PGY-2 Medication-Use Safety & Policy Residency

The Postgraduate Year Two (PGY2) Medication-Use, Safety & Policy (MUSP) Residency Program is designed to develop accountability; practice patterns; habits; and expert knowledge, skills, attitudes, and abilities in the respective advanced area of pharmacy practice. The MSUP Residency Program builds upon the broad-based competencies achieved in a PGY1 residency, deepening the resident’s ability to provide care in the most complex of cases or in the support of care through practice leadership. Therefore, this residency provides the resident with opportunities to function independently as a practitioner by conceptualizing and integrating accumulated experience and knowledge and transforming both into improved medication therapy for patients.

This specialty residency is designed to develop practitioners who possess an expert level of competency in drug information practice, policies and procedures, medication safety, and/or formulary management. The program allows sufficient flexibility to adapt to the individual needs of the resident, while ensuring that all ASHP standards for the MUSP specialized residency training are met. Upon completion of this program, the resident will be prepared to enter a variety of positions related to drug information practice, including but not limited to the following: clinical specialist in drug information, medication use policy, medication safety or outcomes; faculty member in a relevant field, coordinator of Drug Information Services (or similar area), medical writing, industry, or pharmacy information systems. Additionally, upon completion of the PGY2 program, the resident should possess competencies that enable attainment of board certification.

  • Demonstrate excellence in the provision of education, training, and evidence-based information for health care professionals and health care professionals in training.
  • Contribute to the management of the organization’s medication-use policies or processes.
  • Exercise leadership and practice management skills.
  • Demonstrate excellence in the provision of evidence-based information and education.
  • Contribute to the management of a drug information center/service.
  • Conduct drug information practice-related projects.
  • Contribute to the management of the organization’s medication-use process.
  • Demonstrate skills required to function in an academic setting.
  • Contribute to the organization’s decisions for the selection of medication-related devices
  • Demonstrate skills required to participate in the maintenance of pharmacy information systems.

Activities will include providing drug information services to health professionals and consumers through a variety of experiences. Specific activities include staffing in a call center; preparation of scientifically based, unbiased drug evaluations for the Pharmacy and Therapeutics Committee; management of the hospital formulary system; participation in ongoing medication use evaluations; and preparation of drug therapy newsletters. The resident will also participate adverse reaction surveillance and administrative and management activities of drug information services; assist with the maintenance of the information systems; and provide educational programs for the hospital staff and students at the Medical University. Additionally, the resident is required to present one formal seminar and complete a residency service project and medication-use evaluation.

The majority of experiences are longitudinal in nature to simulate the work experience following graduation. On successful completion of the program, the resident will receive a Certificate of Residency in Medication-Use, Safety & Policy from the Medical University of South Carolina.

Learning Experience

Orientation | 1 month
Drug Information | 11 to 12 months (longitudinal)
Drug Information – Precepting | 2 months
Medication Safety | 4 to 6 weeks (or longitudinal)
Medication Safety, Use & Policy | 1 month (or longitudinal)
Formulary Management (P&T) | 4 to 6 months
Informatics | 4 to 6 weeks (or longitudinal)
Service project and manuscript | Longitudinal
Complete an MUE and/or coordinate an MUE | Longitudinal
Seminar | 1 presentation
Operational staffing | Approximately 16 hours every 3 to 4 weeks

Elective Learning Experiences

Drug Information - Teaching (Academia) \ 1 semester
Clinic experience | Half day per week (longitudinal)

Each clinical preceptor will be responsible for the coordination of their own learning experience. The preceptor will modify the learning experience accordingly, with the assistance of the residency program director (RPD), should the resident need remediation as far as residency goals are concerned. The residency preceptor will exhibit the characteristics and aptitude necessary for residency training including the mastery of the four preceptor roles fulfilled when teaching clinical problem solving (i.e., direct instruction, modeling, coaching and facilitation). The residency preceptor will guide and monitor the resident’s activities and service throughout the learning experience. The residency preceptor will provide ongoing formative and summative evaluations of the resident’s performance, with the goal of advancing the resident’s competency on the specific goals assigned to the experience. The preceptors listed below will be responsible for the required and elective learning experiences for this program. The resident may work with other preceptors/staff throughout the department depending on the learning experience/project assigned.

