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PGY-1 Pharmacy Residency at Mayo Clinic Health System — La Crosse

Curriculum

Clinical training

As a PGY-1 pharmacy resident, you devote much of your time to comprehensive training as a member of the interdisciplinary team. A breadth of learning experiences has been designed to increase and refine your clinical competency, provide evidence-based pharmacotherapeutic care plans, and develop your confidence as an independent practitioner.

Direct patient care services allow you to provide patient-specific pharmaceutical care services. Responsibilities include development of individualized care and monitoring plans for various patient populations. After coaching, instruction and modeling by a preceptor, you are assessed and constructively critiqued on how to further refine the delivery of evidence-based recommendations.

You provide drug information to patients, physicians, nurses, pharmacists and other allied health professionals. Your preceptors offer feedback to enhance your drug-information retrieval skills using a variety of resources and modalities.

Required learning experiences

The PGY-1 Pharmacy Residency at Mayo Clinic Health System — La Crosse is designed to provide a diverse experience for the future pharmacy clinician. Required learning experiences may be extended based on your interests and include the following:

AreaLength
Orientation 8 weeks
Antimicrobial stewardship and infectious diseases 5 weeks
Critical care 5 weeks
Family medicine 5 weeks
Internal medicine 5 weeks
Medication safety Longitudinal
Practice management Longitudinal
Research Longitudinal
Staffing Longitudinal
Teaching and learning certificate Longitudinal

Elective learning experiences

Electives are available in a variety of inpatient and outpatient settings that allow you to tailor the program to your needs. The list below includes learning experiences that past PGY-1 residents have completed at Mayo Clinic Health System — La Crosse.

  • Administration
  • Advanced antimicrobial stewardship
  • Advanced critical care
  • Advanced family medicine
  • Oncology
  • Palliative care
  • Surgery

Additional elective learning experiences may be available upon request.

Teaching requirements

TLC workshop

At the beginning of the academic year, residents attend an eight-hour workshop to learn the foundational principles of pedagogy, course creation, philosophies of learning, writing measureable objectives, and creating evaluation questions. The latter portion of the workshop includes case-based vignettes that focus on difficult or challenging scenarios that young preceptors may encounter.   

Presentations

Mayo Clinic Pharmacy Grand Rounds

As a pharmacy resident, you will provide continuing education presentations at various venues throughout the academic year. One such venue is Mayo Clinic Pharmacy Grand Rounds, where residents showcase pharmacology expertise to an interdisciplinary audience comprised of pharmacists, physicians, physician assistants, nurse practitioners, certified nurse specialists, and nurses. Mayo Clinic Pharmacy Grand Rounds is accredited for ACPE, AMA, ANCC, and AAPA continuing education credit and broadcast to all Mayo Clinic and Mayo Clinic Health System sites across the United States. Regardless of location, learners can actively participate in assessment questions using state-of-the-art polling software on mobile devices. Formal evaluations on presentation skills are provided to the resident for continued public speaking development.

Noon Conference

As a PGY-1 pharmacy resident, you are required to present during the noon conference to medical residents enrolled in the Mayo Clinic Family Medicine Residency program in La Crosse, Wisconsin. This presentation is 35-40 minute in length and is intended to focus on current disease state management options that are applicable to both inpatient and outpatient practice settings.

Successful Aging

In collaboration with a pharmacy co-resident, this presentation is developed and provided as part of a community education group that meets monthly at Mayo Clinic Health System in La Crosse, Wisconsin. The Successful Aging presentation is designed to provide community members a better understanding and management of personal health care issues as well as equip attendees with the necessary tools to better implement personal disease state management strategies. This presentation is 35-40 minutes in length and incorporates a substantial amount of time for discussion between the presenters and the patients who attend the event.

Informal presentations

Given the role of pharmacists serving as a medication expert at the bedside, resident are required to deliver informal presentations to the interdisciplinary team that focus on succinct education pearls related to a patient the team is caring for. Residents may have additional presentation requests by the interdisciplinary team while on specific learning experiences.

Precepting and classroom teaching

As pharmacy residents transition to future preceptor, it is imperative that residency programs provide adequate training, opportunities, and support to refine precepting skills. By learning and working alongside an experienced preceptor, residents are guided through their first precepting experience of an Advanced Pharmacy Practice Experience (APPE) student.

Beginning early 2021, pharmacy residents will also have the opportunity to provide didactic clinical pharmacology lectures to students enrolled in the Mayo Clinic School of Health Sciences Physician Assistant Program.

Teaching and learning certificate

Completion of a longitudinal teaching and learning certificate (TLC) is required for all PGY-1 residents. The TLC curriculum was specifically designed to train you on the expectations, roles, and responsibilities associated with teaching learners in didactic and experiential settings. Completion of the certificate program prepares you for a future role as preceptor, mentor, or faculty member. Each resident is assigned a TLC mentor and the curriculum consists of the following requirements.

