Overview of the Pharmacy Practice Residency Program
The Postgraduate Year One (PGY1) at Methodist Healthcare provides the resident with the skills and knowledge required to become a competent pharmacy practitioner. The program is accredited by the American Society of Health-System Pharmacists (ASHP ).

All program participants are expected to:

• Provide pharmaceutical care in multiple settings, applying evidence-based knowledge
• Possess independent learning skills
• Maintain a professional ethic

At the end of the program, participants are expected to:

• Communicate effectively
• Display confident leadership skills
• Take responsibility for evaluation of one's work
• Be capable of providing effective drug education to others
• Understand and participate in the medication use improvement system
• Improve the drug distribution system
• Take personal responsibility for affecting change through involvement in multidisciplinary and intradepartmental teams

The specific program for each resident varies based upon his or her goals, interests and previous experience. However, all residents are required to complete rotations in core subject areas considered to be essential to the pharmacy practitioner. A broad range of elective rotations is available to permit the resident flexibility in pursuing individual goals.

Additional learning experiences aimed at producing a well-rounded pharmacist include the development and completion of a major topic related to pharmacy practice, development of oral and written communications, patient education, participation in various departmental administrative committees and practicing in various pharmacy areas throughout the institution. Upon completion of the program, residents are awarded a residency certificate.

Rotations
Organized rotations provide the structure of resident training in specialized areas of pharmacy practice. The resident is expected to consider the goals and objectives for each rotation as a foundation for their experience. 

Residents are expected to perform independently and demonstrate proficiency in their rotations.  The residency preceptor provides guidance and assistance to the resident, and ensures that the goals set forth by the resident and the program goals are met.  The preceptor also provides the resident with frequent evaluation of their progress, including a written evaluation at the conclusion of the rotation. 

Frequent, clear communication is the key to a successful resident/preceptor relationship.  In order to maximize the learning experience, the resident is expected to, in a timely manner, personally inform the preceptor of all absences, conflicts, or concerns that might arise during the month.  Residents shall also prepare for topic discussions, read materials in a timely manner, and perform other tasks assigned by the preceptor.

Required Rotations
In order to attain the core level of knowledge necessary to function as a pharmacy practitioner, each resident will participate in the following one month rotations:

• Orientation
• Clinical Services Management
• General Medicine I
• Medicine Selective (either Cardiology, General Medicine II, Infectious Diseases, Medical Oncology, Solid Organ Transplant )
• Critical Care
• Outpatient Anticoagulation
• Drug Information and Drug Use Policy Development
• Pharmacy Practice Experience (Service Component- equivalent of 1 shift per week; total of 44 shifts per year)

In addition, the resident will participate in the following longitudinal experience to extend throughout the year (excluding orientation):

Elective Rotations
Elective rotations may be selected in the following areas:

• Cardiology - Carrie Oliphant, Pharm.D., BCPS
• Critical Care II - Chris Finch, Pharm.D., BCPS
• Drug Information II - Jennifer Robertson, Pharm.D.,BCPS
• Emergency Department - Fran Tate, Pharm.D.
• General Medicine II or III - Bob Lobo, Pharm.D., BCPS  or Tim Self, Pharm.D. or Larry Hak, Pharm.D., BCPS, FCCP
• Medical Oncology - Carli Nesheiwat, Pharm.D., BCOP
• Infectious Disease - Jeremy Taylor, Pharm.D.
• Clinical Research and Investigational Drug Management - Joyce E. Broyles, Pharm.D., BCNSP
• Nephrology - Joanna Hudson, Pharm.D., BCPS
• Nutrition - Varies- North, South, or Germantown)                                               
• Pharmacy Practice  - (Varies-North,South,or Germantown)
• Practice Management - Alison Apple, M.S.
• Solid Organ Transplant - Amy Krauss, Pharm.D., BCPS or Ben Duhart, Pharm.D. or Jennifer Lehneman, Pharm.D.

Rotation Schedule
A 12-month schedule of the resident rotations provides a framework for structured learning activities.  The resident and their facilitator will meet at the beginning of the year to form a plan for development.  This plan is presented to the Residency Preceptor Committee for suggestion, and to the Residency Director for approval.  Within the first month of the program, all residents and a preceptor will meet to develop a 12-month schedule of rotations for each resident.

In addition to the previously mentioned rotation requirements, each resident will be required to complete a service component of the residency.  Crucial to the development of professional practice skills is the development of skills related to pharmacy operations and drug distribution.  The resident will gain proficiency in the provision of pharmaceutical care encompassing distribution and clinical services.  Furthermore, they will develop personnel management skills, and learn the operations and policies of a large hospital pharmacy.  The guidelines of the service component are as follows:

• Residents are expected to practice as a pharmacist in designated areas every fourth weekend and two evenings per 4-wk (scheduling) period throughout the residency year.  The total number of scheduled shifts during the year will approximate 44.
• In July, each resident selects an area that best fits his practice interests.  The weekend practice experience will be obtained in Emergency Department, PCAP, or Central Pharmacy.  The evening requirement will be used to gain competency in other operational areas of the department. 
• During the Pharmacy Practice (off site) rotation, the resident is expected to complete one weekend and two evenings as a pharmacist.  The resident is expected to provide service (two shifts) for one major holiday (i.e., Thanksgiving, Christmas or New Year’s).  The resident is expected to coordinate their schedule with the scheduling manager according to the scheduling timetable which will be communicated.
• During the month of July, the resident will meet learning objectives in all of the previously mentioned pharmacy practice settings.
• The resident is expected to report for a required evening shift no later than 3:00 p.m.
• When on off-site rotations, the resident is expected to report for a required evening shift no later that 4:00 p.m.
• Residents may choose to cover additional pharmacist shifts and will be compensated at the standard pharmacist rate including differential.  Their current preceptor and the PCAP supervisor must first approve these shifts.  The resident will report for these shifts at 3 p.m.

Licensure
All residents are required to become a registered pharmacist in the state of Tennessee within three months of entering the residency program. Evidence of registration must be filed in the Pharmacy Administration Office. Information about Tennessee licensure may be obtained by contacting the Tennessee State Board of Pharmacy at 901.741.2722.