5/10/16 2016 Regional Residency Conference Outline • Discuss current residency capacity • Examine the results of the March residency two-phase match process • Provide an update regarding recent Commission on Credentialing decisions • Discuss current findings of partial compliance with the 2014 PGY1 standard and how they differ from top findings with the 2005 standard 1
5/10/16 Residency Capacity ASHP Accredited Pharmacy Residency Program Growth in Last 20 Years Hospital Pharmacy Practice PGY1 Clinical Specialized PGY2 2500 2,044 2000 1,861 1500 1000 500 0 2
5/10/16 Types of Residency Programs 1400 1166 1200 1000 809 800 600 400 200 69 0 PGY1 PGY2 COMBINED PGY1/PGY2 Includes Accredited, Candidate Status, and Pre-Candidate Status Programs as of 4/15/2016 PGY1 Residency Programs 1200 993 1000 800 600 400 127 200 46 0 PGY1 PGY1 COMMUNITY PGY1 MANAGED CARE Includes Accredited, Candidate Status, and Pre-Candidate Status Programs as of 4/15/2016 3
5/10/16 Audience Participation Question: Which type of PGY2 residency had the largest increase in number of programs between 2015 and 2016? A. Critical Care B. Ambulatory Care C. Emergency Medicine D. Psychiatric Pharmacy Top PGY2 Residency Programs by Number of Programs 140 2015 2016 120 100 80 60 40 20 0 Includes Accredited, Candidate Status, and Pre-Candidate Status Programs as of 4/15/2016 4
5/10/16 Other PGY2 Residency Programs 25 2015 2016 20 15 10 5 0 Includes Accredited, Candidate Status, and Pre-Candidate Status Programs as of 4/15/2016 Residency Growth Summary • PGY1, PGY2, and combined PGY1/PGY2 programs continue to grow • 21% increase in programs in past 3 years PGY2 and combined programs outpacing PGY1 • programs in percent growth from 2015-2016 5
5/10/16 2016 Two Phase Match Applicants Participating and Positions Offered Increased in 2016 • PGY1 – 7.9% increase in positions offered – 11.6% increase in applicants participating in Match • PGY2* – 8.9% increase in positions offered – 22.7% increase in applicants participating in match * Includes early commitment process 6
5/10/16 ASHP Resident Matching Program 2007-2016 PGY1 5000 4609 4358 4500 4142 3933 4000 3706 3309 3500 3277 # applicants 3081 3041 2915 2862 2811 # positions 3000 2694 2640 2508 2495 92% fill rate # matched 2413 2500 2268 2173 2092 2027 1951 1900 1873 2000 1801 1769 1651 1612 1487 1343 1500 1162 1000 95% fill rate 500 282 269 0 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2016 Phase I Phase II ASHP Resident Matching Program 1400 2007-2016 PGY2 1200 1148 90% fill rate # applicants 1002 1000 (includes early 1000 917 906 commits) 899 # positions 792 794 777 (includes early 800 706 commits) 692 677 # total match (early 601 585 600 commit+match) 541 505 514 483 439 438 # early comit 384 380 369 400 330 334 319 297 297 286 267 260 239 230 195 179 200 144 140 114 88 88 81 64 73% fill rate 41 0 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 Phase IPhase II 7
5/10/16 Audience Participation Question: What percent of PGY1 applicants DID NOT match with a program by the end of Phase II? A. 8% B. 19% C. 33% D. 50% Going Into the Scramble End of Match or Phase II End of Match or Phase II 2015 Unfilled Positions Unmatched Applicants PGY1 270 1547 PGY2 112 208 T otal 382 1755 2016 PGY1 13 893 PGY2 24 76 T otal 37 969 Reduced Unfilled Positions by 90% Reduced Unmatched Applicants by 45% Overall position fill rate for PGY1 and PGY2 was 99.1 % 8
5/10/16 PGY1 Gap - Applicants to available Positions 1800 1600 1491 1373 1400 1293 1297 1239 1104 1200 964 1000 800 635 600 400 288 323 200 0 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 Two Phase Match Summary • Match results reflect significant growth in residency programs and additional residency positions in past 3 years • Still significantly more applicants than positions • Two phase match process was successful in filling majority of residency positions in an orderly fashion 9
5/10/16 News from the Commission on Credentialing Changes to Standards and Competency Areas for PGY2 Programs • New PGY2 standard approved – August 2015 – Optional implementation – July 2016 – Required implementation – July 2017 • New PGY2 guidance document approved –March 2015 • PharmAcademic will default to 2015 PGY2 standard for 2016 residency unless program emails them • Current outcomes, goals, and objectives can be utilized with new standard • Competency areas, goals, and objectives currently under development – Order of development based primarily on number of PGY2 programs – First sets of revised goals and objectives expected to be approved at August 2016 COC meeting and ready for implementation in PharmAcademic for 2017-2018 residency year 10