In order to best prepare graduates to serve as a preceptor and/or faculty member at a College of Pharmacy, each resident is required to develop a teaching philosophy statement that highlights their beliefs on teaching and learning in pharmacy education. Once the teaching philosophy and evidence (i.e. evaluations, presentation slides) of TLC requirements are reviewed and approved, the resident receives a Mayo Clinic Department of Pharmacy Teaching Certificate.

Practice committees

The PGY-1 pharmacy resident at Mayo Clinic Health System in La Crosse, Wisconsin serves as a core member of multiple committees, which include: clinical practice, medication safety, and pharmacy and therapeutics. In addition, you participate in other operational and leadership committee activities throughout the residency year.

Research certificate, project, and resources

Pharmacy residents at Mayo Clinic make valuable contributions to evidence-based literature through completion of a required research project. Concurrent with development of your research project under the direction of subject matter experts and a mentor, you are enrolled in Mayo Clinic's pharmacy research curriculum to develop foundational research skills.

This curriculum includes a combination of live application-based workshops taught by experienced pharmacist researchers and completion of a certificate program through Mayo Clinic's Center for Clinical and Translational Science (CCaTS). The certificate program, funded by the National Institute of Health (NIH), is designed to address the development and implementation of national standards and best practices for translation, from basic discovery to clinical and community-engaged research.

In addition to live workshops, you complete the CCaTS Essentials of Clinical and Translational Science (ECaTS) program to obtain a certificate. ECaTS comprises approximately 55 hours of online coursework, including the following modules:

  • Fundamentals of clinical and translational science
  • Introduction to clinical epidemiology
  • Biostatistics in clinical research

The live research workshops, offered at the beginning of the academic year, allow you to learn directly from and with research experts on a variety of topics, including:

  • Authorship considerations and guidelines
  • Institutional review board introduction and submission considerations
  • Development of a research proposal and protocol
  • Research timeline development and management
  • Database development and basics of data management
  • Introductory course on statistical software
  • Abstract, poster, and manuscript preparation and writing

As a pharmacy resident, you are afforded additional research support in the form of statistical expertise and discretionary funds. A partnership between the Department of Pharmacy and the Division of Biomedical Statistics and Informatics provides a dedicated biostatistician for pharmacy resident consultation. Upfront collaboration with these experts assists in the refinement of the study question, methodology, statistical sample size calculation and justification, and plans for data analysis. Each pharmacy resident is also afforded discretionary research funds to offset electronic data pulls, abstract and manuscript publication fees, equipment, and other research-associated costs.

During the academic year, you will have time devoted specifically to research projects. You are encouraged to publish your research results in a peer-reviewed journal and are required to present the results of your research at an assigned residency conference.

Medication use evaluation and quality-improvement training

All residents are required to complete a medication use evaluation (MUE) and accompanying quality improvement (QI) project during the residency year. The goal of the MUE-QI project is to develop a systematic process designed to determine, improve, and maintain the appropriate and effective use of medications. You are afforded a mentor and are required to complete QI education and training through the Mayo Clinic Quality Academy.

Advanced life-support education and emergency-response participation

As part of the medical emergency response learning experience, Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) certification are required for PGY-1 pharmacy residents.

Additional pharmacy department training is provided on code cart basics and emergency-specific competencies. You actively respond to all medical emergencies throughout the year, including codes and stroke priorities.

Professional travel

During the academic year, you have the opportunity to attend professional meetings for the purpose of networking, professional development, and service to the profession. Funding for travel-related expenses, such as airfare, hotel, and registration fees, is provided by the residency program.

PGY-1 residents are required to attend Vizient, the American Society of Health-System Pharmacists (ASHP) Midyear Clinical Meeting, ASHP state affiliate meeting(s), and a regional residency research conference. Additional meetings are based on the discretion of residency program leadership. Typically, you are allotted a maximum of 10 professional travel days a year.

Staffing commitment

Mayo Clinic Health System — La Crosse pharmacy residents staff an average of 32 hours each month. Staffing may include a combination of day, weekends, and holidays with a central and decentral pharmacy component to advance experience in both operational and clinical pharmacy services. Staffing also includes 3 hours staffed each month at the Saint Claire Health Mission which provides care for the underserved patient population in the region. No formal on-call program exists.

Evaluation

Core standards for resident performance have been established by ASHP to provide clear expectations. The PharmAcademic evaluation system is used to ensure that you receive ongoing feedback that facilitates the development of your skills throughout the year. This feedback utilizes consistent assessment criteria and provides a mechanism for improving your skills.

In addition to required learning experience evaluations, you have a one-on-one quarterly evaluation with your residency program director to document your achievements and progress toward graduation requirements, as well as to tailor the program to meet your needs. You are also asked to evaluate each of your preceptors, as well as each learning experience, to help improve the experience for future residents.

Curriculum enhancements

The Department of Pharmacy and Mayo Clinic School of Health Sciences are committed to developing and maintaining the best education programs. The curriculum and other aspects of this program are routinely assessed and changed as necessary to ensure the highest-quality training.