
• A copy of the licensure must be presented to the residency director, and certified copies
will be posted at all work sites (VGH pharmacy, VGH clinic, etc).
Dress Code
During the residency, the resident is to comply with the dress code policy at each rotation site.
It is the expectation that the pharmacy resident will dress professionally at all times, including
during professional meetings. It is required that nametags be worn for identification. If the
resident wears attire that is deemed unprofessional by the RPD or residency preceptors, the
resident will be asked to leave and change into professional attire before returning for duty.
Recruitment
The resident will be actively involved in the marketing, recruitment and interview process for
all incoming residents. Activities include, but are not limited to, creation and distribution of
residency materials (brochure and application), follow-up from local and national meeting
recruitment events, application screening, and interview scheduling.
Completion of program requirements
Residents are expected to satisfactorily complete all requirements of the Residency Program.
Only those residents who satisfactorily complete all the requirements will receive their
Residency Certificate as evidence of program completion. (See Chapter 3 for specific
graduation requirements)
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Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
Chapter 3: Training Program
Residency Learning System
The “Accreditation standard for post-graduate year one (PGY1) community pharmacy
residency programs” lists seven principles for residency accreditation. Principle 4:
Requirements for the Design and Conduct of the Residency Program (The resident’s training
will be designed, conducted, and evaluated using a systems-based approach.) states:
“To ensure training efficiency and effectiveness, the program must use a systems-based
(structured and systematic) approach to training design, delivery, and evaluation. Such
an approach requires that there be a direct correlation among the expectations of
resident performance, the type of instruction provided, and the evaluation of resident
performance. The requirements in Principle 4 specify the products of a systems-based
approach that may be examined during an onsite accreditation survey but, beyond
specifying broad RPD and preceptor participation in program decisions, do not specify
a particular process for producing these products. RPDs are free to develop their own
systems-based approach to training or rely on the guidance and tools in the ASHPendorsed Residency Learning System (RLS) and associated materials.”
This program has been designed using the RLS. The RLS will be reviewed by the resident
during orientation, and throughout the residency, to understand the components of building a
residency program, and to evaluate the alignment of the program’s structure with the
accreditation standards. Information about the RLS can be found on the ASHP website
(“Resident’s guide to the RLS”).
Learning Experiences
Learning descriptions for rotations and experiences can be found on the network drive and
will be provided at the beginning of each rotation. Please review learning descriptions prior to
starting your rotation in order to clarify any questions or expectations with your preceptor on
the first day.
Required rotations include:
Residency Orientation: 1-2 weeks of residency orientation
Ambulatory Care: 1 week of clinic orientation
1-2 days/week in clinic- chronic disease management & comprehensive medication reviews
1 hour a month for interdisciplinary meetings, 1 hour a month for CPS team meetings
Community Pharmacy: 1-2 weeks of orientation (depending on experience)
1 day a week longitudinal rotation (either Monday or Friday)
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Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
Administration
Half day a week for 3 month rotation
340B University training at a national conference (ASHP MCM or APhA Annual mtg)
Attendance at key pharmacy and organization committee meetings (P&T, QI, Safety, etc)
Teaching Rotation- longitudinal
2 teaching workshop days plus 2 hours a month for OPTC meetings August - December
4-6 hours every other week August through December for Pharmacy Practice Days
2 hours every week January through June for APPE Hub facilitation
1-4 hours of Lecture throughout the year
Transitions of Care @ Tuality Healthcare and VGMHC
2-3 weeks of orientation/institutional pharmacy
2-3 hours a day, Monday- Friday for 4-6 week repeating rotations
½ day a week for transitions of care patient follow-up
Practice management and professional development
Weekly meeting with Virginia Garcia Residency Conference (VGRC)
Weekly log of hours allocated to rotations and tasks (See Chapter 2-specific responsibilities)
Maintenance of portfolio (See Chapter 2-specific responsibilities)
1-2 hours a month for Citywide Conferences
1-2 hours a month serving on a committee for OSHP or OSPA
8 hours OSHP Fall Seminar (Oct/Nov) or 8-16 hours OSPA Convention (Sept)
4-5 days at ASHP MCM (December, requires travel) or APhA Annual Meeting (Spring)
8-16 hours OSHP Annual Seminar (Apr/May) or 8-16 hours OSPA Lane County (Feb)
Project (see additional information below)
½ day a week August-September, may have addition time assigned throughout the year
4-6 hours IRB training (August)
Elective rotation possibilities:
- Anticoagulation
- Mental Health
- Pulmonary
- Advanced administration
- Advanced teaching
- Other opportunities may be available depending on resident interest and preceptor
availability.
