Rotations

The resident will complete one four-week training/onboarding period, 11 four-week rotations and longitudinal experiences in ambulatory care clinics.

Required Rotations (5)	Elective Rotations (6)
* Internal Medicine (3) * Infectious Diseases/Antimicrobial Stewardship (1) * Clinical Leadership (1)	* Gastroenterology * Hepatology * Nephrology * Pulmonology * Rheumatology * Neurology * Endocrinology/Diabetes * Geriatrics * Hematology * Oncology * Solid Organ Transplant * Informatics * Drug Policy * Primary Care * Anticoagulation * Emergency Medicine * Nutrition Support * Pharmaceutical Research * Medication Safety * Hospice * Palliative Care * Home Infusion * Specialty Pharmacy

Ambulatory Care

The residents participate in a longitudinal ambulatory care clinic experience in one or two practice settings. Eligible settings include:

• Anticoagulation
• Adult Pulmonology
• HIV Clinic/Infectious Diseases
• Neurology
• Oncology
• Lung Transplant
• Renal Clinic/Wisconsin Dialysis
• Abdominal Transplant
• Pediatric Pulmonary
• Primary Care
• Hepatology
• Inflammatory Bowel Diseases
• Specialty Pharmacy

Rotations

Activities while on rotation will include, but are not limited to:

• Collaboratively managing drug therapy with other members of the health care team
• Daily rounds with the health care team
• Admission histories (completed for all UW Health patients)
• Discharge teaching (completed for all UW Health patients)
• First-dose teaching
• Patient monitoring and documentation
• Pharmacokinetic calculations and dose adjustments
• Investigation of medication error reports and patient/medication safety follow-up
• Adverse drug event reporting
• Drug information; literature review; reading and contributing to team files
• Attending and participating in code situations
• Quality improvement activities
• Team-related research projects
• Communication and interaction with team preceptor and pharmacists
• Communication and interaction with physicians and nurses
• Working with students (first-, second- and third-year IPPE students, fourth-year APPE students)
• Instructional and patient case presentations

Clinical Staffing

Pharmacy services are provided by teams of pharmacists within an integrated practice model. These teams of pharmacists are de-centrally based and provide care as part of the interprofessional team through patient care rounds, clinical monitoring, medication order review, admission histories, first-dose teaching, discharge teaching and care coordination, code and stroke response teams, drug information provision and medication-use stewardship. The table below depicts which medical services/units are covered by which pharmacist teams. Residents staff in the same roles as their preceptors on the medicine team which covers five hospitalist services, three internal medicine services, an advanced pulmonary service, a family medicine service and a geriatric consult service (ACE). On average, the resident will staff 12 hours every week, including every other weekend.

Projects

Each pharmacy resident completes at least one major research project. Projects are presented at the Vizient Pharmacy Network resident poster session prior to the ASHP Midyear Clinical Meeting and Great Lakes Pharmacy Residents Conference. Residents are strongly encouraged to submit a manuscript for publication. Projects are selected off a vetted list provided by the resident advisory committee and usually 70 to 80 projects are available to select from. All projects include implementation of change that expands or enhances patient care or pharmacist roles at UW Health. Everything our department has accomplished is a result of resident projects.

Presentation Opportunities

Residents have ongoing opportunities to improve their speaking skills as they prepare for and participate in “Resident Report,” which is an opportunity for residents, preceptors and students to discuss patient cases and how to improve their clinical practice. In addition, residents provide educational presentations and in-services and can present at Pharmacy Grand Rounds or in University of Wisconsin School of Pharmacy courses. All residents will present their research, quality improvement and drug usage evaluation projects at local, regional and national meetings.

Teaching Opportunities

Residents receive clinical instructor status at the University of Wisconsin School of Pharmacy. They can take an active role in teaching second- and third-year students in pharmacotherapy lab and precepting fourth-year students on clinical rotation at the hospital. A teaching certificate program for residents at area hospitals is offered in conjunction with the University of Wisconsin School of Pharmacy. Additional elective rotations with School of Pharmacy faculty are available.

Other Activities

• Weekly resident seminar — local and national speakers discussing clinical and administrative topics
• Participation in clinically focused committees
• Advanced Cardiac Life Support training
• Every resident is provided a mentor to meet with monthly for guidance and support
• Interprofessional mock codes in the state-of-the-art simulation center
• Participation in resident group service projects/volunteering

Travel

Residents receive travel support to attend one professional meeting annually, the Great Lakes Pharmacy Residents Conference and a visit to other health systems and residency programs to observe, learn and share ideas.

Program Statement of Purpose

The ASHP Accreditation Standard for Postgraduate Year Two (PGY2) Pharmacy Residency Programs establishes criteria for systematic training of pharmacists in advanced areas of pharmacy practice.

Its contents delineate the accreditation requirements for PGY2 residencies, which build upon the foundation provided through completion of an accredited pharmacy degree program and an ASHP-accredited Postgraduate Year One (PGY1) pharmacy residency program. PGY2 pharmacy residency programs build on Doctor of Pharmacy (Pharm.D.) education and PGY1 pharmacy residency programs to contribute to the development of clinical pharmacists in specialized areas of practice.

PGY2 residencies provide residents with opportunities to function independently as PGY2 residencies provide residents with opportunities to function independently as practitioners by conceptualizing and integrating accumulated experience and knowledge and incorporating both into the provision of patient care or other advanced practice settings. Residents who successfully complete an accredited PGY2 pharmacy residency are prepared for advanced patient care, academic or other specialized positions, along with board certification, if available.

Program Philosophy

Residents who successfully complete the program will be able to provide integrated pharmaceutical care at a patient-specific level, as well as a patient population level across continuums of care. Furthermore, the program will provide residents with opportunities to conceptualize, integrate and transform accumulated experiences and knowledge into skills, competence and confidence in providing safe, efficient and cost-effective patient care.

Residents will develop a philosophy of practice that includes:

• Pharmacists’ responsibility and accountability for pursuing optimal drug therapy outcomes and medication safety in the provision of patient care
• Education and training of other health professionals and students
• A plan for self-learning and continuing professional development
• A commitment to the profession and their community
• An appreciation for scholarly activity

Residency Design

Program goals and objectives will be achieved through learning experiences designed to have the resident practice as an active member of the interdisciplinary care team (e.g. rounding, admission medication histories, medication reconciliation, discharge coordination, patient education, clinical monitoring, order verification, delegation protocols/collaborative practice agreements, pharmacist clinic visits). In addition, the resident will participate in the precepting/teaching of learners (i.e., pharmacy residents, interns and students), clinician education and quality improvement activities.

ASHP Midyear

Interested residents are encouraged to visit our residency showcase booth and/or contact the program director Anne Rose to set-up a PPS interview, to learn more about the program and meet current residents/preceptors.

Program Contact

Anne Rose, PharmD
UW Health
600 Highland Ave.
Madison, WI 53792
(608) 263-9738
Fax: (608) 263-9424

Current Resident

Jeffrey Sperry, PharmD – Meet Our Resident