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PGY-2 Pharmacy Residency in Ambulatory Care at Mayo Clinic

Curriculum

Curriculum for the PGY-1 Pharmacy Residency at Mayo Clinic in Rochester, Minnesota

Clinical training

PGY-2 ambulatory care residents devote much of their time to comprehensive training as a member of the interdisciplinary team. A breadth of learning experiences has been designed to increase and refine clinical competency, provide evidence-based pharmacotherapeutic care plans and develop confidence as an independent ambulatory care practitioner.

Direct patient care services allow a resident 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, residents are assessed and constructively critiqued on how to further refine the delivery of evidence-based recommendations.

Drug information is provided to patients, physicians, nurses, pharmacists and other allied health professionals. Feedback is provided to enhance drug information-retrieval skills using a variety of resources and modalities.

Required learning experiences

The PGY-2 Pharmacy Residency in Ambulatory Care at Mayo Clinic is designed to provide a diverse experience for the future ambulatory care clinician. Required learning experiences include:

AreaLength
Orientation 4 weeks
Anticoagulation 4 weeks
Cardiology 5 weeks
Family medicine 10 weeks
Internal medicine  5 weeks
Advanced internal medicine 5 weeks
Precepting 5 weeks
Medication use evaluation Longitudinal
Leadership and management Longitudinal
Research Longitudinal
Pharmacy staffing Longitudinal
Teaching and education Longitudinal

Elective learning experiences

Electives are available in a variety of settings that allow residents to tailor the program to their needs. The list below includes popular elective learning experiences that past PGY-2 ambulatory care residents completed.

  • Bone marrow transplant
  • Dialysis
  • Family medicine II
  • HIV
  • Outpatient parenteral antimicrobial therapy (OPAT)
  • Pain Rehabilitation
  • Pharmacogenomics
  • Solid organ transplantation

Additional elective learning experiences may be available upon request.

Teaching and education

TLC workshop

A teaching workshop is required for all residents who have not completed a previous certificate program. At the beginning of the academic year, you will 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.   

Formal presentations

Pharmacy residents are required to provide continuing education presentations at various venues throughout the academic year. One such venue is Mayo Clinic Pharmacy Grand Rounds, where you can showcase pharmacology expertise to an interdisciplinary audience composed 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 you during the residency for continued public speaking development.

Informal presentations

Given the role of pharmacists serving as medication experts, 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. Audiences include medical staff, nurses, and patients. As a resident, you 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 in this program, you are guided through your first precepting experience of an Advanced Pharmacy Practice Experience (APPE) student. If you are interested in a future faculty position, you may elect to complete additional teaching experiences that focus on preceptor skill development.  

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 philosophy, portfolio, and certificate

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 (such as evaluations and presentation slides) of TLC requirements are reviewed and approved, the resident receives a Mayo Clinic Department of Pharmacy Teaching Certificate.

Practice committees

Residents have the opportunity to participate on departmental or institutional committees to optimize the residency training experience. Through this experience, trainees gain appreciation for consensus-building and provide valuable input into practice decisions. A preceptor or committee member typically attends all meetings with the resident to provide guidance throughout the 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 a research project under the direction of subject matter experts and a mentor, each resident is enrolled in Mayo Clinic's pharmacy research curriculum to develop foundational research skills.

This curriculum includes a combination of two all-day, application-based workshops taught by experienced pharmacist researchers plus the completion of a certificate program provided by 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. As a pharmacy resident, you will complete the CCaTS Essentials of Clinical and Translational Science (ECATS) program to obtain a certificate. The ECATS program, paid for by the residency program, is comprised of approximately 30 hours of online self-directed and self-paced coursework, including the following modules:

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

The two 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 tools for timeline development and project management
  • Data mining and reporting using the electronic health record
  • Database development and basics of data management
  • Citation 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 you to consult. 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. As a resident, you are encouraged to publish your research results in a peer-reviewed journal, and you are required to present the results of your research project at a regional 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. As a resident, you will have a mentor and are required to complete QI education and training through the Mayo Clinic Quality Academy.

Professional travel

During the academic year, you will 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-2 residents are required to attend Vizient and the American Society of Health-System Pharmacists (ASHP) Midyear Clinical Meeting. 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

All PGY-2 residents provide 24 hours of staffing every four weeks. Staffing may include a combination of weekend and evening experiences to maintain operational and clinical pharmacy competency and knowledge. 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 their skills throughout the year. This feedback utilizes consistent assessment criteria and provides a mechanism for improving skills.

In addition to required learning experience evaluations, you will have one-on-one quarterly evaluations with your respective residency program director to document achievements, progress towards graduation requirements, and tailoring of the program to meet their needs. Residents also are asked to evaluate each of their preceptors as well as each learning experience to help improve the experience for future residents.

Graduation certificate

Upon successful completion of the residency, graduates receive a certificate of completion from Mayo Clinic and the Department of Pharmacy, Mayo Clinic.

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 assessed constantly and changed as necessary to ensure the highest quality training.