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Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
Project Overview
The resident will be required to complete at least one project that involves planning and
conducting original practice-based research. This project is a core component of the residency
experience, must be started early in the year in order to ensure successful completion. The
resident will observe patient confidentiality and ethical principles for protection of human
subjects in the conduct of the research project. The resident will prepare and present the
results of the project at local, regional, and/or national forums.
The following information will be discussed with residency preceptors during orientation
activities:
- Discussion of project ideas and deadlines
- Institutional Review Board (IRB) process
- Information on presentation opportunities of the project
Outcomes and activities
The project should address the pharmacist’s role in improving health care outcomes, including
health promotion and wellness, drug therapy management, cost-benefit analysis, and
evaluation of patient quality of life. Collaboration with faculty from Pacific is strongly
encouraged. Presentation and publication of the project results are desirable. The resident,
with the assistance of the residency preceptor and director, should:
1. Develop an original project that seeks to define or identify the economic, clinical, or
humanistic outcomes of a pharmaceutical services or alternatively, participate in the
implementation and evaluation of a new innovative patient care service
2. Demonstrate an understanding of procedures and safeguards used to protect human
subjects (this implies that human subjects review procedures must be observed, and
formal approval for certain projects must be obtained)
3. Maintain confidentiality of patient records
4. Enroll patients in the project
5. Collect and organize data that is relevant to the patients and required by protocol
6. Evaluate the data for clinical and statistical significance
7. Prepare and submit manuscript in appropriate format for publication in a professional
or scientific journal
Research Advisor(s)
The resident will identify advisor(s) that have experience and interest in the proposed research
project. The project “preceptor” will be the primary contact for evaluation of the project
development process. Once the research proposal is finalized, the resident must make
periodic progress reports to the project preceptor and the residency program director as noted
on the residency schedule and at quarterly evaluation.
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Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
Research days
Days may be assigned to work on developing the major project. These days may be half or full
days, or may be developed into an elective rotation, such as a 2-4 week block of time to
implement a new clinical service. Time requested to be away from rotations to work on project
development must be submitted at least 2 weeks in advance and must be discussed with and
approved by the rotation preceptor and the RPD. Research days should be included in the
initial project proposal time line.
Requirements
In order to successfully complete the research requirements of the PGY1 residency program,
residents will:
1. Comply with all deadlines and major research activities.
2. Present final research project results at the Regional Residency Conference.
3. Complete a manuscript of their research project acceptable for publication in a peer
reviewed journal as determined by the project preceptor and the RPD.
Additional activities to promote the project may include:
1. Apply for grant funding for the residency project.
2. Submit research paper/abstract for presentation at a national meeting.
3. Presentation of the project at a local pharmacy meeting or to pharmacy students.
Topic Selection
A list of potential research projects will be presented to the resident during the first month of
the residency program. The resident may select a project from the list or submit his/her
research proposal to the prospective project preceptor and RPD by August 15th.
Project Development
After selecting a project, the resident will write a project proposal. The project proposal will
address the important steps outlined by ASHP in their document “Residency Research Tips.”
The format of the proposal will be developed by the resident, but must include a detailed
project timeline (including proposed project times), study question, background and
importance of this question, study design, data collection plan, and preceptor/advisor(s).
Website:
http://www.ashpfoundation.org/MainMenuCategories/ResearchResourceCenter/FosteringYoungInvestigators/Re
sidencyResearchTips_1
Additional information and residency research tips can be found at:
www.ashpfoundation.org/MainMenuCategories/ResearchResourceCenter/FosteringYoungInvestigators
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Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
Funding opportunities
Funding opportunities for residency projects are available through national organizations such
as APhA, ASHP, NACDS, etc. Submitting a grant proposal to receive these funds is optional.
