Goals and objectives

The PGY1 and PGY2 combined residency in Medication Systems and Operations Administration and Leadership (MSOAL) at UW Health is designed to develop experts of operational and project management. With this expertise, a pharmacist graduating from this program will seek positions in project management, daily pharmacy operations management, medication safety or informatics. Residents gain a comprehensive understanding of the medication-use system and the daily operations that occur within a hybrid drug distribution model. The program’s primary objective is to mature pharmacists with the ability to effectively manage and oversee the distributive, technical and clinical aspects of the supply chain and medication use system.

Projects

• Two major, longitudinal projects will be completed over the course of the two-year program
• Rotation projects as determined by rotation preceptors

Committee responsibilities

The resident will be an active member of the following committees during months seven through 24. The resident will have the opportunity to serve on other committees depending on resident and program director preference.

• Drug Product Selection and Supply (DPSS)
• Inpatient Operations

Presentation opportunities

The MSO resident is required to complete:

Project, presentation, poster	First year	Second year
Resident Report Presentations/Discussions	X
Resident Report Facilitation		X
Podium Presentation at Great Lakes Pharmacy Residency Conference (present major project)	X	X
Seminar Presentation	X	X
Poster Presentation on PGY1 project at the annual PSW conference		X
Poster Presentation on PGY2 project at the University Health System Consortium (UHC) meeting (usually the Saturday prior to the ASHP Midyear meeting)		X

Travel

• ASHP Midyear Clinical Meeting
• Great Lakes Pharmacy Resident Conference
• Summer Midwest Residency Exchange
• Site visits to other health systems and residency programs
• ASHP Leadership Conference
• Pharmacy Society of Wisconsin Annual Meeting and Educational Conference

Residency structure

The base of the residency is four-week rotations in a variety of clinical and operational areas throughout the pharmacy department. The first 12 months will focus on clinical areas and some basic operational rotations.  The remainder of the residency will be more in depth operational rotations and unique areas of pharmacy operations. The resident will rotate through each of these rotations while maintaining his/her required staffing component of the residency and other required activities. The resident will also be required to complete two major projects (one each year).

Core structure

• Four weeks of department training
• 28 weeks of clinical patient care rotations (7 four-week rotations)
• Includes two required for staffing areas
• Includes two optional clinical patient care rotations
• Includes two required hybrid clinical/operational patient care rotations
• Includes one required pharmaceutical research patient care rotation
• 57 weeks of required MSO-specific rotations
• Includes seven weeks of elective rotation time in any MSO-specific rotation
• Eight weeks of required management rotations
• Two weeks of project time
• 12 weeks of longitudinal rotations

Clinical rotations

Staffing areas (4 weeks, assigned to resident based upon staffing need)
General internal medicine	Medical cardiology	Neurology
General surgery	General pediatrics
Two elective rotations (4 weeks each)
Abdominal transplant	Gynecology/Oncology surgery	Nuclear medicine
Academia/Teaching	Hematology	Nutritional support
Bone marrow transplant	Hospice	Oncology
Cardiothoracic surgery	Infectious disease	Pediatric hematology/Oncology/BMT
Family medicine	Medical cardiology	Pediatric Intensive Care Unit (PICU)
General internal medicine	Medical/Surgical ICU	Peripheral vascular surgery
General pediatrics	Neurology	Psychiatry
General surgery	Neurosurgery
Required (4 weeks)
Operating Room (hybrid)	Emergency Department (hybrid)	Pharmaceutical Research Center

MSO-specific rotations

Required
Sterile operations (4 weeks)	Informatics (8 weeks)
Advanced practice and operations (4 weeks)	Automation and dispensing operations (4 weeks)
340B and supply chain (4 weeks)	PSB operations (4 weeks)
Directing integrated pharmacy services (8 weeks)	Shared services (8 weeks)
Drug policy/MUE (4 weeks)	Infusion and clinic services (4 weeks)
Home infusion (4 weeks)	Elective block (8 weeks)

Management rotations

Required (4 weeks)
Clinical management	Pharmacy administration and leadership

Longitudinal rotations

Required

Medication safety (16 weeks)

The UW Health Department of Pharmacy is a leader within the profession of pharmacy in the areas of technology assessment, automation, information technology, regulatory compliance and business development.

Our Pharmacy Medication Systems and Operations Administration and Leadership (MSOAL) Residency offers extensive training to establish advanced and innovative medication systems in clinical, operational and technology settings. Residents learn and apply the fundamentals of hands-on project management (i.e., initiate, plan, execute and close on team deliverables) for projects of varying complexity and scale. Graduates of the residency obtain leadership positions in hospital pharmacy requiring skills in project management, productivity and systemization.

Program strengths

• Project management: The resident will learn the fundamentals of hands-on project management and apply these skills as he/she leads department-wide projects and initiatives.
• Technology: UW Health has implemented and uses a wide range of automation and technology in all phases of the medication-use process. Examples of such technology/automation include: IV workflow, automated dispensing cabinets, robotics, bedside barcode medication administration, carousels, perpetual inventory, high-speed packagers and other unit dose packaging machines.
• Clinical involvement: This residency has the same clinical expectations has all PGY-1 programs but also includes clinical operations — a unique aspect that provides the resident with the skills to connect clinical needs in practice with the operational background of how to dispense and administer medications in those areas.
• Leadership: The resident is an integral part of the administrative team giving the resident many leadership experiences throughout residency, including committee participation and membership (e.g., Drug Product Supply and Selection, Inpatient Pharmacy Operations) and involvement in technician oversight.
• Flexibility in tailoring the program to the interests of the resident: The resident will play an integral role in developing his or her rotation schedule and will be exposed to a variety of experiential learning opportunities offered at UW Health. Additionally, coursework at the School of Engineering or School of Business is available if formal training in change or process improvement is desired.

Contact information

Kimberly Harrison, Pharm.D.
Pharmacy Manager, Pharmacy Services Building (PSB)
Chair, Drug Product Selection and Supply Committee
Medication Systems and Operations Administration and Leadership (MSOAL) Residency Program Director
Pharmacy Department
3185 Deming Way, Middleton, WI 53562-1435
Phone: (608) 720-3271

Current resident

Ellie Valentine (PGY2) – Meet our resident

Program summary

Medications and Systems Operations (pdf)