Curriculum

Clinical training

As a PGY-2 oncology resident, much of your time is devoted 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.

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.

Pharmacokinetic monitoring is provided to eligible patients. You serve as information resources by providing recommendations for appropriate assay procedures, evaluation of serum drug concentrations, and appropriate documentation in the medical record.

Required learning experiences

The PGY-2 Pharmacy Residency in Oncology at Mayo Clinic Hospital — Rochester is designed to provide a diverse experience for the future clinician. Required learning experiences include:

AreaLength
Orientation 4 weeks
Bone marrow transplantation: acute care 4 weeks
Bone marrow transplantation: ambulatory care 4 weeks
Hematology I (lymphoma and myeloma) 4 weeks
Hematology II (leukemia) 4 weeks
Hematology ambulatory care 3 weeks
Medical oncology - acute care 4 weeks
Medical oncology - ambulatory care 4 weeks
Teaching rotation 4 weeks
Oncology investigational drug service (IDS) Longitudinal
Oncology leadership and management Longitudinal
Staffing Longitudinal
Medication use evaluation Longitudinal
Longitudinal presentations Longitudinal
Quality improvement or research project Longitudinal

Elective learning experiences

Elective learning experiences are available in a variety of inpatient and outpatient settings that allow you to tailor the program to your needs. The list below includes popular elective learning experiences past PGY-2 oncology residents completed.

  • Hematology consult service
  • Intensive care in the immunocompromised host
  • Infectious diseases in an immunocompromised hosts
  • Medical oncology consult service
  • Nutrition support service
  • Palliative care/Hospice
  • Pediatric hematology oncology
  • Pharmacogenomics

Additional elective learning experiences may be available upon request.

Teaching requirements

Preparation for board certification in oncology

Mayo Clinic Hospital — Rochester offers a structured education program to meet the requirements of an American Society of Health-System Pharmacists (ASHP)-accredited PGY-2 oncology residency and prepare you for successful achievement as a Board Certified Oncology Pharmacist (BCOP).

The curriculum is designed around your learning experience schedule to correlate presentation topics with the patient population served. Preceptors in hematology and oncology teach a one-hour lecture three days a week.

A typical week consists of disease-state discussion on Monday, review of a drug class utilized to manage patients with that disease state on Wednesday, and review of a journal article that contributed to the standard of care for that particular disease state on Friday.

PGY-2 oncology residents are required to teach six of the lectures for the BCOP program, including two disease-state discussions, two drug class reviews, and two journal article reviews.

TLC workshops

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

As a pharmacy resident, you are required to 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.

Informal presentations

Given the role of pharmacists serving as medication experts, you 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. 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, residents are guided through their first precepting experience of an Advanced Pharmacy Practice Experience (APPE) student. Residents interested in a future faculty position 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.

Practice committees

You have the opportunity to participate on committees within the Department of Pharmacy and across the Mayo Clinic organization to provide valuable input into practice decisions. A preceptor or committee member typically attends all meetings with you to provide guidance.

Research certificate, project, and resources

As a pharmacy resident at Mayo Clinic, you will 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. Pharmacy residents complete the CCaTS Research Applications for Practice Improvement Decisions (RAPID) 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 clinical epidemiology
  • Biostatistics in clinical research

The two live research workshops, offered at the beginning of the academic year, allow the pharmacy resident 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

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. 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. You will be afforded a mentor and will be required to complete QI educationa nd training through the Mayo Clinic Quality Academy.

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-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 the residency program program leadership. Typically, residents 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 your 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 have a one-on-one quarterly evaluation with your respective residency program director to document achievements, progress toward graduation requirements, and tailor the program to meet your needs. You are also 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, you 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.