Evaluation and completion
The project is considered a longitudinal learning experience and will have quarterly
evaluations in PharmAcademic consistent with other longitudinal rotations. The project will
be completed when a satisfactory manuscript is submitted to the project preceptor/advisors
and the RPD. The resident will not receive a certificate of completion for the program until the
project has been completed.
Important Project Dates
Project discussion meeting
Select project and meet with project preceptor
Write project proposal (submit to preceptor and Citywide
review group)
IRB draft due to preceptor
Final IRB draft to preceptor
Submit IRB draft
Submit abstract to ASHP
Start project implementation
Check in with project preceptor
Check in with project preceptor
Explore publication process
Poster abstract to OSHP for annual seminar
Complete OSHP Northern Chapter presentation
Submit regional residency conference abstract
Regional Residency Conference
Present to VGMHC/Pacific U groups
Write article for pharmacy newsletter
Prepare manuscript for publication
Manuscript draft due to project preceptor
Final manuscript due to project preceptor and RPD
Report to Pharmacy Director and CEO
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General due date
Beginning of July
End of July
Mid August
1st week of September
2nd week of September
October 1st
Beginning of October
Beginning of October (after IRB
approval)
2nd week of December
2nd week of February
March
April
April
3rd week of May
May
May
May and June
Beginning of June
Middle of June
End of June
Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
Graduation requirements
Evaluation of the resident's progress in completing the requirements is done as part of the
quarterly evaluation and review process. The Residency Program Director and preceptors will
assess the resident’s achievement of the program objectives through evaluation of completed
work and assignments within each learning experience. If a resident is failing to make
satisfactory progress in any aspect of the residency program, the Residency Program Director
and the Residency Advisory Committee will review the resident’s status and make
recommendations for additional coaching, remediation, or dismissal from the program.
Residency program objectives
In order to successfully complete the PGY1 program, residents must complete all required
learning experiences and achieve the following by the end of their residency year:
 Receive “Achieved” for all patient care and project objectives (R1, R2, R4)
 Receive “Achieved” for ≥ 50% of the remaining required residency objectives (R3, R5,
R6)
 Goals not classified as “Achieved” must be classified as “Satisfactory Progress.”
 In order to successfully complete the PGY1 program, the resident MAY NOT have any
goals deemed “Needs Improvement” by the end of the residency year.
Definitions for these designations can be found in Chapter 4- Evaluation.
Required elements for completion of residency program
Specific assignments that must be completed by the resident and approved by a preceptor
and/or RPD are included in the following list: “Required elements for completion of
residency”
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Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
Required elements for completion of residency (minimum expectations)
Ambulatory care practice
Patient related written drug information question response (4)
Formal interdisciplinary drug information presentations (4)
Establish a panel of patients for CDTM (20 patients)
Clinical outcomes and medication related problem report, mid & end-of-year summary
VGMHC Pharmacy Newsletter article (1)
Administration and community pharmacy
Review and update VGMHC pharmacy department policy and/or procedure (2)
Complete ISMP review of one pharmacy. Discuss recommendations with Pharmacy Director.
Complete Pharmacy PIC Self inspection form (by February 1st) & report to preceptor
Complete AHRQ Health Literacy Survey & report findings to director of pharmacy
Pharmacy and Therapeutics Committee
Attend and participate in a committee meeting (1)
Medication Use Evaluation (1)
Drug class formulary review (1)
Mentor student completed drug class formulary review (1)
Project- Complete all elements of a major research project observing deadlines:
Identify a potential project and develop implementation plan
IRB submission
Complete project including implementation and data collection
Present project and results
ASHP or OSHP Poster (1)
OSHP Northern Chapter (project) presentation (1)
Regional residency conference presentation (1)
Finalize manuscript prior to completion of residency year
Teaching
Complete Oregon Pharmacy Teaching Certificate program
Classroom lecture (1)
Facilitation for PP3 at Pacific University School of Pharmacy (fall)
APPE Hub facilitation (2 rotations) and modeling presentation (1)
Co-precepting APPE students in clinic or pharmacy (1 rotation, if available)
Service to Pacific University- Admissions interviews (3), IDC and/or health fairs (5)
Practice management and professional development
Develop or update collaborative drug therapy management (CDTM) agreement (1)
Develop or update VGMHC Standard of Care (1)
Actively participate in all Citywide Residency Conference meetings
Complete CPD plan
Write/update curriculum vitae (submit to 3 reviewers)
Join and actively participate in an OSHP or OSPA committee
Attend ASHP Midyear Clinical Meeting, OSHP or OSPA major meetings, and Regional
Residency Conference
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26
Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
Chapter 4- Evaluation
Assessment Strategy and Evaluation
General information and compliance with evaluation policy
All evaluations must be completed within a week of the due date (1 week before or after
deadline). Residents are expected to coordinate with rotation preceptors to schedule a meeting
to discuss evaluation feedback. Copies of the evaluations will be maintained in
PharmAcademic. Formative feedback and evaluations will be kept in the residency binder.