The specific preceptor responsibilities are as follows:

  • Understand the resident’s responsibilities to the residency teaching experience and to ongoing activities such as projects, talks, student discussions, manuscript preparation.
  • Develop and maintain goals and objectives for the specific residency teaching learning experience(s).
  • Review the resident’s training plan and resident’s previous performance and modify the learning experience accordingly.
  • Orient the resident to the rotation’s setting and monitor/evaluate/critique the resident’s performance during the experience.
  • Provide the resident a midpoint in written and verbal format, and be able to complete the final summary PharmAcademic evaluation by month’s end as outlined in the residency manual.
  • Advise the RPD of any appropriate interventions that may be needed relevant to the resident’s performance.
  • Participate in an annual feedback session in which preceptors and the RPD consider overall program changes based on evaluations, observations, and direct resident feedback and surveys

Program Preceptors

Jeff Brittain, PharmD, BCPS
Clinical Pharmacist, Drug Policy/Informatics
Adjunct Assistant Professor, SCCP-MUSC Campus

Genevieve (Jeni) Hayes, PharmD, BCPS
Clinical Specialist, Outcomes Management
Adjunct Assistant Professor, SCCP-MUSC Campu

James New, PharmD, BCPS
Clinical Specialist, Drug Information
Adjunct Assistant Professor, SCCP-MUSC Campus

Matt Hebbard, PharmD
Clinical Pharmacist,
Medication Safety, Use & Policy

Chris Wisniewski, PharmD, BCPS
Clinical Specialist, Drug Information
Associate Professor, SCCP-MUSC Campus

Dixie Runey, PharmD
Clinical Pharmacist,
Medication Safety, Use & Policy

Shelby Stricklin, PharmD
Coordinator, Medication Safety

A Residency Advisor may be appointed by the RPD and is responsible for the supervision, guidance and on-going evaluation of the resident’s progress throughout the residency. The advisors also provides an informal professional mentoring role (examples include preparation for future career planning roles, advice on other issues that maybe impacting on the resident’s performance).

The residents’ role is that of a student, novice practitioner, and emerging clinician and/or administrator. The resident is to participate in ongoing clinical and administrative services with the assistance of the residency preceptor and develop their skill set into a competent clinical practitioner and/or future administrator. The resident must accept and apply qualitative feedback in addition to performing self-evaluations on their performance.

In order to promote an effective and productive residency experience, the relationship between a resident and rotation preceptor must be highly communicative. Specifically, the resident will:

  • Sign off on the learning experience orientation form on the first day of each new rotation,
  • Maintain strict deadlines as far as PharmAcademic requirements are concerned – outlined in the MUSC Residency Manual,
  • Understand the preceptor’s expectations for daily activities, services provided, and preceptor contact,
  • Maintain a project list with associated time lines,
  • Participate in department and organizational functions (eg, departmental meetings, divisional staff meetings, Seminars) in accordance to the MUSC Residency Manual and the expectations of the preceptors and RPD
  • Provide a detailed account of activities as they relate to the goals and objectives of the learning experience, and
  • Maintain active communication with the preceptor, advisor and/or RPD concerning any planned off-service activities (eg, meetings, seminars, projects, staffing) that the resident will be participating in during the rotation.

Clinical Staffing Service
Residents will gain clinical experience providing service throughout the year as a clinical pharmacist. PGY1 residents staff an average of 32 hours per month in one of the inpatient pharmacies (Ashley River Tower, Children’s Hospital, and University Hospital). Residents will be scheduled in a variety of central and decentralized roles so they gain experience providing a wide range of services. Activities include, but are not limited to, order verification, sterile product verification, completing pharmacokinetic monitoring, providing therapeutic consults, attending emergency codes, and delivering patient education.

On Call (optional)
Residents will participate in a Clinical Pharmacy on-call service for daytime, evening, weekend, and holiday coverage. Residents provide 24-hour availability of clinical pharmacy services and patient-specific drug therapy issues to all MUSC Health care team members. Clinical pharmacy specialists serve as a clinical back-up for the residents, and all therapeutic consults must be reviewed by the clinical back-up before recommendations are made by PGY1/PGY2 residents. PGY1/PGY2 residents have both adult and pediatric on call assignments throughout the year, and weekend on-call responsibilities count towards the 32 monthly service hours.

Research Project
Each resident will complete a major service or research project during the residency year. Project ideas will be generated by care team members of MUSC Health to address clinical and operational needs for Pharmacy Services and patients at MUSC Health. The resident will present the results of their project at a local, state, regional, or national meeting, and they must write a manuscript suitable for publication describing the results of their project. Residents will be provided one working day each month during rotation hours to work on the project.

PGY1 residents will participate in small-group medication use evaluations during the fall to evaluate and implement measures to improve the quality of the medication-use process. Residents will complete an MUE in pairs under the oversight of a clinical and drug information liaison, and they will present their findings at the Vizient Pharmacy Network resident poster session in December as well as at relevant P&T and/or subcommittees at MUSC Health.

Each resident will present at least one ACPE-accredited seminar during the residency program. The goal of the seminar is to expand the resident’s communication skills, presentation techniques, and knowledge in a topic of their choosing.

Longitudinal Clinic Service (optional)
The PGY2 resident can participate patient-care activities within an outpatient clinic (eg, ambulatory care, HIV, Internal Medicine) for 3 to 4 months. Responsibilities are limited to one half-day per week shift, and would include any and all tasks/assignments as designated by the clinic administrator/preceptor.

Optional Certificate Programs
Academician Preparation Program
The MUSC College of Pharmacy offers an optional certificate to residents in the Charleston area who are interested in enhancing skills needed in an academic environment. Residents are assigned a full-time faculty member as a mentor for this program. Additional requirements for APP include providing 2 hours of didactic lecture, developing one complex patient case, facilitating 5 small group discussions and/or laboratory exercises, and serving as the primary preceptor for 2 students on APPE rotations.

