Program Design
PGY1
Program Design
The format of PGY1 MUSP year will mirror that of a PGY1 Acute Care Pharmacy Resident at UNC Medical Center. The PGY1 MUSP resident will complete the same longitudinal activities as a PGY1 Acute Care resident and be required to complete the same core rotations. The two programs diverge with respect to electives – PGY1 MUSP residents will complete 1 Stewardship Experience and 1 MUSP-Focused elective, accounting for 2 of 3 elective slots. In addition, the PGY1 MUSP resident participates in regular topic discussions both internally (MUSP POD) and externally (MUSP Safety Collaboration).
PGY1 Rotations
- Orientation – 1 month
- Acute Care Medicine – 2 months
- Critical Care – 1 month
- Pediatrics or Oncology – 1 month
- Ambulatory Care – 1 month
- Drug Information – 1 month
- Medication-Use Administration – 1 month
- Clinical Stewardship – 1 month; options include:
- Antimicrobial Stewardship
- Blood Factor Stewardship
- MUSP-Focused Experience – 1 month; options include:
- Medication Safety
- Pharmacy Analytics
- Pharmacy Benefits Management
- Revenue Integrity
- Investigational Drug Services
- Clinical elective experience – 1 month
PGY2
Program Design
The core learning experiences of this residency program include, but are not limited to, the following activities:
- Provision of medication-related information to health care professionals as well as clinical guideline and policy management through involvement in the day-to-day operations of the UNC Health Drug Information Center
- Participation in a longitudinal formulary management experience, including P&T and System P&T activities and co-chairing a P&T Subcommittee
- Participation in supply chain, drug shortage management, and drug contracting activities, as it relates to formulary management
- Review of medication errors, participation in root cause analyses, and longitudinal involvement in the Medication Safety Committee
- Participation in pharmacy compliance/regulatory and accreditation activities, such as readiness assessments and mock surveys
The structure of the residency program is a blend of required and elective rotations. Elective rotations provide additional training in areas of resident interest, building upon the knowledge and experience gained in the foundational rotations.
PGY2 Rotations
- Required Rotations
- Orientation and the Medication-Use Process – 1 month
- Introductory Drug Information – 1 month
- Drug Information, Advanced – 1 month
- Formulary Management– 1 month
- Medication-Use Strategy – 1 month
- Medication Safety – 1 month
- System Medication Safety Leadership – 1 month
- Drug Shortages and Contract Management – 1 month
- Medication-Use Safety and Policy Mastery – 1 month
- Longitudinal Rotations
- Project and Practice Management – Longitudinal; 12 months
- Committee Leadership – Longitudinal; 6 months
- MUSP elective experiences – choose two:
- Pharmacy Analytics – 1 month
- Pharmacy Revenue Integrity – 1 month
- Accreditation and Regulatory Compliance – 1 month
- 340B Program Management – 1 month
- Community Hospital Medication-Use Safety and Policy – 1 month
- Pharmacy Research and Health Outcomes – 1 month
- Community Medication-Use Safety and Policy – 1 month
OTHER REQUIRED COMPONENTS
Research Projects
The PGY1 MUSP resident will complete a research project using a 2-step flipped model. Incoming residents will be assigned an IRB-approved research project in the summer and spend the first 6 months of residency focused on data collection and analysis with a goal of presenting results at a regional or national meeting.
In the Spring, the PGY1 MUSP resident will develop a research question and design a protocol to be used as the basis of an 18-month longitudinal research endeavor. This project will be continued into the PGY2 year, culminating in a manuscript and regional or national presentation by the end of the 2nd residency year.
PGY2 residents are encouraged to present the results of their research at ASHP Midyear and/or ASHP Futures meeting.
Teaching Responsibilities
Each resident is appointed as a Clinical Instructor within the UNC Eshelman School of Pharmacy. PGY1 residents have teaching responsibilities in both the Fall and Spring Semesters. They serve as course support for one of the semesters, and as a teaching assistant/facilitator for Patient Care Lab in the other. Additional details can be found on the PGY1 Pharmacy – Acute Care Track page.
PGY2 residents serve as a teaching assistant in the Evidence Based Practice course in the fall semester. The resident also teaches 1 to 2 didactic lectures in this course. The resident also precepts Doctor of Pharmacy candidates and PGY1 residents during advanced required rotations.
Educational Opportunities
Case Conference
PGY1 MUSP residents participate in weekly noon conference throughout the year alongside other PGY1 residents. Details are provided on the PGY1 Pharmacy Acute - Care Track page.
Continuing Education
PGY1 and PGY2 MUSP residents each develop and present a 1-hour ACPE accredited presentation to the UNC Health Department of Pharmacy.
MUSP Learning Series (POD) and MUSP Safety Collaborative
PGY1 MUSP residents will participate in a monthly learning series in small group sessions with relevant MUSP preceptors. Topics vary, but focus on improving knowledge in foundational areas such as biostatistics, pharmacoeconomics, evidence-based medicine, and medication safety.
PGY1 and PGY2 MUSP residents will also participate in an every-other-month, multi-program, safety collaborative with other MUSP programs across the country. This program provides networking opportunities to learn from and with other MUSP residents. This a resident-led discussion focused on practical management of contemporary challenges in medication safety and differences in risk mitigation strategies based on staffing, technology, and practice models.
Staffing
Each year, residents will complete three, 1-week staffing blocks throughout the year in addition to every third weekend.
Professional Meetings
Residents are encouraged to attend the ASHP Midyear Clinical Meeting (December) as well as the UNC Research in Education and Practice Symposium in May. Other possible meeting’s include attendance at either the ASHP Leadership Meeting (October), ACCP Meeting (November) or ASHP Summer Meeting (June).
Requirements for Program Completion
In order to receive a certificate of Residency completion, residents must complete all requirements specified in the appointment agreement:
- Complete all scheduled learning experiences
- Receive an evaluation score of “Achieved for the Residency” (ACHR) for at least 85% of PharmAcademic objectives required by the program
- Complete a one year research project or a pre-specified part of a multi-year research project
- Contribute approximately 400 hours of staffing support to the department through weekday, weekend, day/evening and holiday clinical and operational staffing requirements
- Attend at least 15 hours (PGY1s) or 8 hours (PGY2s) of resident-led CE programming
- Complete all evaluations in PharmAcademic, ASHP's approved tool
- Provide a 30-60 minute (RPD determined) ACPE accredited CE program for pharmacists and/or pharmacy technicians within and outside the Department of Pharmacy
- Participate in required departmental “on-call” services as necessary to support departmental functions
- Serve as a support resource and teaching assistant at the UNC Eshelman School of Pharmacy during at least one semester of the academic year
- Serve on a designated hospital or health system committee as assigned by the program
- Upload files to document completion of all required residency components into PharmAcademic (CE, MUE, research project, data collection tool, manuscript, IRB, research proposal, etc.)