Residents must comply with the evaluation policy and complete evaluations as required. This
is essential for the advancement of the resident through the residency program. Resident
feedback of preceptors and learning experiences will be reviewed and incorporated into
preceptor development plans and the design of the residency program. Failure to comply with
this policy may result in disciplinary action by the Residency Program Director up to and
including failure to receive a certificate of completion for the residency program.
Self-Assessment
Prior to July 1st, the pharmacy resident will complete preassessments including “Pre-residency
Resident Self-Reported Interests, Preferences, and Experiences” and “Pre-residency Needs
Assessment.” The purpose of these assessments are to assist the RPD in developing the
Customized Training Plan for the pharmacy resident that will take into consideration prior
experience, program strengths, and personal goals and interests. Program preceptors do not
expect the resident to have a high level of proficiency in many of these areas as this is what the
residency is designed to provide.
Customized Training Plan
The Residency Program Director (RPD) and, when applicable, preceptors will customize the
training program for the resident based upon an assessment of the resident’s entering
knowledge, skills, attitudes, and abilities and the resident’s interests as well as quarterly
updates regarding the residents progress, identified needs and changes in interests.
 The initial Customized Training Plan template is completed utilizing self-reported
interests and pre-residency assessment forms as well as additional information gained
through discussion.
 Both the resident and RPD sign the customized plan.
 The resident and RPD will meet quarterly to review and update the customized plan.
Summative Evaluations
Evaluations for learning experiences (rotations) will occur via the PharmAcademic. The
resident will review the Residency Learning System (RLS) and the PharmAcademic evaluation
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Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
system during orientation. All evaluations must be completed within one week of the due
date.
For each learning experience the following evaluations shall occur via PharmAcademic:
 Resident self evaluation
 Resident evaluation of the preceptor
 Resident evaluation of the learning experience site
 Preceptor evaluation of the resident
For learning experiences that are rotational/condensed in nature (~<3 months long),
evaluations occur at the end of the learning experience, and may include a midpoint
evaluation as well. For learning experiences that are extended/longitudinal in nature (~>3
months long) evaluations occur quarterly. The resident and the preceptor are prompted by
PharmAcademic in advance of the date the evaluation is to be completed.
The resident will arrange with the preceptor a time to discuss each evaluation at a face to face
meeting. The goal is that these meetings will help the resident improve future performance.
The RPD will review all evaluations of the residents’ performance as they are completed and
document such in the PharmAcademic software system.
Formative Evaluations
Preceptors are encouraged to provide additional verbal and/or written feedback to residents
for assigned tasks and for specific areas of focus. Formative feedback can be provided using a
“snapshots” or may be written feedback on a project, presentation or patient care activity.
At least one formative evaluation will be completed for each learning experience. The
resident, with the preceptor’s assistance, is required to identify suitable activities for
evaluation. The goal of a formative evaluation is to help the resident improve future
performance on specific tasks and activities.
Quarterly Evaluations
Quarterly evaluations will take place for year-long learning rotations (longitudinal rotations)
(all resident and preceptor evaluations as noted above) . In addition, the RPD and resident will
meet quarterly to review and updated the customized training plan for the resident and to
evaluate status of previous goals and progression toward meeting the residency requirements.
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Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
Evaluation Definitions
The PGY1 residency program utilizes the ASHP standardized assessment scale (needs
improvement, satisfactory progress, achieved, and achieved for residency) as part of the
resident evaluation process tracked in the PharmAcademic system. The definitions provided
here are intended to be used as a guideline for preceptors and residents during the evaluation
process.