Research Certificate Program
The MUSC College of Pharmacy also offers a research certificate program for residents, consisting of live sessions aimed at improving residents’ ability to conduct, disseminate, and interpret research. .

The resident is expected to successfully complete and achieve all of the required outcomes according to ASHP Educational Outcomes, Goals and Objectives for the PGY2 Drug Information Residency and all of the selected elective outcomes. The required outcomes for this program listed below should all be achieved for successful completion of the program. Custom outcomes will be available for operational staffing learning experiences.

The resident is expected to demonstrative proficiency in 95% or above of all activities linked to these specific outcomes via the various goals and objectives assigned from the learning experiences to successfully complete the program (see MUSC Residency Manual). The resident will observe, learn, act, and then master a particular activity, which will deem the resident as achieving that goal. This again will be highly individualized and not applied to every resident exactly the same.

Each learning experience will be evaluated using PharmAcademic. A typical evaluation schedule is included in Appendix A. The resident will be assigned formative evaluations through the program as determined through the customized plan process. The formative evaluations may be evaluated through PharmAcademic or as other written/verbal communication (eg, editorial feedback on a writing assignment). All competencies and assignments/project with associated feedback will be maintained in the resident’s online folder.

Outcomes for Successful Completion of the Program

Outcome R1
Demonstrate excellence in the provision of education, training, and evidence-based information for health care professionals and health care professionals in training.

Outcome R2
Contribute to the management of the organization’s medication-use policies or processes.

Outcome R3
Exercise leadership and practice management skills.

Outcome R4
Conduct drug information practice-related projects.

Outcome R5
Contribute to the management of the organization’s budget.

Outcome E1
Contribute to the management of the organization’s medication-use process.

Outcome E2
Contribute to the management of a drug information center/service.

Outcome E3
Demonstrate excellence in the provision of evidence-based information and education for the public.

Custom 1
Manage and improve the medication-use process

Custom 2
Provide evidence-based, patient-centered medication therapy management with interdisciplinary teams.

Custom 6
Utilize medical informatics.

Elective Outcomes

Outcome E5
Demonstrate skills required to function in an academic setting.

Potential candidates must complete an application via the PhORCAS online application system by the published deadline each year. Typically, the deadline is December 31st. Details regarding the application process can be found on the MUSC Health Residency Program Website. For the PGY2 Drug Information program, the candidate is asked to submit a writing sample for review as part of the interview process. The content of the writing sample can be the candidate’s choice as it is for the assessment of communication skills.

Candidates that have submitted a complete residency application will be considered for on-site interviews based on established pre-screening criteria. The top 2 to 5 candidates will be offered an on-site interview.

An on-site interview will be conducted with the preceptors for the program, using an established scoring system with behavioral-based questions. Interview scores are collated and added to the pre-interview screening score. Candidates are then ranked and discussed by the Medication Safety, Use & Policy group to determine the final ranking of candidates. For internal and external candidates participating in the NMS Matching Services, the final ranks are submitted by the established deadline.

  • Resident Stipend: Assessed annually and communicated in the welcome letter.
  • Leave: 15 days of paid leave for sick time, vacation time, holidays, and interview days. Each PGY1 resident will also receive one paid time off day per month after orientation, with the exception of Clinical Generalist rotation (10 total days). Administrative time is granted for attendance at professional meetings or other duties as determined. Long term leave is available through a combination of paid leave and/or leave without pay, with a maximum of 8 weeks.
  • Health Insurance: Medical and dental insurance is available through the MUSC Medical Center.
  • Parking: Parking at MUSC Health is available for a monthly charge.
  • Technology: Residents will be provided a laptop and a pager to use throughout the year.
  • Travel: Each resident is given a stipend to assist in travel expenses for professional meetings as approved by the Director of Graduate Pharmacy Education.
  • All PGY2 residents have their PGY1 residency certificate on file.
  • As is applicable to the specific residency program, residents will complete the ACLS/PALS curriculum and participate in medical emergencies.
  • Attain an “achieved” on 95% of the RLS objectives as assessed by the RPD on the last quarterly evaluation (June).

    No NI’s may be present upon graduation of the program.
  • Complete all assigned evaluations
  • Complete end-of-year self-assessment and review with RPD.
  • For PGY1 programs (or applicable PGY2), participate in medication use evaluation(s). Provide a written document with methods, findings, and recommendations.
  • Complete a service or research project designed to improve the services of the Pharmacy ICCE. Prepare a manuscript suitable for publication in a peer-reviewed biomedical journal. Editorial assistance by the preceptor is required.
  • Prepare and present an ACPE-approved continuing education seminar.
  • Complete all staffing requirements as assigned.
  • Present resident project at an approved local, national, regional or state meeting.
  • Evaluate 4 Grand Rounds presentations throughout the year.