5/10/16 PGY2 Goals and Objectives in Process • Critical Care • Ambulatory Care • Oncology • Infectious Diseases • Psychiatry • Pediatrics • Solid Organ Transplant • Cardiology • Internal Medicine • Pharmacotherapy New Changes to the Guidance Document for the 2014 Standard (April 2016) • Standard 1.5: Consequences of residents’ failure to obtain appropriate licensure either prior to or within 90 days of the start date of the residency must be addressed in written policy of the residency program – Added as a critical factor – Guidance added: Programs ensure a minimum of 2/3 of residency is completed as a pharmacist licensed to practice in the program’ s jurisdiction. • Standard 3.1: Purpose statement (see standard for required purpose statement) – Guidance changed to: The program documents the required purpose statement in program materials . (changes in red) 11
5/10/16 New Changes to the Guidance Document for the 2014 Standard-April 2016 (continued) • Standard 6.3: The pharmacist executive must provide effective leadership and management for the achievement of short- and long-term goals of the pharmacy and the organization for medication-use and medication-use policies. – Removed definitions of short-term goals as one year and long-term goals as greater than 2 years – Changed how it will be surveyed to: • Review of department of pharmacy strategic plan and specific departmental goals and initiatives • Discussion with organization and pharmacy leaders, physicians, nurses and pharmacy staff about the role of pharmacy in strategic planning for the organization and medication-use process New Changes to the Guidance Documents for the 2014 Competency Areas, Goals, and Objectives (April 2016) • Objective R3.1.2 (Applying): Apply a process of ongoing self evaluation and personal performance improvement – Added guidance on minimum number of times objective must be assigned to be taught and evaluated. • Objective must be taught and formally evaluated at least 3 times – Assigned to 3 different learning experiences – Assigned to be evaluated in 1 learning experience and twice in a longitudinal learning experience – Assigned to be evaluated 3 times in a longitudinal learning experience • How it will be surveyed section also changed to reflect new guidance. Exact wording in next slide 12
5/10/16 Objective R3.1.2 (Applying): Apply a process of ongoing self evaluation and personal performance improvement Guidance The residency program creates a strategy describing what residents will do, and how they will do it, that will help residents develop the skills to effectively self-evaluate. Residents compare their self-evaluation with the preceptor for feedback during formative and summative evaluations, if applicable, to determine the degree of accuracy of their self-evaluation. An example for formative might include asking the resident what they thought they did well and how they can improve on specified objectives. Residents are able to identify their strengths and areas for improvement and define a plan for improving, where indicated. This objective is included in at least three learning experiences or one learning experience and two times in a longitudinal learning experience or required 3 times in a longitudinal learning experience. Beyond the requirements, programs are encouraged to use other methods. Objective R3.1.2 (Applying): Apply a process of ongoing self evaluation and personal performance improvement How it will be surveyed Review of: • Strategy for self-evaluation, if written, or verbal description of strategy in discussions with RPD, preceptors, and residents. • Evidence that preceptors track resident progress toward achievement of this objective. 13
5/10/16 Top Citings: 2014 PGY1 Standard • 47 programs surveyed on new standard as of March 2016. • On average, surveyors cited 21 elements per survey. The range was 7-40 elements cited. Audience Participation Question: The most frequently cited element of the current standard is: A. 4.8c – related to preceptor qualifications B. 1.5 – related to licensure requirements C. 3.3c(1)(d) – related to learning experience descriptions D. 3.4c(1) – related to preceptor evaluation of residents 14
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