Resident Assessment Scale
Assessment Description
Needs
Resident displays ≥ 1 of the following characteristics:
Improvement
 Requires direct & repeated supervision/ guidance/ intervention/
prompting
 Makes questionable / unsafe / not evidence-based decisions
 Fails to incorporate or seek out feedback
 Fails to complete tasks in a time appropriate manner
 Acts in an unprofessional manner
Satisfactory Resident performs at the level expected for their training. The resident
Progress
responds to feedback and requires limiting prompting and guidance to
complete tasks appropriately.
Achieved
Resident displays all of the following characteristics:
 Independently and competently completes assigned tasks
 Consistently demonstrates ownership of actions and consequences
 Accurately reflects on performance & can create a sound plan for
improvement
 Appropriately seeks guidance when needed
Achieved for Resident demonstrates continued competency of the assessed goal. Resident
Residency
can effectively model and/or teach goal to a new learner.
 NOTE: “Achieved for Residency” status is determined during the
Residency Advisory Committee quarterly meetings with input from
program preceptors.
Exit Evaluation
At the end of the residency, the pharmacy resident shall complete a final assessment and exit
survey which the resident will discuss with the Residency Program Director. The resident may
be requested to attend a meeting of the Residency Planning Group to discuss his / her
experience throughout the residency. The purpose of this evaluation and meeting is to provide
feedback to the Residency Program Director and the members of the Residency Planning
Group to allow for improvements to be made in future years of the program.
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Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
Disciplinary Action
All residents accepted into the VGMHC-PacUSOP Community Pharmacy Residency program
were judged prior to that acceptance as capable of successfully completing the residency based
on their application, letters of reference and interview. The program director and preceptors
are committed to helping the resident have a successful year in the residency program.
Situations may arise that would require disciplinary action or dismissal of a resident from the
program.
Policy and Procedure
If a resident fails to make satisfactory advancement in any aspect of the residency program
disciplinary steps shall be taken. Items for which disciplinary steps may be taken include, but
are not limited to:
 Inability of the resident to become licensed as a pharmacist in Oregon
o The resident must obtain a Pharmacy Intern license from the Oregon State Board of
Pharmacy by July 1st.
o The resident should obtain an Oregon pharmacist license by September 1st.
o If an Oregon pharmacist license is not received by October 1st, the resident will be
dismissed from the program.
o A copy of the licensure should be submitted to the residency director.
 Decisions or actions that are unsafe for patient care, practice outside of VGMHC CPS
policies & procedures, or violation of Oregon Board of Pharmacy rules.
 Failure of the resident to reliably complete the assigned number of hours of work per week
 Failure of the resident to reliably complete the assigned tasks as determined by the
preceptors and program director
 Continued unsatisfactory performance of duties despite repeated informal and formal
feedback from preceptors and program director
 Conviction of any felony
 Failing to complete any mandated substance abuse program or drug testing program
 Violation of any rules or regulation that would require termination of employment
When the need for disciplinary action arises, the involved preceptors and the RPD will first
discuss the issue with the resident. In cooperation with the resident, the preceptors and the
RPD will determine an appropriate remediation plan to address the specific behavior or
deficiency. The remediation plan must include specific and measurable goals with a timeline
for achievement. Documentation of the discussion and remediation plan will be placed in the
resident’s file and shared with all program preceptors. If the resident is not able to complete
the remediation plan, continues to progress unsatisfactorily or if other deficiencies or
behaviors are identified, the involved preceptor(s), residency director, and pharmacy director
will determine a plan and course of action, which may include dismissal from the program.
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Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
Appendix A- Pre-assessment
Initial Resident Self-Reported Interests, Preferences, Experiences
The following questions are intended for you, the resident, to conduct a self-assessment before the beginning of
the program year. Your responses will assist me and your preceptors in getting to know you quickly and
effectively in planning the upcoming year. Please answer the questions by typing narrative responses directly
onto this document. Return as an electronic attachment to me (sdeines@vgmhc.org) no later than July 1st.
- Thank you!
Resident:
Date:
1. Are you a licensed pharmacist in the state of Oregon?
Yes
No
If yes, what is your state license number?
If no, when will you be licensed?
2. Have you worked independently as a practicing pharmacist? If yes, please describe experience.
Yes
No
3. Explain the influence which led you to choose a career in pharmacy.
4. Describe your personal interests / hobbies / how you spend your free time.
5. Describe your current practice interests.
6. List strengths or pharmacy-related experiences you have that you feel will benefit you at this site;
include direct patient care skills as well as personal strengths.
7. List areas of weakness that you would like to improve during the residency or that you feel might
interfere with this residency experience.
8. State your career goals, both short-term (2-3 yrs) and long-term (5-8 yrs).
9. Given your interests, career goals, strengths and weaknesses:
- List at least one goal for your clinical experiences and name three ideas to help you obtain the goal stated.
- List at least one goal for your teaching experiences and name three ideas to help you obtain the goal stated.
- List at least one goal for your research experiences and name three ideas to help you obtain the goal stated.
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Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
10. Which of the following have you completed during your advance pharmacy practice experiences and
for how many weeks?










Academia (teaching focus)
Academia administration
Ambulatory care / primary care (CHC Private office Other ________)
Anticoagulation
Association administration
Behavioral health (psych emphasis)
Critical care units
Internal medicine
Pain management
Other __________________________________________
11. Are there specific areas of practice / disease states you would like to be more involved in or receive
more training in?
12. Describe the frequency and type of interaction you feel to be ideal for preceptors and the director.
-In what areas would you like more supervision / guidance?
-In what areas would you like less?
13. Explain your strategy to stay current with life-long continuing education.
14. Have you presented at a local or national professional meeting?
- If yes, please describe:
Yes
No
15. Describe the role you expect professional organizations will have in your career.
16. Have you ever done research? If so, what?
17. What topics interest you as research topics (major project)?
18. Attended / participated an investigational review board (IRB) meeting?
19. Do you have formal course work in drug information or statistics? (Describe)
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Yes
No
Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
20. Please evaluate your proficiency/skill performing the following:
High
Med
More
than 5
3-5
Low
None
Consulting with health care providers (HCP)
Perform pharmacy related calculations (CrCl, etc)
Take a medication history
Create a comprehensive care plan for a patient visit
Interview patients for changes in health status or allergy history
Manage chronic conditions under pharmacy protocols
Write progress notes in a patient’s medical record
Clarify an order with a HCP and document in the patient record
Recognize and/or report ADEs
Manage pharmacy dispensing work flow
Intervene with HCPs to avoid or correct a medication related problem
Document interventions
Independently improve patient care (with individual patients, through development of new
services, etc)
21. How many of the following have you completed?
1-2 None
Critically evaluate the quality of a published clinical trial (journal club)
Written and published an article for a journal
Written an article for a newsletter
Updated, written or developed a policy and procedure
Case presentations (formal / informal / oral / written)
Lectures on pharmacotherapy topics to students or other HCP (inservices; topic discussions)
Drug use evaluation
Literature searches using computerized literature retrieval systems
Researched and written drug information questions
Formal formulary review (drug monographs)
Presentations to Pharmacy and Therapeutics committee
Been involved in an accreditation survey (ASHP, ACPE, JC, NCQA,
etc)
Been involved with legislative advocacy
22. What experience do you have in policy making or systems revision to improve the safety and
efficacy of pharmacotherapy for patients?
Resident’s Signature (electronic ok)
Date
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Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
Pre-residency Needs Assessment for PGY1 Community Pharmacy Residency Outcomes
The following questions are intended for you, the resident, to conduct a self-assessment before the beginning of
the program year. Your responses will assist me in developing your customized learning plan. Please provide
additional typed details in the space below each table to explain any outcomes rated below a score of 3. Return as
an electronic attachment to me (sdeines@vgmhc.org) no later than July 1st. - Thank you!
Resident:
Date:
Instructions: Please rate your experiences in the following areas using the following ratings:
0 No experience
1 Minimal exposure, no experience
2 Some experience
3 Adequate experience
4 Mastery
Note: Learning activities have been selected to address each area, however specific activities may be planned for
the development of the objectives rated less than 3 to ensure experience & competency in these areas.
Outcome R1: Manage and improve the medication-use process
4
1
0
Outcome R2: Provide evidence-based, patient-centered care and collaborate with other
healthcare professionals to optimize patient care.
4
3
2
1
0
R1.1
R1.2
R1.3
R2.1
R2.2
R2.3
2
Demonstrate ownership of and responsibility for the welfare of the
patient by performing all necessary aspects of the medication-use
system.
Identify, design, and implement quality improvement changes to
the organization’s (e.g., community pharmacy, corporation,
health-system) medication-use system.
Prepare and dispense medications following existing standards of
practice and the organization’s policies and procedures.
Establish collaborative professional relationships with other
healthcare professionals involved in the care of patients.
Establish collaborative pharmacist-patient relationships.
R2.4
Collect and analyze patient information to identify medication or
non-medication-related problems.
Design comprehensive evidence-based medication or nonmedication, health improvement, wellness, and/or disease
prevention regimens for patients.
R2.5
Design evidence-based monitoring plans for patients.
R2.6
Design patient education for a patient’s regimen and monitoring
plan.
Recommend or communicate regimens and monitoring plans for
patients.
R2.7
3
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Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
R2.8
R2.9
R2.10
R2.11
Implement regimens, monitoring plans, and provide patient
education for patients.
Evaluate patients’ progress and redesign regimens and monitoring
plans.
Communicate ongoing patient information to other healthcare
professionals.
Document patient care activities appropriately.
Outcome R3: Exercise leadership and practice management skills.
R3.1
R3.2
R3.3
4
3
2
1
0
4
3
2
1
0
Exhibit essential personal skills of a practice leader.
Exhibit practice leadership in organizational and management
activities.
Contribute to the development, implementation, and evaluation of
a new pharmacy service or to the enhancement of an existing
service.
Outcome R4: Demonstrate project management skills.
R4.1
Conduct a practice-related project using effective project
management skills.
Outcome R5: Provide medication and practice-related education and/or training
R5.1
R5.2
4
3
2
1
0
4
3
2
1
0
Provide effective medication and practice-related education and/or
training to groups of patients, groups of caregivers, healthcare
professionals, student pharmacists, and the public.
Provide concise, applicable, comprehensive, evidence-based, and
timely responses to requests for drug information from health care
providers and patients.
Outcome R6: Utilize medical informatics.
R6.1
Use information technology to make decisions and reduce error.
Resident’s Signature (electronic ok)
Date
Reviewed: SCD 06/30/2015
35
Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
Appendix B- Final assessment post-residency and Exit evaluation Survey
Post-residency Assessment for PGY1 Community Pharmacy Residency Outcomes
This form is to be completed and returned to the residency program director by the end of the residency year.
Resident:
Date:
Instructions: Please rate your experiences in the following areas using the following ratings:
0 No experience
1 Minimal exposure, no experience
2 Some experience
3 Adequate experience
4 Mastery
Outcome R1: Manage and improve the medication-use process
4
R1.1
R1.2
R1.3
3
2
1
0
Demonstrate ownership of and responsibility for the welfare of
the patient by performing all necessary aspects of the
medication-use system.
Identify, design, and implement quality improvement changes
to the organization’s (e.g., community pharmacy, corporation,
health-system) medication-use system.
Prepare and dispense medications following existing standards
of practice and the organization’s policies and procedures.
Outcome R2: Provide evidence-based, patient-centered care and collaborate with other healthcare
professionals to optimize patient care.
4
3
2
1
0
R2.1
R2.2
R2.3
R2.4
R2.5
R2.6
R2.7
R2.8
R2.9
R2.10
R2.11
Establish collaborative professional relationships with other
healthcare professionals involved in the care of patients.
Establish collaborative pharmacist-patient relationships.
Collect and analyze patient information to identify medication
or non-medication-related problems.
Design comprehensive evidence-based medication or nonmedication, health improvement, wellness, and/or disease
prevention regimens for patients.
Design evidence-based monitoring plans for patients.
Design patient education for a patient’s regimen and
monitoring plan.
Recommend or communicate regimens and monitoring plans
for patients.
Implement regimens, monitoring plans, and provide patient
education for patients.
Evaluate patients’ progress and redesign regimens and
monitoring plans.
Communicate ongoing patient information to other healthcare
professionals.
Document patient care activities appropriately.
Reviewed: SCD 06/30/2015
36
Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
Outcome R3: Exercise leadership and practice management skills.
R3.1
R3.2
R3.3
4
3
2
1
0
4
3
2
1
0
Exhibit essential personal skills of a practice leader.
Exhibit practice leadership in organizational and management
activities.
Contribute to the development, implementation, and evaluation
of a new pharmacy service or to the enhancement of an existing
service.
Outcome R4: Demonstrate project management skills.
R4.1
Conduct a practice-related project using effective project
management skills.
Outcome R5: Provide medication and practice-related education and/or training
R5.1
R5.2
4
3
2
1
0
4
3
2
1
0
Med
Low
Provide effective medication and practice-related education
and/or training to groups of patients, groups of caregivers,
healthcare professionals, student pharmacists, and the public.
Provide concise, applicable, comprehensive, evidence-based,
and timely responses to requests for drug information from
health care providers and patients.
Outcome R6: Utilize medical informatics.
R6.1
Use information technology to make decisions and reduce error.
Please rate your confidence in performing the following:
High
Consulting with health care providers (HCP)
Perform pharmacy related calculations (CrCl, etc)
Take a medication history
Create a comprehensive care plan for a patient visit
Interview patients for changes in health status or allergy history
Manage chronic conditions under pharmacy protocols
Write progress notes in a patient’s medical record
Clarify an order with a HCP and document in the patient record
Recognize and/or report ADEs
Manage pharmacy dispensing work flow
Intervene with HCPs to avoid or correct a medication related problem
Document interventions
Independently improve patient care (with individual patients, through
development of new services, etc)
Resident’s Signature
Reviewed: SCD 06/30/2015
Date
37
Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
PGY1 community pharmacy residency program- Exit evaluation survey
This form is to be completed and returned to the residency program director by the end of the residency year.
Resident:
Date:
Please rate your level of agreement with the following statements:
0 Strongly disagree
1 Disagree
2 Neutral
3 Agree
Rotation Name
Ambulatory Care
Community Pharmacy
Transitions of care
Teaching
Practice management and
professional development
Project
Administration Rotation
Elective rotation possibilities
Anticoagulation
Mental Health
Pulmonary
Reviewed: SCD 06/30/2015
Completed?
Y/N
Contributes to
purpose of residency
program
38
4 Strongly Agree
Opportunity for
valuable pharmacy
learning
Contributes
unique learning
opportunity
Preceptors are
interested in
resident
Site/Preceptors
capable of precepting
resident
Virginia Garcia Memorial Health Center & Pacific University School of Pharmacy
Community Pharmacy Residency Program
(VGMHC-PacUSOP CPRP)
Completed & final
draft saved in folder
on N-drive? Y/N
Assignment/Task
Contributes to
purpose of
residency program
Patient related written drug information (DI) question
response (4)
Formal interdisciplinary DI presentations (4)
Establish a panel of patients for CDTM (20 patients)
Transition plan implemented for all patients (June)
Clinical outcomes and medication related problem report
completed and submitted to RPD (Dec, June)
VGMHC Pharmacy Newsletter article (1)
Update VGMHC pharmacy department policy and/or
procedure (2)
Complete ISMP review of one pharmacy & report to
Pharmacy Director.
Complete Pharmacy PIC Self inspection form (by
February 1st) & report to preceptor
Complete AHRQ Health Literacy Survey & report
findings to director of pharmacy
Medication Use Evaluation (1)
Drug class formulary review (1)
Mentor student completed drug class formulary review(1)
Project presented to ASHP or OSHP as poster
Project presented @OSHP & regional residency conference
Final project manuscript approved by preceptor & RPD
Complete Oregon Pharmacy Teaching Certificate
Develop or update CDTM agreement (1)
Develop or update VGMHC Standard of Care (1)
Resident’s Signature
Reviewed: SCD 06/30/2015
Date
39
Opportunity for
valuable
pharmacy learning
Contributes
unique learning
opportunity
Actionable feedback
received from
preceptor or RPD